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Sample records for anos del accidente

  1. La estrategia del océano azul para emprendedores

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    Tula Mendoza Farro

    2013-06-01

    Full Text Available Los emprendedores deben tener presente que no siempre la planeación garantiza el logro de los objetivos, sin embargo sin planes es difícil alcanzar metas (1. Alfred Chandler J. define que “la estrategia es la determinación de los objetivos y planes a largo plazo de la empresa, las acciones a emprender y la asignación de recursos necesarios para lograr esto...” (2. Michael Porter sostiene que “la empresa sin estrategia está dispuesta a intentar cualquier cosa” (3. C.K. Prahalad dice que “si queremos escapar de la atracción gravitacional del pasado tenemos que ser capaces de replantear nuestras propias ortodoxias. Debemos volver a generar nuestras estrategias esenciales y replantear nuestras creencias fundamentales sobre cómo vamos a competir” (4. Peter Drucker, en tanto, considera que “la estrategia de la organización es la respuesta a dos preguntas: ¿qué es nuestro negocio? y ¿qué debería ser?” (5. Las concepciones de estrategia en la empresa son diversas, pero todas coinciden en la enorme trascendencia que tiene para la gestión empresarial. Los modelos de estrategia, del mismo modo esencial para la gestión, también son distintos, pero suelen variar en función de la búsqueda de mejores resultados. Un emergente y expectante modelo es hoy la estrategia del océano azul, que alienta la innovación en la apertura de mercados y deja de lado la competencia como modelo estratégico. La estrategia del océano azul, formulada por W. Chan Kim y Renée Mauborgne en su gran best seller del mismo nombre (6, sostiene que las empresas si quieren ser exitosas pueden hacerlo explorando nuevos mercados, nuevas oportunidades y a través de la innovación en valor (innovación con utilidad, precio y costo, sin preocuparse en la competencia. Es un modelo de “no competencia”, de búsqueda de nuevas oportunidades, de intactos escenarios, de aguas tranquilas e inexploradas que simbolizan el océano azul, y que precisamente es una

  2. Cuidado popular de familias con un adulto mayor sobreviviente del primer accidente cerebrovascular

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    Lucero López-Díaz

    2016-01-01

    Full Text Available Introducción: el accidente cerebrovascular afecta a numerosas personas en el mundo y se constituye en la principal causa de muer- te. Los sobrevivientes pueden padecer discapacidad y sufrir modificaciones en las actividades cotidianas. La familia es el principal apoyo del sobreviviente y al ser parte de una misma cultura, construye acciones de cuidado en búsqueda del bienestar. Objetivo: describir las acciones del cuidado popular de las familias con un adulto mayor sobreviviente del primer accidente cerebrovascular. Método: estudio etnográfico, con observación participante y entrevistas en profundidad. Participaron siete familias bogotanas (siete adultos mayores entre los dos y diez meses posteriores al primer accidente cerebrovascular y los siete cuidadores principales respectivos. Resultados: cuidadores y adulto mayor comparten acciones de cuidado para la recuperación, relacionadas con la alimentación, el cuidado personal y la ingesta de medicamentos permeadas por la creencia religiosa, fuente de soporte y vínculo afectivo. Conclusión: conocer el cuidado popular de esta población posibilita proponer acciones culturalmente congruentes con sus valores y creencias para potencializar las ca- pacidades familiares e intermediar en los procesos de tratamiento.

  3. El estudio del factor humano en accidentes de aviación

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    Lina María Sánchez Rubio

    2010-01-01

    Full Text Available El factor humano ha sido considerado causa o contribución del 70 al 80% de los accidentes de aviación en el mundo, y constituye una prioridad en investigación para la seguridad aérea. Las estadísticas muestran que los índices y causas de accidentes de aviación se mantienen constantes, e identifican una importante diferencia entre regiones. La investigación científica requiere de nuevas y complementarias aproximaciones para la explicación y comprensión del factor humano en aviación. Los médicos y psicólogos que trabajan en Medicina Aeroespacial y factores humanos desempeñan un importante papel para alcanzar las metas en seguridad aérea.

  4. Accidentes fuera del trabajo: análisis en el campamento minero de Toquepala 2002-2003

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    Raúl Gomero Cuadra

    2005-06-01

    Full Text Available En general, todas las empresas desarrollan programas para evitar o minimizar los accidentes del trabajo. Sin embargo, existe escasa información técnica relacionado a la prevalencia y costos derivados de los accidentes fuera del trabajo, lo que dificulta el análisis del problema. Objetivo: Revisar y analizar los descansos médicos en los trabajadores de nuestro campamento minero generados por accidentes considerados como particulares o fuera del trabajo. Materiales y métodos: El presente trabajo tiene un diseño transversal periódico, realizado en el Servicio de Salud Ocupacional del Hospital Toquepala. Los diagnósticos médicos fueron informados según el CIE-10 de la OMS. Para la clasificación de accidentes fuera del trabajo, se siguió la del programa de Loss Control Management del DNV, a la cual se le realizaron modificaciones de acuerdo al criterio y experiencia de los autores. Se revisaron 468 y 570 boletas de descanso médico generadas en los años 2002 y 2003 respectivamente. Resultados: Correspondieron al año 2002, 88 (18,8% descansos de accidentes fuera del trabajo, mientras que en el año 2003 fueron 99 (17,37%. La etiología de los accidentes fuera del trabajo fueron: de Transporte 11 (12,5% en el año 2002 y 12 (12,12% en el año 2003; del Hogar 25 (28,41% en el año 2002 y 20 (20,2% en el año 2003; Públicos 21 (23,86% en el año 2002 y 36 (36,36% en el año 2003. Conclusiones: Tenemos valores altos de accidentes fuera del trabajo con relación al número total de accidentes en nuestra empresa en los años 2002 y 2003, sin embargo, ninguno fatal. Además debemos orientar programas preventivos dirigidos hacia la seguridad vial y la buena práctica de deportes. Concluimos que es necesario incorporar el análisis de los accidentes fuera del trabajo con incapacidad temporal dentro del estudio de la morbilidad como parte del Diagnóstico de la Situación de Salud Laboral que confecciona el Médico ocupacional o del Trabajo

  5. Las masas de agua del océano pacifico tropical frente a Costa Rica

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    Carlos L. Brenes.

    2016-03-01

    Full Text Available Utilizando datos de la Expedición EASTROPAC, se estudiaron las principales masas de agua presentes en el Océano Pacífico Tropical frente a Costa Rica. Fueron encontradas el agua superficial tropical (AST, el agua subsuperficial subtropical (ASS, caracterizada por un núcleo de alta salinidad con valores superiores a 34,9% y el agua intermediaria antártica (AIA, que se caracteriza por presentar un mínimo relativo de salinidad del orden de 34,55%.

  6. ¿Por qué a mí?: instantáneas del momento del accidente en los amputados traumáticos

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    José Luis Díaz Agea

    Full Text Available Introducción: Describimos un momento crucial del itinerario vital de los amputados traumáticos. Objetivos: Describir y analizar las perspectivas elaboradas en torno al instante del accidente desde el punto de vista de los amputados traumáticos. Metodología: Estudio cualitativo de corte etnográfico. Participantes del estudio: 19 amputados en su mayor parte de origen traumático. Los datos se recogieron mediante entrevistas semiestructuradas, historias de vida y observación participante. Resultados: Aparece el concepto de "ser invulnerable", la imprevisibilidad de los accidentes y el papel de la casualidad y el azar en la tragedia. El arcaico debate del destino frente a la casualidad está presente. Conclusiones: Muchos moteros, con un estilo de vida ligado al ocio, experimentan el frenazo que supone el suceso, metafóricamente, de 100 a 0 km/h. Se evidencia la impronta en el imaginario de los amputados del poder de la ciencia encarnada en la cirugía y la inmortalidad del cuerpo como concepto.

  7. Validity aspects in Chernobyl at twenty years of the accident; Aspectos vigentes en Chernobyl a veinte anos del accidente

    Energy Technology Data Exchange (ETDEWEB)

    Arredondo, C. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)]. e-mail: cas@nuclear.inin.mx

    2006-07-01

    For April 25, 1986 the annual stop of the unit 4 of the nuclear power plant of Chernobyl was programmed, in order to carry out maintenance tasks. This unit was equipped with a reactor of 1000 MW, type RBMK, developed in the former Soviet Union, this type of reactors uses graphite like moderator, the core is refrigerated with common water in boil, and the fuel is uranium enriched to 2%. Also it had been programmed to carry out, before stopping the operation of the power station, a test with one of the two turbogenerators, which would not affect to the reactor. However, the intrinsic characteristics of the design of the reactor and the fact that the operators disconnected intentionally several systems of security that had stopped the reactor automatically, caused a decontrolled increase of the power (a factor 1000 in 4 seconds), with the consequent fusion of the fuel and the generation of a shock wave, produced by the fast evaporation of the refrigeration water and caused by the interaction of the fuel fused with the same one. It broke the core in pieces and destroy the structure of the reactor building that was not resistant to the pressure. When being exposed to the air, the graphite of the moderator entered in combustion, while the radioactive material was dispersed in the environment. The radionuclides liberation was prolong during 10 days, and only it was stopped by means of the one poured from helicopters, of some 5000 tons of absorbent materials on the destroyed reactor, as long as tunnels were dug to carry out the cooling of the core with liquid nitrogen. Later on, the whole building of the damaged reactor was contained inside a concrete building. The immediate consequence of the accident was the death of 31 people, between operators of the nuclear power station and firemen. One of people died as consequence of the explosion and 30 died by cause of the irradiation, with dose of the order of 16 Gy. The liberated radioactive material was the entirety of the inventory of rare gases of the core. The consequences of the accident have been studied during the twenty lapsed years since it happened. In this work the more recent discoveries on the effects in the health, the environment and economic that have been reported, as well as the current advances regarding the solution of the problems with the sarcophagus are commented. Other aspects little mentioned that consequences of the accident can be considered are discussed also, like they are the increment in the nuclear safety in the reactors in operation in the entire world and the termination of the cold war with the consequent dismantlement of a great one numbers of nuclear weapons. Finally it is remembered that the lessons learned in Chernobyl should never be forgotten. (Author)

  8. Cómo enfrentar los accidentes del trabajo?: Lineamientos para su prevención y control

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    Caristina Robaina Aguirre

    1998-08-01

    Full Text Available Basados en una necesaria caracterización de la morbilidad de los accidentes laborales en la Industria y la mortalidad que éstos ocasionaron en 2 provincias del país (Cienfuegos y Las Tunas, nos vimos motivados a desarrollar un plan de actividades con la finalidad de influir en la disminución de la morbilidad y la mortalidad por accidentes del trabajo en el país, para lo cuál se desglosan en forma clara los objetivos, lineamientos de trabajo, así como el plan de actividades que den respuesta a éstos. Éstos podrán ser analizados por el personal de salud/seguridad que labora en cada centro de trabajo para su futura aplicaciónBased on the necessary characterization of morbidity of labor accidents in the industry and the mortality they cause in two provinces (Cienfuegos and Las Tunas, we felt encouraged to develop a plan of activities aimed at influencing over the decrease in morbidity and mortality rates caused by labor accidents in the country. To this end, objectives, work regulations, and a plan of activities to meet them are clearly broken down. All these questions can be analyzed by the health/safety personnel at overy work center for their future implementation

  9. Planeamiento estratégico mediante el modelo del Océano Azul, para una cadena de farmacias

    OpenAIRE

    Bermúdez Alfaro, Esteban

    2010-01-01

    Tesis de maestría -- Universidad de Costa Rica. Posgrado en Administración y Dirección de Empresas. Maestría Profesional en Administración y Dirección de Empresas con énfasis en Gerencia, 2010 El objetivo general del trabajo es desarrollar un plan estratégico para una cadena de farmacias en Costa Rica, aplicando la metodología de la Estrategia del Océano Azul, para participar en nuevos mercados donde la competencia se convierte en un factor sin importancia. La organización investigada se d...

  10. Analizan partículas calientes del accidente nuclear de Palomares

    OpenAIRE

    León Dueñas, Sergio David

    2012-01-01

    Investigadores pertenecientes al Centro Nacional de Aceleradores, CNA, (Universidad de Sevilla-Junta de Andalucía-CSIC) en colaboración con la Organización Internacional de la Energía Atómica (IAEA), han llevado a cabo me didas de elementos transuránicos en partículas calientes procedentes de accidentes nucleares tales como el de Thule (Groenlandia) o Palomares (España).

  11. Manejo de la comunicación institucional en momentos de crisis: caso del accidente del avión de Petroecuador

    OpenAIRE

    Vásquez, Miguel

    2003-01-01

    Este trabajo de investigación analiza el manejo de los medios de comunicación impresa: periódicos y revistas en momentos de crisis, tomando como contexto el accidente aéreo de una de las aeronaves de Petroecuador. Basados en la teoría y la realidad se construyó una narración cronológica de los hechos contados desde las noticias de prensa publicadas, tomando como base el libro de Eliseo Verón, “Construir el Acontecimiento”. y el análisis con el texto “La Espiral del Silencio”...

  12. Perfil epidemiológico del accidente ofídico en las tierras bajas de Guatemala

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    Dennis Guerra-Centeno

    2017-03-01

    Full Text Available Se describe el perfil epidemiológico del accidente ofídico en las tierras bajas de Guatemala a partir del análisis de 305 expedientes de casos atendidos en los hospitales regionales de Escuintla y San Benito, Petén, entre 2008 y 2013. De los 305 casos, 169 correspondieron al Hospital Regional de Escuintla y 136 al Hospital Regional de San Benito Petén. Los casos del Hospital Regional de Escuintla correspondieron a pacientes provenientes de los departamentos de Escuintla, Santa Rosa, Chimaltenango, Retalhuleu, Suchitepéquez, Sacatepéquez, Sololá y Guatemala. Los casos del Hospital Regional de San Benito Petén correspondieron a pacientes provenientes del área centro y norte de Petén, y algunos referidos del área sur. La edad media de la víctima fue 25.2 años. La enfermedad afectó más a hombres (61.3% que a mujeres (38.7%. La mayoría de los afectados (28.3% eran agricultores. Las especies de serpiente que se consignaron en los expedientes con mayor frecuencia fueron Bothrops asper (serpiente barba amarilla en la región norte y Crotalus simus (serpiente cascabel en la región sur. La mayoría de las mordeduras ocurrieron en los miembros inferiores. Los eventos de mordedura ocurrieron durante el día y durante la noche en proporciones similares. El tiempo medio que tarda la víctima en llegar al hospital fue de 5.6 horas. Se describen también otros aspectos epidemiológicos y se discuten las implicaciones ecológicas y sociales de los datos generados.

  13. Uso de esteronitronas para el tratamiento y prevención del ictus o accidente cerebrovascular, enfermedades de alzheimer, parkinson y esclerosis lateral amiotrófica

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    Marco-Contelles, José; Alcázar González, Alberto

    2013-01-01

    Uso y preparación de esteronitronas con alta permeabilidad a la barrera hematoencefálica, capacidad antioxidante y neuroprotectora, como potenciales fármacos para el tratamiento del ictus o accidente cerebrovascular, enfermedades de Alzheimer, Parkinson y esclerosis lateral amiotrófica.

  14. Sistema electrónico concentrador de datos para multisensores de medida de la calidad del agua en los océanos

    OpenAIRE

    García Gener, Alejandro

    2017-01-01

    Este Trabajo Fin de Grado muestra el funcionamiento del dispotivo Enviguard port, desarrollado dentro del proyecto europeo Enviguard y encuadrado dentro del VII Programa Marco de la Unión Europea cuyo objetivo consiste en la monitorización de contaminantes químicos en océanos para poder prevenir enfermedades en pescados destinados al consumo humano y controlar el estado medioambiental de los mismos. El objetivo de dicho dispositivo puede ser dividido en tres funcionalidades pri...

  15. Caracterización de accidentes de trabajo por caída de objetos en empresas del sector hidrocarburos

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    Gloria A. Jaramillo

    2014-12-01

    Full Text Available En una multinacional del sector de hidrocarburos prestadora de servicios de perforación y workover, que opera en las zonas de Tolima y Santander Colombia, se pudo desarrollar una investigación con el objetivo de describir la situación de accidentalidad causada por caída de objetos que se presenta en el área de taladros de perforación. La información se recolectó de los reportes de accidentes e incidentes que reposaban en la base de operaciones en Sopó entre el periodo 2010 y 2011. Al analizar los hallazgos se pudo evidenciar que son cuatro los agentes causales más significativos, dentro de los cuales están los denominados Golpes por objetos, ocupando un 68%; atrapado por o entre un objeto con 41%; caída de personas con un 30% y caída de objetos con 21 %. Este último hallazgo se deriva por la actividad propia de la perforación por la manipulación de llaves hidráulicas, objetos adicionales de acero, martillos, entre otros y su causa básica fue la falta de supervisión, liderazgo y/o planificación con 39%, seguida de procedimientos de trabajo inadecuados con el 22% y el mantenimiento inadecuado con el 11%, lo que concluye que en su mayoría son errores humanos.

  16. Regulación del transporte y accidentes de tránsito por vehículos motorizados en el Perú

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    Celso Bambarén

    2013-10-01

    Full Text Available Entre 1998 y 2012, en el Perú se han producido más de un millón doscientos mil accidentes terrestres por vehículos automotores con 49 mil fallecidos. A pesar de la aprobación de diversas regulaciones sobre tránsito y seguridad vial, no se observa una tendencia hacia la disminución de las lesiones fatales en los usuarios del tránsito. Las regulaciones parecen no tener un efecto de protección sobre los ocupantes de los vehículos y peatones, debido a que el número de lesiones fatales se ha incrementado en ambos grupos. Las estadísticas podrían tener variaciones del tipo de usuarios afectados por los accidentes y el número de lesiones fatales para los eventos en vías urbanas, peri urbana y carretera.

  17. Envenenamentos acidentais entre menores de 15 anos em município da Região Sul do Brasil Accidental poisoning among children and adolescents in a county in southern Brazil

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    Christine Baccarat de Godoy Martins

    2006-02-01

    Full Text Available O estudo teve como objetivo analisar as características de envenenamentos acidentais entre menores de 15 anos residentes em Londrina, Paraná, Brasil, em 2001. Os dados foram obtidos em prontuários dos hospitais gerais, do Centro de Controle de Intoxicações e no Núcleo de Informação em Mortalidade da cidade. Foram observadas 473 vítimas de envenenamento acidental, representando um coeficiente de incidência de 399,8 por 100 mil crianças, sendo 60% por exposição a substância nociva e 40% por contato com planta ou animais venenosos. Maior risco foi observado na faixa de um a três anos, por exposição a substâncias nocivas. Entre os acidentes causados por exposição a substâncias nocivas (284 casos, predominaram os por medicamentos (47,5%, pesticidas (14,1% e produtos de limpeza (11,3%, com internação de 17,2% das crianças. Entre os envenenamentos por contato com animais/plantas (189 casos, predominaram os causados por lagartas (29,1%, abelhas (25,9% e aranhas (22,8%, com internação de 1,1%. Conclui-se que é alta a incidência de envenenamentos e que há diferenciais nos agentes envolvidos de acordo com a faixa etária da criança, o que pode contribuir para evitar esses eventos.This study analyzes the characteristics of accidental poisoning among children and young adolescents (< 15 years in Londrina, Paraná State, Brazil, in 2001. Data were obtained from patient records in general hospitals, the local Poison Control Center, and the municipal Mortality Information Center. There were 473 cases of poisoning, with an incidence rate of 339.8 per 100,000, 58.5% due to poisonous substances and 39% due to venomous animals and plants. Increased risk was observed in the 1-3-year age group, due to poisonous substances. Medications (47.5%, pesticides (14.1%, and cleaning products (11.3% were the main substances involved (284 cases, and 17.2% of children were hospitalized. Among 189 cases of contact with venomous animals and plants

  18. Factores asociados con la presentación de accidentes laborales en veterinarios zootecnistas del departamento de Boyacá (Colombia

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    Michael López Cepeda

    2014-01-01

    Full Text Available Objetivo: Cuantificar los Accidentes Laborales (AL e identificar los factores asociados a su presentación en veterinarios zootecnistas del departamento de Boyacá.Materiales y métodos: Este es un estudio observacional de tipo transversal que permitió cuantificar los accidentes laborales (AL en médicos veterinarios zootecnistas (MVZ con matrícula profesional vigente y ejercicio profesional en el departamento de Boyacá. Se calculó el tamaño muestral (n, con una frecuencia estimada de accidentes del 75 %, un error absoluto del 5 % y un nivel de confianza del 95 %, ajustándolo por el tamaño de la población (N. El diseño muestral fue aleatorio simple. El análisis estadístico incluyó correlación de Spearman, X2 y regresión logística. Los análisis se efectuaron con SPSS®. Resultados: El promedio de edad fue de 33,8±8,2 años. El 91,7 % de los encuestados tuvo por los menos un AL que involucró la presencia de animales, agujas, bisturí y/o un medio de movilización al lugar de trabajo. Las lesiones más frecuentes producto de los AL fueron: heridas punzantes y cortantes, contusiones, hematomas, reacciones alérgicas. Los hombres presentaron 3,086 veces más probabilidades de sufrir este tipo de accidentes que las mujeres (p=0,017. El trabajo con grandes animales es la especialidad veterinaria a la cual se dedicaba la mayor proporción (67,1 % de encuestados. En el trabajo con pequeños animales, los accidentes de mayor presentación fueron: atropellamiento por animales, punzada, corte, mordedura, esfuerzo físico y caída/resbalón. Conclusiones: Los resultados obtenidos condicionan y procuran revaluar aspectos ocupacionales en aras de minimizar los riesgos en la actividad rural de Boyacá.

  19. Correlación de variables macroclimáticas del Océano Pacífico con los caudales en los ríos interandinos del Valle del Cauca (Colombia

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    Yesid Carvajal

    2014-06-01

    Full Text Available Los fenómenos climáticos sobre los océanos ejercen gran influencia sobre la hidroclimatología del valle del río Cauca (Colombia, en especial el evento "El Niño Oscilación Sur" (ENOS, que es responsable de la variabilidad climática en escalas de tiempo que van desde meses hasta décadas. Debido a esta dependencia, se estudió la correlación entre 8 variables indicadoras del clima en los Océanos Pacífico y Atlántico con los caudales medios mensuales de 8 ríos del valle del río Cauca. Las series cubren un período promedio de 40 años 1957-1997. Los resultados muestran las variaciones regionales de la situación hidrológica del valle del río Cauca respecto a las variables macroclimáticas. Los coeficientes de correlación indican que las variables que presentan mayor asociación con los caudales analizados son en su orden: Las temperaturas de la superficie del mar en las regiones Niño 3, Niño 3-4, Niño 4 Y SOl, mientras en el Atlántico, las mejores correlaciones las presentan: la Temperatura en el Trópico, en el Atlántico Norte (NATL y Atlántico Sur (SATL respectivamente.

  20. Accidental Hypothermia,

    Science.gov (United States)

    1988-03-03

    eczema, and exfoliative dermat i t i s. Hypothermia with hypernatremic dehydration is seen in congenital larellar ichthyosis . 1 69 r* Burns, and...hypothermia in congenital lamellar ichthyosis . Ped Derm 1985; 3: 65-68. 170. Georgitis WJ, Hofeldt FD: Myxedema coma and cardiac arrest. JAMA 1982; 247: 980...implications of experimental studies. Alaska Med 1973; 15: 48-52. 184. Grice KA, Bettley FR: Skin water loss and accidental hypothermia in psoriasis, ichthyosis

  1. Eolic central Guerrero Negro, BCS, Mexico, performance first year operation; Central eolica Guerrero Negro, BCS, Mexico, resultados del primer ano de operacion

    Energy Technology Data Exchange (ETDEWEB)

    Cadenas Tovar, Roberto; Sanchez Cornejo, Carlos; Lopez Rios, Serafin [Comision Federal de Electricidad, Morelia, Michoacan (Mexico); Ley Romero, Jose R [Comision Federal de Electricidad, Guerrero Negro, Baja California Sur (Mexico)

    2000-07-01

    Comision Federal de Electricidad installed a 600 kW wind turbine in the Guerrero Negro isolated electrical grid to evaluate, under actual operation conditions, the contribution of wind energy in the generation of electricity. This paper describes the performance of the wind turbine in terms of its availability, power curve and electricity produced. The results have been satisfactory, electricity was supplied with a lesser fuel consumption than before. [Spanish] La Comision Federal de Electricidad instalo en Guerrero Negro, Baja California Sur, Mexico un aerogenerador de 600 kW para evaluar en condiciones reales de operacion la integracion de la energia del viento a sistemas electricos aislados basados en diesel. En este trabajo se describen los resultados del primer ano de operacion del aerogenerador en terminos de su disponibilidad, curva de potencia y generacion obtenida. Los resultados han sido satisfactorios, registrandose una reduccion en el consumo de combustible fosil en el sistema.

  2. Epidemiologia dos acidentes e violências entre menores de 15 anos em município da região sul do Brasil Epidemiología de los accidentes y violencias entre menores de 15 años en un municipio de la región sur de Brasil Epidemiology of accidents and violence against children in a city of southern Brazil

    Directory of Open Access Journals (Sweden)

    Christine Baccarat de Godoy Martins

    2005-08-01

    Full Text Available Objetivo: analisar as características epidemiológicas dos acidentes e violências em menores de 15 anos, residentes em Londrina, Paraná, em 2001. Os dados de morbidade foram obtidos em prontuários dos hospitais gerais da cidade e, os de mortalidade, no Núcleo de Informação em Mortalidade. Foram estudadas 8854 crianças, representando incidência de 74,8/1000 crianças. As taxas de internação e de letalidade foram, respectivamente, de 4,2 e de 0,2%. A incidência foi maior nas crianças de dois anos de idade (109,0/1000, com predomínio do sexo masculino (60,7%. Prevaleceram as outras causas externas de traumatismos acidentais (61%, seguidas pelos eventos de intenção indeterminada (30,6% e pelos acidentes de transporte (7,5%. A região corpórea mais afetada foi a cabeça (34,9% e traumatismo superficial foi o tipo de lesão mais freqüente (32,4%. Os resultados contribuem para fornecer subsídios para o planejamento de ações de controle e prevenção desses agravos.El objetivo del estudio fue analizar las características de los accidentes y violencias en menores de quince años que viven en Londrina, Brasil, en 2001. Se obtuvo los datos de morbilidad en prontuarios de los hospitales generales de la ciudad y los de mortalidad en el Núcleo de Información de Mortalidad. Se estudió a 8.854 niños, representando una incidencia de 74,8/1000 niños. Los porcentajes de internación y letalidad fueron, respectivamente, del 4,2% y del 0,2%. La incidencia fue mayor en los niños de dos años (109,0/1000, predominando en los de sexo masculino (60,7%. Las otras causas externas de traumatismos accidentales predominaron (61,0%, seguidas por los eventos con intensión indeterminada (30,6% y por los accidentes de transporte (7,5%. La región corporal más afectada fue la cabeza (34,9% y el traumatismo superficial fue el tipo de lesión más frecuente (32,4%. Los resultados contribuyen para el planeo de acciones de control y prevención de esos

  3. Los accidentes biológicos y caracterización del riesgo en estudiantes de enfermería

    Directory of Open Access Journals (Sweden)

    Zuly Nayibe Garavito Santos

    2012-08-01

    Full Text Available Los accidentes biológicos son un evento adverso para los estudiantes de enfermería, teniendo en cuenta que comparten el mismo escenario como todo el personal sanitario. Este riesgo está dado por la probabilidad de exposición a agentes infecciosos, principalmente los de tipo viral (hepatitis B o C, virus de inmunodeficiencia humana-VIH por exposición percutánea en su mayoría. La relación estrecha enfermero- paciente que supone el quehacer de la profesión, incrementa el riesgo de accidentalidad con relación a otras carreras de la salud. Esta problemática ha sido estudiada en el mundo; sin embargo, no existen datos que muestren la problemática en Colombia, hallándose información al respecto para otras carreras de la salud. El objetivo de esta revisión es exponer de forma concisa y breve los accidentes biológicos más comunes y su caracterización en estudiantes de enfermería, identificando el grado de conocimiento, aptitudes y aplicación de las normas de prevención y bioseguridad de acuerdo con la bibliografía encontrada con miras a identificar estrategias que permitan mejorar la seguridad de los estudiantes en sus diferentes prácticas clínicas y comunitarias.

  4. Mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México al final del siglo XX

    Directory of Open Access Journals (Sweden)

    Eliud SILVA

    2009-01-01

    Full Text Available Se analiza la mortalidad por accidentes automovilísticos en la Zona Metropolitana de la Ciudad de México (ZMCM con base en las estadísticas vitales de 1999. Se estudia su comportamiento en función de contornos de crecimiento urbano, sexo, educación, condición laboral y estado conyugal. Se observa la población de estudio en rubros definidos a partir de información censal de 2000; se muestran resultados que se consideran factores de riesgo que inciden en esta causa de muerte, derivados de una encuesta de adicciones y otra de transporte urbano. Se citan hallazgos encontrados con el uso del indicador de mortalidad: años de vida perdidos.

  5. Transition of care for the elderly after cerebrovascular accidents - from hospital to the home Transición del cuidado del adulto mayor despues del accidente cerebral vascular del hospital para casa Transição do cuidado com o idoso após acidente vascular cerebral do hospital para casa

    Directory of Open Access Journals (Sweden)

    Rosalina Aparecida Partezani Rodrigues

    2013-02-01

    codificar, clasificar los datos y formular categorías significativas, lo que generó tipologías de cuidado. RESULTADOS Y DISCUSIÓN: La idea central fue la transición del cuidado y mostró el contexto en tres tipologías: El proceso de cuidar del adulto mayor dependiente, Estrategias para el proceso de cuidar e Impacto y aceptación de las limitaciones. CONCLUSIÓN: Los datos nos indicaron que el cuidado para el adulto mayor, después del accidente cerebral vascular es un desafío para la familia. Los datos posibilitaron elaborar una propuesta de modelo para la organización del trabajo, visando la integralidad del cuidado en los servicios de salud, formando una red de cuidado, lo que representa un avance para el área de enfermería.OBJETIVO: examinar a transição do cuidado em famílias que cuidam de idosos que sofreram o primeiro episódio de acidente vascular cerebral. METODOLOGIA: foi utilizado o estudo de caso etnográfico instrumental. A amostra foi constituída por 20 sujeitos, sendo 10 cuidadores e 10 idosos, com 65 anos ou mais, de ambos os sexos, com diagnóstico de primeiro episódio de acidente vascular cerebral, capazes de se comunicarem, demandando cuidado de um cuidador principal na família. Os dados foram coletados por meio de entrevistas, observações, documentos existentes e notas de campo. Foram utilizadas técnicas de análises qualitativa para codificar, classificar os dados e formular categorias significativas, o que gerou tipologias de cuidado. RESULTADOS E DISCUSSÃO: a ideia central foi a transição do cuidado e mostrou o contexto em três tipologias: o processo de cuidar do idoso dependente, estratégias para o processo de cuidar e impacto e aceitação das limitações. CONCLUSÃO: os dados indicaram que o cuidado com o idoso, após o acidente vascular cerebral, é um desafio para a família. Os dados possibilitaram elaborar uma proposta de modelo para a organização do trabalho, visando a integralidade do cuidado nos serviços de sa

  6. Accidental Innovation

    DEFF Research Database (Denmark)

    Austin, Robert D.; Devin, Lee; Sullivan, Erin E.

    2012-01-01

    Historical accounts of human achievement suggest that accidents can play an important role in innovation. In this paper, we seek to contribute to an understanding of how digital systems might support valuable unpredictability in innovation processes by examining how innovators who obtain value from...... they incorporate accidents into their deliberate processes and arranged surroundings. By comparing makers working in varied conditions, we identify specific factors (e.g., technologies, characteristics of technologies) that appear to support accidental innovation. We show that makers in certain specified...... conditions not only remain open to accident but also intentionally design their processes and surroundings to invite and exploit valuable accidents. Based on these findings, we offer advice for the design of digital systems to support innovation processes that can access valuable unpredictability....

  7. Envenenamentos acidentais entre menores de 15 anos em município da Região Sul do Brasil Accidental poisoning among children and adolescents in a county in southern Brazil

    OpenAIRE

    Christine Baccarat de Godoy Martins; Selma Maffei de Andrade; Priscila Aparecida Batista de Paiva

    2006-01-01

    O estudo teve como objetivo analisar as características de envenenamentos acidentais entre menores de 15 anos residentes em Londrina, Paraná, Brasil, em 2001. Os dados foram obtidos em prontuários dos hospitais gerais, do Centro de Controle de Intoxicações e no Núcleo de Informação em Mortalidade da cidade. Foram observadas 473 vítimas de envenenamento acidental, representando um coeficiente de incidência de 399,8 por 100 mil crianças, sendo 60% por exposição a substância nociva e 40% por con...

  8. Physical reconstruction of the radiological accident of Chilca (Lima - Peru); Reconstruccion fisica del accidente radiologico de Chilca (Lima - Peru)

    Energy Technology Data Exchange (ETDEWEB)

    Lachos, A. [Instituto Nacional de Enfermedades Neoplasicas, Departamento de Radioterapia, Av. Angamos Este 2520, Surquillo, Lima (Peru); Marquez, J. F., E-mail: alachosd1271@yahoo.com [Univesidad Nacional Mayor de San Marcos, Facultad de Ciencias Fisicas, C. German Amezaga 375, Ciudad Univesitaria, Lima (Peru)

    2014-08-15

    The radiological accident happened in the Chilca District, the Canete County at 60 km to the south of Lima-Peru, during the night of January 11 to 12, 2012. The physical reconstruction of the accident was carried out in January 21, 2012, by means of the information gathering administrative and technical of the radioactive source as well as of the installation, the personnel and the involved procedures in the accidental event, information of the space geometry where the event took place. The preliminary information indicates that the source could have been locked in the guide tube of the equipment, next to the collimator in the first takes radiographic. The radiation monitors were not activated on the procedure, impeding this way, not to realize the flaw and causing that the personnel were exposed to the radiation during the whole work period. Their hands and especially their fingers would have been only to some millimeters of the source. With the obtained information and the measurements of the exposure rates of the radioactive source, was carried out the dose calculation to total body, the dose received in the hands and the dose received in the index finger of the left hand. The accident happened by operative procedure breach, by lack of training of the operators. The physical reconstruction of the accident contributes fundamental information for the decisions taking in the medical management of the accidents by radiation. (author)

  9. Estimation of the environmental or radiological impact in the event of accidental release of radionuclides in a DCLL fusion reactor; Estimacion del impacto radiologico ambiental en caso de liberacion accidental de radionucleidos en un reactor de fusion DCLL

    Energy Technology Data Exchange (ETDEWEB)

    Palermo, I.; Gomez Ros, J. M.; Sanz, J.; Mota, F.

    2013-07-01

    Tritium production and activation in the LiPb products can pose a radiological risk in the event of accidental release in a fusion reactor. Within the research programme Consolider TECNO{sub F}US (CSD2008-079) fusion technology has developed a design for a reactor with regenerative wrap with dual refrigeration (DCLL). The purpose of this communication is to present estimates of the radiological impact derived from an accidental release of radionuclides from the circuit of LiPb provinients. (Author)

  10. Primary care program for the ophidic accident Programa de atención primaria del accidente ofídico: una propuesta para Colombia

    Directory of Open Access Journals (Sweden)

    Luz E. Posada

    1992-02-01

    Full Text Available

    In order to reduce morbidly, mortality and sequels of snake bite in Colombia, particularly In the Departments of Antioquia and Chocó, we propose a Primary Care Program that would include education of the communities, training of auxiliary personnel on the proper care of snake bites (use of antivenoms and electrolyte solutions in rural and distant locations; treatment of these accidents according to the level of severity within the pyramid of the Colombian National Health System; permanent and adequate supplies (antivenoms, antibiotics, electrolyte solutions, antiallergy drugs, stethoscopes and sphigmomanometers; epidemiological surveillance of the program and of the main factors involved in this public health problem. The aid of suitable communications and remission systems and of other professional groups from each town or region is very important. The participation of the community in every phase of the program and a coordination by the University are essential.

    Para disminuir la morbilidad, la mortalidad y las secuelas del accidente ofídico en Colombia, en particular en Antioquia y Chocó, se propone diseñar un Programa de Atención Primaria que incluya educación a todos los niveles, entrenamiento de personal auxiliar en el manejo de antivenenos y soluciones hidroelectrolíticas en comunidades distantes, atención de las víctimas por niveles de complejidad en la pirámide del Sistema Nacional de Salud, una red de suministros permanente y adecuada (antivenenos, antibióticos, soluciones hidroelectrolíticas, antialérgicos, estetoscopios, tensiómetros, un sistema de vigilancia epidemiológica que garantice la supervisión del programa y la intervención sobre los factores condicionantes del problema y el apoyo de una red de medios audiovisuales, de remisiones y de los grupos inter institucionales que existan en cada municipio y región. Serán fundamentales

  11. Estudio de la termo-hidráulica del tanque de agua de recarga (IRWST) en el reactor AP1000® durante un accidente tipo SBLOCA con el código GOTHIC 8.1.

    OpenAIRE

    Estévez, Samanta; Jiménez Varas, Gonzalo; Queral, César; Montero-Mayorga, Javier

    2016-01-01

    El reactor AP1000 se caracteriza por el uso de sistemas pasivos para refrigerar el reactor en caso de accidente. Uno de los sistemas más importantes, es el sistema pasivo de refrigeración del núcleo en emergencia (PXS), el cual, incluye uno de los principales componentes cruciales para gestionar los procesos que tienen lugar en el reactor el tanque de agua de recarga interno (IRWST). Este componente sirve como sumidero de masa y energía del sistema de despresurización automática (ADS) y tambi...

  12. Evolution of short circuit levels in the National Electric System, years 2007 to 2011; Evolucion de los niveles de cortocircuito del Sistema Electrico Nacional, anos 2007 al 2011

    Energy Technology Data Exchange (ETDEWEB)

    Quintana Castaneda, J; Reyes Escobedo, G [Instituto de Investigaciones Electricas (Mexico)]. E-mails: jqc@iie.org.mx; gustavo.reyes@iie.org.mx; Ibarra Romo, F.G. [Comision Federal de Electricidad (Mexico)]. E-mail: federico.ibarra@cfe.gob.mx

    2013-03-15

    The present document shows an analysis of 2011 short-circuit levels on the different nodes (substations) that integrate the National Electric System. This analysis presents the figures of short-circuit levels on past years, stating on 2007, with the purpose of detecting the variation on each one of these nodes and identify the cases that because it's high levels are considered as critical nodes of the transmission system. At the end of the analysis some recommendations to minimize the potential risks are given on those substations classified as critical nodes. [Spanish] En este documento se expone un analisis de los niveles de cortocircuito que se presentaron en el 2011 en los distintos nodos (subestaciones) que conforman la red del Sistema Electrico Nacional (SEN). Este analisis muestra las cifras de los niveles de cortocircuito que se han presentado desde el ano 2007, a fin de estudiar el comportamiento y evolucion que han tenido los nodos de la red electrica, identificando aquellos puntos que por sus altos niveles de cortocircuito se consideran como nodos criticos. En la parte final del analisis se dan algunas recomendaciones para disminuir los riesgos que se pudieran presentar en aquellas subestaciones clasificadas como nodos criticos.

  13. Implicancias sociales del diseño : Propuesta de comunicación visual para la prevención de accidentes en el partido de Chivilcoy

    OpenAIRE

    Ungurean, Héctor A.

    2006-01-01

    Mas de un millón de personas, entre hombres, mujeres y niños mueren en el mundo a causa de accidentes de tránsito; secuelas graves quedan en otros muchos millones. Las tasas de mortalidad son elevadas y siguen aumentando, principalmente en las sociedades de medios y bajos ingresos, como es la Argentina; donde peatones, automovilistas, ciclistas y usuarios de transportes públicos son vulnerables. El factor humano es el que más incide en los accidentes de tránsito, los que podrían evitarse c...

  14. Mortalidad intrahospitalaria por accidente cerebrovascular

    OpenAIRE

    Federico Rodríguez Lucci; Virginia Pujol Lereis; Sebastián Ameriso; Guillermo Povedano; María F. Díaz; Alejandro Hlavnicka; Néstor A. Wainsztein; Sebastián F. Ameriso

    2013-01-01

    La mortalidad global por accidente cerebrovascular (ACV) ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Str...

  15. Relaciones tróficas de los peces pelágicos asociados a la pesquería del atún en el Océano Pacífico oriental

    OpenAIRE

    Bocanegra Castillo, Noemí

    2007-01-01

    Este estudio pretende dar un mejor entendimiento de las relaciones tróficas entre los depredadores asociados con la pesquería del atún en el Océano Pacífico Oriental (OPO). Se realizaron un total de 173 lances pertenecientes a 37 cruceros durante el 2003-2004 de los barcos atuneros de Ecuador y Mazatlán, México colectadas por los técnicos observadores de la Comisión Interamericana del Atún tropical (CIAT), incluyendo 38 lances sobre manadas de delfines, 124 lances sobre objetos flotantes y 11...

  16. Implantação da Norma Regulamentadora 32 e o controle dos acidentes de trabalho Implantación de la Norma Reglamentadora 32 y el control de los accidentes del trabajo Implementation of Regulatory Standard 32 and the control of occupational accidents

    Directory of Open Access Journals (Sweden)

    Maria Helena Palucci Marziale

    2012-01-01

    Full Text Available OBJETIVO: Identificar os acidentes de trabalho com exposição à material biológico ocorridos em um hospital universitário, discutindo os resultados com o processo de implementação das medidas de segurança e saúde dos trabalhadores, exigidas pela Norma Regulamentadora NR-32. MÉTODOS: Estudo exploratório de abordagem quantitativa dos dados. Foram realizados levantamento dos acidentes de trabalho, as entrevistas com o coordenador do Serviço de Segurança e Medicina do Trabalho e a análise de dados documentais do Programa de Prevenção de Riscos Ambientais e do Programa de Controle Médico de Saúde Ocupacional. RESULTADOS: O percentual de acidentes de trabalho reduziu ao longo do período, no qual várias exigências dessa norma foram sendo adotadas. Acidentes com material perfurocortante foram os mais frequentes, não havendo em todos os setores do hospital o oferecimento dos dispositivos de segurança exigidos pela NR-32. CONCLUSÃO: Houve redução de acidentes de trabalho com material biológico no hospital estudado entre 2007 e 2009. Contudo, não é quantitativamente significativa, apesar da implantação de várias diretrizes da NR-32 ao longo dos anos. É necessária a colaboração entre gestores, serviços de segurança e trabalhadores na promoção da saúde no trabalho.OBJETIVO: Identificar los accidentes de trabajo con exposición a material biológico ocurridos en un hospital universitario, discutiendo los resultados con el proceso de implementación de las medidas de seguridad y salud de los trabajadores, exigidas por la Norma Reglamentadora NR-32. MÉTODOS: Estudio exploratorio de abordaje cuantitativo de los datos. Fue realizado un levantamiento de los accidentes de trabajo, las entrevistas con el coordinador del Servicio de Seguridad y Medicina del Trabajo y el análisis de datos documentales del Programa de Prevención de Riesgos Ambientales y del Programa de Control Médico de Salud Ocupacional. RESULTADOS: El

  17. Accidental Bowel Leakage

    Science.gov (United States)

    ... nerve stimulation, injections, and surgery. What types of lifestyle changes can help treat accidental bowel leakage? Having ... Journal Clinical Updates Practice Management Coding Health Info Technology Professional Liability Managing Your Practice Patient Safety & Quality ...

  18. 40 years of solar cell research in the CINVESTAV of the IPN; 40 anos de investigacion de celdas solares en el CINVESTAV del IPN

    Energy Technology Data Exchange (ETDEWEB)

    Morales Acevedo, Arturo [Centro de Investigaciones y Estudios Avanzados del Instituto Politecnico Nacional, Mexico (Mexico)

    2007-06-15

    Basically, this presentation describes what the Centro de Investigaciones y de Estudios Avanzados (CINVESTAV) has been working on during this last 40 years, e.g. solar cells. Firstly, it is explained the starting point of the research of solar cells in this institute. Next, it is briefly described the project focused on the factory, which produced 3-inch solar cells, and there are also explained the methodologies that were used in order to produce such sort of cells. In addition, the issues related to photovoltaic systems are explained, among there are found: the characteristics and the first places where they were installed, among others. Next, it is described the program of the PV system installation in the facilities of some child hostel of the Republic of Mexico, carried out with the collaboration of the National Indigenist Institute (INI). Next, it is presented the technology that the CINVESTAV is currently working on, i.e. crystalline silicon solar cells. Besides, it is shown by graphic and illustrative means the process of the same. Finally, it is described the strategic plan suggested in order to produce solar cells in Mexico; besides, there are shown the got conclusions a long with the future expectations. [Spanish] En esta presentacion se describe basicamente todo lo que ha pasado a lo largo de 40 anos en el Centro de Investigaciones y de Estudios Avanzados (CINVESTAV), en relacion a las celdas solares. En primer plano, se describe el punto de inicio de la investigacion de celdas solares en esta institucion. Enseguida, se describe brevemente el proyecto que se realizo sobre la planta piloto fabricante de celdas solares de 3 pulgadas de diametro, tambien se explican las metodologias que se seguian para fabricar dichas celdas. Mas adelante, se explican cuestiones relacionadas con los modulos fotovoltaicos entre las que se encuentran: las caracteristicas y los primeros lugares donde fueron instalados este tipo de sistemas. Enseguida, se describe el programa

  19. Reeducación del equilibrio en pacientes con accidente cerebrovascular crónico en medio acuático y terrestre.

    OpenAIRE

    Buisán Espías, Rocío

    2014-01-01

    Pacientes: Participación de dos grupos experimentales de pacientes diagnosticados de Accidente cerebrovascular crónico (ACV), sometidos aleatorizadamente a un tratamiento acuático o terrestre de 24 semanas. Intervención: El tratamiento tanto acuático como terrestre tendrá una duración de 60 minutos y se realizará tres veces por semana, consistiendo principalmente en la realización de ejercicios diseñados específicamente para mejorar el equilibrio y secundariamente otras capacidades físicas bá...

  20. El programa informático APPO y su aplicación a los accidentes de mercancías peligrosas derivadas del petróleo

    OpenAIRE

    Natta March, José Maria

    2015-01-01

    - Introducció Tanto los productos manufacturados como las materias primas (el carbón, el petróleo y sus derivados, etc.) se obtienen en unas zonas geográficas muy concretas y se consumen en otras, muchas veces distantes entre sí. Esto trae como consecuencia que sea necesario su transporte con el consiguiente incremento de los riesgos de accidente y contaminación. Las últimas estadísticas presentadas por la Dirección General de Protección Civil revelan que el 53 % de los acci...

  1. Comportamiento de los accidentes laborales

    Directory of Open Access Journals (Sweden)

    Miguel Gómez Vital

    1999-01-01

    Full Text Available Se realiza una valoración sobre la situación de la accidentalidad en centros de trabajo de la provincia de Villa Clara de 1993 a 1997. El total de accidentes registrados fue de 12 522. Últimamente han disminuido y su índice de incidencia. En el último año se redujo el promedio de días perdidos, pero el índice de gravedad alcanzó la cifra mayor. Se insiste en el cumplimiento del programa de prevención y reducción de accidentes laborales.The situation of the occupational accidents that occurred in the province of Villa Clara from 1993 to 1997 was assessed. 12 522 accidents were registered during that periods. A decrease of these accidents and of their incidence rate has been observed lately. The average of lost days was reduced during the last year, out the severity index reached the highest figure. Emphasis is made on the importance of fulfilling the program of prevention and reduction of occupational accidents.

  2. Modeling the Accidental Deaths

    Directory of Open Access Journals (Sweden)

    Mariyam Hafeez

    2008-01-01

    Full Text Available The model for accidental deaths in the city of Lahore has been developed by using a class of Generalized Linear Models. Various link functions have been used in developing the model. The diagnostic checks have been carried out to see the validity of the fitted model.

  3. Medios de transporte, accidentes de tránsito y legislación en Medellín (Colombia durante las tres primeras décadas del siglo XX

    Directory of Open Access Journals (Sweden)

    Juan David Alzate Alzate

    2012-07-01

    Full Text Available Automóviles, coches, camiones y trenes aparecieron en Medellín (Colombia durante las primeras décadas del siglo XX, afectando las rutinas de los habitantes que tuvieron la necesidad de usarlos, transformando así las dinámicas de la ciudad. En este proceso, hombres y mujeres se vieron involucrados en circunstancias aciagas en las que estos aparatos fueron los medios a través de los cuales se cometían atropellamientos, que podían ser calificados como delitos, extendiendo así el marco de aplicación de las leyes y obligando, incluso, a generar estrategias legales para intentar llevar coherentemente estos litigios. El objeto central de este artículo es describir las formas como se presentaron los accidentes de tránsito en el contexto señalado y al mismo tiempo relacionar este tipo de hechos con la legislación existente en aquella época y la manera como era aplicada por las autoridades al momento de generar un veredicto sobre la culpabilidad por homicidio de un conductor. Para su elaboración se tuvieron en cuenta cinco sumarios por homicidio del Archivo Histórico Judicial de Medellín, información del Archivo Histórico de Medellín y de la Colección Patrimonio Documental de la Universidad de Antioquia, artículos de la prensa local, legislación y datos estadísticos de la época.

  4. Intervenção precoce: reflexões sobre o desenvolvimento da criança cega até dois anos de idade Early Intervention: reflexions upon the development of blind children up to two years of age Intervencion precoz: reflexiones sobre el dearrollo del nino ciego hasta los dos anos de edad

    Directory of Open Access Journals (Sweden)

    2006-11-01

    Full Text Available O artigo envolve a reflexão do processo de desenvolvimento infantil da criança cega até dois anos de idade (período sensório-motor: as aquisições motoras tais como o desenvolvimento da preensão, da linguagem, a noção do objeto, o vínculo mãe/criança, bem como a análise do programa de atendimento em intervenção precoce. A reflexão mostra que o desenvolvimento infantil se dá pelo movimento, favorecendo as estruturas do pensamento e da linguagem, assim como a relação com o ambiente e com as pessoas, particularmente com a mãe. A análise do programa mostra que seu sucesso depende do atendimento direto prestado à criança, com regularidade e continuidade do trabalho em casa, e à família com orientações e integração de esforços. PALAVRAS-CHAVE: Desenvolvimento sensório-motor – Programa de atendimento em intervenção precoce e criança cega. This article reflects upon the process of child development in blind children aged up to two years old (sensor-motor period: their acquisition of motor skills such as the development of grabbing, language, the notion of object, the mother-child attachment, and an analysis of the assessment program for early intervention. This reflexion shows that child development happens through movement, which facilitates the structuring of thought and language, as well as the child’s relationship with the environment and other people, especially their mothers. An analysis of the program shows that its success depends on the assessment given directly to the child, with frequent and continuous work done at home, as well as the assessment given to the family, throught orientation and joint efforts. KEY-WORDS: sensor-motor development - assessment program for early intervention - blind children. El artículogo envuelve la reflexión del proceso de desarrollo infantil del niño ciego hasta los dos años de edad (período sensorio-motor: las adquisiciones motoras tales como el desarrollo

  5. ¿Y después del accidente? Las necesidades psicosociales de las personas con traumatismo craneoencefálico y de sus familiares

    Directory of Open Access Journals (Sweden)

    Mariona Gifre

    2015-09-01

    Conclusiones: Las necesidades expresadas por los participantes se centran sobre todo en aspectos sociales y emocionales. Para las personas con TCE y sus familias, que tratan de lograr la mejor integración posible en la comunidad, se requiere una nueva semiología, no sólo limitada a la atención médica sino también en materia de asistencia social y psicológica, que se adapte a las necesidades de cada familia y del contexto.

  6. KARL RAHNER 100 ANOS

    Directory of Open Access Journals (Sweden)

    . Editorial

    2004-01-01

    Full Text Available Em 1982, dois anos antes de seus 80 anos e de sua morte, Karl Rahner publicou um livrinho curioso. Intitulava-se “Meu problema” e alcançou 7 edições nos dois anos seguintes, sendo no mesmo período traduzido a seis línguas diversas. Eram 24 cartas em que o velho teólogo respondia a cartas de jovens que lhe expunham suas questões, não necessariamente teológicas: felicidade, contrariedades, gratidão, oração, Igreja, medo diante de decisões, os riscos da vida, confissão e sentimento de culpa, sentido da vida, solidão...

  7. Diferencias en los accidentes laborales en España según país de procedencia del trabajador Differences in occupational accidents in Spain according to the worker's country of origin

    Directory of Open Access Journals (Sweden)

    Eduardo Rubiales-Gutiérrez

    2010-06-01

    Full Text Available OBJETIVO: Comparar los accidentes laborales en trabajadores inmigrantes y autóctonos en España. MATERIAL Y MÉTODOS: La fuente de información procede de la Encuesta Española de Condiciones de Trabajo. La nacionalidad del trabajador fue la variable explicativa principal, clasificada según el índice de desarrollo humano (IDH. La variable resultado fueron los accidentes laborales (AL. Otras variables incluidas fueron sociodemográficas y condiciones de empleo. Se calcularon prevalencias y razones de momios (RM crudas y ajustadas (regresión logística con sus intervalos de confianza al 95% (IC95%. RESULTADOS: La prevalencia de AL en trabajadores de países de bajo IDH fue 12.7% (mujeres: 11.1%, y en españoles 10.3% (mujeres: 8.1%. Comparado con trabajadoras autóctonas, las mujeres de países de bajo IDH presentaron mayor riesgo (RM ajustada 1.66; IC95% 1.21-2.28. Conclusión. Es necesario profundizar en el análisis causal de los AL en inmigrantes identificando los posibles factores de riesgo y reforzando las medidas preventivas para su control.OBJECTIVE: Compare the occupational accidents between autochthonous and immigrant workers in Spain. MATERIAL AND METHODS: Data were obtained from the Spanish Survey of Working Conditions. Nationality was considered as an explicative variable, and the country of origin was regrouped according to the Human Development Index-HDI. Occupational accidents were the outcome. Other variables included were sociodemographic and employment conditions. Prevalences were calculated as well as simple and adjusted odds ratio (OR (logistic regression with a 95% confidence interval (CI 95%. RESULTS: The prevalence of occupational accidents was 12.7% (women, 11.1% for workers from low HDI countries and 10.3% (women, 8.1% for Spaniards. A higher risk of occupational accidents was observed among women from low HDI countries compared to Spaniards (adjusted OR 1.66; 95%CI 1.21-2.28. DISCUSSION: It is necessary to conduct a

  8. Occupational accidents among ambulance drivers in the emergency relief Accidentes del trabajo de conductores de ambulancia que brindan atención de urgencia Acidentes de trabalho com motoristas de ambulâncias que realizam socorro de urgência

    Directory of Open Access Journals (Sweden)

    Elisabete Takeda

    2007-06-01

    Full Text Available We analyzed the occurrence of occupational accidents (OA among ambulance drivers in Emergency Relief (ER, with a view to disclosing the types of events and their causes. A quantitative-qualitative study was carried out through the interview of 22 workers in a city in São Paulo, Brazil. The subjects were male, between 36 and 40 years old (40.9%, married (81.82%, with uncompleted primary education (40.9%, individual (90.9% and family (54.55% income between two and four Brazilian minimum wages, not performing any other paid occupation (45.45%. The majority of the OA were typical, due to an excess of exercises and vigorous and repeated movements (42.11% and aggression through body strength and other means (26.33%. The OA occurs mainly because drivers carry out tasks that do not suit their professional formation.Fue estudiada la frecuencia de accidentes del trabajo (AT con chóferes de ambulancia que brinda Atención de Urgencia (AU, buscando encontrar los tipos de accidentes y sus causas. La investigación fue cuanti-cualitativa, para lo cual fueron entrevistados 22 trabajadores de una ciudad en el Estado de São Paulo. Los sujetos eran de sexo masculino, con edades entre 36 y 40 años (40,9%, casados (81,82%, con educación primaria incompleta (40,9%, sueldo individual (90,9%, sueldo familiar (54,55% entre dos y cuatro sueldos mínimos y sin otra ocupación (45,45%. La gran mayoría de los AT fueron típicos, por exceso de ejercicios, movimientos enérgicos y repetidos (42,11% y daño por fuerza corporal y otras formas (26,33%. Los AT se dieron principalmente porque los chóferes realizaban actividades que no iban de acuerdo con su formación profesional.Estudou-se a ocorrência de acidentes de trabalho (AT com motoristas de ambulância que realizam Socorro de Urgência (SU, buscando evidenciar os tipos desses eventos e suas causas. A investigação foi quanti-qualitativa, entrevistando-se 22 trabalhadores que atuam em uma cidade paulista. Os

  9. Blair, Ano 10

    Directory of Open Access Journals (Sweden)

    Cristina Soreanu Pecequilo

    2010-11-01

    Full Text Available O presente artigo busca realizar um balanço dos 10 anos de administração Blair na Inglaterra e os possíveis rumos que a política tomará naquele país após seu afastamento do poder.

  10. Derrames de petróleo en el océano. Aplicación preliminar al estuario del Guadalquivir

    OpenAIRE

    Aguilar Llamas, Rafael Francisco

    2016-01-01

    Uno de los problemas que conlleva el derrame del petróleo es el impacto en el medio ambiente. Peor cuando la mancha llega a la costa, causando estragos durante varios años. En los ríos, este problema se incrementa, pues afecta a toda el área circundante, que puede llegar a ser kilométrica. La creación de un modelo numérico que ayude a predecir el curso y la evolución de una mancha puede servir de gran ayuda para evitar o miminizar un posible desastre. Este documento es una revisión al esta...

  11. Observaciones sobre accidentes de trabajo y enfermedades profesionales

    Directory of Open Access Journals (Sweden)

    Guillermo Sarmiento López

    1948-03-01

    Full Text Available En los tiempos antiguos no existía ley ni disposición alguna de carácter social que favoreciera a los trabajadores incapacitados por enfermedad o por accidente, por tanto, eran tratados como esclavos o considerados como animales. Los accidentes de trabajo y las enfermedades profesionales eran casi desconocidas antes de la introducción de la maquinaria en la industria, por lo cual no existía el derecho a indemnización por concepto de daños que sufriera el trabajador en el desempeño de sus labores. Solamente se conocen los edictos de Rotari (año 645 de la éra cristiana lanzados en Italia con el fin de reparar los accidentes de los obreros de la construcción y después, en la época del Renacimiento, algunas publicaciones que hablan de ciertas enfermedades de los trabajadores (Ellemborg 1473, Paracelso 1493-1541. Ya en la edad media la industria comenzó a tomar cierta importancia y dada la escasez de brazos, se vio obligado el patrón por fuerza de las circunstancias a prestar ayuda económica a los trabajadores incapacitados por una u otra causa. Los accidentes sucedidos en las industrias no se consideraban como de trabajo, por no conocerse el peligro que envolvía el empleo de la maqumana. En el siglo XVII y a principios del XVIII un médico italiano, Ramazzini habla del perjuicio que ocasionan ciertos trabajos en el organismo del individuo, produciendo alteraciones anatómicas y funcionales. Solamente a fines del siglo XVIII y a principios del XIX con la producción en masa, con el aumento del número de obreros y con la falta de protección, empezaron los accidentes de trabajo a hacerse notorios.

  12. Assessment methodology of the summer time schedule change (CHV) in Mexico: 10 years of application; Metodologia de evaluacion del cambio de horario de verano (CHV) en Mexico: 10 anos de aplicacion

    Energy Technology Data Exchange (ETDEWEB)

    Maqueda Zamora, Martin Roberto; Perez Rebolledo, Hugo [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2008-07-01

    medio ambiente dependen del uso eficiente de la energia. Con la aplicacion del horario de verano, todo el pais participa en el cuidado de los recursos energeticos que se derivan de su aplicacion y genera en la poblacion una cultura del cuidado de la energia y el medio ambiente. Este programa se aplica a nivel mundial, incluyendo a los paises industrializados. En este trabajo se presenta la metodologia implementada por el Instituto de Investigaciones Electricas (IIE), para realizar los calculos de ahorro en consumo de energia electrica y la cuantificacion de la demanda evitada, asi como los principales resultados obtenidos en 10 anos de aplicacion de la medida en Mexico.

  13. Cobertura real de la ley de atención de emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (SOAT Coverage of the emergency health care law and the Compulsory Insurance against Road Traffic Crashes (SOAT

    Directory of Open Access Journals (Sweden)

    J. Jaime Miranda

    2010-06-01

    Full Text Available Objetivo. Determinar, desde la perspectiva de los pacientes, el grado de conocimiento y de cobertura real de la Ley de Atención de Emergencia y del Seguro Obligatorio Contra Accidentes de Tránsito (SOAT. Materiales y métodos. Estudio transversal de vigilancia activa en los servicios de emergencia de establecimientos de salud (EESS de tres ciudades del país con heterogeneidad económica, social y cultural (Lima, Pucallpa y Ayacucho. Resultados. De 644 encuestados, 77% negaron conocer la Ley de Atención de Emergencia (81% en Lima, 64% en Pucallpa y 93% en Ayacucho; pObjective. The aim of this study was to ascertain, from patients’ perspective, the degree of knowledge and the actual coverage of the Emergency Health Care Law and the Compulsory Insurance against Road Traffic Crashes (SOAT. Material and methods. A cross-sectional, active surveillance of emergency wards of selected health facilities in three Peruvian cities (Lima, Pucallpa y Ayacucho was conducted. Results. Out of 644 surveyed victims, 77% did not know about the law about provision of emergency health care (81% in Lima, 64% in Pucallpa y 93% in Ayacucho; p<0,001. Following the explanation of what this law entails, 46% reported to have received care according to the law specifications. As for SOAT, the health care related costs of 237 persons (37.2% were not covered by any insurance scheme (74% in Pucallpa, 34% in Ayacucho and 26% in Lima: p<0,001. Conclusions. In this study, the lack of knowledge about the provision of emergency health care law was important, and the coverage of care was deficient as nearly half of participants reported not to be treated by one or more of the entitlements stated in such law. Road traffic injuriesrelated health care costs were not covered by any insurance scheme in one of three victims. Improvements on citizens’ information about their rights and of effective law enforcement are badly needed to reach a universal and more equitable coverage in

  14. Acidentes da sedução e teoria do corpo Accidentes de la seducción y teoria del cuerpo Accidents of seduction and theory of the body

    Directory of Open Access Journals (Sweden)

    Christophe Dejours

    2012-09-01

    Full Text Available Parte-se da exposição de um fragmento clínico no qual se destaca um episódio de descompensação somática aguda em um paciente em análise, cujo funcionamento psíquico não sugere um quadro de psicose e tampouco um quadro que se convencionou denominar de transtorno psicossomático. Busca-se, então, apreender a complexidade de tal fenômeno do ponto de vista metapsicológico e, em particular, interroga-se sobre a relação entre crise somática, crise psicótica e sexualidade. Recorre-se, em seguida, ao conceito de intromissão da mensagem sexual, tal como formulado por Jean Laplanche, para retrabalhá-lo, designando-o como um acidente da sedução a ser compreendido como um não-traduzido radical, em estreita relação com inscrições originárias, estampilhadas no corpo da criança e proscritas do psiquismo, dando origem ao inconsciente amencial. Por fim, indica-se que a possibilidade de repatriamento dessas inscrições proscritas depende de um trabalho psíquico singular, feito pelo próprio paciente, na forma de uma perlaboração pelo sonho.Com la exposición de un fragmento clínico, se destaca un episódio de descompensación somática aguda en un paciente en análisis. Su funcionamento psíquico no sugiere un cuadro de psicosis, tampoco lo que se acordo llamar de transtorno psicosomático. Se busca, entonces,, apreender la complejidad de tal fenômeno del pounto de vista metapsicológico y, en particular, se interoga sobre la relación entre la crisis somáticas, la crisis psicótica y la sexualidad. Se recurre, en seguida, al concepto de intromisión del mensaje sexual, tal como fue formulado por Jean Laplanche, para retrabajarlo, designándolo como un accidente de la seducción, que deberá ser comprendido como un no-traducido radical, en estrecha relación com inscripciones orignárias estampadas en el cuerpo del niño y proscriptas del psiquismo, dando origen al inconsciente amencial. Finalmente, se indica que la posibilidad

  15. Allegheny County Fatal Accidental Overdoses

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Fatal accidental overdose incidents in Allegheny County, denoting age, gender, race, drugs present, zip code of incident and zip code of residence. Zip code of...

  16. Mortalidad intrahospitalaria por accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  17. Muertes por accidente de motocicleta y su asociación con variables relacionadas a la reproducción social en un estado del noreste brasileño

    Directory of Open Access Journals (Sweden)

    Paul Hindenburg Nobre de Vasconcelos Silva

    2015-01-01

    Full Text Available El objetivo de este artículo es identificar el comportamiento de las muertes por accidentes de motocicleta y las variables relacionadas con la teoría de la reproducción social de Samaja, para el período 2000-2005 en el estado de Pernambuco, Brasil. Se realizó un estudio ecológico con abordaje caso-control. La unidad de análisis fue el municipio. Los casos fueron definidos considerando el 20% de los municipios con los mayores coeficientes bayesianos empíricos locales de mortalidad por accidentes de motocicleta y los controles, como el 40% de los municipios con menores coeficientes de mortalidad por accidentes de motocicleta. Los municipios con mayor probabilidad de altos coeficientes de mortalidad por accidentes de motocicleta mostraron factores de crecimiento poblacional altos, así como de crecimiento de la flota de vehículos, bajas densidades demográficas, bajo PBI per cápita, y más de 20 motocicletas por mil habitantes. Se concluye que las variables relacionadas a las macropolíticas mostraron una mayor fuerza para explicar las probabilidades de defunciones por accidentes de motocicleta.

  18. Registro de pacientes con accidente cerebro vascular en un hospital público del Perú, 2000-2009 Registry of patients with stroke stated in a public hospital of Peru, 2000-2009

    Directory of Open Access Journals (Sweden)

    Ana Castañeda-Guarderas

    2011-12-01

    Full Text Available Estudio que describe las características de los registros de pacientes con accidente cerebro vascular (ACV, como diagnóstico causante de hospitalización en el Hospital Nacional Cayetano Heredia entre los años 2000 - 2009. Se obtuvieron 2225 registros de pacientes mayores de 18 años, con ACV. De acuerdo con la CIE-10, 1071 tenían el diagnóstico de ACV isquémico, 554 ACV hemorrágico, 183 hemorragia subaracnoidea, 49 isquémico hemorrágico, 10 crisis isquémica transitorias y en 358 no fue posible especificar el tipo. Se registraron 352 muertes (19,6 %, la mayoría en los primeros tres días. La razón hombre/mujer fue 1,09; la edad promedio 64,1 ± 17,2 años y la mediana del tiempo de hospitalización fue de nueve días. Las condiciones asociadas más frecuentes fueron hipertensión arterial, fibrilación auricular y diabetes mellitus tipo 2. La mortalidad descrita es la más alta informada en nuestro medio, es constante en todos los grupos de edad y mayor en mujeres.We performed a descriptive study taking on account the characteristics of the registries of the patients hospitalized at the Hospital Nacional Cayetano Heredia between the years 2000 and 2009 with stroke as hospitalization diagnosis. 2225 records were obtained from patients older than 18, with stroke. According to ICD-10, 1071 had diagnosis of ischemic stroke, 554 were hemorrhagic, 183 were subarachnoid hemorrhage, 49 were ischemic plus hemorrhagic, 10 were transient ischemic attack (TIA and in 358 we were unable to specify the type of stroke. 352 deaths were recorded (19.6 %, most of them during the first 3 days. The male / female ratio was 1.09, the mean age 64.1 ± 17.2 years and the median length of hospital stay was 9 days. The most common associated conditions were high blood pressure, atrial fibrillation and type 2 diabetes mellitus. The mortality found is the highest reported in our country, constant in all age groups and higher in women.

  19. FRACASO EN EL CONTROL DEL NÚMERO DE VÍCTIMAS POR ACCIDENTES DE TRÁFICO EN ESPAÑA. ¿LA REPUESTA CORRECTA A LA PREGUNTA EQUIVOCADA?

    Directory of Open Access Journals (Sweden)

    Enrique Regidor

    2002-01-01

    Full Text Available En España se han puesto en marcha diferentes medidas de intervención con el objeto de modificar la práctica de los conductores de vehículos de motor, sin embargo no se ha observado una tendencia descendente ni en la tasa de accidentes de tráfico ni en el número de víctimas relacionadas con los mismos. Este articulo se plantea el interrogante de si las medidas tomadas para reducir el número de víctimas por accidente de tráfico se han dirigido realmente hacia las causas responsables de esa tendencia. Utilizando diversas fuentes de datos se observa que en España al comienzo de los años noventa se produjo una importante reducción de la tasa de accidentes de tráfico y sus consecuencias, pero en la segunda mitad de la misma década el incremento en la tasa de lesiones por accidentes de tráfico fue similar al producido en los años ochenta. Igualmente se observa que desde 1980 el consumo per capita de alcohol ha mostrado una tendencia descendente y que el número de lesiones por accidente de tráfico durante los últimos vente años ha estado fuertemente asociado al ciclo económico. Se concluye señalando que las medidas para el control de este problema en España se han centrado principalmente en la modificación de la conducta que incrementa el riesgo y severidad de las lesiones por accidente de tráfico, pero se han ignorado los determinantes macroeconómicos que explican la tendencia de la frecuencia de este problema de salud.

  20. Accidentes de la arsenoterapia

    Directory of Open Access Journals (Sweden)

    Nicolás Restrepo Escobar

    1942-08-01

    Full Text Available La circunstancia de haber trabajado algunos años en un Instituto Profiláctico para enfermedades venéreas me permitió observar algunos casos mortales y otros graves debidos al tratamiento. Aunque son en pequeño número en relación con la inmensa cantidad de inyecciones aplicadas, creo interesante pasar una revista de ellos insistiendo en el aspecto clínico. La proporción estadística concuerda sensiblemente con la recogida por otros autores, siendo del 1 por 25.000. El más dramático fué el de un carpintero de 35 años, hombre muy fuerte y de excelente aspecto quien se presentó con una historia de diagnóstico clínico y serológico de sífilis hecho en un establecimiento similar de una gran ciudad y con una libreta de tratamiento en la que constaba que le habían sido aplicadas dos series hasta de 6 gramos de 914 y otras series de mercurio y bismuto. La última inyección remontaba a cuatro meses. Era casado y tenía un hijo sano de 20 meses y su esposa también se encontraba en buen estado. El examen dió una positividad de dos cruces de Wassermann y tres de Kahn. No había manifestaciones cutáneas ni mucosas ni alteración de ninguno de sus aparatos circulatorio, respiratorio ni nervioso.

  1. Accidental actions in steel structures

    NARCIS (Netherlands)

    Vrouwenvelder, A.C.W.M.; Gresnigt, A.M.

    2006-01-01

    Part 1-7 of EN 1991 covers accidental actions and gives rules and values for impact loads due to road, train and ship traffic and loads due to internal explosions. In this paper, the application of Part 1-7 of EN 1991 for steel structures is explained. Background information and design strategies

  2. Accidental Haemorrhage and Fetal Prognosis

    African Journals Online (AJOL)

    1974-04-17

    Apr 17, 1974 ... perinatal mortality associated with accidental haemorrhage. The importance of clinical signs in determining fetal ... presented with antepartum haemorrhage, and where a retroplacental clot was found postpartum. .... rupture of membranes and oxytocin infusion. This was done in spite of intra-uterine death in ...

  3. Accidental hypothermia-an update

    DEFF Research Database (Denmark)

    Paal, Peter; Gordon, Les; Strapazzon, Giacomo

    2016-01-01

    BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this nar...

  4. Acute Renal Failure following Accidental Potassium Bromate ...

    African Journals Online (AJOL)

    Accidental poisoning is common in children. Potassium bromate is a commonly used additive and raising agent in many edibles particularly bread, a staple food worldwide, yet its accidental poisoning has hitherto, not been documented in Nigeria. We report an unusual case of acute renal failure following accidental ...

  5. Trabalho precoce e acidentes ocupacionais na adolescência Trabajo precoz y accidentes de trabajo en la adolescencia Child labor and occupational accidents in the adolescence

    Directory of Open Access Journals (Sweden)

    Márcia Elena Andrade Santos

    2009-12-01

    Full Text Available Estudo transversal, descritivo e quantitativo, com o objetivo de investigar a ocorrência de acidentes ocupacionais em adolescentes trabalhadores. Realizado de abril a agosto de 2008, com uma amostra aleatória de 308 adolescentes entre 14 e 18 anos de idade. Os resultados evidenciaram que 168 (54,5% eram trabalhadores, 42%, desses, alegaram ter sofrido acidentes típicos, (18,5% acidentes de trajeto, 14,9% afastaram-se do trabalho, 51,4% não tinham carteira assinada e a maioria era do sexo masculino. Os cortes e perfurações foram os acidentes mais ocorridos (27,5%, a queimadura constituiu o principal agravo (26,9% e as partes do corpo mais afetadas foram mãos e dedos (40,4%. Conclui-se que os acidentes ocupacionais configuram-se como uma expressão da violência contra os jovens trabalhadores e um grave problema de Saúde Pública. Deve ser incorporado com prioridade na agenda dos serviços públicos e o enfermeiro, junto à equipe de saúde, podem ser os principais articuladores desse processo.Estudio transversal, descriptivo y cuantitativo, que tiene como finalidad investigar la ocurrencia de accidentes de trabajo en los trabajadores jóvenes. Realizado entre abril y agosto del 2008, con una muestra aleatoria de 308 adolescentes de 14 y 18 años de edad. Los resultados mostraron que 168 (54,5% eran trabajadores, el 42% de éstos afirma haber sufrido accidentes típicos, 18,5% fueron accidentes de trayecto, el 14,9% no pudieron trabajar después del accidente, el 51,4% no tenía un contrato formal de trabajo y la mayoría era del sexo masculino. Cortes y pinchazos fueron los accidentes con mayor incidencia (27,5%, la quemadura fue la lesión principal (26,9% y las partes del cuerpo más afectadas fueron las manos y los dedos (40,4%. Se concluyó que los accidentes de trabajo se caracterizan como una expresión de la violencia contra los trabajadores jóvenes y como un grave problema de salud pública. Por lo tanto, esta cuestión deber

  6. Post accidental small breaks analysis

    International Nuclear Information System (INIS)

    Depond, G.; Gandrille, J.

    1980-04-01

    EDF ordered to FRAMATOME by 1977 to complete post accidental long term studies on 'First Contrat-Programme' reactors, in order to demonstrate the safety criteria long term compliance, to get information on NSSS behaviour and to improve the post accidental procedures. Convenient analytical models were needed and EDF and FRAMATOME respectively developped the AXEL and FRARELAP codes. The main results of these studies is that for the smallest breaks, it is possible to manually undertake cooling and pressure reducing actions by dumping the steam generators secondary side in order to meet the RHR operating specifications and perform long term cooling through this system. A specific small breaks procedure was written on this basis. The EDF and FRAMATOME codes are continuously improved; the results of a French set of separate effects experiments will be incorporated as well as integral system verification

  7. Indicativo de transtorno do desenvolvimento da coordenação de escolares com idade entre 7 e 10 anos Indicativo del trastorno del desarrollo de la coordinación en estudiantes de 7 a 10 años de edad Indicative of developmental coordination disorder in students aged between 7 to 10 years

    Directory of Open Access Journals (Sweden)

    Juliana da Silva

    2013-03-01

    Full Text Available O objetivo do presente estudo foi caracterizar os participantes, de ambos os sexos, com idade entre 7 e 10 anos, quanto à presença do indicativo de Transtorno do Desenvolvimento da Coordenação - TDC. Participaram do estudo 406 crianças de uma escola municipal de São José/SC, com idades entre 7 e 10 anos, sendo 231 meninas e 175 meninos. As avaliações motoras e o indicativo de TDC foram realizados tendo como referência o Movement Assessment Battery for Children - primeira edição (MABC-1; HENDERSON; SUGDEN, 1992. A prevalência do indicativo de TDC foi de 11,1%, valor este considerado elevado quando comparado aos divulgados em pesquisas internacionais, porém semelhante aos percentuais encontrados em estudos realizados no Brasil.El objetivo de este estudio fue caracterizar a los participantes de ambos sexos, con edad comprendida entre 7 y 10 años, con respecto a los indicativos de la presencia del trastorno de desarrollo de la coordinación - TDC. Participaron en el estudio 406 estudiantes de una escuela pública de São José/SC, con edad comprendida entre 7 y 10 años (231 niñas y 175 niños. El instrumento utilizado fue el Movement Assessment Battery for Children - Primera edición (MABC-1; HENDERSON; SUGDEN, 1992. La prevalencia del indicativo del TDC fue 11,1%, considerado alto en comparación con las investigaciones internacionales, pero similar a otros estudios realizados en Brasil.The objective of this study was to characterize the participants of both sexes, aged between 7 and 10 years, regarding to the presence of the Developmental Coordination Disorder - DCD. A group of 406 children aged between 7 to 10 years old, being 231 girls and 175 boys from a public school in São José/SC participated of this study. The motor assessments and indicative of DCD were made according to the Movement Assessment Battery for Children - First Edition (MABC-1; HENDERSON; SUGDEN, 1992. The prevalence of the indicative of DCD was 11,1%, value

  8. Un ano de retraso para el acelerador europeo LHC

    CERN Multimedia

    CERN. Geneva

    2002-01-01

    "Debido a las dificultades presupuestarias que sufre el Laboratorio Europeo de Fisica de Particulas (CERN) para construir el nuevo acelerador LHC, la puesta en marcha de esta gran instalacion se retrasara un ano, entrando en funcionamiento en 2007, segun el plan elaborado por la direccion del centro" (1/2 page).

  9. Registro de pacientes con accidente cerebro vascular en un hospital público del Perú, 2000-2009 Registry of patients with stroke stated in a public hospital of Peru, 2000-2009

    OpenAIRE

    Ana Castañeda-Guarderas; Guillermo Beltrán-Ale; Renzo Casma-Bustamante; Paulo Ruiz-Grosso; Germán Málaga

    2011-01-01

    Estudio que describe las características de los registros de pacientes con accidente cerebro vascular (ACV), como diagnóstico causante de hospitalización en el Hospital Nacional Cayetano Heredia entre los años 2000 - 2009. Se obtuvieron 2225 registros de pacientes mayores de 18 años, con ACV. De acuerdo con la CIE-10, 1071 tenían el diagnóstico de ACV isquémico, 554 ACV hemorrágico, 183 hemorragia subaracnoidea, 49 isquémico hemorrágico, 10 crisis isquémica transitorias y en 358 no fue posibl...

  10. Burns in the domestic environment: characteristics and circumstances of accidents Quemaduras en ambiente doméstico: características y circunstancias del accidente Queimaduras em ambiente doméstico: características e circunstâncias do acidente

    Directory of Open Access Journals (Sweden)

    Tatiane Meda Vendrusculo

    2010-06-01

    Full Text Available This study characterizes burn accidents in the domestic environment and identifies the circumstances of accidents affecting children, adults or elderly people who need supervision or care. Demographic data and burn characteristics of 61 domestic environment burn victims were collected. The family members of 13 children and one aged adult, who needed supervision or special care, were selected to answer a semi-structured interview. Two thematic groups were identified: social and environmental factors that might have contributed to the burn accidents and circumstances involving the accidents. Risk factors were: low socioeconomic and educational levels of mothers and those responsible for the children at the moment of the accident, small houses considering the number of occupants and unsafe kitchen equipment. Although cases of domestic violence were not identified there was neglect from caregivers. Health professionals should be attentive and investigate the circumstances of accidents involving vulnerable individuals.Este estudio tuvo como objetivos caracterizar los accidentes por quemaduras, ocurridos en ambiente doméstico, e identificar las circunstancias de esos accidentes cuando afectaron niños, adultos o ancianos que necesitaban de supervisión. Fueron recolectados datos demográficos y sobre el trauma de 61 víctimas de quemaduras en ambiente doméstico. De esas, 13 niños y un anciano, con necesidad de supervisión o cuidado especial, tuvieron los familiares seleccionados para entrevista semiestructurada. Fueron identificados dos núcleos temáticos: factores que pueden haber contribuido para la ocurrencia de accidentes por quemaduras: sociales y ambientales y, circunstancias que envolvieron el accidente. Los factores de riesgo fueron: bajo nivel socioeconómico y de instrucción de las madres responsables por el niño en el momento del accidente, habitaciones pequeñas para el número de residentes, y, equipamientos de cocina precarios. No

  11. Tubercular fistula-in-ano

    International Nuclear Information System (INIS)

    Bokhari, I.; Shah, S.S.H.; Khan, A.

    2008-01-01

    To determine the frequency of tuberculosis in recurrent fistula-in-ano. The study included 100 cases of recurrent fistula-in-ano not responding to conventional surgery. Patients with other co-morbidities such as diabetes mellitus, bleeding disorders or with the evidence of pulmonary, abdominal or intestinal tuberculosis were excluded from this study. Fistulogram was performed in all patients. All the patients were subjected to fistulectomy followed by histopathology of the resected specimen. Thereafter, confirmation of the disease, anti-tuberculous treatment was immediately started and response to treatment was observed after 6 months. Out of the 100 studied patients, 11 cases had biopsy proven tuberculosis in the fistula. All the patients were male. The fistulae were low type, single and usually located posteriorly (n=9) with everted margins. Ten were located within 3 cm of anus. Fistulogram revealed single internal opening. Comparative statistics of tuberculous fistula-in-ano with fistulas due to specific inflammation revealed no major differences. The diagnosed patients of tubercular fistulae-in-ano were observed for at least 6 months after starting anti-tuberculous treatment. They all responded well to anti-tubercular treatment and the fistulae healed without any complication such as recurrence or anal stenosis within 6 months. Tuberculosis should be suspected in case of recurrent fistulae-in-ano, so as to avoid unusual delay in the treatment and miseries to the patient. Appropriate anti-tuberculous therapy leads to healing within 6 months. (author)

  12. Accidental poisoning with autumn crocus.

    Science.gov (United States)

    Gabrscek, Lucija; Lesnicar, Gorazd; Krivec, Bojan; Voga, Gorazd; Sibanc, Branko; Blatnik, Janja; Jagodic, Boris

    2004-01-01

    We describe a case of a 43-yr-old female with severe multiorgan injury after accidental poisoning with Colchicum autumnale, which was mistaken for wild garlic (Allium ursinum). Both plants grow on damp meadows and can be confused in the spring when both plants have leaves but no blossoms. The autumn crocus contains colchicine, which inhibits cellular division. Treatment consisted of supportive care, antibiotic therapy, and granulocyte-directed growth factor. The patient was discharged from the hospital after three weeks. Three years after recovery from the acute poisoning, the patient continued to complain of muscle weakness and intermittent episodes of hair loss.

  13. La prevención de accidentes (3

    Directory of Open Access Journals (Sweden)

    Chinchilla, M.

    1966-04-01

    Full Text Available The financial loss due to working accidents is very substantial, quite apart from the actual loss of human lives. Hence avoiding these accidents is a most important matter. The accident index in the various industries shows a rate of increase that is larger than should be the case in proportion to the development of the industries concerned, and the larger number of employees. The fact that these indexes are smaller in many countries, however, shows that these accidents can be considerably reduced if suitable measures are taken to avoid them. In chapter 2 of our magazine, issue no. 178, a variety of reasons were discussed that may originate accidents, although these causes are not directly linked to the accident itself. In this article mention is made of some of the measures that can be taken in the handling of cutting and welding equipment, and also of inflammable liquids, to prevent possible accidents.El peso de los accidentes de trabajo sobre la economía supone cantidades muy grandes que, independientemente del inestimable valor de una vida humana, realzan la importancia de la prevención de accidentes. Los índices de accidentes muestran en diferentes industrias un crecimiento mayor de lo que debería corresponder proporcionalmente, habida cuenta del crecimiento laboral. El hecho de que en distintos países los índices sean inferiores, demuestra que se pueden conseguir buenos frutos si se concede primordial importancia a que los trabajos se realicen con las debidas medidas de seguridad. En el Capítulo 2, número 178 de esta Revista, se detallaron diversas causas que pueden originar un accidente sin estar ligadas en forma directa con una tarea determinada. En el presente trabajo se indican algunas de las medidas que deben observarse en el manejo de los equipos de soldadura y corte, así como en el transvase de líquidos inflamables.

  14. Accidental Decannulation OF TRACHEOSTOMY TUBES - Case Series

    OpenAIRE

    Omokanye, HK; Dunmade, AD; Segun-Busari, S; Afolabi, OA; Habeeb, OG; Adegboye, MB; Alabi, BS

    2016-01-01

    Tracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient. We review a variety of unexpected and often-overlooked causes of accidental decannulation with suggestions on preventive measures. We therefore present three cases of accidental decannulation of ...

  15. 20 anos cuidados de enfermagem

    OpenAIRE

    Fernandes, P

    2015-01-01

    No âmbito da Partilha de Boas Práticas, promovida pela Direção de Enfermagem do HFF, o Serviço de Cardiologia foi desafiado a partilhar as suas boas práticas de cuidados. Tendo em conta que o hospital se encontra a comemorar os seus 20 anos decidimos que o tema desta prelecção fosse também os 20 anos de cuidados de enfermagem no Serviço de Cardiologia. Ao longo desta prelecção será feita uma breve caraterização do serviço, desde o ...

  16. Letalidad por accidentes de trabajo en Villa Clara

    Directory of Open Access Journals (Sweden)

    Miguel Gómez Vital

    1999-01-01

    Full Text Available Se valora la problemática de la letalidad por accidentes laborales en la provincia de Villa Clara, en el período comprendido entre 1987 y 1997. Se determinan las principales causas, y fue la conducta negligente del individuo la que más incidió. En los últimos años de la década del 80 se registraron más cantidad de muertes por accidentes de trabajo, los que ocurrieron fundamentalmente en el puesto laboral. Queda puntualizado el importante rol del equipo médico en instituciones laborales.The problem of letality from working accidents in the province of Villa Clara from 1987 to 1997 was evaluated. The main causes were also determined. Individual negligent behaviour proved to be the first cause. More deaths from working accidents were registered late in the 1980s. Most of these accidents occurred at the working place. It was stressed the important role played by the medical team at the working institutions

  17. Accidentes de trabajo fatales y violencia interpersonal en Brasil, 2000-2010

    Directory of Open Access Journals (Sweden)

    Vilma Sousa Santana

    2013-01-01

    Full Text Available En el presente estudio se estima la mortalidad proporcional por accidentes de trabajo provocados por violencia interpersonal en Brasil, entre 2000 y 2010. Se analizaron los datos del Sistema de Información sobre Mortalidad, basados en los informes estadísti- cos de defunción del Ministerio de Salud de Brasil, los cuales incluyen un campo para el registro de accidentes de trabajo que debe ser completado en toda defunción por causas externas. Se identificaron 1.368.732 casos de defunciones por causas externas, 31.576 (2,3% por accidentes de trabajo y solo 226 (0,02% por accidentes de trabajo con violen- cia interpersonal. Cerca del 80% de los informes estadísticos de defunción no tenían el campo “accidente de trabajo” completado. La mayor cantidad de casos ocurrió entre hom- bres (94,3% de 25-34 años, con nivel de escolaridad medio, ubicados en la región sudeste y noreste, que trabajan principalmente en la producción de bienes y servicios industriales y la actividad agropecuaria. La mayoría de los casos fueron causados por armas de fuego, seguidos por armas blancas, con un aumento relativo de estos últimos en el período estu- diado. Los resultados sugieren un gran subregistro de diagnósticos que reconocen la rela- ción con el trabajo. Se hace necesaria una mejor capacitación en el llenado de los informes estadísticos, así como estudios que cuantifiquen el subregistro de accidentes de trabajo y accidentes de trabajo con violencia interpersonal.

  18. Accidental Poisoning with Otapiapia: a Local Organophasphate ...

    African Journals Online (AJOL)

    Children are prone to accidental poisoning. We report this fatal organophosphate poisoning of a 3-year-old Nigerian boy following accidental ingestion of a homemade cocktail of kerosene and 'Otapiapia': a local rodenticide to highlight the dangers inherent in un-regulated production, home use and storage of this ...

  19. Tension Pneumothorax following an Accidental Kerosene Poisoning ...

    African Journals Online (AJOL)

    Tension pneumothorax is a rare complication following an accidental kerosene poisoning. In such situation, a bed-side needle thoracocentesis is performed because of its potential of becoming fatal; hence its clinical importance. A case of 15 month old boy with tension pneumothorax following accidental kerosene ...

  20. About Assessment Criteria of Driver's Accidental Abilities

    Science.gov (United States)

    Lobanova, Yuliya I.; Glushko, Kirill V.

    2016-01-01

    The article points at the importance of studying the human factor as a cause of accidents of drivers, especially in loosely structured traffic situations. The description of the experiment on the measurement of driver's accidental abilities is given. Under accidental ability is meant the capability to ensure the security of driving as a behavior…

  1. Characterisation of childhood and adolescence accidental fatalities ...

    African Journals Online (AJOL)

    Background: Accidental death in childhood and adolescence is posing a public health problem in Nigeria, as most of these deaths were not caused by the victims. There is need to research into the pattern and circumstances surrounding the death. Aim: To characterise and study accidental deaths in childhood and ...

  2. Accidental Decannulation OF TRACHEOSTOMY TUBES - Case Series.

    Science.gov (United States)

    Omokanye, H K; Dunmade, A D; Segun-Busari, S; Afolabi, O A; Habeeb, O G; Adegboye, M B; Alabi, B S

    2016-01-01

    Tracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient. We review a variety of unexpected and often-overlooked causes of accidental decannulation with suggestions on preventive measures. We therefore present three cases of accidental decannulation of tracheostomy tubes in order to report our experiences in the management of the condition. Accidental decannulation occurs both in hospitalized and patient on home care of their tracheostomy tubes. Reduction in neck circumference due to weight loss predisposes to accidental decannulation, which could be prevented by suturing the flange to the skin.

  3. Accidentes laborales en la provincia de Málaga: Participación del alcohol etílico y las drogas de abuso Labor accidents in the province of Malaga: Participation of the ethyl alcohol and the drugs of abuse

    Directory of Open Access Journals (Sweden)

    Sebastián Díaz Ruiz

    2011-09-01

    Full Text Available El presente trabajo se corresponde con un estudio observacional descriptivo de los accidentes de trabajo ocurrido en la provincia de Málaga entre Octubre de 2003 y Diciembre de 2006, con resultado de muerte y que fueron autopsiados en el Instituto de Medicina Legal de Málaga. En él hemos analizado todas aquellas variables circunstanciales que, de una forma u otra, desempeñan algún papel en la etiopatogenia de este tipo de lesiones, haciendo hincapié en la participación del alcohol etílico y las drogas de abuso. Se describen 17 casos positivos a alcohol etílico, cannabis o cocaína y destaca la ausencia de medidas de seguridad en el trabajador. Todo ello con la finalidad de establecer unas pautas de conducta que permitan, en la medida de lo posible, ayudar a prevenir e incluso a disminuir el número de estos accidentes que, por desgracia, en pleno siglo XXI se vienen cobrando todos los años un número no desechable de vidas humanas, con la tragedia que ello supone.This work corresponds to a descriptive observational study of work accidents occurred in the province of Malaga between October 2003 and December 2006, resulting in death and which were autopsied in the Institute of Legal Medicine of Malaga. We have analyzed all those circumstantial variables that, in one way or another, play a role in the pathogenesis of these lesions, emphasizing in the participation of ethyl alcohol and drug abuse. We described 17 cases positive to ethylic alcohol, cannabis or cocaine and the absence of safety measures in the worker. All this with the purpose of establishing a few behavior guidelines which as far as possible, may help to anticipate, and even to diminish the number of this type of accidents that, unfortunately, in full 21st century are still very high.

  4. VARIABLE PRODUCTION COSTS VERSUS SALES PRICES OF COFFEE IN THE SECOND YEAR OF GROWTH VARIABLES DE LOS COSTOS DE PRODUCCIÓN VERSUS PRECIO DE VENTA DEL CULTIVO DEL CAFÉ EN EL SEGUNDO AÑO DE LABRANZA VARIÁVEIS DOS CUSTOS DE PRODUÇÃO VERSUS PREÇO DE VENDA DA CULTURA DO CAFÉ NO SEGUNDO ANO DA LAVOURA

    Directory of Open Access Journals (Sweden)

    Sérgio Lemos Duarte

    2013-01-01

    por la variable del precio de venta; además de eso, se obtuvo la ecuación de regresión linear paraaveriguar la dependencia entre las variables, junto con el error-estándar de estimación. El resultadoobtenido dejó evidente que en el segundo año de plantación del café, de las doce variables del costo, seconsiguió trazar un comportamiento semejante de nueve variables de costo con el precio de venta. De estamanera, se puede ofrecer al produO segundo ano da lavoura do café é marcado por seu replantio, em substituição às plantas que tiveramalgum problema de desenvolvimento. O objetivo deste trabalho foi investigar de que forma se deu essecomportamento, na cultura em questão, em relação ao preço de venda. Para isso, utilizaram-se os dados doAgrianual – o anuário da agricultura brasileira – de custos e preços de venda do período de 1999 a 2008. Foiaplicado nas variáveis de custos o teste de Kolmogorov-smirnov (Lilliefors, para verificar a normalidade dosdados. Posteriormente, calculou-se o coeficiente de correlação de Spearman e o coeficiente de correlação dePearson,  para analisar se eles estavam correlacionados linearmente. Finalizou-se com o cálculo docoeficiente de determinação, que define quanto de uma variável de custos é explicado pela variável preço devenda; além disso, obteve-se a equação de regressão linear para averiguar a dependência entre as variáveis,juntamente com o erro-padrão de estimativa. O resultado obtido evidenciou que, no segundo ano do plantiodo café, das doze variáveis do custo, conseguiu-se traçar um comportamento semelhante de nove variáveis de custo com o preço de venda. Pode-se assim, fornecer ao produtor rural subsídios para o planejamento de seus orçamentos e um método para análises dos custos

  5. Metacercarias del tipo Paramonilicaecum (Digenea: Didymozoidae, parásitos accidentales de elasmobranquios (Elasmobranchii del golfo de México e identificación de metacercarias (Didymozoidae de la Colección Nacional de Helmintos Metacercariae of the type Paramonilicaecum (Digenea: Didymozoidae, accidental parasites in elasmobranchs (Elasmobranchii from the Mexican Gulf of Mexico and identification of metacercarias (Didymozoidae of the Colección Nacional de Helmintos

    Directory of Open Access Journals (Sweden)

    Erick Rodríguez-Ibarra

    2011-06-01

    Full Text Available Como parte de un estudio sobre los helmintos parásitos de rayas (Elasmobranchii, se colectaron 12 ejemplares en 3 localidades del estado de Veracruz, México: Laguna de Tamiahua, Laguna de Tampamachoco y un arrecife de la costa del golfo de México. Se encontraron metacercarias identificadas como parásitos accidentales del tipo Paramonilicaecum (Digenea: Didymozoidae en la válvula espiral de Dasyatis say (raya látigo chata, Gymnura micrura (raya cola de rata y Rhinobatus lentiginosus (guitarra diablito. De manera complementaria, se actualizó la identificación de material perteneciente a Didymozoidae depositado en la Colección Nacional de Helmintos en el Instituto de Biología, Universidad Nacional Autónoma de México. Éste es el primer registro para México de metacercarias del tipo Paramonilicaecum en rayas.During an ongoing study of the helminths of stingrays (Elasmobranchii, 12 stingrays were collected from 3 localities in the state of Veracruz, Mexico: Laguna de Tamiahua, Laguna de Tampamachoco, and a costal reef in the Gulf of Mexico. Metacercarias were collected from the spiral valves of Dasyatis say (bluntnose stingray, Gymnura micrura (lesser butterfly ray, and Rhinobatus lentiginosus (Atlantic guitarfish. The metacercarias, accidental parasites, were assigned to type Paramonilicaecum (Digenea: Didymozoidae. Material (Didymozoidae previously deposited in the Colección Nacional de Helmintos, Instituto de Biología, Universidad Nacional Autónoma de México, was re-identified. This is the first report of a species in larval phase of the "Type" Paramonilicaecum from the Gulf of Mexico, Veracruz, and the first report from a Mexican stingray.

  6. Fatal accidental hypothermia and alcohol.

    Science.gov (United States)

    Albiin, N; Eriksson, A

    1984-01-01

    A series of 51 fatal cases of accidental hypothermia in northern Sweden has been reviewed. The cases conform well to previous investigations with respect to the mean age of the victims (48 years) and a predominance of males. The cases occurred mainly during the winter months and on Saturdays. Most cases succumbed at temperatures below -10 degrees C. The most frequent necropsy findings were areas of frostbite with purple discoloration of the skin, reddish lividity and superficial erosions of the gastric mucosa. Paradoxical undressing was present in more than half of the cases. About two thirds of the cases were under the influence of alcohol with a mean blood alcohol concentration of 1.6 g/l. Furthermore, at least half of the cases could be considered habitual drunkards. In conclusion, the present series shows two main groups of fatal hypothermia victims: one group of elderly persons, mostly chronic abusers and under the influence of alcohol (approximately two-thirds of the series), and another of younger and sober persons, performing recognised sporting activities (approximately one-fourth of the series).

  7. Accidental hypothermia in the sunbelt.

    Science.gov (United States)

    Thomas, D R

    1988-01-01

    Hypothermia in colder climates in the United States occurs predominately as a result of exposure of alcoholics to cold outdoor temperatures. Among 24 cases of accidental hypothermia occurring at a university medical center in the deep South, differences in clinical presentation were identified. In contrast to experience in colder climates, 17/22 cases (76%) developed at home. Alcohol was a factor in only 8/24 (33%). The elderly were at greatest risk, accounting for 16/24 patients (65%). Factors suggested to account for the high incidence of hypothermia in the elderly include abnormal temperature perception or regulation, intercurrent illness, social isolation, inadequate housing, and poverty. Coexisting medical conditions were identified as a potential cause of hypothermia in only 10/24 of these patients (42%). Social isolation was not a strong predictor, with 6/17 of the elderly (35%) living alone. Death occurred in 9/24 patients (37%), but survival could not be predicted from admission temperature, hypotension, anemia, or serum glucose. Since extreme cold temperatures are infrequent in the deep South, identified differences in demographics may be due to inadequate housing or lack of preparation for cold weather dangers.

  8. Accidental methanol ingestion: Case report

    Directory of Open Access Journals (Sweden)

    Bakker Jan

    2010-02-01

    Full Text Available Abstract Background The incidence of methanol (CH3OH intoxication differs enormously from country to country. Methanol intoxication is extremely rare in the Dutch population. Even a low dose can already be potentially lethal. Patients are conventionally treated with hemodialysis. Therefore we'd like to present a report of a foreign sailor in Rotterdam who accidentally caused himself severe methanol intoxication, with a maximum measured concentration of 4.4 g/L. Case presentation The patient presented with hemodynamic instability and severe metabolic acidosis with pH 6.69. The anion gap was 39 mmol/L and the osmol gap 73 mosmol/kg. Treatment with ethanol and continuous venovenous hemodiafiltration (CVVH-DF was initiated. Despite the hemodynamic instability it is was possible to achieve rapid correction of pH and methanol concentration with CVVH-DF while maintaining a stable and therapeutic ethanol serum concentration. Despite hemodynamic and acid-base improvement, our patient developed massive cerebral edema leading to brain death. Permission for organ donation was unfortunately not ascertained. Conclusions We conclude that in a hemodynamic instable situation high methanol concentrations and methanol-induced derangements of homeostasis are safely and effectively treated with CVVH-DF and that severe cerebral edema is another possible cause of death rather than the classical bleeding in the putamen area.

  9. Percepção do acidente fatal de trabalho para a família da vítima Percepción del accidente fatal de trabajo para la familia de la víctima Perception of the fatal work accident for the victim’s family

    Directory of Open Access Journals (Sweden)

    Ana Beatryce Tedesco Moraes

    2012-01-01

    Full Text Available O trabalho humano constitui importante meio de inserção social, implicado na formação de identidade e de reconhecimento social. Em caso de acidente de trabalho fatal, a família sofre os impactos desse fenômeno em sua organização e dinâmica. Esta pesquisa teve por objetivo investigar a percepção do acidente de trabalho fatal para a família de uma vítima no sul do Estado do Espírito Santo, cuja análise se baseou nos seguintes temas: condições de trabalho do acidentado, impactos psicossociais gerados pelo acidente de trabalho e mudanças na dinâmica familiar em função dessa ocorrência. Foram entrevistados três membros da família da vítima e seu empregador. Os dados foram analisados conforme os critérios qualitativos da fenomenologia semiótica. Os resultados apontam um paradoxo na percepção da família da vítima e do empregador sobre o acidente: enquanto sua repercussão para a família se fundamenta na importância social do trabalho, para o empregador, associa-se à defesa da empresa e de sua responsabilidade sobre a morte no trabalho.El trabajo humano constituye un importante medio de inserción social, implicado en la formación de identidad y de reconocimiento social. En caso de un accidente de trabajo fatal, la familia sufre los impactos de ese fenómeno en su organización y dinámica. Esta investigación tuvo por objetivo estudiar la percepción del accidente de trabajo fatal para la familia de una víctima en el sur del Estado de Espírito Santo, cuyo análisis se basó en los siguientes temas: condiciones de trabajo del accidentado, impactos psicosociales generados por el accidente de trabajo y cambios en la dinámica familiar en función de ese suceso. Fueron entrevistados tres miembros de la familia de la víctima y su empleador. Los datos fueron analizados de acuerdo a los criterios cualitativos de la fenomenología semiótica. Los resultados apuntan una paradoja en la percepción de la familia de la v

  10. Análise espacial dos acidentes de trânsito com vítimas fatais: comparação entre o local de residência e de ocorrência do acidente no Rio de Janeiro Análisis espacial de los accidentes de tránsito con víctimas fatales: comparación entre el lugar de residencia y de ocurrencia del accidente en Río de Janeiro Spatial analysis of traffic accidents with fatal victims: comparing place of residence and place of occurrence in Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Vanessa dos Reis de Souza

    2008-12-01

    Full Text Available Este trabalho tem por objetivo comparar a distribuição espacial dos óbitos por acidentes de trânsito na cidade do Rio de Janeiro, em 2003, a partir de três tipos de endereço: residência da vítima; local de ocorrência do acidente; e local de ocorrência do óbito, em nível de setor censitário. Utilizou-se o Estimador de Kernel para verificar se existe ou não diferença nos padrões de áreas de risco determinados a partir dos registros destes endereços. Concluiu-se que há diferença nos padrões espaciais, em todos os tipos de endereço utilizados. Dessa forma, mostra-se como o mapeamento dos acidentes, identificando o local de ocorrência deste, é essencial, pois fornece subsídios às ações de políticas públicas para redução e prevenção dos acidentes. Para tanto, são necessárias algumas medidas administrativas que permitam a sistematização e o registro da informação adequada.Este trabajo tiene como objetivo comparar la distribución espacial de las muertes por accidentes de tránsito en la ciudad de Río de Janeiro, en 2003, a partir de tres tipos de dirección: residencia de la víctima, lugar de ocurrencia del accidente y lugar de ocurrencia del fallecimiento, a nivel de sector censal. Se utilizó el Estimador de Kernel para verificar si existe o no diferencia en los padrones de áreas de riesgo determinados a partir de los registros de estas direcciones. Se concluyó que existe diferencia en los padrones espaciales, en todos los tipos de dirección utilizados. De esta forma, se muestra como el mapeo de los accidentes, identificando el lugar de ocurrencia de éste, es esencial, pues suministra subsidios a las acciones de políticas públicas para reducción y prevención de los accidentes. Para ello, son necesarias algunas medidas administrativas que permitan la sistematización y el registro de la información adecuada.The purpose of this study is to compare the spatial distribution of deaths by traffic accidents

  11. An accidental poisoning with mitragynine.

    Science.gov (United States)

    Karinen, Ritva; Fosen, Jan Toralf; Rogde, Sidsel; Vindenes, Vigdis

    2014-12-01

    An increasing number of drugs of abuse are sold word wide over the internet. Names like "legal highs", "herbal highs" etc. give the impression that these are safe products, although the risk of fatal reactions might be substantial. Leaves from the plant Mitragyna speciosa, contain active compounds like mitragynine and 7-hydroxymitragynine. It has been reported that the potency of 7-hydroxymitragynine at the μ-opioid receptor is 30 times higher than that of mitragynine and 17 times higher than that of morphine. Case reports regarding poisoning with Kratom are reported, but the toxic or lethal ranges for the concentrations of the active substances have not been established, and concentrations of 7-hydroxymitragynine have not been reported previously. We present a case report where a middle aged man was found dead at home. The deceased had a history of drug abuse and mental illness for several years. At autopsy, there were no significant pathological findings. Post-mortem analysis of peripheral blood revealed: zopiclone 0.043mg/L, citalopram 0.36mg/L and lamotrigine 5.4mg/L, i.e. concentrations regularly seen after therapeutic ingestion of these drugs. Additionally mitragynine 1.06mg/L and 7-hydroxymitragynine 0.15mg/L were detected in blood and both also in urine. The high concentrations of mitragynine and 7-hydroxymitragynine indicate that the cause of death is intoxication by these substances; and the circumstances point toward the manner of death being accidental. We recommend that both mitragynine and 7-hydroxymitragynine are analyzed for in cases with suspected Kratom intoxication. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  12. Influência do estado nutricional e do VO2max nos níveis de adiponectina em homens acima de 35 anos Influencia del Estado Nutricional y del VO2max en los Niveles de Adiponectina en Hombres que superan los 35 Años Influence of nutritional status and VO2max on adiponectin levels in men older than 35 years

    Directory of Open Access Journals (Sweden)

    Eduardo Camillo Martinez

    2011-06-01

    Full Text Available FUNDAMENTO: A adiponectina é considerada importante fator na patogênese das doenças cardiovasculares e metabólicas, por suas propriedades antiaterogênicas e antiinflamatórias. Poucos estudos, entretanto, sugerem a existência de relação direta entre os níveis de adiponectina e os níveis de condicionamento cardiorrespiratório e atividade física. OBJETIVO: Verificar a influência do estado nutricional e do condicionamento cardiorrespiratório nos níveis plasmáticos de adiponectina em homens adultos. MÉTODOS: Foram avaliados 250 sujeitos, homens, todos militares da ativa do Exército Brasileiro (42,6 ± 4,8 anos. Foram mensurados os níveis plasmáticos de adiponectina, massa corporal, estatura, circunferência da cintura (CC, percentual de gordura por pesagem hidrostática e VO2max por ergoespirometria. Um questionário foi utilizado para obter as características do treinamento físico realizado pelos sujeitos. RESULTADOS: Na amostra, 121 (48% sujeitos apresentaram sobrepeso e 36 (14% eram obesos. Ainda, 66 sujeitos (27% apresentaram percentual de gordura maior que 25% e 26.7% apresentaram CC > 94 cm. Sujeitos com sobrepeso e obesidade apresentaram valores significativamente menores de adiponectina em relação aqueles com estado nutricional normal. Sujeitos no mais alto tercil de VO2max apresentaram níveis de adiponectina mais altos que os demais. Os níveis de adiponectina estiveram positivamente correlacionados com o tempo total de treinamento físico semanal e com o VO2max e inversamente correlacionados com os valores de massa corporal, IMC e CC. A correlação dos níveis de adiponectina e do VO2max não permaneceu significante após controlada pelo IMC e CC. CONCLUSÃO: Sujeitos com melhor condicionamento cardiorrespiratório e com estado nutricional normal parecem apresentar níveis mais saudáveis de adiponectina.FUNDAMENTO: La adiponectina es considerada un importante factor en la patogénesis de las enfermedades

  13. Influencia del estrés en la ocurrencia de accidentes asociados a los actos sub estándares en la Cia. Minera Raura S.A. Año 2010

    OpenAIRE

    Carvo Baltazar, Oscar Saúl; Carvo Baltazar, Oscar Saúl

    2013-01-01

    El estrés es un trastorno biopsicosocial que afecta actualmente a la población mundial, la cual se encuentra inmersa en una sociedad globalizada que exige y demanda cada día individuos aptos y capacitados para enfrentar y resolver cada una de los problemas de índole laboral, social y emocional que se le presenten. Estrés se remonta a la década de 1930, cuando un joven austriaco de 20 años de edad, estudiante del segundo año de la carrera de medicina en la Universidad de Praga, Hans Sel...

  14. Prevención de accidentes de tráfico

    OpenAIRE

    Ocampo Suárez-Valdés, Gonzalo

    2010-01-01

    Uno de los objetivos prioritarios en los países industrializados consiste en lograr para los ciudadanos el mayor grado de bienestar posible. La prevención de accidentes de tráfico constituye una tarea importante dado su enorme impacto en nuestra sociedad actual, pues son conocidas las altas cifras de mortalidad y discapacidad derivadas de este tipo de accidentes en España. A pesar del alto índice de siniestros, en nuestro país se ha conseguido en los últimos años una disminución de un 31% de ...

  15. Medición del espesor miointimal carotídeo como predictor de riesgo de accidente isquémico transitorio Carotid Intima - Media Thickness measurement as a risk predictor of transient ischemic attack Objectives

    Directory of Open Access Journals (Sweden)

    Stella Maris Batallés

    2011-09-01

    Full Text Available Objetivos. Determinar si el riesgo de accidente isquémico transitorio (AIT es mayor en pacientes con valores anormales de espesor miointimal carotídeo (EMIC. Materiales y Métodos. Evaluación de 168 pacientes con y sin AIT estudiados con ecografías de vasos de cuello, midiendo EMIC. Diseño de casos y controles apareados por distintas variables. Análisis estadístico: variables continuas (media ± DS, comparadas mediante prueba "t de Student" para muestras relacionadas. Variables categóricas (porcentajes comparadas mediante pruebas de McNemar. Para evaluar EMIC como predictor de AIT, se ajustaron dos modelos de regresión logística condicional, considerando EMIC como variable continua y como variable binaria EMIC normal (1 mm. Se construyó una curva ROC para evaluar la capacidad discriminativa de EMIC, calculando la sensibilidad y especificidad para diferentes puntos de corte. Resultados. Valor de EMIC: casos 1,03 ± 0,31 mm (IC 95%: 0,97-1,10; controles 0,77 ± 0,27mm (IC 95%: 0,710,83; pTo determine if the risk of transient ischemic attack (TIA is higher in patients with abnormal values of carotid intima-media thickness (CIMT. Materials and Methods. We evaluated 168 patients with and without TIA by ultrasound of the neck vessels, measuring CIMT. Case and controls were matched according to different variables. Statistical analysis: continuous variables (mean ± SD were compared using the Student's t test for related samples. Categorical variables (percentages were compared using the McNemar tests. In order to assess CIMT as a predictor of TIA, two models of conditional logistic regression were adjusted, considering CIMT both as a continuous variable and as a binary variable: normal CIMT (1 mm. A ROC curve was performed to determine the discriminative capacity of CIMT, estimating the sensitivity and specificity for different cutoff values. Results. CIMT value: cases 1.03±0.31 mm (95% CI: 0.971.10; controls 0.77±0.27 mm (95% CI: 0

  16. Responsabilidad por daños en accidentes de tráfico causados por especies cinegéticas : evolución y jurisprudencia

    OpenAIRE

    Troiteiro Rodriguez, Daniel

    2016-01-01

    Del total de accidentes de tráfico que tienen lugar en España, el 7% corresponde a siniestros contra objetos o animales. Siendo las especies cinegéticas (sobretodo jabalíes, corzos y ciervos) las que más número de accidentes causan, alrededor del 60%. Siendo éste el panorama, el objetivo que me planteo en este trabajo es estudiar y analizar la responsabilidad derivada de los accidentes de tráfico causados por animales, concretamente por especies cinegéticas. Y no solo la responsabilidad en té...

  17. conjunto de actividades\tfísicas recreativas para estimular\tla recreación en los niños de 3-4 anos de l consejo popular Guane -2 del municipio de Guane

    Directory of Open Access Journals (Sweden)

    Caridad Ramos Prieto

    2009-06-01

    Full Text Available El proceso recreativo en estas edades ofrece múltiples posibilidades para estimular el desarrollo de las actividades físicas recreativas en los niños y niñas durante toda la etapa preescolar y específicamente en el tercer ciclo donde ya han adquirido experiencias del ciclo anterior para accionar con los implementos  con mayor precisión y destreza y donde reciben otros contenidos que  amplían  sus  conocimientos;  pero  no  siempre  se  aprovechan  estas posibilidades porque les falta preparación a la fuente de información   para accionar en ese sentido. A  través  de  una metodología  dirigida  a  las  familias  para  estimular  las actividades  físicas  recreativas  en  los  niños  y  niñas  en las  diferentes actividades recreativas. Se utilizaron métodos del nivel empírico, del nivel teórico y matemático. La metodología elaborada permitirá la preparación de la familia para estimular  las actividades físicas recreativas  en  niños y niñas, lo que incidirá en una mejor preparación de estos para aprendizajes superiores.La investigación se desarrolla con las familias  de los niños y niñas de 3-4 años que inciden en el consejo popular “Guane -2” del municipio Guane en la provincia  de Pinar del Río. Investigaciones realizadas en la esfera de las ciencias psicológicas y pedagógicas han estado relacionadas con la psicomotricidad, tal es el caso de la obra “Patología de la imaginación y motricidad” de Ernesto Dupre (1913 publicada en 1925, donde manifiesta su convicción de las estrechas  relaciones existentes entre la motricidad y la psiquis, a partir de aquí surge una nueva idea acerca de la imagen y percepción del propio cuerpo. Rossell German (1982 es de la opinión de que la educación psicomotriz es la educación del control mental de la expresión motora.

  18. Del Priore, Mary, Revisão do Paraíso: os brasileiros e o Estado em 500 anos de história, Rio de Janeiro: Campus, 2000, 366 p.

    OpenAIRE

    Guzmán, Décio de Alencar

    2005-01-01

    Clientelismo e nepotismo tem sido palavras do vocabulário da ciência política para explicar as relações entre Estado e Sociedade existentes no Brasil. Por longo tempo estas formas de relação política foram analisadas através de cristalizações conceituais e, quando observadas com olhar concreto, através de configurações institucionais. Revisão do paraíso, livro organizado pela historiadora Mary Del Priore vem trazer outra abordagem para estes problemas. Com o intuito de refletir sobre o passad...

  19. Acidentes ocupacionais com material biológico: a percepção do profissional acidentado Accidentes laborales con material biológico: la percepción del profesional accidentado Occupational accidents with biohazards: the perception of the injured worker

    Directory of Open Access Journals (Sweden)

    Ariadna Pires Damasceno

    2006-02-01

    Full Text Available Objetivando identificar a percepção dos profissionais de saúde de uma instituição especializada em atendimento de emergência de Goiânia sobre o contexto envolvido no acidente com material biológico, desenvolvemos uma pesquisa de cunho qualitativo entre diferentes categorias. Inicialmente, 382 profissionais responderam a um questionário para identificar os acidentados, destes 39 também participaram de uma entrevista que abordava aspectos gerais dos acidentes. Entre as principais causas destacadas estão: descuido, não adoção das medidas preventivas, gravidade dos pacientes e pressa. Entre os sentimentos vivenciados destacaram: insegurança, medo da contaminação, raiva e até tranqüilidade. Metade declarou que o acidente não lhe trouxe nenhuma conseqüência. Os dados apontam para necessidade de auto-valorização da saúde do trabalhador e de programas direcionados à melhoraria da segurança ocupacional.Teniendo como objetivo identificar la comprensión de los profissionales de la salud de una institución especializada en atendimentos de emergência de Goiânia sobre el contexto envuelto en el accidente con material biológico, hemos desenvuelto una investigación de cuño cualitativo entre diferentes categorías profesionales. Inicialmente, 382 profesionales respondieron a un cuestionário para poder identificar a aquellos que se habán accidentado, de estos, 39 participaron también de una entrevista que enfocaba aspectos generales de los accidentes. Las principales causas, que destacamos son: descuido no tomar medidas de prevención, estado grave de los pacientes y prisa. Entre los sentimentos vividos se destacaron: inseguridad, miedo de contaminarse, ira y también tranquilidad. La mitad declaró que el accidente no le dejó ninguna consecuencia. Los datos indican la necesidad de auto-valorización de la salud del trabajador y de programas directos a mejorar la seguridad ocupacional.This qualitative research aims at

  20. Prevenção de queimaduras: percepção de pacientes e de seus familiares Prevención de accidentes por quemaduras: percepción del paciente y de sus familiares Burn prevention: perceptions of patients and their relatives

    Directory of Open Access Journals (Sweden)

    Lídia Aparecida Rossi

    2003-02-01

    Full Text Available Os objetivos deste estudo foram investigar os meios de prevenção de queimaduras identificados por pacientes vítimas de queimaduras e por seus familiares. Os dados foram coletados na Unidade de Queimados do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, mediante a realização de entrevistas com pacientes e seus familiares. Os dados foram categorizados por quatro juízes. Para verificar a existência de concordância entre os juízes, quanto à categorização, foi utilizada a medida não paramétrica de correlação - Coeficiente de Contingência. Foram entrevistados: 24 familiares de pacientes que sofreram queimaduras e 33 pacientes. Dos 33 pacientes entrevistados, 18 sofreram acidentes em ambiente doméstico. Dos 57 entrevistados, 11 afirmaram que não poderiam ter contribuído para evitar o acidente. Vinte pacientes e 12 familiares identificaram situações de risco no ambiente doméstico ou no trabalho, e 13 pacientes e 12 familiares não identificaram qualquer tipo de situação de risco. Os familiares e pacientes apontaram como medidas preventivas de acidentes por queimaduras: estar atento às atividades realizadas e ter cuidado com o manuseio de produtos inflamáveis.Los objetivos de este estudio fueron investigar los medios de prevención de quemaduras identificados por pacientes portadores de quemaduras y por sus familiares. Los datos fueron colectados en la Unidad de Quemados del Hospital de las Clínicas de la Facultad de Medicina de Ribeirão Preto, mediante entrevistas con pacientes portadores de quemaduras y sus familiares. Los datos fueron categorizados por cuatro jueces. Para verificar la existencia de concordancia entre los jueces en relación con la categorización, fue utilizada la medida de correlación - coeficiente de contingencia. Fueron entrevistados: 24 familiares de pacientes que sufrieron quemaduras y 33 pacientes. De los 33 pacientes entrevistados, 18 sufrieron accidentes en el ambiente dom

  1. Signos Vitales de los CDC–Prevención de muertes por accidentes cerebrovasculares (Preventing Stroke Deaths)

    Centers for Disease Control (CDC) Podcasts

    2017-09-06

    Este podcast se basa en la edición de septiembre del 2017 del informe Signos Vitales de los CDC. Cada año, más de 140 000 personas mueren y muchos sobrevivientes quedan con discapacidades. El ochenta por ciento de los accidentes cerebrovasculares son prevenibles. Conozca los signos de un accidente cerebrovascular y sepa cómo prevenirlo.  Created: 9/6/2017 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/6/2017.

  2. Accidents with biological material and immunization against hepatitis B among students from the health area Accidente con material biológico y la vacunación contra la hepatitis B en estudiantes del área de la salud Acidente com material biológico e vacinação contra hepatite B entre graduandos da área da saúde

    Directory of Open Access Journals (Sweden)

    Elucir Gir

    2008-06-01

    Full Text Available Undergraduate students from the health area often handle piercing-cutting instruments in their academic activities, which exposes them to the risk of contracting infections. This study aimed to analyze accidents with biological material among these students. Out of 170 accidents registered, 83 (48.8% occurred with Dentistry students, 69 (40.6% with Medical students, 11 (6.5% with Nursing students and in 06 (3.5% of the cases there was no such information in the files. Most accidents, 106 (62.4%, occurred with students from private schools and 55 (32.3% with those from public schools. Percutaneous accidents occurred in 133 (78.2% exposures and there was immediate search for specialized health care in only 38 (21.3% accidents. In 127 (74.7% accidents, the immunization schedule against hepatitis B was complete. Therefore, schools need to offer courses and specific class subjects regarding biosafety measures, including aspects related to immunization, especially the vaccine against hepatitis B.La manipulación de instrumentos punzo cortantes por estudiantes del área de la salud es frecuente en la actividad académica, lo que los expone al riesgo de adquirir infecciones. Este estudio tuvo como objetivo analizar los accidentes con material biológico ocurridos en alumnos del área de la salud. De los 170 accidentes registrados, 83 (48,8% ocurrieron con alumnos del curso de Odontología, 69 (40,6% de Medicina, 11 (6,5% de Enfermería y en 06 (3,5% no había información en la ficha de atención. La mayoría, 106 (62,4%, ocurrió con alumnos de escuelas privadas y 55 (32,3% de públicas. Los accidentes percutáneos ocurrieron en 133 (78,2% exposiciones y en 38 (21,3% accidentes la búsqueda por atención especializada fue inmediata. En 127 (74,7% accidentes el esquema de vacunas contra hepatitis B estaba completo. Así es imprescindible que las escuelas ofrezcan cursos y/o disciplinas específicas sobre medidas de bioseguridad incluyendo aspectos

  3. Cartography an a strategy of empire in Historia General de los Hechos de los Castellanos en las Islas i Tierra firme del Mar Océano by Antonio de Herrera y Tordesillas

    OpenAIRE

    Connett, Christina Findlay

    2014-01-01

    Argumentamos que Herrera intenta legitimizar el control español del Imperio al imponer una universalidad euro-céntrica católica a dicho imperio a través de su aplicación de las iconografías estratégicas, religiosas e imperialistas enraizadas dentro de un programa cartográfico. “La idea de una verdad imperial fue esencial para que los españoles tuviesen una convicción en una experiencia imperial significativa ” y lo que se afirma aquí es que la inclusión de elementos cartográficos presta cr...

  4. Ações de enfermagem para a prevenção da extubação acidental Intervenciones de enfermería para la prevención de la extubación accidental Nursing interventions for the prevention of accidental extubation

    Directory of Open Access Journals (Sweden)

    Théia Maria Forny Wanderley Castellões

    2009-08-01

    Full Text Available RESUMO: Objetivo foi apresentar os resultados parciais da incidência da extubação acidental associada ao cuidado de enfermagem. MÉTODO: estudo observacional retrospectivo, de intervenção prospectiva, medindo antes e depois da implantação de um guia as extubações acidentais A população de 142 pacientes,sendo 72 pacientes na fase retrospectiva e 70 na fase prospectiva,totalizando 3771 dias de ventilação. Dados coletados de prontuários. RESULTADOS: 52,78% usavam tubo traqueal e 62% tinham entre 71 e 90 anos com média de dias de ventilação de 26,5 dias,. Ocorreram seis (3,27 extubações antes e duas (1,03 após a implantação do guia. CONCLUSÕES, houve diminuição da incidência da extubação acidental no período estudado, mas não se pode atribuir ao guia esta diferença pois são necessários outros estudos.OBJETIVO: presentar los resultados parciales de la incidencia de la extubación accidental relacionada al cuidado de Enfermería. MÉTODO: estudio observacional retrospectivo de intervención prospectiva, midiendo antes y después de un protocolo las extubaciones accidentales. LA población fue de 142 pacientes, siendo 72 en el periodo retrospectivo y 70 en el prospectivo, haciendo 3771 días de ventilación. Datos colectados de prontuarios. RESULTADOS : 52,78% usavam tubo traqueal y 62% tenian entre 71 y 90 anos com 26,5 média de dias de ventilación. Ocurrieron seis (3,27 extubaciones antes y dos (1,03 después de la implantación del protocolo. CONCLUSIONES, hubo disminución de la incidencia de la extubación accidental en el período estudiado, pero no se pode atribuir al guía esta diferenza pues son necesarios otros estudios.The objective was to analyze results of the incidence of accidental extubation associated with nursing care. METHOD: Retrospective observational study, the intervention ahead, measured before and after the deployment of a guide extubations accidental The population of 142 patients, 72

  5. Accidental Datura stramonium poisoning in a dog.

    Science.gov (United States)

    Tostes, Raimundo A

    2002-02-01

    Datura stramonium is potentially poisonous to humans and livestock; however, there's little description of clinical and pathological findings in dogs naturally intoxicated. We report an accidental Datura stramonium poisoning in a dog emphasizing the importance of recognizing the classical signs of anticholinergic poisoning.

  6. Duplication of appendix: an accidental finding

    OpenAIRE

    Varshney, Manoranjan; Shahid, Mohammad; Maheshwari, Veena; Mubeen, Aysha; Gaur, Kavita

    2011-01-01

    Duplication of appendix is extremely rare anomaly. The reported incidence is 0.004–0.009%. In most of the cases the finding is accidental. Here the authors are presenting a case of type A duplex appendix in a 25-year male patient.

  7. Carcinoid Tumor in Accidental, Asymptomatic Meckel's Diverticulum ...

    African Journals Online (AJOL)

    Carcinoid Tumor in Accidental, Asymptomatic Meckel's Diverticulum. Z Baranyai, V Jósa, K Merkel, Z Zolnai. Abstract. Although Meckel's diverticulum is the most common congenital gastrointestinal disorder, it is controversial whether asymptomatic diverticula in adults should be respected. The authors report the case of a ...

  8. Frequency of dicentrics in Ukrainian children and teenagers from areas near Chernobyl 20 years after the nuclear power plant accident; Frecuencia de dicentricos en ninos y adolescentes ucranianos de zonas cercanas a Chernobyl 20 anos despues del accidente de la central nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Montoro, A.; Sebastia, N.; Candela, C.; Francesc Barquinero, J.; Soriano, J. M.; Almonacid, M.; Sahuquillo, V.; Alonso, O.; Cervera, J.; Such, E.; Silla, M. A.; Arnal, C.; Villaescusa, J. I.

    2012-07-01

    In this work, frequency of dicentrics in the peripheral blood of 55 children and teenagers from Ukrainian areas affected by the Chernobyl accident are studied, in order to assess the possible existence of chromosomal damage due to radiation, and to estimate absorbed dose through biological dosimetry. A total of 36 dicentric chromosomes found in 53477 analyzed cells reflected a low dicentric frequency (below the baseline limit). From these results, it can be concluded that, within the detection limits of the used technique, no overexposure to radiation was detected in these children. (Author) 18 refs.

  9. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

    Directory of Open Access Journals (Sweden)

    Carlos Valdés

    2011-01-01

    Full Text Available Objetivo: Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como: sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño: Estudio descriptivo, transversal, retrospectivo y observacional. Lugar: Hospital Clínico de la Universidad de Chile (HCUCH. Participantes: Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención: Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados: Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales. Palabras clave: Accidentes de trabajo, ausentismo, notificación de accidentes de trabajo.

  10. Pacientes amputados por accidentes de trabajo: características y años acumulados de vida productiva potencial perdidos

    OpenAIRE

    Herminio Teófilo Camacho-Conchucos

    2010-01-01

    Objetivos: Determinar los años acumulados de vida productiva potencial perdidos en pacientes amputados por accidentes de trabajo. Diseño: Estudio descriptivo, retrospectivo, de corte transversal. Institución: Instituto Nacional de Rehabilitación, Callao, Perú. Participantes: Pacientes amputados por accidente de trabajo. Intervenciones: Revisión de 1 290 historias clínicas de pacientes amputados, atendidos del 1 de enero del 2003 al 31 de diciembre del 2007, de los cuales 108 fueron por accide...

  11. Una nueva metodología para la predicción de la gravedad en los accidentes industriales aplicando el análisis histórico

    OpenAIRE

    Carol Llopart, Sergio

    2001-01-01

    La presente tesis va encaminada al estudio de la gravedad de los accidentes industriales con sustancias peligrosas mediante la utilización del análisis histórico de accidentes. Su objetivo final es utilizar el tratamiento cuantitativo de dicho análisis para desarrollar una metodología que permita predecir la gravedad de los accidentes.Los factores de riesgo que determinan la mayor o menor gravedad de los accidentes son tantos y tan complejos, que las aproximaciones determinísticas tradiciona...

  12. Accidente ofídico en animales de pastoreo: acercamiento epidemiológico, clínico y de manejo

    OpenAIRE

    Sebastián Estrada-Gómez; Juan Carlos Quintana Castillo; Leidy Johana Vargas Muñoz

    2014-01-01

    En animales de pastoreo, el reporte de accidentes ofídicos es muy bajo y, además, presenta un amplio subregistro. A pesar de esto, es de gran utilidad conocer la incidencia de estos accidentes, pues son de gran importancia por las pérdidas económicas que pueden causar en el sector pecuario. Los accidentes por serpientes venenosas, tanto de la familia Viperidae como Elapidae, en caballos y ganado vacuno son frecuentes en muchos lugares del mundo, debido al aumento en la destinación de las tier...

  13. Muertes por enfermedades cardiacas y accidentes cerebrovasculares prevenibles - (Preventable Deaths from Heart Disease and Stroke)

    Centers for Disease Control (CDC) Podcasts

    2013-09-03

    Este podcast se basa en la edición de septiembre del 2013 del informe Signos Vitales de los CDC. Más de 800,000 personas en los Estados Unidos mueren cada año a causa de enfermedades cardiacas y accidentes cerebrovasculares. Aprenda cómo controlar todos los principales factores de riesgo.  Created: 9/3/2013 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/3/2013.

  14. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    OpenAIRE

    Alejandra T. Rabadán; Luciano Sposato; Claudio Mazia

    2010-01-01

    En los últimos 20 años se han desarrollado nuevas opciones para el tratamiento y para la prevención del accidente cerebrovascular (ACV) isquémico, muchas de ellas de carácter intervencionista, tales como la endarterectomía carotídea y la trombolisis intravenosa con activador tisular del plasminógeno. La evidencia científica ha llevado a su difusión y utilización en países desarrollados mientras que en naciones emergentes se observa un retraso en su adopción. Otras modalidades terapéuticas que...

  15. Management of accidental swallowing in implant dentistry.

    Science.gov (United States)

    Souza, Francisley Ávila; Statkievicz, Cristian; Guilhem Rosa, Ana Laura; da Silveira Bossi, Fabrício

    2015-08-01

    This report describes a protocol for managing the accidental swallowing of dental instruments in implant dentistry, illustrated by a patient who accidentally swallowed a hexagonal wrench. The first step was to refer the patient to the medical emergency hospital service for radiographic and clinical evaluation. The hexagonal wrench was located in the stomach and was immediately removed with an endoscopic procedure. The gastric mucosa was sampled via biopsy and the sample submitted to the urease test, which was positive for Helicobacter pylori. Triple treatment was instituted for gastritis caused by H pylori to avoid exposing the patient to unnecessary risk. Removal of a foreign body by means of an endoscopic procedure constitutes a safe and effective treatment. Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  16. DEZ ANOS DE EXPERIÊNCIA DO COMITÊ DE ÉTICA EM PESQUISA DA SECRETARIA DE SAÚDE DO DISTRITO FEDERAL, BRASIL DIEZ AÑOS DE EXPERIENCIA DEL COMITÉ DE ÉTICA E INVESTIGACIÓN DE LA SECRETARÍA DE SALUD DEL DISTRITO FEDERAL, BRASIL TEN YEARS OF EXPERIENCE WITH THE RESEARCH ETHICS COMMITTEE OF THE SECRETARY OF HEALTH, FEDERAL DISTRICT, BRAZIL

    Directory of Open Access Journals (Sweden)

    Maria Rita C. G. Novaes

    2008-01-01

    Full Text Available O objetivo deste artigo é relatar a experiência do Comitê de Ética em Pesquisa da Secretaria de Estado de Saúde do Distrito Federal (CEP/SES/DF Brasil, durante o período de 10 anos a partir de sua fundação. Trata-se de uma avaliação descritiva e documental, na modalidade estudo de caso, utilizando-se a totalidade de projetos protocolados no CEP/SES/DF (Nº 052/08 nesse período. As pendências mais freqüentes dos projetos foram: termo de consentimento livre e esclarecido (30%, folha de rosto (25%, metodologia (20%, curriculum vitae (12%, planilha de orçamento (9%, outros (4%. O relato das atividades do CEP/SES/DF no período de 10 anos revelou, através de sua produtividade, a legitimidade do processo de análise ética dos protocolos visando à proteção dos participantes da pesquisa.El objetivo de este artículo es relatar la experiencia del Comité de Ética en Investigación de la Secretaría de Estado de Salud del Distrito Federal (CEP/SES/DF, Brasil, durante un período de 10 años (1997-2007 a partir de su fundación. Se trata de una evaluación descriptiva y documental, en la modalidad estudio de caso, utilizándose la totalidad de proyectos protocolizados en el CEP/SES/DF (Número 052/08 en ese período. Los conflictos más frecuentes fueron: término de consentimiento libre e informado (30%, protocolo de investigación (25%, metodología (20%, currículum vitae (12%, planilla de presupuesto (9%, otros (4%. El informe de las actividades del CEP/SES/DF en 10 años reveló, a través de su productividad, la legitimidad del proceso de análisis ético de los protocolos, confirmando la protección de los participantes en la investigación.The objective of this article is to relate the experience of the Research Ethics Committee of the Secretary of Health, Federal District, Brazil (CEP/SES/DF during 10 years (1997-2007 from its creation. It deals with a descriptive and documentary evaluation, in the form of case studies

  17. A família vivenciando o acidente doméstico: relato de uma experiência La familia vivenciando el accidente doméstico: relato de una experiencia The family facing the home accident: an experience report

    Directory of Open Access Journals (Sweden)

    Luiza Jane Eyre Xavier de Souza

    2000-01-01

    Full Text Available Este trabalho tem como objetivos conhecer a vivência da família frente ao acidente doméstico na criança, identificar os fatores de risco no ambiente doméstico, a partir da percepção da família e analisar o contexto socioeconômico-cultural contribuindo para a ocorrência do acidente doméstico com a criança. Foi realizado com uma família que vivenciou um caso de intoxicação exógena, com uma criança de 4 anos. A metodologia utilizada foi a observação participante e a entrevista semi-estruturada. Os resultados evidenciaram que a família convive com o acidente doméstico na criança como fatos repetidos e o contexto socioeconômico-cultural influencia na quantidade e qualidade desses casos.El trabajo tuvo por objetivos conocer la vivencia de la familia frente el accidente doméstico en el niño, identificar los factores de riesgo en el ambiente doméstico, a partir de la percepción de la familia y analizar el contexto socioeconómico, cultural, contribuyendo para la ocurrencia del accidente doméstico con el niño. Fue realizado con una familia que vivencio el caso de una intoxicación exógena de un niño de 4 años. La metodologia usada fue la observación participante y la entrevista semi-estructurada. Los resultados evidenciaran que la familia convive con el accidente doméstico en el niño como hechos repetidos y el contexto socioeconómico y cultural influencia la cantidad y calidad de los accidentes.This study aims at knowing the behaviour of the family facing the home accidents among children, identifying the risk factors in the home environment, in the family's perception and analysing the socioeconomic-cultural context contributing to the occurrence of children's home accident. The work was made in a family that had experienced a case of poisoning of a 4 year-old child. Participant observation and the semi-structured interview were used as methodology. The results evidenced that the family constantly lives among children

  18. Vivenciando a sobrecarga ao vir-a-ser um cuidador familiar de pessoa com acidente vascular cerebral (AVC: análise do conhecimento Viviendo la sobrecarga al convertirse en cuidador familiar de personas con accidente cerebrovascular: análisis del conocimiento Living the burden in becoming a family caregiver for a cerebrovascular accident survivor: knowledge analysis

    Directory of Open Access Journals (Sweden)

    Silvia Cristina Mangini Bocchi

    2004-02-01

    Full Text Available Trata-se de trabalho do tipo bibliográfico com a finalidade de fazer uma análise temática da produção do conhecimento em periódicos, acerca da sobrecarga em cuidadores familiares de pessoas com Acidente Vascular Cerebral (AVC. O corpus de análise reuniu artigos localizados nas décadas de 80 e 90, a partir das bases de dados Medline, Lilacs e Cinahl. A análise de conteúdo foi o referencial metodológico que permitiu organizar todo o conhecimento, em um corpo de categorias e subcategorias, denominadas: Categoria 1 - As seqüelas do AVC gerando sobrecarga; Categoria 2 - Aspectos gerando sobrecarga, congregando as subcategorias: o isolamento social, as mudanças e as insatisfações conjugais, as dificuldades financeiras e os déficits na saúde física e no autocuidado do cuidador; Categoria 3 - Outras análises relacionadas à sobrecarga em cuidadores familiares.Se trata de un trabajo del tipo bibliográfico con la finalidad de hacer un análisis temático de producción del conocimiento en revistas, sobre la carga de cuidadores familiares de personas con Accidente Cerebrovascular (ACV. El corpus de análisis reunió artículos realizados en las décadas de 80 y 90 a partir de las bases de datos Medline, Lilacs y Cinahl. El análisis de contenido fue el referencial metodológico que permitió organizar todo el conocimiento en un cuerpo de categorías y subcategorías denominadas: categoría 1 - Las secuelas del ACV generando carga, Categoría 2 - Aspectos generadores de la carga que congregan las subcategorías: el aislamiento social, los cambios y las insatisfacciones conyugales, las dificultades financieras y los déficit en la salud física y en el cuidado consigo mismo, Categoría 3 - Otros análisis sobre la carga de cuidadores familiares de personas con ACV.This bibliographical research aims to carry out a thematic analysis of knowledge production in periodicals, about the burden placed on family caregivers of Cerebrovascular

  19. Identificação do risco de quedas em idosos após acidente vascular encefálico Identicación del riesgo de caídas en ancianos después de accidente cerebrovascular Identification of the risk of falls in elderly after stroke

    Directory of Open Access Journals (Sweden)

    Alice Gabrielle de Sousa Costa

    2010-12-01

    Full Text Available O objetivo desse estudo foi identificar a ocorrência do diagnóstico de enfermagem Risco de quedas em indivíduos idosos acometidos por acidente vascular encefálico. Estudo do tipo exploratório, realizado em unidades de reabilitação, no período de novembro de 2007 a março de 2008, por meio de entrevista e exame físico. Utilizou-se a Taxonomia II da Nursing American North Diagnosis Association quanto à nomeação diagnóstica. A população foi composta por 73 idosos com idade média de 69,5 anos, predominância do sexo feminino, baixo nível de escolaridade e renda financeira. Encontrou-se média de 1,6 episódio de acidente vascular encefálico em 2,4 anos. O diagnóstico esteve presente na totalidade dos participantes, e os fatores de risco mais percebidos foram: Força diminuída nas extremidades inferiores, Mobilidade física prejudicada, Dificuldades na marcha e Equilíbrio prejudicado. Assim, a avaliação diagnóstica contínua e individualizada faz-se imprescindível para nortear ações preventivas aos problemas de saúde dos idosos.El estudio tuvo como objetivo identificar la ocurrencia del diagnóstico de enfermería Riesgo de caídas en ancianos con enfermedad cerebrovascular. Estudio exploratorio, desarrollado en unidades de rehabilitación, de noviembre de 2007 a marzo de 2008, por medio de entrevista y examen físico. Se utilizó la Taxonomía II de la Nursing American North Diagnosis Association para la designación del diagnóstico. La populación fue compuesta por 73 ancianos con 69,5 años en media, predominancia de mujeres, bajo nivel educacional y renta financiera. Se encontró media de 1,6 episodios de enfermedad cerebrovascular en 2,4 años. El diagnóstico fue presente en la totalidad de los participantes y los factores de riesgo más percibidos fueron: Disminución de la fuerza en las extremidades inferiores, Movilidad física perjudicada, Dificultades en la marcha y Equilibrio perjudicado. La evaluación diagn

  20. Decision support tool for accidental pollution management.

    Science.gov (United States)

    Ciolofan, Sorin N; Draghia, Aurelian; Drobot, Radu; Mocanu, Mariana; Cristea, Valentin

    2018-03-01

    Accidental river pollution can cause damage to the environment, put at risk the health of people that use the water for domestic purposes, and, not lastly, compromise dependent economic activities (e.g., agriculture). The reduction of the concentration of pollutant on any river following an accidental pollution can be achieved using dilution, by opening for certain duration the bottom gates of the reservoirs placed on the river's tributaries and releasing a significant volume of clean water in the main river. The hydraulic simulation and the pollutant transport are executed, firstly considering there is no dilution and secondly for the dilution scenario (bottom gates of the reservoirs open). A database was created, containing the results of simulations of pollutant transport for various values of the pollution characteristics in both diluted/undiluted scenarios. The database served for the implementation of a web decision support tool that presents an intuitive and easy to use GUI that allows the user to input details of the accidental pollution. Straightforward actions to be taken are presented to the end-user (e.g., "Open the bottom gates of the reservoir X at time T1 and close it at time T2") and synchronized charts show the effect of the dilution in respect to the concentration of pollutant at certain locations on the river. Using the described approach, a reduction of pollutant concentration in the river with up to 90% can be obtained.

  1. Excesso de peso e o risco cardiovascular em jovens seguidos por 17 anos: estudo do Rio de Janeiro El exceso de peso y el riesgo cardiovascular en jóvenes seguidos durante 17 años: estudio del Rio de Janeiro Overweight and cardiovascular risk among young adults followed-up for 17 years: the Rio de Janeiro study, Brazil

    Directory of Open Access Journals (Sweden)

    Flávia Lopes Fonseca

    2010-02-01

    Full Text Available FUNDAMENTO: A adoção de medidas de prevenção primária em jovens é de potencial impacto favorável no cenário das doenças cardiovasculares. OBJETIVO: Avaliar a pressão arterial (PA e variáveis de risco cardiovascular em jovens estratificados pelo comportamento do índice de massa corporal (IMC obtido ao longo de 17 anos, desde a infância/adolescência (I/A. MÉTODOS: Três avaliações foram feitas em 115 indivíduos pertencentes à coorte do Estudo do Rio de Janeiro: A1:12,97 ± 1,48 anos; A2:21,90 ± 1,71 anos; A3:30,65 ± 2,00 anos e divididos em três grupos segundo o IMC nas três avaliações: Grupo N (IMC sempre normal; n=46, Grupo L (IMC variável; n=49 e Grupo S/O (IMC sempre aumentado; n=20. Em A1, A2 e A3 foram obtidos PA e IMC. Em A2 e A3, dosados glicose (G e perfil lipídico. Ainda em A2, dosada insulina (INS e calculado HOMA-IR. Em A3 acrescentou-se medida da circunferência abdominal (CA, relação abdômen/quadril (RAQ e percentual de gordura corporal (%GC. RESULTADOS: 1 Grupo S/O apresentou maiores médias de PA aumentada (pFUNDAMENTO: La adopción de medidas de prevención primaria en jóvenes es de potencial impacto favorable en el escenario de las enfermedades cardiovasculares. OBJETIVO: Evaluar la presión arterial (PA y variables de riesgo cardiovascular en jóvenes estratificados por el comportamiento del índice de masa corporal (IMC obtenido a lo largo de 17 años, desde la infancia/adolescencia (I/A. MÉTODOS: Tres evaluaciones se llevaron a cabo en 115 individuos pertenecientes a la cohorte del Estudio del Rio de Janeiro: A1:12,97 ± 1,48 años; A2:21,90 ± 1,71 años; A3:30,65 ± 2,00 años y divididos en tres grupos segundo el IMC en las tres evaluaciones: Grupo N (IMC siempre normal; n=46, Grupo L (IMC variable; n=49 y Grupo S/O (IMC siempre aumentado; n=20. En A1, A2 y A3 se obtuvieron PA e IMC. En A2 y A3, dosificados glucosa (G y perfil lipídico. Todavía en A2, dosificada la insulina (INS y calculado

  2. Factores de riesgo asociados a los accidentes en el hogar

    Directory of Open Access Journals (Sweden)

    Lidia Arlaes Yero

    1998-12-01

    Full Text Available Se realizó un estudio analítico retrospectivo (caso-control sobre accidentes en el hogar ocurridos en la población de dos consultorios de médicos de familia del área centro en el municipio Sancti Spiritus, durante el año 1996. Se tuvo en cuenta la ocurrencia de estos eventos en la población general, la incidencia estuvo representada por 77 casos y se escogió como grupo control el resto de la población. Como resultado se observó que los accidentes del hogar (AH son más frecuentes en mujeres en edades avanzadas, con una distribución temporal mayor en el cuarto trimestre del año. Los AH fueron más frecuentes en los individuos que ingieren psicofármacos en las edades extremas de la vejez. El horario de ocurrencia más frecuente fue el de la tarde; y los lugares, la cocina y el patio. Como tipo de lesión predominó la contusión y la herida. Se concluyó además que la presencia de factores predisponentes constituyen riesgo de gran magnitud en la aparición de los AHAn analytical retrospective study (case-control about home accidents occurred among the population of 2 family physician’s offices in the central area of the municipality of Sancti Spiritus, during 1996, was conducted. The occurrence of such events in the general population was taken into account. Incidence was represented by 77 cases and the rest of the population was chosen as a control group. As a result, it was observed that home accidents were more frequent in aged women, with a greater temporary distribution in the fourth trimester of the year. Home accidents took place more frequently in those individuals taking psychotropic drugs a extreme advanced ages. Most of the accidents occurred in the afternoon, and the kitchen and the backyard were the commonest places. Contusions and wounds were the predominant injuries. It was concluded that the presence of predisposing factors is a high risk for the occurrence of home accidents

  3. Accidentes ofídicos en Yopal y Leticia, Colombia, 1996-1997

    Directory of Open Access Journals (Sweden)

    Daniel Pineda

    2002-03-01

    Full Text Available El accidente ofídico presenta un elevado impacto sobre la morbimortalidad en la Amazonia y la Orinoquia colombianas. En este estudio se revisaron prospectivamente los casos ocurridos en los hospitales de Leticia y Yopal durante el período comprendido entre septiembre de 1996 y junio de 1997. El 57% de los accidentes estudiados ocurrieron en Leticia. El 54% de los accidentes se presentaron en hombres y el grupo de edad más comprometido fue el de 15 a 44 años (41%. El 57% de los casos ocurrió a campo abierto y el pico de accidentalidad se presentó entre las 17 y las 18 horas. El 82% de las mordeduras fue en miembros inferiores. Se presentó un fallecimiento (1,8% en Yopal y se practicaron 3 fasciotomías y 2 amputaciones; el 16% de los casos presentó infección secundaria. Las horas vespertinas presentan el mayor riesgo de accidente durante la jornada diaria. A pesar del uso generalizado de antibióticos, la infección secundaria fue frecuente en esta serie de casos.

  4. Accidentes biológicos en estudiantes de medicina de una universidad peruana: prevalencia, mecanismos y factores de riesgo

    Directory of Open Access Journals (Sweden)

    Elizabeth Inga

    2010-03-01

    Full Text Available Introducción: Una de las más serias amenazas que enfrentan los estudiantes de medicina durante su práctica clínica es la posibilidad de exposición a accidentes biológicos, debido en la mayoría de los casos a la inexperiencia y el escaso desarrollo de las habilidades manuales. Objetivos: Establecer la frecuencia, mecanismos, circunstancias y factores de riesgo de los accidentes biológicos ocurridos entre estudiantes de medicina. Diseño: Estudio descriptivo observacional de corte transversal. Institución: Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú. Participantes: Estudiantes de medicina. Metodología: Se aplicó una encuesta estructurada anónima, voluntaria y autoadministrada. Principales medidas de resultados: Accidentes biológicos. Resultados: En total fueron 307 entrevistados. La prevalencia de accidentes biológicos en la población estudiada fue de 51,5% (158/307. La media de accidentes biológicos en el último año fue de 1,06. El 91,1% de los estudiantes del último año presentó al menos un accidente biológico, versus 11,9% en los estudiantes del primer año. Los estudiantes del último año informaron con más frecuencia accidentes de riesgo alto para transmisión de infecciones, siendo 47,6% por pinchazo con objeto punzocortante, y 80,6% tuvo exposición a sangre; los accidentes de riesgo alto son mucho más frecuentes en quirófanos y sala de partos (51,9%. Conclusiones: La prevalencia de accidentes biológicos fue 51,5%, siendo el pinchazo la forma más frecuente. Es necesario desarrollar estrategias que permitan velar por la bioseguridad de los estudiantes de medicina.

  5. ANÁLISIS Y CONTEXTUALIZACIÓN DE LOS ASPECTOS DE ÍNDOLE ACTUARIAL Y DE SEGURIDAD SOCIAL DE LA LEY 35/2015 DE REFORMA DEL SISTEMA PARA LA VALORACIÓN DE LOS DAÑOS Y PERJUICIOS CAUSADOS A LAS PERSONAS EN ACCIDENTES DE CIRCULACIÓN

    Directory of Open Access Journals (Sweden)

    Luis María Sáez de Jáuregui Sanz

    2016-06-01

    Full Text Available En este trabajo se analizan y se contextualizan los aspectos de índole actuarial y de seguridad social recogidos en la Ley 35/2015 de reforma del sistema para la valoración de los daños y perjuicios causados a las personas en accidentes de circulación. Los preliminares de la Ley 35/2015 comienzan en 2011 con la creación de una Comisión de Expertos. A partir de ahí, se inicia un proceso que culmina, en primer lugar, en 2014 en Junta Consultiva de Seguros y Fondos de Pensiones con la entrega de un Texto articulado, unas Tablas de indemnización y unas Bases técnicas actuariales que configuran un nuevo y novedoso sistema de valoración y que termina de finalizar –tras su trámite parlamentario con prácticamente nulas modificaciones en lo fundamental– con la entrada en vigor el 1 de enero de 2016 de la Ley 35/2015, recogiéndose por primera vez en el ordenamiento jurídico español un modelo actuarial para indemnizar el lucro cesante y el daño emergente. This paper analyzes and contextualizes the actuarial and social security features of the brand new Law 35/2015 of reform for assessing the damage caused to people in road accidents. Preliminaries of the Law 35/2015 began in 2011 with the creation of a Committee of Experts. From there, a process, culminated first in 2014, in the Advisory Board of Insurance and Pension Funds with the delivery of an articulated text, tables compensation and the actuarial technical bases that form a new and novel assessment system, and ended -after the end of its parliamentary process with virtually no changes in fundamentally- with the entry into force, on January 1st of 2016, of the Law 35/2015, introducing for the first time in the Spanish legal system an actuarial model to compensate people for loss of profits and its consequential damages.

  6. The use of safety management systems to avoid accidents at the work; El uso de sistemas de administracion de seguridad para evitar accidentes en el trabajo

    Energy Technology Data Exchange (ETDEWEB)

    Rios Garcia, Jose Manuel [Instituto de Investigaciones Electricas, Temixco, Morelos (Mexico)

    2000-07-01

    In accordance with a study of the International Organization of Work (OIT), to the year around 250 million labor accidents occur, most of them in non-developed or developing countries, and a smaller percentage occurs in the industrialized countries. Analyzing the reason for that difference, it is possible to say that it is mainly due to the fact that in developed countries a greater conscience for the safety has been taken, as much for the personnel as for the facilities within the company, and have developed what is known as the management of the safety systems (SAS), where the safety task no longer corresponds only to the safety department but to the entire personnel, from the direction to the last one of the workers. [Spanish] De acuerdo con un estudio de la Organizacion Internacional del Trabajo (OIT), al ano se producen alrededor de 250 millones de accidentes laborales. La mayoria de ellos se presentan en los paises no desarrollados o en vias de desarrollo, y un porcentaje menor se da en los paises industrializados. Analizando el porque de esa diferencia, se puede decir que se debe principalmente a que en los paises desarrollados se ha tomado una mayor conciencia por la seguridad, tanto del personal como de las instalaciones, dentro de las empresas y han desarrollado lo que se conoce como los sistemas de administracion de seguridad (SAS), en donde la tarea de seguridad ya no solo corresponde al departamento de seguridad si no a todo el personal, desde la direccion hasta el ultimo de los trabajadores.

  7. Ocorrência de acidente do trabalho em uma unidade de terapia intensiva Ocurrencia de accidentes de trabajo en una unidad de terapia intensiva The occurrence of work accidents at an intensive care unit

    Directory of Open Access Journals (Sweden)

    Vera Médice Nishide

    2004-04-01

    Full Text Available Este estudo, de caráter descritivo, identificou os acidentes do trabalho ocorridos com trabalhadores de enfermagem de uma unidade de terapia intensiva, correlacionando-os com o procedimento que estava sendo executado pelo trabalhador no momento do acidente. Os dados foram coletados por meio de entrevista individual, realizado com 68 trabalhadores, no ano de 2001. Constatou-se que os acidentes ocorreram, predominantemente, devido ao contato da pele e da mucosa com sangue e secreções, ferimento por material perfurocortante, queda e lesões na coluna vertebral. Os acidentes acontecidos estavam relacionados aos procedimentos de aspiração de tubo orotraqueal, manuseio de excretas/secreções, preparo de medicação, coleta de sangue arterial, piso molhado e transporte de paciente. Concluiu-se que são necessárias mudanças no ambiente de trabalho e programas de prevenção, para minimizar os acidentes em procedimentos de assistência aos pacientes.Este estudio, de carácter descriptivo, identificó los accidentes de trabajo ocurridos con trabajadores de enfermería de una unidad de terapia intensiva, correlacionándolos con los procedimientos que estaban siendo ejecutados por el trabajador en el momento del accidente. Los datos fueron recolectados a través de una entrevista individual, realizada con 68 trabajadores durante el ano 2001. Se verificó que los accidentes en su mayoría fueron causados por contacto de piel y mucosa con sangre y secreciones, heridas por material perforo-cortantes, caídas y lesiones en la columna vertebral. Los accidentes estaban relacionados con los procedimientos de aspiración de tubos orotraqueales, manoseo de excretas/secreciones, preparación de medicamentos, recolección de sangre arterial, piso mojado y transporte de pacientes. El estudio dejó como conclusión la necesidad de modificaciones en el ambiente de trabajo y en los programas de prevención, para disminuir los accidentes durante los procedimientos

  8. Expression of calcium-activated chloride channels Ano1 and Ano2 in mouse taste cells.

    Science.gov (United States)

    Cherkashin, Alexander P; Kolesnikova, Alisa S; Tarasov, Michail V; Romanov, Roman A; Rogachevskaja, Olga A; Bystrova, Marina F; Kolesnikov, Stanislav S

    2016-02-01

    Specialized Ca(2+)-dependent ion channels ubiquitously couple intracellular Ca(2+) signals to a change in cell polarization. The existing physiological evidence suggests that Ca(2+)-activated Cl(-) channels (CaCCs) are functional in taste cells. Because Ano1 and Ano2 encode channel proteins that form CaCCs in a variety of cells, we analyzed their expression in mouse taste cells. Transcripts for Ano1 and Ano2 were detected in circumvallate (CV) papillae, and their expression in taste cells was confirmed using immunohistochemistry. When dialyzed with CsCl, taste cells of the type III exhibited no ion currents dependent on cytosolic Ca(2+). Large Ca(2+)-gated currents mediated by TRPM5 were elicited in type II cells by Ca(2+) uncaging. When TRPM5 was inhibited by triphenylphosphine oxide (TPPO), ionomycin stimulated a small but resolvable inward current that was eliminated by anion channel blockers, including T16Ainh-A01 (T16), a specific Ano1 antagonist. This suggests that CaCCs, including Ano1-like channels, are functional in type II cells. In type I cells, CaCCs were prominently active, blockable with the CaCC antagonist CaCCinh-A01 but insensitive to T16. By profiling Ano1 and Ano2 expressions in individual taste cells, we revealed Ano1 transcripts in type II cells only, while Ano2 transcripts were detected in both type I and type II cells. P2Y agonists stimulated Ca(2+)-gated Cl(-) currents in type I cells. Thus, CaCCs, possibly formed by Ano2, serve as effectors downstream of P2Y receptors in type I cells. While the role for TRPM5 in taste transduction is well established, the physiological significance of expression of CaCCs in type II cells remains to be elucidated.

  9. La prevención de accidentes (2

    Directory of Open Access Journals (Sweden)

    Chinchilla, M.

    1966-03-01

    Full Text Available Everyone prefers to work in those organizations where their dignity of human beings is respected. One of the most efficient means at the disposal of any firm, to improve the morale of the individual employees, and to establish a spirit of cooperation between the individual and the firm, is to set up a program of accident benefit. It will avoid direct and indirect losses due to working accidents, as analyzed in a previous article, and it will make it possible to improve total performance of each worker, since he will work in a more favorable environment, free from worry about potential danger to his person. It is almost impossible to describe in detail all those items that should be taken into account in a safety program. None the less, and as an indication of their diversity, some sources of danger are mentioned in this chapter, which are closely connected with human safety, such as public curiosity, travelling from one place to another, cleanliness and order.Todas las personas prefieren desempeñar sus tareas en aquellas organizaciones que tienen hacia ellos las consideraciones correspondientes a un ser humano. Uno de los medios más eficaces a disposición de cualquier empresa para elevar la moral del individuo y para crear un lazo de cooperación común entre el individuo y la empresa, es la de llevar a cabo un programa de prevención de accidentes, programa que redundará en el doble fruto: evitar las pérdidas directas e indirectas causadas por los accidentes de trabajo que se detallaron en un trabajo anterior, y conseguir aumentar el rendimiento del operario al hacerle un ambiente más grato por la preocupación que se demuestra hacia su persona. Es casi imposible detallar todos aquellos puntos que se deben tener en cuenta en un programa de seguridad; sin embargo, y como exponente de su diversidad, se señalan en este capítulo algunas causas, que, sin estar ligadas directamente con el trabajo individual, no obstante se encuentran

  10. Accidental finding in orthodontics – Rhinolith

    Directory of Open Access Journals (Sweden)

    Sukhdeep Singh Kahlon

    2018-01-01

    Full Text Available Rhinolith is a calcareous secretion that occurs in the nasal cavity and is usually discovered during routine radiographic examination as it is rare, unilateral, and asymptomatic. It can sometimes lead to nasal obstruction, fetid odor, and purulent secretion. This case report is about the accidental finding of rhinolith during conventional diagnostic procedure. A 10-year-old female had an ovoid radiopacity in the right side of the nasal cavity. Although the patient had no symptoms of prevalence of this mass, it was found during routine radiographic examination. After the complete investigation of the radiopaque mass with the help of cone-beam computed tomography, the rhinolith was endoscopically removed.

  11. Burnout syndrome in senior undergraduate nursing Síndrome de Burnout en estudiantes del último año de graduación en enfermería Síndrome de Burnout em acadêmicos do último ano da graduação em enfermagem

    Directory of Open Access Journals (Sweden)

    Rayama de Oliveira

    2012-01-01

    Full Text Available OBJECTIVE: This papers' goal was to evaluate the presence and the factors associated to Burnout Syndrome among senior year Nursing students. METHODS: Exploratory descriptive quantitative research held in a private University of Rio Grande do Sul, with an intentional sample of 42 students enrolled in the 1st half of 2011, through the application of the instrument Burnout Inventory Student Survey (MBI-SS. The sample represented 76.3% of the population studied. RESULTS: As for the burnout rates, it was found that the professional effectiveness was the amount that reached higher average index 5.03, followed by emotional exhaustion 3.26 and disbelief 1.57. CONCLUSION: Burnout syndrome was not identified among the participants, so that the factors associated with it were also not identified. The only finding was that the students who have children have less emotional exhaustion.OBJETIVO: Evaluar la presencia y los factores asociados al Síndrome de Burnout entre alumnos que cursan el último año del pregrado en Enfermería. MÉTODOS: Investigación de abordaje cuantitativo, exploratorio descriptivo, realizado en una Universidad privada de la región metropolitana de Porto Alegre (Rio Grande do Sul, con una muestra por conveniencia de 42 estudiantes del séptimo y octavo semestre, matriculados en el 1er semestre del 2011, por medio de la aplicación del instrumento Burnout Inventory Student Survey. La muestra represento el 76,3% de la población investigada. RESULTADOS: En cuanto a los índices de Burnout, se verificó que la eficacia profesional fue la dimensión que alcanzó el mayor índice promedio (5,03, seguido por el cansancio emocional (3,26 e incredulidad (1,57. CONCLUSIÓN: El Síndrome de Burnout no fue identificado entre los participantes, así como también no fueron reconocidos los factores asociados a la misma. Apenas se observó que los estudiantes con hijos poseen menor cansancio emocional.OBJETIVO: Avaliar a presença e os fatores

  12. Comportamiento del dengue no grave en los últimos cuatro años en Santander, Colombia / Behavior of simple dengue during the last four years in Santander, Colombia / O comportamento da dengue não é grave nos últimos quatro anos, em Santander, Colômbia

    Directory of Open Access Journals (Sweden)

    Sergio Eduardo Serrano-Gómez, MD., MSc.

    2015-11-01

    Full Text Available Introducción: La transmisión e incidencia del virus del dengue ha aumentado de manera importante en las tres últimas décadas, por lo cual se considera actualmente la enfermedad infecciosa re-emergente que genera mayor morbilidad y mortalidad en el mundo. Objetivo: Observar el comportamiento del dengue no complicado en los últimos cuatro años en Santander, Colombia. Metodología: Se realizó un estudio analítico con datos secundarios de dengue no complicado en Santander, entre el año 2007 y el 2015. Se calculó la incidencia por semana epidemiológica y se construyeron canales endémicos de los años 2012 al 2015 mediante logaritmo en base 10, con media geométrica e intervalos de confianza del 95%. La investigación se clasificó como sin riesgo según la Ley 8430 de 1993 de la República de Colombia. Resultados: El Sistema Nacional de Vigilancia en Salud Pública (SIVIGILA reportó 26,849 casos de dengue no grave en Santander entre el año 2007 y el 2015. Los puntos de corte (éxito, seguridad, riesgo y epidemia varían para las diferentes zonas, con diferencias estadísticamente significativas con picos de incidencia de 4.2 (en el 2007, 2.9 (en el año 2010, 8.1 (entre el 2013 y 2014 por cada 100,000 habitantes. Conclusiones: Los canales endémicos de dengue se deben tener en cuenta junto con el impacto de la incidencia calculada para monitoreo de la enfermedad. Según la tendencia secular cada 3 a 4 años se presenta un pico de incidencia, por lo que es probable que en el 2016 se presente un nuevo pico de dengue incluso mayor a los registrados hasta el momento en Santander. Se requieren estrategias medidas e inmediatas para el control de la enfermedad. [Serrano-Gómez SE, De-Montijo C, Rey-Serrano JJ. Comportamiento del dengue no grave en los últimos cuatro años en Santander, Colombia. MedUNAB 2015; 18 (2: 107-115] Introduction: Transmission and incidence of dengue virus have greatly increased during the last three decades which is

  13. Accidentes de tránsito y el consumo de alcohol en una unidad de urgencia de La Paz, Bolivia Acidentes de trânsito e o consumo de álcool em unidade de urgência de La Paz, Bolívia Traffic accidents and alcohol consumption in an emergency unit of La Paz, Bolivia

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    Inês Magali Pelaez Mariscal

    2010-06-01

    Full Text Available Estudio de tipo cuantitativo, descriptivo, observacional y transversal. El objetivo del estudio fue conocer la distribución y características de los accidentes de tránsito relacionados con el consumo de alcohol en una unidad de urgencias de un hospital de clínicas de La Paz, en Bolivia. La muestra estuvo conformada por 62 personas, choferes y peatones, mayores de 15 años, que estuvieron involucrados en accidentes de tránsito por estado de ebriedad, los cuales acudieron a la Unidad de Urgencias. Fue aplicado una encuesta elaborado por los investigadores para recolectar datos sociodemográficos y de morbilidad de las víctimas y datos que evalúan el consumo de alcohol del conductor responsable del accidente. Los resultados evidenciaron que 71% de los accidentados eran hombres; 32,3% presentaban edades entre 21 y 30 años; 29% eran estudiantes y 25.8% eran choferes. El estudio permitió la caracterización de las personas accidentadas, del consumo de alcohol e del accidente.Este é um estudo tipo quantitativo, descritivo, observacional, transversal. O objetivo foi conhecer a distribuição e as características dos acidentes de trânsito relacionados ao consumo de álcool em unidade de urgência de um hospital de clínicas de La Paz, Bolívia. A amostra foi constituída por 62 pessoas, motoristas e pedestres, maiores de 15 anos, envolvidos em acidentes de trânsito por estado de embriaguez, atendidos na unidade de urgência. Foi aplicado um questionário, elaborado pelos pesquisadores, para coletar dados sociodemográficos e de morbidade da vítima, e dados que avaliam o consumo de álcool do condutor responsável pelo acidente. Os resultados evidenciaram que 71% dos acidentados eram homens, 32,3% apresentavam idade entre 21 e 30 anos, 29% eram estudantes e 25,8% eram motoristas. O estudo permitiu a caracterização das pessoas acidentadas, do consumo de álcool e do acidente.The aim of this quantitative, descriptive, observational, cross

  14. A problemática do cuidador familiar do portador de acidente vascular cerebral La problemática del cuidador familiar con el portador de accidente cerebral vascular The problematic aspects of the family caregiver of people who suffered strokes

    Directory of Open Access Journals (Sweden)

    Luciene Miranda de Andrade

    2009-03-01

    Full Text Available Objetivou-se identificar a problemática da família de pessoas acometidas de acidente vascular cerebral hospitalizadas e discutir as dificuldades do cuidador familiar para o cuidado no âmbito domiciliar. A amostra constou de 154 famílias de pacientes internados em um hospital da rede pública de saúde, Fortaleza-CE. Conforme os resultados denotam, a maioria dos cuidadores são mulheres, 104 (67,5%; 122 casos (79,2% apresentam comprometimento familiar e alterações na vida diária em 115 dos acompanhantes (74,7%; 150 (97,4% não receberam orientações acerca dos cuidados, mas 143 (92,9% sentem-se seguros para acompanhá-los. O sentimento predominante foi a tristeza, 125 (81,2%, e as dúvidas principais foram: alimentação, 64 (41,6%, administração de medicamentos, 49 (29,9%, e possíveis complicações clínicas após a alta, 49 (29,9%. Estes resultados alertam para o papel do enfermeiro como educador, não somente na prevenção das doenças crônico-degenerativas, mas, também, na orientação aos cuidadores familiares sobre os cuidados dispensados após a alta hospitalar.El objetivo fue identificar la problemática de la familia de personas acometidas de accidente vascular cerebral hospitalizadas y discutir las dificultades del cuidador familiar en el ámbito domiciliar. La muestra fue constituida por 154 familias de pacientes internados en un hospital de la red pública de salud, en Fortaleza, CE. Conforme los resultados denotan, la mayoría de los cuidadores son mujeres, 104 (67,5%, 122 casos (79,2% presentan comprometimiento familiar y alteraciones en la vida diaria en 115 de los acompañantes (74,7%; 150 (97,4% no recibieron orientaciones acerca de los cuidados; sin embargo 143 (92,9% se sienten seguros para acompañarlos. El sentimiento predominante fue la tristeza, 125 (81,2%, y las dudas principales fueron: alimentación, 64 (41,6%, administración de medicamentos, 49 (29,9%, y posibles complicaciones clínicas después del

  15. Medical management of accidentally exposed individuals

    International Nuclear Information System (INIS)

    Nenot, J.C.

    1998-01-01

    Bone marrow aplasia is one of the main syndromes following a high dose accidental radiation exposure. Whilst transfusion and bone marrow transplantation have been used with some success starting with the first treatments of accident victims, other therapeutic strategies are needed. With the development of experimental and clinical haematology, promising new approaches to the treatment of aplasia have appeared. New trends for the treatment of haemopoietic injury based on bone marrow transplantation rely on new sources of compatible donor cells, such as cord blood, on the selection of immature haemopoietic cells and on new transplant regimens. Haemopoietic growth factors stimulate the proliferation and/or differentiation of haemopoietic progenitors and, possibly, stem cells. Furthermore, they act on the functions of mature cells. Currently, they have specific uses in haematology related to their role in the regulation of growth and in the differentiation of haemopoietic progenitor cells. Growth factors have already been used for the treatment of accidental radiation induced aplasia and lessons have been learned from their medical management and followup. (author)

  16. Accidental radioisotope burns - Management of late sequelae

    Directory of Open Access Journals (Sweden)

    Varghese Bipin

    2010-10-01

    Full Text Available Accidental radioisotope burns are rare. The major components of radiation injury are burns, interstitial pneumonitis, acute bone marrow suppression, acute renal failure and adult respiratory distress syndrome. Radiation burns, though localized in distribution, have systemic effects, and can be extremely difficult to heal, even after multiple surgeries. In a 25 year old male who sustained such trauma by accidental industrial exposure to Iridium192 the early presentation involved recurrent haematemesis, pancytopenia and bone marrow suppression. After three weeks he developed burns in contact areas in the left hand, left side of the chest, abdomen and right inguinal region. All except the inguinal wound healed spontaneously but the former became a non-healing ulcer. Pancytopenia and bone marrow depression followed. He was treated with morphine and NSAIDs, epidural buprinorphine and bupivicaine for pain relief, steroids, antibiotics followed by wound excision and reconstruction with tensor fascia lata(TFL flap. Patient had breakdown of abdominal scar later and it was excised with 0.5 cm margins up to the underlying muscle and the wound was covered by a latissimis dorsi flap. Further scar break down and recurrent ulcers occurred at different sites including left wrist, left thumb and right heel in the next two years which needed multiple surgical interventions.

  17. Accidentes de trabajo en el Hospital Clínico de la Universidad de Chile durante el año 2007

    Directory of Open Access Journals (Sweden)

    Carlos Valdés

    2009-01-01

    Full Text Available Objetivo, Conocer el número de los accidentes laborales en el Hospital Clínico de la Universidad de Chile (HCUCH el año 2007 y su caracterización de acuerdo a variables como, sexo, edad, tipo de lesión, día de la semana, mes del año, cargo desempeñado y días perdidos. Diseño, Estudio descriptivo, transversal, retrospectivo y observacional. Lugar, Hospital Clínico de la Universidad de Chile (HCUCH. Participantes, Accidentes laborales reportados entre el 1 de Enero y el 31 de Diciembre del 2007. Intervención, Se utilizó la base de datos del Registro de Notificación de Accidentes Laborales, proporcionada por el Departamento de Prevención de Riesgos del HCUCH Principales medidas de Resultados, Porcentajes y Medidas de Tendencia Central, tabuladas en una base de datos con ayuda del programa Microsoft Excel 2003 para Windows ®. Resultados: Se observan 104 accidentes laborales, con un mayor número de eventos en el personal femenino (69,2%, en el rango etareo de 30-39 años (34,3%, el tipo de lesión más frecuente fueron las contusiones/policontusiones (39,4%, el grupo más accidentado fue los auxiliares y técnicos (71.1%. El estudio por días de la semana revela que hay más accidentes los días miércoles y jueves (43,27% y los meses del año con más accidentes fueron enero, agosto y diciembre. La mayor cantidad de accidentes laborales comprometen entre 1 a 5 días perdidos. Conclusiones: Durante el año 2007, se pesquisó 104 accidentes laborales, lo que significó 804 días de ausentismo. Este estudio muestra que el sexo femenino, tener entre 30-39 años y ejercer como auxiliar o técnico fueron factores de asociados al incremento de los accidentes laborales.

  18. Revista Hospitalidade: 10 Anos e novas metas

    OpenAIRE

    Camargo, Luiz Octavio de Lima; Universidade Anhembi Morumbi; Cavenaghi, Airton José; Universidade Anhembi Morumbi; Bastos, Sênia; Universidade Anhembi Morumbi

    2015-01-01

    Adentrando seu décimo ano de existência, a Revista Hospitalidade traz diferentes estudos que colocam em relevo a dimensão de hospitalidade nos relacionamentos humanos. Como é corrente na Revista, o acento dos textos reporta-se às áreas do turismo, hotelaria, eventos, gastronomia, lazer e da ludicidade.continua...

  19. 50 ANOS DE JORNALISMO DA GLOBO: recordar para reafirma

    Directory of Open Access Journals (Sweden)

    Lucia Santa Cruz

    2017-04-01

    ículo se analiza la serie especial de 50 anos de jornalismo da Globo (50 años de periodismo de Globo, que aparece en cinco episodios al final del Jornal Nacional, la semana del aniversario de medio siglo de la estación en abril de 2015. El contenido del programa se organizó en la memoria de 16 periodistas que participaron en la cobertura de los principales acontecimientos del período. Se partió de la hipótesis de que, mucho más que un simple recordatorio, esto especial tiene como objectivo evocar la importancia del periodismo de televisión y reafirmar la calidad de los productos de la estación. Esta iniciativa se pone, por lo tanto, como contrapunto a una devaluación creciente de los medios de comunicación tradicionales y, especialmente, una caída en la popularidad de la propia Red Globo. Como método, se emplearon para el análisis de documientos, el análisis textual cualitativo y el análisis de framing.   PALABRAS CLAVE: Memória del periodismo; Historia.

  20. Entre héroes y traidores: Sentidos militares y militantes acerca del rol de los conscriptos en los años 70 Entre heróis e traidores: Sentidos militares e militantes sobre o papel dos recrutas nos anos 70 Between heroes and traitors: Military and militant meanings regarding conscripts' role in the 70s

    Directory of Open Access Journals (Sweden)

    Santiago Garaño

    2011-07-01

    Full Text Available En este trabajo analizaremos cómo las autoridades militares argentinas concibieron el rol que los conscriptos debían jugar en la autodenominada "lucha contra la subversión", en el contexto de violencia política previo al golpe de estado del 24 de marzo de 1976. En primer lugar, mostraremos que los soldados que cumplían el servicio militar obligatorio fueron interpelados no sólo por el Ejército sino también por el PRT-ERP, apelando en ambos casos a los valores morales del 'heroísmo' y del 'sacrificio' de la propia vida. En segundo lugar, argumentaremos que el personal militar fundó una lógica binaria "héroe"-"traidor" como parámetro para juzgar moralmente las conductas de los conscriptos. Por último, postularemos que se apuntaló ese código moral utilizando ideas de pureza, contaminación y peligro.Neste trabalho analisaremos como, nos anos setenta, as autoridades militares argentinas conceberam o papel que os soldados deviam desempenhar na autodenominada "luta contra a subversão", no contexto da violência política prévio ao golpe de estado acontecido no dia 24 de março de 1976. Em primeiro lugar, mostraremos que os recrutas foram interpelados não só por parte do exército, mas também pelo PRT-ERP, apelando em ambos os casos ao valor moral do 'heroísmo' e do 'sacrifício' da própria vida. Em segundo lugar, argumentaremos que os militares se apoiaram em uma lógica binária de "herói" - "traidor" como parâmetro para julgar moralmente as condutas dos recrutas, e afirmaremos que esse código moral foi sustentado através de ideias de pureza, contaminação e perigo.In this article we analyze the different ways in which, during the 70s, the Argentinean military authorities conceived the role that soldiers should play in the "struggle against subversion" in a context of political violence before the military coup on March 24 th 1976. To begin with, we expose that the conscripts serving the Compulsory Military Service were

  1. ¿Accidente industrial o amputación deliberada?

    Directory of Open Access Journals (Sweden)

    Ponce, Paola

    2005-01-01

    Full Text Available El objetivo de este trabajo es analizar los diferentes aspectos de la práctica de amputaciones durante el período victoriano de Inglaterra tales como: las causas que llevaron a tal práctica, los métodos y técnicas quirúrgicos usados durante el S. XIX así como la evidencia de atrofia y/o asimetría por causa del desuso. Tres casos de amputaciones fueron encontrados en una población industrial en el cementerio Victoriano de St. Pete s Collegiate Church en Wolverhampton (West Midlands, Inglaterra. Las amputaciones fueron realizadas en el miembro superior de una mujer (HB53 y los miembros inferiores de dos hombres (HB86 y (HB129. Se concluye que en los tres casos los individuos sobrevivieron a las amputaciones y que estas fueron realizadas mucho tiempo antes de la muerte. Dos de ellas fueron probablemente realizadas mediante cirugía (HB86 y HB129 mientras que la tercera (HB53 podría ser el resultado de un accidente industrial.

  2. Complementary feeding practices to children during their first year of life Prácticas de alimentación complementaria en niños dentro del primer año de vida Práticas de alimentação complementar em crianças no primeiro ano de vida

    Directory of Open Access Journals (Sweden)

    Cristina Maria Garcia de Lima Parada

    2007-04-01

    Full Text Available This study aimed to investigate complementary feeding practices during children's first year of life in Botucatu, SP, Brazil. Practices were described according to the age range and the breastfeeding (BF practice. Data were collected during a multi-vaccination campaign through the interview of 1,238 individuals who accompanied children younger than one year old being vaccinated. Differences associated with the BF situation were identified by the chi-square test and Fisher's exact test. The early introduction of complementary food was observed, which led to the low frequency of exclusive breastfeeding (36.9% El objetivo fue estudiar las prácticas de alimentación complementaria en el primer año de vida de niños en la región de Botucatu, SP, las cuales fueron descritas según el grupo etáreo y las prácticas de lactancia materna (LM. Fueron entrevistados 1238 acompañantes de niños menores de 1 año vacunados en la Campaña de Vacunación Múltiple. Diferencias asociadas con la situación de LM fueron identificadas a través del test Chi-cuadrado y el test exacto de Fisher. La introducción de alimentos conplementarios fue precoz, lo que produjo una baja frecuencia en la lactancia materna exclusiva (36,9% en Objetivou-se estudar práticas de alimentação complementar no primeiro ano de vida em Botucatu, SP, descrevendo-as segundo faixa etária e presença do aleitamento materno (AM. Foram entrevistados 1.238 acompanhantes das crianças menores de 1 ano vacinadas em Campanha de Multivacinação. Diferenças associadas à situação do AM foram identificadas pelo teste qui-quadrado e teste exato de Fisher. A introdução de alimentos complementares foi precoce, levando à baixa freqüência de aleitamento materno exclusivo (36,9% em <4 meses. Crianças menores de 4 meses consumiram chás (30,7%, crianças entre 4 e 6 meses consumiram frutas (54,1%, sopas (39,9% e comida (19,2%. Sucos foram oferecidos a apenas 15,2% das crianças menores de 4

  3. Pneumoencéfalo intraventricular após perfuração acidental de dura-máter: relato de caso Pneumoencéfalo intraventricular después de la perforación accidental de dura-mater: relato de caso Intraventricular pneumocephalus after accidental perforation of the dura mater: case report

    Directory of Open Access Journals (Sweden)

    Fabiano Timbó Barbosa

    2006-10-01

    , dispensando medidas mais invasivas como a realização do tampão sangüíneo peridural.JUSTIFICATIVA Y OBJETIVOS: El uso de aire para la realización de la prueba de la pérdida de la resistencia con la finalidad de identificar el espacio peridural está extremadamente difundido en el mundo entero, pero una de las complicaciones posibles es la perforación accidental de dura-mater que presenta incidencia estimada entre 1% y 2%. El objetivo de ese relato fue el describir un caso de paciente con pneumoencéfalo intraventricular después de la perforación accidental de dura-mater usando la técnica de la pérdida de la resistencia con aire. RELATO DEL CASO: Paciente del sexo femenino, 26 años, 75 kg, 1,67 m, estado físico ASA I, con 38 semanas de embarazo, llevada al centro obstétrico para la realización de cesariana. Después de la monitorización se realizó la punción venosa. La paciente fue posicionada en la posición sentada para la realización de anestesia peridural. Durante la realización de la identificación del espacio peridural con la técnica de la pérdida de la resistencia usando aire, fue diagnosticada una perforación accidental da dura-mater a través de la observación de flujo libre de licuor por la aguja. Se modificó entones la técnica para raquianestesia y administradas medicaciones anestésicas a través de la aguja que ya estaba posicionada en el espacio subaracnoideo. En la primeras 24 horas la paciente evolucionó con cefalea que fue tratada con cafeína, dipirona, hidratación, hidrocortisona y reposo, e incluso así, hubo un empeoramiento del cuadro, pasando a presentar cefalea hasta en la posición de decúbito. Fue realizada una tomografía computadorizada de cráneo que evidenció una presencia de pneumoencéfalo. Después de la consulta con especialista fue adoptada una conducta de espera con mejora progresiva del síntoma, con alta hospitalaria al quinto día de evolución, sin observar secuelas. CONCLUSIONES: El pneumoencéfalo despu

  4. Is the tri-bimaximal mixing accidental?

    CERN Document Server

    Abbas, Mohammed

    2010-01-01

    The Tri-bimaximal (TBM) mixing is not accidental if structures of the corresponding leptonic mass matrices follow immediately from certain (residual or broken) flavor symmetry. We develop a simple formalism which allows one to analyze effects of deviations of the lepton mixing from TBM on structure of the neutrino mass matrix and on underlying flavor symmetry. We show that possible deviations from the TBM mixing can lead to strong modifications of the mass matrix and strong violation of the TBM mass relations. As a result, the mass matrix may have an "anarchical" structure with random values of elements or it may have some symmetry which differs from the TBM symmetry. Interesting examples include matrices with texture zeros, matrices with certain "flavor alignment" as well as hierarchical matrices with a two-component structure, where the dominant and sub-dominant contributions have different symmetries. This opens up new approaches to understand the lepton mixing.

  5. Accidental Turbulent Discharge Rate Estimation from Videos

    Science.gov (United States)

    Ibarra, Eric; Shaffer, Franklin; Savaş, Ömer

    2015-11-01

    A technique to estimate the volumetric discharge rate in accidental oil releases using high speed video streams is described. The essence of the method is similar to PIV processing, however the cross correlation is carried out on the visible features of the efflux, which are usually turbulent, opaque and immiscible. The key step in the process is to perform a pixelwise time filtering on the video stream, in which the parameters are commensurate with the scales of the large eddies. The velocity field extracted from the shell of visible features is then used to construct an approximate velocity profile within the discharge. The technique has been tested on laboratory experiments using both water and oil jets at Re ~105 . The technique is accurate to 20%, which is sufficient for initial responders to deploy adequate resources for containment. The software package requires minimal user input and is intended for deployment on an ROV in the field. Supported by DOI via NETL.

  6. Accidental sulfur mustard exposure: A case report.

    Science.gov (United States)

    Schmidt, Annette; Steinritz, Dirk; Rudolf, Klaus-Dieter; Thiermann, Horst; Striepling, Enno

    2017-11-28

    The clinical progression following a sulfur mustard-induced skin exposure is well documented in the literature. Upon skin contact and a characteristic latency period, sulfur mustard (SM) causes erythema, blister formation and ulceration, which is associated with wound healing disorders that may require surgical treatment. Here, we present a case report of accidental exposure to SM in a laboratory setting which required surgical treatment of the skin. The case was illustrated at close intervals over a period of two years and underlines that exposure to SM has to be taken into account when typical clinical symptoms occur. Moreover skin grafts appear to be effective in SM-induced non healing skin ulcerations. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. The accidental potential of diffractive thinking technologies

    DEFF Research Database (Denmark)

    Staunæs, Dorthe; Brown, Rikke; Bjerg, Helle

    This paper presents our joint work with using and developing Donna Haraways concept of thinking technologies for putting research into play in cooperation with practitioners within the field of education. First we shortly present the conceptualization of thinking technologies and why we have found...... this conceptualization useful in our work and cooperation with practitioners. Secondly we present the development of the ‘colour map’ as a specific example of a thinking technology and introduce what we shall coin as the accidental potential of working with research informed thinking technologies on the particular...... question of social differentiation and schooling. Finally and we shall use this case as a basis for reflecting upon what it means to take up what has been coined by Braidotti as a pragmatic positioning and to enact affirmative critiques....

  8. A particular case of accidental asphyxiation.

    Science.gov (United States)

    D'Ovidio, Cristian; Rosato, Enrica; Bonelli, Martina; Carnevale, Aldo; Marsella, Luigi T

    2018-01-01

    The case reported involved a 60-year-old man with psychiatric illness who was found dead at his home. He was almost naked and showed signs of death by violent asphyxiation, which led to the suspicion of homicide. Autopsy findings showed foreign material in the trachea and larynx. However, the partially digested content in his stomach, the study of the gastric content and the microscopic analysis of the airways made it possible to define this as accidental death due to inhalation of material from a diaper. Toxicological analysis detected the presence of phenytoin, valproic acid, and phenobarbital in his blood, with values within the therapeutic ranges. This is certainly a peculiar case, as particularly evident after careful review of the literature on deaths by asphyxiation in psychiatric patients. Furthermore, this study highlights the importance of a full autopsy and microscopic evaluation of any foreign bodies.

  9. Estudo prospectivo de avaliação de dor e incapacidade de pacientes operados de estenose de canal lombar com seguimento mínimo de dois anos Estudio prospectivo de la evaluación del dolor e incapacidad de los pacientes operados de estenosis del canal lumbar con seguimiento mínimo de dos años Prospective analysis of pain and disability of patients operated on lumbar spinal stenosis with a minimum two-year follow-up

    Directory of Open Access Journals (Sweden)

    Edgar Santiago Valesin Filho

    2009-12-01

    Full Text Available OBJETIVO: realizar uma análise prospectiva de dor e incapacidade em pacientes operados de estenose de canal lombar após dois anos do procedimento através da escala VAS e Roland Morris. MÉTODOS: trinta e oito pacientes foram avaliados por meio dos questionários em um momento pré-operatório, pós-operatório um mês, seis meses, um ano e dois anos, tendo sido realizada descompressão e artrodese com instrumentação pedicular associada. RESULTADOS: foi observado melhora nas análises comparativas de dor e incapacidade no decorrer do seguimento em relação aos valores iniciais, porém uma tendência à estabilização do quadro com sua evolução. CONCLUSÃO: o tratamento cirúrgico da estenose do canal lombar, quando criteriosamente indicado, melhora a dor e a incapacidade após dois anos de seguimento.OBJETIVO: realizar un análisis prospectivo del dolor e incapacidad en pacientes operados de estenosis del canal lumbar después de dos años del procedimiento, por medio de la escala VAS y Roland Morris. MÉTODOS: treinta y ocho pacientes fueron evaluados por medio de los cuestionarios en un momento preoperatorio, postoperatorio un mes, seis meses, un año y dos años, realizando una descompresión y artrodesis con instrumentación pedicular asociada. RESULTADOS: fue observada mejoría en los análisis comparativos de dolor e incapacidad con el decorrer de los seguimientos en relación a los valores iniciales; sin embargo, hubo una tendencia a la estabilidad del cuadro con su evolución. CONCLUSIÓN: el tratamiento quirúrgico de la estenosis del canal lumbar, con indicación criteriosa, mejora el dolor y la incapacidad después de dos años de seguimiento.OBJECTIVE: to perform a prospective analysis of pain and disability in patients operated on lumbar spine stenosis two years after the procedure by means of VAS and Roland Morris scales. METHODS: thirty-eight patients answered questions before and after the surgery, within one-month, six

  10. Enfermedad preexistente, agravamiento y/o accidente de trabajo: análisis de 10 casos clínicos

    Directory of Open Access Journals (Sweden)

    Ana M.ª González Onetti

    2014-01-01

    Full Text Available En nuestro centro asistencial se han atendido en el año 2012, 1.304 primeras asistencias, de las cuales 85 fueron consideradas no accidente de trabajo/enfermedad profesional. Hemos elegido al azar 10 casos clínicos donde existió discrepancia por parte del paciente cuando los servicios médicos determinaron que la patología que sufría el paciente no era accidente de trabajo y/o agravamiento por lo que se derivó a su médico de atención primaria quien emitió parte de baja por contingencias comunes y se inició determinación de contingencias ante el INSS por parte del Servicio Andaluz de Salud. En 7 de los casos existió discrepancia entre los inspectores médicos del INSS y los servicios médicos de la mutua, en 3 de ellos se consideraron enfermedad común al existir enfermedad preexistente. De los casos analizados comprobamos que no existían criterios unificados, claros y precisos entre enfermedad preexistente, agravamiento y/o accidente de trabajo dependiendo del médico evaluador y/o médico de la mutua determinar si era o no accidente de trabajo. Si no existían antecedentes médicos por el SAS y/o bajas previas por ITCC por la misma patología o similar el INSS determino siempre la contingencia como accidente de trabajo. El tiempo medio de los 10 casos analizados entre el inicio de la determinación de contingencias y la comunicación de la resolución por parte del INSS fue de 240 días. De los 7 casos que fueron accidente de trabajo, 6 seguían en situación de baja laboral y un caso se encontraba curado e incorporado a su puesto de trabajo.

  11. Accidental childhood poisoning in Benin City: Still a problem ...

    African Journals Online (AJOL)

    Nigerian children. Reports on AP are infrequent in Nigeria. This retrospective descriptive study examined the prevailing pattern of accidental childhood poisoning in Benin City. Accidental poisonings were identified in 226 (3.3%) of the cases during the 10 – year period. The children were aged 9 months to 5 years with peak ...

  12. 21 CFR 1002.20 - Reporting of accidental radiation occurrences.

    Science.gov (United States)

    2010-04-01

    ... SERVICES (CONTINUED) RADIOLOGICAL HEALTH RECORDS AND REPORTS Manufacturers' Reports on Accidental Radiation Occurrences § 1002.20 Reporting of accidental radiation occurrences. (a) Manufacturers of electronic products... reported to or otherwise known to the manufacturer and arising from the manufacturing, testing, or use of...

  13. Monitoreo radiológico ambiental debido al accidente nuclear de Fukushima

    OpenAIRE

    Osores, José; Jara, Raúl

    2014-01-01

    Debido al accidente de Fukushima (Japón), entre los años 2011 y 2012, se realizó el monitoreo radiológico ambiental con la finalidad de evaluar algún posible impacto en el medioambiente del Perú. Los resultados confirman que, por la posición geográfica de nuestro país, no se produjo ningún tipo de contaminación radiactiva que pueda ser de riesgo para la población. Because of the accident of Fukushima (Japan), between 2011 and 2012, we performed the environmental radiological monitoring in ...

  14. Manual de procedimientos de investigación de sucesos de aviación, para el grupo de investigación de accidentes de la aeronáutica civil de Colombia

    Directory of Open Access Journals (Sweden)

    Angélica Montoya Murillo

    2010-01-01

    Como estrategia evaluativa del trabajo mismo en su fase de desarrollo, se efectuaron capacitaciones al Grupo de Investigaci.n de Accidentes de la Unidad Administrativa Especial Aeronáutica Civil, para la utilización del manual. Los resultados de la misma fueron analizados con el fin de sacar unas conclusiones y recomendaciones, las cuales corroboran la importancia de la implementación del presente manual por parte de los integrantes del Grupo.

  15. Experiência da gravidez após os 35 anos de mulheres com baixa renda Experiencia del embarazo después de los 35 años de mujeres con ingreso bajo Experience of pregnancy beyond 35 years of age of women with low income

    Directory of Open Access Journals (Sweden)

    Cristina Maria Garcia de Lima Parada

    2009-06-01

    Full Text Available Objetivou-se apreender as representações sociais sobre gravidez após os 35 anos a partir de mulheres com baixa renda que vivenciaram essa experiência. A abordagem qualitativa foi empregada com base na Teoria das Representações Sociais. Foram realizadas entrevistas semiestruturadas com 25 gestantes usuárias de um serviço público de referência do interior paulista. Os dados foram sistematizados pela técnica do Discurso do Sujeito Coletivo. Verificou-se que a opção pela gravidez tardia se atrela ao desejo da mulher de consolidar suas relações em novas uniões conjugais, à estabilidade financeira e à maturidade do casal. As mulheres representam esta experiência como positiva, se houver planejamento prévio, envolvimento do companheiro e se for bem aceita pela família, após sua constatação. Sem a satisfação destas condições, as representações revestem-se de sentimentos negativos ligados a dor, sofrimento e morte. As conclusões deste estudo enfatizam a importância de os serviços públicos de saúde considerarem estes aspectos.El objetivo fue aprehender las representaciones sociales sobre el embarazo después de los 35 años de mujeres de bajo ingreso que han vivido esa experiencia. Se empleó el enfoque cualitativo y para el análisis de los datos, se utilizó el Discurso del Sujeto Colectivo. Fueron realizadas entrevistas semiestructuradas con 25 gestantes usuarias de un servicio público de referencia del interior de São Paulo. En los tres temas tratados: opción concientizada para la maternidad, conflictos y disgustos en el embarazo y la participación activa de la pareja, se puede verificar que la gestación después de los 35 años está fuertemente relacionada con el deseo de la mujer de consolidar sus relaciones en nuevas uniones conyugales, con la estabilidad financiera y con la madurez de la pareja. También, fue posible aprehender que las mujeres representan el embarazo tardío como experiencia positiva, si

  16. Diarréia aguda em crianças menores de um ano: subsídios para o delineamento do cuidar Diarrea aguda en niños menores de un año: subsidios para el delineamiento del cuidado Acute diarrhea in lesser Children of one year: subsidies for the delineation of taking care

    Directory of Open Access Journals (Sweden)

    Ivonete Vieira Pereira

    2008-06-01

    Full Text Available Estudo quantitativo observacional descritivo, teve como fonte de dados o inquérito epidemiológico, para determinar as razões da elevada prevalência de doenças diarréicas agudas em menores de um ano em Ananindeua, Pará. A amostra foi constituída pelas famílias cadastradas no Programa Saúde da Família. Constatou-se que os fatores sócio-econômico-culturais influenciaram na ocorrência de diarréia, pois quanto menores a idade da mãe e a escolaridade maior a prevalência da doença. Esta população vive em área de ocupação, sem saneamento básico, com lixo e dejetos a céu aberto, estando abaixo da linha de pobreza. Quanto ao desmame precoce, observou-se introdução de água e chás nos primeiros 15 dias e de leite artificial no primeiro mês, havendo resistência para utilizar soro oral. Realizavam tratamento caseiro. Conclui-se que, além da reversão dos fatores estruturais, é necessário incluir questões culturais, educativas para uma política pública de cuidar.El estudio es cuantitativo del tipo observacional descriptivo tuvo como fuente de datos la pesquisa epidemiológica, para determinar las razones del elevado predominio de enfermedades diarreicas agudas en menores de un año en Ananindeua, Pará. La muestra fue constituida por las familias registradas en el Programa Salud de la Familia. Los factores socioeconómicos y culturales determinaron la presencia de diarrea, ya que cuanto menor la edad de la madre y la escolaridad mayor fue el predominio de diarrea. Esta población vive en área de ocupación, sin saneamiento básico, con basura y desechos al aire libre, estando abajo de la línea de pobreza. En cuanto a la precoz suspensión de amamantar, se observa la introducción de agua, en los primeros 15 días y leche artificial en el primer mes, teniendo resistencia para utilizar el suero oral y tratamientos llevados por los vigilantes. Se concluye que además de reversión de los factores estructurales, es necesario

  17. Controle antidoping no Brasil: resultados do ano de 2003 e atividades de prevenção Control antidoping en el Brasil: resultados del año de 2003 y actividades de prevención Anti-doping control in Brazil: results from the year of 2003 and prevention activities

    Directory of Open Access Journals (Sweden)

    Eduardo Henrique De Rose

    2004-08-01

    Full Text Available Apresentam-se, neste estudo, os números relativos ao controle de doping em nosso país, em competição e fora de competição do ano de 2003, e consideram-se as ações preventivas desenvolvidas. Todos os controles foram feitos de acordo com as técnicas e procedimentos orientados pela Agência Mundial Antidoping (AMA, sendo então realizada uma estatística descritiva dos mesmos. Os resultados mostram 3.797 exames realizados, sendo 3.266 controles em competição e 531 fora de competição, com caráter de surpresa. A maior parte dos controles em competição (92,1% e fora dela (92,4% foi realizada pelo LAB DOP, da Universidade Federal do Rio de Janeiro (UFRJ. O futebol profissional foi responsável por grande parte dos controles em competição, 2.975 (91,1%, apresentando oito positivos e um percentual baixo de 0,27%, quando comparado com dados da literatura internacional. A grande maioria dos controles fora de competição foi realizada pelo Comitê Olímpico Brasileiro (COB, durante a preparação de nossos atletas para os XIV Jogos Pan-Americanos, na República Dominicana (92,4%. Foram encontrados 19 exames positivos nos controles em competição e seis positivos fora de competição, dentre os quais dois atletas de eqüestre que se negaram a ceder uma amostra biológica. O percentual encontrado em competição (0,5% é menor do que o descrito internacionalmente, que é de 1,80, com exceção da luta de braço (30%, do tênis de mesa paraolímpico (10%, do atletismo (6,1% e do ciclismo (4,6%. Nos exames fora de competição, foi observada uma incidência maior do que a descrita internacionalmente no fisiculturismo (33,33%, em eqüestre (22,2%, no boxe (7,6%. Na natação (2,5% e no atletismo (1,8%, estão um pouco elevados e a média encontrada (1,1% pode ser descrita como estando ainda na média internacional (0,9%. Os trabalhos de prevenção do COB, da Confederação Brasileira de Futebol (CBF e do LAB DOP da UFRJ são referidos no

  18. Accidental and retrospective dosimetry using TL method

    International Nuclear Information System (INIS)

    Mesterhazy, D.; Osvay, M.; Kovacs, A.; Kelemen, A.

    2011-01-01

    Complete text of publication follows. The possible risk of an unexpected nuclear accident or violent terror attack necessitates different methods and processes potentially applicable in emergency. After the event fast and reliable dose assessments should be given so that arrangements and intervention could start as soon as possible. Retrospective dosimetry is one of the most important tool of accidental dosimetry for dose estimation when dose measurement was not planned and there is no dose data available as a result of a nuclear accident. Luminescent materials are suitable for retrospective dosimetry using TL and/or OSL analysis. Several materials have luminescence properties in the environment, but in the situation mentioned it is suggested to use not just natural substances, but also personal belongings carried by victims, who received the dose. In our environment many objects can be applied as natural dosimeters, having suitable thermoluminescent (TL) and optically stimulated luminescent (OSL) properties. The paper discusses the recent developments, the analysis of luminescence and the dose response curves of various electronic components and the common (table) salt (NaCl) using Daybreak TL reader for retrospective dosimetry purposes. Basic TL properties of these materials (e.g. fading and reproducibility) have also been investigated and will be shown in this study.

  19. Quick management of accidental tritium exposure cases.

    Science.gov (United States)

    Singh, Vishwanath P; Badiger, N M; Managanvi, S S; Bhat, H R

    2012-07-01

    Removal half-life (RHL) of tritium is one of the best means for optimising medical treatment, reduction of committed effective dose (CED) and quick/easy handling of a large group of workers for medical treatment reference. The removal of tritium from the body depends on age, temperature, relative humidity and daily rainfall; so tritium removal rate, its follow-up and proper data analysis and recording are the best techniques for management of accidental acute tritium exposed cases. The decision of referring for medical treatment or medical intervention (MI) would be based on workers' tritium RHL history taken from their bodies at the facilities. The workers with tritium intake up to 1 ALI shall not be considered for medical treatment as it is a derived limit of annual total effective dose. The short-term MI may be considered for tritium intake of 1-10 ALI; however, if the results show intake ≥100 ALI, extended strong medical/therapeutic intervention may be recommended based on the severity of exposure for maximum CED reduction requirements and annual total effective dose limit. The methodology is very useful for pressurized heavy water reactors (PHWRs) which are mainly operated by Canada and India and future fusion reactor technologies. Proper management will optimise the cases for medical treatment and enhance public acceptance of nuclear fission and fusion reactor technologies.

  20. Quick management of accidental tritium exposure cases

    International Nuclear Information System (INIS)

    Singh, V. P.; Badiger, N. M.; Managanvi, S. S.; Bhat, H. R.

    2008-01-01

    Removal half-life (RHL) of tritium is one of the best means for optimising medical treatment, reduction of committed effective dose (CED) and quick/easy handling of a large group of workers for medical treatment reference. The removal of tritium from the body depends on age, temperature, relative humidity and daily rainfall; so tritium removal rate, its follow-up and proper data analysis and recording are the best techniques for management of accidental acute tritium exposed cases. The decision of referring for medical treatment or medical intervention (MI) would be based on workers' tritium RHL history taken from their bodies at the facilities. The workers with tritium intake up to 1 ALI shall not be considered for medical treatment as it is a derived limit of annual total effective dose. The short-term MI may be considered for tritium intake of 1-10 ALI; however, if the results show intake ≥100 ALI, extended strong medical/therapeutic intervention may be recommended based on the severity of exposure for maximum CED reduction requirements and annual total effective dose limit. The methodology is very useful for pressurized heavy water reactors (PHWRs) which are mainly operated by Canada and India and future fusion reactor technologies. Proper management will optimise the cases for medical treatment and enhance public acceptance of nuclear fission and fusion reactor technologies. (authors)

  1. The Artificial, the Accidental, the Aesthetic…

    Directory of Open Access Journals (Sweden)

    Nicole Koltick

    2015-11-01

    Full Text Available How do we define, discuss or assess aesthetics within a contemporary philosophical framework? The indefiniteness that accompanies attempts to formalize a definition of the aesthetic is a primary focus of this paper. This lack of a definition has occupied philosophers for hundreds of years in attempts to delineate the boundaries of an elusively formless concept. This formlessness speaks to the incredibly evasive character of such a pervasive feature recognized in both natural and artificial systems, agents and artefacts. With the rapid growth of artificially intelligent systems and an astounding diversity in computational creativity, in what ways may we approach aesthetics? How is the aesthetic recognized, determined and produced? This paper seeks to critically engage issues of non-human agency, inter-object relations, and aesthetic theory in relation to computational entities and autonomous systems. The ability of these systems to operate outside of human cognitive limitations including thought patterns and constructions which may preclude alternative aesthetic outcomes, afford them in some ways limitless potential in relation to aesthetics. The designation of the accidental or provisional is utilized as an alternative approach to the production and assessment of aesthetic occurrences of the non-human.

  2. Causes of accidental childhood deaths in China in 2010

    DEFF Research Database (Denmark)

    Chan, Kit Yee; Yu, Xin-Wei; Lu, Jia-Peng

    2015-01-01

    BACKGROUND: Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low......- and middle-income country (LMIC) settings. In this paper, we aim to establish cause structure for accidental deaths in children aged 0-4 years in China in the year 2010. METHODS: In this paper, we explored the database of 208 multi-cause child mortality studies in Chinese that formed a basis for the first...

  3. Static and mobile networks design for atmospheric accidental releases monitoring

    International Nuclear Information System (INIS)

    Abida, R.

    2010-01-01

    The global context of my PhD thesis work is the optimization of air pollution monitoring networks, but more specifically it concerns the monitoring of accidental releases of radionuclides in air. The optimization problem of air quality measuring networks has been addresses in the literature. However, it has not been addresses in the context of surveillance of accidental atmospheric releases. The first part of my thesis addresses the optimization of a permanent network of monitoring of radioactive aerosols in the air, covering France. The second part concerns the problem of targeting of observations in case of an accidental release of radionuclides from a nuclear plant. (author)

  4. Ano-rectal tuberculous granulomapresenting with faecal incontinence

    African Journals Online (AJOL)

    ... present a case of a 68-year old man with a huge mass in the ano-rectum with faecal incontinence, which was clinically diagnosed as an advanced carcinoma of the ano-rectum for which the biopsy was reported as tuberculosis. He improved with anti-tuberculosis treatment. Keywords: Ano-rectum, tuberculosis, cancer.

  5. Análisis de las causas y consecuencias de los accidentes laborales ocurridos en dos proyectos de construcción

    Directory of Open Access Journals (Sweden)

    A. González

    Full Text Available Las labores que se realizan en los proyectos de construcción son consideradas de alto riesgo al facilitar la ocurrencia de accidentes laborales que afectan la integridad física, mental y social de los colaboradores como la productividad de las empresas. Por tal motivo, el propósito de este artículo es analizar las causas y consecuencias de los accidentes laborales ocurridos durante el segundo semestre del año 2012 en dos proyectos de construcción de Neiva, Colombia. El alcance fue de tipo documental considerando como fuente de información los soportes de los accidentes laborales reportados ante la Administradora de Riesgo Laborales (ARL; para determinar las causas que dieron origen a dichos accidentes se utilizó el modelo de Frank E. Bird. Se analizaron 117 accidentes en los que se identificaron 195 faltas de control, 136 factores personales, 112 factores del trabajo, 151 actos inseguros y 54 condiciones inseguras; lo anterior teniendo en cuenta que en algunos accidentes se presentaron más de una causa. De esta manera se concluye que el mayor porcentaje de accidentes de trabajo, ha sido generado por faltas de control seguidos por actos inseguros. Por tal motivo se recomienda la realización de programas de gestión de riesgos prioritarios, basados en una adecuada identificación de peligros, que permitan mitigar y controlar los riesgos, desarrollando a la vez en los trabajadores una cultura de autocuidado

  6. Factores operacionales que incrementan los accidente fatales por caída de rocas en la provincia de Yauli - 2009

    OpenAIRE

    Huamán Fernández, Juan Antonio

    2011-01-01

    Dentro de la labor de consultor y gerenciamiento en el nivel intermedio respecto, a la estructura organizacional de una empresa minera, surgió como criterio la innovación de los procesos y un nuevo enfoque en la administración de la mina, relacionado al control de riesgo. La tesis “FACTORES OPERACIONALES QUE INCREMENTAN LOS ACCIDENTES FATALES POR CAÍDA DE ROCAS EN LA PROVINCIA DE YAULI - 2009”, surge a raíz del cuestionamiento por la toma de decisión realizada como responsable del área de...

  7. Función pulmonar en sujetos con hemiparesia crónica secundaria a un accidente cerebrovascular

    OpenAIRE

    Guerrero Gómez, Alba

    2016-01-01

    Antecedentes: las Enfermedades Cerebrovasculares se sitúan como la primera causa de muerte entre las mujeres y la tercera en hombres a nivel nacional. Son numerosas las secuelas que pueden sufrir los supervivientes, entre las que se encuentran las alteraciones del control motor y del tono muscular. Estas son las que hacen plantearse el grado de afectación de la musculatura implicada en la ventilación tras un Accidente Cerebrovascular, ya sea de manera directa o mediante la alteración de las c...

  8. Notificación de accidentes y enfermedades laborales al Ministerio de Trabajo. Perú 2010-2014

    Directory of Open Access Journals (Sweden)

    Christian R Mejia

    Full Text Available Con el objetivo de determinar las tendencias de los accidentes y enfermedades laborales notificadas al Ministerio de Trabajo del Perú, se realizó un estudio descriptivo de datos secundarios, con los reportes extraídos de los boletines mensuales desde septiembre de 2010 a diciembre de 2014. Se notificaron a nivel nacional 54 596 accidentes laborales no mortales, las tasas de los accidentes laborales no mortales por millón de habitantes aumentaron en el período 2011- 2013 (296,5 el 2011, 955,9 el 2012 y 1176,3 el 2013, disminuyendo en el 2014 (878,9. Hubieron 674 accidentes mortales, cuyas tasas se incrementaron entre el 2011-2012 y se redujeron entre el 2013-2014. Se reportaron 346 enfermedades laborales, las más frecuentes fueron los casos de hipoacusia (77, enfermedades por posturas inadecuadas (57 y dermatitis alérgica (44; los reportes se redujeron de 6,9 en el 2011 a 2,3 en el 2014. Los reportes de enfermedades laborales fueron disminuyendo, lo que podría indicar una subnotificación importante

  9. Ani9, A Novel Potent Small-Molecule ANO1 Inhibitor with Negligible Effect on ANO2.

    Directory of Open Access Journals (Sweden)

    Yohan Seo

    Full Text Available Anoctamin1 (ANO1/transmembrane protein 16A (TMEM16A, a calcium-activated chloride channel (CaCC, is involved in many physiological functions such as fluid secretion, smooth muscle contraction, nociception and cancer progression. To date, only a few ANO1 inhibitors have been described, and these have low potency and selectivity for ANO1. Here, we performed a high-throughput screening to identify highly potent and selective small molecule inhibitors of ANO1. Three novel ANO1 inhibitors were discovered from screening of 54,400 synthetic small molecules, and they were found to fully block ANO1 channel activity with an IC50 < 3 μM. Electrophysiological analysis revealed that the most potent inhibitor, 2-(4-chloro-2-methylphenoxy-N-[(2-methoxyphenylmethylideneamino]-acetamide (Ani9, completely inhibited ANO1 chloride current with submicromolar potency. Notably, unlike previous small-molecule ANO1 inhibitors identified to date, Ani9 displayed high selectivity for ANO1 as compared to ANO2, which shares a high amino acid homology to ANO1. In addition, Ani9 did not affect the intracellular calcium signaling and CFTR chloride channel activity. Our results suggest that Ani9 may be a useful pharmacological tool for studying ANO1 and a potential development candidate for drug therapy of cancer, hypertension, pain, diarrhea and asthma.

  10. Ventricular fibrillation after accidental injection of bupivacaine into the pericardium

    NARCIS (Netherlands)

    Even, B. J.; de Jongh, R. F.; de Hert, S. G.

    1992-01-01

    A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature. The possible causes, which include systemic toxicity, local vasoconstriction with myocardial ischaemia, local toxic effect of bupivacaine

  11. Accidental childhood poisoning in Ebonyi State University Teaching ...

    African Journals Online (AJOL)

    EBSUTH), Abakaliki was undertaken to determine its pattern, outcome and contributing factors. There were 22 cases of accidental childhood poisoning. Kerosene was the most common agent, accounting for 45.5% of the cases. Other agents were ...

  12. Pacientes amputados por accidentes de trabajo: características y años acumulados de vida productiva potencial perdidos

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    Herminio Teófilo Camacho-Conchucos

    2010-12-01

    Full Text Available Objetivos: Determinar los años acumulados de vida productiva potencial perdidos en pacientes amputados por accidentes de trabajo. Diseño: Estudio descriptivo, retrospectivo, de corte transversal. Institución: Instituto Nacional de Rehabilitación, Callao, Perú. Participantes: Pacientes amputados por accidente de trabajo. Intervenciones: Revisión de 1 290 historias clínicas de pacientes amputados, atendidos del 1 de enero del 2003 al 31 de diciembre del 2007, de los cuales 108 fueron por accidente de trabajo. Se determinó los años acumulados de vida productiva potencial perdidos, multiplicando la diferencia entre la edad de retiro y la edad al momento de dictaminarse el grado de invalidez permanente, por el porcentaje de la invalidez. Principales medidas de resultados: Años acumulados de vida productiva potencial perdidos. Resultados: El accidente de trabajo fue la causa en 8,4% de los amputados, que generaron 1 568,5 años acumulados de vida productiva potencial perdidos, con 14,5 años por cada caso. El nivel más frecuente fue debajo de rodilla, con 27,3%. La manufactura fue la actividad económica más frecuente, con 37,9%, y la forma de accidente fue el aprisionamiento o atrapamiento en 58,3%. El sexo masculino predominó, 98,2%. El 40,7% se encontró en el rango de 21 a 30 años de edad y 63,9% no realizará su labor habitual por su invalidez. Conclusiones: Los años acumulados de vida productiva potencial perdidos es un indicador de gran utilidad para complementar la evaluación de los accidentes de trabajo en la invalidez residual, porque considera la edad en que se produce la invalidez y el porcentaje de la misma.

  13. MST - CEARÁ, 20 ANOS DE MARCHAS

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    Francisco Amaro Gomes de Alencar

    2010-01-01

    Full Text Available Este trabajo pretende hacer un rescate geográfi co e histórico de los veinte años del "Movimiento de los Trabajadores Rurales Sin Tierra" en Ceará (MST- CE, 1989 a 2009. Durante esos años, varias fueron las formas de luchas para que la espacialización y la territorialización del MST que sucedieron en Ceará. Algunas de esas formas de luchas fueron: los confl ictos; las ocupaciones de tierras, de los edifi cios públicos y de las avenidas; las marchas, la presencia de los militantes, en los asentamientos federal y estaduales, de los varios programas de reforma agraria. Para abordar esas marchas del MST-Ceará, este texto está estructurado en 4 partes. En la primera, la "Introducción", construimos una pequeña línea del tiempo de las luchas agrarias desde las indígenas hasta la primera ocupación de tierras realizada por el Movimiento. En la segunda, "Las acciones del MST-Ceará", describimos sus principales actividades tales como: caminadas, marchas, ocupaciones de inmuebles y edifi cios públicos en el Estado. En la tercera, "Territorialización del MST en Ceará", analizamos los caminos para tornarse presente, reconocido y respetado en Ceará.

  14. Lessons learned from accidental exposures in radiotherapy

    International Nuclear Information System (INIS)

    2000-01-01

    The medical use of radiation is unique in that patients are intentionally exposed to radiation. The aim in radiation therapy is twofold: to deliver a dose and dose distribution that is adequate for tumour control, but which also minimizes complications in normal tissues. In therapeutic applications, the doses are high and a deviation from the prescribed dose may have severe or even fatal consequences. There is therefore a great need to ensure adequate radiation protection and safety in radiotherapy by verifying that all personnel involved are appropriately trained for their duties, that the equipment used meets relevant international specifications for radiation safety and that safety culture is embedded in routine activities in radiotherapy departments. Many individuals must interact and work together on highly technical measurements and calculations, and therefore the potential for mistakes is great. A review of the mistakes shows that most are due to human error. The International Basic Safety Standards for Protection against Ionizing Radiation and the Safety of Radiation Sources (IAEA Safety Series No. 115) require that a prompt investigation be conducted whenever an accidental medical exposure of patients occurs. The report of the investigation is to be disseminated to the appropriate parties so that lessons can be learned to prevent similar accidents or mitigate their consequences in the future. This Safety Report is a collection of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. A further purpose of this report is to encourage readers to develop a questioning and learning attitude, adopt measures for the prevention of accidents, and prepare for mitigation of the consequences of accidents if they occur

  15. Accidental oil spills - project management strategy

    International Nuclear Information System (INIS)

    Bobic, V.; Benkovic, Z.

    2009-01-01

    Planning and organisation, as well as actions taken during accidental discharging of hazardous substances (hydrocarbons) into the soil and water, show that without integrating all the functions of safety, occupational safety, fire and explosion protection, technical safety, all the way to the environmental protection, procedure of cleaning, rehabilitation and remediation of polluted areas into their original state cannot be successfully carried out. Neglecting any of the mentioned links/components of the procedure represents a risk to people's health and life, while pollution to the environment remains a constant threat. Development of technologies is quickly transforming the environment in which the professionals of all disciplines work. Therefore, the response to changes by application of new technologies and procedures in all domains is indispensable, however, through a comprehensive and expert perception and consideration of each of the essential correlations comprising the safety management in all the fields. Through management of safety projects in environmental protection, it has become obvious that a united management of different fields is necessary, as well as management of safety in general. Engineering, health, legislation, public, environmental standards, occupational safety, hazards, biophysical and socio-economic aspects are parts of an integral management. Experts joined efforts through interaction and communications are inter-disciplinary characteristics, i.e. multi-disciplinary safety management, but also the management of each project separately. Exactly this knowledge exchange is highly productive and becomes an indispensable element in recognition of indirect and cumulative actions, thus applicable in any field. Implementation of European standards and accreditation of procedures pursuant to the corresponding standards, from risk assessment through rehabilitation to independent expert confirmation of efficiency in implementing the entire

  16. [THREE CASES OF ACCIDENTAL AUTO-INJECTION OF ADRENALINE].

    Science.gov (United States)

    Yanagida, Noriyuki; Iikura, Katsuhito; Ogura, Kiyotake; Wang, Ling-jen; Asaumi, Tomoyuki; Sato, Sakura; Ebisawa, Motohiro

    2015-12-01

    Reports on accidental auto-injection of adrenaline are few. We encountered three cases of accidental injection of adrenaline. In this study, we have examined and reported the clinical courses and symptoms of our cases. CASE 1 involved a female physician in her 50s who had attended an explanatory meeting on auto-injection of adrenaline. She mistook EpiPen® to be the EpiPen trainer and accidentally injected herself with 0.3 mg EpiPen®. Her systolic/diastolic pressure peaked at 7 min to reach 144/78 mmHg and decreased to 120/77 mmHg at 14 min. Except for palpitation after 7 min, the only subjective symptom was local pain at the injection site. CASE 2 was noted in a 6-year-old boy. He accidentally pierced his right forefinger with 0.15 mg EpiPen®, and after 20 min, his right forefinger was swollen. The swelling improved 80 min after the accidental injection. CASE 3 was noted in a 4-year-old girl. She accidentally injected herself with 0.15 mg EpiPen®. Her systolic/diastolic pressure peaked at 23 min to reach 123/70 mmHg and decreased to 96/86 mmHg at 28 min. Severe adverse effects of accidental auto-injection of adrenaline were not observed in these three cases. Our findings suggest that while handling adrenaline auto-injectors, we should keep in mind the possibility of accidental injection.

  17. CLINICAL STUDY OF FISTULA IN ANO

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    Sushma Ramteke

    2017-02-01

    Full Text Available BACKGROUND Fistula in ano is one of the common problem faced in today’s world. Fistula in ano is track lined by granulation tissue that connect deeply in the anal canal or rectum and superficially on the skin around the anus. It usually results from cryptoglandular infection causing abscess, which burst spontaneously or was drained inadequately. The study is conducted to find most common aetiological factor and to evaluate various surgical technique and their outcome. The aim of the study is to- 1. Study the incidence of various aetiologies of fistula in ano. 2. Study the clinical presentation of fistula in ano. 3. Evaluate different modalities of surgical approach and their outcome. MATERIALS AND METHODS This prospective study was conducted at Late Lakhiram Agrawal Memorial Government Medical College, Raigarh, during the study period of July 2015 to July 2016. All the 50 cases were included in this study who were above 15 year of age diagnosed with fistula in ano on the basis of clinical examination who underwent surgical procedure. RESULTS In present study of 50 cases, 60% of cases were in the age group of 31-50 years. Male:female ratio was 9:1. 80% of cases belong to low socioeconomic status. The most common mode of presentation was discharging sinus in 96% of cases. 70% of patient had past history of burst abscess or surgical drainage of abscess. 90% of cases have single external opening. 80% of cases had posterior external opening. Most of the fistula are of low anal type, which was 92% and rest of the patient had an internal opening situated above the anorectal ring. The most common surgical approach done was fistulectomy. Only fistulectomy was done in 80% of patients. Fistulectomy with sphincterectomy was done in two patients. These two patients had associated anal fissure. Fistulectomy with seton placement was done in two patients of high level of fistula type. Fistulotomy was done in four patients (8%, these were of low fistula type

  18. Avancée dans la prévention des « chutes de plain-pied » au travail Progress in the prevention of occupational “falls on the same level”. Proposed operational definition of a new category: “Motion perturbation accidents (MPAs” Avances en la prevención de « caídas al mismo nivel » en el trabajo. Propuesta de la definición operacional de una nueva categoría : « los Accidentes con Perturbación del Movimiento (APM »

    Directory of Open Access Journals (Sweden)

    Sylvie Leclercq

    2010-11-01

    causes injury due to its properties and subsequently called a “circumstantial hazard”. Finally, the reasoning behind the MPA classification is explained. In particular, it appears that prevention that focuses on the immediate causes of the injury is difficult, even impossible, in MPA cases, essentially because of requirements inherent in the work and the constraints on the enterprise to implement this prevention. Prevention implemented at the source of the risk therefore seems to be the only feasible solution. From commonplace accidents, MPAs reveal dysfunctions within the production system.Las caídas al mismo nivel continúan siendo un accidente laboral frecuente y grave. La terminología usada para describir estos accidentes es variada, relativamente imprecisa y no integra la diversidad de accidentes encontrados bajo diferentes apelaciones. En un inicio, el interés de considerar una categoría de accidentes con una perturbación del movimiento (APM es puesto en evidencia a partir de diversos extractos de relatos de accidentes laborales. A continuación, un modelo es propuesto para los APM, mostrando que en estos accidentes la lesión resulta a menudo de una asociación fortuita entre la energía del movimiento perturbado de la víctima y un elemento material, convertido en agresor por sus propiedades y subsecuentemente llamado un « peligro circunstancial ». Finalmente, el razonamiento detrás de la clasificación de estos accidentes es explicado. En particular, parece ser que la prevención enfocada en las causas inmediatas de la lesión es difícil, incluso imposible en los casos de APM, debido esencialmente a las exigencias inherentes al trabajo y a las dificultades que pesarían en la empresa para la implantación de esta prevención. La prevención realizada en la fuente del riesgo tiende entonces a convertirse en la única posibilidad. Así pues, los APM pasan de ser accidentes banales a ser reveladores de las disfunciones dentro de un sistema de

  19. Apparent Motion of the Sun, Shadows of Objects and Measurement of Time in the View of Seventh Grade Students of Middle School. (Breton Title: Movimento Aparente do Sol, Sombras dos Objetos e Medição do Tempo na Visão de Alunos do Sétimo Ano do Ensino Fundamental.) Movimiento Aparente del Sol, Sombras de los Objetos y Medición del Tiempo en la Visión de Estudiantes del Séptimo Grado del Ciclo Pirmario

    Science.gov (United States)

    Iria Machado, Daniel

    2013-07-01

    The apparent motion of the Sun on the celestial sphere and the behavior of the shadows of objects over time are observable phenomena in everyday life. However, students often do not have a proper understanding of such occurrences, and can even display misconceptions about them. Therefore, we performed a research in order to know students' notions about these subjects and to evaluate the contribution to their understanding brought about by an activity performed with an interactive sundial in an informal learning environment. We investigated the ideas of 43 students from the seventh grade of middle school by applying a test with open questions before and after an activity with an analemmatic sundial, conducted by a monitor. A significant proportion of students were initially unaware of most of the phenomena treated. The intervention performed helped the students to assimilate new concepts, providing the contact with new phenomena and to a lesser degree, the development of explanations about them, indicating an educational potential of this action. However, the contribution to the understanding of some of the ideas explored was small, pointing to the need to make additional observations, studies and discussions. O movimento aparente do Sol na esfera celeste e o comportamento das sombras dos objetos com o passar do tempo são fenômenos observáveis no dia a dia. No entanto, muitas vezes os estudantes não possuem uma compreensão adequada de tais ocorrências, podendo inclusive exibir concepções alternativas a seu respeito. Por isso, efetuou-se uma pesquisa com o intuito de conhecer as noções dos alunos sobre esses temas e avaliar a contribuição para seu entendimento propiciada por uma atividade feita com um relógio de Sol interativo, em um ambiente de ensino informal. Foram investigadas as ideias de 43 alunos do sétimo ano do Ensino Fundamental mediante a aplicação de um teste com questões abertas antes e depois de uma atividade com um relógio de Sol

  20. Los accidentes coronarios de la terapéutica electro-convulsivante. Su patogenia y su prevención

    Directory of Open Access Journals (Sweden)

    Alejandro Jiménez Arango

    1945-07-01

    d Se proponen las siguientes consideraciones para la prevención de los accidentes coronarios: 1° Contraindicaciones del electro choque en la enfermedad coronaria. 2° Control de la distribución de la corriente eléctrica del electro-choque en la masa encefálica. 3° Regulación del equilibrio neuro-vegetativo, especialmente sedación del parasimpático en caso de que haya hipertonía de este sistema. 4° Aplicación de un voltaje adecuado. 5° Medicación sedante general y coronaria, a base de barbitúricos y de derivados de la teofilina.

  1. Análise de custo-efetividade da trombólise com alteplase no Acidente Vascular Cerebral Análisis de costo-efectividad de la trombólisis con alteplase en el accidente vascular cerebral Analysis of the cost-effectiveness of thrombolysis with alteplase in stroke

    Directory of Open Access Journals (Sweden)

    Denizar Vianna Araújo

    2010-07-01

    Full Text Available FUNDAMENTO: Acidente Vascular Cerebral (AVC é a principal causa de óbito no Brasil e pouca informação está disponível sobre custo do tratamento. OBJETIVO: Elaborar análise de custo-efetividade da trombólise no AVC, até três horas após o início dos sintomas, comparando o tratamento com alteplase versus conservador, sob a perspectiva do Sistema Único de Saúde (SUS. MÉTODOS: Modelo de análise de decisão foi desenvolvido para comparar os dois tratamentos. Ciclos foram considerados, durante os quais pacientes poderiam transitar entre cinco estágios de incapacidade pós-AVC, baseados na escala modificada de Rankin. A probabilidade de apresentar hemorragia intracerebral no primeiro ano foi obtida do ensaio NINDS. Para os anos subsequentes, ciclos de um ano foram considerados, para contabilizar a mortalidade dos pacientes. O desfecho foi expresso em Anos de Vida Ajustados pela Qualidade (QALY. Tanto os custos diretos quanto os indiretos foram considerados na análise. Custos e desfecho foram descontados em 5% ao ano. RESULTADOS: No primeiro ano, o QALY ganho foi de 0,06 para ambos os gêneros, com custo incremental de R$ 2.558 para homens e R$ 2.312 para mulheres. A razão de custo-efetividade incremental em um ano foi de R$ 40.539 / QALY (USD 28.956 para homens e R$ 36.640 / QALY (USD 26.171 para mulheres. Após o segundo ano, o tratamento com alteplase reduziu o custo do tratamento (índice de Paridade do Poder de Compra US$ 1 = R$ 1,4. CONCLUSÃO: Terapia trombolítica com alteplase nas primeiras três horas após o AVC é custo-efetiva no cenário do Sistema Único de Saúde.FUNDAMENTO: Accidente Vascular Cerebral (AVC es la principal causa de óbito en el Brasil y poca información está disponible sobre el costo del tratamiento. OBJETIVO: Elaborar análisis de costo-efectividad de la trombólisis en el AVC, hasta tres horas después del comienzo de los síntomas, comparando el tratamiento con alteplase versus conservador, bajo la

  2. Tratamiento de Terapia Ocupacional en el accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Domingo García, AM

    2006-02-01

    Full Text Available RESUMENEntre los muchos pacientes que necesitan tratamiento rehabilitador en Terapia Ocupacional están los que en la edad adulta han sufrido un accidente cerebrovascular.Uno de los factores de riesgo asociados con más frecuencia a las alteraciones del sistema nervioso central es el progresivo envejecimiento de la población, debido a esto orientaré el siguiente artículo hacia la intervención sobre la población geriátrica.La Terapia Ocupacional ofrece un tratamiento global que abarca las áreas funcional, motriz, sensorial, perceptivo y cognitiva. No debemos olvidar el asesoramiento realizado al paciente, a la familia y/ o cuidadores sobre el manejo de la persona que ha sufrido un ictus, la adaptación del entorno y la prescripción, uso y manejo de ayudas técnicas cuando sea necesario.Las propuestas terapéuticas que expondré a continuación, no son recetas únicas que se puedan emplear del mismo modo en todos las personas que hayan sufrido un ictus. Con cada paciente será necesario una evaluación individualizada de su situación y una adaptación de la terapia según sus déficit específicos.La meta final de la Terapia Ocupacional es la integración óptima del paciente dentro de su entorno familiar y social, con el mayor grado de autonomía posible.ABSTRACTAmong the patients who need Occupational Therapy’s rehabilitation treatment, there are those who have suffered a cerebrovascular damage when elderly.People’s gradual ageing is one of the risk factors in the nervous central system’s alterations and this is why I am going to write about intervention on geriatric population.The Occupational Therapy’s rehabilitation treatment works on the functional, motor, sensorial, perceptive and cognitive areas. Moreover, we should not forget to advise the patient and his/her family or caregivers about the way of treating ,the environment’s adaptation, the prescription and use of technical aids when needed.The following therapeutic

  3. Sobrevivência após acidentes de trânsito: impacto das variáveis clínicas e pré-hospitalares Sobrevida después de accidentes de tránsito: impacto de las variables clínicas y pre hospitalarias Survival after motor vehicle crash: impact of clinical and prehospital variables

    Directory of Open Access Journals (Sweden)

    Marisa Aparecida Amaro Malvestio

    2008-08-01

    Full Text Available OBJETIVO: Analisar as variáveis clínicas e pré-hospitalares associadas à sobrevivência de vítimas de acidente de trânsito. MÉTODOS: Estudo realizado no município de São Paulo, SP, de 1999 a 2003. Foram analisados dados de 175 pacientes, entre 12 e 65 anos, vitimados por acidente de trânsito. A Análise de Sobrevivência de Kaplan-Meier foi utilizada na abordagem dos resultados na cena do acidente com as vítimas de escore OBJETIVO: Analizar las variables clínicas y pre hospitalarias asociadas a la sobrevida de víctimas de accidentes del tránsito. MÉTODOS: Estudio realizado en el municipio de São Paulo (Sudeste de Brasil, de 1999 a 2003. Fueron analizados datos de 175 pacientes, entre 12 y 65 años, victimas de accidentes de tránsito. El análisis de Sobrevida de Kaplan-Meier fue utilizado en el abordaje de los resultados en la escena del accidente con las víctimas de score OBJECTIVE: To assess clinical and prehospital variables associated with survival of motor vehicle crash victims. METHODS: Study carried out in the city of São Paulo (Southeastern Brazil, from 1999 to 2003. Data from 175 patients, who were aged between 12 and 65 years and had been motor vehicle crash victims, were analyzed. Kaplan-Meier Survival Analysis was used to approach the results at the accident scene with victims scoring <11, according to the Revised Trauma Score. Variables analyzed were: sex, age, injury mechanisms, basic and advanced support procedures, Revised Trauma Score parameters and fluctuations, time elapsed in the prehospital phase and trauma severity according to the Injury Severity Score and Maximum Abbreviated Injury Scale. RESULTS: Analysis revealed that victims who were less likely to survive during the hospitalization period showed serious lesions in the abdomen, thorax, or lower limbs, with negative fluctuation of respiratory frequency and Revised Trauma Score in the prehospital phase. In addition, they needed specialized

  4. Há aumento do peso corporal nos finais de semana e nas festas de final de ano? Análise em participantes de programa de exercício supervisionado ¿Hay aumento del peso corporal en las fiestas de final de año? Análisis en participantes de un programa de ejercicio supervisado Are there increases on the body weight during weekends and New Year celebrations? Analysis on participants in a supervised exercise program

    Directory of Open Access Journals (Sweden)

    Paloma Gomes

    2004-06-01

    Full Text Available FUNDAMENTAÇÃO: Acredita-se que o peso corporal (PC de adultos tende a aumentar fora dos dias úteis, seja pela maior ingestão ou pela redução de exercício. Objetivamos verificar se o PC aumenta nos finais de semana e nas festas de finais de ano. MÉTODOS: Analisamos, retrospectivamente, os dados de 53 adultos (36 homens, com idade entre 38 e 81 anos (64 ± 10, freqüentando um programa de exercício supervisionado - três a seis sessões semanais de 60 minutos, incluindo exercícios aeróbicos, de fortalecimento muscular e de flexibilidade individualmente prescritos. Excluíram-se aqueles que faltaram mais de 25% das sessões, mais de duas semanas consecutivas ou que faziam uso de diuréticos ou outras medicações capazes de afetar o PC. O PC foi registrado antes de cada sessão. Foram analisados os dados registrados em duas semanas do mês de novembro e nas duas sessões pré e pós-festas de final de ano. RESULTADOS: Houve estabilidade no PC - (média ± erro padrão 74,6 ± 1,7 vs. 74,6 ± 1,7kg -, respectivamente, antes e após o final de semana (p = 0,382, enquanto houve um aumento pequeno, porém significativo, com as festas de final de ano - 74,3 ± 1,7 vs. 74,9 ± 1,7kg - (p FUNDAMENTACIÓN: Se dice que el peso corporal de los adultos tiende a aumentar fuera de los días útiles, ya sea por la mayor ingestión, o por la reducción del ejercicio. El objetivo es fundamentar si el peso corporal aumenta en los fines de semana y en las fiestas de fin de año. MÉTODOS: Analizamos restrospectivamente los datos de 23 adultos (36 hombres con edades entre 38 y 81 años (64 ± 10, frecuentando un programa de ejercicio de tres a seis sesiones semanales de 60 minutos con ejercicios aeróbicos, de fortalecimiento muscular y de flexibilidad individualmente prescriptos. Se excluyeron aquellos que faltaron a mas del 25% de las sesiones, mas de dos semanas consecutivas o que usaran diuréticos u otras medicaciones capaces de afectar el peso

  5. O significado do acidente de trabalho com material biológico para os profissionais de enfermagem El significado del accidente de trabajo con material biológico para los profesionales de enfermería The significance of accidents involving biological material to nursing professionals

    Directory of Open Access Journals (Sweden)

    Maristela Aparecida Magri Magagnini

    2011-06-01

    Full Text Available O objetivo deste estudo foi compreender o significado dos acidentes de trabalho com exposição a material biológico na perspectiva dos profissionais de enfermagem. De caráter exploratório com abordagem qualitativa pela análise de conteúdo de Bardin. No período de 2001 a 2006 ocorreram 87 acidentes com material biológico, sendo que destes, oito eram soropositivos para hepatite B e C e Síndrome da Imunodeficiência Adquirida/Vírus da Imunodeficiência Humana. Para coleta de dados utilizou-se entrevista com perguntas norteadoras. Ao indagar esses profissionais sobre o significado dos acidentes, emergiram quatro categorias: situação de risco; percepção de perigo; fatalidade e sentimentos. Embora não seja estratégia de esclarecimento, mas é fato que organização de trabalho e ações educativas tem impacto considerável para diminuir esse tipo de acidente, diminuindo prejuízos na vida dos acidentados.El objetivo de este estudio ha sido comprender el significado de accidentes de trabajo con exposición a material biológico, desde la perspectiva de los profesionales de enfermería. De carácter exploratorio con enfoque cualitativo por el análisis de contenido de Bardin. En el período de 2001 a 2006 ocurrieron 87 accidentes con material biológico, de estos, ocho eran seropositivos para hepatitis B y C y Síndrome de la Inmunodeficiencia Adquirida/Virus de la Inmunodeficiencia Humana. Para recoger datos se ha utilizado entrevista con preguntas. Al preguntar a esos profesionales sobre el significado de los accidentes, han surgido cuatro categorías: situación de riesgo, percepción de peligro, fatalidad y sentimientos. Aunque no sea estrategia de aclaración, pero es un hecho que la organización de trabajo y acciones educativas tienen impacto considerable para disminuir ese tipo de accidente, disminuyendo perjuicios en la vida de los accidentados.The objective of this present study was to understand the significance of

  6. Fibroelastoma valvular aórtico como causa de accidente cerebrovascular embólico: Reporte de un caso

    OpenAIRE

    BAHAMONDES S,JUAN CARLOS; MERIÑO S,GUSTAVO; SALMAN A,JUAN; SILVA V,ABELARDO; MORA M,JAVIER

    2008-01-01

    Los tumores cardíacos son una causa rara de accidente cerebrovascular embólico. Comunicamos el caso de una paciente de 65 años quien debuta su historia con un accidente cerebrovascular. El estudio de fuente embólica con ecocardiografía transesofágica demostró un fibroelastoma de la válvula aórtica en el borde libre del velo no coronariano. El tumor fue extraído mediante circulación extracorpórea. El estudio anatomopatológico confirmó el diagnóstico y la paciente se encuentra en capacidad func...

  7. Epidemiologia dos acidentes ofídicos nos últimos 100 anos no Brasil: uma revisão

    Directory of Open Access Journals (Sweden)

    Bochner Rosany

    2003-01-01

    Full Text Available Neste trabalho foram analisados 22 artigos, 4 livros, 3 relatórios e 1 manual publicados no período de 1901 a 2000, que tratam de acidentes ofídicos ocorridos no Brasil. Concluiu-se que as análises epidemiológicas realizadas nos últimos 100 anos são baseadas nas mesmas variáveis já apontadas por Vital Brazil em seu Boletim para Observação de Accidente Ophidico, ou seja, variáveis referentes ao indivíduo, ao evento e ao atendimento. O perfil epidemiológico desses acidentes também se manteve inalterado ao longo dos anos, isto é, são mais comuns em pessoas do sexo masculino, em trabalhadores rurais, na faixa etária de 15 a 49 anos, atingem principalmente os membros inferiores e a maioria desses acidentes é atribuída às serpentes do gênero Bothrops.

  8. Cost of accidental carbon monoxide poisoning: A preventable expense.

    Science.gov (United States)

    Hampson, Neil B

    2016-06-01

    Carbon monoxide (CO) poisoning is common in the United States, accounting for hundreds of deaths and thousands of emergency department visits annually. It is believed that most accidental CO poisoning is preventable through public education, warning labels on consumer products, and uniform use of residential CO alarms. However, cost effectiveness of these prevention strategies has not been demonstrated in the United States to date. It was the objective of this study to estimate societal cost of accidental CO poisoning and evaluate the cost-effectiveness of universal installation of residential CO alarms. Published studies and data from the English language literature were used in to estimate direct hospital costs and lost earnings resulting from accidental CO poisoning. The study was performed in the US in 2015. Approximately 6600 individuals are estimated to sustain long-term cognitive sequela annually, with total loss in earnings of approximately $925 million, 334 individuals die from accidental, non-fire related CO poisoning with an average loss of 26 years of productivity accounting for $355 million, and 2800 are hospitalized with acute medical care costs of $33 million. Available data indicate that accidental CO poisoning in the US conservatively costs society over $1.3 billion, resulting from direct hospital costs and lost earnings. Further, it demonstrates a positive cost-benefit ratio for the uniform use of residential CO alarms.

  9. La trombectomía mecánica en el tratamiento de accidentes cerebrovasculares (ACV en la fase aguda

    Directory of Open Access Journals (Sweden)

    Alain Bonafe

    2013-08-01

    Full Text Available En Francia, la incidencia anual de accidentes cerebro vasculares (ACV es de 1.6 a 2.4 por cada mil (1.000 personas, es decir entre 100.000 y 145.000 por año, con una mortalidad del 15 al 20% al cabo del primer mes y un 75% de personas sobrevivientes con secuelas. El tratamiento de preferencia es la Trombólisis IV (Intra Venosa con rt-PA (Recombinant Tissue Plasminogen Activator - Activador del Plasminógeno Tisular Recombinante, el cual tiene una ventana de eficacia de 4 horas y media después del inicio de los síntomas. Sólo 2% de los pacientes eligibles para este tratamiento se benefician de una fibrinólisis por vía venosa. Las oclusiones de arterias de calibre grueso son responsables del 46% de los accidentes cerebrovasculares Isquémicos (ACVI y predicen una sobremortalidad y discapacidad funcional severa a los 6 meses. En ausencia de revascularización, la mitad de los ACVI de circulación anterior con oclusión arterial documentada fallece y solamente el 10% de ellos, tienen un buen pronóstico funcional a los tres meses. Algunas variables que han sido identificadas como predictoras de un mal pronóstico son: un puntaje clínico en la escala NIHSS (National Institute of Health Stroke Scale - Escala del Ictus del Instituto Nacional de la Salud superior a 12 según Fischer 2005, una oclusión documentada de una arteria intracraneal, los fracasos y las contraindicaciones de la fibrinólisis intravenosa entre otros. Esta revisión busca presentar los mecanismos, la evaluación, la eficacia y las complicaciones reportadas por la literatura sobre la trombectomía mecánica.

  10. ANO1 (TMEM16A) in pancreatic ductal adenocarcinoma (PDAC)

    DEFF Research Database (Denmark)

    Sauter, Daniel Rafael Peter; Novak, Ivana; Pedersen, Stine Helene Falsig

    2015-01-01

    Pancreatic ductal adenocarcinoma (PDAC) has one of the worst survival rates of all cancers. ANO1 (TMEM16A) is a recently identified Ca2+-activated Cl- channel (CaCC) that is upregulated in several tumors. Although ANO1 was subject to extensive studies in the recent years, its pathophysiological f...... intracellular calcium concentration. Functional studies on PDAC behavior showed that surprisingly inhibition of ANO1 did not influence cellular proliferation. On the other hand, we found ANO1 channel to be pivotal in PDAC cell migration as assessed in wound healing experiments....

  11. Accidente ofídico en animales de pastoreo: acercamiento epidemiológico, clínico y de manejo

    Directory of Open Access Journals (Sweden)

    Sebastián Estrada-Gómez

    2014-06-01

    Full Text Available En animales de pastoreo, el reporte de accidentes ofídicos es muy bajo y, además, presenta un amplio subregistro. A pesar de esto, es de gran utilidad conocer la incidencia de estos accidentes, pues son de gran importancia por las pérdidas económicas que pueden causar en el sector pecuario. Los accidentes por serpientes venenosas, tanto de la familia Viperidae como Elapidae, en caballos y ganado vacuno son frecuentes en muchos lugares del mundo, debido al aumento en la destinación de las tierras para la actividad ganadera. Colombia no es ajena a ello; sin embargo, el registro de este tipo de accidentalidad es muy bajo. En los diferentes reportes de accidentes ofídicos en animales, se ha observado que las principales manifestaciones sistémicas están caracterizadas por complicaciones cardiacas, hemodinámicas y neurotóxicas. Igualmente, se observan efectos locales, los cuales se caracterizan por presencia de hemorragias locales, edema y necrosis. El tratamiento específico utilizado en los accidentes por serpientes es la seroterapia, que consta de inmunoglobulinas G (Sueros IgG completas o fraccionadas (Faboterápicos Fab o Fab2, específicas para un género o especie.

  12. Adequação do consumo energético e de macronutrientes de crianças menores de seis anos Adecuación del consumo energético y de macronutrientes de niños con menos de seis años en una ciudad en el sur de Brasil Adequacy of energy consumption and macronutrients of children under six years of age

    Directory of Open Access Journals (Sweden)

    Gabriel Missaggia Bonotto

    2012-12-01

    Full Text Available OBJETIVO: Conhecer a adequação do consumo energético e de macronutrientes da alimentação de crianças menores de seis anos de idade da zona urbana de Pelotas, Rio Grande do Sul. MÉTODOS: Recorte de um estudo transversal que compõe a quarta avaliação de uma pesquisa de série temporal realizada na cidade de Pelotas, Rio Grande do Sul, em 2008. A amostra foi constituída por 799 crianças menores de seis anos de idade. Para avaliação da ingestão calórica e da contribuição percentual de macronutrientes no total de calorias da dieta, foram utilizadas as ingestões dietéticas de referência do Instituto de Medicina. As análises incluíram a descrição da amostra e o teste do qui-quadrado para avaliação das associações, considerando-se um nível de significância de 5%. RESULTADOS: A ingestão calórica deficiente foi maior nos meninos (58,0% e meninas (63,0% com idade igual ou menor do que seis meses. Foi observada ingestão calórica excessiva nas idades entre 7 e 12 meses e um e dois anos: 61,3 e 73,5% nos meninos e 56,0 e 74,1% nas meninas, respectivamente. A maioria das crianças com três anos de idade ou mais (meninos com 44,9% e meninas com 47,4% apresentou ingestão calórica adequada para a idade. A ingestão energética de macronutrientes apresentou-se adequada para carboidratos e proteínas e apontou que 54,5% das crianças tinham ingestão deficiente de lipídeos na faixa etária de um a três anos. CONCLUSÕES: Foi evidenciada a necessidade do estímulo de hábitos alimentares saudáveis que equilibrem a ingestão energética e distribuam o consumo de macronutrientes nesse grupo etário.OBJETIVO: Conocer la adecuación del consumo energético y de macronutrientes de la alimentación de niños menores de seis años de edad del área urbana de Pelotas, Rio Grande do Sul. MÉTODOS: Recorte de un estudio transversal que compone la cuarta evaluación de una investigación de serie atemporal realizada en la ciudad de

  13. Prevalencia de foramen oval permeable en pacientes con accidente cerebrovascular o accidente isquémico transitorio criptogénicos

    Directory of Open Access Journals (Sweden)

    Alejandro E. Contreras

    2009-01-01

    Full Text Available RESUMENIntroducciónEl foramen oval permeable (FOP se encuentra en alrededor de la cuarta parte de la población general. Pese a que su hallazgo no tiene repercusiones clínicas y no requiere tratamiento,se reconoce como una posible causa de accidente cerebrovascular (ACV criptogénico.ObjetivoConocer la prevalencia de FOP en pacientes estudiados por ACV o crisis isquémicas transitorias(CIT criptogénicos.Material y métodosSe analizaron retrospectivamente los ecocardiogramas transesofágicos de pacientes con ACVo CIT criptogénicos derivados para la evaluación de fuentes embolígenas. Se definió FOP alpasaje de una o más burbujas dentro de los tres primeros latidos luego de la opacificación dela aurícula derecha. Se definió aneurisma del septum interauricular (ASA a la excursióndel septum hacia la aurícula derecha o izquierda de 10 mm o más.ResultadosSe evaluaron 43 pacientes, edad promedio 59,6 ± 16,9 años, 41,9% mujeres. Se halló FOPen 13 pacientes (30,2% - IC 95% 15% a 44%, de los cuales 7 (16,3% del total de la poblaciónpresentaban FOP grande. Hubo 6 casos de ASA (14%, todos asociados con FOP y en 4 deellos (66% el FOP era grande.ConclusionesLa prevalencia de FOP en pacientes con ACV o CIT criptogénicos es del 30% y en uno decada tres de ellos se asocia con aneurisma del septum interauricular.REV ARGENT CARDIOL 2009;77:493-495.

  14. Organizational influence on the occurrence of work accidents involving exposure to biological material La influencia de la organización en la ocurrencia de accidentes de trabajo con exposición a material biológico Influência organizacional na ocorrência de acidentes de trabalho com exposição a material biológico

    Directory of Open Access Journals (Sweden)

    Maria Helena Palucci Marziale

    2013-02-01

    la primera etapa, se analizaron las características de los accidentes de trabajo con exposición a material biológico entre el personal de enfermería del hospital, ocurridos a lo largo de siete años, registrado en la base de datos. En el segundo paso, se analizaron las percepciones sobre la cultura de la institución de 122 profesionales de enfermería asignados al grupo control (no lesionadas trabajadores y al grupo de casos (los trabajadores lesionados. RESULTADOS: 386 accidentes fueron reportados; las lesiones percutáneas en el 79% de los casos, las agujas fueron los materiales que intervienen en el 69,7% de los accidentes y el 81,9% de los accidentes hubo contacto con sangre. En cuanto a la influencia de la cultura organizacional en la ocurrencia de accidentes, los resultados obtenidos del análisis de los dos grupos no mostraron diferencias significativas entre las puntuaciones medias asignadas por los empleados para cada categoría de la organización o en la práctica. La conclusión es que los accidentes con exposición a material biológico deben ser evitados. Sin embargo, no fue posible verificar la influencia de los valores de la organización y las prácticas sobre el comportamiento de los trabajadores ante la ocurrencia de accidentes de este tipo.OBJETIVOS: analisar os acidentes de trabalho com exposição a materiais biológicos, ocorridos entre trabalhadores de enfermagem, e avaliar a influência da cultura organizacional sobre a ocorrência desses acidentes. MÉTODO: trata-se de estudo retrospectivo, analítico, realizado em duas etapas em um hospital de ensino integrante da Rede de Prevenção de Acidentes de Trabalho-Repat. Na primeira etapa foram analisadas as características dos acidentes de trabalho com exposição a material biológico registrados entre os trabalhadores de enfermagem do hospital estudado e registrados na banco de dados da Repat, durante sete anos. Na segunda etapa, foram analisadas as percepções sobre a cultura da

  15. Caracterização das vítimas e dos acidentes de trabalho fatais Características de las víctimas y accidentes fatales en el trabajo Characteristics of victims and fatal accidents at the workplace

    Directory of Open Access Journals (Sweden)

    Fernanda Moura D'Almeida Miranda

    2012-06-01

    Full Text Available Trata-se de uma pesquisa documental, quantitativa, descritiva, retrospectiva sobre os acidentes de trabalho fatais ocorridos no período de 2006 a 2010 e cujos trabalhadores foram atendidos no Hospital do Trabalhador, localizado em Curitiba/Paraná. Foram selecionadas 25 fichas de notificação pelo desfecho óbito. Objetivou-se caracterizar as vítimas e os acidentes de trabalho fatais. Os acidentes de trabalho fatais atingiram trabalhadores com idade média de 35 anos (desvio padrão=13,0694, do gênero masculino n=23 (92%. Os acidentes de trabalho típicos representaram n=13 (52% dos casos. Uma das medidas preventivas propostas para reduzir esse número de acidentes de trabalho fatais é a realização de um trabalho educativo e preventivo nos ambientes de trabalho, pelos profissionais enfermeiros. Além disso, é necessário repensar a violência no trânsito também como um fator relevante de causa de morte de trabalhadores.Esta es una investigación cuantitativa descriptiva documental retrospectiva sobre los accidentes mortales se produjeron durante el período 2006 a 2010 y los trabajadores fueron tratados en el Hospital del Trabajador , ubicado en Curitiba / Paraná. Se seleccionaron 25 fichas de notificación por los resultados obtenidos. Se objetivo caracterizar a las víctimas y los accidentes de trabajo faltaless. Los accidentes laborales fatalçes alcanzaron a trabajadores coe edad promedio de 35 años (desvio patrón= 13,0694, del género masculino n=23 (92%. Los accidentes laborales típicos representaron n=13 (52% de los casos. Una de las medidas preventivas propuestas para reducir ese número de accidentes de trabajo fatales es la realización de um trabajo educativo y preventivo en los ambientes de trabajo, por los profesionales enfermeros. Además, es necesario repensar la violencia en el tránsito también un factor relevante de causa de muerte de trabajadores.This is a quantitative, descriptive, retrospective documental

  16. Night work, long work weeks, and risk of accidental injuries

    DEFF Research Database (Denmark)

    Larsen, Ann D.; Hannerz, Harald; Møller, Simone V.

    2017-01-01

    Objectives: The aims of this study were to (i) investigate the association between night work or long work weeks and the risk of accidental injuries and (ii) test if the association is affected by age, sex or socioeconomic status. Methods: The study population was drawn from the Danish version...... of the European Labour Force Survey from 1999-2013. The current study was based on 150 438 participants (53% men and 47% women). Data on accidental injuries were obtained at individual level from national health registers. We included all 20-59-year-old employees working ≥32 hours a week at the time...

  17. Accidental Bolt Gun Injury to Femur - A Case Report

    OpenAIRE

    Kattimani, Ravi Prasad; Shetty, Sanath; Mirza, Humayun

    2016-01-01

    Introduction: Bolt gun or slaughterer?s guns are used in meat industry for ?humane killing? of animals. Injuries caused by bolt gun are rare, reported exclusively from central European countries. We report a case of 28 year old male, who accidentally shot himself with a bolt gun to his right thigh. Case Report: A 28 years old male presented to our Accident and Emergency department after accidental injury to his right thigh with bolt gun. He had an entry wound measuring 2 cm in length and 1 cm...

  18. Demonstration of the astral post accidental code

    International Nuclear Information System (INIS)

    Calmon, P.; Mourlon, C.

    2003-01-01

    . The results proposed by ASTRAL can in turn be saved in its database, on the user's request, in order to be processed by other tools such as Geographical Information Systems, which enable spatial analysis and map production. Such maps are very helpful in crisis situations to decision makers since by answering to questions of a 'where?' type, at a given time, they complete the information delivered by ASTRAL, which answers to questions of a 'when?' type, at a given site. This is why a link to ASTRAL has been constructed in CARTINFO, an IRSN tool dedicated to mapping results for its Crisis Technical Center. Thus the CONRAD, ASTRAL and CARTINFO softwares constitute a chain for IRSN's Crisis Technical Center, calculating transfers through the environment and consequences of an atmospheric accidental radionuclide release. The development of this version started in 1999 and has been subject to a quality assurance program. The identified customers and users have been associated in a control committee expressing needs, validating choices and checking the good progress of the project. The programming is currently being validated by test scenarios that check the equations, parameters, functionalities and navigation through the screens. The technology and architecture chosen for the second version of ASTRAL are different from the previous ones. It now uses an internet technology and is of a three-third type, the software requiring an Oracle database, a Microsoft web server and a consultation station. These choices offer important advantages: the spreading and maintenance of the tool are very easy. In fact, once the server and the database have been installed an a network, the users only need a web browser to run the code. The initial installation and the updating are thus no more to be made an every user station, but only on the server and/or the database; the code may be installed on a portable computer, which hosts the database, the internet server and the web browser. This

  19. ENFRENTAMENTO DE MÃES CEGAS NO ACOMPANHAMENTO DOS FILHOS MENORES DE 12 ANOS

    Directory of Open Access Journals (Sweden)

    Herla Maria Furtado Jorge

    2014-01-01

    Full Text Available Se objetivó analizar el enfrentamiento de las madres no videntes en el cuidado de los hijos menores de 12 años enfatizando en la promoción de la salud, prevención de riesgos y la educación. Estudio cualitativo desarrollado en la ciudad de Fortaleza-CE, en la casa de nueve madres no videntes. Se aplicó una entrevista semi-estructurada de la cual surgieron los núcleos de sentido: adecuación del ambiente del hogar para la prevención de accidentes; prevención y tratamiento de las enfermedades y seguimiento de la vida escolar. El análisis de datos se basó en los conceptos de enfrentamiento y en el interaccionismo simbólico. Se evidenció que las madres son conscientes de la adecuación del ambiente en el hogar. Con relación a la educación, las madres comprenden la importancia del estudio y de acompañar el desarrollo escolar. A pesar de las limitaciones y dificultades, se observó que ellas cuidan y educan sus hijos basados en buenos principios sociales.

  20. The Shadow of a Gnomon Along a Year: Routine Observations and Teaching of Apparent Motion of the Sun and the Four Seasons. (Spanish Title: La Sombra de un Gnomon lo Largo de un Año: Observaciones de Rutina y la Enseñanza del Movimiento Aparente del Sol y Las Cuatro Estaciones.) A Sombra de um Gnômon ao Longo de um Ano: Observações Rotineiras e o Ensino do Movimento Aparente do Sol E das Quatro Estações

    Science.gov (United States)

    Trogello, Anderson Giovani; Danhoni Neves, Marcos Cesar; de Carvalho Rutz da Silva, Sani

    2013-12-01

    , al solsticio de junio, al equinoccio de septiembre y al solsticio de diciembre. Además, se dictaron clases teóricas en la sala de aula. Estos métodos buscaron construir conceptos en torno al movimiento aparente del Sol y la sucesión de las estaciones. Teniendo en cuenta los resultados de las actividades se aplicó una evaluación cuyos datos demuestran la existencia de un aprendizaje deseado por los estudiantes en cuanto a: el reconocimiento de los puntos cardinales, la descripción del movimiento solar aparente y la aparición de las estaciones y su alternancia a partir de observaciones astronómicas visuales sin instrumentos. Muitas concepções alternativas são reconhecidas entre os diversos grupos de estudantes, em especial nos da educação básica. Dentre elas, o movimento aparente do Sol, por mais quotidiano que seja, proporciona variadas interpretações. Deste modo, observar e registrar o movimento dos astros na abóboda celeste é uma tarefa necessária ao ensino de Astronomia. O trabalho que ora se apresenta propõe a apresentação dos resultados da observação do movimento aparente do Sol por intermédio da marcação da sombra de um gnômon vertical por alunos de uma turma do sexto ano do ensino fundamental de uma escola do campo do Paraná. O projeto em si ocorreu em quatro etapas, em datas próximas do equinócio de março, do solstício de junho, do equinócio de setembro e do solstício de dezembro. Além disso, foram desenvolvidas aulas teóricas em sala de aula. Tais métodos buscaram construir conceitos em torno da movimentação aparente do Sol e da alternância das estações do ano. Diante dos resultados provenientes das atividades desenvolvidas foi aplicada uma avaliação e os dados demonstraram um aprendizado desejado dos alunos quanto: ao reconhecimento dos pontos cardeais; à descrição do movimento solar aparente e a ocorrência das estações do ano e sua alternância a partir de observações astronômicas a olho nu.

  1. Estimate of DMFT index using teeth most affected by dental caries in twelve-year-old children Estimación del índice DMFT usando los dientes más afectados por caries dentales en niños de doce años Estimativa do Índice CPOD usando os dentes mais afetados pela cárie dentária aos doze anos

    Directory of Open Access Journals (Sweden)

    Stela Márcia Pereira

    2009-02-01

    Full Text Available The objective of the study was to develop regression models to describe the epidemiological profile of dental caries in 12-year-old children in an area of low prevalence of caries. Two distinct random probabilistic samples of schoolchildren (n=1,763 attending public and private schools in Piracicaba, Southeastern Brazil, were studied. Regression models were estimated as a function of the most affected teeth using data collected in 2005 and were validated using a 2001 database. The mean (SD DMFT index was 1.7 (2.08 in 2001 and the regression equations estimated a DMFT index of 1.67 (1.98, which corresponds to 98.2% of the DMFT index in 2001. The study provided detailed data on the caries profile in 12-year-old children by using an updated analytical approach. Regression models can be an accurate and feasible method that can provide valuable information for the planning and evaluation of oral health services.El objetivo de este estudio fue desarrollar modelos de regresión para describir el perfil epidemiológico de caries dentales en niños de 12 años en un área de baja prevalencia de caries. Fueron estudiados dos muestras distintas aleatorias y probabilísticas de niños escolares (n= 1.763 que estudiaban en colegios públicos y privados en Piracicaba, Sureste de Brasil. Modelos de regresión fueron estimados como una función de los dientes más afectados usando datos colectados en 2005 y fueron validados usando una base de datos del 2001. El índice promedio (SD de DMFT fue 1,7 (2,08 en 2001 y las ecuaciones de regresión estimaron un índice de DMFT de 1,67 (1,98, lo cual corresponde a 98,2% del índice en 2001. El estudio provee datos detallados sobre el perfil de caries en niños de 12 años usando una aproximación analítica. Los modelos de regresión pueden ser un método confiable y factible que puede proporcional información valiosa para la planificación y evaluación de servicios de cuidado oral.O objetivo do estudo foi

  2. Factores asociados a los accidentes por exposición percutánea en personal de enfermería en un hospital de tercer nivel

    Directory of Open Access Journals (Sweden)

    Gallardo López Mª Teresa

    1997-01-01

    Full Text Available FUNDAMENTO: Los accidentes por exposición percutánea suponen aproximadamente un tercio de los accidentes laborales del personal sanitario hospitalario. Su importancia estriba en las enfermedades causadas por patógenos transmisibles por esta vía (hepatitis B, hepatitis C, infección VIH. Objetivos: describir los accidentes de este tipo notificados en un hospital de tercer nivel; identificar factores asociados a estos accidentes en personal de enfermería; construir un modelo predictivo del riesgo individual de accidentarse. MÉTODOS: Estudio descriptivo de una cohorte retrospectiva compuesta por todas las personas que notificaron un accidente entre el 1-1-93 y el 30-6-96. Estudio de casos y controles en el personal de enfermería durante el período 1-1-95 al 30-6-96, analizado mediante regresión logística múltiple. RESULTADOS: La incidencia acumulada de accidentes en un año fue de 0,078 para las/-os enfermeras/-os. En el 57,3% de los casos estuvieron implicadas agujas de jeringas desechables o precargadas. La incidencia acumulada en un año fue mayor para las agujas de cateterismo intravenoso (8,5 por 100.000. El riesgo de accidentabilidad, ajustado por variables confundentes, fue mayor para las/-os enfermeras/-os (OR=3,22; I.C.95%=1,96-5,27, para los trabajadores de la Unidad de Hemodiálisis (OR=35,21; I.C.95%=3,74-331,16 y para aquéllos con contrato eventual (OR=4,50; I.C.95%=2,24-9,04. CONCLUSIONES: Los accidentes por exposición percutánea en este hospital son más frecuentes entre el personal de enfermería y se producen, fundamentalmente, con algún tipo de aguja hueca. Se han identificado factores asociados a estos accidentes, lo que permite dirigir programas preventivos específicos sobre trabajadores con más riesgo. El modelo obtenido es válido para estimar el grado de accidentabilidad individual en los sujetos estudiados.

  3. Amputación corporal por accidente de trabajo en auxiliar de enfermería

    Directory of Open Access Journals (Sweden)

    Alexander Finol Muñoz

    2014-12-01

    Full Text Available Los auxiliares de enfermería son un rango profesional expuesto a múltiples riesgos por las actividades inherentes a su trabajo, expuestos constantemente a sustancias desinfectantes que sin el uso apropiado de equipos de protección individual, puede provocar efectos adversos y lesiones en el trabajador. Caso Clínico: Mujer de 51 años de edad, auxiliar de enfermería, con antecedentes de Diabetes Mellitus tipo I y Síndrome de Túnel Carpiano. Presenta derrame accidental de líquido mientras llenaba envase de Biguanid®, cayéndole en todo el cuerpo, por lo que decide cambiarse el uniforme entero, conservando calcetines y zapatos por el resto del turno. Posteriormente presenta lesiones en región dorsal de 4tº dedo de pie izquierdo, las cuales reciben tratamiento médico y seguimiento, con evolución tórpida, se evidencia edema y osteomielitis de la falange por lo que se decide amputar el dedo afectado. Una vez recuperada, fue estudiada con pruebas de provocación, evidenciando la susceptibilidad de la trabajadora a dicho desinfectante. Se propone al Instituto Nacional de Seguridad Social (INSS como accidente de trabajo y una indemnización por lesión permanente no invalidante, ambas peticiones con respuesta favorable para la trabajadora. Actualmente sigue desempeñando sus funciones como auxiliar en el hospital. El cumplimiento y vigilancia de las normas de prevención, basados en los riesgos laborales permitirá evitar este tipo de incidentes en la población laboral, evitando a largo plazo lesiones corporales, discapacidades y bajas laborales que alteran la calidad de vida del trabajador y de su entorno profesional.

  4. TRAUMA CRANEOENCEFÁLICO POR ACCIDENTE EN MOTOCICLETA, PASTO 2003-2007

    Directory of Open Access Journals (Sweden)

    José Luis Betancourt Córdoba

    2012-04-01

    Full Text Available Introducción. El trauma craneoencefálico (TCE en motociclistas genera consecuencias negativas para la salud pública, por eso, la identificación de los factores de riesgo asociados, sirven de base para mejorar la atención en la emergencia y así, apoyar los programas del estado en el compromiso con la Organización Mundial de la salud OMS para el decenio 2011-2020. Metodología. Estudio epidemiológico, tras una búsqueda exhaustiva querecopiló la información procedente de 850 historias clínicas de motociclistas con TCE tratados en elHospital Universitario Departamental de Nariño, durante el quinquenio 2003 y 2007. Resultados. Existe asociación entre: factores de riesgo identificados y TCE severo; es posible disminuir lesiones permanentes mediante la implementación del modelo Sistema de Atención Inmediata desde el Sitio del Accidente (SAIDA. Conclusión. En San Juan de Pasto los motociclistas son un grupo representativo en cifras de accidentalidad vial; un correcto manejo pre-hospitalario disminuye el número de discapacidadespermanentes prevenibles.

  5. Diagnóstico, imagenología y accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Paola Adriana Benavides Bautista

    2018-02-01

    Full Text Available En las últimas décadas se ha presenciado el surgimiento de tecnologías que han proporcionado la optimización de variadas técnicas de neuroimagen, como la ecografía Doppler transcraneal, ecocardiografía Doppler y Doppler, resonancia magnética de imágenes en casos con enfermedad cerebrovascular isquémica carotídeo, tomografía axial computarizada, resonancia magnética de imágenes, tomografía por emisión de positrones, angiorresonancia, entre otras. Dichas técnicas se perfeccionan entre sí y facilitan una valoración morfológica y hemodinámica de mayor efectividad de la función cerebrovascular, razón que facilita la determinación de la situación y dimensión de la lesión, así como la identificación de trastornos del flujo cerebral intracraneal y extracraneal. Se presenta un análisis del rol de la imagenología en el diagnóstico del accidente cerebro vascular.

  6. An approach to carbon dioxide particle distribution in accidental releases

    NARCIS (Netherlands)

    Hulsbosh-Dam, C.; Spruijt, M.; Necci, A.; Cozzani, V.

    2012-01-01

    The main problem in calculating the consequences of a carbon dioxide dispersion following an accidental release is the formation of solid CO2 during the expansion to ambient pressure. The dispersion models more frequently used in the framework of quantitative risk analysis, cannot describe the

  7. Accidental administration of Syntometrine in adult dosage to the newborn.

    OpenAIRE

    Whitfield, M F; Salfield, S A

    1980-01-01

    The clinical course is described of an infant who accidentally received an adult dose of Syntometrine (synthetic oxytocin + ergometrine) at delivery. The infant soon became ill with convulsions and ventilatory failure, and later with water intoxication. Similar reported cases are reviewed and recommendations are given for the management of future cases.

  8. The Accidental Transgressor: Morally Relevant Theory of Mind

    Science.gov (United States)

    Killen, Melanie; Mulvey, Kelly Lynn; Richardson, Cameron; Jampol, Noah

    2014-01-01

    To test young children’s false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N = 162) at 3.5, 5.5, and 7.5 years of age were administered 3 tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an “accidental transgressor” task, which measured a morally relevant false belief theory of mind (MoToM). Children who did not pass false belief ToM were more likely to attribute negative intentions to an accidental transgressor than children who passed false belief ToM, and to use moral reasons when blaming the accidental transgressor. In Experiment 2, children (N = 46) who did not pass false belief ToM viewed it as more acceptable to punish the accidental transgressor than did participants who passed false belief ToM. Findings are discussed in light of research on the emergence of moral judgment and theory of mind. PMID:21377148

  9. The Accidental Transgressor: Morally-Relevant Theory of Mind

    Science.gov (United States)

    Killen, Melanie; Mulvey, Kelly Lynn; Richardson, Cameron; Jampol, Noah; Woodward, Amanda

    2011-01-01

    To test young children's false belief theory of mind in a morally relevant context, two experiments were conducted. In Experiment 1, children (N=162) at 3.5, 5.5, and 7.5 years of age were administered three tasks: prototypic moral transgression task, false belief theory of mind task (ToM), and an "accidental transgressor" task, which measured a…

  10. Non-accidental injury: a review of the radiology

    International Nuclear Information System (INIS)

    Carty, H.

    1997-01-01

    There have been many descriptions of the radiological features of non-accidental injury since John Caffey introduced the concept of inflicted injury and initially described some of the patterns of injury. Since then, our understanding of the radiologically detectable injuries has increased. This article provides a review of our current understanding of the lesions. (orig.)

  11. Natural convection accidental conditions in nuclear power plants

    International Nuclear Information System (INIS)

    Delmastro, D.F.; Clausse, A.

    1990-01-01

    Under certain conditions, wether accidental or in nuclear reactor design, a nuclear reactor core may be found to be refrigerated by a fluid in natural circulation. Before the possible density waves phenomenon occurrence, it is essential to have a good knowledge of the flow evolution and thermohydraulic variables under these conditions. (Author) [es

  12. Brugada syndrome unmasked by accidental inhalation of gasoline vapors

    DEFF Research Database (Denmark)

    Kranjcec, Darko; Bergovec, Mijo; Rougier, Jean-Sébastien

    2007-01-01

    Loss-of-function mutations in the gene SCN5A can cause Brugada syndrome (BrS), which is an inherited form of idiopathic ventricular fibrillation. We report the case of a 46-year-old patient, with no previous medical history, who had ventricular fibrillation after accidental inhalation of gasoline...

  13. Philosophy of Education as an accidental trickle | Mwaniki | Journal ...

    African Journals Online (AJOL)

    Philosophy of Education as an accidental trickle. ... Journal of Language, Technology & Entrepreneurship in Africa ... and employing an anecdotic, hypothetical quasi scenario-building methodology to visit learning and teaching of philosophy of education and the career-building in the field at our universities, it attempts, ...

  14. An accidental sect: how war made belief in Sierra Leone

    NARCIS (Netherlands)

    Richards, P.

    2006-01-01

    Idealists consider beliefs cause wars. Realists consider wars cause beliefs. The war in Sierra Leone offers some scope to test between these two views. The main rebel faction, the Revolutionary United Front (RUF) was, sociologically speaking, an accidental sect. It lost its original ideologues at an

  15. Accidental Childhood Poisoning in Enugu, South‑East, Nigeria ...

    African Journals Online (AJOL)

    Background: Accidental childhood poisoning is one of the recognized causes of morbidity and mortality in children under the age of 5 years worldwide. The prevalence and type of substance ingested vary from place to place and over time. Aim: This study was conducted with the aim of ascertaining the frequency and ...

  16. Accidental deposition of local anaesthetic in the subdural space ...

    African Journals Online (AJOL)

    The incidence of accidental injection of local anaesthetic into the subdural space during neuraxial blockade is rare. The presentation of unexplainable clinical signs that do not match the clinical picture of subarachnoid or intravascular injection of the local anaesthetic agent should invoke high suspicion of unintentional ...

  17. Accidental awareness during general anaesthesia - a narrative review

    NARCIS (Netherlands)

    Tasbihgou, S. R.; Vogels, M. F.; Absalom, A. R.

    Unintended accidental awareness during general anaesthesia represents failure of successful anaesthesia, and so has been the subject of numerous studies during the past decades. As return to consciousness is both difficult to describe and identify, the reported incidence rates vary widely.

  18. Accidental sulphuric acid poisoning in a newborn | Abdulkadir ...

    African Journals Online (AJOL)

    A six hour old baby girl presented with shortness of breath and haematemesis five hours after accidental ingestion of sulfuric acid. We report the clinical presentation of corrosive ingestion in a neonate a rare and sparsely reported occurrence at such tender age. Key words: Acid ingestion, corrosives injuries, caustic ...

  19. Atención al accidente cerebro vascular infantil: perspectiva de la neurología pediátrica

    OpenAIRE

    Liégio Matão, L.; Borges de Miranda, Denismar; Faria Campos, PH.; Pacheco, LP.; Martins Pereira, P.

    2011-01-01

    Objetivo: discutir en la perspectiva de la neurología pediátrica la atención del accidente cerebro vascular infantil en la ciudad de Goiania. Método: el enfoque descriptivo y abordaje cualitativo. Entrevista abierta en profundidad con neuropediatras, siendo el material sometido a análisis de contenido. El estudio fue aprobado por el Comité de Ética en Investigación de la Pontificia Universidad Católica de Goiás (número de protocolo 95645-0339/06). Resultados: los sujetos enfocaron, en...

  20. ESTADO ACTUAL DE LA PREVENCIÓN DE LOS ACCIDENTES DE MONTAÑA EN ARAGÓN

    Directory of Open Access Journals (Sweden)

    Ma. Antonia Nerín

    2005-01-01

    - Establecer las necesidades de los colectivos implicados (usuarios, profesionales e nstituciones para reducir la incidencia y severidad de los accidentes de montaña. Para ello, hemos utilizado los resultados de las campañas institucionales Montañas para Vivirlas Seguro de los años 2000, 2001 y 2002, se han analizado las ocupaciones relacionadas con las actividades deportivas en la montaña y hemos consultado directamente con las instituciones implicadas. El nivel de formación e información del usuario de la montaña en Aragón no es el adecuado para el riesgo potencial de las actividades de montaña; mientras que se evidencia la necesidad de reglar algunas profesiones de la montaña. El rescate en montaña es efectivo, eficaz y eficiente; la medicalización es efectiva, eficaz y no eficiente (atendiendo a los criterios de necesidad, oferta y demanda y la prevención -a pesar de los esfuerzos- es no eficaz, no eficiente y no efectiva. Por todo ello, es urgente la creaciÛn de un servicio de vigilancia de los accidentes de montaña, así como un centro que coordine las propuestas y actuaciones orientadas a prevenir los acci-dentes de montaña.

  1. Clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced a cerebrovascular accident Validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascular Validação clínica do diagnóstico de enfermagem "risco de aspiração" em pacientes com acidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Tahissa Frota Cavalcante

    2013-02-01

    Full Text Available OBJECTIVE: the study's objective was the clinical validation of the nursing diagnosis Risk for Aspiration among patients who experienced cerebrovascular accidents (CVA. METHOD: a prospective cohort study was conducted with 24 patients hospitalized due to a CVA. The instrument used to collect the data addressed the risk factors for respiratory aspiration, validated by concept analysis and by experts. RESULTS: the most frequent risk factors for respiratory aspiration were: dysphagia (54.2% and impaired physical mobility (41.7%. The prevalence of the nursing diagnosis Risk for Aspiration was 58.3% and the prevalence of respiratory aspiration over the span of 48 hours (monitoring period was 37.5%. Risk factors for dysphagia and impaired physical mobility were significantly associated with respiratory aspiration. CONCLUSION: the risk factors dysphagia and impaired physical mobility are good predictors of the nursing diagnosis Risk for Aspiration. This study contributed to improving the NANDA-I Taxonomy and the systematization of the nursing process.OBJETIVO: el estudio tiene como objetivo la validación clínica del diagnóstico de enfermería riesgo de aspiración en pacientes con accidente cerebrovascular. MÉTODO: un estudio de cohorte prospectivo desarrollado con 24 pacientes hospitalizados para el tratamiento del ictus agudo. El instrumento utilizado para la recolección de datos contiene los factores de riesgo de aspiración respiratoria, validado en el análisis conceptual y por expertos. RESULTADOS: los factores de riesgo para aspiración respiratoria más presentes en los pacientes fueron: disfagia (54,2% y disminución de la movilidad física (41,7%. La prevalencia del diagnóstico de enfermería riesgo de aspiración fue del 58,3% y la prevalencia en 48 horas (el tiempo del seguimiento de la aspiración respiratoria fue de 37,5%. Los factores de riesgo disfagia y la disminución de la movilidad física se asociaron significativamente con

  2. Perfil descritivo de esclerose múltipla com início até os 16 anos nos pacientes de um centro de referência do estado de São Paulo Perfil descriptivo de esclerosis múltiple con inicio hasta los 16 años de edad en los pacientes del centro de referencia del litoral de la provincia de São Paulo Descriptive profile of multiple sclerosis starting until the age of 16 in the reference center of the state of São Paulo

    Directory of Open Access Journals (Sweden)

    Yára Dadalti Fragoso

    2012-12-01

    Full Text Available OBJETIVO: Descrever o perfil de pacientes com esclerose múltipla iniciada até os 16 anos de idade no litoral do estado de São Paulo, Brasil. DESCRIÇÃO DOS CASOS: Análise retrospectiva das características dos pacientes que tiveram o episódio inicial de esclerose múltipla até os 16 anos. Nesta situação encontravam-se nove meninas e quatro meninos (7,1% da população total de esclerose múltipla da região. A idade média por ocasião do diagnóstico foi de 13,9 anos (variação entre 8 e 16, sendo a média atual de 19,5 anos (12 a 28. A apresentação inicial da doença foi: ataxia (quatro casos, neurite óptica (dois, motora cortical (dois, sensitiva cortical (dois, distonia (dois e esclerose múltipla medular (um. Todos os pacientes iniciaram com a forma remitente-recorrente da esclerose múltipla e dois deles, atualmente, apresentam a forma progressiva secundária. COMENTÁRIOS: A esclerose múltipla com início até os 16 anos precisa ser adequadamente registrada e discutida entre pediatras, neurologistas e neuropediatras. Poucos médicos têm bom conhecimento desta condição e a demora no diagnóstico e no tratamento pode ter consequências devastadoras para essas crianças e adolescentes.OBJETIVO: Describir el perfil de los pacientes con esclerosis múltiple iniciada hasta los 16 años de edad, en la región del litoral de la provincia de São Paulo, Brasil. DESCRIPCIÓN DE LOS CASOS: Análisis retrospectivo, a partir de los registros médicos, de las características de los pacientes que tuvieron episodio inicial de esclerosis multiple hasta los 16 años de edad. Fueron nueve muchachas y cuatro muchachos en esta situación (7,1% de la población total de esclerosis multiple en la región. El promedio de edad en el momento del diagnóstico fue de 13,9 años (variación 8-16, siendo el promedio de edad actual de 19,5 años (12-28. La presentación inicial de la enfermedad fue ataxia (4 casos, neuritis óptica (2 casos, motora

  3. Investigación de accidentes y análisis de fallas de barreras preventivas; Accident’s Investigation and Preventive Barriers flaws analysis

    Directory of Open Access Journals (Sweden)

    Jacinto B Hernández Lavín

    2011-02-01

    Full Text Available En Cuba, como en el resto del mundo,  la existencia de leyes y regulaciones estatales, obligan a que lasempresas productivas y de servicios cuenten con un sistema de prevención de accidentes y enfermedadesprofesionales que, a partir del control de los riesgos existentes en cada puesto de trabajo, permita laboraren un ambiente seguro. En este artículo se explican las técnicas y procedimientos establecidos en la UNEpara la investigación de accidentes laborales. In Cuba, like in the rest of the world, the existence of Laws and state Regulations, they force to productivecompanies and services, they have a prevention system to avoid the accidents and professional illnessesthat, starting from the control of the existent risks in each work position, allow working in a sure atmosphere.In this article the techniques and procedures are explained, applied in the Electric Union (UNE, for thelabor accident investigation.

  4. Actividad asistencial de las unidades de soporte vital avanzado a accidentes de tráfico en Asturias en el año 2010

    OpenAIRE

    Villar Fernández, Lara

    2012-01-01

    Se realizó un estudio observacional retrospectivo de los accidentes de tráfico y atropellos asistidos por las USVA del 1 de enero al 31 de diciembre del 2010, utilizando el ASTER y complementando con una revisión de las historias clínicas en papel. Se analizaron 596 accidentes de tráfico, de los 1821 registrados por la DGT en el año 2010 en Asturias, en los que se asistieron a 782 pacientes, con una edad media de 39,4 años (∂ = 19,8) el 62,5% fueron hombres y 37,4% mujeres. Hubo 26 fallecidos...

  5. Work-related accidents and diseases take a heavy toll worldwide Los accidentes y enfermedades laborales causan gran mortalidad en todo el mundo

    Directory of Open Access Journals (Sweden)

    2002-08-01

    Full Text Available Cada año mueren en todo el mundo unos dos millones de personas por enfermedades y accidentes laborales, pero la repercusión total es mucho mayor aun. Según el informe de la Organización Internacional del Trabajo (OIT titulado Informe introductorio: trabajo decente, trabajo seguro, de mayo de 2002, dependiendo del tipo de trabajo, por cada accidente mortal se producen 500 a 2 000 lesiones. Según la OIT, la principal causa de muerte relacionada con el trabajo es el cáncer, responsable de 32% de las muertes, seguido de las enfermedades circulatorias (23%, los accidentes (19% y las enfermedades transmisibles (17%. Las lesiones y las enfermedades laborales suponen un considerable costo económico. Cerca de 4% del producto interno bruto (PIB mundial se pierde en gastos de tratamiento e ingresos no percibidos. El informe de la OIT dice que se podría prevenir cerca de 80% de los accidentes y muertes laborales si todos los países que pertenecen a la organización aplicaran los métodos de prevención de accidentes ya existentes. En los países industrializados, las prioridades deben ser los factores psicosociales ligados a las malas relaciones y gestiones en el lugar de trabajo, las consecuencias mentales y físicas de las tareas repetitivas muy técnicas y la información sobre la manipulación de las nuevas tecnologías y sustancias, entre ellas los productos químicos. En los países que todavía están en fase de industrialización se les debería dar prioridad al mejoramiento de las prácticas sanitarias y de seguridad en las actividades primarias, como la agricultura, la pesca y la explotación maderera; la prevención de los accidentes industriales y la prevención de los accidentes y enfermedades en talleres informales e industrias domésticas.

  6. Accidentes de carretera y su relación con cansancio y somnolencia en conductores de ómnibus

    Directory of Open Access Journals (Sweden)

    Edmundo Rosales Mayor

    2009-04-01

    Full Text Available Objetivo: Determinar el nivel de cansancio, somnolencia y hábitos de conducción de conductores de ómnibus y explorar su relación con accidentes de carretera en el terminal terrestre de Huancayo, Perú. Material y métodos: Estudio transversal. Se aplicó un cuestionario pre-validado y la Escala de Somnolencia de Epworth (ESE. Resultados: De los 100 conductores, todos ellos fueron varones. El día que trabajaban dormían 6,8±2,6 horas. El 47% había dormido menos de 6 horas en las últimas 24 horas. El 99% refirió que duerme en el ómnibus. Señalaron que tenían cansancio mientras manejaban el 32%, que habían pestañeado 17% y que habían cabeceado 4%. El 59% refirió haber estado a punto de tener un accidente o haberlo sufrido durante la conducción, ocurriendo éstos entre la 01:00 y las 04:00 horas; y un 40% lo atribuyó al cansancio. El 82% opinó que la principal causa de accidentes de carretera en el Perú era el cansancio. En el análisis de regresión logística multivariado usando como variable dependiente accidente de tránsito; los OR ajustados para el cansancio, pestañeo y cabeceo cuando se conduce fueron: 3,56 (IC95% 1,6-7,9, 2,28 (IC95% 1,1-4,9 y 3,37 (IC95% 1,1-10,7, respectivamente. Conclusiones: La somnolencia y el cansancio durante la conducción fueron frecuentes en los conductores evaluados. Los encuestados tienen malos hábitos de sueño y sufren de privación aguda y crónica del sueño. Los resultados respaldan la relación casi-accidentes y la somnolencia, que a nivel de hecho consumado respaldaría la hipótesis que hay una relación entre la somnolencia y el cansancio de los conductores y los accidentes en las carreteras peruanas. (Rev Med Hered 2009;20:48-59.

  7. Endoscopic Treatment of Gastric Outlet Obstruction Secondary to Accidental Acid Ingestion in a Child.

    Science.gov (United States)

    Andrade, Mateus; Sawamura, Regina; Cupo, Palmira; Del Ciampo, Ieda R Lopes; Fernandes, Maria I M

    2016-01-01

    Accidental corrosive ingestion is not rare in pediatric patients in developing countries. We report a case of gastric outlet obstruction after the accidental ingestion of an acidic substance by a child who was successfully treated with endoscopic balloon dilatation.

  8. Alergia ao látex: diagnóstico acidental após procedimento urológico. Relato de caso Alergia al látex: diagnóstico accidental después procedimiento urológico. Relato de caso Latex allergy: accidental diagnosis after urological procedure. Case report

    Directory of Open Access Journals (Sweden)

    Bruno Araújo Verdolin

    2003-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A alergia aos produtos derivados do látex tem-se tornado um problema de grandes proporções, afetando tanto os pacientes como os profissionais da saúde. O objetivo deste relato é descrever o diagnóstico acidental de alergia ao látex após uma cirurgia urológica sob raquianestesia em que o paciente apresentou quadro clínico compatível ao choque anafilático. RELATO DO CASO: Paciente do sexo masculino, 16 anos, portador de lesão de uretra posterior e em uso de sonda vesical por 3 anos, devido a duas cirurgias prévias sem sucesso. Durante o procedimento cirúrgico sob raquianestesia com bupivacaína, o paciente apresentou, logo após a exploração da cavidade abdominal, confusão, dispnéia, prurido e eritema generalizado, broncoespasmo, hipotensão arterial e taquicardia. Houve melhora gradativa das alterações apresentadas com o tratamento instituído. Durante a permanência no hospital, o paciente apresentou, ao soprar um balão de festa, urticária de contato na face e broncoespasmo, que foram prontamente tratados. O teste de punção cutânea e a dosagem de IgE específica para o látex confirmaram a hipótese diagnóstica de alergia ao látex. CONCLUSÕES: A combinação da história clínica do paciente com os dados laboratoriais permitiram a identificação do quadro de alergia ao látex. Esta entidade vem apresentando grande importância recentemente, principalmente naqueles pacientes de risco, como é o do presente caso.JUSTIFICATIVA Y OBJETIVOS: La alergia a los productos derivados del látex se han convertido en un problema de grandes proporciones, afectando tanto los pacientes como también, los profesionales de la salud. El objetivo de este relato es describir el diagnóstico accidental de alergia al látex después de una cirugía urológica sobre raquianestesia en que el paciente presentó cuadro clínico compatible con choque anafilático. RELATO DE CASO: Paciente del sexo masculino, 16 a

  9. Fatores contribuintes aos acidentes aeronáuticos Factores contribuyentes de accidentes aeronáuticos Contributive factors to aviation accidents

    Directory of Open Access Journals (Sweden)

    Marcia Fajer

    2011-04-01

    Full Text Available O objetivo do estudo foi comparar os resultados de investigações de acidentes aeronáuticos brasileiros do Centro de Investigação e Prevenção de Acidentes Aeronáuticos (Cenipa com os do sistema de análise e classificação de fatores humanos (Human Factors Analysis and Classification System - HFACS. Foram analisados e comparados os relatórios finais de 36 investigações de acidentes aeronáuticos ocorridos entre 2000 e 2005, no estado de São Paulo. Foram mencionados 163 fatores contribuintes dos acidentes aeronáuticos nos relatórios do Cenipa, enquanto 370 foram identificados por meio do HFACS. Conclui-se que as análises do Cenipa não contemplaram fatores organizacionais associados aos acidentes aéreos.El objetivo del estudio fue comparar los resultados de investigaciones de accidentes aeronáuticos brasileños del Centro de Investigación y Prevención de Accidentes Aeronáuticos (CENIPA con los del sistema de análisis y clasificación de factores humanos (Human Factors Analysis and Classification System - HFACS. Se analizaron y compararon los informes finales de 36 investigaciones de accidentes aeronáuticos ocurridos entre 2000 y 2005, en el estado de Sao Paulo, Sureste de Brasil. Se mencionaron 163 factores contribuyentes de accidentes aeronáuticos en los informes del CENIPA, mientras que 370 fueron identificados por medio del HFACS. Se concluye que los análisis del CENIPA no contemplaron factores organizacionales asociados con los accidentes aéreos.The objective of the study was to compare the results of aviation accident analyses performed by the Center for Investigation and Prevention of Aviation Accidents (CENIPA with the method Human Factors Analysis and Classification System (HFACS. The final reports of thirty-six general aviation accidents occurring between 2000 and 2005 in the State of São Paulo, Southeastern Brazil were analyzed and compared. CENIPA reports mentioned 163 contributive factors, while HFACS

  10. Acidentes na infância e adolescência: uma revisão bibliográfica Accidentes en la infancia y adolescencia: una revisión bibliográfica Accidents in childhood and adolescence: a bibliographic review

    Directory of Open Access Journals (Sweden)

    Christine Baccarat de Godoy Martins

    2006-06-01

    Full Text Available O estudo objetivou apresentar uma revisão bibliográfica dos acidentes entre menores de 15 anos. Em todo o Brasil, as lesões e envenenamentos são responsáveis por 5 a 6% do total das internações conveniadas pelo Sistema Único de Saúde, gerando gastos hospitalares de 8% do total de gastos com as internações. Os países com menores taxas de mortalidade por causas externas em menores de 15 anos são a Suécia e Itália. A Dinamarca, a Alemanha e o Japão são considerados países com taxas intermediárias. A França, a Bélgica, a Áustria e o Canadá são considerados países com taxas altas de mortalidade por causas externas em menores de 15 anos. O Brasil está, junto com os Estados Unidos da América, Portugal, México e Coréia, entre os países com taxas muito altas de óbitos por acidentes em menores de 15 anos. A literatura aponta para a magnitude dos acidentes infantis, necessitando-se de ações preventivas. Os estudos enfatizam, ainda, a importância de se conhecer a natureza e a realidade acerca dos acidentes na infância a fim de se formar um diagnóstico que auxilie na elaboração e implantação de estratégias específicas de prevenção.El estudio tuvo como objetivo presentar una revisión bibliográfica de los accidentes entre menores de 15 años. En todo Brasil, las lesiones y envenenamientos son responsables por el 5 a 6% del total de las internaciones por convenio del Sistema Único de Salud, generando gastos de hospital de un 8% del total de gastos con las internaciones. Los países con menores tasas de mortalidad por causas externas en menores de 15 años son Suecia e Italia. Dinamarca, Alemania y Japón son considerados países con tasas intermedias. Francia, Bélgica, Austria y Canadá son considerados países con tasas altas de mortalidad por causas externas en menores de 15 años. Los Estados Unidos de América, Portugal, México y Corea son países con tasas muy altas de óbitos por accidentes en menores de 15

  11. Alfabetização, leitura, escrita: 25 anos da ANPEd e 100 anos de Drummond

    OpenAIRE

    Goulart, Cecília; Kramer, Sonia

    2002-01-01

    A partir de revisão realizada com base em diversos textos: históricos, relatórios, livros de programação e de resumos de reuniões anuais da ANPEd, o artigo busca rever a trajetória do grupo de trabalho ";Alfabetização, leitura e escrita";, no período de 1991 a 2001. Destaca eixos temáticos e áreas de conhecimento trabalhadas, indica e analisa conquistas e fragilidades, mapeando a atuação do GT e revelando aspectos da história da própria Associação. O poeta Drummond, no ano da comemoração de s...

  12. Grupo operativo como estratégia pedagógica em um curso graduação em enfermagem: um continente para as vivências dos alunos quartanistas Grupo operativo como estrategia pedagógica en un curso de graduación en enfermería: un continente para las vivencias de los alumnos del cuarto ano Operative group as a pedagogical strategy in a nursing graduation course: a continent for the fourth-year students' experiences

    Directory of Open Access Journals (Sweden)

    Roselma Lucchese

    2002-03-01

    Full Text Available Este estudo teve como objetivo oferecer um espaço para a expressão vivencial do aluno de quarto ano de graduação em enfermagem. Espaço operacionalizado por meio da técnica de grupo operativo, no qual os sujeitos do estudo, centrados na tarefa trocaram experiências e avaliaram sua participação nos grupos. Para compreender o vivencial dos alunos optou-se pela pesquisa qualitativa, utilizando-se como método a pesquisa-ação. A problemática do estudo envolveu o conceito de que a aprendizagem é um processo de socialização que requer mudanças, sendo mobilizadora de sentimentos do aprendiz. O grupo operativo funcionou como espaço continente das vivências dos alunos que explicitaram sentimentos mobilizados em seu processo de formação, impossíveis de serem ignorados pelo educador em enfermagem.Eate estudio tuvo como obetivo ofrecer un espacio para la expresión vivencial del alumno de cuarto año de la graduación en enfermería. Espacio operacionalizado por medio de la técnica de grupo operativo, en el cual los sujetos el estudio, centrados en la tares, intercambiaron experiencias y evaluaron su participación en los grupos. Para comprender el vivencial de los alumnos fue elegida la pesquisa cualitativa, utilizándose como método la pesquisa-acción. La problemática del estudio implicó el concepto de que el aprendizaje es un proceso de socialización que requiere cambios, siendo capaz de mobilizar los sentimientos del aprendiz. El grupo operativo funcionó como um continente de las vivencias de los alumnos que explicitaron sentimientos estos conocidos por el educador en enfermería.The objetive of this study is to offer a space for the fourth-year students of the nursing school to express their experiences. A space was put in operation by the use of an operative group technique, and the subjects of the study,. centered in the task, exchange experiences and evaluate their participation in the groups. To understand the students

  13. Providing Meaningful Learning for Students of the Sixth Grade of Middle School: a Study on the Moon Phases. (Breton Title: Propiciando Aprendizagem Significativa Para Alunos do Sexto Ano do Ensino Fundamental: um Estudo sobre as Fases da Lua.) Propiciando el Aprendizaje Significativo Para Alumnos del Sexto Nivel de la Educación General Básica: un Estudio sobre Las Fases de la Luna

    Science.gov (United States)

    Darroz, Luiz Marcelo; Samudio Pérez, Carlos Ariel; da Rosa, Cleci Werner; Heineck, Renato

    2012-07-01

    We relate in this article a didactic experience studying the moon phases with a group of middle school students of a private school of the municipality of Passo Fundo, RS. Based on David Ausubel's Meaningful Learning Theory, we have sought to develop a proposal following a didactic model which simulates the phases of the Moon, as based on the previous conceptions of the students. The signs of learning were evidenced by means of memory registries of the activity. From the obtained results we believe that the proposal achieved its goals, since the students were able to identify, differentiate and transfer the phenomenon of the moon phases to new contexts. Thus, it is concluded that a methodology focused on a meaningful content for the students is fundamental to the construction and genuine grasping of what is being learned. Neste artigo, relata-se uma experiência didática de estudo das fases da Lua com uma turma do 6° ano do Ensino Fundamental, de uma escola privada do município de Passo Fundo, RS. Tendo como fundamentação teórica a Teoria da Aprendizagem Significativa de David Ausubel, buscou-se desenvolver a proposta a partir de um modelo didático que simula as fases da Lua e com base nas concepções prévias dos estudantes. Os indícios da aprendizagem foram constatados através de registros de memórias da atividade. Pelos resultados apresentados, acredita-se que a proposta alcançou seus objetivos, uma vez que os estudantes conseguiram identificar, diferenciar e transferir o fenômeno das fases da Lua para novos contextos. Assim, conclui-se que uma metodologia com enfoque em um conteúdo significativo ao estudante é fundamental para a construção e compreensão genuína do que está sendo aprendido. En este artículo se relata una experiencia didáctica de estudio de las fases de la Luna con una clase de 6º año de la educación general básica de una escuela privada del municipio de Passo Fundo, RS. Teniendo como fundamentación teórica la Teor

  14. Fistula‑in‑Ano Complicated by Fournier's Gangrene Our Experience ...

    African Journals Online (AJOL)

    % of patients had fistulotomy and seton application for adequate drainage. Mucosal advancement ... bodies or diverticulitis. Fournier's gangrene, which was .... or recurrent complex fistula‑in‑ano, rectal cancer or Crohn's disease, diagnostic ...

  15. Discusión jurisprudencial sobre el dolo eventual y la culpa con representación en delitos de homicidio ocasionados en accidentes de tránsito

    Directory of Open Access Journals (Sweden)

    Nydia Díaz Pérez

    2010-01-01

    Full Text Available El presente artículo es un reporte de caso que se realizó con base en el estudio de la sentencia del Tribunal Superior del Distrito Judicial de Bogotá –Sala Penal– proferida el 28 de julio de 2009, en la que se modifica la calificación de la conducta, de homicidio culposo a título de dolo eventual en un accidente de tránsito.

  16. Teleconexiones atmosféricas-oceánicas (océanos Pacífico y Atlántico moduladoras de veranos húmedos y secos en el Núcleo del Monzón de Norte América

    Directory of Open Access Journals (Sweden)

    Omar Llanes-Cárdenas

    2017-01-01

    Full Text Available En décadas recientes, la irregularidad de las precipitaciones ha tenido diversos efectos ambientales y socioeconómicos adversos a nivel mundial. El objetivo de este trabajo fue analizar la resolución de cuatro Modelos Climáticos Regionales (MCR’s forzados por ERA - Interim para capturar los monzones extremos húmedos y secos en el Núcleo del Monzón de Norte América (NMNA, considerando los mecanismos oceánicos del Pacífico y del Atlántico. De las bases de datos disponibles en la red y para el período 1990 - 2008, se obtuvo: (1 promedio de las observaciones (obs media después de haber obtenido 4 conjuntos de datos de precipitación observados: UDel, CLICOM, GPCP y CRU, (2 d el Experimento Regional Coordinado de Reducción de Escala (COR DEX - de Norte América (NA se obtuvieron cuatro MCR’s forzados por ERA - Interim : RegCM4 ( Reg1 y Reg2, HadGEM3 - RA, RCA3.5 y REMO, (3 número e intensidad de los huracanes del Pacífico y (4 cálculo de las anomalías del Jet de Niveles Bajos del Caribe (CLLJ , Varianza Filtrada (VF, Oscilación Decadal del Pacífico (PDO y Oscilación Multidecadal del Atlántico (AMO. Se seleccionaron dos monzones extremos: uno húmedo (1990 y otro seco (2005. Se aplicó una prueba de normalidad de Shapiro Wilk a los datos a es tudiar. Se calculó una correlación de Pearson y una prueba de hipótesis con nivel de confianza de 95 % (P < 0.05 y 99 % (P < 0.01 entre los modelos, Era - Interim, las observaciones y los índices oceánicos. Sin considerar los índices oceánicos, HadGEM3 - RA y ERA - Interim capturan de mejor manera la precipitación en los monzones húmedos, en tanto que ERA - Interim y Reg1 resultaron ser mejores para capturar la precipitación para monzones secos. El monzón de 1990 presentó casi el doble de precipitación que el 200 5. Esta anomalía húmeda al parecer se asocia con la ocurrencia de 16 huracanes cerca del Golfo de California en 1990, lo que contrasta con el 2005, cuando solo se

  17. Accidental Ingestion Of Toothbrush: An Unusual Foreign Body.

    Science.gov (United States)

    Rasheed, Muhammad Asif; Kashif, Ali; Naz, Aneeqa; Ali, Sikandar

    2018-01-01

    Toothbrush is a rare foreign body to be ingested accidentally. The unusual shape of the toothbrush with no theoretical possibility of spontaneous passage mandates an interventional approach. If left untreated, it can lead to pressure necrosis, bleeding, perforation and ulceration. An endoscopic attempt in an expert clinic if available is the ideal approach. If failed, surgical management by laparoscope or mini laparotomy should be done. The evaluation for underlying psychiatric disorders like bulimia, schizophrenia or generalized eating disorder should be considered to prevent such recurrence. Here, we present a case of 55 years of age, male living a normal life with no known comorbid, who ingested accidentally a toothbrush two weeks prior to presentation and was managed at our surgical department after a failed endoscopic attempt.

  18. Accidental degeneracy of double Dirac cones in a phononic crystal

    KAUST Repository

    Chen, Ze-Guo

    2014-04-09

    Artificial honeycomb lattices with Dirac cone dispersion provide a macroscopic platform to study the massless Dirac quasiparticles and their novel geometric phases. In this paper, a quadruple-degenerate state is achieved at the center of the Brillouin zone in a two-dimensional honeycomb lattice phononic crystal, which is a result of accidental degeneracy of two double-degenerate states. In the vicinity of the quadruple-degenerate state, the dispersion relation is linear. Such quadruple degeneracy is analyzed by rigorous representation theory of groups. Using method, a reduced Hamiltonian is obtained to describe the linear Dirac dispersion relations of this quadruple-degenerate state, which is well consistent with the simulation results. Near such accidental degeneracy, we observe some unique properties in wave propagating, such as defect-insensitive propagating character and the Talbot effect.

  19. Leading global projects for professional and accidental project leaders

    CERN Document Server

    Moran, Robert T

    2008-01-01

    This book is a must-read for anyone responsible for projects and initiatives that span functional and geographical divides. Authors Moran and Youngdahl bring extensive experience and learning from industry practice to present a clear and straightforward treatment of the leadership skills and knowledge required to lead projects that are global in nature. They have written the first book of its kind to address the three essential skills of global project leaders - strategic project management, project leadership, and cross-cultural leadership. The authors argue that global project leadership is an essential skill in our project-based world and that we are all either intentional or accidental project leaders. Intentional project leaders pursue formal project management education and even certification whereas accidental project leaders find themselves leading global projects and initiatives as a result of a special assignment or promotion. Moran and Youndahl have found that the vast majority of global projects ...

  20. Bruising characteristics discriminating physical child abuse from accidental trauma.

    Science.gov (United States)

    Pierce, Mary Clyde; Kaczor, Kim; Aldridge, Sara; O'Flynn, Justine; Lorenz, Douglas J

    2010-01-01

    Our objective was to conduct a pilot study to identify discriminating bruising characteristics and to model those findings into a decision tool for screening children at high risk for abuse. A case-control study of children 0 to 48 months of age who were admitted to a PICU because of trauma was performed. Case subjects (N = 42) were victims of physical abuse, and control subjects (N = 53) were children admitted because of accidental trauma during the same time period. Bruising characteristics (total number and body region) and patient age were compared for children with abusive versus accidental trauma. The development of a decision rule for predicting abusive trauma was accomplished with the fitting of a classification and regression tree through binary recursive partitioning. Ninety-five patients were studied. Seventy-one (33 of 42 patients in the abuse group and 38 of 53 in the accident group) were found to have bruising, and the characteristics were modeled. Characteristics predictive of abuse were bruising on the torso, ear, or neck for a child abuse. Discriminating differences exist in bruising characteristics for abusive versus accidental trauma. The body region- and age-based bruising clinical decision rule model functions as a clinically sensible screening tool to identify young children who require further evaluation for abuse.

  1. Compact fluorescent lamp phosphors in accidental radiation monitoring

    International Nuclear Information System (INIS)

    Murthy, K. V. R.; Pallavi, S. P.; Ghildiyal, R.; Parmar, M. C.; Patel, Y. S.; Ravi Kumar, V.; Sai Prasad, A. S.; Natarajan, V.; Page, A. G.

    2006-01-01

    The application of lamp phosphors for accidental dosimetry is a new concept. Since the materials used in fluorescent lamps are good photo luminescent materials, if one can either use the inherent defects present in the phosphor or add suitable modifiers to induce thermoluminescence (TL) in these phosphors, then the device (fluorescent lamp) can be used as an accidental dosemeter. In continuation of our search for a suitable phosphor material, which can serve both as an efficient lamp phosphor and as a good radiation monitoring device, detailed examination has been carried out on cerium and terbium-doped lanthanum phosphate material. A 90 Sr beta source with 50 mCi strength (1.85 GBq) was used as the irradiation source for TL studies. The TL response as a function of dose received was examined for all phosphors used and it was observed that the intensity of the TL peak vs. dose received was a linear function in the dose range 0.1-200 Gy in each case. Incidentally LaPO 4 :Ce,Tb is a component of the compact fluorescent lamp marketed recently as an energy bright light source. Besides having very good luminescence efficiency, good dosimetric properties of these phosphors render them useful for their use in accidental dosimetry also. (authors)

  2. Prevention of accidental exposure in radiotherapy: the risk matrix approach.

    Science.gov (United States)

    Vilaragut, J J; Duménigo, C; Delgado, J M; Morales, J; McDonnell, J D; Ferro, R; Ortiz López, P; Ramírez, M L; Pérez Mulas, A; Papadopulos, S; Gonçalves, M; López Morones, R; Sánchez Cayuela, C; Cascajo Castresana, A; Somoano, F; Álvarez, C; Guillén, A; Rodríguez, M; Pereira, P P; Nader, A

    2013-02-01

    Knowledge and lessons from past accidental exposures in radiotherapy are very helpful in finding safety provisions to prevent recurrence. Disseminating lessons is necessary but not sufficient. There may be additional latent risks for other accidental exposures, which have not been reported or have not occurred, but are possible and may occur in the future if not identified, analyzed, and prevented by safety provisions. Proactive methods are available for anticipating and quantifying risk from potential event sequences. In this work, proactive methods, successfully used in industry, have been adapted and used in radiotherapy. Risk matrix is a tool that can be used in individual hospitals to classify event sequences in levels of risk. As with any anticipative method, the risk matrix involves a systematic search for potential risks; that is, any situation that can cause an accidental exposure. The method contributes new insights: The application of the risk matrix approach has identified that another group of less catastrophic but still severe single-patient events may have a higher probability, resulting in higher risk. The use of the risk matrix approach for safety assessment in individual hospitals would provide an opportunity for self-evaluation and managing the safety measures that are most suitable to the hospital's own conditions.

  3. Los accidentes laborales en el area IV: Años 1990-1993

    Directory of Open Access Journals (Sweden)

    Juan Pablo Hernández Fruto

    1997-12-01

    Full Text Available Se realizó un estudio descriptivo de la accidentalidad laboral en la Fábrica de Cemento del municipio Cienfuegos, situada en el territorio del área de salud IV del propio municipio, con el objetivo de analizar la frecuencia de los accidentes en el cuatrienio 90-93, así como identificar las causas que contribuyeron a su incidencia en esta etapa. El grupo de estudio lo forman 80 accidentes ocurridos en el período donde resultaron lesionados 79 trabajadores y 2 que fallecieron. Las variables estudiadas fueron el sexo, la edad, la antigüedad laboral y el área de trabajo. Resultó como muy riesgosa la edad entre los 30 y los 50 años, con una antigüedad laboral de más de 11 y menos de 15 años, el horario de la madrugada fue el intervalo de tiempo más peligroso para los obreros de las áreas de los molinos, hornos y talleres. Es por estos resultados que se considera necesario el incremento de la prevención en estos puestos de trabajo.A descriptive study of the occupational accidents occurred at the Factory of Cement located in the territory of the health area IV in the municipality of Cienfuegos, was conducted aimed at analyzing the frequency of accidents during the 4-years period 1990-93, and at identifying the causes contributing to the their incidence at this stage. The case-based study is composed of 80 accidents that took place during this period, in which 79 workers were injured and 2 died. The variable studied were sex, age, working seniority, and working area. Age between 30 and 50 proved to be very risks with a working seniority of more than 11 and less than 15 years. The night shift was the most dangerous for people working in mills, furncaces and workshops. According to these results, it is considered as neccesary the increase of prevention in these jobs.

  4. Prevalência e fatores associados à obesidade abdominal em indivíduos na faixa etária de 25 a 59 anos do Estado de Pernambuco, Brasil Prevalencia y factores asociados a la obesidad abdominal en individuos en una franja de edad de 25 a 59 años del estado de Pernambuco, Brasil Prevalence of abdominal obesity and associated factors among individuals 25 to 59 years of age in Pernambuco State, Brazil

    Directory of Open Access Journals (Sweden)

    Claudia Porto Sabino Pinho

    2013-02-01

    Full Text Available Com o objetivo de estimar a prevalência de obesidade abdominal e avaliar os fatores associados em adultos do Estado de Pernambuco, Brasil, foi realizado, em 2006, um estudo transversal, de base populacional, envolvendo 1.580 indivíduos na faixa etária de 25-59 anos. A obesidade abdominal foi determinada pela circunferência da cintura ≥ 80cm para mulheres e ≥ 94cm para homens. O modelo conceitual considerou variáveis socioeconômicas, demográficas, reprodutivas e comportamentais. A prevalência de obesidade abdominal foi de 27,1% (IC95%: 23,8-30,7 no sexo masculino e 69,9% (IC95%: 66,8-72,8 no feminino (p Con el objetivo de estimar la prevalencia de obesidad abdominal y evaluar los factores asociados en adultos del estado de Pernambuco, Brasil, se realizó, en 2006, un estudio transversal, de base poblacional, involucrando a 1.580 individuos en una franja de edad de 25-59 años. La obesidad abdominal fue determinada por la circunferencia de la cintura ≥ 80cm para mujeres y ≥ 94cm para hombres. El modelo conceptual consideró variables socioeconómicas, demográficas, reproductivas y de comportamiento. La prevalencia de obesidad abdominal fue de un 27,1% (IC95%: 23,8-30,7 en el sexo masculino y un 69,9% (IC95%: 66,8-72,8 en el femenino (p In order to estimate the prevalence of abdominal obesity and associated factors in Pernambuco State, Brazil, a cross-sectional population-based study was conducted in 2006, including 1,580 adults 25 to 59 years of age. Abdominal obesity was defined as waist circumference (WC ≥ 80cm in women and ≥ 94cm in men. The conceptual model included demographic, socioeconomic, reproductive, and behavioral variables. Prevalence of abdominal obesity was 27.1% (95%CI: 23.8-30.7 in males and 69.9% (95%CI: 66.8-72.8 in females (p < 0.001. Multivariate analysis showed higher prevalence in men 50 years or older in the metropolitan area and those with higher income, former smokers, and drinkers. Among women

  5. Cuidar de pessoa incapacitada por acidente vascular cerebral no domicílio: o fazer do cuidador familiar El cuidado de la persona incapacitada por accidente cerebro vascular en el domicilio: el hacer del cuidador familiar Taking care of persons handicapped by cerebral vascular accident at home: the familial caregiver activity

    Directory of Open Access Journals (Sweden)

    Nara Marilene Oliveira Girardon Perlini

    2005-06-01

    Full Text Available Estudo exploratório, descritivo e quantitativo que busca identificar e descrever as atividades do familiar que cuida de pessoas incapacitadas por AVC no domicílio. A amostra constituiu-se de 35 cuidadores familiares, predominantemente mulheres, esposas ou filhas. Os cuidados realizados relacionam-se ao grau de incapacidade do familiar. As orientações recebidas denotam falta de compromisso dos profissionais com a continuidade do cuidado. O cuidador aprende a cuidar no cotidiano, com base na observação e auxílio à enfermagem na internação. As dificuldades pautam-se no esforço físico, na desinformação e no medo, no constrangimento e na vergonha em lidar com o corpo do outro. O estudo enfoca a necessidade do preparo para a alta hospitalar, salienta a família como espaço concreto para o cuidado; o aumento da expectativa de vida é uma constatação.Estudio exploratorio, descriptivo y cuantitativo que busca identificar y describir las actividades del familiar que cuida de personas incapacitadas por ACV en el domicilio. La muestra estuvo constituida de 35 cuidadores familiares, predominantemente mujeres, esposas o hijas. Los cuidados realizados se relacionan con el grado de incapacidad del familiar. Las orientaciones recibidas denotan falta de compromiso de los profesionales con la continuidad del cuidado. El cuidador aprende a cuidar en el cotidiano, con base en la observación y el auxilio prestado a enfermería durante el internamiento. Las dificultades se pautan en el esfuerzo físico, en la desinformación y en el miedo, en el recelo y en la vergüenza para lidiar con el cuerpo del otro. El estudio enfoca la necesidad de preparación para la alta hospitalaria y resalta la familia como espacio concreto para el cuidado; el aumento de la expectativa de vida es una constatación.An exploratory descriptive and quantitative study aimed at identifying and describing the activity of relatives in charge of caring at home for people

  6. Desempenho escolar e gastos municipais por aluno em educação: relação observada em municípios baianos para o ano 2000 Desempeño escolar y gastos municipales por alumno en educación: relación observada en municipios del estado de Bahia para el año 2000 Students' performance and municipal expenditure by student in education: the relationship observed in municipalities of Bahia for year 2000

    Directory of Open Access Journals (Sweden)

    Paulo Augusto Meyer Mattos Nascimento

    2007-09-01

    Full Text Available Este artigo apresenta resultados obtidos para o impacto de recursos educacionais no desempenho escolar de estudantes da 4ª e da 8ª séries das redes municipais de municípios baianos. A amostra refere-se aos estudantes matriculados nas séries citadas nas escolas de 274 municípios onde o Governo do Estado da Bahia aplicou testes de rendimento em Português e Matemática no ano de 2000. A análise é feita a partir de regressões múltiplas rodadas no Microsoft Excel 2000, tendo como variável dependente as notas dos alunos e como variáveis de controle um conjunto de proxies para os fatores apontados pela literatura como determinantes do desempenho escolar. Embora os resultados encontrados tenham sido estatisticamente não significativos, a análise desenvolvida busca fornecer parâmetros concretos para uma avaliação objetiva das políticas públicas em educação, em especial no que concerne à eficácia do dispêndio público no ensino fundamental.Este artículo presenta resultados obtenidos para el impacto de los recursos escolares sobre el desempeño académico de estudiantes de los años 4 y 8 de escuelas públicas de 274 municipalidades de Bahia, un de los estados federativos de Brasil. A los estudiantes les fue aplicado un teste de rendimiento en Portugués y otro en Matemática durante el año de 2000. El análisis fue hecha a partir de regresiones múltiplas rodadas en Microsoft Excel 2000, tiendo como variable dependiente los escores obtenidos por los estudiantes y como variables de control un conjunto de proxies para los factores apuntados por la literatura especializada como determinantes del desempeño académico. A pesar de que los resultados obtenidos no fueron estadísticamente significativos, este trabajo busca a fornecer parámetros concretos para una evaluación objetiva de las políticas públicas en educación en Brasil, sobretodo en lo que concierne a la eficacia del dispendio público con las escuelas elementares

  7. Revista da Escola de Enfermagem da Universidade de São Paulo: 36 anos zelando pela qualidade do trabalho na Enfermagem Revista de la escuela de enfermería de la Universidad de São Paulo: 36 años cuidando de la calidad del trabajo en la enfermería Nursing school of USP journal: 36 years looking after quality on nursing work

    Directory of Open Access Journals (Sweden)

    Maria Júlia Paes da Silva

    2004-03-01

    Full Text Available A REEUSP é uma revista trimestral desde 1998, que publica de 11 a 13 artigos por número nas diferentes subáreas da Enfermagem, na sua maioria sobre ensino, tecnologia em saúde, saúde do adulto (nas suas diferentes especialidades, saúde mental e psiquiátrica. O enfoque dos artigos e pesquisas continua a ser hospitalar. Por estar ligada a uma unidade de ensino, apresenta qualidade nas suas publicações, muitas vezes geradas de teses e dissertações. Enfrenta o desafio de estimular a publicação de autores de outras instituições, para não se tornar endógena. Nos últimos 10 anos recebeu e publicou artigos de 18 estados brasileiros e de várias cidades do interior de São Paulo. Seu projeto gráfico também foi remodelado para 2003, permitindo maior legibilidade e facilidade na leitura. Aceita permuta com outros periódicos e é indexada em várias Bases de Dados. Recebeu a classificação C internacional pela CAPES.La REEUSP es una revista trimestral que desde 1998 publica entre 11 a 13 artículos por número en las diferentes sub áreas de la enfermería, en su mayoría sobre enseñanza, tecnología en salud, salud del adulto (en sus diferentes especialidades, salud mental y psiquiátrica. El enfoque de los artículos e investigaciones continúa siendo hospitalario. Por estar ligada a una unidad de enseñanza, presentan calidad en sus presentaciones, muchas veces generadas de tesis de maestria y de doctorado. Enfrenta el desafio de estimular la publicación de autores de otras instituciones, para que no se torne endógena. En los últimos 10 años recibió y publicó artículos de 18 estados brasileños y de varias ciudades del interior de San Pablo. Su proyecto gráfico también fue remodelado en el 2003, permitiendo mayor legibilidad y facilidad en la lectura. Acepta permuta con otros periódicos y está indexada en muchas bases. Recibio la clasificación C internacional dada por la CAPES.REEUSP has been a trimestrial journal since

  8. Sobrepeso e obesidade em crianças de cinco a dez anos de idade beneficiárias do Programa Bolsa Família no estado de Sergipe, Brasil Sobrepeso y obesidad en niños de cinco a diez años de edad beneficiarias del programa «Bolsa Família» en la provincia de Sergipe, Brasil Overweight and obesity in five- to ten-year-old children benefited from Bolsa Família Program in the State of Sergipe, Brazil

    Directory of Open Access Journals (Sweden)

    Diego Augusto S. Silva

    2011-12-01

    Full Text Available OBJETIVO: Estimar a prevalência de sobrepeso e obesidade em crianças beneficiárias do Programa Bolsa Família (PBF durante os anos de 2008 a 2010, de acordo com o sexo e com as regionais de saúde do estado de Sergipe. MÉTODOS: Estudo epidemiológico descritivo, conduzido com banco de dados secundário do Datasus/Sisvan. Foram obtidos 79.795 registros de crianças de cinco a dez anos de idade beneficiárias do PBF no estado de Sergipe, sendo 20.338 de 2008 (9.848 do sexo feminino e 10.490 do masculino, 27.106 de 2009 (13.092 do sexo feminino e 14.014 do masculino e 32.351 de 2010 (15.963 do sexo feminino e 16.388 do masculino. Foram mensuradas as variáveis de massa corporal e estatura, calculando-se o índice de massa corpórea (IMC, o qual foi analisado por meio dos valores do escore Z das tabelas normativas da Organização Mundial de Saúde. RESULTADOS: A prevalência de sobrepeso nos sexos feminino e masculino, respectivamente, no ano de 2008 foi de 12,2 e 12,4%; em 2009, de 13,2 e 13,2% e em 2010, de 13,1 e 13,3%. A prevalência de obesidade em 2008 foi de 11,0 e 13,5%; em 2009, de 11,9 e 15,1%; e em 2010, de 11,2 e 14,5%, respectivamente, para o sexo feminino e masculino. O sobrepeso e a obesidade foram mais prevalentes em crianças de municípios com menor Índice de Desenvolvimento Humano. CONCLUSÕES: Recomenda-se a criação de uma política nacional nutricional que dê subsídios para os beneficiários do PBF se alimentarem com qualidade.OBJETIVO: Estimar la prevalencia de sobrepeso y obesidad en niños beneficiarios del Programa «Bolsa Família» (PBF durante los años de 2008 a 2010, conforme al sexo y con las regionales de salud de la provincia de Sergipe. MÉTODOS: Estudio epidemiológico descriptivo, conducido con base de datos secundaria del Datasus/Sisvan. Se obtuvo 79.795 registros de niños entre cinco y diez años de edad beneficiarias del PBF en la provincia de Sergipe, siendo 20.338 el año de 2008 (9.848 del sexo

  9. Learning about the Sky from the Environment: An Experience Working Along One Year with Students of Elementary Education. (Spanish Title: Aprendiendo sobre EL Cielo Desde el Entorno: Una Experiencia Trabajando Durante un Año Junto a Estudiantes del Primario.) Aprendendo sobre o Céu a Partir do Entorno: Uma Experiência de Trabalho ao Longo de um Ano com Alunos de Ensino Fundamental

    Science.gov (United States)

    Longhini, Marcos Daniel; Gomide, Hanny Angeles

    2014-12-01

    Research developed with 95 students of the 6th year of elementary education in a public school of Uberlândia, Minas Gerais. It was a continuous work from February to December 2013, which led the students to participate in activities of observation of the environment, specifically the sky, analyzing the changes occurred. We focused on the study of variations in temperature, rainfall, day length, variations in the size of the shadows and changes in the aspect of the Moon. Our focus of analysis targeted the discussion of the knowledge that these students had about the topics indicated and as they entered the stage during the implementation of the proposal. The results showed a limited perception that students have of their environment, however, lately expanded due to the undertaken activities, especially in relation to the Moon. Working with systematic measure procedures reveals the careful handling of data so that they become understandable to students, and working with the shadows points towards the students first understand how shadows are formed, and then apply this knowledge to Astronomy. Finally, we conclude that the lived process consisted of an initial step of a work that should be encouraged for the subsequent years of training of these students. Proyecto de investigación desarrollado con 95 alumnos del sexto año de primaria en una escuela pública de Uberlândia, Minas Gerais. Fue un trabajo continuo, de febrero a diciembre de 2013, que llevó a los estudiantes a participar en actividades de observación de su entorno, entre ellas, el cielo, analizando los cambios ocurridos. Nos centramos en el estudio de las variaciones en la temperatura, las precipitaciones, la duración del día, las variaciones en el tamaño de las sombras y los cambios en los aspectos de la Luna. Nuestro foco de análisis se centró en discutir el conocimiento que estos estudiantes tenían sobre los temas indicados al inicio y término de la propuesta. Los resultados mostraron una

  10. A vivência do cuidador familiar de vítima de Acidente Vascular Encefálico: uma abordagem interacionista La vivencia del cuidador familiar de víctima de Accidente Vascular Encefalico: un abordaje interaccionista The experience of the family caregiver of stroke victim: an interactionist approach

    Directory of Open Access Journals (Sweden)

    Ana Larissa Gomes Machado

    2009-04-01

    Full Text Available Esta pesquisa qualitativa teve como objetivo compreender a vivência do cuidador familiar no processo de cuidar de pessoas incapacitadas por AVE, no contexto domiciliar. Foi realizada no Programa de Assistência Domiciliária de um hospital público terciário de Fortaleza-CE, com nove cuidadores. Os depoimentos foram obtidos por meio de entrevistas gravadas e organizados em categorias, posteriormente interpretadas à luz do Interacionismo Simbólico: por que eu cuido?, percebendo o familiar vitimado pelo AVE, as atividades diárias dos cuidadores, percebendo-se cuidador e as transformações nas vidas dos cuidadores. A análise realizada sugere que o profissional introduza em seu cuidado instrumentos que facilitem o processo de adaptação da família à nova situação, como a sensibilidade para promover a capacitação dos cuidadores familiares.Esta investigación tuvo como objetivo comprender la vivencia del cuidador familiar en el proceso de cuidar de personas incapacitadas por AVE, en el contexto domiciliar. Fue realizada en el Programa de Asistencia Domiciliar (PAD de un hospital público terciario de Fortaleza-CE, con nueve cuidadores. Las declaraciones se obtuvieron por medio de entrevistas grabadas y organizados en categorías, posteriormente interpretadas a la luz del Interaccionismo Simbólico: ¿por qué cuido?, percibiendo al familiar victimado por el AVE, las actividades diarias de los cuidadores, percibiéndose cuidador y las transformaciones en las vidas de los cuidadores. El análisis realizado sugiere al enfermero que introduzca en su cuidado instrumentos que faciliten el proceso de adaptación de la familia a la nueva situación, como la sensibilidad para promover la capacitación de los cuidadores familiares.This qualitative research aimed at understanding the experience of familiar caregivers in the process of caring for persons disabled by stroke, in their home. It was held in the Program of Domiciliary Assistance of a

  11. Accidental introductions are an important source of invasive plants in the continental United States.

    Science.gov (United States)

    Lehan, Nora E; Murphy, Julia R; Thorburn, Lukas P; Bradley, Bethany A

    2013-07-01

    Preventing new plant invasions is critical for reducing large-scale ecological change. Most studies have focused on the deliberate introduction of nonnatives via the ornamental plant trade. However, accidental introduction may be an important source of nonnative, invasive plants. Using Web and literature searches, we compiled pathways of introduction to the United States for 1112 nonnative plants identified as invasive in the continental United States. We assessed how the proportion of accidentally and deliberately introduced invasive plants varies over time and space and by growth habit across the lower 48 states. Deliberate introductions of ornamentals are the primary source of invasive plants in the United States, but accidental introductions through seed contaminants are an important secondary source. Invasive forbs and grasses are the most likely to have arrived accidentally through seed contaminants, while almost all nonnative, invasive trees were introduced deliberately. Nonnative plants invading eastern states primarily arrived deliberately as ornamentals, while a high proportion of invasive plants in western states arrived accidentally as seed contaminants. Accidental introductions may be increasing in importance through time. Before 1850, 10 of 89 (11%) of invasive plants arrived accidentally. After 1900, 20 of 65 (31%) arrived accidentally. Recently enacted screening protocols and weed risk assessments aim to reduce the number of potentially invasive species arriving to the United States via deliberate introduction pathways. Increasing proportions of accidentally introduced invasive plants, particularly associated with contaminated seed imports across the western states, suggest that accidental introduction pathways also need to be considered in future regulatory decisions.

  12. Violencia política, dictadura militar y memoria: la Argentina de los años setenta y ochenta a partir del archivo Marshall T. Meyer = Violência política, ditadura militar e memória: a Argentina dos anos setenta e oitenta a partir do arquivo Marshall T. Meyer = Political violence, military dictatorship, and memory: the Argentina of the seventies and eighties from the Marshall T. Meyer archive

    Directory of Open Access Journals (Sweden)

    Carassai, Sebastián

    2017-01-01

    Full Text Available O rabino norte-americano Marshall Meyer foi uma figura destacada da comunidade judaica-argentina e um defensor pioneiro dos direitos humanos durante a última ditadura militar (1976-1983. Nos últimos anos, seu arquivo pessoal foi incorporado ao Arquivo de Direitos Humanos da David M. Rubenstein Library, a Biblioteca de Manuscritos e Livros Raros da Universidade de Duke. A partir de seus sermões, discursos, correspondências pessoais e profissionais, escritos, entrevistas e material áudio-visual, este trabalho reconstrói sua trajetória na Argentina, focando especificamente nos anos de radicalização política, na repressão, e nos primeiros anos pós-ditadura. O artigo começa com a chegada de Meyer à Argentina, no ano de 1959, descrevendo sua impressão sobre a sociedade que o recebeu e a relação entre sociedade e judaísmo que buscou imprimir em suas instituições. Logo, se centra em sua percepção em relação ao peronismo, na violência política que caracterizou a primeira metade da década de setenta, no compromisso que assumiu com os direitos humanos na segunda metade e, finalmente, na construção de uma primeira memória, nos anos oitenta, sobre a ditadura que começava a ficar no passado. O caminho assim traçado abre um registro íntimo, individual e em alguns momentos também comunitário, dos anos de violência política, ditadura militar e a transição à democracia

  13. Numerical simulation of industrial and accidental release formation and transport

    Energy Technology Data Exchange (ETDEWEB)

    Piskunov, V.N.; Aloyan, A.A.; Gerasimov, V.M.; Pinaev, V.S.; Golubev, A.I.; Yanilkin, Yu.V.; Ivanov, N.V.; Nikonov, S.N.; Kharchenko, A.I. [and others

    1995-05-01

    Statement of work for contract 006 {open_quotes}Mathematical simulation of industrial and accidental release formation and transport{close_quotes} implies that the final result of the activity within this task will be VNIIEF developed techniques which will provide for the prediction of the post-accidental environment. Report [1] presents the description of physical models and calculation techniques which were chosen by VNIIEF to accomplish this task. These techniques were analysed for their capabilities, the areas of their application were defined, modifications within contract 006 were described, the results of test and methodical calculations were presented. Moreover, the experimental data were analysed over the source parameters and contamination measurements which can be used in the comparison with the calculation results. Based an these data this report compares the calculation results obtained with VNIIEF calculation techniques with the LANL-presented experimental results. The calculations which statements and results are given in section 1, included the following processes: explosion cloud ascent dynamics and jet release origin; aerosols kinetics in the release source including composite particle origin in the explosion cloud caused by radioactive substance sorption an the soil particles; contaminant transport in atmosphere and their in-site fallout due to the accidental explosions and fires; atmospheric flow dynamics and industrial contamination transfer over the complicated terrain. The calculated results were compared with the experimental data. Section 2 presents the parameters for a typical source in the explosion accidents based an the experimental results and calculated data from Section 1, as well as contamination patterns were calculated with basic technique {open_quotes}Prognosis{close_quotes}.

  14. Biokinetics of radionuclides and treatment of accidental intakes

    International Nuclear Information System (INIS)

    Taylor, D.M.; Stradling, G.N.; Menetrier, F.

    2003-01-01

    This paper describes the objectives and reviews the progress of EULEP Working Party 5, convened under the auspices of the European Union's Fifth Framework Programme, to 'cluster' two EU-supported contracts, Biokinetics and Dosimetry of Internal Contamination (BIODOS (EU Contract FIS5-1999-00214)) and Radionuclide Biokinetics Database (EULEP) ( RBDATA-EULEP (Concerted Action Contract FIS5-1999-00218), and two non-EU funded projects, Biokinetics of Radionuclides in Human Volunteers (RNHV (non-EU Funded Project) and Treatment of Accidental Intakes of Radionuclides (TAIR (part-funded by EULEP)). (author)

  15. Clinical perspectives on osteogenesis imperfecta versus non-accidental injury.

    Science.gov (United States)

    Pereira, Elaine Maria

    2015-12-01

    Although non-accidental injuries (NAI) are more common in cases of unexplained fractures than rare disorders such as osteogenesis imperfecta (OI), ruling out OI and other medical causes of fracture is always indicated. The majority of OI patients can be diagnosed with the help of family history, physical examination, and radiographic findings. In particular, there are a few radiological findings which are seen more commonly in NAI than in OI which may help guide clinician considerations regarding the probability of either of these diagnoses. At the same time, molecular testing still merits careful consideration in cases with unexplained fractures without obvious additional signs of abuse. © 2015 Wiley Periodicals, Inc.

  16. Method and apparatus for controlling accidental releases of tritium

    Science.gov (United States)

    Galloway, Terry R. [Berkeley, CA

    1980-04-01

    An improvement in a tritium control system based on a catalytic oxidation reactor wherein accidental releases of tritium into room air are controlled by flooding the catalytic oxidation reactor with hydrogen when the tritium concentration in the room air exceeds a specified limit. The sudden flooding with hydrogen heats the catalyst to a high temperature within seconds, thereby greatly increasing the catalytic oxidation rate of tritium to tritiated water vapor. Thus, the catalyst is heated only when needed. In addition to the heating effect, the hydrogen flow also swamps the tritium and further reduces the tritium release.

  17. Early diagnosis and monitoring of whole-body accidental exposure

    International Nuclear Information System (INIS)

    Flury-Herard, A.; Jullien, D.

    1987-01-01

    This paper deals with the handling of accidental, acute or protracted, whole-body overexposures. It is complementary to the report DPS 86/07 SEAPS previously published. The criteria for initial classification, as a function of the mean absorbed dose, the clinical and paraclinical evaluation, the monitoring methods and the treatments to undertake are described successively. The basic components of the therapy are the intensive care of the hematological syndrome with blood products transfusions and anti-infection prophylaxy. The indications and conditions for bone-marrow grafts are also discussed [fr

  18. Method and apparatus for controlling accidental releases of tritium

    International Nuclear Information System (INIS)

    Galloway, T.R.

    1980-01-01

    An improvement in a tritium control system based on a catalytic oxidation reactor is provided wherein accidental releases of tritium into room air are controlled by flooding the catalytic oxidation reactor with hydrogen when the tritium concentration in the room air exceeds a specified limit. The sudden flooding with hydrogen heats the catalyst to a high temperature within seconds, thereby greatly increasing the catalytic oxidation rate of tritium to tritiated water vapor. Thus, the catalyst is heated only when needed. In addition to the heating effect, the hydrogen flow also swamps the tritium and further reduces the tritium release

  19. Accidente Isquémico Transitorio: la gran oportunidad

    Directory of Open Access Journals (Sweden)

    Mª Dolores Fernández Couto

    2013-09-01

    Full Text Available El ictus constituye la primera causa de muerte en mujeres y la segunda causa de muerte global en España1, así como la primera causa de discapacidad adquirida en la edad adulta y la segunda causa de demencia por detrás de la enfermedad de Alzheimer. El accidente isquémico transitorio (AIT precede al ictus isquémico en un 23% de los casos2. Esta señal de alarma, lejos de poder considerarse banal, constituye una gran oportunidad para la prevención.

  20. Funciones superiores en pacientes con accidente cerebro vascular.

    OpenAIRE

    Felipe Rodríguez; Alfonso Urzúa

    2009-01-01

    Los estudios realizados en Chile hasta la fecha no permiten detectar de manera significativa el deterioro neuropsicológico causado por el accidente cerebro vascular (ACV) y el impacto que éste tiene en el paciente a nivel de su desenvolvimiento diario y familiar. Con base a esto el objetivo de esta investigación fue elaborar un perfil de deterioro neuropsicológico de las diversas funciones cerebrales superiores causado por un ACV, en un grupo de 50 pacientes de la Unidad de Medicina Física de...

  1. Radioactive releases into the environment under accidental conditions

    International Nuclear Information System (INIS)

    Beninson, D.

    1976-01-01

    Although accidents involving the release of radioactive materials and the unplanned exposure of people can occur at any stage of the nuclear fuel cycle, most attention has been focused on reactor accidents. Although no power reactor accidents involving exposure of the public have yet occured, it should be recognized that the probability of such accidental releases cannot be reduced to zero. Since the inventory of radioactive materials in power reactors is very large, it is usual to postulate, for safety assessments, that a release of fission products takes place in spite of all protective measures. This postulated release is of importance for reactor siting and for preparing emergency plans. (HP) [de

  2. Evaluation and mitigation of accidental releases of radioactivity

    International Nuclear Information System (INIS)

    Bruessermann, K.

    1982-12-01

    One result of the workshop was, that even in the case of severe accident sequences in modern nuclear power plants (other facilities were not discussed), there will be enough time to take active measures in order to lower the emissions and to diminish the consequences inside and outside of the plant. On the whole, new evidence from Harrisburg show that previously estimated accidental emissions, especially of radiologically relevant nuclides, have been rather conservative and that much lower emissions are possible, if the above measures are considered. Under accident conditions, models to predict radiation exposure must be applied under the event of a short-term release. (orig./DG) [de

  3. ECMO for Cardiac Rescue after Accidental Intravenous Mepivacaine Application

    Directory of Open Access Journals (Sweden)

    Michael Froehle

    2012-01-01

    Full Text Available Mepivacaine is a potent local anaesthetic and used for infiltration and regional anaesthesia in adults and pediatric patients. Intoxications with mepivacaine affect mainly the CNS and the cardiovascular system. We present a case of accidental intravenous mepivacaine application and intoxication of an infant resulting in seizure, broad complex bradyarrhythmia, arterial hypotension and finally cardiac arrest. The patient could be rescued by prolonged resuscitations and a rapid initiation of ECMO and survived without neurological damage. The management strategies of this rare complication including promising other treatment options with lipid emulsions are discussed.

  4. Accidentes de trabajo en un hospital de agudos

    Directory of Open Access Journals (Sweden)

    Pérez Bermúdez B.

    1998-01-01

    Full Text Available FUNDAMENTO: El mejor conocimiento de los determinantes y circunstancias de producción de los accidentes laborales, favorecerá la implantación de medidas correctoras. El objetivo de este trabajo es describir la evolución temporal de los accidentes de trabajo (AT y determinar los factores de riesgo de baja médica en el Hospital Dr. Peset de Valencia. MÉTODOS: Descripción y análisis retrospectivo de los accidentes de trabajo producidos en el Hospital Dr. Peset de Valencia durante los años 1992 a 1995. Se estimó por métodos deterministas la tendencia y estacionalidad de las series (índices estacionales, IE. Se aplicó un modelo de regresión logística para identificar los factores pronósticos de baja médica y determinar su probabilidad de ocurrencia . RESULTADOS: Las tasas más elevadas de AT se produjeron entre los trabajadores de cocina y lavandería (10,00 AT por 100 trabajadores-año. Los AT con baja médica mantienen una tendencia cercana a cero siendo febrero el mes con I.E más elevado (IE=139,8. Los que cursan sin baja médica tienen una tendencia positiva (r²=0,23, p<0,0001, siendo mayo el mes de mayor siniestralidad (IE=134,2. La probabilidad de que el accidente curse con baja médica aumenta significativamente con la edad, cuando se produce por la tarde, si ha tenido lugar en cocina/lavandería, y si se trata de un esguince o tendinitis. CONCLUSIONES: la actuación sobre la siniestralidad en los AT que cursen con IT, debería centrarse sobre los trabajos menos cualificados y en las áreas de cocina y lavandería.

  5. Self-Administered Ethanol Enema Causing Accidental Death

    Directory of Open Access Journals (Sweden)

    Thomas Peterson

    2014-01-01

    Full Text Available Excessive ethanol consumption is a leading preventable cause of death in the United States. Much of the harm from ethanol comes from those who engage in excessive or hazardous drinking. Rectal absorption of ethanol bypasses the first pass metabolic effect, allowing for a higher concentration of blood ethanol to occur for a given volume of solution and, consequently, greater potential for central nervous system depression. However, accidental death is extremely rare with rectal administration. This case report describes an individual with klismaphilia whose death resulted from acute ethanol intoxication by rectal absorption of a wine enema.

  6. El consumo de alcohol y el estrés entre estudiantes del segundo año de enfermería Consumo de álcool e estresse em estudantes do segundo ano de enfermagem Alcohol consumption and stress in second year nursing students

    Directory of Open Access Journals (Sweden)

    Elena Tam Phun

    2010-06-01

    Full Text Available El objetivo de este estudio fue identificar el consumo de alcohol y el estrés académico en estudiantes de enfermería. Se trata de una investigación descriptiva, transversal, que se realizó en el año de 2005. En este estudio los cuestionarios Inventario de Estrés Académico y el AUDIT fueron aplicados en 82 estudiantes de una Universidad privada en Lima, Perú. Los resultados mostraron que los estudiantes tenían edad promedio 20,4 años, siendo 92.7% solteras, 69.5% no trabajan, 91.5% no tenían hijos y 86.6% vivían con sus padres. La sobrecarga académica representó el estresor de mayor prevalencia, y en relación al consumo de alcohol, 48% consumieron 1-2 vasos en un día; 56.1% una vez al mes y 51.2% más de tres vasos en un día cualquiera; 11.0% dejaron de cumplir con sus obligaciones. Un tercio relató fumar, beber o comer demasiado. Se concluyó que todas las situaciones generan diversos niveles de estrés, relacionados al factor actividad/tiempo; siendo la preocupación, la mayor respuesta frente al estrés.O objetivo deste estudo foi identificar o consumo de álcool e o estresse acadêmico em estudantes de Enfermagem. Como método, usou-se a investigação descritiva, transversal, realizada no ano 2005. Neste estudo, os questionários Inventário de Estresse Acadêmico e AUDIT foram aplicados em 82 estudantes de uma universidade privada em Lima, Peru. Os resultados mostram que os estudantes apresentaram idade média de 20,4 anos, sendo que 92,7% eram solteiros, 69,5% não trabalhavam, 91,5% não tinham filhos e 86,6% viviam com seus pais. A sobrecarga acadêmica representou o estressor de maior prevalência e, em relação ao consumo de álcool, 48% consumiam 1-2 copos por dia, 56,1% uma vez ao mês e 51,2% mais de três copos em um dia qualquer, e 11% deixaram de cumprir com suas obrigações. Um terço relatou fumar, beber ou comer demasiadamente. Conclui-se que todas as situações geraram diversos níveis de estresse

  7. Intervención comunitaria para la prevención de accidentes en niños

    Directory of Open Access Journals (Sweden)

    Rosío de la Caridad Estrada Fonseca

    Full Text Available Introducción: los accidentes son de las primeras causas de muerte a nivel mundial, por lo que la prevención de los mismos es una emergencia. Objetivo: valorar la repercusión de una intervención comunitaria en la disminución de peligros potenciales de accidentes en familias con niños de 0 a 18 meses. Métodos: se realizó un estudio cuasi experimental multietápico, con enfoques cuantitativo y cualitativo, entre enero de 2009 a junio de 2012. Se trabajó con 39 familias entre las que se produjeron nacimientos en el periodo enero de 2008 a enero de 2010 (de los cuales se seleccionó la composición de la muestra de los Consultorios Médicos del Consejo Popular 26 de julio del Municipio Santo Domingo. Se efectuó una intervención por un grupo de trabajo comunitario conformado por integrantes del Círculo de interés "Prevención es Salud" y brigadistas de la Cruz Roja, liderados por la enfermera de la familia, se empleó para ello la Guía para Análisis de vulnerabilidades y capacidades de la Cruz Roja, modificada en su etapa I. Resultados: Post intervención se logró la reversión de vulnerabilidades en cuanto a capacidades, se manifestaron cambios favorables en los conocimientos y disminuyó significativamente el número de peligros potenciales en cada hogar. Conclusiones: Cuando se trabaja con familias con instrumentos sencillos y accesibles, y con el grupo de trabajo comunitario, se favorece la toma de conciencia sobre el problema en el entorno donde se generó.

  8. Importance of the Río de la Plata estuarine front (southwestern Atlantic Ocean in the feeding ecology of Argentine anchovy, Engraulis anchoita (Clupeiformes, Clupeidae Importancia del frente estuarial del Río de la Plata (Océano Atlántico sudoccidental en la ecología trófica de la anchoíta argentina, Engraulis anchoita (Clupeiformes, Clupeidae

    Directory of Open Access Journals (Sweden)

    Luciano N Padovani

    2011-07-01

    Full Text Available The feeding of Engraulis anchoita was studied in the coastal reproductive habitat of the northern population during the spawning period. Stomach contents of anchovy adults and plankton samples taken during a research cruise were examined. The highest stomach fullness values were found in the Rio de la Plata estuary, particularly at stations close to the surface salinity front. Copepods, particularly those 1 mm total length. This might be explained by a low gill rakers efficiency of adult anchovies to retain small prey. In the Rio de la Plata front, both the reported large biomasses of zooplankton and the observed intense anchovy feeding revealed the ecological significance of this front, especially when compared with the contiguous "poor in food" coastal areas.Se estudió la alimentación de la población norteña de Engraulis anchoita en el hábitat reproductivo costero durante su periodo de desove. Se analizaron los contenidos estomacales de adultos de anchoíta y muestras de zooplancton tomados durante un crucero de investigación. Los mayores valores de repleción estomacal se encontraron en el estuario del Río de la Plata, particularmente en estaciones cercanas al frente salino de superficie. Los copépodos fueron las presas más abundantes, particularmente especímenes 1 mm de longitud total. Esto se puede explicar por la baja eficiencia del aparato branquial de anchoítas adultas para retener pequeñas presas. En el frente del Río de la Plata, las altas biomasas de zooplancton reportadas y la intensa alimentación observada, evidencian su significancia ecológica, especialmente cuando se compara con aguas costeras adyacentes pobres en alimento.

  9. O impacto psicológico de um acidente químico ambiental com óleo diesel El impacto psicológico que el accidente químico ambiental con aceite diesel The psychological impact caused by an environmental and chemical accident with diesel oil

    Directory of Open Access Journals (Sweden)

    Carina Rodrigues Garcia Lino

    2009-06-01

    Full Text Available O acidente ocorrido em Porto das Caixas, Itaboraí/RJ, com o trem que descarrilou e despejou 60 mil litros de óleo diesel em uma região habitada, resultou em impacto ambiental e humano. O principal objetivo deste trabalho foi investigar o impacto psicológico que o acidente causou na população. A população estudada constituiu-se de 28 pessoas de ambos os sexos expostas ao óleo diesel, com idade entre 18 e 60 anos. O instrumento utilizado na investigação das estratégias de enfrentamento do estresse foi o Inventário de Estratégias de Coping. Foi observado que a estratégia mais utilizada foi fuga e esquiva e a menos utilizada foi a de confronto. O que se constata é que existiu um impacto psicossocial em função do acidente naquela comunidade e que danos oriundos de um evento estressor podem ser observados em momentos diferenciados e seus efeitos prejudiciais podem se estender ao ambiente e à saúde da população do entorno.El accidente ocurrido en Porto das Caixas, Itaboraí/RJ, con el tren que descarrilló y despejó 60 mil litros de aceite diesel en una región habitada, resultó en impacto ambiental y humano. El principal objetivo de este trabajo fue investigar el impacto psicológico que el accidente causó en la población. La población estudada se constituyó de 28 personas de ambos los sexos expuestas al aceite diesel, con edad entre 18 y 60 años. El instrumento utilizado en la investigación de las estrategias de enfrentamiento del estrés fue el Inventario de Estrategias de Coping. Fue observado que la estrategia más utilizada fue la de huir y esquivar y la menos utilizada fue la de confrontar. El que se constata es que existió un impacto psicosocial en función del accidente en aquella comunidad y que daños oriundos de un evento estresor pueden ser observados en momentos diferenciados y sus efectos perjudiciales pueden estenderse al ambiente y a la salud de la población del entorno.The accident occurred in Porto das

  10. Perfil epidemiológico de la discapacidad por accidentes de tránsito en el Perú, 2012

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    César Gutiérrez

    Full Text Available Objetivos. Describir el perfil epidemiológico de las personas discapacitadas por accidentes de tránsito (AT en Perú. Materiales y métodos. Análisis secundario de la Encuesta Nacional Especializada Sobre Discapacidad (ENEDIS del año 2012. Además, se realizó un análisis ecológico con los registros de AT del Ministerio de Transportes y Comunicaciones. Resultados. 49 036 personas reportaron algún tipo de discapacidad por accidentes de tránsito (DAT; 81,3% de los discapacitados reside en zonas urbanas. La discapacidad reportada más frecuente fue limitación en la locomoción y destreza (77,4%, seguida de la discapacidad visual (22,9%. Se reporta dependencia en 44,7% de las personas con discapacidad. Las regiones con mayor prevalencia de AT presentan mayor prevalencia de discapacidad por accidente de tránsito (Coeficiente de Spearman: 0,426, p=0,034. Conclusiones. La mayor parte de los discapacitados por AT proceden de la zona urbana, son varones y se encuentran en la edad económicamente productiva. La forma más común de limitación es la de locomoción. Gran parte de los afectados no reciben ningún tipo de rehabilitación, lo que acentúa la inequidad en salud relacionada a los accidentes de tránsito

  11. Uma nova enfermagem psiquiátrica na universidade do Brasil nos anos 60 do século XX Una nueva enfermería psiquiátrica en la universidad del Brasil en los años 60 del siglo 20 A new psychiatric nursing in the university of Brazil in the 60’s of the 20th century

    Directory of Open Access Journals (Sweden)

    Maria Angélica de Almeida Peres

    2008-03-01

    Full Text Available Estudo histórico-social sobre a implantação de um modelo de enfermagem psiquiátrica, pela Escola Ana Nery (EAN, no Instituto de Psiquiatria da Universidade do Brasil (IPUB. O marco inicial corresponde à contratação de uma professora da escola como chefe do serviço de enfermagem do IPUB, em 1962, e o marco final, à inclusão das enfermeiras como integrantes da equipe de saúde do IPUB, em 1963. Objetivos: descrever a situação da enfermagem psiquiátrica no IPUB; analisar as estratégias adotadas na reforma da enfermagem; discutir a importância desse saber/poder da enfermagem. Referencial teórico: conceitos de Michel Foucault. Fontes: documentos escritos, depoimentos orais e bibliografia. Resultados: as estratégias utilizadas foram de natureza política, técnica e administrativa; suas condições de possibilidade foram dadas pela acumulação de cargos (docente e assistencial. A consolidação do novo modelo, ampliado para outras escolas, tornou a EAN/IPUB centro de difusão de saber da enfermagem psiquiátrica no Brasil.Estudio histórico- social acerca de la implementación de un modelo de la enfermería psiquiátrica, por la "Escuela Ana Nery" (EAN, en el "Instituto de la Psiquiatría de la Universidad de Brasil" (IPUB. La señal inicial corresponde al contratar de un profesor de la escuela como el líder del servicio de la enfermería del IPUB, en 1962, y la señal final al cerco de las enfermeras como miembros del equipo de la salud del IPUB, en 1963. Objetivos: Describir la situación de la enfermería psiquiátrica en el IPUB; analizar las estrategias adoptadas en la reforma de la enfermería; discutir la importancia de eso saber/poder acerca de la enfermería. Referencia teórica: conceptos de Michel Foucault. Fuentes: documentos escritos, declaraciones orales y bibliografía. Resultados: las estrategias utilizadas fueron de naturaleza política, técnica y administrativa; sus condiciones de posibilidad fueron dadas por la

  12. Incidence and characteristics of accidental falls in hospitalizations.

    Science.gov (United States)

    Kobayashi, Kazuyoshi; Imagama, Shiro; Inagaki, Yuko; Suzuki, Yusuke; Ando, Kei; Nishida, Yoshihiro; Nagao, Yoshimasa; Ishiguro, Naoki

    2017-08-01

    Aging of the patient population has led to increased occurrence of accidental falls in acute care settings. The aim of this study is to survey the annual occurrence of falls in a university hospital, and to examine procedures to prevent fall. A total of 49,059 inpatients were admitted to our hospital from April 2015 to March 2016. A fall assessment scale was developed to estimate the risk of fall at admission. Data on falls were obtained from the hospital incident reporting system. There were fall-related incidents in 826 patients (1.7%). Most falls occurred in hospital rooms (67%). Adverse events occurred in 101 patients who fell (12%) and were significantly more frequent in patients aged ≥80 years old and in those wearing slippers. The incidence of falls was also significantly higher in patients in the highest risk group. These results support the validity of the risk assessment scale for predicting accidental falls in an acute treatment setting. The findings also clarify the demographic and environmental factors and consequences associated with fall. These results of the study could provide important information for designing effective interventions to prevent fall in elderly patients.

  13. accidentes y otras causas violentas en la sierra de Sonora

    Directory of Open Access Journals (Sweden)

    Héctor Eloy Rivas Sánchez

    2005-01-01

    Full Text Available Este artículo presenta los resultados de una investigación sociológica cuyo objeto fue explorar el papel que ha jugado el modelo hegemónico de masculinidad en la ocurrencia de muertes derivadas de accidentes y varias formas de ejercicio de la violencia en una comunidad rural de la sierra de Sonora. Estos resultados difieren de aquellos que tradicionalmente los estudios de las masculinidades han mostrado para México y América Latina. El modelo dominante de masculinidad en las comunidades estudiadas no ha condicionado significativamente la ocurrencia de las muertes por accidentes y otras causas violentas. La responsabilidad, la disciplina y el respeto hacia las personas consideradas socialmente débiles (mujeres, ancianos y niños, principalmente son características que debe poseer un hombre de verdad en las comunidades estudiadas. El apego de los hombres a estas formas de comportamiento y su temor a perder honorabilidad como hombre de verdad si se desvían de estas normas de conducta los ha llevado a evitar una serie de prácticas temerarias que pudieron poner en riesgo su vida y la de otras personas.

  14. Pathological Findings in Accidental Electrocution in a Horse (Case Report

    Directory of Open Access Journals (Sweden)

    Adrian Florin Gal

    2016-11-01

    Full Text Available Recently, the veterinarians are dealing with a number of cases that require forensic expertise. Such a circumstance could be the accidental electrocution in animals, one of the causes of unnatural death. There is a scarcity with reference to the pathological findings in veterinary forensic medicine. In this paper, we present the main lesions that occurred in a horse with accidental electrocution that was presented for complete necropsy survey. A horse corpse was sent to the Pathology Department (Faculty of Veterinary Medicine, Cluj-Napoca, Romania for a full medical survey. Preliminary results and external examination: the body was in rigor mortis; from the nasal cavities drained out reddish foam and in the mouth was observed the presence of ingested feed (straw that was not chewed, suggesting a quick death. The findings detected after internal examination of the carcass were poor blood coagulability, haemorrhagic diathesis throughout the body, with haemorrhages of various sizes in different body regions (e.g., muscles of the withers, in the gluteal muscle, the mucosa of epiglottis, larynx, trachea, in the interstitium of the lung, and ecchymosis in the left kidney. Some other lesions detected were infarcts and haemorrhages in the fundic region of the stomach’s mucosa. In electrocution, haemorrhages are most often located in the respiratory tract, aspect observed in our case too. However, the diagnosis of electrocution has to corroborate the necropsy findings (which are not specific, with some other data such as the fulminant death and inspection of power source.

  15. Accidental Bolt Gun Injury to Femur - A Case Report.

    Science.gov (United States)

    Kattimani, Ravi Prasad; Shetty, Sanath; Mirza, Humayun

    2016-01-01

    Bolt gun or slaughterer's guns are used in meat industry for "humane killing" of animals. Injuries caused by bolt gun are rare, reported exclusively from central European countries. We report a case of 28 year old male, who accidentally shot himself with a bolt gun to his right thigh. A 28 years old male presented to our Accident and Emergency department after accidental injury to his right thigh with bolt gun. He had an entry wound measuring 2 cm in length and 1 cm in breadth over anterior aspect of lower one third of thigh at lower and sustained Grade II compound fracture of right femur shaft at distal one third. The wound was treated with multiple debridements, negative pressure wound therapy and intravenous antibiotics based on culture and sensitivity. Bolt gun or slaughterer's guns are weapons used in meat industry for slaughtering animals. Wounds inflicted by bolt guns have specific morphological feature, distinctive from wounds made by other kinds of hand firearms. Most of the time wound will be infected at presentation. Lesions caused by these weapons are likely to have a more serious character than is to be expected from the size of the entrance wound. The mainstay of treatment is liberal wound exploration, multiple debridement's and intra venous antibiotics based on culture reports to treat infection and prevent morbidity.

  16. Accidental fatal lung injury by compressed air: a case report.

    Science.gov (United States)

    Rayamane, Anand Parashuram; Pradeepkumar, M V

    2015-03-01

    Compressed air is being used extensively as a source of energy at industries and in daily life. A variety of fatal injuries are caused by improper and ignorant use of compressed air equipments. Many types of injuries due to compressed air are reported in the literature such as colorectal injury, orbital injury, surgical emphysema, and so on. Most of these injuries are accidental in nature. It is documented that 40 pounds per square inch pressure causes fatal injuries to the ear, eyes, lungs, stomach, and intestine. Openings of body are vulnerable to injuries by compressed air. Death due to compressed air injuries is rarely reported. Many cases are treated successfully by conservative or surgical management. Extensive survey of literature revealed no reports of fatal injury to the upper respiratory tract and lungs caused by compressed air. Here, we are reporting a fatal event of accidental death after insertion of compressed air pipe into the mouth. The postmortem findings are corroborated with the history and discussed in detail.

  17. Fatal accidental asphyxia in a jack-knife position.

    Science.gov (United States)

    Benomran, F A

    2010-10-01

    Accidental death from postural or positional asphyxia takes place when the abnormal position of the victim's body compromises the process of respiration. Diagnosis is largely made by circumstantial evidence supported by absence of any other significant pathology or trauma explaining death. This case report is about a 50-year-old male who had been drinking the previous night and was found dead in the morning inside a tire repair shop. His jack-knifed body had been encompassed, buttocks-down, within the hollow core made by 3 big tires stacked on top of each other. The author was called to the scene of death and had hands-on encounter with the body in-situ where scene photographs were taken. Apart from a blood alcohol of 290 mg/100 ml, marked congestion of the face, petechial hemorrhages on the conjunctivae and lung edema and congestion, autopsy findings were unremarkable. Abrasions on shoulders, lateral aspects of arms and posterior aspects of lower legs indicated friction with internal rims of tires while slipping down. There were no other injuries or pathology to account for his death. Death was determined to be due to accidental postural asphyxia secondary to intoxication by alcohol. Copyright © 2010 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  18. Intentional and accidental paracetamol poisoning in childhood - a retrospective analysis.

    Science.gov (United States)

    Kominek, Katarzyna; Pawłowska-Kamieniak, Agnieszka; Mroczkowska-Juchkiewicz, Agnieszka; Krawiec, Paulina; Pac-Kożuchowska, Elżbieta

    2015-04-09

    Paracetamol is one of the most commonly used analgesics and antipyretics available without limits as preparations of the OTC group (over the counter drugs). Overdose and poisoning with this drug always brings about the risk of acute hepatic failure. The objective of the study was a retrospective evaluation of patients hospitalized in the Paediatric Clinic during the period 2004-2012 due to poisoning with paracetamol. The analysis covered 44 patients hospitalized in the Paediatric Clinic during 2004-2012 due to poisoning with paracetamol. Patients were divided into three groups: intentional poisonings, accidental poisonings, and drug overdose. During the period of the study, 44 patients aged 2.1-17.1, poisoned with paracetamol, were hospitalized. Among these patients there were 30 (68.2%) cases of intentional poisonings, 10 (22.7%) of accidental poisonings, and only 4 patients (9.1%) were children hospitalized after a paracetamol overdose. The majority of patients in all groups were females (93.3%). Paracetamol intoxication may occur after exceeding a single allowable dose, in the case of intentional poisoning, more rarely after exceeding the daily dose, in the case of intense pain complaints, or in the treatment of persistent fever. Based on the analysis performed, an increase was observed in the frequency of poisoning with paracetamol, especially intentional poisoning. Unlimited access to paracetamol as an OTC drug should be reconsidered.

  19. Treatment of Acute Fissure in Ano using Topical Glycerine Trinitrate ...

    African Journals Online (AJOL)

    RICHY

    headache during the course of treatment. The observed side effect was effectively treated using paracetamol. There were however no other adverse events that were observed. Conclusion: Both treatment methods showed effectiveness in the treatment of acute fissure in ano. However response to treatment was noted to be ...

  20. Paleoclimatological revision of climate evolution in Spain since the middle pleistocene from travertine and speleothems studies; Aportaciones al conociiento de la evolucion paleoclimatica y paleoambiental en la pensinsula iberica durante los dos ultimos millones de anos a partir del estudio de travertinos y espeleotemas

    Energy Technology Data Exchange (ETDEWEB)

    Torres, T.; Barettino, D.; Canoira, L.; Cobo, R.; Garcia-Cortes, A.; Grun, R.; Hoyos, M.; Julia, R.; Llamas, R.

    1996-10-01

    This paper deals on the main results of the Project: ``Paleoclimatological revision since the Middle Pleistocene from geochronological and isotope analysis of spanish travertine`` (CEC-F12W-CT91-0075 ``Paleoclimatological revision of climate evolution in the Western Mediterranean Region, evaluation of altered scenarios). Four travertine deposition areas and a karstic zone were selected according to their geographical signification. Travertine deposits areas were: Priego and Rio Blanco: fluvial travertine; Banyoles and Rio Blanco: lacustrine deposits; Tolox: Alluvial fan deposits. The Cueva del Reguerillo was the karstic area selected. In spite of travertine and speleothems are warm climate indicators, important paleoenvironmental and palaeoclimatological data were obtained, which are in short: Through geomorphology and dating (palaeomagnetism, U/Th, Electro spin resonance and amino acid racemization analysis) the fluvial history of Priego, Rio Blanco and el Reguerillo cave, where a neotectonic and palaeosismicity phenomena were also dated. The oldest ESR dating method age obtained was of 950ka; and the oldest Priego deposits AARD dated were 750 ka old. Through dating, sedimentology, stable isotope analysis and palinology some aspects of climatic evolution of the Iberian Peninsula were determined. A net correlation found between palinology and stable isotope ratios in the Banyoles lake drill hole, allowed to validate the results. Some cualitative data on fluvial and karstic systems water input were determined also.

  1. Accidentes en los niños, un problema de salud actual: Revisión bibliográfica

    Directory of Open Access Journals (Sweden)

    Everardo Valdés Pacheco

    1996-06-01

    Full Text Available Se realiza una revisión bibliográfica sobre el tema Accidente, especialmente en los niños, y se resalta la importancia de la prevención de éstos, pues constituyen la primera causa de muerte en nuestro país en los menores entre 1 y 14 años de edad. Se brinda información sobre los tipos y causas principales de accidentes en estas edades, así como las recomendaciones para la labor preventiva del equipo de salud en la atención primaria.A bibliographic review on the topic of accidents, specially in children, is carried out, and it is stressed the importance of prevention, since they are the first cause of death among children aged 1-14 years. Information is provided on the types and main causes of accidents at these ages. Recommendations are also given for the preventive work of the health team in primary care.

  2. INFLUENCIA DE LAS CARACTERÍSTICAS INDIVIDUALES Y DE LAS CONDICIONES LABORALES EN LA GRAVEDAD DE LAS LESIONES POR ACCIDENTE DE TRABAJO REGISTRADAS EN ANDALUCÍA EN 2003

    Directory of Open Access Journals (Sweden)

    Julia Bolívar Muñoz

    2009-01-01

    Full Text Available Fundamento. El estudio de la gravedad de las lesiones por accidente de trabajo es clave para el establecimiento de planes de prevención. El objetivo de este trabajo es conocer la distribución de las lesiones registradas por accidente de trabajo con baja según: a las características del trabajador/ora; b las del centro de trabajo y; c las condiciones de empleo y del puesto de trabajo; y analizar la gravedad de las lesiones registradas según estas características en hombres y mujeres en Andalucía. Métodos. Se utilizaron los datos del registro de lesiones por accidente de trabajo con incapacidad laboral durante 2003 en Andalucía. Variable dependiente: grado real de la lesión; variables independientes: las características del/a trabajador/a, de la empresa y las del propio accidente. Se realizó un análisis bivariante y multivariante para estimar la probabilidad de lesión grave, muy grave o mortal asociada al resto de variables mediante la razón de odds (OR y su intervalo de confianza. Resultados. El 82,4% de las lesiones se produjeron en hombres y el 17,6% en mujeres, de las cuales el 78,1% eran trabajadoras manuales no cualificadas, frente al 44,9% de los hombres. En hombres de clase I se encontró una probabilidad mayor de presentar lesiones más graves (OR = 1,67; IC 95% = 1,17-2,38. Conclusiones. La gravedad de las lesiones se relaciona con el sexo, la edad y el tipo de lesión. En los hombres también se asocia con la situación profesional, la clase social, el lugar del accidente, la plantilla del centro y el realizar un trabajo que no es el suyo y en las mujeres con el sector de actividad.

  3. Avaliação de funções psicomotoras de crianças entre 6 e 10 anos de idade Evaluación de funciones psicomotrices del niños entre 6 y 10 años de edad Evaluation of psychomotor functions of children between 6 and 10 year of age

    Directory of Open Access Journals (Sweden)

    José Roberto da Silva Brêtas

    2005-12-01

    Full Text Available OBJETIVO: A finalidade deste estudo foi avaliar funções psicomotoras em 86 crianças entre 6 e 10 anos, de ambos os sexos, que freqüentam uma instituição de ensino fundamental da região sul da cidade de São Paulo. MÉTODOS: estudo descritivo que se utilizou um instrumento estruturado com atividades para avaliação das funções: motora (fina e grossa; perceptual (esquema corporal, adaptação espacial, memórias visual e tátil, discriminação direita/esquerda, grafismo, ritmo e concentração; dominância lateral. RESULTADOS: de forma geral a população estudada conseguiu realizar as atividades de coordenação motora fina sem dificuldade, apenas um grupo apresentou imaturidade da motricidade fina; quanto à coordenação motora grossa, dinâmica corporal, postura e equilíbrio, conseguiram boa performance; apresentaram dificuldades na adaptação espacial e boa orientação espacial; na memória visual e tátil apresentaram pouca dificuldade; a maioria apresentou bom ritmo espontâneo e dificuldade com o ritmo codificado; no grafismo rítmico-perceptual, o maior problema foi observado em relação ao tamanho irregular das formas gráficas; ¾ da população apresentaram dominância lateral bem definida.OBJETIVO: La finalidad en este estudio fue evaluar funciones psicomotoras en 86 niños entre 6 y 10 años, de ambos sexos, que frecuentan una institución de enseñanza fundamental de la región sur de la ciudad de São Paulo. MÉTODOS: estudio descriptivo en el que se utilizó un instrumento estructurado con actividades para evaluación de las funciones: motora (fina y gruesa; perceptual (esquema corporal, adaptación espacial, memorias visual y tactil, discriminación derecha/izquierda, grafismo, ritmo y concentración; dominio lateral. RESULTADOS: de forma general la población estudiada consiguió realizar las actividades de coordinación motora fina sin dificultad, apenas un grupo presentó inmadurez de la motricidad fina; en

  4. Accidental head injuries in children under 5 years of age

    International Nuclear Information System (INIS)

    Johnson, K.; Fischer, T.; Chapman, S.; Wilson, B.

    2005-01-01

    AIM: To evaluate the type and nature of head injuries sustained by children under the age of 5 years who present to a busy accident and emergency (A and E) department following an accidental fall. MATERIALS AND METHODS: This study included all children under the age of 5 years, who over an 8-month period were referred to our A and E Department with head injury following an accidental fall. Data were collected regarding the height of the fall, whether or not stairs were involved, the type of surface that the child landed on and the height of the child. This was correlated with any soft-tissue injury or skull fracture. RESULTS: A total of 72 children (aged 4 months to 4.75 years) fulfilled all the criteria for an accidental fall. The heights of the falls ranged from less than 50 cm to over 3 m, with the majority below 1 m. Of the falls, 49 were onto a hard surface and 23 were onto a soft surface. Of the 72 children, 52 had visible evidence of head injury, 35 (71%) of 49 being the result of falls onto hard surfaces and 17 (74%) of 23 onto soft (carpeted) surfaces. There was no significant difference in the type of surface that resulted in a visible head injury. A visible head injury was seen in all children who fell from a height of over 1.5 m and in 95% of children who fell over 1 m. Of the 72 children, 32 (44%) had skull radiographs performed in accordance with established guidelines and 4 (12.5%) were identified as having a fracture. Of the 3 linear parietal fractures 2 were inflicted by falls of just over 1 m (from a work surface) and 1 by a fall of 80 to 90 cm onto the hard-edged surface of a stone fire surround. The 4th was a fracture of the base of skull following a fall from more than 3 m (from a first-storey window). CONCLUSIONS: In the vast majority of domestic accidents children do not suffer significant harm. Skull fractures are rare and probably occur in less than 5% of cases. To cause a skull fracture the fall needs to be from over 1 m or, if from a

  5. Análisis fractal de procesos dimámicos en el océano

    OpenAIRE

    Cabrera Brito, Laura

    2016-01-01

    Programa de doctorado: Física, Matemáticas, Geología y Clima. La fecha de publicación es la fecha de lectura. [ES]El objetivo principal del presente trabajo consiste en identificar la existencia, o no, de comportamientos estadísticamente auto-semejantes y de dependencia a largo plazo en series temporales de procesos físicos en el océano, mediante el análisis de la estructura monofractal y multifractal de las mismas. Para ello se emplean las metodologías d...

  6. Estudio de seguridad del laboratorio de análisis para el control de materias primas de la Sociedad de Resinas Naturales S.L.

    OpenAIRE

    Cazurro Pérez, Gregorio Luis

    2012-01-01

    La seguridad en el trabajo es una responsabilidad de todo los miembros de una plantilla. Son acciones que permiten localizar y evaluar los riesgos, y establecer medidas para prevenir los accidentes de trabajo. Son fundamentales la formación de los trabajadores y la existencia de protocolos de actuación en caso de accidentes. En un laboratorio existen riesgos derivados del manejo de sustancias peligrosas y del desconocimiento de las propiedades de las mismas. En la Sociedad de Resinas Naturale...

  7. Application of biological dosimetry in accidental radiation exposure

    Energy Technology Data Exchange (ETDEWEB)

    Nosal, M.; Batora, I.; Kolesar, D.; Stojkovic, J. (Komenskeho Univ., Bratislava (Czechoslovakia). Lekarska Fakulta); Gaal, P.; Sklovsky, A. (Krajska Hygienicka Stanica, Bratislava (Czechoslovakia)); Cizova, O. (Sexuologicka Ambulancia KUNZ, Bratislava (Czechoslovakia))

    1982-03-01

    The case is described of accidental irradiation of a male person with /sup 137/Cs of an activity of 24.71 GBq. The first estimate induced a reasonable suspicion that the absorbed dose could be very high and life-threatening. On the other hand the clinical picture, usual laboratory examinations, findings in the fluorescent blood count, the analysis of chromosomal count of lymphocytes in the peripheral blood, the spermiogram, and the negative post-irradiation porphyrinuria suggested that the absorbed dose could be much lower than the original estimate. The results of dosimetry obtained after the reconstruction of the accident by measuring on a phantom revealed that the actual dose was very close to that presumed from the results of biological dosimetry during the first days of examination of the patient.

  8. Accidental fast neutron dosimetry by means of plastic identity cards

    International Nuclear Information System (INIS)

    Lommler, B.; Pitt, E.; Scharmann, A.; Simmer, R.

    1991-01-01

    Identity cards designed to provide high security against falsification are often composed of polymeric compounds and a paper-like inlay containing the identifying information. This system may be considered as a fast neutron detector when certain boundary conditions, especially concerning the polymer are fulfilled. The track recording properties of the plastic envelope of a widely used identity card were investigated. Recoil tracks induced by fast neutrons were revealed by electrochemical etching in 5N NaOH in a thin cover mounted on a trick etch-resistant base. The etching parameters (etchant normality, temperature, time, field strength, frequency) were optimized to achieve maximum neutron sensitivity. The response for neutrons from a CF 252 source is about one per cent of that of the widely used CR-39 track detector material. The possible use of the identity card as an etch track detector in accidental neutron dosimetry is discussed. (author)

  9. TWO-DIMENSIONAL MODELLING OF ACCIDENTAL FLOOD WAVES PROPAGATION

    Directory of Open Access Journals (Sweden)

    Lorand Catalin STOENESCU

    2011-05-01

    Full Text Available The study presented in this article describes a modern modeling methodology of the propagation of accidental flood waves in case a dam break; this methodology is applied in Romania for the first time for the pilot project „Breaking scenarios of Poiana Uzului dam”. The calculation programs used help us obtain a bidimensional calculation (2D of the propagation of flood waves, taking into consideration the diminishing of the flood wave on a normal direction to the main direction; this diminishing of the flood wave is important in the case of sinuous courses of water or with urban settlements very close to the minor river bed. In the case of Poiana Uzului dam, 2 scenarios were simulated with the help of Ph.D. Eng. Dan Stematiu, plausible scenarios but with very little chances of actually producing. The results were presented as animations with flooded surfaces at certain time steps successively.

  10. Nuclear power: Accidental releases - principles of public health action

    International Nuclear Information System (INIS)

    1984-01-01

    This report is based on the collective knowledge and experience of the members of a Working Group, convened by WHO in collaboration with the Government of Belgium in Brussels on 23-27 November 1981, to discuss and appraise the different actions that might be taken following accidental radioactive releases from nuclear plants. It does not provide detailed technical data, but broadly surveys the rational basis for decision-making, indicating the present position as assessed by members of the Working Group. Four major disciplines (radiological protection, health physics, environmental science and technology, and human biology) and three main professional categories (physicians, engineers and physicists) were represented, providing a comprehensive multidisciplinary approach to the topic. The purpose of this report is to give guidance to national authorities on how to develop the capacity to take action in a nuclear emergency

  11. Nodular goiter after occupational accidental exposure to radiation

    Energy Technology Data Exchange (ETDEWEB)

    Pisarev, M.A. [Radiobiology, National Atomic Energy Commission, Buenos Aires (Argentina); Human Biochemistry, Uninversity of Buenos Aires, School of Medicine, Buenos Aires (Argentina); Schnitman, M. [Center of Endocrinology and Metabolism, French Hospital C.Milstein, Buenos Aires (Argentina)

    2012-07-01

    In the present paper we present the consequences of an accidental occupational radiation exposure at a local hospital in Buenos Aires. Control at a local radiology service showed the lack of correct shielding in the X-ray equipment. The physicians and technicians (14 persons) exposed to radiation during 12 months were examined. The survey shows that: a) In 11 out of 14 radiation-exposed patients nodular goiter developed and an additional patient had diffuse goiter which means a goiter incidence of 85.7%; b) In 5 of the nodular goiter patients an increase in the size or the appearance of new nodules was observed along the follow-up period. No cancer was detected by FNA; c) Hypothyroidism was observed in 3/14 patients, and an additional patient had an abnormal TRH-TSH test, suggesting subclinical hypothyroidism; and d) Increased circulating antithyroid antibodies were found in one of the hypothyroid patients

  12. Correcting for accidental correlations in saturated avalanche photodiodes.

    Science.gov (United States)

    Grieve, J A; Chandrasekara, R; Tang, Z; Cheng, C; Ling, A

    2016-02-22

    In this paper we present a general method for estimating rates of accidental coincidence between a pair of single photon detectors operated within their saturation regimes. By folding the effects of recovery time of both detectors and the detection circuit into an "effective duty cycle" we are able to accomodate complex recovery behaviour at high event rates. As an example, we provide a detailed high-level model for the behaviour of passively quenched avalanche photodiodes, and demonstrate effective background subtraction at rates commonly associated with detector saturation. We show that by post-processing using the updated model, we observe an improvement in polarization correlation visibility from 88.7% to 96.9% in our experimental dataset. This technique will be useful in improving the signal-to-noise ratio in applications which depend on coincidence measurements, especially in situations where rapid changes in flux may cause detector saturation.

  13. Control of radiation sources and general regulations for accidental situations

    International Nuclear Information System (INIS)

    Slimani, A.

    1998-01-01

    In order to prevent accidents caused by application of radiation sources the Tunisian O.N.P.C. established straightforward strategy made up of 3 phases: prevention, planning and intervention. Civil Protection conducts prevention studies of all radiation sources by examining normal application conditions as well as possible accidental situations. It keeps up with scientific, technical and statistical aspects of radiation risks, elaborates specific plans and programs for intervention operations and cooperates with administrative and security services as well as international organisations. The O.N.P.C. established a model intervention plan based on observation (according to preliminary information), evaluation of the situation (according to the head of operation) intervention (specialized units) and post intervention (testing of personnel)

  14. MULTIORGAN INJURY AFTER ACCIDENTAL POISONING WITH AUTUMN CROCUS

    Directory of Open Access Journals (Sweden)

    Gorazd Lešničar

    2004-04-01

    Full Text Available Background. A case of accidental poisoning with autumn crocus (Colchicum autumnale that was misinterpreted for wild garlic (Allium ursinum is presented. Both plants grow on damp meadows and can be easily wrongly identified especially before blooming period as they have similar, pointed leaves.Results. Considering anamnestic data, clinical picture and laboratory findings in 43-yr-old female, a poisoning with the colchicine plant alkaloid was suspected. Later, it was confirmed by toxicology analyses (chromatography and spectrometry of the collected serum and urine samples. Severe initial gastrointestinal disorders progressed into ileus, bone-marrow suppression and multi-organ failure.Conclusions. After the patient had received a symptomatic treatment with granulocyte-directed growth factor and a suitable antibiotic therapy for secondary infection, she recovered within three weeks from the onset of condition. The most persistent problem was alopecia. The disease did not entailed any permanent sequellae which was confirmed 3 years after the patient was considered cured.

  15. Reporting a sudden death due to accidental gasoline inhalation.

    Science.gov (United States)

    Martínez, María Antonia; Ballesteros, Salomé; Alcaraz, Rafael

    2012-02-10

    The investigation of uncertain fatalities requires accurate determination of the cause of death, with assessment of all factors that may have contributed to it. Gasoline is a complex and highly variable mixture of aliphatic and aromatic hydrocarbons that can lead to cardiac arrhythmias due to sensitization of the myocardium to catecholamines or acts as a simple asphyxiant if the vapors displace sufficient oxygen from the breathing atmosphere. This work describes a sudden occupational fatality involving gasoline. The importance of this petroleum distillate detection and its quantitative toxicological significance is discussed using a validated analytical method. A 51 year-old Caucasian healthy man without significant medical history was supervising the repairs of the telephone lines in a manhole near to a gas station. He died suddenly after inhaling gasoline vapors from an accidental leak. Extensive blistering and peeling of skin were observed on the skin of the face, neck, anterior chest, upper and lower extremities, and back. The internal examination showed a strong odor of gasoline, specially detected in the respiratory tract. The toxicological screening and quantitation of gasoline was performed by means of gas chromatography with flame ionization detector and confirmation was performed using gas chromatography-mass spectrometry. Disposition of gasoline in different tissues was as follows: heart blood, 35.7 mg/L; urine, not detected; vitreous humor, 1.9 mg/L; liver, 194.7 mg/kg; lung, 147.6 mg/kg; and gastric content, 116,6 mg/L (2.7 mg total). Based upon the toxicological data along with the autopsy findings, the cause of death was determined to be gasoline poisoning and the manner of death was accidental. We would like to alert on the importance of testing for gasoline, and in general for volatile hydrocarbons, in work-related sudden deaths involving inhalation of hydrocarbon vapors and/or exhaust fumes. Copyright © 2011 Elsevier Ireland Ltd. All rights

  16. [Accidental ingestion of two magnets--aggresive or prolonged approach?].

    Science.gov (United States)

    Durko, Alina; Czkwianianc, Elzbieta; Bak-Romaniszyn, Leokadia; Małecka-Panas, Ewa

    2007-05-01

    Accidental ingestion of foreign bodies is a common pediatric problem. Non-sharp items like coins, jewelry, pieces of toys are most frequently found among swallowed objects. They usually pass through a child's digestive system without health consequences (40-90% of reported cases). Approximately 10% of children require endoscopic intervention and 1-3% undergoes a surgical treatment. Authors present a unique health hazard caused by multiple magnet ingestion and general management in these cases of this specific foreign body presence. A 6 y.o. boy, in excellent health has been admitted G.I. Dept. presenting a history of accidental ingestion of two magnets (size 1.5 x 0.5 cm) 4 days prior to hospitalization. On admission patient presented no symptoms of foreign body in GI tract, however his WBC was 15000/mm3, ESR-22mm. Foreign bodies have been removed under general anesthesia using endoscopic technique. Endoscopic view of the esophagus region from which magnet has been removed at first might have been identify as a perforation of the esophageal wall. Chest X-ray has not revealed symptoms of pneumothorax, as well as the contrast radiologic study showed symptoms of upper GI tract perforation. Conservative treatment has been administered. Patient has been discharged home with no complaints in general and local good condition. Ingestion of more than one magnets is an strong indication for an immediate endoscopic intervention. Such an algorithm is strongly advocated to prevent of lesion formation in the soft tissues located between two objects with paramagnetic properties which may cause ischemic necrosis and perforation of the GI tract wall.

  17. Accidental Durotomy in Minimally Invasive Transforaminal Lumbar Interbody Fusion: Frequency, Risk Factors, and Management

    Directory of Open Access Journals (Sweden)

    Jan-Helge Klingler

    2015-01-01

    Full Text Available Purpose. To assess the frequency, risk factors, and management of accidental durotomy in minimally invasive transforaminal lumbar interbody fusion (MIS TLIF. Methods. This single-center study retrospectively investigates 372 patients who underwent MIS TLIF and were mobilized within 24 hours after surgery. The frequency of accidental durotomies, intraoperative closure technique, body mass index, and history of previous surgery was recorded. Results. We identified 32 accidental durotomies in 514 MIS TLIF levels (6.2%. Analysis showed a statistically significant relation of accidental durotomies to overweight patients (body mass index ≥25 kg/m2; P=0.0493. Patient age older than 65 years tended to be a positive predictor for accidental durotomies (P=0.0657. Mobilizing patients on the first postoperative day, we observed no durotomy-associated complications. Conclusions. The frequency of accidental durotomies in MIS TLIF is low, with overweight being a risk factor for accidental durotomies. The minimally invasive approach seems to minimize durotomy-associated complications (CSF leakage, pseudomeningocele because of the limited dead space in the soft tissue. Patients with accidental durotomy can usually be mobilized within 24 hours after MIS TLIF without increased risk. The minimally invasive TLIF technique might thus be beneficial in the prevention of postoperative immobilization-associated complications such as venous thromboembolism. This trial is registered with DRKS00006135.

  18. Involving Parents in Indicated Early Intervention for Childhood PTSD Following Accidental Injury

    Science.gov (United States)

    Cobham, Vanessa E.; March, Sonja; De Young, Alexandra; Leeson, Fiona; Nixon, Reginald; McDermott, Brett; Kenardy, Justin

    2012-01-01

    Accidental injuries represent the most common type of traumatic event to which a youth is likely to be exposed. While the majority of youth who experience an accidental injury will recover spontaneously, a significant proportion will go on to develop Post-Traumatic Stress Disorder (PTSD). And yet, there is little published treatment outcome…

  19. Management options in the food chain for accidental radionuclide deposition

    International Nuclear Information System (INIS)

    Rantavaara, A.

    2005-12-01

    Finland with four other countries participated in the European Union's network project FARMING in 2000 - 2004. The aim of the project was to invite participants from each country representing the food supply chain in a stakeholder group and advance with the groups the networking in building preparedness for accidental contamination of the food production systems. The task of the groups was to evaluate the practicability of management options suggested for reduction of radiation exposure through foodstuffs, and for disposal of waste generated in implementation of these options. The criteria for practicability were effectiveness in reduction of radiation exposure through foodstuffs, technical feasibility, capacity, costs for implementation, secondary costs for waste disposal, socio-economic impact, and acceptability concerning ecology and protection of environment and landscape. Practicable management options aimed at sustainable restoration of food production systems after accidental contamination. The Finnish stakeholder group represented farm production, processing industry, food marketing, catering, advisor organisations for households and agriculture, consumers, nature conservation, the media, experts on environmental impact and authorities responsible for production, safety and security of foodstuffs, food supply and feedstuffs. The group was expected to examine the effect of the Finnish, and, also more generally, northern production conditions on the practicability of the suggested management options. The stakeholder group members first familiarized themselves with intervention after accidental contamination of a large milk production area and thereafter with practicability of individual management options. The evaluation was based on the group members' complementary expertise that very well covered the chain 'from field to fork' whether the issue was related to legislation, production methods, logistics, environmental impacts, or the issues of consumers and

  20. Editorial - Dossiê: Lutero e a Reforma: 500 anos

    Directory of Open Access Journals (Sweden)

    Paulo Agostinho Nogueira Baptista

    2016-12-01

    Full Text Available Horizonte v 14, n. 44, out./dez. 2016Editorial - Dossiê: Lutero e a Reforma: 500 anosPrefácio e Cap. VI (Cinco imperativos ecumênicos do Relatório da Comissão Luterana – Católico-Romana para a Unidade: “Do Conflito à Comunhão. Comemoração conjunta católico-luterana da Reforma em 2017” (2015.

  1. Modelo de ánalisis de los accidentes laborales versus inversión en prevención, en la industria de la construcción

    OpenAIRE

    Alves de Oliveira, Paulo Antero

    2013-01-01

    Con el presente trabajo se pretende presentar algunos resultados de naturaleza socio-económica del problema de la siniestralidad laboral y de los costes con la inversión en Prevención en el sector de la Construcción. De este modo, hemos tratado de evaluar la relación coste-beneficio de la inversión en Prevención, en las organizaciones empresariales pertenecientes a la Asociación Nacional de Contratistas de Obras Públicas (ANEOP), evaluando el impacto económico de los accidentes de trabajo. El...

  2. Análisis espacial de los accidentes laborales in itinere en veterinarios de grandes animales en la provincia de Santa Fe

    Directory of Open Access Journals (Sweden)

    Ana Inés Molineri

    2016-12-01

    Full Text Available En la práctica de grandes animales el profesional debe viajar frecuentemente para atender a sus clientes, exponiéndose a los riesgos del tránsito. Los objetivos de este trabajo fueron: a evaluar la frecuencia de veterinarios que sufrieron accidentes laborales in itinere (Alii en la provincia de Santa Fe y la posible asociación espacial entre los casos detectados y b estimar la percepción de los riesgos y el uso de elementos de protección personal. Se efectuó un estudio observacional sobre profesionales veterinarios que se dedican al manejo y atención de grandes animales en la provincia de Santa Fe, Argentina. El diseño fue transversal, la unidad de interés el veterinario y la población objetivo los veterinarios rurales santafesinos. La tasa de respuesta a un cuestionario estructurado que respondieron en forma anónima fue del 75,8 % (n= 562. El análisis de los datos incluyó la búsqueda de agrupamientos espaciales para poblaciones de distribución heterogénea utilizando el programa SatScan versión 9.2. La frecuencia de accidentes fue del 14,8 %. Se encontró un agrupamiento espacial (p= 0,017 en el sudeste provincial (riesgo relativo= 0,42. La frecuencia de veterinarios que sufrieron accidentes fue decreciendo desde el norte al sur de la provincia. El tránsito en rutas fue percibido como más riesgoso por una mayor proporción de entrevistados que el tránsito en caminos rurales. Las frecuencias de uso de luz baja durante el día y cinturón de seguridad fueron independientes de las percepciones del riesgo en el tránsito. Dado que la frecuencia de accidentes entre los veterinarios es alta, resulta fundamental diseñar estrategias de educación para evitar daños futuros.

  3. El estado del arte en las infecciones producidas por el virus del papiloma humano

    OpenAIRE

    Julio César Reina; Nubia Muñoz; Gloria Inés Sánchez

    2008-01-01

    La infección anogenital por el virus del papiloma humano (VPH) es la infección de transmisión sexual más frecuente en todo el mundo. En los humanos se han identificado alrededor de 100 genotipos de los cuales unos 40 infectan la región ano-genital. Los 15 genotipos de alto riesgo, son causa necesaria del cáncer cervical y han sido implicados como agentes carcinogénicos de la vulva, vagina, pene, ano y región orofaríngea. Los VPH de bajo riesgo producen las verrugas genitales (condilomas) y la...

  4. O Primeiro Ano do Grupo de Apoio ao Primeiranista

    Directory of Open Access Journals (Sweden)

    Rodolfo Furlan Damiano

    Full Text Available Este trabalho é um relato de experiência do primeiro ano de funcionamento do Grupo de Apoio ao Primeiranista (GAP. O GAP é um grupo desenvolvido por alunos de Medicina de uma universidade privada do Estado de São Paulo, apoiado por sua direção, com o intuito de amparar e humanizar a recepção aos ingressantes. O início das atividades do GAP ocorreu em 2013 com base nos conceitos de tutoria/mentoring, aplicado por outras escolas médicas brasileiras. Nas reuniões semanais do GAP, os participantes (alunos do primeiro ano e mentores (acadêmicos veteranos e uma psicóloga institucional discutiam temas como resiliência, compaixão, humildade e respeito. Durante as reuniões, notou-se uma problemática extensa em relação ao trote universitário, referido pelos primeiranistas como o pior problema enfrentado na universidade. Na sequência dos encontros, o grupo direcionou suas ações para reduzir o trote na universidade. O GAP, apesar de estar em seu primeiro ano de funcionamento, mostrou ter eficácia relevante, podendo ser um modelo a ser implementado em outras universidades.

  5. Escenarios del impacto económico social del cambio global del clima en la República Argentina

    OpenAIRE

    Burgos, Juan Jacinto

    1991-01-01

    En la presente comunicación se analiza el cambio de la circulación general de la atmósfera y el océano, como consecuencia, del clima terrestre y su relación con la producción económica de la sociedad.

  6. Anos de chumbo ou anos de ouro?A memória social sobre o governo Médici

    Directory of Open Access Journals (Sweden)

    Janaina Martins Cordeiro

    2009-06-01

    Full Text Available Este artigo discute a memória social sobre a ditadura civil-militar brasileira, em particular a memória sobre o governo do presidente Emilio Médici. A partir da discussão da metáfora dos anos de chumbo, bem como da recuperação do período pelo viés dos anos de ouro, pretende-se analisar a complexidade dos comportamentos sociais sob a ditadura, e discutir atitudes como a passividade e a indiferença, que, tanto quanto a colaboração ativa, contribuem para a construção do consenso em torno do regime. Ao mesmo tempo, a ideia é refletir sobre a construção da memória social sobre o período em articulação com o esquecimento e os silêncios.

  7. The spectrum of accidental childhood poisoning in the Caribbean Intoxicaciones infantiles accidentales en el Caribe

    Directory of Open Access Journals (Sweden)

    Thomas C. Martin

    2002-11-01

    incidencia, tipos de sustancias implicadas, edad de los niños y desenlaces clínicos. Los resultados obtenidos en este país se compararon con los de otros estudios realizados en diferentes países caribeños de habla inglesa y en los Estados Unidos de América (EE. UU.. Métodos. Se realizó una revisión retrospectiva de las historias clínicas de todos los pacientes de menos de 13 años de edad ingresados entre marzo de 1989 y marzo de 1999 en la planta de pediatría del Hospital Holberton de Antigua por intoxicación accidental. Los datos obtenidos se compararon con los comunicados en estudios anteriores realizados en Barbados, Guyana, Jamaica y EE. UU. Resultados. Durante este período de 10 años, hubo en Antigua y Barbuda 255 ingresos de niños de menos de 13 años por intoxicación accidental (media de 26 ingresos por año. En una población de aproximadamente 20 000 niños menores de 13 años, esto representa una proporción de 1,3 por 1 000. De estos 255 casos, 115 (45% ocurrieron en niños de 1 año, 69 (27% en niños de 2 años y 26 (10% en niños de 3 años. Esta distribución por edades fue similar a la observada en los demás países. Al comparar los tipos de intoxicación en todos los países estudiados, se verificó que las sustancias implicadas cambiaban a medida que aumentaba el nivel económico: disminuían los hidrocarburos y las plantas y aumentaban los medicamentos y los productos químicos. Conclusiones. A medida que aumenta el nivel económico, también lo hace la complejidad de las sustancias implicadas. Esta tendencia debería llevar al establecimiento de un centro de control de intoxicaciones en los países caribeños de habla inglesa.

  8. REHABILITACIÓN DEL ACCIDENTE CEREBRO-VASCULAR EN ADULTOS MAYORES

    Directory of Open Access Journals (Sweden)

    Facchín RJ

    2015-05-01

    Full Text Available Cerebrovascular disease (CVA or stroke is one of the most important problems of public health as it is the second leading cause of death worldwide according to WHO and the first permanent disability of sudden onset in patients over 65 years. It should always be considered functional recovery after stroke reflect the reparative processes in the area adjacent to peri ischemic damage. This is thought to occur early, perhaps in the first 3-4 weeks post-stroke. Then it considered the repetitive training is a critical stimulus for new functional connections within the healthy brain tissue and remaining. The begining of rehabilitation should be started as soon as the patient is clinically stable. The functional results depend on this early onset, of course considering the patient's tolerance to stress. We conclude that neuromuscular rehabilitation undertaken in early and interdisciplinary therapeutic instance is crucial for the patient affected by stroke, especially in the elderly.

  9. FACTORES DE RIESGO QUE OCASIONAN ACCIDENTES LABORALES EN EL PERSONAL DE ENFERMERÍA DE UNA CLÍNICA ACREDITADA DE LA CIUDAD DE AREQUIPA, 2007-2008

    OpenAIRE

    GARCIA SUTTA, PATRICIA CONCEPCION

    2014-01-01

    FACTORES DE RIESGO CONCEPTUALIZACIÓN TIPOS RIESGOS NO MECÁNICOS RUIDOS RADIACIONES IONIZANTES ILUMINACIÓN CALOR FRÍO RIESGOS FÍSICOS MECÁNICOS RIESGOS QUÍMICOS RIESGOS ERGONÓMICOS POSTURA RIESGOS BIOLÓGICOS CARGA DE TRABAJO LABORAL DEFINICIÓN ACCIDENTES LABORALES ACCIDENTE CAUSAS BÁSICAS Y CAUSAS INMEDIATAS ACCIDENTES LABORALES CAUSAS DE LOS ACCIDENTES TIPOS DE ACCIDENTE TIPOS DE ACCIDENTES LABORALES

  10. Fistula in ano: endoanal sonography versus endoanal MR imaging in classification

    NARCIS (Netherlands)

    Hussain, S. M.; Stoker, J.; Schouten, W. R.; Hop, W. C.; Laméris, J. S.

    1996-01-01

    To assess agreement between endoanal sonography, endoanal magnetic resonance (MR) imaging, and surgery in depiction and classification of fistula in ano. Twenty-eight consecutive patients with nonspecific, cryptoglandular fistula in ano were studied. The fistulas were classified with endoanal

  11. Avaliação do estado nutricional de crianças menores de 10 anos no município de Ferros, Minas Gerais Evaluación del status nutricional de niños con menos de 10 años en la ciudad de ferros, estado de Minas Gerais Nutritional assessment in children under 10 in ferros, Minas Gerais

    Directory of Open Access Journals (Sweden)

    Mariana Santos Felisbino-Mendes

    2010-06-01

    Full Text Available A sociedade brasileira vivencia, além da desnutrição e fome, problemas relacionados à obesidade - a transição nutricional. Este trabalho é um estudo transversal com amostra de 1322 crianças menores de 10 anos, residentes no município de Ferros, Minas Gerais, e cadastradas no SISVAN. Observou-se que 20,7% das crianças apresentaram alguma alteração nutricional (10,1% risco nutricional, 3,8% desnutrição e 6,7% sobrepeso. Fatores de risco para o desenvolvimento de desnutrição foram pesquisados: baixo peso ao nascer, RP=3,57, IC 95% (1,96-6,52; baixa estatura RP=19,36, IC 95% (11,53-32,52; aleitamento materno ausente RP=2,23, IC 95% (1,19-4,18; renda familiar de até R$ 95, RP = 2,39, IC 95% (1,10-5,16. Destaca-se maior prevalência de sobrepeso em relação à desnutrição. Enquanto a população rural apresentou maior prevalência de desnutrição e risco nutricional, a urbana destacou-se pelo sobrepeso. Esses resultados são importantes para mostrar que intervenções nutricionais são necessárias e devem considerar os problemas específicos apontados.La sociedad brasileña experimenta, más allá de la desnutrición y el hambre, problemas relacionados con la obesidad -la transición nutricional-. Este trabajo es un estudio transversal, fue realizado sobre una muestra de 1322 niños con menos de 10 años residentes en Ferros, Minas Gerais, registrados en el SISVAN. Se observó que el 20,7% de los niños presentaba alguna alteración nutricional (10,1% riesgo nutricional, 3,8% desnutrición y 6,7% sobrepeso. Fueron investigados factores de riesgo para el desarrollo de la desnutrición: bajo peso al nacer, RP = 3,57, IC 95% (1,96-6,52; baja estatura, RP = 19,36, IC 95% (11,53-32,52; ausencia de amamantamiento, RP = 2,39, IC 95% (1,10-5,16. Es destacable la prevalencia del sobrepeso respecto de la desnutrición. Mientras la población rural presentó mayor prevalencia de desnutrición y riesgo nutricional, la urbana se destacó por

  12. Detecting spatiotemporal clusters of accidental poisoning mortality among Texas counties, U.S., 1980 – 2001

    Directory of Open Access Journals (Sweden)

    Harris Ann

    2004-10-01

    Full Text Available Abstract Background Accidental poisoning is one of the leading causes of injury in the United States, second only to motor vehicle accidents. According to the Centers for Disease Control and Prevention, the rates of accidental poisoning mortality have been increasing in the past fourteen years nationally. In Texas, mortality rates from accidental poisoning have mirrored national trends, increasing linearly from 1981 to 2001. The purpose of this study was to determine if there are spatiotemporal clusters of accidental poisoning mortality among Texas counties, and if so, whether there are variations in clustering and risk according to gender and race/ethnicity. The Spatial Scan Statistic in combination with GIS software was used to identify potential clusters between 1980 and 2001 among Texas counties, and Poisson regression was used to evaluate risk differences. Results Several significant (p Conclusion The findings of the present study provide evidence for the existence of accidental poisoning mortality clusters in Texas, demonstrate the persistence of these clusters into the present decade, and show the spatiotemporal variations in risk and clustering of accidental poisoning deaths by gender and race/ethnicity. By quantifying disparities in accidental poisoning mortality by place, time and person, this study demonstrates the utility of the spatial scan statistic combined with GIS and regression methods in identifying priority areas for public health planning and resource allocation.

  13. Una investigaci??n sobre el impacto geogr??fico en las causas y consecuencias de los accidentes de transporte de combustibles l??quidos y gaseosos en Portugal continental = An investigation into the geographical impact on the causes and consequences of road accidents with liquid and gaseous fuels in Portugal Continental = Uma investiga????o sobre o impacto geogr??fico nas causas e consequ??ncias de acidentes nodovi??rios com combustiveis liquidos e gasosos em Portugal Continental

    OpenAIRE

    Cardoso, Victor Manuel

    2017-01-01

    616 p. El presente estudio surgi?? de la formulaci??n de la hip??tesis de que los accidentes ocurridos en Portugal continental en el transporte por carretera de combustibles l??quidos y gaseosos, estaban relacionados con la geograf??a f??sica del pa??s. Con ese objetivo, se analiz?? la relaci??n entre los transportes por carretera de combustibles, los trechos y puntos negros del sistema de carreteras, los accidentes y la geograf??a f??sica. Tambi??n han sido descritos algunos de los acc...

  14. Prolonged Toxic Encephalopathy following Accidental 4-Aminopyridine Overdose

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    Maria Ballesta Méndez

    2014-01-01

    Full Text Available Background. 4-Aminopyridine (4-AP is a drug that is used to improve motor fatigue in patients suffering from multiple sclerosis (MS. Medication error can occur, as commercial preparation may not be available in some countries. Case Presentation. A 58-year-old woman with progressive MS presented with status epilepticus. She was receiving 4-AP for more than 3 years. The symptoms started soon after the ingestion of a single pill that was supposed to contain 10 mg 4-AP, but further investigations revealed that each pill had been inadvertently prepared with an 100 mg 4-AP concentration. The patient was admitted to the intensive care unit (ICU for appropriate management (orotracheal intubation, sedation, and antiepileptic drugs. The first electroencephalogram (EEG showed abundant irregular spike-waves on the left central regions. Neurological condition gradually improved from day 7, while the EEG did not reveal any more electrical seizures but was still consistent with toxic encephalopathy. The patient stayed in the ICU until day 13. At discharge from the rehabilitation ward (2.5 months later, the patient had not yet recovered her previous cognitive and functional condition. Conclusion. A single 100 mg 4-AP accidental overdose may cause serious immediate complications, with a slow and incomplete neurological recovery.

  15. Wind field forecast for accidental release of radiative materials

    International Nuclear Information System (INIS)

    Kang Ling; Chen Jiayi; Cai Xuhui

    2003-01-01

    A meso-scale wind field forecast model was designed for emergency environmental assessment in case of accidental release of radiative materials from a nuclear power station. Actual practice of the model showed that it runs fast, has wind field prediction function, and the result given is accurate. With meteorological data collected from weather stations, and pre-treated by a wind field diagnostic model, the initial wind fields at different times were inputted as initial values and assimilation fields for the forecasting model. The model, in turn, worked out to forecast meso-scale wind field of 24 hours in a horizontal domain of 205 km x 205 km. And then, the diagnostic model was employed again with the forecasting data to obtain more detail information of disturbed wind field by local terrain in a smaller domain of 20.5 km x 20.5 km, of which the nuclear power station is at the center. Using observation data in January, April, July and October of 1996 over the area of Hangzhou Bay, wind fields in these 4 months were simulated by different assimilation time and number of the weather stations for a sensitive test. Results indicated that the method used here has increased accuracy of the forecasted wind fields. And incorporating diagnostic method with the wind field forecast model has greatly increased efficiency of the wind field forecast for the smaller domain. This model and scheme have been used in Environmental Consequence Assessment System of Nuclear Accident in Qinshan Area

  16. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture

    Directory of Open Access Journals (Sweden)

    Anna Smędra-Kaźmirska

    2014-08-01

    Full Text Available The paper describes a fatal case of accidental ingestion of a mixture of hydrochloric acid and hydrofluoric acid. The man was admitted to hospital, where appropriate treatment, adequate to his condition, was instituted. Numerous ventricular fibrillation episodes, for which the patient was defibrillated repeatedly, were observed during the period of hospitalization. The patient was in a critical condition, with progressive symptoms of hypovolemic shock and multiorgan failure. On the next day after admission, signs of electromechanical dissociation progressing to asystole were noted. The instituted resuscitation procedure proved ineffective and the patient died. Autopsy revealed brownish discoloration of the esophageal, gastric, and small intestinal mucous membranes. Numerous ulcerations without signs of perforation were found both in the esophagus and in the stomach. The mucous membrane of the small intestine demonstrated focal rubefactions, whereas no focal lesions of the large intestinal mucosa were seen. Microscopic investigation of the biopsy specimens collected from the stomach, duodenum and small intestine revealed mucous membrane necrosis foci, reaching the deeper layers of the wall of these organs. The mucous membrane of the large intestine was congested. Bioptates obtained from the lungs indicated the presence of hemorrhagic infarcts and focal extravasations. Poisoning with the aforementioned acids with consequent necrosis of the esophageal, gastric, duodenal and small intestinal walls with hemorrhages to the gastrointestinal tract, as well as extravasations and hemorrhagic infarcts in the lungs was considered to be the cause of death.

  17. Effectiveness of cleanup criteria relative to an accidental nuclear release

    International Nuclear Information System (INIS)

    Chen, S.Y.; Yuan, Y.C.

    1988-01-01

    In the event of an accidental nuclear release, the associated long-term radiological risks would result primarily from ground contamination pathways. Cleanup of the contaminated ground surfaces is a necessary step toward reducing the radiological risk to the general population. Ideally, the radiological risk decreases as the level of cleanup effort increases; however, as the cleanup criterion (i.e., the required contaminant concentration after cleanup) becomes more stringent, the cleanup effort may become prohibitively costly. This study examines several factors that are important in determining the effectiveness of the cleanup criteria for selected radionuclides: (a) annual individual dose commitment (mrem/yr), (b) total population environmental dose commitment (person-rem), and (c) total area (km 2 ) requiring cleanup following an accident. To effectively protect the general population, the benefits of cleanup should be weighed against the potentially large increase in cleanup area (and the associated costs) as the cleanup criterion becomes more stringent. The effectiveness of cleanup will vary, depending largely on site-specific parameters such as population density and agricultural productivity as well as on the amount and type of radionuclide released. Determination of an optimum cleanup criterion should account for all factors, including a comprehensive cost/benefit analysis

  18. Accidental kerosene ingestion: a 3-year prospective study.

    Science.gov (United States)

    Dudin, A A; Rambaud-Cousson, A; Thalji, A; Jubeh, I I; Ahmad, H M; Libdeh, B A

    1991-01-01

    Accidental kerosene ingestion continues to cause morbidity and mortality in third world countries, where kerosene is still used for cooking, heating and cleaning. In this prospective study, 78 children aged from 10 months to 5 years were managed at Makassed Hospital in Jerusalem for kerosene ingestion. Respiratory distress developed in 60 (76.90%) children. Two who required mechanical ventilation died. Vomiting, which occurred in 49 cases, did not seem to increase the risk of respiratory complications, suggesting that aspiration occurs with the initial ingestion. Chest X-ray changes were noted in 60% of the children on admission. Pleural effusions occurred in three cases over 24 hours after the incident. CNS manifestations, most likely caused by anoxia, were seen in 27% of the children, but in only two were they severe in the form of convulsions, and both died. Fever occurred in about 50% of the children during their stay in hospital. Severe gastric dilatation developed in the four most severely ill children, two of whom died. The quantity of kerosene ingested by them was estimated to be large.

  19. High mortality due to accidental salinomycin intoxication in sheep

    Directory of Open Access Journals (Sweden)

    Ashrafihelan Javad

    2014-09-01

    Full Text Available In February 2012, 100% mortality was reported in a herd with 79 local sheep that were kept around of Abhar, Northwest of Iran. The ration for adult sheep was daily mixed (40 kg straw, 25 kg wheat and 2 kg Vit-C premix and accidentally 1 500 g of salinomycin (Salinomycin 12% Premix; Aras Bazar Laboratories, Iran had been added to the ration (22388 mg/kg = 22388 ppm and overnight was fed to herd. At the morning, 78 sheep were founded dead and one of them showed convulsive seizures. Postmortem examination revealed pulmonary congestion and edema, hemorrhages in abomasum, large pale kidney and white streak lines in myocardium. Main histopathologic lesions were extensive subepicardial and intercardiomyofibers hemorrhages, extensive cardiomyolysis and myocarditis in heart, severe hyperemia and extensive acute tubular necrosis (ATN in kidneys and focal necrosis and retention of bile cholangitis in the liver. In this study, on the basis of the history, observation of the ionophore remnant in the ration, clinical signs, gross and histopathological findings, acute salinomycin intoxication is definitely diagnosed.

  20. Lead excretion in milk of accidentally exposed dairy cattle.

    Science.gov (United States)

    Bischoff, Karyn; Higgins, William; Thompson, Belinda; Ebel, Joseph G

    2014-01-01

    Lead (Pb) exposure in dairy cattle is associated with economic losses due to mortality and treatment costs, but with production animals there is also risk to the human food chain. The first objective of this study was to quantify the Pb concentration in milk from Pb-exposed cattle. The second objective was to correlate blood and milk Pb concentrations from individual cows. The third objective was long-term monitoring to determine the duration of milk contamination after exposure ceased. A dairy herd of more than 100 cows was accidentally exposed to Pb-contaminated feed. Milk and blood were collected for Pb analysis. Serial collection of milk samples continued for 2.5 years. The initial concentration of Pb in bulk tank milk was 0.0999 mg l⁻¹. The highest milk Pb concentration from an individual cow was 0.4657 mg l⁻¹ and the highest blood Pb concentration was 1.216 mg l⁻¹. One milk sample collected at the end of the study (day 922) contained 0.0117 mg Pb l⁻¹ of Pb. The calculated relationship between milk (y) and blood (x) Pb concentration was ln(y) = 3.4(x) - 2.21 (R² = 0.98).

  1. Deposition on holm oak leaf surfaces of accidentally released radionuclides

    Energy Technology Data Exchange (ETDEWEB)

    Rauret, G.; Tent, J.; Rigol, A.; Llaurado, R.M. (Analytical Chemistry Department, University of Barcelona, Barcelona (Spain)); Alegre, L.H.; Utrillas, M.J. (Vegetal Biology Department, University of Barcelona, Barcelona (Spain))

    1994-10-14

    The retention of aerosols by canopies of holm oak trees in a typical Mediterranean forest is studied. Firstly, dry deposition is measured both under and outside the canopy during several months. No clear differences are observed either in the amount or in the chemical composition of the particles collected under and outside the canopy. Secondly, the leaf morphology and anatomy as well as the aerosol deposited onto the leaf surfaces are studied by scanning electron microscopy. Cuticle thickness is measured and differences are observed between young and old leaves. The distribution of aerosol particles over leaf surface is also established. Finally, the possible incorporation into leaves of a radioactive aerosol released in an accidental situation is studied, by means of a sequential extraction procedure using water and an organic solvent. From the results it can be deduced that neither the abiotic layer nor the cuticle play any important role in the retention of caesium. The studied radionuclides are mainly found in particulate form, soluble in water, or incorporated into leaves.

  2. Forecasting accidental marine pollution drift: the French operational plan

    International Nuclear Information System (INIS)

    Daniel, P.; Poitevin, J.; Tiercelin, C.; Marchand, M.

    1998-01-01

    In case of accidental marine pollution, Cedre and Meteo-France, within the framework of their own public service missions, provide assistance to the French authorities in charge of pollution response. Meteo-France has developed a numerical marine oil pollution transport model, named MOTHY, designed to simulate the transport of oil in three dimensions. A hydrodynamic ocean model is linked to an oil spill model including current shear, vertical movements and fate of the oil. The use of a global atmospheric model for atmospheric forcing enables world-wide application of the model. This oil spill response system has been operational since February 1994. In case of marine pollution, Meteo-France send meteorological forecasts and oil spill drift forecasts to Cedre. In return, by its experimentations and interventions on actual pollution, Cedre is contributing to the improvement and validation of the model. New developments, exercises and training are conducted jointly. This paper summarizes the key features of MOTHY and presents some examples of model applications. (author)

  3. Accidental Cutaneous Burns Secondary to Salbutamol Metered Dose Inhaler

    Directory of Open Access Journals (Sweden)

    Ashutosh Kale

    2010-01-01

    Full Text Available We report a case of accidental cutaneous burns caused by salbutamol metered dose inhaler. A 9-year-old boy underwent dental extraction at a children's hospital and was incidentally noted to have burn injuries on dorsum of both hands. On questioning, the boy revealed that a few days ago his 14-year-old brother, who is an asthmatic, playfully sprayed his salbutamol metered dose inhaler on the back of both his hands with the inhaler's mouth piece being in direct contact with the patient's skin. On examination, there was a rectangular area of erythema with superficial peeling on the dorsum of both hands, the dimensions of which exactly matched those of the inhaler's mouthpiece. It is possible that the injury could have been a chemical burn from the pharmaceutical/preservative/propellant aerosol or due to the physical effect of severe cooling of the skin or mechanical abrasive effect of the aerosol blasts or a combination of some or all the above mechanisms. This case highlights the importance of informing children and parents of the potentially hazardous consequences of misusing a metered dose inhaler.

  4. Non-accidental health impacts of wildfire smoke.

    Science.gov (United States)

    Youssouf, Hassani; Liousse, Catherine; Roblou, Laurent; Assamoi, Eric-Michel; Salonen, Raimo O; Maesano, Cara; Banerjee, Soutrik; Annesi-Maesano, Isabella

    2014-11-14

    Wildfires take a heavy toll on human health worldwide. Climate change may increase the risk of wildfire frequency. Therefore, in view of adapted preventive actions, there is an urgent need to further understand the health effects and public awareness of wildfires. We conducted a systematic review of non-accidental health impacts of wildfire and incorporated lessons learned from recent experiences. Based on the literature, various studies have established the relationship between one of the major components of wildfire, particulate matter (particles with diameter less than 10 µm (PM10) and less than 2.5 µm (PM2.5)) and cardiorespiratory symptoms in terms of Emergency Rooms visits and hospital admissions. Associations between wildfire emissions and various subclinical effects have also been established. However, few relationships between wildfire emissions and mortality have been observed. Certain segments of the population may be particularly vulnerable to smoke-related health risks. Among them, people with pre-existing cardiopulmonary conditions, the elderly, smokers and, for professional reasons, firefighters. Potential action mechanisms have been highlighted. Overall, more research is needed to better understand health impact of wildfire exposure.

  5. Pre-accidental situations highlighted by RECUPERARE method and data

    International Nuclear Information System (INIS)

    Matahri, N.

    2006-01-01

    RECUPERARE method has been developed for operating feedback analysis and built on the French Human Reliability Analysis (HRA) principles. It is used to study the causes of human errors or technical failures occurred in French PWRs and the recovery process of events. Based on an event classification (6 categories) model according to the nature of the link between failure and recovery, the identified and recorded data are: the causes of the defects (technical, human, organizational) and the context in which they appear; the factors of the recovery performance (depending on technical and organizational aspects); a chronological analysis, designed to collect delays between failures and their detection/recovery for each event. About 3600 events reported in French PWRs (1997-2003) had been reviewed through this model. Initially, the weight of factors and the most important factors, which influenced the detection and recovery delay, are defined. For this purpose, the regression Partial Least Square (PLS) is used. Then, to link RECUPERARE results with pre-accidental data, conditional probabilities of events linked between them by a cause and effect relationship are calculated. For this, the Bayesian method with the Bayesian network is built with the PLS obtained results and applied. This constitutes a first approach to take into account in HRA the human and organizational factors highlighted by operating feedback. (author)

  6. Assessment of accidental intakes of uranyl acetylacetonate (UAA)

    International Nuclear Information System (INIS)

    Fisher, D.R.; Briant, J.K.

    1993-01-01

    Uranyl acetylacetonate (UAA) is an organic complex of uranium used for military applications as a chemical catalyst in high explosives. It is prepared from depleted uranium metal (in lots of 5 kg to 7 kg) by dissolution in nitric acid, neutralization, and complexation with 2,4-pentanedione; the precipitate is dissolved in benzene and recrystallized, dried, ground, and packaged. About six workers at a small chemical company were exposed over a period of time to UAA powders during routine preparation and packaging of the uranium catalyst. The dissolution characteristics of the inhaled material were unknown and could not be determined from the published scientific literature. A 1.05-g sample of UAA powder was obtained from the responsible regulatory authority for further study to determine its chemical composition, and for dissolution in simulated lung fluid. We found the solubility of UAA to be equivalent to a mixture of 52% ICRP class D and 48% ICRP class W material. The annual limit on intake and the derived air concentration for radiological protection were estimated from this result for airborne exposure to UAA. A recycling biokinetic model was used to estimate both material-specific variations in urinary excretion rates and lung retention with time after accidental intakes. This study provides new information for evaluating future exposures to UAA

  7. Práticas alimentares no primeiro ano de vida

    OpenAIRE

    Lima, Ana Paula Esmeraldo; Javorski, Marly; Vasconcelos, Maria Gorete Lucena de

    2011-01-01

    O estudo buscou analisar a literatura publicada referente às práticas alimentares no primeiro ano de vida de filhos de mães adolescentes, por meio de uma revisão integrativa nas bases de dados Lilacs, Medline e Cochrane, no período de 2000 a 2010. Foram utilizadas as palavras-chave: adolescente, aleitamento materno, alimentação mista e nutrição do lactente, sendo selecionados onze artigos científicos, que compuseram a amostra do estudo. Os resultados apontaram a incipiência de pesquisas publi...

  8. TEOLOGIA DA LIBERTAÇÃO: 40 ANOS

    Directory of Open Access Journals (Sweden)

    . Editorial

    2011-01-01

    Full Text Available Algo inédito! Em tão pouco tempo, a Teologia da Libertação (TdL passou por vicissitudes que as outras o fizeram ao longo de séculos. Medimos as teologias por longa duração. E a TdL tem apenas 40 anos que, em termos de história, significa brevíssimo lapso de tempo. E que balanço fazer desse périplo tão breve?

  9. Estudio sobre la Efectividad de la Aplicación por Vía Epidural de un Sistema Adhesivo de Fibrina frente a Sangre Autóloga para el Tratamiento de la Cefalea Postpunción Dural Accidental.

    OpenAIRE

    López Millán, José Manuel

    2016-01-01

    La punción dural accidental (PDA) es la complicación mayor más frecuente en analgesia obstétrica, durante la realización de una técnica epidural y se produce del 0,5-3,5 % en hospitales universitarios. La cefalea que se produce como consecuencia de dicha complicación (CPPDA) durante un procedimiento anestésico neuroaxial epidural en la paciente obstétrica tiene una incidencia del 16-86%. Se trata de un problema de elevado impact...

  10. Aspectos psicosociales y accidentes en el transporte terrestre Psychosocial aspects and accidents in land transport

    Directory of Open Access Journals (Sweden)

    Nelson Morales-Soto

    2010-06-01

    Full Text Available Los accidentes de tránsito son un problema de salud pública en el Perú, que entre 1998 y 2008 causaron 35 596 muertes, Lima es la región más afectada con 61,7% de los siniestros, su costo anual alcanzó los mil millones de dólares, equivalente a un tercio de la inversión en salud. Los estudios disponibles enfatizan en los protagonistas -conductores, peatones- o en equipos y vías; se han modificado normas e implementado planes de contención de la siniestralidad pero su incidencia persiste. Se plantea la posibilidad de explorar factores conductuales y sociales que podrían tener importancia en la génesis del problema revisando los relacionados con el desorden imperante en el transporte, los comportamientos de conductores y peatones y la permisividad de la sociedad en general, particularmente de la autoridad. Se propone la investigación e intervención multidisciplinaria e intersectorial.Road traffic accidents are a public health problem in Peru, having caused 35 596 deaths in Peru between 1998 and 2008. Lima is the most affected region, presenting 61.7% of the accidents, the annual cost reached one thousand million dollars, equivalent to a third part of the investment in health. Available studies give emphasis to the protagonists -the drivers, the pedestrians- or to equipment and roads; the laws have been modified and containment plans for accidents have been implemented, but the incidence remains the same. We raise the possibility of exploring behavioral and social factors that could be relevant in the genesis of the problem, revising those related to current disorder in transport, the behaviors of drivers and pedestrians and the permissiveness of society in general particularly of the authority. We propose research and a multidisciplinary and intersectoral intervention.

  11. Expression of ANO1/DOG1 is associated with shorter survival and progression of breast carcinomas.

    Science.gov (United States)

    Bae, Jun Sang; Park, Jeong Yeol; Park, See-Hyoung; Ha, Sang Hoon; An, Ae Ri; Noh, Sang Jae; Kwon, Keun Sang; Jung, Sung Hoo; Park, Ho Sung; Kang, Myoung Jae; Jang, Kyu Yun

    2018-01-02

    The expression of ANO1 is considered to have diagnostic specificity for gastrointestinal stromal tumors. However, its function as a calcium-activated chloride channel suggests that the expression of ANO1 is not restricted to gastrointestinal stromal tumors. Recently, it has been reported that ANO1 has roles in the progression of human malignant tumors. However, the role of ANO1 in breast carcinoma has been controversial. Therefore, we investigated the expression of ANO1 in 139 breast carcinoma patients and the role of ANO1 in vitro . The immunohistochemical expression of ANO1 was significantly associated with the expression of β-catenin, cyclin D1, MMP9, snail, and E-cadherin. Especially, ANO1 expression was an independent indicator of poor prognosis of shorter overall survival and relapse-free survival of breast carcinoma patients by multivariate analysis. In MCF7 and MDA-MB-231 breast carcinoma cells, inhibition of ANO1 with T16Ainh-A01 or siRNA for ANO1 significantly suppressed the proliferation of cells. Knock-down of ANO1 with siRNA induced G0/G1 cell cycle arrest and significantly inhibited the invasiveness of breast carcinoma cells. Knock-down of ANO1 decreased the expression of β-catenin, cyclin D1, MMP9, snail, and N-cadherin, and increased the expression of E-cadherin. In conclusion, this study demonstrates that ANO1 expression is an indicator of poor prognosis of breast carcinoma patients and suggests that ANO1 might be a therapeutic target for breast carcinoma patients with ANO1-positive tumors and poor prognosis.

  12. Trabajo de intervención para la prevención de accidentes en empresa constructora

    Directory of Open Access Journals (Sweden)

    Caristina Robaina Aguirre

    2001-12-01

    Full Text Available Se realizó un proyecto de intervención sobre el factor humano como causa de accidentes de trabajo en el ambiente laboral en una empresa constructora de hoteles de lujo en el municipio de Varadero. Tuvo como objetivo fundamental elevar el nivel de conocimiento que sobre salud y seguridad tenían los obreros, dirigentes y el grupo de salud y seguridad (GSS de la empresa. Para lograr este propósito se desarrolló un programa de entrenamiento que sirviera de base a una mayor prevención y control de los accidentes en el ambiente laboral, a partir de enero de 1999, desarrollándose fundamentalmente técnicas educativas (Momento Sincero entre otras. Con los dirigentes y el GSS se desarrollaron fundamentalmente cursos y talleres para su adiestramiento. Se utilizaron una serie de medidas de control como guía para la evaluación de los resultados, y la aceptación del proyecto por los directivos de la empresa y el GSS fue un factor decisivo en la realización y resultados del mismo. Durante el período de observación pudimos notar que habían ocurrido cambios en el comportamiento humano, y que estos a su vez, habían tenido un efecto positivo sobre el factor técnico en el ambiente laboral. La evaluación del proyecto se consideró buena.An intervention project on the human factor as a cause of occupational accidents in a luxury hotel construction enterprise, in the municipality of Varadero, was designed. Its main objective was to increase the level of knowledge of the workers, leaders and of the health and security group (HSG from the enterprise about health and safety. To attain this purpose, it was developed a training program that served as the basis for a greater prevention and control of the accidents in the occupational setting from January, 1999, on. Educative techniques were introduced (Sincere Moment, among others to this end. Courses and workshops were conducted to train the leaders and the HSG. A series of control measures were taken as

  13. Ano Novo: novas conquistas, novos desafios e um mesmo compromisso

    Directory of Open Access Journals (Sweden)

    André Luís Gemal

    2014-02-01

    Full Text Available Neste mês de fevereiro de 2014 lançamos o primeiro número do nosso segundo volume, mantendo assim o cronograma programado e a periodicidade proposta para nossa revista Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia. Após sua inserção no sistema Qualis, da Capes, ao final do ano passado, iniciamos 2014 com novas e importantes conquistas, entre elas, a inclusão na base de dados do Latindex e a nossa participação no sistema de classificação DOI. Neste segundo ano de vida da Vigilância Sanitária em Debate permanecemos com o mesmo compromisso de estimular a divulgação de saberes da área que, por vezes, estiveram sem espaço apropriado em veículos de divulgação reconhecidos no campo da saúde pública. O corpo editorial toma essa perspectiva como um desafio constante de nossa revista.

  14. Annual report on JEN-1 reactor; Informe periodico del Reactor JEN-1 correspondiente al ano 1971

    Energy Technology Data Exchange (ETDEWEB)

    Montes, J.

    1972-07-01

    In the annual report on the JEN-1 reactor the main features of the reactor operations and maintenance are described. The reactor has been critical for 1831 hours, what means 65,8% of the total working time. Maintenance and pool water contamination have occupied the rest of the time. The maintenance schedule is shown in detail according to three subjects. The main failures and reactor scrams are also described. The daily maximum values of the water activity are given so as the activity of the air in the reactor hall. (Author)

  15. Analisis de las Condiciones de Salud del Nino de 0-6 anos en Honduras.

    Science.gov (United States)

    Matamoros, Douglas Alberto

    1987-01-01

    Examines the National Pediatric Service and the research program of the Maternity-Infant-Hospital-School in Honduras. Reports that health conditions of young children (birth to six years) in Honduras are appalling and that available funds for health services are inadequate, reflecting the country's economic and social crisis. (NH)

  16. 450 Years of Chicano History in Pictures/450 Anos del Pueblo Chicano.

    Science.gov (United States)

    Chicano Communications Center, Albuquerque, NM.

    For use with junior and senior high school students, this book presents more than 250 drawings and pictures, with an introduction and brief texts in English and Spanish, depicting 450 years of Chicano history. The book covers: Mexico before the Spanish Conquests, Spain's colonization of the Southwest, the United States war on Mexico, events in the…

  17. NSAIDs and the risk of accidental falls in the elderly: a systematic review.

    NARCIS (Netherlands)

    Hegeman, J.; Bemt, B.J.F van den; Duysens, J.E.J.; Limbeek, J. van

    2009-01-01

    Accidental falls, especially those occurring in the elderly, are a major health and research topic nowadays. Besides environmental hazards and the physiological changes associated with aging, medication use (e.g. benzodiazepines, vasodilators and antidepressants) and polypharmacy are significant

  18. Accidental hypothermia: Rewarming treatments, complications and outcomes from one university medical centre

    NARCIS (Netherlands)

    van der Ploeg, Gert-Jan; Goslings, J. Carel; Walpoth, Beat H.; Bierens, Joost J. L. M.

    2010-01-01

    Aim of the study: Accidental hypothermia (AH) is a complex and life threatening condition. Knowledge about epidemiology, rewarming treatments, complications and outcome is limited. This study was initiated to obtain data on causes, rewarming treatments and complications. Methods: A retrospective

  19. Fact Sheet: Clean Air Act Section 112(r): Accidental Release Prevention / Risk Management Plan Rule

    Science.gov (United States)

    EPA is required to publish regulations and guidance for chemical accident prevention at facilities that pose the greatest risk of harm from accidental releases of regulated flammable and toxic substances above threshold quantities.

  20. Factores predictores de mortalidad por accidente cerebrovascular en el Hospital Universitario San Jorge de Pereira (Colombia

    Directory of Open Access Journals (Sweden)

    Cristhian David Morales-Plaza

    2016-01-01

    Full Text Available Objetivo: Determinar los factores predictores de mortalidad por accidente cerebrovascular (ACV en el Hospital Universitario San Jorge de Pereira entre enero de 2008 y diciembre de 2011. Materiales y métodos: Estudio de corte transversal, realizado en los pacientes con diagnóstico de ACV. La información se obtuvo de las historias clínicas, teniendo en cuenta las variables edad, sexo, tipo de ACV (isquémico o hemorrágico, trastorno asociado, antecedentes personales relacionados con ACV, mortalidad. Se aplicaron modelos de regresión logística para determinar qué variables se asociaron significativamente con la mortalidad. Resultados: Se evaluó un total de 350 pacientes con edad promedio 69,2+/-11,6 años; del total, 51,4 % fueron mujeres; 57,4 % presentaron un episodio súbito; 78,6 % de los ACV fueron de tipo isquémico y el 21,4 % hemorrágico. Los trastornos, en orden de aparición, fueron: déficit motor (80,9 %, déficit de lenguaje (43,4 %, cefalea (35,7 %, alteración de pares craneales (28,3 %. Las comorbilidades encontradas fueron: hipertensión arterial (72,6 %, dislipidemia (47,7 %, diabetes mellitus (19,7 %, tabaquismo (17,4 %, enfermedad cardíaca isquémica (9,4 %, ACV previo (6 % y fibrilación auricular (6 %. El 16 % de pacientes falleció por ACV; de estos, el 74,6 % fueron hemorrágicos. Se encontró asociación estadísticamente significativa entre muerte por ACV e inicio súbito (OR:0,65; IC95 %:0,021- 0,200; p<0,001, hemorragia intraparenquimatosa (OR:91,3; IC95 %:20,6-403,7; p<0,001 y edad entre 40 y 55 años (OR: 2,91; IC95 %:2,07-5,18; p<0,001. Conclusiones: Dado que las variables asociadas con muerte no son modificables al ingreso del paciente al hospital, se deben reforzar las medidas de salud pública para prevenir la aparición de ictus.

  1. Persistent Seroconversion after Accidental Eye Exposure to Calcifying Nanoparticles

    Science.gov (United States)

    Ciftcioglu, Neva; Aho, Katja M.; McKay, David S.; Kajander, E. Olavi

    2007-01-01

    Biosafety of nanomaterials has attracted much attention recently. We report here a case where accidental human eye exposure to biogenic nanosized calcium phosphate in the form of calcifying nanoparticles (CNP) raised a strong IgG immune response against proteins carried by CNP. The antibody titer has persisted over ten years at the high level. The IgG was detected by ELISA using CNPs propagated in media containing bovine and human serum as antigen. The exposure incident occurred to a woman scientist (WS) at a research laboratory in Finland at 1993. CNP, also termed "nanobacteria", is a unique self-replicating agent that has not been fully characterized and no data on biohazards were available at that time. Before the accident, her serum samples were negative for both CNP antigen and anti-CNP antibody using specific ELISA tests (Nanobac Oy, Kuopio, Finland). The accident occurred while WS was harvesting CNP cultures. Due to a high pressure in pipetting, CNP pellet splashed into her right eye. Both eyes were immediately washed with water and saline. The following days there was irritation and redness in the right eye. These symptoms disappeared within two weeks without any treatment. Three months after the accident, blood and urine samples of WS were tested for CNP cultures (2), CNP-specific ELISA tests, and blood cell counts. Blood cell counts were normal, CNP antigen and culture tests were negative. A high IgG anti-CNP antibody titer was detected (see Figure). The antibodies of this person have been used thereafter as positive control and standard in ELISA manufacturing (Nano-Sero IgG ELISA, Nanobac Oy, Kuopio, Finland).

  2. Evaluation of spinous process wiring techniques for accidental canal penetration.

    Science.gov (United States)

    Adeolu, Augustine A; Azeez, Abiodun L

    2013-04-01

    Accidental canal penetration with attendant complications constitutes one of the reasons for abandoning the use of wires for posterior spinal fusion techniques. However, there is dearth of information on this risk when the wire is introduced through the base of spinous process as against sublaminar passage. This study was designed to evaluate hardware-related postoperative complications, especially canal penetration, in our patients who had spinal process wiring in two types of posterior wiring techniques. Patients who had either of two spinous process wiring techniques formed the population for the study. The clinical records were reviewed and the following data were extracted: Age, sex, diagnosis, operation (fusion type), preoperative neurological status, postoperative neurologic deterioration, other postoperative complication and radiologic evidence of canal encroachment. One hundred and seventy four spinous processes were instrumented in 42 patients. The age of the patients ranged from 11 to 78 years while male to female ratio was 2.5:1. Majority of the spinal wiring were for trauma (29 patients; 69.0) while the remaining were tumor (6; 14.3%), degenerative diseases (4; 9.5%) and infections (3; 7.1%). The Rogers technique was performed in 16 (38.1%) patients while 26 (61.9%) underwent Adeolu et al. technique. One patient (2.3%) had neurologic deterioration while 5 patients (11.1%) had varying type of complications from wound infection to fracture of spinous processes. There was no patient with radiological or clinical evidence of canal compromise. Spinous process wiring techniques for posterior spinal stabilization appears to be safe as demonstrated in this study.

  3. Nuclear power: Accidental releases - practical guidance for public health action

    International Nuclear Information System (INIS)

    1987-01-01

    The disaster at Chernobyl, USSR, has caused a major crisis of confidence in nuclear safety, and highlighted the need for comprehensive contingency planning for - and emergency response to - such accidents. This report gives practical guidance on how the authorities should deal with an accident in any type of nuclear installation, whether it involves accidental releases to the air or into water. It is based on principles developed in a previous WHO report published in 1984. It summarizes the range of accidents for which plans need to be made to protect the public, the measures to be taken and the levels of dose at which they should be applied. It indicates how to measure the levels of exposure and what are the most likely routes of exposure. It then outlines the problems faced by public health authorities and medical practitioners, and the administrative arrangements that will have to be made. The example used is of a standard pressurized light water reactor of the type currently used for electricity generation, but many of the features will be common to other nuclear installations as well. This report is addressed to those organizations and individuals responsible for public health in the event of a nuclear accident. It will also be of use to those medical practitioners who are not administratively responsible in an accident, but who may need to be aware of the consequences and of the action to be taken in the aftermath of an accident. Coordination is vital between the public health administration and the organizations with direct responsibilities in the event of an accident, and this report is essential reading for them all. 29 refs, 2 figs, 7 tabs

  4. Sleep deprivation and accidental fall risk in children.

    Science.gov (United States)

    Boto, Leonor Reis; Crispim, João Núncio; de Melo, Isabel Saraiva; Juvandes, Carla; Rodrigues, Teresa; Azeredo, Paula; Ferreira, Rosário

    2012-01-01

    To look for an association between sleep deprivation and risk of accidental falls (AF) in children. A questionnaire was applied to two groups of children aged 1-14 years, encompassing children observed in an emergency room for AF (G1) and children attending health care visits (HV) (G2). Collected data included demographic characteristics, medical history, previous week's sleep pattern (PWSP), sleep duration and sleep pattern in the preceding 24 h, mechanism of fall, and injury severity. acute or chronic disease or exposure to drugs interfering with sleep. Statistical analyses included Fisher's exact test, Pearson Chi-square, Fisher-Freeman-Halton test, T and Mann-Whitney tests for independent samples, and multivariate logistic regression (α=5%). We obtained 1756 questionnaires in G1 and 277 in G2. Of those, 834 in G1 and 267 in G2 were analyzed. We found an increased risk of AF in boys (OR 1.6; 95% CI 1.2-2.4). After controlling for age, gender, summer holidays, parental education and profession, lack of naps and PWSP were associated with increased risk (OR 2.1; 95% CI 1.3-3.3 and OR 2.7; 95% CI 1.2-6.1). In 3-5 year-old children there was an association between AF and a shorter than usual sleep duration in the previous 24 h (p=0.02). To our knowledge, our study is the largest so far to assess the association between sleep deprivation and childhood injury. It evidences a protective effect of naps in children. Sleep duration of less than 8 h increases risk of AF. Pre-schoolers may be particularly susceptible to sleep deprivation. Copyright © 2011 Elsevier B.V. All rights reserved.

  5. Individual dose due to radioactivity accidental release from fusion reactor

    Energy Technology Data Exchange (ETDEWEB)

    Nie, Baojie [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); University of Science and Technology of China, Hefei, Anhui, 230027 (China); Ni, Muyi, E-mail: muyi.ni@fds.org.cn [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); Wei, Shiping [Key Laboratory of Neutronics and Radiation Safety, Institute of Nuclear Energy Safety Technology, Chinese Academy of Sciences, Hefei, Anhui, 230031 (China); University of Science and Technology of China, Hefei, Anhui, 230027 (China)

    2017-04-05

    Highlights: • Conservative early dose of different unit fusion radioactivity release were assessed. • Data of accident level in INES for fusion reactor were proposed. • Method of environmental restoration time after fusion accident was proposed. • The maximum possible accident level for ITER like fusion reactor is 6. • We need 34–52 years to live after the fusion hypothetical accident. - Abstract: As an important index shaping the design of fusion safety system, evaluation of public radiation consequences have risen as a hot topic on the way to develop fusion energy. In this work, the comprehensive public early dose was evaluated due to unit gram tritium (HT/HTO), activated dust, activated corrosion products (ACPs) and activated gases accidental release from ITER like fusion reactor. Meanwhile, considering that we cannot completely eliminate the occurrence likelihood of multi-failure of vacuum vessel and tokamak building, we conservatively evaluated the public radiation consequences and environment restoration after the worst hypothetical accident preliminarily. The comparison results show early dose of different unit radioactivity release under different conditions. After further performing the radiation consequences, we find it possible that the hypothetical accident for ITER like fusion reactor would result in a level 6 accident according to INES, not appear level 7 like Chernobyl or Fukushima accidents. And from the point of environment restoration, we need at least 69 years for case 1 (1 kg HTO and 1000 kg dust release) and 34–52 years for case 2 (1 kg HTO and 10kg–100 kg dust release) to wait the contaminated zone drop below the general public safety limit (1mSv per year) before it is suitable for human habitation.

  6. Accidental poisoning in childhood: five year urban population study with 15 year analysis of fatality.

    OpenAIRE

    Pearn, J; Nixon, J; Ansford, A; Corcoran, A

    1984-01-01

    Patterns of accidental poisoning in children are changing dramatically. A five year population study (1977-81) was undertaken in urban children from Brisbane (population 1 000 000). A total of 2098 children were poisoned during this period with only one fatality, which represents a dramatic reduction in mortality. Over the past 15 years (1968-82) 13 children have died from accidental poisoning from this population, and two were murdered with drugs. A study of secular trends has indicated that...

  7. Night work, long work weeks, and risk of accidental injuries. A register-based study.

    Science.gov (United States)

    Larsen, Ann D; Hannerz, Harald; Møller, Simone V; Dyreborg, Johnny; Bonde, Jens Peter; Hansen, Johnni; Kolstad, Henrik A; Hansen, Åse Marie; Garde, Anne Helene

    2017-11-01

    Objectives The aims of this study were to (i) investigate the association between night work or long work weeks and the risk of accidental injuries and (ii) test if the association is affected by age, sex or socioeconomic status. Methods The study population was drawn from the Danish version of the European Labour Force Survey from 1999-2013. The current study was based on 150 438 participants (53% men and 47% women). Data on accidental injuries were obtained at individual level from national health registers. We included all 20-59-year-old employees working ≥32 hours a week at the time of the interview. We used Poisson regression to estimate the relative rates (RR) of accidental injuries as a function of night work or long work weeks (>40 hours per week) adjusted for year of interview, sex, age, socioeconomic status (SES), industry, and weekly working hours or night work. Age, sex and SES were included as two-way interactions. Results We observed 23 495 cases of accidental injuries based on 273 700 person years at risk. Exposure to night work was statistically significantly associated with accidental injuries (RR 1.11, 99% CI 1.06-1.17) compared to participants with no recent night work. No associations were found between long work weeks (>40 hours) and accidental injuries. Conclusion We found a modest increased risk of accidental injuries when reporting night work. No associations between long work weeks and risk of accidental injuries were observed. Age, sex and SES showed no trends when included as two-way interactions.

  8. Concept of radiological, medical and social protection of the population of Russia affected by accidental exposure

    International Nuclear Information System (INIS)

    Osechinski, I.V.; Ivanov, E.V.; Ramzaev, P.V.; Balonov, M.I.; Tsyb, A.F.

    1997-01-01

    Main principles of population radiation protection from various accidental exposure, including the Chernobyl accident, have been implemented in officially approved Concept ''On radiological, medical, social protection and rehabilitation of the Russian Federation population affected by accidental radiation exposure''. The concept includes basic principles of radiation protection, designation of regional radionuclide contaminated territories, records and registers of exposed persons, health protection and rehabilitation, socio-economic and legal aspects

  9. Impact of accidental leakage of furnace oil on Mahul creek mangrove vegetation

    Digital Repository Service at National Institute of Oceanography (India)

    Ram, A.; Rao, M.N.; Shailesh, S.; Joshilkar, V.; Rakesh, P.S.; Gajbhiye, S.N.

    Indian Journal of Geo-Marine Sciences Vol. 45(4), April 2016 pp. 477-481 Impact of accidental leakage of furnace oil on Mahul creek mangrove vegetation Anirudh Ram*, M. Nageswar Rao, Salvi Shailesh, JoshilkarVaibhav, Rakesh P S., S...) Furnace oil pipelines from the sea to the refinery area, (b) Affected mangroves in Mahul Creek region. RAM et al.: IMPACT OF ACCIDENTAL LEAKAGE OF FURNACE OIL ON MAHUL CREEK 479 The current study showed the impact of petroleum hydrocarbons...

  10. Risk assessment for stonecutting enterprises Accidental risks in the course of petroleum production and stone extraction

    Science.gov (United States)

    Aleksandrova, A. J.; Timofeeva, S. S.

    2018-01-01

    The paper is devoted to the assessment of accidental risks occurring at the works engaged in stone extracting and petroleum production. Two basic kinds of accidents common for stone extracting and petroleum production have been chosen to be discussed in the part under consideration. The most dangerous accidental situation characteristic for a stone milling line is an unsanctioned explosion, UE, of blasting agents used for the development of stone deposits. The analysis of a risk occurrence in certain accidental situations is to be carried out. With reference to petroleum extraction, a combustibles and lubricants (C & L) explosion is the most dangerous of characteristic accidental situations. To reveal the most probable causes of accidental situations to be realized, a graph of cause and effect relations has been constructed for each of the accidental situations most probable causes to real situation of an accident. Disasters of a natural origin are the most probable causes of unsanctioned explosions at the deposits of stone raw materials. Technology related natural disasters are the most probable causes of unsanctioned explosions to be realized at multiple well platforms engaged in petroleum production.

  11. Individual housing-based socioeconomic status predicts risk of accidental falls among adults.

    Science.gov (United States)

    Ryu, Euijung; Juhn, Young J; Wheeler, Philip H; Hathcock, Matthew A; Wi, Chung-Il; Olson, Janet E; Cerhan, James R; Takahashi, Paul Y

    2017-07-01

    Accidental falls are a major public health concern among people of all ages. Little is known about whether an individual-level housing-based socioeconomic status measure is associated with the risk of accidental falls. Among 12,286 Mayo Clinic Biobank participants residing in Olmsted County, Minnesota, subjects who experienced accidental falls between the biobank enrollment and September 2014 were identified using ICD-9 codes evaluated at emergency departments. HOUSES (HOUsing-based Index of SocioEconomic Status), a socioeconomic status measure based on individual housing features, was also calculated. Cox regression models were utilized to assess the association of the HOUSES (in quartiles) with accidental fall risk. Seven hundred eleven (5.8%) participants had at least one emergency room visit due to an accidental fall during the study period. Subjects with higher HOUSES were less likely to experience falls in a dose-response manner (hazard ratio: 0.58; 95% confidence interval: 0.44-0.76 for comparing the highest to the lowest quartile). In addition, the HOUSES was positively associated with better health behaviors, social support, and functional status. The HOUSES is inversely associated with accidental fall risk requiring emergency care in a dose-response manner. The HOUSES may capture falls-related risk factors through housing features and socioeconomic status-related psychosocial factors. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Análise clínica e terapêutica dos pacientes oncológicos atendidos no programa de dor e cuidados paliativos do Hospital Universitário Clementino Fraga Filho no ano de 2003 Análisis clínico y terapéutico de los pacientes oncológicos atendidos en el programa de dolor y cuidados paliativos del Hospital Universitario Clementino Fraga Filho en el año 2003 Clinical and therapeutic analysis of oncology patients treated at the pain and palliative care program of the Hospital Universitário Clementino Fraga Filho in 2003

    Directory of Open Access Journals (Sweden)

    Giselane Lacerda Figueredo Salamonde

    2006-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os cuidados paliativos têm como meta principal o controle da dor e de outros sintomas nos pacientes com doenças crônicas, sem possibilidade de cura, sobretudo no câncer avançado. A dor intensa acomete 75% dos pacientes com câncer avançado, interferindo na qualidade de vida e segundo a OMS é considerada uma emergência médica mundial. Este estudo avaliou o perfil dos pacientes oncológicos do Programa de Tratamento da Dor Crônica e Cuidados Paliativos do HUCFF/FM/UFRJ, ressaltando a atuação do anestesiologista, as medicações utilizadas, a humanização do tratamento e a melhor qualidade de vida do paciente. MÉTODO: Retrospectivamente, foram analisados os prontuários dos pacientes oncológicos no ano de 2003. Destacaram-se os parâmetros: idade, raça, sexo, doenças preexistentes, órgão de origem do câncer, tipo de dor e outros sintomas, medicações utilizadas, rotinas hospitalares e o término do tratamento. RESULTADOS: Os tipos de dor encontrados foram nociceptiva, neuropática e incidental, avaliadas utilizando-se a escala unidimensional de faces. Verificou-se a analgesia controlada pelo paciente (PCA com metadona, via oral, em ambiente domiciliar na 1ª semana. Após esse período, o paciente retornava ao ambulatório para o cálculo da dose regular da metadona. Outros opióides utilizados foram codeína, tramadol, morfina e oxicodona. Além da dor, os pacientes apresentaram: constipação, náuseas, vômitos, delirium, alteração do sono e dispnéia. Os neurolépticos, corticóides e laxantes foram usados como fármacos adjuvantes. CONCLUSÕES: A analgesia controlada pelo paciente utilizando a metadona mostrou-se segura e eficaz pela não-ocorrência de efeitos colaterais significativos. O conhecimento clínico e farmacológico do anestesiologista na equipe multiprofissional proporcionou melhor atendimento para o alívio dos sintomas dos pacientes e humanização no período final de vida

  13. Bronquiolite Aguda: O que Mudou nos Últimos Anos?

    OpenAIRE

    Coelho, Joana Malveiro Castelhanito Lourenço; Almeida, Marta; Martins, Teresa; Nunes, Filipa; Pinto, Margarida; Azeredo, Paula

    2015-01-01

    Introdução: A bronquiolite aguda é uma doença respiratória infecciosa aguda, muito contagiosa, frequente em crianças com idade inferior a dois anos. Existe uma enorme variabilidade na utilização de exames complementares de diagnóstico e na abordagem terapêutica. O objectivo deste estudo foi caracterizar a população de crianças com bronquiolite internadas na enfermaria de um hospital secundário em relação ao pedido de exames complementares de diagnóstico, tratamento e evolução. Métodos: Anális...

  14. Bursitis por mercurio tras accidente laboral: a propósito de un caso Bursitis due to Mercury after a work accident: a case report

    Directory of Open Access Journals (Sweden)

    Susana Lastras González

    2010-06-01

    Full Text Available Auxiliar de enfermería de 28 años que acude al Servicio de Urgencias porque refiere dolor y dificultad para la movilización en rodilla derecha, tras accidente laboral, hace dos días. Refiere que se resbaló mientras transportaba 32 termómetros de mercurio, rompiéndose éstos sobre su rodilla, creando una pequeña herida, siendo la puerta de entrada del metal. En la radiografía, se objetiva el cuerpo extraño metálico, correspondiente a mercurio, en bursa rotuliana. Tras el diagnóstico, se realizó la extracción de la bursa, recuperándose la trabajadora totalmente tras la intervención. Con este caso clínico que aportamos, queremos conocer los efectos del mercurio en la salud de las personas expuestas a dicho metal, estudiar los errores acontecidos en este accidente laboral, valorando cuáles hubieran sido las medidas de actuación preventiva adecuadas para evitar la repetición de este tipo de accidentes y, por último, reflexionar acerca de la relación beneficio-riesgo del uso del mercurio en aparatos de medición en el ámbito sanitario.A 28-year-old woman, nursing assistant, who attends to emergency service, referring pain and difficulty mobilizing right knee after a work accident two days ago. She relates that slipped while carrying 32 mercury thermometers, breaking them on her knee, creating a small wound, being the gateway to the metal. In the radiograph, we objective a metallic foreign body, corresponding to mercury, in patellar bursa. After the diagnosis, the bursa was extracted, and the worker recovered completely, after surgery. With this case report we bring, we want to know the health effects of mercury in people exposed to this metal, studying the errors occurred in this accident, assessing measures of preventive action that would have been neccesary to preclude recurrence of this type accidents and, finally, think about the risk-benefit balance the use of mercury in measuring devices in healthcare.

  15. Neoplasias do intestino delgado: experiência de cinco anos

    Directory of Open Access Journals (Sweden)

    Antonio Cavalcanti de Albuquerque Martins

    Full Text Available OBJETIVO: Analisar a experiência do Serviço de Cirurgia Geral - HC/UFPE com os tumores do intestino delgado, na tentativa de colaborar com a definição de metas para o manejo dessas lesões. MÉTODO: Constitui-se este estudo em uma análise retrospectiva de12 pacientes portadores de neoplasias intestinais atendidos no SCG-HC/UFPE, no período de cinco anos (1994-1999. Sete eram do sexo masculino (58%. A média de idade à admissão foi de 52 anos. A principal queixa referida foi dor abdominal (83%, seguida por sangramento digestivo e perda ponderal (42%. Massa abdominal palpável foi evidenciada em 50% dos casos. Sete (58% apresentavam lesões malignas. Dentre as neoplasias benignas, quatro eram leiomiomas. Uma paciente, portadora de síndrome de Peutz-Jeghers, apresentou um hamartoma. Dez foram submetidos a tratamento operatório. Em seis, enterectomia com enteroanastomose foi empregada. Três foram operados em caráter de urgência (um por perfuração intestinal, um por enterorragia maciça e um por obstrução intestinal. RESULTADOS: A mortalidade relacionada à operação foi de 17%. Todos os pacientes que evoluíram para óbito apresentavam neoplasias malignas avançadas e perda ponderal superior a15% de seu peso. CONCLUSÕES: Tumores do intestino delgado são lesões incomuns, mesmo em serviços de referência. Um alto grau de suspeição deve ser mantido visando o diagnóstico precoce.

  16. Sun, Sand, Sea & Bikini. Arquitectura e turismo: Portugal anos 60

    Directory of Open Access Journals (Sweden)

    Susana Lobo

    2012-10-01

    Full Text Available “Anos de Ruptura”, a década de 1960 marca, em Portugal, um importante ponto de viragem na transição para a democracia. A “derrota” de Humberto Delgado nas eleições presidenciais de 1958, o deflagrar da Guerra Colonial, o crescente êxodo rural e a emigração económica e política, as lutas estudantis, o Marcelismo e a abertura ao investimento exterior, assim como a generalização de importantes benefícios sociais, como o direito a férias pagas, testemunham profundas transformações na sociedade portuguesa, com inevitáveis repercussões na organização do território. A par da suburbanização dos principais centros populacionais do país, o advento de um turismo de massas será o principal motor dessa nova ordem espacial, assistindo‑se ao ensaio de novos modelos urbanísticos e arquitectónicos que iriam revolucionar o panorama disciplinar nacional. É sobre o impacto do fenómeno turístico na actividade dos arquitectos portugueses e, consequentemente, na sua relação com a sociedade e os mecanismos de produção capitalista dos anos sessenta que o presente artigo se propõe reflectir, na perspectiva de relançar o debate, então adiado, acerca das implicações físicas e culturais do lazer na colonização da paisagem.

  17. The effect of hysterectomy on ano-rectal physiology.

    LENUS (Irish Health Repository)

    Kelly, J L

    2012-02-03

    Hysterectomy is associated with severe constipation in a subgroup of patients, and an adverse effect on colonic motility has been described in the literature. The onset of irritable bowel syndrome and urinary bladder dysfunction has also been reported after hysterectomy. In this prospective study, we investigated the effect of simple hysterectomy on ano-rectal physiology and bowel function. Thirty consecutive patients were assessed before and 16 weeks after operation. An abdominal hysterectomy was performed in 16 patients, and a vaginal procedure was performed in 14. The parameters measured included the mean resting, and maximal forced voluntary contraction anal pressures, the recto-anal inhibitory reflex, and rectal sensation to distension. In 8 patients, the terminal motor latency of the pudendal nerve was assessed bilaterally. Pre-operatively, 8 patients were constipated. This improved following hysterectomy in 4, worsened in 2, and was unchanged in 2. Symptomatology did not correlate with changes in manometry. Although, the mean resting pressure was reduced after hysterectomy (57 mmHg-53 mmHg, P = 0.0541), the maximal forced voluntary contraction pressure was significantly decreased (115 mmHg-105 mmHg, P = 0.029). This effect was more pronounced in those with five or more previous vaginal deliveries (P = 0.0244, n = 9). There was no significant change in the number of patients with an intact ano-rectal inhibitory reflex after hysterectomy. There was no change in rectal sensation to distension, and the right and left pudendal nerve terminal motor latencies were unaltered at follow-up. Our results demonstrate that hysterectomy causes a decrease in the maximal forced voluntary contraction and pressure, and this appears to be due to a large decrease in a small group of patients with previous multiple vaginal deliveries.

  18. Exposição: INES 155 anos

    Directory of Open Access Journals (Sweden)

    Maria Auxiliadora Buscácio Fernandes

    2017-02-01

    Full Text Available Entre as solenidades comemorativas dos 155 anos do Instituto Nacional de Educação de Surdos, nossa diretoria, a professora Solange Maria da Rocha, organizou uma exposição da valiosa coleção de documentos do nosso acervo histórico, que esteve aberta ao público do dia 1 º de Setembro ao dia 1 º de Outubro. Apresentaram- nos com o objetivo de torná-los conhecidos dos visitantes, professores, alunos e pesquisadores e, assim, recuperar a memória da história do instituto e do seu cotidiano escolar. Com esse objetivo, procurou traçar um programa desses longos anos de existência e, partindo da primeira referência que lhe é feita em 1856 - 1857, nos documentos de sua histórica fundação, percorreram os principais fatos políticos e sua repercussão na imprensa (Livro de registros de matérias de jornais - década de 1930; Regimento INSM - 1909 - 1944; Revista Ilustrada - Sociedade de Surdos do DF; Cópias da Revista do INSM - número 1 e 2 - 1949; Campanha de Alfabetização - ANAIS - 1959; Campanha para a Educação do Surdo Brasileiro; Salão de Artes Plásticas - 1954; Folheto do MEC - Programa do Governo JK; o PLANAP de 1980 do MEC/CENESP; INES - Informativo de 1987, chegando até os dias de hoje, em que o Instituto se tornou o Centro Nacional de Referência na educação dos surdos.

  19. Lesiones accidentales en adultos mayores: un reto para los sistemas de salud Accidental injuries in older adults: a challenge for the health systems

    Directory of Open Access Journals (Sweden)

    Ma. Guadalupe Ruelas González

    2008-12-01

    Full Text Available OBJETIVO: Identificar los factores sociodemográficos, de salud y apoyo social relacionados con las lesiones accidentales en adultos mayores residentes de colonias urbanas marginales de las ciudades de Cuernavaca, Chilpancingo, Guadalajara y Culiacán. MATERIAL Y MÉTODOS: En 2004-2005 se llevó a cabo un estudio transversal; mediante muestra no probabilística, se entrevistó a 799 adultos mayores; se emplearon pruebas no paramétricas y un modelo multivariado de regresión logística. RESULTADOS: Del total de entrevistas, 37% notificaron lesiones y la causa principal fueron las caídas (54%. El hogar fue el sitio con mayor número de accidentes (52%. Los factores de riesgo asociados fueron edad avanzada, trabajar, mayor número de enfermedades, mayor consumo de medicamentos, remedios y bebidas alcohólicas, percepción de "mala salud", apoyo familiar inadecuado y ser cuidador de otros. CONCLUSIONES: La multicausalidad obliga, por una parte, a que toda la sociedad participe y, por la otra, a la intervención del área de la salud para prevenir y atender el problema.OBJECTIVE: To identify factors (sociodemographic, health, and social support associated with the presence of accidental injuries in older adults living in deprived urban neighborhoods in four Mexican municipalities. MATERIAL AND METHODS: Cross-sectional survey carried out in 2004-2005, with a non-probabilistic, intentional sample of 799 male and female elderly living in deprived urban areas in four Mexican municipalities. For the statistical analysis, non-parametric tests and multivariate logistic regression models were used. RESULTS: More than a third (37% of the sample reported injuries; with falls being the main cause. Home was the venue where most accidents took place (52%. Risk factors for accidental injuries were: advanced age, working, greater number of illnesses, consumption of more medicines and remedies, self-perception of "poor" health , consumption of alcoholic beverages

  20. Inhibition of ANO1 by luteolin and its cytotoxicity in human prostate cancer PC-3 cells.

    Directory of Open Access Journals (Sweden)

    Yohan Seo

    Full Text Available Anoctamin 1 (ANO1, a calcium-activated chloride channel, is highly amplified in prostate cancer, the most common form of cancer and leading causes of cancer death in men, and downregulation of ANO1 expression or its functional activity is known to inhibit cell proliferation, migration and invasion in prostate cancer cells. Here, we performed a cell-based screening for the identification of ANO1 inhibitors as potential anticancer therapeutic agents for prostate cancer. Screening of ~300 selected bioactive natural products revealed that luteolin is a novel potent inhibitor of ANO1. Electrophysiological studies indicated that luteolin potently inhibited ANO1 chloride channel activity in a dose-dependent manner with an IC50 value of 9.8 μM and luteolin did not alter intracellular calcium signaling in PC-3 prostate cancer cells. Luteolin inhibited cell proliferation and migration of PC-3 cells expressing high levels of ANO1 more potently than that of ANO1-deficient PC-3 cells. Notably, luteolin not only inhibited ANO1 channel activity, but also strongly decreased protein expression levels of ANO1. Our results suggest that downregulation of ANO1 by luteolin is a potential mechanism for the anticancer effect of luteolin.

  1. Renewable energies. 25 years of UNAM in Temixco; Energias renovables. 25 anos de la UNAM en Temixco

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-07-01

    At the Universidad Nacional Autonoma de Mexico (UNAM), the research in renewable energy began since the decade of 70's. In 1985 the Laboratory of Solar Energy (LES) of the Institute for Research in Materials in Temixco, Morelos was inaugurated, and in 1996 this became the Energy Research Center (CIE) of the UNAM. Currently, CIE is the only research center of the UNAM devoted mainly to the study and development of applications of renewable energies in Mexico. In its 25 years of existence, the LES-CIE has shown to be a university entity with a high academic performance: both in the scientific and technological production, as in the formation of high quality human resources, its outreach activities and more recently with the linkage. This commemorative book for the 25 years was made with the intention of leaving constancy of the origins and evolution of what today is done in this University Research Center. [Spanish] En la Universidad Nacional Autonoma de Mexico (UNAM), se iniciaron las investigaciones en energias renovables desde la decada de los anos 70's. En 1985 se inaugura el Laboratorio de Energia Solar (LES) del Instituto de Investigaciones en Materiales en Temixco, Morelos y en 1996 este se transforma en el Centro de Investigacion en Energia (CIE) de la UNAM. Actualmente, el CIE es el unico centro de investigacion de la UNAM dedicado principalmente al estudio y desarrollo de aplicaciones de las energias renovables en Mexico. En sus 25 anos de existencia, el LES-CIE ha mostrado ser una entidad universitaria con un alto rendimiento academico: tanto en la produccion cientifica y tecnologica, como en la formacion de recursos humanos de alta calidad, sus actividades de difusion y mas recientemente con la vinculacion. Este libro conmemorativo por los 25 anos se realizo con el proposito de dejar constancia de los origenes, evolucion y de lo que hoy es y se hace en este Centro Universitario de Investigacion.

  2. Factores de riesgo de accidentes en la edad geriátrica Risk factors for accidents in geriatric age

    Directory of Open Access Journals (Sweden)

    Manolo Gómez Juanola

    2004-12-01

    Full Text Available Se realizó un estudio prospectivo, longitudinal y descriptivo con elementos analíticos, para evaluar los factores de riesgo de accidentes en los ancianos, durante el período de julio 2000 a junio 2001. La muestra quedó conformada por un universo de 101 gerontes, de los consultorios médicos 13 y 32, del municipio Mantua. Se aplicó el cálculo porcentual y X2 con nivel de ajuste ed a = 0,01 y a = 0,05. Dentro de los factores ambientales, en el área urbana predominaron: piso del baño deslizante (pA prospective, longitudinal and descriptive study was conducted with analytical elements to evaluate the risk factors for accidents in the elderly from July 2000 to June 2001.The sample was composed of 101 aged individuals from the family physicians' offices 13 and 32, in Mantua municipality. The percentage calculation and X2 with a level of adjustment of a = 0.01 and a = 0.05 were applied. The following environmental factors predominated in the urban area: slipping bathroom floor (p 0.01, cooker of an inadequate height (p 0.05, polished floors, changing furniture, propping, filtrations and inadequate shoes (p 0.01. Lamp or switch away from the bed, bathroom away from the bedroom and absence of shower curtains, unlevel/irregular floor, furniture in bad state, deficient lighting, poorly protected electrical sources and circulation of pets (p 0.01 prevailed in the rural area. The most common physiological risks were: pluripathology/polypharmacy and degenerative arthropathy as a cause of balance alterations and walking, respectively. They prevailed in females (p 0.05. Congestive heart failure, ischemic heart disease and cervical osteoarthritits predominated among the most frequent diseases in the females (p 0.05. 43.5 % of the males took only one drug. Sedatives (50-59 % were the most used drugs. 59.40 % of the elderly were evaluated as low risk for accidentality.

  3. ¿Accidente industrial o amputación deliberada?

    OpenAIRE

    Ponce, Paola; Arabaoloza, Iraia; Boylston, Anthea

    2005-01-01

    El objetivo de este trabajo es analizar los diferentes aspectos de la práctica de amputaciones durante el período victoriano de Inglaterra tales como: las causas que llevaron a tal práctica, los métodos y técnicas quirúrgicos usados durante el S. XIX así como la evidencia de atrofia y/o asimetría por causa del desuso. Tres casos de amputaciones fueron encontrados en una población industrial en el cementerio Victoriano de St. Pete s Collegiate Church en Wolverhampton (West Midlands), Inglaterr...

  4. Determinación de zonas expuestas a la ocurrencia de accidentes por transporte de mercancías peligrosas en Colombia

    Directory of Open Access Journals (Sweden)

    Cristian Camilo Fernández Lopera

    2015-06-01

    Full Text Available La gestión del riesgo debe ser un componente transversal del desarrollo de la sociedad y de acuerdo con la Ley 1523 de 2012 en Colombia, debe involucrar a entidades gubernamentales, sociedad civil y sector privado, trascendiendo los límites territoriales. El objetivo de esta investigación fue determinar zonas expuestas a la ocurrencia de accidentes que involucran transporte de mercancías peligrosas en los municipios de Dosquebradas, Pereira y La Virginia, que conforman el Área Metropolitana Centro Occidente en Colombia. Las mercancías peligrosas fueron identificadas mediante el reconocimiento de las principales actividades industriales del área de estudio y se analizaron los corredores viales por los cuales ellas son transportadas, determinando zonas de alta accidentalidad. Se realizó una simulación de dispersión de sustancias mediante el aplicativo WISER y se identificaron zonas de riesgo en cada municipio. Los resultados indicaron que las zonas de mayor exposición a accidentes con mercancías peligrosas son: vía Pereira-LaVirginia; sector Cerritos-La Villa (Pereira; sector de Playa Rica; rotonda de Postobón; la zona entre la rotonda de Postobón y la rotonda de Makro (Dosquebradas; y rotonda de calle 12B con la carrera 7a (La Virginia. En todos los corredores viales por los cuales se transportan mercancías peligrosas existen zonas críticas de alta accidentalidad.

  5. An Allegory of Addiction Recovery: Exploring the Performance of "Eumenides" by Aeschylus, as Adapted by 18 ANO Theatre Group

    Science.gov (United States)

    Zontou, Zoe

    2013-01-01

    This paper examines the performance of the "Eumenides," as adapted and performed by 18 ANO theatre group. 18 ANO is the theatre group of the Drug dependence treatment unit 18 ANO of Attica's Psychiatric Hospital, which is based in Athens, Greece. Each year 18 ANO organises performances in the wider community with the aim of promoting…

  6. Systematic review of efficacy of LIFT procedure in crpytoglandular fistula-in-ano

    OpenAIRE

    Murugesan, Jothi; Mor, Isabella; Fulham, Stephen; Hitos, Kerry

    2014-01-01

    BACKGROUND: fistula-in-ano is a common problem. Ligation of intersphincteric fistula tract (LIFT) is a new addition to the list of operations available to deal with complex fistula-in-ano. OBJECTIVE: we sought to qualitatively analyze studies describing LIFT for crpytoglandular fistula-in-ano and determine its efficacy. DATA SOURCES: MEDLINE (Pubmed, Ovid), Embase, Scopus and Cochrane Library were searched. STUDY SELECTION: all clinical trials which studied LIFT or compared LIFT ...

  7. Causes of accidental childhood deaths in China in 2010: A systematic review and analysis

    Directory of Open Access Journals (Sweden)

    Kit Yee Chan

    2015-06-01

    Full Text Available Background Infectious causes of childhood deaths in the world have decreased substantially in the 21st century. This trend has exposed accidental deaths as an increasingly important future challenge. Presently, little is known about the cause structure of accidental childhood deaths in low– and middle–income country (LMIC settings In this paper, we aim to establish cause structure for accidental deaths in children aged 0–4 years in China in the year 2010. Methods In this paper, we explored the database of 208 multi–cause child mortality studies in Chinese that formed a basis for the first published estimate of the causes of child deaths in China (for the year 2008. Only five of those studies identified specific causes of accidental deaths. Because of this, we searched the Chinese medical literature databases CNKI and WanFang for single–cause mortality studies that were focused on accidental deaths. We identified 71 further studies that provided specific causes for accidental deaths. We used epidemiological modeling to estimate the number of accidental child deaths in China in 2010 and to assign those deaths to specific causes. Results In 2010, we estimated 314 581 deaths in children 0–4 years in China, of which 31 633 (10.1% were accidental. Accidental deaths contributed 7240 (4.0% of all deaths in neonatal period, 8838 (10.5% among all post–neonatal infant deaths, and 15 554 (31.7% among children with 1–4 years of age. Among four tested models, the most predictive was used to establish the likely cause structure of accidental deaths in China. We estimated that asphyxia caused 9490 (95% confidence interval (CI 8224–11 072, drowning 5694 (95% CI 5061–6327, traffic accidents 3796 (95% CI3163–4745, poisoning 3163 (95% CI 2531–3796 and falls 2531 (95% CI 2214–3163 deaths. Based on medians from a few rare studies, we also predict 633 (95% CI 316–1265 deaths to be due to burns and 316 (95% CI 0–633 due to falling objects

  8. Hifema traumático: seguimento de um ano

    Directory of Open Access Journals (Sweden)

    Rocha Karolinne Maia

    2004-01-01

    Full Text Available OBJETIVO: Analisar retrospectivamente a evolução de pacientes portadores de hifema decorrente de trauma ocular contuso quanto à acuidade visual inicial e final, aumento da pressão intra-ocular, ocorrência de ressangramento, tempo de absorção do coágulo, e necessidade de cirurgia. MÉTODOS: Foram avaliados 54 pacientes com idade superior a 15 anos, com diagnóstico de traumatismo ocular fechado, assistidos no Pronto Socorro de Oftalmologia do Hospital São Paulo, no período de dezembro de 2000 a janeiro de 2002. O hifema foi classificado em cinco subgrupos: microscópico; grau I; grau II; grau III e grau IV (hifema total. Os pacientes foram divididos em dois grupos, de acordo com o comprometimento ou não do segmento posterior, para comparação dos dados pelo teste de Mann-Whitney e o teste exato de Fisher. A acuidade visual final foi avaliada por meio de regressão linear múltipla. RESULTADOS: Noventa e um por cento dos pacientes eram do sexo masculino, com idade média de 32 anos. Na admissão, 37% dos pacientes apresentaram PIO superior a 24 mmHg. O ressangramento ocorreu em 8% deles. Durante a evolução, seis pacientes necessitaram de intervenção cirúrgica. No grupo I (sem lesões de segmento posterior houve melhora estatisticamente significante da AV (p<0,001, o que não foi observado no grupo II (p=0,4772. CONCLUSÃO: A classificação do hifema permite avaliação da gravidade da lesão, prognóstico e conduta. A baixa de visão persistente correlacionou-se principalmente ao comprometimento do seguimento posterior e à acuidade visual na admissão. O sucesso do tratamento depende da identificação dos fatores de risco, medicação apropriada e indicação cirúrgica precisa.

  9. Patterns and Trends in Accidental Poisoning Deaths: Pennsylvania's Experience 1979-2014.

    Directory of Open Access Journals (Sweden)

    Lauren C Balmert

    Full Text Available The purpose of this study was to examine county and state-level accidental poisoning mortality trends in Pennsylvania from 1979 to 2014.Crude and age-adjusted death rates were formed for age group, race, sex, and county for accidental poisonings (ICD 10 codes X40-X49 from 1979 to 2014 for ages 15+ using the Mortality and Population Data System housed at the University of Pittsburgh. Rate ratios were calculated comparing rates from 1979 to 2014, overall and by sex, age group, and race. Joinpoint regression was used to detect statistically significant changes in trends of age-adjusted mortality rates.Rate ratios for accidental poisoning mortality in Pennsylvania increased more than 14-fold from 1979 to 2014. The largest rate ratios were among 35-44 year olds, females, and White adults. The highest accidental poisoning mortality rates were found in the counties of Southwestern Pennsylvania, those surrounding Philadelphia, and those in Northeast Pennsylvania near Scranton.The patterns and locations of accidental poisoning mortality by race, sex, and age group provide direction for interventions and policy makers. In particular, this study found the highest rate ratios in PA among females, whites, and the age group 35-44.

  10. STRATEGY TO IDENTIFY POSSIBLE INTRACELLULAR SURVIVAL MECHANISMS ANO PATHOGENICITY

    OpenAIRE

    VERA SEPULVEDA, TAMARA SCARLETT

    2013-01-01

    P. sa/monis es una bacteria gram-negativa, intracelular facultativa, agente causal del Síndrome Riketsial Salmonídeo (SRS), que en los últimos treinta años ha causado grandes pérdidas en la industria chilena del salmón. Se describió por primera vez en salmón coho en el sur de Chile, en 1989 por Bravo y Campos y en un primer momento se calificó como intracelular obligada y hace ya unos años se logró cultivar en medios artificiales sólidos, libres de células. Sin embargo, debido ...

  11. Práticas alimentares no primeiro ano de vida

    Directory of Open Access Journals (Sweden)

    Ana Paula Esmeraldo Lima

    2011-10-01

    Full Text Available O estudo buscou analisar a literatura publicada referente às práticas alimentares no primeiro ano de vida de filhos de mães adolescentes, por meio de uma revisão integrativa nas bases de dados Lilacs, Medline e Cochrane, no período de 2000 a 2010. Foram utilizadas as palavras-chave: adolescente, aleitamento materno, alimentação mista e nutrição do lactente, sendo selecionados onze artigos científicos, que compuseram a amostra do estudo. Os resultados apontaram a incipiência de pesquisas publicadas sobre o tema proposto, sobretudo para as que versam sobre alimentação complementar, desvelando uma lacuna na produção mundial sobre o tema. Novas pesquisas, portanto, precisam ser desenvolvidas com foco em mães adolescentes, devendo-se explorar a alimentação infantil em toda sua dimensão.

  12. China - 60 anos de República Popular

    Directory of Open Access Journals (Sweden)

    Wladimir Pomar

    2009-10-01

    Full Text Available Em dezembro de 1949, após mais de 23 anos de guerras, tanto civis, quanto de resistência contra a agressão japonesa, a China assistiu à fundação da República Popular, com a vitória do Exército Popular de Libertação, tendo à frente o Partido Comunista, sobre os exércitos comandados pelo Guomindang.

  13. Institucionalizacao da saude publica paulista nos anos 1930-1940

    Directory of Open Access Journals (Sweden)

    Andre Mota

    2013-10-01

    Full Text Available O objetivo do estudo foi interpretar e compreender a institucionalização da saúde pública paulista nos anos 1930-1940, com base na história das especialidades médicas. Foram analisadas novas fontes documentais em diálogo com a literatura existente, levando à identificação de novos indícios relativamente à questão eugênica e à presença de crenças religiosas de médicos como um movimento social. Os médicos, à medida que se especializavam como sanitaristas, propunham um projeto para elevar a raça brasileira, mesclando discursos higienistas com ações sanitárias. São Paulo buscou a primazia nesse projeto, por se acreditar um Estado detentor de uma raça já constituída de “homens historicamente saudáveis”. Crenças religiosas influenciaram o debate e as decisões de época para a ordem sanitária. Historicamente, o discurso sanitário compõe questões técnico-científicas com as político-ideológicas e as culturais, produzindo uma mescla dos diferentes interesses e perspectivas de ordem corporativa da profissão.

  14. La expresión del cambio global en las variables físico-químicas del medio marino regional y su impacto en los ecosistemas marino-costeros colombianos

    OpenAIRE

    Rojas Higuera, Paula Judith

    2013-01-01

    Con base en el análisis de datos de temperatura superficial del mar (TSM) y de pH en sectores marino-costeros del mar Caribe y el océano Pacífico colombianos, se identifican las tendencias de largo plazo, que constituyen la expresión regional de los fenómenos globales, calentamiento y acidificación del océano. A partir del establecimiento de estos cambios se infiere su potencial impacto en los ecosistemas marinos presentes en los sectores analizados. Se evidenció un incremen...

  15. The accidental traveller: John Adam’s journey through northern Spain, 1779–1780 = El viajero accidental: la jornada de John Adams por el norte de España, 1779–1780

    Directory of Open Access Journals (Sweden)

    Richard L. Kagan

    2015-12-01

    Full Text Available In 1779, John Adams, the future second president of the United States, traveled in mid-winter across northern Spain. En route to Paris to negotiate a peace treaty between Great Britain and its rebellious former North American colonies, a leaking vessel forced Adams and his party to land expectedly at El Ferrol and then continue overland to France. Using his diary as its principal source, this essay focuses of Adams’s accidental journey, his impressions of the economic, political, and religious condition of the places he visited, together with the future president’s thoughts about the possibility of creating closer relationship between his country and the Spain of Charles III.En 1779, John Adams, futuro segundo presidente de los Estados Unidos de América, viajó a mediados del invierno de ese año a lo largo del norte de España. En su ruta a París para negociar un tratado de paz entre gran Bretaña y sus antiguas colonias rebeldes de Norte América, una vía de agua obligó a Adams y a su grupo a desembarcar inesperadamente en El Ferrol, donde continuaron de camino hasta Francia. Mediante el uso de su diario como principal fuente de estudio, este trabajo se ocupa del accidentado viaje de Adams, de sus impresiones acerca de las condiciones económicas, políticas y religiosas de los lugares que él visitó, junto con los pensamientos del futuro presidente a propósito de las posibilidades de establecer una relación más cordial y cercana entre su país y la España de Carlos III. 

  16. Comparison of intracranial computed tomographic (CT) findings in pediatric abusive and accidental head trauma

    Energy Technology Data Exchange (ETDEWEB)

    Hymel, K.P. [University of Colorado Health Sciences Center, 1056 East 19th Avenue, Denver, CO 80218 (United States); Rumack, C.M. [University of Colorado Health Sciences Center, 1056 East 19th Avenue, Denver, CO 80218 (United States); Hay, T.C. [University of Colorado Health Sciences Center, 1056 East 19th Avenue, Denver, CO 80218 (United States); Strain, J.D. [University of Colorado Health Sciences Center, 1056 East 19th Avenue, Denver, CO 80218 (United States); Jenny, C. [University of Colorado Health Sciences Center, 1056 East 19th Avenue, Denver, CO 80218 (United States)

    1997-09-01

    Background. Child abuse specialists rely heavily on diagnostic neuroimaging. Objectives. Study objectives were: (1) to compare the frequencies of six specific intracranial CT abnormalities in accidental and non-accidental pediatric head trauma, and (2) to assess interobserver agreement regarding these CT findings. Materials and methods. Three pediatric radiologists blindly and independently reviewed cranial CT scans of pediatric patients who sustained closed head trauma between 1991 and 1994. All patients were less than 4 years of age. Study cases included thirty-nine (50 %) with non-accidental head trauma and thirty-nine (50 %) with accidental head trauma. Each scan was evaluated for the presence or absence of the following six intracranial findings: (1) interhemispheric falx hemorrhage, (2) subdural hemorrhage, (3) large (non-acute) extra-axial fluid, (4) basal ganglia edema, (5) posterior fossa hemorrhage, and (6) frontal-parietal shearing tear(s). Interobserver agreement was calculated as the percentage of total cases in which all reviewers agreed a specific CT finding was present or absent. Diagnosis required independent agreement by all three pediatric radiologists. The frequencies of these six intracranial CT abnormalities were compared between the two study groups by Chi-square analysis and Fisher`s exact test. Results. Interobserver agreement between radiologists was greater than 80 % for all lesions evaluated, with the exception of frontal-parietal shearing tear(s). Interhemispheric falx hemorrhage, subdural hemorrhage, large (non-acute) extra-axial fluid, and basal ganglia edema were discovered significantly more frequently in non-accidental trauma (P {<=}.05). Conclusion. Although not specific for child abuse, discovery of these intracranial CT abnormalities in young patients should prompt careful evaluation of family and injury circumstances for indicators of non-accidental trauma. (orig.). With 6 figs., 2 tabs.

  17. Comparison of intracranial computed tomographic (CT) findings in pediatric abusive and accidental head trauma

    International Nuclear Information System (INIS)

    Hymel, K.P.; Rumack, C.M.; Hay, T.C.; Strain, J.D.; Jenny, C.

    1997-01-01

    Background. Child abuse specialists rely heavily on diagnostic neuroimaging. Objectives. Study objectives were: (1) to compare the frequencies of six specific intracranial CT abnormalities in accidental and non-accidental pediatric head trauma, and (2) to assess interobserver agreement regarding these CT findings. Materials and methods. Three pediatric radiologists blindly and independently reviewed cranial CT scans of pediatric patients who sustained closed head trauma between 1991 and 1994. All patients were less than 4 years of age. Study cases included thirty-nine (50 %) with non-accidental head trauma and thirty-nine (50 %) with accidental head trauma. Each scan was evaluated for the presence or absence of the following six intracranial findings: (1) interhemispheric falx hemorrhage, (2) subdural hemorrhage, (3) large (non-acute) extra-axial fluid, (4) basal ganglia edema, (5) posterior fossa hemorrhage, and (6) frontal-parietal shearing tear(s). Interobserver agreement was calculated as the percentage of total cases in which all reviewers agreed a specific CT finding was present or absent. Diagnosis required independent agreement by all three pediatric radiologists. The frequencies of these six intracranial CT abnormalities were compared between the two study groups by Chi-square analysis and Fisher's exact test. Results. Interobserver agreement between radiologists was greater than 80 % for all lesions evaluated, with the exception of frontal-parietal shearing tear(s). Interhemispheric falx hemorrhage, subdural hemorrhage, large (non-acute) extra-axial fluid, and basal ganglia edema were discovered significantly more frequently in non-accidental trauma (P ≤.05). Conclusion. Although not specific for child abuse, discovery of these intracranial CT abnormalities in young patients should prompt careful evaluation of family and injury circumstances for indicators of non-accidental trauma. (orig.). With 6 figs., 2 tabs

  18. III. El Perú del Pacífico y el Perú del Amazonas

    OpenAIRE

    Ordinaire, Olivier

    2015-01-01

    *** Desde el punto de vista de sus comunicaciones con el exterior, el Perú se divide en dos regiones: el Perú del Pacífico y el Perú del Amazonas. El primero, que da salida a sus productos por el gran Océano, comprende la Costa, la Sierra y algunos valles altos de la Montaña o país de los bosques. El segundo, formado por la mayor parte de los inmensos territorios que separan los Andes del Brasil, tiene como capital efectiva a Iquitos y se comunica con el resto del mundo por el Amazonas y el O...

  19. Vertebrados marinos del neógeno del suroeste de la Península Ibérica

    OpenAIRE

    Toscano Grande, Antonio

    2016-01-01

    Esta Tesis Doctoral aborda el estudio de los vertebrados marinos presentes en las formaciones del Mioceno y Plioceno del SO de la Cuenca del Guadalquivir en la provincia de Huelva, sus aspectos evolutivos e implicaciones paleoecológicas. Los resultados obtenidos permiten definir con mayor resolución la evolución de los ecosistemas litorales y marinos del SO de la Península Ibérica durante el Neógeno superior. Durante esta época, las dos principales vías de comunicación entre el océano Atlánti...

  20. Management of accidental dural puncture and post-dural puncture headache after labour: a Nordic survey

    DEFF Research Database (Denmark)

    Darvish, B; Gupta, A; Alahuhta, S

    2011-01-01

    a major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour in the N......a major risk with epidural analgesia is accidental dural puncture (ADP), which may result in post-dural puncture headache (PDPH). This survey was conducted to explore the incidence of ADP, the policy for management of PDPH and the educational practices in epidural analgesia during labour...

  1. Guidelines on the medical therapy of persons accidentally overexposed to ionizing radiations. External contamination

    International Nuclear Information System (INIS)

    Perez, M.R.; Di Trano, J.L.; Gisone, P.

    1998-01-01

    The document represents a guide for the external decontamination of persons accidentally radio contaminated due to the use, production or transport of radioactive materials. The general conditions, from the medical point of view, to be kept in mind, in the event of accidental overexposures as decontamination treatment and the handling of samples are detailed throughout report. The external contamination without injury in skin or with wound its considered. The distribution of measures and responsibilities for the therapy of the irradiated patients with radioactive materials are enumerated. The preparations of decontaminate solutions are detailed in this work. Moreover, forms for the reception, physical evaluation of the patient and external contamination are presented. (author)

  2. A tunnel shape defect on maxillary bone after accidental injection of formocresol instead of anesthetic solution.

    Science.gov (United States)

    Ege, Bilal; Demirkol, Mehmet; Mustafa, Rawand; Aras, Mutan Hamdi

    2014-09-01

    Accidental injection or leakages of various chemical disinfectants used during root canal preparation into adjacent tissues have been shown to have deleterious effects on surrounding tissue. Formocresol (FC) is an effective intracanal disinfectant used in endodontic procedures. However, it is known to have harmful effects into adjacent tissues. The aim of this article is to present an unusual case in which a 28-year-old male patient developed gingival and bone necrosis after the accidental injection of FC instead of local anesthetic solution for tooth extraction and to review cases in the literature where complications have occurred due to the use of FC.

  3. Acesso aberto ao conhecimento científico no Ano Internacional da Luz

    Directory of Open Access Journals (Sweden)

    André Luís Gemal

    2015-02-01

    Full Text Available Neste ano de 2015, eleito pela organização das Nações Unidas como Ano Internacional da Luz, nos inspiramos na luz, que permeia diversos campos da vida, da ciência, da tecnologia. Fundamental a todos cidadãos. Mote de cientistas e poetas.

  4. Management of Fistula‑In‑Ano with Special Reference to Ligation of ...

    African Journals Online (AJOL)

    Context: The surgical management of fistula-in-ano is still debatable and no clear recommendations have been made available until now. The present study analyses the results of ligation of intersphincteric fistula tract (LIFT) technique in treating fistula-in-ano in particular with recurrence, healing time, and continence status.

  5. Endocardite infecciosa: 12 anos de tratamento cirúrgico

    Directory of Open Access Journals (Sweden)

    ARNONI Antoninho Sanfins

    2000-01-01

    Full Text Available INTRODUÇÃO: A endocardite é uma doença de tratamento difícil e que freqüentemente necessita da participação cirúrgica. CASUÍSTICA E MÉTODOS: Entre janeiro de 1987 e janeiro de 1999, 159 pacientes foram operados em nosso Serviço, sendo 64,7% do sexo masculino. Este grupo apresentou idade média de 39,2 anos (2 a 78 anos, com peso médio de 57,1 kg. O acometimento valvar aórtico foi o mais freqüente (66 pacientes, sendo na valva nativa em 47 casos e em próteses em 19 (8 metálicas e 11 biológicas: a lesão mitral verificou-se em 53 pacientes, sendo mais comum em portadores de prótese (28 biológicas e 2 metálicas. O comprometimento das duas valvas esteve presente em 28 casos. Os demais pacientes eram portadores de defeitos congênitos ou de marcapasso definitivo. A operação foi indicada por refratariedade ao tratamento clínico, insuficiência cardíaca, quadro infeccioso levando a disfunção valvar ou de prótese, vazamento periprotético, ou ainda por arritmia. RESULTADOS: O estudo microbiológico evidenciou maior prevalência de infecção por Streptococcus viridans e Staphilococcus aureus. A operação realizada nos portadores de endocardite infecciosa em valva nativa propiciou a conservação da valva em 3 pacientes do grupo mitral e em 1 do grupo aórtico; nos demais pacientes empregaram-se próteses (a maioria metálica em aórticos e biológica em mitrais. As reoperações foram freqüentes, tendo pacientes com até quarta operação. A lesão congênita responsável pela maioria dos casos foi a comunicação interventricular (3 casos e 4 pacientes apresentavam a endocardite em eletrodo de marcapasso. A mortalidade global foi de 16,3%, com maior incidência em portadores de prótese mitral e aórtica submetidos a reoperação. A presença de abscesso como complicação da endocardite infecciosa verificou-se em 18,2% dos pacientes, utilizando-se pericárdio bovino na reconstrução da maioria, com mortalidade de 17

  6. Acidentes de trabalho com trabalhadores de enfermagem Accidentes de trabajo con trabajadores de enfermería Work accidents involving nursing workers

    Directory of Open Access Journals (Sweden)

    Emílio José Gonçalves Ribeiro

    2007-10-01

    Full Text Available O objetivo deste estudo foi o de identificar e analisar acidentes e as cargas de trabalho a que estão expostos os trabalhadores de enfermagem no desenvolvimento de suas atividades. Trata-se de um estudo de caso, do tipo descritivo e exploratório, desenvolvido em um hospital de ensino do Distrito Federal. Foi realizado levantamento dos acidentes de trabalho registrados no SESMT e CCIH no período de janeiro de 1998 a dezembro de 2002 e identificadas essas cargas de trabalho. Constatou-se que os trabalhadores sofreram 76 acidentes de trabalho, dentre quais, 83,95% foram causados por materiais perfurocortantes, 8,64% por quedas, 6,17% por exposições a fluidos biológicos e 1,24% por contusões. A diversidade e simultaneidade de cargas de trabalho contribuíram para a ocorrência desses acidentes.El objetivo de este estudio fue identificar y analizar los accidentes de trabajo, bien com las cargas de trabajo e las que están expuestos los trabajadores de enfermería cuando desarrollan su processo de trabajo com enfermeros. Se trata de um estúdio de caso, de tipo descriptivo y explorativo realizado en un hospital de educación del Distrito Federal. El trabajo fue realizado estudiando los accidentes de trabajo registrados em SESMT y CCIH em el período de jenero de 1998 a diciembre de 2002 e identificando las cargas de trabajo. Se contaron 76 accidentes laborales entre los trabajadores. Las causas fueron: materiales perforadores-cortantes 83,95%, caídas 8,64%, exposiciones a fluidos biológicos, 6,17% e contusiones 1,24%. La diversidad y simultaneidad de las cargas contribuyen a la ocurrencia de accidentes de trabajo.The objective of this study was to identify and analyze work accidents as well the activities in which the nursing workers are exposed to. This is a study case, descriptive and exploratory, developed in a University Hospital in the Brazilian Federal District. It was done a survey on work accidents registered in SESMT and CCIH, from

  7. Estructura trófica de los copépodos pelágicos en el Océano Pacifico Oriental Tropical

    OpenAIRE

    López Ibarra, Gladis Angélica

    2008-01-01

    Gran parte de la productividad secundaria marina es aportada por los copépodos, estos destacan dentro del zooplancton marino por su diversidad y abundancia, puede llegar a constituir un 80 % de la biomasa zooplanctonica. Probablemente el principal papel ecológico de esta comunidad es la transferencia de energía entre los niveles tróficos primarios y los sucesivos en las redes tróficas. En este estudio se analizó la estructura trófica de la comunidad de copépodos pelágicos en el Océano Pacifi...

  8. La internacionalización de la contaminación de océanos por hidrocarburos & sustancias tóxicas

    OpenAIRE

    Vélez Núñez, Rubén

    2009-01-01

    La contaminación de océanos y litorales mediante el vertimiento de hidrocarburos y sustancias toxicas se constituye como una amenaza al equilibro ambiental mundial. Es por esto que se hace necesario desarrollar un marco conceptual de la situación, para así poder entender cómo a través de la globalización es posible llegar a la internacionalización del problema de la contaminación y buscar así soluciones idóneas. Por otro lado, es importante conocer los instrumentos con los que se cuenta en ma...

  9. Bursitis por mercurio tras accidente laboral: a propósito de un caso Bursitis due to Mercury after a work accident: a case report

    OpenAIRE

    Susana Lastras González; Ignacio Sánchez-Arcilla; Marina Fernández Escribano; Magdalena Muedra Sánchez

    2010-01-01

    Auxiliar de enfermería de 28 años que acude al Servicio de Urgencias porque refiere dolor y dificultad para la movilización en rodilla derecha, tras accidente laboral, hace dos días. Refiere que se resbaló mientras transportaba 32 termómetros de mercurio, rompiéndose éstos sobre su rodilla, creando una pequeña herida, siendo la puerta de entrada del metal. En la radiografía, se objetiva el cuerpo extraño metálico, correspondiente a mercurio, en bursa rotuliana. Tras el diagnóstico, se realizó...

  10. Cardiomiopatía periparto temprana complicada con accidente cerebrovascular cardioembólico: A propósito de un caso

    Directory of Open Access Journals (Sweden)

    Germán Málaga

    2010-04-01

    Full Text Available Presentamos el caso de una paciente con cardiomiopatía periparto quien súbitamente presentó hemiplejia flácida, producido por un accidente cerebrovascular de origen cardioembólico con transformación hemorrágica en la evolución. El diagnóstico fue clínico, ecocardiográfico y tomográfico. La evolución del cuadro neurológico fue favorable, con recuperación parcial de la funcionalidad. Se presenta este caso debido a la presentación atípica de una nosología infrecuente: "la cardiomiopatía periparto", cuyas complicaciones suscitaron controversias en el manejo terapéutico.(Rev Med Hered 2010;21:97-102.

  11. Análisis espacial de los accidentes de tráfico en Bogotá D.C. Fundamentos de investigación

    Directory of Open Access Journals (Sweden)

    Flor Ángela Cerquera Escobar

    2014-01-01

    Full Text Available En el documento se presenta una síntesis del análisis espacial de accidentes de tráfico en el área urbana de la ciudad de Bogotá D. C., y se definen los fundamentos de este análisis, a fin de orientarlo con el aporte de nuevos elementos y factores que determinen variables espaciotemporales, que sustenten la definición de patrones territoriales de ocurrencia en el área urbana de Bogotá, los que serán la base para efectuar programaciones futuras de intervenciones orientadas a prevenir y disminuir los niveles de accidentalidad, así como a mejorar los índices de seguridad vial y movilidad en la capital.

  12. Resección de fibroelastoma papilar mitral mediante cirugía mínimamente invasiva en paciente con accidente cerebrovascular

    OpenAIRE

    Velásquez, Oscar; Gómez, Francisco; Alzate, Fernando; Fortich, Fernando; Mejía, Alfonso

    2013-01-01

    Paciente quien consultó con síntomas neurológicos y se realizó diagnóstico de accidente cerebrovascular embólico cuya etiología consistió en un tumor cardíaco de la válvula mitral (fibroelastoma) con confirmación histológica. Fue intervenido quirúrgicamente mediante técnica mínimamente invasiva a través del tórax, con excelente evolución, sininfección ni requerimientos sanguíneos; no presentó secuelas valvulares ni neurológicas. Se reportó reincorporación temprana a la vida laboral....

  13. El pensar sobre la esencia del turismo : De los casos de turismo de contenido y del anime

    OpenAIRE

    Yamamura, Takayoshi

    2011-01-01

    8 de marzo del ano 2011, Texto para el Programa de Capacitacion de JICA, Curso de Desarrollo de Turismo Regional Sostenible en America Central y del Sur (2011年3月8日 JICA札幌研修事業「中南米地域 持続可能な地域観光開発コース 教材)

  14. Radiology in suspected non-accidental injury: Theory and practice in the Netherlands

    NARCIS (Netherlands)

    van Rijn, R. R.; Kieviet, N.; Hoekstra, R. [=Rian; Nijs, H. G. T.; Bilo, R. A. C.

    2009-01-01

    INTRODUCTION: This study evaluates radiological imaging in suspected non accidental injury (NAI) in children below the age of 2 years in the Netherlands. MATERIAL AND METHODS: The study consisted of two parts; first an on-line questionnaire on suspected NAI, amongst radiological practices within the

  15. 76 FR 73021 - Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    Science.gov (United States)

    2011-11-28

    ... AFFAIRS Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation or... Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21- 4176... Respondents: 4,400. Dated: November 22, 2011. By direction of the Secretary. Denise McLamb, Program Analyst...

  16. 76 FR 58566 - Proposed Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    Science.gov (United States)

    2011-09-21

    ... AFFAIRS Proposed Information Collection (Report of Accidental Injury in Support of Claim for Compensation... of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21- 4176. OMB Control..., Program Analyst, Enterprise Records Service. BILLING CODE 8320-01-P ...

  17. [Accidental hypothermia--a challenge for rescue service and intensive care].

    Science.gov (United States)

    Francke, A; Köpcke, J

    2002-01-01

    Accidental hypothermia is a rare clinical picture with different causes. Specific features are shown by patients who have accidents in water, due to rapid cooling. The SARRRAH project (Search and Rescue, Resuscitation and Rewarming in Accidental Hypothermia) was launched to secure fast and professional medical care right up to rewarming by extracorporal circulation. The University of Rostock takes part in this project. Based on the course of accidental hypothermia in fifteen patients, the authors report on the treatment of this life-threatening situation with special regard to the use of extracorporal circulation and present their first results. The core temperature of these patients lay between 16.0 and 34.0 degrees C. Eight of the patients had cardiac arrest at the scene of the accident. Seven of the patients with cardiac arrest were treated with extracorporal circulation in addition to cardiopulmonary resuscitation, which was started pre-clinically and continued in hospital. In one patient, extracorporal circulation was used at an initial temperature of 25.4 degrees C without previous cardiopulmonary resuscitation. Six of these fifteen patients with accidental hypothermia died. Five of the non-survivors belonged to the group of eight patients who were rewarmed by extracorporal circulation. With one exception, they also had the lowest core temperatures. Only a homogeneous and up-to-date documentation will allow further conclusions to be made for improving the concept of therapy.

  18. [Risk of acute hepatic insufficiency in children due to chronic accidental overdose of paracetamol (acetaminophen)

    NARCIS (Netherlands)

    Hameleers-Snijders, P.; Hogeveen, M.; Smeitink, J.A.M.; Kramers, C.; Draaisma, J.M.T.

    2007-01-01

    Two girls aged 4 and 3 years, respectively, experienced acute liver failure due to accidental ingestion of supratherapeutic doses of paracetamol (90 mg/kg/day or more). Recognition of chronic paracetamol intoxication as a cause of acute hepatic failure is often delayed. It is important to consider

  19. Intraperitoneal granulomatous foreign body reaction after accidental perforation of the abdominal wall. Case report

    DEFF Research Database (Denmark)

    Lanng, C; Winther-Nielsen, H; Hougen, H P

    2013-01-01

    After an accidental perforation by a wooden stake of the abdominal wall and distal ileum a 28-year-old man developed an aggressive granulomatous foreign body reaction of the greater omentum with high fever and abdominal pain. The patient was cured by omental resection and prednisone treatment....

  20. The accidental city : violence, economy and humanitarianism in Kakuma refugee camp Kenya

    NARCIS (Netherlands)

    Jansen, B.J.

    2011-01-01

    In this research I examine social ordering processes in Kakuma refugee camp in

    Kenya. I view the camp as an accidental city, by which I challenge the image of

    the camp as a temporary and artificial waiting space or a protracted refugee crisis

    per se. The reference to the

  1. Accidental equivalence in 1,2-substituted ethanes; Equivalencia acidental em etanos 1,2-substituidos

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Jeronimo S.; Patrocinio, Vera L.; Costa, Paulo R.R.; Amorim, Mauro; Silva, Eduardo M.B. da; Silva, Antonio Jorge R. da [Universidade Federal, Rio de Janeiro, RJ (Brazil). Nucleo de Pesquisas de Produtos Naturais

    1995-12-31

    The magnetic equivalence among nucleus may be forecasted through the use of symmetry tests or scalar coupling equivalence. A few molecules can present accidental equivalence, when their spectrum shows a un predictable simplified form. This paper describes how the performance of several components responsible for the nuclear shielding may propitiate this coincidence, and how neutralize it 3 refs., 2 figs., 1 tab.

  2. Clinical study of lesions caused by accidental local exposure to ionizing radiations

    International Nuclear Information System (INIS)

    Menoux, A.M.

    1977-01-01

    During the last few years the radiopathology service of the Curie Foundation has admitted more than a hundred patients who were followed and treated for irradiation or suspected irradiation after a work accident. Accidents followed by clinical symptoms account for about half the cases examined. Some of these clinical signs were benign whereas others developed very seriously, all possible conditions between these two extremes being represented. This report neglects cases of high total exposure and deals only with those of partial irradiation where local symptoms predominate, usually at the distal extremities of the upper limbs and exceptionally at the root or distal extremity of the lower limbs. Six clinical cases were selected as particularly revealing and are discussed below: accidental exposure of both hands to an iridium-192 source; chronic exposure to X-rays (left hand and right lower half-lip); accidental exposure of the right hand and antero-external face of the right thigh to a iridium-192 source; acute accidental exposure of the left hand to X-rays emitted under 50 kV; accidental exposure of both hands to cobalt-60 radiation; radiolesions of the left lower limb following a critical power excursion (gamma rays and neutrons) [fr

  3. Neuroimaging in non-accidental head injury: if, when, why and how

    International Nuclear Information System (INIS)

    Stoodley, N.

    2005-01-01

    Non-accidental head injury (NAHI) in infants is an important but difficult topic. To miss or misdiagnose NAHI potentially has important consequences. The evidence base upon which to base decisions is limited but growing. This article aims to summarise current literature and thinking in this difficult area

  4. Non-accidental dettol poisoning in a 3 day old neonate : a rare form ...

    African Journals Online (AJOL)

    In Nigeria, Dettol® Antiseptic Solution poisoning is an uncommon occurrence in all age groups. In a registered child specialist clinic in Kano, a three – day old neonate presented with clinical features believed initially to be due to neonatal seizures and sepsis, but which turned out to be due to non-accidental dettol® ...

  5. The Scotch Broom gall mite: Accidental introduction to classical biological control agent?

    Science.gov (United States)

    J. Andreas; T. Wax; E. Coombs; J. Gaskin; G. Markin; S. Sing

    2013-01-01

    The gall mite, Aceria genistae (Nal.) Castagnoli s.l., an accidentally introduced natural enemy of Scotch broom (Cytisus scoparius (L.) Link), was first discovered in the Portland OR and Tacoma WA region in 2005. It has since been reported from southern British Columbia to southern Oregon. Observationally, the mite appears to reduce Scotch broom seed production and at...

  6. Studies on reinforced concrete structures behavior in accidental conditions in D.E.M.T

    International Nuclear Information System (INIS)

    Hoffmann, A.; Berriaud, C.; Millard, A.; Avet-Flancard, R.

    1982-06-01

    Some models used for the calculation of reinforced concrete structures under accidental conditions are proposed: they are either global models, using a moment-curvature law for various membrane loads or local models enabling an accurate description of plasticity in the structure. Some applications are presented, like perforation of plates, internal explosion, tests on beams and posts

  7. radionuclides modelling dispersion of in the atmosphere for continuous discharges and accidental

    International Nuclear Information System (INIS)

    Teyeb, Malika

    2011-01-01

    The study of the dispersion of radionuclides in the atmosphere is the subject of a physical and numerical modeling of the phenomenon of dispersion. This work aims to study the atmospheric dispersion of accidental releases and continuous, from the possible establishment of a nuclear pressurized water reactor in the potential in Bizerte and Skhira.

  8. European survey of imaging in non-accidental injury demonstrates a need for a consensus protocol

    NARCIS (Netherlands)

    Hulson, Oliver S.; van Rijn, Rick R.; Offiah, Amaka C.

    2014-01-01

    Paediatric non-accidental injury is a considerable health problem, and imaging plays a fundamental role in its assessment. Since the introduction of joint guidelines published by the Royal College of Radiologists (RCR) and Royal College of Paediatrics and Child Health (RCPCH) in 2008, there has been

  9. The accidental city : violence, economy and humanitarianism in Kakuma refugee camp Kenya

    NARCIS (Netherlands)

    Jansen, B.J.

    2011-01-01

    In this research I examine social ordering processes in Kakuma refugee camp in Kenya. I view the camp as an accidental city, by which I challenge the image of the camp as a temporary and artificial waiting space or a protracted refugee crisis per se. The reference to the city is both

  10. Distribution and migration of plutonium in soils of an accidentally contaminated environment

    International Nuclear Information System (INIS)

    Iranzo, E.; Rivas, P.; Mingarro, E.; Marin, C.; Espinoas, A.; Iranzo, C.E.

    1991-01-01

    In an area contaminated accidentally by plutonium, studies are made to determine the geochemical state of plutonium in the soil of farmed and uncultivated areas. Plutonium concentrations have been measured in relation to depth, particle size distribution and mineralogical composition of the soil. Sequential leaching experiments have been made to estimate the proportion of plutonium bound to the main compounds. (orig.)

  11. Toxic vapor concentrations in the control room following a postulated accidental release

    International Nuclear Information System (INIS)

    Wing, J.

    1979-05-01

    An acceptable method is presented for calculating the vapor concentrations in a control room as a function of time after a postulated accidental release. Included are the mathematical formulas for computing the rates of vaporization and evaporation of liquid spills, the vapor dispersion in air, and the control room air exchange. A list of toxic chemicals and their physical properties is also given

  12. A Seven-Year Review of Accidental Kerosene Poisoning in Children ...

    African Journals Online (AJOL)

    Background: Accidental ingestion of kerosene is a potential source of morbidity and mortality in children. The objectives of the study are to determine to magnitude of the problem and proffer feasible solutions to reduce the frequency of occurrence. Methodology: The medical records of all cases of kerosene poisoning ...

  13. Patterns of accidental deaths in Kuwait: a retrospective descriptive study from 2003-2009.

    Science.gov (United States)

    Al-Kandary, Nadia; Al-Waheeb, Salah

    2015-03-28

    Accidents are a preventable cause of death. Unfortunately it accounts for a large number of deaths in many societies. In Kuwait, road traffic accidents (RTA) is the leading cause of death in young people. The study investigated the patterns of accidental deaths in Kuwait, one of the Gulf States which incorporates a wide variety of multi-ethnic communities. The study was retrospective from 2003-2009. Data of forensic cases were collected from the general department of criminal evidence (GDCE) in the ministry of interior (MOI).We attempted to find out causes of accidental death and the prevelance of each cause. Furthermore, the relationship of demographic factors (eg. Age, sex, marital status and nationality) with each cause of accidental death in Kuwait were studied. The material of this study constituted a total of 4886 reported accidental deaths referred for Medico-legal examination. Road traffic accidents was by far the most prevalent cause of death (64.6%) followed by fall from height (13.1%). Poisoning and mine explosions were amongst the least common causes. The government of Kuwait needs to take strong measures to promote safety in the workplace and households by educational campaigns.

  14. Youth versus adult "weightlifting" injuries presenting to United States emergency rooms: accidental versus nonaccidental injury mechanisms.

    Science.gov (United States)

    Myer, Gregory D; Quatman, Carmen E; Khoury, Jane; Wall, Eric J; Hewett, Timothy E

    2009-10-01

    Resistance training has previously been purported to be unsafe and ineffective in children. The purpose of this investigation was to evaluate resistance training-related injuries presenting to U.S. emergency rooms by age, type, and mechanism of injury. We hypothesized that older athletes would sustain greater percentages of joint sprains and muscle strains, whereas younger athletes would sustain a greater percentage of accidental injuries that would result in an increased percentage of fractures in youths. The U.S. Consumer Product Safety Commission (CPSC) National Electronic Injury Surveillance System was queried from 2002 to 2005 using the CPSC code for "Weightlifting." Subjects between the ages of 8 and 30 were grouped by age categories 8 to 13 (elementary/middle school age), 14 to 18 (high school), 19 to 22 (college), and 23 to 30 (adult). Injuries were classified as "accidental" if caused by dropped weight or improper equipment use. Multiple logistic regression was used to compare accidental injuries between age groups. The sample consisted of 4,111 patients. Accidental injuries decreased (p 14 to 18 > 19 to 22 years = 23 to 30 years. Conversely, sprain/strain injuries increased in each successive age group (p training-related joint sprains and muscle strains than adults. The majority of youth resistance training injuries are the result of accidents that are potentially preventable with increased supervision and stricter safety guidelines.

  15. Accidental Entry of Fish into Throat While Bathing in a Pond

    Directory of Open Access Journals (Sweden)

    Pradipta Kumar Parida

    2013-01-01

    Full Text Available While fish bones are common foreign bodies in the throat, a whole live fish in the pharynx is very rare. We report a case where a whole fish accidentally entered the throat of a 52-year-old male, where it became lodged causing throat pain and dysphagia. The fish was removed as an emergency procedure.

  16. Coincidence-counting corrections for accidental coincidences, set dead time and intrinsic dead time

    International Nuclear Information System (INIS)

    Wyllie, H.A.

    1998-01-01

    An equation is derived for calculating the radioactivity of a source from the results of coincidence counting, taking into account dead-time losses and accidental coincidences. The corrections allow for the extension of the set dead time in the p channel by the intrinsic dead time. Experimental verification shows improvement over a previous equation. (author)

  17. Modelo de análisis de los accidentes laborales versus inversión en prevención, en la industria de la construcción

    OpenAIRE

    Alves de Oliveira, Paulo Antero

    2013-01-01

    Con el presente trabajo se pretende presentar algunos resultados de naturaleza socio-económica del problema de la siniestralidad laboral y de los costes con la inversión en Prevención en el sector de la construcción. Evaluando el impacto económico de los accidentes de trabajo. El núcleo de este estudio se centró en dos aspectos. Por un lado, el desarrollo de los modelos estadísticos, explicativos de la evolución de la siniestralidad. Por el otro, para crear un modelo de análisis de costes de ...

  18. Valor diagnóstico del signo de "cabeceo" en hipoxemia secundaria a neumonía en niños

    OpenAIRE

    Miguel Ángel Martínez-Medina; Gerardo Álvarez-Hernández; Ana B Contreras-Mendoza

    2010-01-01

    Objetivo. Evaluar el signo del " cabeceo" como indicador de hipoxemia en ninos con neumonia. Material y metodos. Se estudiaron 62 menores de 5 anos de edad. Se definio hipoxemia a la saturacion de oxigeno

  19. Infección por Hepatitis No A / No B posterior a accidente biológico en personal de enfermería: a propósito de un caso

    Directory of Open Access Journals (Sweden)

    Alexander Finol Muñoz

    2014-09-01

    Full Text Available Los accidentes por exposición percutánea, suponen aproximadamente un tercio de los accidentes laborales de los trabajadores de salud. Por categorías profesionales, la enfermería presenta la mayor frecuencia. Los agentes más importantes por su frecuencia y perjuicio son: el VHB, VIH y VHC. En la década de los 60 y 70, los científicos desarrollaron análisis de sangre para identificar hepatitis B (1963 y hepatitis A (1973, pero muchas de las muestras de sangre tomadas para detectar enfermedades producidas tras las transfusiones resultaron negativas tanto para hepatitis A como la hepatitis B. Caso Clínico: Mujer, 27 años de edad, profesional de enfermería en área de Medicina Interna, sufre accidente laboral tipo pinchazo con abbocath durante jornada del día 23/11/1989. Se realiza revisión de historia del paciente fuente y las respectivas pruebas confirmatorias, sin encontrarse datos de enfermedades transmisibles. Así mismo las analíticas realizadas en el enfermo y en la trabajadora resultaron negativos los marcadores virales para Hepatitis. 15 días posteriores, presenta clínica sugestiva de hepatitis. Se realiza analítica y seriado de enzimas hepáticas, evidenciándose hipertransaminemia y serología para hepatitis A y B negativos. Se inicia tratamiento médico; con buena evolución clínica y de laboratorio es dada de alta. Posteriormente en 1996, se realiza reconocimiento médico laboral, encontrándose positividad para VHC. En 2004 por antecedentes de accidente biológico, se localiza el paciente fuente, repitiéndose el control serológico, resultando positivo para el mismo virus, pudiendo ahora ser declarado como accidente laboral y enfermedad profesional, por demostrarse la relación entre paciente fuente y la trabajadora.

  20. Causas de los accidentes de trabajo en España: análisis longitudinal con datos de panel Causes of occupational injuries in Spain: a longitudinal analysis with panel data

    Directory of Open Access Journals (Sweden)

    Inmaculada García Mainar

    2009-06-01

    Full Text Available Objetivos: Se pretende investigar la influencia de algunas características, tanto de los trabajadores como de los puestos de trabajo que ocupan, en la incidencia de accidentes laborales por categorías (leves, graves, mortales y totales, utilizando herramientas propias del análisis económico. Métodos: Se utiliza un panel de datos para estimar los determinantes de los accidentes agregados de dos formas: por comunidades autónomas y ocupación, y por ramas de actividad y ocupación. Los datos de los accidentes provienen del Ministerio de Trabajo y Asuntos Sociales, y el resto de la Encuesta de Población Activa, para todos los trimestres desde 1999 hasta 2002. Resultados: Un mayor porcentaje de trabajadores con contrato indefinido, del sector público, con estudios secundarios o que han recibido cursos de formación, se asocia con una menor incidencia de accidentes, mientras que una mayor proporción de varones o extranjeros se relaciona con una mayor incidencia. Una mayor experiencia laboral reduce el riesgo de accidente grave o mortal, mientras que más horas de trabajo lo aumentan. Conclusiones: Sería recomendable una mayor actuación para reducir el riesgo de accidente en los trabajadores temporales, los que trabajan en el sector privado, los varones y los extranjeros. Para reducir la incidencia de los accidentes mortales, habría que limitar además el número de horas trabajadas, especialmente en los casos en que no se cuente con una amplia experiencia laboral.Objectives: To investigate the influence of several personal and occupational characteristics on the occurrence of occupation injuries, expressed in different categories (minor, serious, fatal and overall by applying tools that are widely used in economic analyses. Methods: Panel data were used to estimate occupational injuries in an aggregate manner: both by regions and occupational categories and by industries and occupational categories. Data on occupational injuries were drawn

  1. Enfermagem em centro cirúrgico: trinta anos após criação do Sistema de Assistência de Enfermagem Perioperatória Enfermería en centro quirúrgico: treinta años después de la creación del Sistema de Asistencia de Enfermería Perioperatoria Operation room nursing in Brazil: thirty years after the Institution of Perioperative Nursing Process

    Directory of Open Access Journals (Sweden)

    Rosa Maria Pelegrini Fonseca

    2009-01-01

    Full Text Available OBJETIVOS: Levantar os artigos publicados pela enfermagem brasileira em centro cirúrgico (CC, identificar os autores, tipos de pesquisa, resultados e analisar descritivamente seus resultados. MÉTODOS: Revisão integrativa, referente à produção nacional na área de enfermagem em CC, com o propósito de sumarizar os estudos já publicados em periódicos nacionais de 1978 a 2006, indexados nas bases de dados: LILACS, DEDALUS e SciELO. Os 56 artigos foram classificados em seis temas: visita pré-operatória; assistência no transoperatório; na sala de recuperação pós-anestésica; visita pós-operatória; construção ou validação de instrumento e percepção do paciente. RESULTADOS: Os artigos abordaram as facilidades e adversidades vivenciadas pelo enfermeiro e sua equipe para prestar uma assistência com a melhor qualidade possível. Confirmou-se a importância da assistência humanizada e individualizada. CONCLUSÃO: As pesquisas analisadas contribuem para a construção do conhecimento e influenciam positivamente o enfermeiro no bom desempenho da assistência ao paciente cirúrgico e família.OBJETIVOS: Buscar artículos publicados por la enfermería brasileña en centro quirúrgico (CC, identificar los autores, tipos de investigación, resultados y analizar descriptivamente sus resultados. MÉTODOS: Revisión integradora, referente a la producción nacional en el área de enfermería en CC, con el propósito de resumir los estudios ya publicados en periódicos nacionales de 1978 al 2006, indexados en las bases de datos: LILACS, DEDALUS y SciELO. Los 56 artículos fueron clasificados en seis temas: visita pre-operatoria; asistencia en el transoperatorio; en la sala de recuperación post-anestésica; visita post-operatoria; construcción o validación del instrumento y percepción del paciente. RESULTADOS: Los artículos abordaron las facilidades y adversidades vivenciadas por el enfermero y su equipo para prestar una asistencia con la

  2. Validade do padrão de higiene bucal de crianças aos cinco anos de idade relatado pelas mães Validación del patrón de higiene bucal de niños de cinco años de edad relatado por las madres Validity of 5-year-old children's oral hygiene pattern referred by mothers

    Directory of Open Access Journals (Sweden)

    Andreia Morales Cascaes

    2011-08-01

    bucal medido por meio do exame clínico bucal de placa dental.OBJETIVO: Determinar la validación de preguntas frecuentemente utilizadas en estudios epidemiológicos sobre higiene bucal de niños y compararla según renta familiar y escolaridad de la madre. MÉTODOS: Se analizaron 1.122 niños participantes del sub-estudio de salud bucal de 2009 de la Cohorte de Nacimientos de Pelotas, Sur de Brasil, 2004. Los niños fueron examinados y sus madres entrevistadas en el domicilio. El patrón-oro de la condición de higiene bucal fue evaluado por medio del Índice de Higiene Oral Simplificado y a partir del escore total el resultado fue dicotomizado en: placa dental ausente (escore total=0 y presente (escore total ≥1. Las preguntas testadas sobre el patrón de higiene bucal de los niños fueron formuladas a las madres e incluyeron: frecuencia diaria de cepillado, cepillado antes de dormir y la combinación de esas dos (higiene bucal, con sus opciones de respuesta dicotomizadas en regular e irregular. La validez fue determinada por medio del cálculo de los valores porcentuales y respectivos intervalos de 95% de confianza de sensibilidad, especificidad, valor predictivo positivo y valor predictivo negativo. RESULTADOS: La prevalencia de placa dental fue 37,0%. Los valores de sensibilidad, especificidad, valor predictivo positivo y valor predictivo negativo fueron, respectivamente: 29,6%, 82,5%, 49,8% y 66,6%, para frecuencia de cepillado diaria irregular; 41,8%, 64,6%, 40,9% y 65,5%, para cepillado antes de dormir irregular; 48,8%, 60,8%, 42,2% y 67,0%, para higiene bucal irregular. La validez del patrón de higiene bucal varió conforme el nivel de renta familiar y la escolaridad de la madre, y la sensibilidad y el valor predictivo positivo fueron mayores entre los individuos con menor renta familiar y con madres menos escolarizadas y el opuesto, para la especificidad y el valor predictivo negativo. CONCLUSIONES: Preguntas sobre higiene bucal respondidas por las madres de

  3. Pierre Bourdieu, dez anos depois Pierre Bourdieu, ten years after

    Directory of Open Access Journals (Sweden)

    Cristina Carta Cardoso de Medeiros

    2013-03-01

    Full Text Available O presente texto procura discutir o legado deixado pelo sociólogo francês Pierre Bourdieu. Dez anos após sua morte, tem-se discutido, em nível internacional, a relevância deste autor, um dos mais influentes e citados teóricos do mundo. Para a identificação desta influência no Brasil, mais especificamente no campo educacional brasileiro, pesquisou-se nas teses e dissertações encontradas no banco de dados da CAPES, que referenciavam Bourdieu, de que forma estaria se dando a apropriação de seu quadro teórico de análise para construção de conhecimento no referido campo. Concluiu-se que o número de produções defendidas nos Programas de Pós-Graduação em Educação no Brasil, de 1965 a 2010, cresce de forma exponencial, demonstrando o quão profícua a utilização da teoria sociológica de Bourdieu tem se mostrado para explicar a realidade da Educação no Brasil na contemporaneidade. Encerra-se o artigo com uma reflexão sobre a consideração do status de Bourdieu como um clássico da Sociologia que, paradoxalmente, se mostra mais atual e vivo do que qualquer outro autor quando se trata de aplicar seu princípio maior, a saber, analisar o mundo social e suas lógicas, desvelando as formas de dominação e as misérias sociais.This paper's intent is to discuss the legacy left by the French sociologist Pierre Bourdieu. Ten years after his death, it has been discussed at an international level the relevance of this author, one of the most cited and influential theorists in the world. To identify such influence in Brazil, more specifically in the Brazilian educational field, we investigated theses and dissertations found in CAPES database, which referenced Bourdieu, to identify how those works use his theoretical framework of analysis for construction of knowledge in that field. It was concluded that the number of productions held in post-graduate programs in education in Brazil, from 1965 to 2010, grows exponentially

  4. Diferenciais de raça/cor da pele em anos potenciais de vida perdidos por causas externas Diferenciales de raza/color de la piel en años potenciales de vida perdidos por causas externas Race/skin color differentials in potential years of life lost due to external causes

    Directory of Open Access Journals (Sweden)

    Edna Maria de Araújo

    2009-06-01

    Full Text Available OBJETIVO: As mortes por causas externas representam um dos mais importantes desafios para a saúde pública, sendo a segunda causa de óbito no Brasil. O objetivo do estudo foi analisar os diferenciais de mortalidade por causas externas segundo raça/cor da pele. MÉTODOS:Estudo descritivo realizado em Salvador (BA, com 9.626 registros de óbitos por causas externas entre 1998 e 2003. Dados foram obtidos do Instituto Médico Legal e Instituto Brasileiro de Geografia e Estatística. O indicador "anos potenciais de vida perdidos" foi utilizado para identificar diferenciais entre grupos etários, de raça/cor da pele e sexo. RESULTADOS: As mortes por causas externas determinaram perda de 339.220 anos potenciais de vida, dos quais 210.000 foram devidos aos homicídios. Indivíduos negros morreram em idades mais precoces e perderam 12,2 vezes mais anos potenciais de vida devido a mortes por homicídio que indivíduos brancos. Embora a população negra (pardos e pretos fosse três vezes maior que a população branca, o número de anos perdidos daquela foi 30 vezes superior. A população de pretos era 11,4% menor que a população branca, mas apresentou anos perdidos quase três vezes mais. Mesmo após a padronização por idade, mantiveram-se as diferenças observadas no indicador de anos potenciais perdidos/100.000 hab e nas razões entre estratos segundo raça/cor. CONCLUSÕES: Os resultados mostram diferenciais na mortalidade por causas externas segundo raça/cor da pele em Salvador. Os negros tiveram maior perda de anos potenciais de vida, maior número médio de anos não vividos e morreram, em média, em idades mais precoces por homicídios, acidentes de trânsito e demais causas externas.OBJETIVO: Las muertes por causas externas representan uno de los más importantes desafíos para la salud pública, siendo la segunda causa de óbito en Brasil. El objetivo del estudio fue analizar los diferenciales de mortalidad por causas externas seg

  5. Calcium-activated chloride channel ANO1 promotes breast cancer progression by activating EGFR and CAMK signaling.

    Science.gov (United States)

    Britschgi, Adrian; Bill, Anke; Brinkhaus, Heike; Rothwell, Christopher; Clay, Ieuan; Duss, Stephan; Rebhan, Michael; Raman, Pichai; Guy, Chantale T; Wetzel, Kristie; George, Elizabeth; Popa, M Oana; Lilley, Sarah; Choudhury, Hedaythul; Gosling, Martin; Wang, Louis; Fitzgerald, Stephanie; Borawski, Jason; Baffoe, Jonathan; Labow, Mark; Gaither, L Alex; Bentires-Alj, Mohamed

    2013-03-12

    The calcium-activated chloride channel anoctamin 1 (ANO1) is located within the 11q13 amplicon, one of the most frequently amplified chromosomal regions in human cancer, but its functional role in tumorigenesis has remained unclear. The 11q13 region is amplified in ∼15% of breast cancers. Whether ANO1 is amplified in breast tumors, the extent to which gene amplification contributes to ANO1 overexpression, and whether overexpression of ANO1 is important for tumor maintenance have remained unknown. We have found that ANO1 is amplified and highly expressed in breast cancer cell lines and primary tumors. Amplification of ANO1 correlated with disease grade and poor prognosis. Knockdown of ANO1 in ANO1-amplified breast cancer cell lines and other cancers bearing 11q13 amplification inhibited proliferation, induced apoptosis, and reduced tumor growth in established cancer xenografts. Moreover, ANO1 chloride channel activity was important for cell viability. Mechanistically, ANO1 knockdown or pharmacological inhibition of its chloride-channel activity reduced EGF receptor (EGFR) and calmodulin-dependent protein kinase II (CAMKII) signaling, which subsequently attenuated AKT, v-src sarcoma viral oncogene homolog (SRC), and extracellular signal-regulated kinase (ERK) activation in vitro and in vivo. Our results highlight the involvement of the ANO1 chloride channel in tumor progression and provide insights into oncogenic signaling in human cancers with 11q13 amplification, thereby establishing ANO1 as a promising target for therapy in these highly prevalent tumor types.

  6. Inhibition of calcium-activated chloride channel ANO1 suppresses proliferation and induces apoptosis of epithelium originated cancer cells.

    Science.gov (United States)

    Guan, Lizhao; Song, Yan; Gao, Jian; Gao, Jianjun; Wang, KeWei

    2016-11-29

    ANO1, a calcium-activated chloride channel, has been reported to be amplified or overexpressed in tissues of several cancers. However, reports on its roles in tumor progression obtained from cancer cell lines are inconsistent, suggesting that the role of ANO1 in tumorigenesis is likely dependent on either its expression level or cell-type expressing ANO1. To investigate the biological roles of ANO1 in different tumor cells, we, in this study, selected several cancer cell lines and a normal HaCaT cell line with high expression levels of ANO1, and examined the function of ANO1 in these cells using approaches of lentiviral knockdown and pharmacological inhibition. We found that ANO1 knockdown significantly inhibited cell proliferation and induced cell apoptosis in either tumor cell lines or normal HaCaT cell line. Moreover, silencing ANO1 arrested cancer cells at G1 phase of cell cycle. Treatment with ANO1 inhibitor CaCCinh-A01 reduced cell viability in a dose-dependent manner. Furthermore, both ANO1 inhibitors CaCCinh-A01 and T16Ainh-A01 significantly suppressed cell migration. Our findings show that ANO1 overexpression promotes cancer cell proliferation and migration; and genetic or pharmacological inhibition of ANO1 induces apoptosis and cell cycle arrest at G1 phase in different types of epithelium-originated cancer cells.

  7. Modelling of accidental released toxic gases for emergency responders in Austria, Kosovo and Bulgaria.

    Science.gov (United States)

    Stenzel, Sirma; Baumann-Stanzer, Kathrin; Gashi, Salih; Thaci, Bashkim; Batchvarova, Ekaterina; Spassova, Tatiana

    2010-05-01

    In the case of accidental release of hazardous gases in the atmosphere, the emergency responders need a reliable and fast tool to assess the possible consequences and apply the optimal countermeasures. A number of models for the prediction and simulation of hazard areas affected by accidental releases of toxic gases are available worldwide. Modelling accidental releases may be required for a variety of reasons: for analyzing different accidental toxic release scenarios ("worst-case scenarios"), for preparing emergency response plans and optimal countermeasures as well as for real-time risk assessment and management (e.g. in the frame of the SEVESO directive). Depending on the demand and the particular purposes, the choice of the appropriate model is up to the authorities. The one year project was funded by the Austrian Science and research liaison Office (ASO, www.aso.zsi.at) as a part of the program: Research Cooperation and Networking between Austria, the public higher education institutions in Kosovo and South Eastern Europe. The project was conducted by the Central Institute for Meteorology and Geodynamics (ZAMG, http://www.zamg.ac.at) in cooperation with the University of Prishtina (Kosovo, www.uni-pr.edu and the National Institute of meteorology and Hydrology (NIHM Bulgaria, www.meteo.bg). One of the main purposes of the project was to provide the both partners with basic knowledge in modelling with accidental release of toxic gases, based on the practical experience of the meteorologists from the ZAMG in the area. This knowledge can be used as scientific response to society driven current or upcoming problems especially in Kosovo. The activities involved know-how transfer on European standards and practice among the project partners, as well as joint efforts to adapt and disseminate the scientific methods and results in Kosovo. Within the project, the partners from Kosovo and Bulgaria were introduced to the atmospheric dispersion model (ALOHA - Areal

  8. Suicide and accidental death in Australia's rural farming communities: a review of the literature.

    Science.gov (United States)

    Kennedy, Alison J; Maple, Myfanwy J; McKay, Kathy; Brumby, Susan A

    2014-01-01

    Australia's farmers constitute a heterogeneous group within the rural population. This literature review incorporates four broad areas: an understanding of farming communities, families and individuals and the contexts in which they live and work; an exploration of the challenges to morbidity and mortality that these communities face; a description of the patterns of suicide and accidental death in farming communities; and an outline of what is missing from the current body of research. Recommendations will be made on how these gaps may be addressed. In developing this comprehensive literature review, a snowballing and saturation approach was adopted. Initial search terms included suicid*, farm*, accident*, fatal*, death, sudden death, rural OR remote, Australia and NOT Australia. Databases searched included SCOPUS, PubMed, Proquest and SafetyLit; research from 1995 onwards was examined for relevance. Earlier seminal texts were also included. Reference lists of retrieved articles were searched and citations explored for further relevant research material. The primary focus was on Australian peer-reviewed research with supplementary grey literature. International material was used as examples. The literature variously describes farmers as members of both rural farming communities and farming families, and as individuals within an occupational classification. Within each of these classifications, there is evidence of the cumulative impact of a multiplicity of social, geographical and psychological factors relating to work, living and social arrangements that impact the health and wellbeing of Australia's farmers and their families, particularly accidental death and suicide. Research consistently demonstrates traumatic death to be at a greater rate than in the general Australian population, with reductions found more recently in some modes of farming-related accidental death. Patterns of accidental death and suicide are commonly linked to the changing shape of

  9. An overview of interactions among oceanography, marine ecosystems, climatic and human disruptions along the eastern margins of the Pacific Ocean Una visión general de las interacciones entre la oceanografía, los ecosistemas marinos y las disrupciones climáticas y antrópicas en los márgenes este del Océano Pacífico

    Directory of Open Access Journals (Sweden)

    PATRICIA M. HALPIN

    2004-09-01

    Full Text Available Physical processes, biotic processes and human activities all act to shape marine ecosystems. Future management of these valuable ecosystems requires an integrative approach that takes into account complicated organismal interactions, oceanographic processes that span large scales of time and space, and how anthropogenic effects interact with the natural environment. The temperate west coasts of North and South America represent a unique opportunity for comparison, as many of the same oceanographic processes, particularly upwelling, occur off both coasts. Additionally, a number of marine ecosystems in both areas have surprising parallels. Here we present an overview of the oceanographic processes that dominate the coastlines, and give examples of ecosystems and the effects that oceanography, human activities and their interaction have on the communitiesLos procesos físicos y biológicos y las actividades humanas determinan los ecosistemas marinos. El manejo futuro de estos valiosos ecosistemas requiere de una aproximación integrativa que considere las complejas interacciones entre individuos, los procesos oceanográficos que se desarrollan a gran escala espacial y temporal, y la interacción de los efectos antropogénicos con el medio ambiente. Las costas templadas del oeste de Norteamérica y Sudamérica representan una oportunidad única para efectuar comparaciones ya que muchos procesos oceanográficos, particularmente la surgencia costera, ocurren en ambas costas. Adicionalmente, numerosos ecosistemas marinos en ambas áreas presentan sorprendentes paralelos. La presente revisión ofrece una visión general de los procesos oceanográficos dominantes en ambas costas y ofrece ejemplos de ecosistemas y los efectos que la oceanografía, las actividades humanas y las interacciones entre individuos tienen sobre las comunidades marinas

  10. Accidentes laborales asociados al desánimo de médicos SERUMS para laborar en el primer nivel de atención de Lima, Perú

    Science.gov (United States)

    Mejia, Christian R.; Valladares-Garrido, Mario J.; Romero, Brian M.; Valladares-Garrido, Danai; Linares-Reyes, Edgardo

    2018-01-01

    Introducción la retención laboral es un tema de suma importancia, porque se requiere de profesionales en el primer nivel de atención (PNA). El objetivo fue determinar si los accidentes laborales se asociaron al desánimo de los médicos para trabajar en el PNA de Lima, Perú. Métodos estudio transversal analítico de datos secundarios de una base de datos generada de una encuesta a médicos que realizaron su Servicio Rural y Urbano-Marginal en Salud (SERUMS). Se incluyó solo a los médicos que manifestaron al inicio del SERUMS que podían trabajar en el PNA de Lima. Se definió como cambio de intención de trabajo en el PNA a los que finalizando el SERUMS refirieron que ya no deseaban laborar en Lima. Esto se asoció según si tuvieron un accidente laboral y se ajustó por otras variables. Resultados de los 124 médicos el 63% fueron hombres (78). La mediana de edad fue de 26 años (rango intercuartílico: 25-27 años). Después de su SERUMS, el 12% (15) manifestó que cambió su interés y que deseaba trabajar en la capital. En el análisis multivariado, haber tenido un accidente laboral disminuyó la frecuencia del cambio de intención de trabajo en el PNA (RPa: 0.28, IC 95%: 0.14-0.54, p accidentes laborales disminuyeron la frecuencia de trabajar en provincias, pero nuestro estudio dice lo contrario, posiblemente por la percepción de que un trabajo en la capital del país permite estar más cerca de los servicios para ser atendido en caso de cualquier emergencia. PMID:29190859

  11. Insatisfação com a imagem corporal em escolares do sexto ano da rede municipal de Caxias do Sul, no Rio Grande do Sul Insatisfacción con la imagen corporal en escolares del sexto año de la red municipal de Caxias do Sul (Rio Grande do Sul, Brasil Body image insatisfaction in students from the sixth grade of public schools in Caxias do Sul, Southern Brazil

    Directory of Open Access Journals (Sweden)

    Simona Finato

    2013-03-01

    Full Text Available OBJETIVO: Estimar a prevalência de insatisfação com a imagem corporal em escolares de 11 a 14 anos (meninos e meninas de Caxias do Sul, no Rio Grande do Sul, e verificar as possíveis associações com estado nutricional, classe socioeconômica, sexo e escolaridade da mãe. MÉTODOS: Estudo transversal com 1.417 escolares. As variáveis antropométricas estudadas foram massa corporal total, estatura e circunferência da cintura. A obesidade foi definida pelo índice de massa corpórea, segundo sexo e idade. A imagem corporal foi avaliada por meio da escala de nove silhuetas. Foi realizada uma análise descritiva e bivariada entre as variáveis independentes e o desfecho. RESULTADOS: A prevalência de insatisfação com a imagem corporal foi de 71,5%. As variáveis sexo (RP 0,77, IC95% 0,60 - 0,98 e estado nutricional (RP 3,84, IC95% 2,72 - 5,41 apresentaram associação estatística com insatisfação da imagem corporal. A escolaridade da mãe, o nível socioeconômico e a idade não apresentaram associação significante em relação à insatisfação com a imagem corporal. CONCLUSÕES: As prevalências de insatisfação com a imagem corporal da população estudada encontram-se elevadas e devem ser motivo de preocupação dos profissionais de saúde.OBJETIVO: Estimar la prevalencia de insatisfacción con la imagen corporal entre escolares de 11 a 14 años (muchachos y muchachas de Caxias do Sul, Rio Grande do Sul, y verificar las posibles asociaciones con estado nutricional, clase socioeconómica, sexo y escolaridad de la madre. MÉTODOS: Estudio transversal con 1.417 escolares. Las variables antropométricas estudiadas fueron masa corporal total, estatura y circunferencia de la cintura. La obesidad se definió por el índice de masa corporal, según sexo y edad. La imagen corporal fue evaluada mediante escala de nueve siluetas. Se realizó un análisis descriptivo y bivariado entre las variables independientes y el desfecho. RESULTADOS: La

  12. Factores psicosociales del presentismo en trabajadores del Sistema de Salud chileno

    OpenAIRE

    Aldo Vera-Calzaretta; Claudia Carrasco-Dájer; Silvia da Costa; Darío Páez-Rovira

    2015-01-01

    Este estudio analizó los factores psicosociales que explicaban el presentismo o deterioro laboral autopercibido asociado a trabajar enfermo. La muestra fue de 676 trabajadores del sistema de salud chileno (84% de mujeres, M = 35.9 anos, en su mayoría enfermeras y técnicos paramédicos). Se aplicó un cuestiona- ˜ rio sociodemográfico, el Job Content Questionnaire, el Effort-Reward Imbalance, el Health Performance Questionnaire y una escala de interferencia del trabajo en la vida familiar. La re...

  13. ACOSO LABORAL (MOBBING) EN EL PERSONAL DEL HOSPITAL VETERINARIO PARA PEQUEÑAS ESPECIES DE LA UNIVERSIDAD AUTÓNOMA DEL ESTADO DE MÉXICO DURANTE EL AÑO 2011

    OpenAIRE

    Mercado-Salgado, Patricia

    2013-01-01

    Actualmente los cambios constantes y las necesidades del trabajo, aunado a la aparición de nuevas habilidades y competencias profesionales, han favorecido que surjan una serie de consecuencias tanto positivas como negativas en la organización del trabajo (Arciniega, 2009). La salud ocupacional tiene como uno de sus objetivos centrales prevenir de manera adecuada las enfermedades o accidentes que se pueden generar en y por el trabajo, todo ello con base en las disciplinas de la seguridad y ...

  14. Assessment of evolutive and prognostic indicators applied to accidental overexposure to ionizing radiation

    International Nuclear Information System (INIS)

    Morera Carrillo, M. de Lourdes; Cardenas, J.; Dubner, D.; Perez, M. del Rosario; Gisone, P.

    2001-01-01

    The acute radiation syndrome has been characterized in different ways that involve risk for life and health of the people overexposed to ionizing radiations. This work intends to test a therapeutical total body irradiation (TBI) model as conditioning to bone marrow transplantation. With the purpose of evaluating the applicability of several biological indicators in accidental overexposures, a study was carried out in 46 patients undergoing TBI receiving doses between 10 Gy and 12 Gy. The following parameters were assessed: lipo peroxyde plasmatic levels (TBARS) and total plasma antioxidant activity, reticulocyte maturity index (RMI) and charges in lymphocyte subpopulations. These data suggest that TBARS could provide an useful evolutive indicator in accidental overexposed patients and RMI is an early indicator of bone marrow recovery after radioinduced aplasia

  15. Commitment of involved actors in the preparation of accidental and post-accident situations: European experiments

    International Nuclear Information System (INIS)

    Schneider, Th.

    2010-01-01

    The author briefly describes some approaches developed within the EURANOS European research programme between 2004 and 2009 which aims at promoting the building up of a European network (NERIS) for the management of nuclear accidental and post-accident situations. Notably, he comments the experiment which took place in the Montbeliard district where two types of radiological events have been modelled and simulated: an accident in the Fessenheim nuclear power plant with two scenarios of release, and a transportation accident with a release of radioactive caesium 137. He also evokes the Norwegian experience and some other actions in Finland, Great-Britain, Spain and Slovakia where reflections on the management of accidental and post-accident situations or crisis exercises have been organized

  16. Analyses of postulated accidental releases of UF6 inside process buildings

    International Nuclear Information System (INIS)

    Oliveira Neto, Jose Messias de; Nunes, Beatriz Guimaraes; Dias, Cristiane

    2009-01-01

    Uranium Hexafluoride is a material used in the various processes which comprise the front end of the nuclear fuel cycle (conversion, enrichment and fuel fabrication). Confinement of UF 6 is a very important safety requirement since this material is highly reactive and presents safety hazards to humans. The present paper discusses the safety relevant aspects of accidental releases of UF 6 inside process confinement buildings. Postulated accidental scenarios are analyzed and their consequences evaluated. Implant releases rates are estimated using computer code predictions. A time dependent homogeneous compartment model is used to predict concentrations of UF 6 , hydrogen fluoride and uranyl fluoride inside a confinement building, as well as to evaluate source terms released to the atmosphere. These source terms can be used as input to atmospheric dispersion models to evaluate consequences to the environment. The results can also be used to define adequate protective measures for emergency situations. (author)

  17. Reimplantation of Accidentally Avulsed Permanent Maxillary Anterior Teeth in a 10-Year-Old Girl

    Directory of Open Access Journals (Sweden)

    Md Abdul Hannan Sheikh

    2017-09-01

    Full Text Available Accidental tooth avulsion is a grievous injury and common among the children. Management of avulsed tooth within alveolar socket by reimplantation becomes a challenge for the clinician due to extraoral time and media of transportation. Although the long-term prognosis of reimplantation is poor, the time during which the tooth remain within the arch will guide the development of alveolar bone completely. Moreover, reimplantation will maintain anatomical, functional and esthetic rehabilitation of the patient. In this case report, we present a case of accidental avulsion where teeth were gently rinsed of any debris and placed in normal saline during the examination and preparation of the reimplantation sockets. The teeth were then reimplanted, functionally splinted followed by endodontical treatment. After 12 months follow-up the periodontal space was healed perfectly without any resorption or ankylosis.

  18. Accidental Displacement of Third Molar into the Sublingual Space: a Case Report

    Directory of Open Access Journals (Sweden)

    Rubens Jorge

    2014-10-01

    Full Text Available Background: Successful extraction of third molars depends on preoperative diagnosis and planning. Gold standard preoperative examinations are performed through computed tomography, decreasing risks and avoiding potential accidents. The present report highlights the value of preoperative examinations in face of accidentally displaced third molars. Methods: An 18-years-old female patient underwent a third mandibular molar extraction with a general dentist. Accidentally, the mandibular left third molar was displaced into the sublingual space, making necessary a second surgical step. The surgery was interrupted and the patient was referred to an expert in maxillofacial surgery. Results: After 21 days awaiting an asymptomatic health status, the second surgical step was successfully performed using multislice computed tomography as preoperative imaging guide. Conclusions: The present case report highlights the clinical usefulness of imaging planning and informed consents in face of legal and ethic potential complaints.

  19. Riesgo de disfagia en pacientes con accidente cerebro vascular isquémico

    OpenAIRE

    Machado, Daniela

    2015-01-01

    La disfagia es un trastorno para tragar alimentos sólidos, semisólidos y/o líquidos debido a una deficiencia en cualquiera de las etapas de la deglución. Se asocia a un gran número de afectaciones neurológicas, entre ellas el accidente cerebro vascular. Objetivo: Determinar la presencia de disfagia en la etapa oral de la deglución y la sintomatología presente en los pacientes entre 40 y 70 años que sufrieron accidente cerebro vascular isquémico, con un tiempo de evolución de 1 a 6 me...

  20. Accidental Versus Operational Oil Spills from Shipping in the Baltic Sea: Risk Governance and Management Strategies

    Energy Technology Data Exchange (ETDEWEB)

    Hassler, Bjoern

    2011-03-15

    Marine governance of oil transportation is complex. Due to difficulties in effectively monitoring procedures on vessels en voyage, incentives to save costs by not following established regulations on issues such as cleaning of tanks, crew size, and safe navigation may be substantial. The issue of problem structure is placed in focus, that is, to what degree the specific characteristics and complexity of intentional versus accidental oil spill risks affect institutional responses. It is shown that whereas the risk of accidental oil spills primarily has been met by technical requirements on the vessels in combination with Port State control, attempts have been made to curb intentional pollution by for example increased surveillance and smart governance mechanisms such as the No-Special- Fee system. It is suggested that environmental safety could be improved by increased use of smart governance mechanisms tightly adapted to key actors' incentives to alter behavior in preferable directions

  1. Accidental versus operational oil spills from shipping in the Baltic Sea: risk governance and management strategies.

    Science.gov (United States)

    Hassler, Björn

    2011-03-01

    Marine governance of oil transportation is complex. Due to difficulties in effectively monitoring procedures on vessels en voyage, incentives to save costs by not following established regulations on issues such as cleaning of tanks, crew size, and safe navigation may be substantial. The issue of problem structure is placed in focus, that is, to what degree the specific characteristics and complexity of intentional versus accidental oil spill risks affect institutional responses. It is shown that whereas the risk of accidental oil spills primarily has been met by technical requirements on the vessels in combination with Port State control, attempts have been made to curb intentional pollution by for example increased surveillance and smart governance mechanisms such as the No-Special-Fee system. It is suggested that environmental safety could be improved by increased use of smart governance mechanisms tightly adapted to key actors' incentives to alter behavior in preferable directions.

  2. A case of accidental fatal aluminum phosphide poisoning involving humans and dogs.

    Science.gov (United States)

    Behera, Chittaranjan; Krishna, Karthik; Bhardwaj, Daya Nand; Rautji, Ravi; Kumar, Arvind

    2015-05-01

    Aluminum phosphide is one of the commonest poisons encountered in agricultural areas, and manner of death in the victims is often suicidal and rarely homicidal or accidental. This paper presents an unusual case, where two humans (owner and housemaid) and eight dogs were found dead in the morning hours inside a room of a house, used as shelter for stray dogs. There was allegation by the son of the owner that his father had been killed. Crime scene visit by forensic pathologists helped to collect vital evidence. Autopsies of both the human victims and the dogs were conducted. Toxicological analysis of viscera, vomitus, leftover food, and chemical container at the crime scene tested positive for aluminum phosphide. The cause of death in both humans and dogs was aluminum phosphide poisoning. Investigation by police and the forensic approach to the case helped in ascertaining the manner of death, which was accidental. © 2015 American Academy of Forensic Sciences.

  3. Accidentes laborales de tráfico y su prevención

    OpenAIRE

    Pedragosa Raduà, Josep Lluís; Xiqués Triquell, Jordi; Loewe Baranger, Sonia; Monzón Cid, Patrocinio; Jiménez Vizuete, Ruth

    2012-01-01

    Las estadísticas de accidentalidad laboral son concluyentes al demostrarnos que el lugar de trabajo más accidentógeno es la vía pública, el equipo de trabajo más agresivo es el móvil (vehículo o máquina) y la máxima exposición al riesgo de lesiones severas en un puesto de trabajo es la conducción de vehículos a motor. Los accidentes “in itinere”, “in labore” y en misión se muestran como el fenómeno más frecuente en las tablas de análisis de los accidentes de trabajo mortales y graves, y, al m...

  4. Accidental cut-throat injuries from the broken windshield of an auto rickshaw: Two unusual cases.

    Science.gov (United States)

    Swain, Rajanikanta; Dhaka, Shivani; Sharma, Munish; Bakshi, Mantaran Singh; Murty, O P; Sikary, Asit Kumar

    2018-01-01

    Accidental cut-throat injuries are extremely rare and usually involve a sharp-edged weapon. In this paper, two cases of a cut-throat wound to two auto-rickshaw drivers are presented where the broken windshield of the auto-rickshaws was responsible for the wounds. In both the cases, fatal incised wounds were present over the neck, cutting the soft tissue along with the major vessels. The death occurred due to exsanguination caused by neck-vessel injury in one case and trachea along with neck-vessel injury in the second case. Although the wounds on the neck initially suggested homicide, they were found to have occurred accidentally as a result of a road traffic accident involving a head-on collision of auto rickshaws. The injuries were inflicted by the shattered glass of the windshield.

  5. Clinical Profile of Acute Accidental Poisoning Among Children- A Retrospective Study

    Directory of Open Access Journals (Sweden)

    Tabassum Khatoon

    2017-12-01

    Full Text Available Acute toxicity is a frequent but avoidable cause of morbidity and mortality in children especially in developing countries, including India. Present study assesses their pattern with relation to different age groupings. This retrospective study was conducted among all hospitalised paediatric victims of acute accidental poisoning at the King George Medical University; Lucknow during 2010 -11. Their history, baseline characteristics, clinical course and outcome was studied. Most children were male of less than three years with 4% overall mortality. Kerosene oil was implicated in most cases. Childhood poisoning is commonest during 1-3 years with a male preponderance. Household poisons; especially kerosene oil was responsible for most cases which was consumed accidentally. Parents must be educated and warned to keep these toxic ingredients safely in suitable containers and out of reach of their beloved children. Keywords: Forensic Science, Paediatric, Acute Poisoning, Kerosene, Outcome.

  6. Marine oil spill risk mapping for accidental pollution and its application in a coastal city.

    Science.gov (United States)

    Lan, Dongdong; Liang, Bin; Bao, Chenguang; Ma, Minghui; Xu, Yan; Yu, Chunyan

    2015-07-15

    Accidental marine oil spill pollution can result in severe environmental, ecological, economic and other consequences. This paper discussed the model of Marine Oil Spill Risk Mapping (MOSRM), which was constructed as follows: (1) proposing a marine oil spill risk system based on the typical marine oil spill pollution accidents and prevailing risk theories; (2) identifying suitable indexes that are supported by quantitative sub-indexes; (3) constructing the risk measuring models according to the actual interactions between the factors in the risk system; and (4) assessing marine oil spill risk on coastal city scale with GIS to map the overall risk. The case study of accidental marine oil spill pollution in the coastal area of Dalian, China was used to demonstrate the effectiveness of the model. The coastal areas of Dalian were divided into three zones with risk degrees of high, medium, and low. And detailed countermeasures were proposed for specific risk zones. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. External hazards in the PRA of Olkiluoto 1 and 2 NPP units - Accidental oil spills

    International Nuclear Information System (INIS)

    Tunturivuori, Lasse

    2014-01-01

    Oil transports in Finnish territorial waters have increased significantly during the last 10 years. The Gulf of Finland is at this moment a very important route of oil being transported from Russia to the Western Europe. Although the number of accidental oil spills is decreasing in amount and in size, there is a growing concern of their effects to nuclear power plants (NPPs). The amounts of oil transported on the Gulf of Bothnia are much smaller than on the Gulf of Finland. However, accidental oil spills have occurred also there, the size and amount of which are smaller, though. Accidental oil spills are often a result of grounding of a ship or collision of two ships, and often occur during harsh weather conditions like storm or dense fog. However, also coastal oil depots may break, the oil of which may spread over wide distances on the sea. The modelling of initiating events resulting from accidental oil spills includes oil spill response actions performed by the regional rescue services, alarming of the oil spill by the emergency response centre to the NPP rescue services and spill response by the NPPs rescue services. It is unclear what the consequences are if drifted oil would enter the coolant water tunnels. The effect of different oil types to the operation of the safety-related service water systems and components are being assessed. In the ultimate case, an oil spill would clog the inlet channels thus failing the ultimate heat sink of the NPP units. The licensee is evaluating what is the optimal way to operate the NPP units in the case that an oil slick is threatening the plant to ensure reactor core cooling and RHR. The continued operation of, and especially the cooling of, at least one auxiliary feedwater pump is critical in the mitigation of the initiating event. Strategies, like reversing the water flow of the cooling water channels or closing of the cooling water channels, are being evaluated. (authors)

  8. Accidental Continuous Releases from Coal Processing in Semi-Confined Environment

    OpenAIRE

    Emilio Palazzi; Fabio Currò; Bruno Fabiano

    2013-01-01

    Notwithstanding the enforcement of ATEX EU Directives (94/9/EC of 23 March 1994) and safety management system application, explosions in the coal sector still claim lives and cause huge economic losses. Even a consolidated activity like coke dry distillation allows the opportunity of preventing explosion risk connected to fugitive emissions of coke oven gas. Considering accidental releases under semi-confined conditions, a simplified mathematical approach to the maximum allowed gaseous build-...

  9. Current controversies in the interpretation of non-accidental head injury

    Energy Technology Data Exchange (ETDEWEB)

    Jaspan, Tim [Imaging Centre, University Hospital, Nottingham (United Kingdom)

    2008-06-15

    The field of non-accidental injury (NAI) has been the subject of a number of theories and hypotheses of variable merit. Concerning injuries that occur within the intracranial compartment, much research has been undertaken to investigate the cause of SDH and parenchymal brain injury. Much, however, remains contentious, particularly regarding the medicolegal aspects of suspected child abuse. Issues that present the greatest challenges will be addressed. (orig.)

  10. Modelling accidental hypothermia effects on a human body under different pathophysiological conditions

    OpenAIRE

    Coccarelli, Alberto; Boileau, Etienne; Parthimos, Dimitris; Nithiarasu, Perumal

    2017-01-01

    Accidental exposure to cold water environment is one of the most challenging situations in which hypothermia occurs. In the present work, we aim to characterise the energy balance of a human body subjected to such extreme environmental conditions. This study is carried out using a recently developed computational model and by setting boundary conditions needed to simulate the effect of cold surrounding environment. A major finding is the capacity of the body core regions to maintain their tem...

  11. Accidental carbon monoxide poisoning presenting without a history of exposure: A case report

    OpenAIRE

    Bennetto, Luke; Powter, Louise; Scolding, Neil J

    2008-01-01

    Abstract Introduction Carbon monoxide poisoning is easy to diagnose when there is a history of exposure. When the exposure history is absent, or delayed, the diagnosis is more difficult and relies on recognising the importance of multi-system disease. We present a case of accidental carbon monoxide poisoning. Case presentation A middle-aged man, who lived alone in his mobile home was found by friends in a confused, incontinent state. Initial signs included respiratory failure, cardiac ischaem...

  12. The accidental city : violence, economy and humanitarianism in Kakuma refugee camp Kenya

    OpenAIRE

    Jansen, B.J.

    2011-01-01

    In this research I examine social ordering processes in Kakuma refugee camp in Kenya. I view the camp as an accidental city, by which I challenge the image of the camp as a temporary and artificial waiting space or a protracted refugee crisis per se. The reference to the city is both metaphorically and physically relevant. First, the metaphorical dimension of the city places refugees and their negotiation of space into the realm of the normal and the possible, contrary to prevailing not...

  13. Management of refuelling, modifications and accidental shut-down of nuclear power plant

    International Nuclear Information System (INIS)

    1996-01-01

    This document is the appendix of HAF 0300 (91) 'Code on the Safety of Nuclear Power Plant Operation', which was promulgated by the National Nuclear Safety Administration (NNSA) on March 2, 1994, and has the same legal effect. This appendix is applicable to establish the administrative management procedures for refuelling, modifications and accidental shut-down in the period of operation of pressurized water thermal neutron reactor of nuclear power plants. The NNSA shall be responsible for interpretation of this document

  14. MARC - the NRPB methodology for assessing radiological consequences of accidental releases of activity

    International Nuclear Information System (INIS)

    Clarke, R.H.; Kelly, G.N.

    1981-12-01

    The National Radiological Protection Board has developed a methodology for the assessment of the public health related consequences of accidental releases of radionuclides from nuclear facilities. The methodology consists of a suite of computer programs which predict the transfer of activity from the point of release to the atmosphere through to the population. The suite of programs is entitled MARC; Methodology for Assessing Radiological Consequences. This report describes the overall framework and philosophy utilised within MARC. (author)

  15. Current controversies in the interpretation of non-accidental head injury

    International Nuclear Information System (INIS)

    Jaspan, Tim

    The field of non-accidental injury (NAI) has been the subject of a number of theories and hypotheses of variable merit. Concerning injuries that occur within the intracranial compartment, much research has been undertaken to investigate the cause of SDH and parenchymal brain injury. Much, however, remains contentious, particularly regarding the medicolegal aspects of suspected child abuse. Issues that present the greatest challenges will be addressed. (orig.)

  16. A road traffic injury surveillance system using combined data sources in Peru Sistema de vigilancia de traumatismos por accidentes de tránsito con fuentes de datos combinadas en el Perú

    Directory of Open Access Journals (Sweden)

    Yliana Rojas Medina

    2011-03-01

    Full Text Available A national hospital-based nonfatal road traffic injury surveillance system was established at sentinel units across Peru in 2007 under the leadership of the Ministry of Health. Surveillance data are drawn from three different sources (hospital records, police reports, and vehicle insurance reports and include nonfatal road traffic injuries initially attended at emergency rooms. A single data collection form is used to record information about the injured, event characteristics related to the driver of the vehicle(s, and the vehicle(s. Data are analyzed periodically and disseminated to all surveillance system participants. Results indicated young adult males (15-29 years old were most affected by nonfatal road traffic injuries and were most often the drivers of the vehicles involved in the collision. Four-wheeled vehicle occupants comprised one-half of cases in most regions of the country, and pedestrians injured in the event accounted for almost another half. The system established in Peru could serve as a model for the use of multiple data sources in national nonfatal road traffic injury surveillance. Based on this study, the challenges of this type of system include sustaining and increasing participation among sentinel units nationwide and identifying appropriate prevention interventions at the local level based on the resulting data.Con el liderazgo del Ministerio de Salud, en el 2007 se estableció un sistema hospitalario nacional de vigilancia de traumatismos no mortales por accidentes de tránsito en unidades centinela de todo el Perú. Los datos de vigilancia se extraen de tres fuentes diferentes (registros hospitalarios, informes policiales e informes del seguro del vehículo e incluyen los traumatismos no mortales por accidentes de tránsito atendidos inicialmente en las salas de urgencia. Se usa un único formulario de recopilación de datos para registrar la información sobre los heridos, las características del hecho relacionadas

  17. Accidental Carbon Monoxide Poisonings in Adana, Turkey: A 14-year Study

    Directory of Open Access Journals (Sweden)

    Murat Darçın

    2017-03-01

    Full Text Available Aim: Carbon monoxide (CO is often referred to as the “silent killer” because its victims cannot see it, smell it or taste it. CO is responsible for a large percentage of the accidental poisonings and deaths reported throughout the world. CO poisoning therefore is considered a serious global health threat. The aim of the present study was to describe the cases of CO poisoning in a rural areas of Adana, Turkey between 2002 and 2015 based on data collected from incident reports. Methods: The cases of accidental CO poisoning were statistically analyzed. During that period, 74 incidents occurred and 154 people were poisoned by accidental CO poisoning. Results: The results of this analysis indicate that men and adults aged ≥65 years were more likely to die from CO poisoning than others. The number of CO poisoning cases was highest during the heating season. The majority (72% of poisoning resulting in hospitalization with a life-threatening condition or death occurred within the home. Conclusion: CO poisoning is a serious danger. People must be informed about this hazard. By educating risk groups about the dangers of CO poisoning, it is possible to save many lives as well as reduce the health risks.

  18. Accidental poisoning in childhood: five year urban population study with 15 year analysis of fatality.

    Science.gov (United States)

    Pearn, J; Nixon, J; Ansford, A; Corcoran, A

    1984-01-07

    Patterns of accidental poisoning in children are changing dramatically. A five year population study (1977-81) was undertaken in urban children from Brisbane (population 1 000 000). A total of 2098 children were poisoned during this period with only one fatality, which represents a dramatic reduction in mortality. Over the past 15 years (1968-82) 13 children have died from accidental poisoning from this population, and two were murdered with drugs. A study of secular trends has indicated that peak incidence occurred in 1979, and the rate has been falling progressively since. The current age corrected rate of poisoning is 393 per 100 000 children per year (0-5 year olds). The rank order of poisons, drugs, and chemicals causing hospital admission and death is: petroleum distillates 13%; antihistamines 9%; benzodiazepines 9%; bleach and detergents 7%; and aspirin 6%. The ratio of fatalities to ingestions requiring hospital admission was calculated to give an index of a practical danger of noxious agents to which children are currently exposed and the rank order is: cardiotoxic drugs, one fatality to 25 ingestions; tricyclic antidepressants, one to 44; sympathomimetic drugs, one to 54; caustic soda, one to 68; aspirin, one fatality to 350 ingestions. Accidental poisoning of children leading to death has been reduced because patterns of drug prescriptions have changed, packaging of dangerous drugs has been made safer, and substances such as kerosene have been coloured blue.

  19. Study of TSL and OSL properties of dental ceramics for accidental dosimetry applications

    Energy Technology Data Exchange (ETDEWEB)

    Veronese, Ivan, E-mail: ivan.veronese@unimi.i [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Galli, Anna [CNR-INFM, via Cozzi 53, 20125 Milano (Italy); Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Cantone, Marie Claire [Dipartimento di Fisica, Universita degli Studi di Milano and INFN Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Martini, Marco [Dipartimento di Scienza dei Materiali, Universita degli Studi di Milano Bicocca and INFN Sezione di Milano Bicocca, via Cozzi 53, 20125 Milano (Italy); Vernizzi, Fabrizio; Guzzi, Gianpaolo [Italian Association for Metals and Biocompatibility Research - A.I.R.M.E.B., Milan (Italy)

    2010-01-15

    Interest is increasing in the development of new methodologies for accidental dose assessment, exploiting the luminescence and dosimetric properties of objects and materials which can be usually found directly on exposed subjects and/or in the contaminated area. In this work, several types of ceramics employed for dental prosthetics restoration, including both innovative materials used as sub-frames for the construction of the inner part of dental crowns (core), and conventional porcelains used for the fabrication of the external layer (veneer), were investigated with regard to their thermally and optically stimulated luminescence (TSL and OSL respectively) properties, in view of their potential application in accidental dosimetry. The sensitivity to ionizing radiation proved to strongly depend on the type and brand of ceramic, with minimum detectable dose ranging from few mGy up to several tens of mGy. A linear dose-response was observed for most of the samples. However, the luminescence signals were characterised by a significant fading, which has to be taken into account for a reliable accidental dose assessment after a radiation exposure event.

  20. Involving parents in indicated early intervention for childhood PTSD following accidental injury.

    Science.gov (United States)

    Cobham, Vanessa E; March, Sonja; De Young, Alexandra; Leeson, Fiona; Nixon, Reginald; McDermott, Brett; Kenardy, Justin

    2012-12-01

    Accidental injuries represent the most common type of traumatic event to which a youth is likely to be exposed. While the majority of youth who experience an accidental injury will recover spontaneously, a significant proportion will go on to develop Post-Traumatic Stress Disorder (PTSD). And yet, there is little published treatment outcome research in this area. This review focuses on two key issues within the child PTSD literature--namely the role of parents in treatment and the timing of intervention. The issue of parental involvement in the treatment of child PTSD is a question that is increasingly being recognized as important. In addition, the need to find a balance between providing early intervention to at risk youth while avoiding providing treatment to those youth who will recover spontaneously has yet to be addressed. This paper outlines the rationale for and the development of a trauma-focused CBT protocol with separate parent and child programs, for use with children and adolescents experiencing PTSD following an accidental injury. The protocol is embedded within an indicated intervention framework, allowing for the early identification of youth at risk within a medical setting. Two case studies are presented in order to illustrate key issues raised in the review, implementation of the interventions, and the challenges involved.

  1. Accidental sequences associated with the containment of the pressurized water nuclear installation - INAP

    International Nuclear Information System (INIS)

    Natacci, Faustina Beatriz; Correa, Francisco

    2002-01-01

    The analysis of accidental sequences associated with the Containment is one of the most important tasks during the development of the Probabilistic Safety Assessment (PSA) of nuclear plants mainly because of its importance on the mitigation of consequences of severe postulated accident initiating events. This paper presents a first approach of the Containment analysis of the INAP identifying failures and events that can compromise its performance, and outlining accidental sequences and Containment end states. The initial plant damage states, which are the input for this study, are based on the event trees developed in the PSA level 1 for the INAP. It should be emphasized that since this PSA is still in a preliminary stage it is subjected to further completion. Consequently, the Containment analysis shall also be revised in order to incorporate, in an extension as complete as possible, all initial plant damage states, the corresponding event trees, and the related Containment end states. Finally, it can be concluded that the evaluation of the qualitative analysis presented herein allows a concise and broad knowledge of the qualitative analysis presented herein allows a concise and broad knowledge of the development of accidental sequences related to the Containment of the INAP. (author)

  2. Humeral fracture in non-ambulant infants - a possible accidental mechanism

    International Nuclear Information System (INIS)

    Somers, John M.; Halliday, Katharine E.; Chapman, Stephen

    2014-01-01

    Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required. (orig.)

  3. Accidental strangulation in children by the automatic closing of a car window

    Science.gov (United States)

    Serena, Kailene; Piva, Jefferson Pedro; Andreolio, Cinara; Carvalho, Paulo Roberto Antonacci; da Rocha, Tais Sica

    2018-01-01

    Among the main causes of death in our country are car accidents, drowning and accidental burns. Strangulation is a potentially fatal injury and an important cause of homicide and suicide among adults and adolescents. In children, its occurrence is usually accidental. However, in recent years, several cases of accidental strangulation in children around the world have been reported. A 2-year-old male patient was strangled in a car window. The patient was admitted to the pediatric intensive care unit with a Glasgow Coma Scale score of 8 and presented with progressive worsening of respiratory dysfunction and torpor. The patient also presented acute respiratory distress syndrome, acute pulmonary edema and shock. He was managed with protective mechanical ventilation, vasoactive drugs and antibiotic therapy. He was discharged from the intensive care unit without neurological or pulmonary sequelae. After 12 days of hospitalization, he was discharged from the hospital, and his state was very good. The incidence of automobile window strangulation is rare but of high morbidity and mortality due to the resulting choking mechanism. Fortunately, newer cars have devices that stop the automatic closing of the windows if resistance is encountered. However, considering the severity of complications strangulated patients experience, the intensive neuro-ventilatory and hemodynamic management of the pathologies involved is important to reduce morbidity and mortality, as is the need to implement new campaigns for the education of parents and caregivers of children, aiming to avoid easily preventable accidents and to optimize safety mechanisms in cars with electric windows.

  4. Humeral fracture in non-ambulant infants - a possible accidental mechanism

    Energy Technology Data Exchange (ETDEWEB)

    Somers, John M.; Halliday, Katharine E. [Nottingham University Hospitals, Radiology Department, Nottingham (United Kingdom); Chapman, Stephen [Birmingham Children' s Hospital, Birmingham (United Kingdom)

    2014-10-15

    Humeral fracture in a non-ambulant infant younger than 1 year is suspicious for a non-accidental injury unless there is a credible accidental explanation. A previously unrecognised accidental mechanism was described in 1996 whereby a 5-month-old infant was rolled by a 3-year-old sibling from a prone to a supine position. To investigate the widely accepted view that an infant with limited mobility cannot sustain a fracture of the humerus by his or her own actions in the absence of the intervention of an external party. We present seven cases of non-ambulant infants between 4 and 7 months of age in whom an isolated humeral fracture was the only injury present. In each case the caregiver described the fracture occurring when the child rolled over, trapping the dependent arm, without the intervention of another party. There is no proof for this mechanism in the form of an independent witness or video recording. However, we propose that this mechanism is worthy of further consideration as a rare and unusual cause for the injury. Further study is required. (orig.)

  5. Shape measurement tools in footwear analysis: a statistical investigation of accidental characteristics over time.

    Science.gov (United States)

    Sheets, H David; Gross, Susan; Langenburg, Glenn; Bush, Peter J; Bush, Mary A

    2013-10-10

    Presence of accidental characteristics on footwear strengthens the linkage of a given piece of footwear to a footwear impression left at a crime-scene. Thus an understanding of rate of appearance and disappearance of these characteristics is of importance. Artificial cut-marks, 1-3mm in depth, were cut into outsoles of 11 pairs of athletic shoes. Loss of these cut-marks and acquisition of new accidental characteristics/wear patterns were monitored over a seven-week time-span. Feature-vector methods were used to acquire multivariate data on wear/acquisition rates. A repeatability study indicated the feature vector method could detect small differences among shoes relative to measurement uncertainty. The shoes displayed a strong retention of artificial cut-marks over the study interval. Net rate of wear was 0.1% of the textured area of the shoe per week, predominantly in the heel and ball area. Results indicate accidental characteristics can reasonably be expected to persist over time. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  6. South Dakota accidental childhood deaths, 2000-2007: what can we do?

    Science.gov (United States)

    Svien, Lana R; Senne, Svien A; Rasmussen, Carl

    2010-05-01

    Unintentional injuries are the leading cause of death in children around the world and are an under-recognized public health problem in the United States. The purpose of this study was to highlight the nature of the problem in South Dakota and outline interventions that have been successful in reducing childhood injuries in other states. This quantitative retrospective study examined mortality files in South Dakota for children birth to 19 years of age who died between January 1, 2000 to December 28, 2007. Although the number of deaths declined considerably from 2006 to 2007, South Dakota had the second-highest rate in the nation of childhood unintentional injury deaths from all causes between 2000-2005. The majority of deaths occurred in males and were associated with transportation-related deaths. Suffocation was the leading cause of death for newborns to age 1 year. Childhood accidental death in South Dakota is clearly a critical public health problem. Intervention efforts to reduce deaths from unintentional injuries amongst children should be targeted as the leading causes of accidental death for specific age groups and American Indian youth. Physicians, health educators and policymakers must play a role in prevention targeting the high-risk groups in addition to advocating for policy changes to protect childhood safety. More stringent child restraint laws, graduated driving laws, smoking cessation programs for parents, creation of safer sleep environments and further investigation of why a high proportion of American Indian children die accidentally in South Dakota are all warranted.

  7. Investigation of post-accidental management conditions. Complete final report dated July 31, 2009

    International Nuclear Information System (INIS)

    2009-01-01

    After a presentation of the process which resulted in the setting up of an investigation aimed at testing recommendations for post-accidental management, this report indicates the objectives of this investigation: to study the application of recommendations made by the CODIR-PA (Management Committee - Post-Accidental Management) to the operators of the milk sector, and to define an action plan to carry on and resume production. According to the adopted methodology, the study comprised two phases. The first one comprised an analysis of applications in the milk sector, the study of operational consequences on a zoning proposed by the CORDI-PA on the milk sector and on milk products, and the study of the acceptability and feasibility of considered options. The second phase addressed the elaboration of an action plan to carry on and resume the activity. While identifying and assessing the various risks, it identified critical issues for carrying on or resuming milk production in a contaminated territory, and defined an action plan to implement by anticipation or in the post-accidental situation

  8. Costeo directo, mundo del valor y programación lineal

    OpenAIRE

    Souza, Alceus; Clemente, Ademir; Perfeito, Juarez

    2006-01-01

    Este artículo presenta una comparación entre el Abordaje del Mundo del Valor propuesto por Eliyahu M. Goldratt (1992) en el libro titulado A síndrome del palheiro: garimpando informação num océano de dados (El síndrome del pajar: cómo extraer información del océano de datos) y la Programación Lineal. Se utiliza para la comparación el caso de la optimización de un mix de producción con restricciones en el proceso y en el mercado. Se muestra que el Abordaje de las Ganancias, conceptualmente, no...

  9. A infância no ensino fundamental obrigatório de nove anos: o que dizem os professores do primeiro ano?

    Directory of Open Access Journals (Sweden)

    Conceição Gislane Nobrega Lima de Salles

    2017-02-01

    Full Text Available O conceito de infância está incontestavelmente ligado aos diálogos concernentes à educação das crianças. Sensíveis a esse contexto, a pesquisa intitulada: “A infância no ensino fundamental obrigatório de nove anos: o que dizem os professores do primeiro ano?” é resultado da inquietação acerca de como os professores que atuam juntos a estes sujeitos concretos, crianças, estão nomeando, enunciando e compreendendo a infância e a educação das crianças no contexto da educação de nove anos, mais especificamente no primeiro ano das séries iniciais do ensino fundamental. Assim, definimos como objetivo geral compreender os sentidos e significados que configuram os discursos veiculados entre os professores do primeiro ano dos anos iniciais do ensino fundamental, no que diz respeito à Infância. O aspecto definidor de nossa reflexão vale ressaltar, não é a idade cronológica, mas, o que esses discursos enunciam sobre a concepção de criança e infância. Nesse contexto, delimitamos como campo empírico Escolas Municipais da Cidade de Caruaru- PE, nas quais foram selecionadas dez professoras do primeiro ano dos anos iniciais do ensino fundamental. Para compreendermos os diversos sentidos e significados sobre infância apoiamo-nos em uma metodologia de enfoque hermenêutico. Como instrumento de coleta de dados utilizamos entrevistas semi-estruturadas. Em linhas gerais, as análises parciais dos discursos de tais professoras nos indicam que os sentidos e significados atribuídos à infância ainda estão muito ligados à concepção desenvolvimentista, relacionada a uma noção etapista e cronológica de criança e infância. No que diz respeito à proposta de educação para a infância os resultados revelam uma concepção de educação voltada, sobretudo, para a consolidação das metas do ensino fundamental. Além disso, identificamos também, uma preocupação excessiva das instituições educativas com a escolariza

  10. Accidentes percutáneos con riesgo biológico, producidos por dispositivos de seguridad en la Comunidad de Madrid Percutaneous injuries with biological risk caused by security devices in Madrid Community

    Directory of Open Access Journals (Sweden)

    María Clemente Yélamos

    2012-06-01

    Full Text Available Desde la implantación en 2006, de procedimientos seguros y un Sistema de Vigilancia de Accidentes Biológicos en el ámbito sanitario de la Comunidad de Madrid, se viene observando un aumento de los accidentes percutáneos relacionados con la utilización de Dispositivos de Seguridad. Con la finalidad de estudiar los factores contribuyentes a la producción de accidentes con estos nuevos dispositivos, se realiza un estudio descriptivo longitudinal prospectivo de los accidentes notificados a lo largo de 6 meses (2010-2011. Se incluyen 378 accidentes, el 86% afectó a mujeres, siendo la tasa de incidencia en enfermería de 14,3 y entre facultativos de 3,1 (accidentes por mil. Las agujas subcutáneas fueron las más implicadas (25,7%. En el 6,6% de los accidentes se había inactivado intencionadamente su mecanismo de seguridad y solo un 2,6% podría imputarse a un fallo del dispositivo. Entre los factores externos que han podido contribuir destacan "apremio de tiempo/ritmo de trabajo elevado" (46,5% y "realizar la maniobra con posturas incómodas" (31,5%. Las intervenciones para prevenir Accidentes Biológicos deben ser específicas para cada categoría profesional y área de trabajo. Se debe seguir apostando por la introducción de Dispositivos de Seguridad, identificar los factores contribuyentes e implementar acciones individualizadas que minimicen los riesgos.Since the implementation in 2006 of security procedures and a surveillance system of biological accidents in Madrid public health services, an increase of percutaneus accidents related to the use of safety devices has been observed. With the purpose of studying the external factors to the production of accidents with these new devices, there is realized a prospective, longitudinal and descriptive study of the accidents happened throughout six months (2010-2011. 378 accidents are included, 86% happened in women, the incidence rate being 14.3 accidents per thousand in nurses, and 3.1 in

  11. An atypical case of successful resuscitation of an accidental profound hypothermia patient, occurring in a temperate climate.

    LENUS (Irish Health Repository)

    Coleman, E

    2010-03-01

    Cases of accidental profound hypothermia occur most frequently in cold, northern climates. We describe an atypical case, occurring in a temperate climate, where a hypothermic cardiac-arrested patient was successfully resuscitated using extracorporeal circulation (ECC).

  12. Therapeutic approaches of hematopoietic syndrome after serious accidental global irradiation. Ex vivo expansion interest of hematopoietic cells

    International Nuclear Information System (INIS)

    Thierry, D.

    1994-01-01

    Aplasia is one of the main syndrome, appearing after one global accidental irradiation by one ionizing radiation source. The hematopoietic syndrome is characterized by a peripheric blood cell number fall; the cell marrow is reduced too

  13. Lesiones cervicales, oculares y faciales en usuarios de gafas por despliegue del airbag a baja velocidad.

    OpenAIRE

    Rodríguez Burgos, Carmen

    2016-01-01

    Los accidentes de tráfico son un problema actual causante de millones de muertes al año y lesiones permanentes. Esto tiene enormes repercusiones en la sociedad, con carga económica y social, por lo que se invierte considerablemente en seguridad durante los desplazamientos con vehículos. Un gran avance fue la incorporación del airbag del conductor en los años 90, que ha supuesto una gran reducción de lesiones cérvico-faciales en las colisiones frontales. No obstante, la función del airbag tamb...

  14. A simplified method of preventing implant hex drive from aspiration or accidental swallowing during stage two implant recovery

    OpenAIRE

    Ratnaditya, Akurati; Ravuri, Srinivas; Tadi, Durga Prasad; Kandregula, Chaitanya Ram; Kopuri, Rajkumar Chowdary; Pentakota, Venkata Girish

    2014-01-01

    Objectives: To prevent accidental ingestion of implant hex dive. Materials and Methods: Dental floss which is used to stabilize the hex drive is tied to the operator's finger ring to overcome sudden aspiration of fallen instrument. Results: It showed excellent grip of the instrument during stage two uncover time and also saved operators time. Conclusions: Accidental aspiration or swallowing of the dental instruments during routine implant surgeries can be prevented by tying the implant instru...

  15. Development of management tools for accidental radiological contamination of the French coastal areas - Development of management tools for accidental radiological contamination in the French marine coastal areas

    Energy Technology Data Exchange (ETDEWEB)

    Duffa, C.; Charmasson, S. [IRSN/PRP-ENV/SESURE/LERCM - Antenne de Radioecologie Marine, Centre Ifremer, Zone portuaire de Bregaillon, 13507 La Seyne sur Mer (France); Bailly du Bois, P.; Fievet, B. [IRSN/PRP-ENV/SERIS/LRC (France); Couvez, C.; Renaud, P. [IRSN/PRP-ENV/SESURE/DIR (France); Didier, D. [IRSN/PRP-CRI/SESUC/BMTA (France)

    2014-07-01

    The Fukushima nuclear accident led to the most important accidental release of artificial radionuclides into the sea. This accident has underlined the importance of being able to adequately reproduce the fate of radioactive releases and to estimate their consequences for the marine environment. For its Crisis Centre, the French Institute for Radioprotection and Nuclear Safety (IRSN) has operational tools, in order to help experts and decision makers in case of any atmospheric accidental release and terrestrial environment contamination. The on-going project aims to develop tools to manage any marine contamination of the French coastal areas. We should be able to evaluate and anticipate the marine post-accidental situation: contaminated areas localization and contamination levels, and possible consequences. Many sites has be considered as potential source terms into the sea: the Coastal Nuclear Power Plants, the La Hague reprocessing Plant, the Brest and Toulon Military Harbours as home-ports of nuclear powered vessels, and different river mouths (Rhone River, Gironde, Loire, Seine) that could be contaminated by upstream accidental release. To achieve this goal, two complementary approaches are developed: Marine sheets and a dedicated modelling tool (STERNE). - Marine sheets aim to summarize marine environment characteristics for the different sites, identify potential stakes for human protection such as aquaculture areas, beaches, or industrial water intakes, and ecological stakes. Whenever possible, a local climatology (main currents depending on meteorological or tide conditions) that could be a support to first environmental measurement strategy is proposed. A list of available local contacts for any operational management is also provided. - The modelling tool, STERNE (Simulation du Transport et du transfert d'Elements Radioactifs dans l'environNEment marin), must predict radionuclide dispersion and contamination of water, marine species and sediments

  16. Práticas alimentares no primeiro ano de vida no município de Assis-SP: tendência temporal de 10 anos

    OpenAIRE

    Marim, Marina Manduca Ferreira [UNESP

    2016-01-01

    O objetivo deste estudo foi analisar a tendência temporal (2001-2011) de indicadores das práticas alimentares de crianças menores de um ano no município de Assis-SP a partir de sete inquéritos transversais realizados em 2001, 2003, 2004, 2005, 2007, 2008 e 2011 concomitantemente a campanhas de vacinação. Trata-se de uma série histórica. A fonte dos dados é o Projeto AMAMUNIC realizado em Assis – SP , no qual as mães ou responsáveis pelas crianças menores de um ano são entrevistadas, responden...

  17. A supremacia da perspectiva associacionista em práticas alfabetizadoras no 1º ano do ensino fundamental de nove anos

    Directory of Open Access Journals (Sweden)

    Gabriela Medeiros Nogueira

    2013-06-01

    Full Text Available O propósito deste trabalho é apresentar os resultados de uma pesquisa realizada em 2010 sobre práticas de alfabetização em uma turma do 1º ano da rede municipal de Pelotas-RS. Os procedimentos metodológicos foram realizados através de análise documental (LE GOFF, 1992 e da abordagem etnográfica (COHN, 2005; GEERTZ, 2008, considerando principalmente os estudos sobre alfabetização desenvolvidos por Soares (2001a, 2004a, Kramer (2006 e Peres (2009. Os dados foram coletados através da análise dos cadernos das crianças, dos documentos expedidos pelo Ministério da Educação que tratam da proposta para o ensino fundamental de nove anos e dos documentos da Secretaria Municipal de Educação (SME. Os resultados da pesquisa indicam que a alfabetização desenvolvida no cotidiano da turma de 1º ano investigada não corresponde à proposta do governo federal e da Secretaria Municipal de Educação de Pelotas.

  18. Accidental Art

    Science.gov (United States)

    2004-01-01

    [figure removed for brevity, see original site] Figure 1 (Click on image for larger view) This image, acquired by the Mars Exploration Rover Spirit's panoramic camera on the 53rd martian day, or sol, of the rover's mission, struck science and engineering teams as not only scientifically interesting but remarkably beautiful. The large, shadowed rock in the foreground is nicknamed 'Sandia' for a mountain range in New Mexico. An imposing rock, 'Sandia' is about 33 centimeters high (1 foot) and about 1.7 meters (5.5 feet) long.Figure 1 above is a lightened version of the more artistic image above.The combination of the rover's high-resolution cameras with software tools used by scientists allows the minute details on martian targets to be visualized. When lightened, this image reveals much about the pictured rocks, which the science team believes are ejected material, or ejecta, from the nearby crater called 'Bonneville.' Scientists believe 'Sandia' is a basaltic rock that landed on its side after being ejected from the crater. The vertical lines on the side of the rock facing the camera are known by geologists as 'flow banding' and typically run horizontally, indicating that 'Sandia' is on its side. What look like small holes on the two visible sides of the rock are called vesicles; they were probably once gas bubbles within the lava.The lighting not only makes for an artistic image, it helps scientists get a virtual three-dimensional feel for target rocks. Observations taken at different times of day, as shadows move and surface texture details on target rocks are revealed, are entered into modeling software that turns a two-dimensional image into a three-dimensional research tool.Many smaller rocks can be seen in the background of the image. Some rocks are completely exposed, while others are only peeking out of the surface. Scientists believe that two processes might be at work here: accretion, which occurs when winds deposit material that slowly buries many of the rocks; and deflation, which occurs when surface material is removed by wind, exposing more and more of the rocks.

  19. Accidental Tourist

    Science.gov (United States)

    Brown, Donna M.

    2003-01-01

    For 10 years, the author taught a high school Fundamentals of English class designed for juniors and seniors who needed special accommodations--individualized instruction, time for reading aloud, a pace that's slower than the norm. About half were learning English as a second language. Some of these students spoke Bosnian, Laotian, Russian, or…

  20. Accidental overexposures

    International Nuclear Information System (INIS)

    Nenot, J.C.

    1993-03-01

    The accident frequency seems to increase rapidly, probably because of the industrial source use development. In opposition to that was noted twenty years ago, the accidents don't involve only the industrial firm or hospital wage earners but also public people. Serious accident analysis puts to the fore the defects which made them possible. The accidents due to energy production reactors are very seldom even if Chernobyl or nuclear submarine accidents have exposed about several hundreds workers to doses going beyond one gray. 78 refs. 17 figs. 14 tabs. 3 annexes

  1. Accidental goodness?

    DEFF Research Database (Denmark)

    Richter, Anne

    In postmodern capitalist market economies, management of the single organisation is bound to be guided by several rationales, which are in conflict with each other. For some writers this perception leads to the argument, that conceptions of management should strive towards goals beyond the present...

  2. Burden and modifications in life from the perspective of caregivers for patients after stroke Sobrecarga y modificaciones de vida en la perspectiva de los cuidadores de pacientes con accidente vascular cerebral Sobrecarga e modificações de vida na perspectiva dos cuidadores de pacientes com acidente vascular cerebral

    Directory of Open Access Journals (Sweden)

    Huana Carolina Cândido Morais

    2012-10-01

    Full Text Available OBJECTIVE: to analyze the impact that caring has on a member of the family caring for a patient after a cerebrovascular accident, correlating life modifications and mental suffering with the perceived burden. METHOD: a cross-sectional, quantitative study, undertaken in January-April 2010 in Fortaleza, Ceará, Brazil. RESULT: 61 individuals were investigated, monitored by three hospitals' Home Care Program. Data collection was through interviews for identifying life changes, and through the application of three scales for investigating perceived burden, mental state and mental suffering. Respectively these were the Caregiver Burden Scale (CBS, the Mini-Mental State Examination (MMSE and the Self Reported Questionnaire (SRQ. The majority of the carers were female, married, and the children of the stroke patients. The average age was 48.2 years (±12.4. The most-cited life modifications referred to the daily routine, to leisure activities, and to exhaustion or tiredness. Regarding burden, the dimensions of General tension, Isolation and Disappointment stood out. It was ascertained that overload was more severe when the carer presented more symptoms of psychological distress, in the absence of a secondary carer, and when the principal carers reported perceiving changes in their bodies and health. CONCLUSION: an association between burden and the carer's mental state was not observed. Understanding the care, through analysis of the burden and of the knowledge of the biopsychosocial situation will provide support for the nurse's work in reducing the overload for family caregivers.OBJETIVO: analizar el impacto del cuidar para el cuidador familiar de paciente después de accidente vascular cerebral, correlacionando modificaciones de vida y sufrimiento psíquico con la sobrecarga percibida. MÉTODO: estudio transversal, cuantitativo, realizado de enero a abril de 2010, en Fortaleza, Ceará, Brasil. RESULTADO: se investigaron 61 individuos, acompa

  3. Propuesta de un sistema de seguridad y salud ocupacional para una empresa del sector de mecánica automotriz

    OpenAIRE

    UPC, Repositorio Academico; Rodríguez Páez, Nadya Leyla

    2015-01-01

    Se estudia la situación actual de una pequeña y mediana empresa (MYPE) que pertenece al sector de mecánica automotriz, la cual presenta el problema de sobrecostos por el incremento del número de accidentes y enfermedades ocupacionales. Ante esta situación, se propone establecer un sistema de gestión de seguridad y salud ocupacional que contribuya a disminuir el número de accidentes de trabajo y los sobrecostos ocasionados por ellos. Para ello, se deberá estudiar las actuales condiciones de lo...

  4. Quem são as mulheres que amamentam por 2 anos ou mais?

    OpenAIRE

    Martins,Elisa Justo; Giugliani,Elsa Regina Justo

    2012-01-01

    OBJETIVO: Identificar fatores associados à manutenção do aleitamento materno por 2 anos ou mais. MÉTODOS: Estudo de coorte que acompanhou 151 crianças selecionadas no Hospital de Clínicas de Porto Alegre, do nascimento até a idade de 3 a 5 anos. As mães foram entrevistadas pessoalmente na maternidade, aos 7 e 30 dias após o parto, e quando as crianças tinham entre 3 e 5 anos. As entrevistas aos 60, 120 e 180 dias de vida da criança foram feitas por contato telefônico, sempre que possível. Par...

  5. Injeção inadvertida de metoclopramida no espaço subaracnóideo: relato de caso Inyección inadvertida de metoclopramida en el espacio subaracnoideo: relato de caso Accidental spinal metoclopramide injection: case report

    Directory of Open Access Journals (Sweden)

    Eduardo Barbosa Leão

    2004-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Injeção inadvertida de medicamentos de uso não espinhal nos espaços peridural e subaracnóideo é uma complicação anestésica passível de ocorrer. Este relato apresenta um caso de injeção inadvertida de metoclopramida no espaço subaracnóideo. RELATO DO CASO: Paciente do sexo feminino, 17 anos, 69 kg, IMC de 26.2, estado físico ASA I, 36 semanas e 4 dias de gestação, com diagnóstico de sofrimento fetal agudo, e indicação de cesariana. Apresentava freqüência cardíaca de 82 bpm, pressão arterial de 130 x 70 mmHg, SpO2 de 97%, ritmo cardíaco sinusal regular. A anestesia foi por via subaracnóidea com a associação de anestésico local e opióide, 15 mg de bupivacaína hiperbárica a 0,5% e 25 µg de fentanil. Após 5 minutos da instalação do bloqueio, a paciente referiu "mal estar" inespecífico. Aferidas pressão arterial, 190 x 120 mmHg, freqüência cardíaca, 145 bpm, e SpO2, 95%. Verificando-se as ampolas cujos conteúdos foram administrados encontrou-se uma de bupivacaína e uma de metoclopramida. O quadro se apresentou com cefaléia frontal intensa, visão turva, náuseas, vômitos e agitação inicial, que evoluiu para sonolência e torpor, além de hipertensão arterial e taquicardia. Foram administrados tramadol, dipirona, ondansetron e medidas de suporte. Após 30 minutos, a paciente apresentava-se assintomática, com PA de 150 x 100 mmHg e FC de 120 bpm. Recebeu alta para a enfermaria 140 minutos após permanência na SRPA, com total reversão dos bloqueios motor, sensitivo e autonômico, e normalização dos parâmetros hemodinâmicos. Recebeu alta hospitalar 48 horas após, sem apresentar seqüelas neurológicas, juntamente com o recém-nascido. CONCLUSÕES: Máxima atenção deve ser dada a qualquer medicamento administrado, seja qual for à via utilizada. Padronização de cores de ampolas, e dos locais de depósito, com o intuito de diminuir este tipo de acidente é recomend

  6. Internacional Situacionista e Superstudio: arquitetura e utopia nos anos 1960-1970

    OpenAIRE

    Diego Mauro Muniz Ribeiro

    2016-01-01

    Esta dissertação se propõe a investigar, no campo da arquitetura e urbanismo, os empregos do termo \\"utopia\\" num período em que este foi especialmente movente e dissensual: o final dos anos 1950 até o início dos anos 1970, no contexto europeu. Elegeu-se, para estudo de caso, as proposições da Internacional Situacionista e do Superstudio. Acompanharemos de forma mais detida os escritos situacionistas desde a fundação do movimento (1957) até cerca de 1961, período em que as discussões do grupo...

  7. Acidente vascular encefálico como complicação da hipertensão arterial: quais são os fatores intervenientes? Accidente Vascular Encefálico como complicación de la hipertensión arterial: ¿cuáles son los factores que interfieren? Stroke as complication of arterial hypertension: which are the intervenient factors?

    Directory of Open Access Journals (Sweden)

    Larissa Bento de Araújo Mendonça

    2012-06-01

    Full Text Available O objetivo foi identificar os fatores intervenientes na adesão ao tratamento anti-hipertensivo que contribuíram para surgimento do acidente vascular encefálico (AVE. Estudo descritivo realizado em uma Unidade de AVE de um hospital público. A amostra constituiuse de 75 pacientes com diagnóstico de Hipertensão Arterial Sistêmica acometidos por um AVE. A coleta de dados aconteceu em março e abril de 2010. Estudo aprovado pelo Comitê de Ética e Pesquisa sob parecer nº 110302/10. Os fatores intervenientes na adesão do paciente ao tratamento anti-hipertensivo foram: sexo masculino (61,4%, idade >60 anos (48%, antecedentes familiares para HAS (68%, baixa escolaridade (72%, renda familiar até um salário mínimo (52% e presença de efeitos colaterais (22,6%. Talvez a experiência de um AVE seja um fator determinante para a maior adesão do paciente ao tratamento antihipertensivo. É necessário que os enfermeiros realizem acompanhamento ao hipertenso periodicamente, informando-o acerca da doença e do tratamento, visando evitar complicações.El objetivo fue identificar los factores que intervienen en la adherencia al tratamiento antihipertensivo que contribuyeron a la aparición del accidente vascular encefálico (ACV. Estudio descriptivo en una unidad de ACV de un hospital público. La muestra fue constituida por 75 pacientes diagnosticados con Hipertensión Arterial Sistémica afectados por el ACV. La recolección de datos ocurrió entre marzo y abril de 2010. Estudio aprobado por el Comité de Ética e Investigación bajo parecer nº 110302/10. Los factores que intervienen en la adhesión del paciente al tratamiento antihipertensivo fueron: sexo masculino (61,4%, edad > 60 años (48%, antecedentes familiares de hipertensión arterial (68%, baja escolaridad (72%, renta familiar hasta un sueldo mínimo (52% y presencia de efectos colaterales (22,6%. Tal vez la experiencia de un ACV sea un factor determinante en la mayor adherencia del

  8. Menace of childhood non-accidental traumatic brain injuries: A single unit report

    Directory of Open Access Journals (Sweden)

    Musa Ibrahim

    2015-01-01

    Full Text Available Background: Childhood traumatic brain injury (TBI has high rate of mortality and morbidity worldwide. There are dearths of reports from developing countries with large paediatric population on trauma; neurosurgery trauma of nonaccidental origin is not an exemption. This study analysed menace of non-accidental TBI in the paediatric population from our center. Materials and Methods: This is a single unit, retrospective study of the epidemiology of non-accidental TBI in children starting from September, 2008 to March, 2014. The management outcomes of the epidemiology of the non-accidental TBI were analysed. Results: Total of 109 children age range from 0 (intra-natal to 16 years with a mean of 5.8 ± 4.6 years (median, 5 years were enrolled into the study. 34 (31.2% were domestic violence, 26 (23.9% street assaults, 16 (14.7% were due to animal assaults and mishaps, 17 (15.6% fall from heights. Seven (6.4% cases of collapsed buildings were also seen during the period. Four (3.7% industrial accidents and two (1.8% were self-inflicted injuries. There were also three (2.8% cases of iatrogenic TBI out of which two infants (1.8% sustained TBI from cesarean section procedure while one patient (0.9% under general anaesthesia felt from the operation bed resulting to severe TBI. Conclusion: Child abuse, unprotected child labour, parental/care-givers negligence are the main cause of nonaccidental TBI. Human right activists and government agents should be incorporated in curtailing the menace.

  9. Accidental internal exposure of all groups of Chernobyl nuclear power plant employees

    International Nuclear Information System (INIS)

    Goussev, I.A.; Moissev, A.A.; Evtichiev, V.I.

    1996-01-01

    Accidental internal exposure of Chernobyl NPP employees has started from April, 1986 and it was found to be decreased to pre-accident level at the end of 1987. Significant number of people from all groups of staff and temporary employees were measured using whole body counters situated in Clinical Department of the Institute of Biophysics, which has represented the main body for medical assistance and expertise in these people including those, who suffered from acute radiation syndrome as well as the people engaged in all kinds of works at Chernobyl NPP site. Technical characteristics of the equipment and techniques used to assess the internal exposure are given. (author)

  10. Respiratuvar depression after accidental nasal ingestion of brimonidine eye drops in infant

    Directory of Open Access Journals (Sweden)

    Ali Gunes

    2016-12-01

    Full Text Available Objectives: Brimonidine tartrate is an alpha-2 agonist used for glaucoma treatment. It can lead to serious poisoning symptoms when misused by children. Case report: In this case report, 3 months-old male patient with severe central nervous system depression and respiratory arrest as a result of accidentally nasal instillation of 1 cc brimonidine tartrate that benefited from mechanic ventilation and naloxone treatment was presented. Conclusion: This case report suggested, that misuse of nasal brimonidine eye drop could result in serious respiratory distress and central nervous system depression. Mechanical ventilation and naloxone administration can be useful for these patients. Keywords: Brimonidine intoxication, Nasal ingestion, Children

  11. Problems in experimental and mathematical investigations of the accidental thermalhydraulic processes in RBMK nuclear reactors

    Energy Technology Data Exchange (ETDEWEB)

    Nigmatulin, B.I.; Tikhonenko, L.K. [Engineering Centre (EREC) for Nuclear Plants Safety, Electrogorsk (Russian Federation); Blinkov, V.N. [Aviation Institute, Kharkov (Ukraine)] [and others

    1995-09-01

    In this paper the thermalhydraulic scheme and peculiarities of the boiling water graphite-moderated channel-type reactor RBMK are presented and discussed shortly. The essential for RBMK transient regimes, accidental situations and accompanying thermalhydraulic phenomena and processes are formulated. These data are presented in the form of cross reference matrix (version 1) for system computer codes verification. The paper includes qualitative analysis of the computer codes and integral facilities which have been used or can be used for RBMK transients and accidents investigations. The stability margins for RBMK-1000 and RBMK-1500 are shown.

  12. Forecasting consequences of accidental release: how reliable are current assessment models

    International Nuclear Information System (INIS)

    Rohwer, P.S.; Hoffman, F.O.; Miller, C.W.

    1983-01-01

    This paper focuses on uncertainties in model output used to assess accidents. We begin by reviewing the historical development of assessment models and the associated interest in uncertainties as these evolutionary processes occurred in the United States. This is followed by a description of the sources of uncertainties in assessment calculations. Types of models appropriate for assessment of accidents are identified. A summary of results from our analysis of uncertainty is provided in results obtained with current methodology for assessing routine and accidental radionuclide releases to the environment. We conclude with discussion of preferred procedures and suggested future directions to improve the state-of-the-art of radiological assessments

  13. Second Report of Accidental Intestinal Myiasis due to Eristalis tenax (Diptera: Syrphidae in Iran, 2015

    Directory of Open Access Journals (Sweden)

    Ramezani Awal Riabi Hamed

    2017-01-01

    Full Text Available We have described a new case of accidental intestinal myiasis that had occurred due to Eristalis tenax in Iran. A 4-year-old girl living in rural area near Bajestan city located in the south of Khorasan Razavi province visited the hospital lab with complaints of one live larva in feces and did not have other symptoms, except anal itching. This case had a history of consuming subterranean village water and did not have a history of traveling outside the city or contact with other patients. Conclusion. Based on the morphology characteristic, the larva was identified as “rat-tailed maggot” or larvae fly E. tenax.

  14. Accidental ingestion of a barbed wire broach and its endoscopic retrieval: Prevention better than cure

    Directory of Open Access Journals (Sweden)

    Rajashekar Mohan

    2011-01-01

    Full Text Available Ingestion of instruments is a potential complication that can occur during dental procedures. We report a case of accidental ingestion of an endodontic barbed wire broach during root canal treatment and its subsequent retrieval by endoscopic methods. Although prevention is the best approach, proper management of such an event is also crucial. The objective of this report is to draw attention to the potentially serious complications that can occur if preventive techniques are not practised, and to discuss the accepted guidelines for management of such an event.

  15. A model of neutrino mass and dark matter with an accidental symmetry

    Directory of Open Access Journals (Sweden)

    Amine Ahriche

    2015-06-01

    Full Text Available We present a model of radiative neutrino mass that automatically contains an accidental Z2 symmetry and thus provides a stable dark matter candidate. This allows a common framework for the origin of neutrino mass and dark matter without invoking any symmetries beyond those of the Standard Model. The model can be probed by direct-detection experiments and μ→e+γ searches, and predicts a charged scalar that can appear at the TeV scale, within reach of collider experiments.

  16. Factores predictores de mortalidad por accidente cerebrovascular en el Hospital Universitario San Jorge de Pereira (Colombia)

    OpenAIRE

    Cristhian David Morales-Plaza; Claudio Aguirre-Castañeda; Jorge Enrique Machado-Alba

    2016-01-01

    Objetivo: Determinar los factores predictores de mortalidad por accidente cerebrovascular (ACV) en el Hospital Universitario San Jorge de Pereira entre enero de 2008 y diciembre de 2011. Materiales y métodos: Estudio de corte transversal, realizado en los pacientes con diagnóstico de ACV. La información se obtuvo de las historias clínicas, teniendo en cuenta las variables edad, sexo, tipo de ACV (isquémico o hemorrágico), trastorno asociado, antecedentes personales relacionados con ACV, morta...

  17. Initiating events and accidental sequences taken into account in the CAREM reactor design

    International Nuclear Information System (INIS)

    Kay, J.M.; Felizia, E.R.; Navarro, N.R.; Caruso, G.J.

    1990-01-01

    The advance made in the nuclear security evaluation of the CAREM reactor is presented. It was carried out using the Security Probabilistic Analysis (SPA). The latter takes into account the different phases of identification and solution of initiating events and the qualitative development of event trees. The method of identification of initiating events is the Master Logical Diagram (MLD), whose deductive basis makes it appropriate for a new design like the one described. The qualitative development of the event trees associated to the identified initiating events, allows identification of those accidental sequences which are to have the security systems in the reactor. (Author) [es

  18. Indications of hematopoietic stem cell transplantations and therapeutic strategies of accidental irradiations

    International Nuclear Information System (INIS)

    2003-01-01

    Produced by a group of experts, this document first discusses the issue of accidental irradiations in terms of medical management. They notably outline the peculiar characteristics of these irradiations with respect to therapeutic irradiations. They agreed on general principles regarding casualty sorting criteria and process, and their medical treatment (systematic hematopoiesis stimulation, allogeneic transplantation of hematopoietic stem cells). They discuss some practical aspects of these issues: casualty sorting within a therapeutic perspective (actions to be performed within 48 hours), therapeutic strategies (support therapy, use of cytokines, and therapy by hematopoietic stem cell transplant). They state a set of recommendations regarding the taking into care and diagnosis, therapeutic strategies, research perspectives, and teaching

  19. Principles of forensic dentistry: 2. Non-accidental injury, bite marks and archaeology.

    Science.gov (United States)

    Whittaker, D K

    1990-11-01

    From time to time the general dental practitioner may become involved in forensic cases, when he or she will need to be aware of the general principles involved and the increasing variety of modern techniques available. This two-part article reviews those principles and techniques. In Part 1 the principal procedures used in identifying bodies were discussed. Part 2 now reviews the role of the forensic dentist with respect to non-accidental injury to children, analysis of bite marks, and archaeological investigations.

  20. Prevención de los accidentes de tráfico infantiles

    OpenAIRE

    Rivera Menor, Estrella

    2003-01-01

    En España, aproximadamente el 3% de los muertos en accidente de tráfico es un niño de hasta 14 años. Sin embargo, con independencia de la importancia cuantitativa, es evidente la importancia cualitativa y sentimental que la pérdida de una vida que apenas comienza, o su sufrimiento, tiene sobre una sociedad que, de forma natural, acepta y asume como una de sus obligaciones, con entronque en sus valores primarios y por tanto más fuertemente arraigados, el salvaguardar y proteger a s...