WorldWideScience

Sample records for anos del accidente

  1. Responsabilidad del empleador por accidentes de trabajo y enfermedades profesionales

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    Cristina Mangarelli

    2014-01-01

    Full Text Available Introducción. 1. Responsabilidad del “empleador” por accidentes de trabajo y enfermedades profesionales. Noción. 2. La indemnización “tarifada”. Fundamento de su procedencia 3. Responsabilidad del empleador por accidentes de trabajo o enfermedades profesionales en la ley uruguaya (ley Nº 16.074. 4. La “ampliación” de la responsabilidad del empleador por el derecho común en el derecho uruguayo (artículo 7 ley Nº 16.074. 5. Requisitos para la ampliación de la responsabilidad patronal: culpa grave en el incumplimientode normas de seguridad y prevención. 6. La culpa grave. Concepto. 7. El modelo del hombre a tener en cuenta en la “culpa grave” no es el del buen padre de familia. 8. El grado de la culpa no puede ser medido por el resultado del accidente. 9. Se aplican las eximentes de la responsabilidad civil. 10. Distintos ámbitos de la responsabilidad patronal por accidentes de trabajo o enfermedades profesionales: A ante la víctima o los derecho-habientes; B ante el Banco de Seguros del Estado; C ante el Ministerio de Trabajo ySeguridad Social. 11. Recupero del BSE en caso de culpa grave en el incumplimiento de normas de seguridad y prevención. Requisitos 12. Responsabilidad del empleador en caso de accidente de trabajo o enfermedad profesional sufrido por un adolescente. Conclusiones.

  2. 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

  3. 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.

  4. El subregistro de accidentes de trabajo en una Unidad de Medicina Familiar del Instituto Mexicano del Seguro Social. Subregistro de accidentes de trabajo en asegurados

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    Patricia Pérez Martínez

    2008-09-01

    Full Text Available Objetivo: Determinar el subregistro de los accidentes de trabajo en una Unidad de Medicina Familiar (UMFX escogida, inicialmente atendidos en el servicio de urgencias de un Hospital General de Zona (HGZ, del Instituto Mexicano del Seguro Social (IMSS en el año 2002. Material y métodos: Es un estudio transversal que utilizó información de la fuente original del HGZ que otorga la primera atención médica. Se elaboró una cédula de registro con las diversas fuentes de información, efectuando confrontación, seguimiento y análisis estadístico de las mismas. Resultados: De 6551 probables accidentes de trabajo atendidos en el HGZ, se seleccionaron 821 casos adscritos a la UMFX escogida. Se conformaron tres grupos de acuerdo con su dictamen: Grupo I= SÍ de trabajo, 35.4% (290; Grupo II=NO de trabajo, 4.6% (38, y el Grupo III= no calificados y atendidos en urgencias, 60%(493; este último representa el subregistro de los accidentes de trabajo. Conclusiones: El subregistro del 60% es de los más altos reportado en la literatura, lo cual representa para el IMSS, los trabajadores y el país graves repercusiones económicas y sociales no cuantificadas.Objective: To determine the Occupational Accidents Subregistry at a selected Family Medicine Unit (FMUX initially treated at a Mexican Institute of Social Security (IMSS General Zone Hospital (HGZ during the year 2002. Materials and Methods: This is a transversal study utilizing information from the original source, the HGZ primary-care hospital-facility. We elaborated a registry permit with diverse information sources, and conducted confrontation, followup, and statistical analysis of these sources. Results: Of 6,551 probable occupational accidents treated at the HGZ Emergency Room, we selected 821 cases ascribed to the selected FMUX. We made up three groups according these dictates: Group I = YES, occupational, 35.4% (290; Group II = NO, occupational, 4.6% (38, and Grupo III = not qualified and

  5. Estudio clínico del proceso conductual de la emergencia del coma grave por accidente cerebrovascular

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    Romero López, Modesto Jesús

    2007-01-01

    Objetivos: Estudiar el proceso de la emergencia del coma en pacientes en coma grave por accidente cerebrovascular (ACV). Método: Se han evaluado a 32 pacientes ingresados en una unidad de cuidados intensivos por un coma de origen cerebrovascular. Se ha realizado un seguimiento diario por neuropsicólogos e intensivistas y monitorizado el despertar del coma mediante 8 escalas de evalua ... ción clínica de los niveles de coma. Se han analizado las variables: edad, género, residencia, índice prem...

  6. La competencia consultiva del Tribunal Internacional del Derecho del mar en el contexto del régimen de los océanos

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    Martin Cabrera Mirassou

    2014-08-01

    Full Text Available El proceso de diversificación de la jurisdicción internacional se caracteriza por la multiplicación de los tribunales internacionales, los cuales tienen competencia sobre todas las áreas de las relaciones internacionales. Cada organismo judicial es investido de determinadas funciones, que le permitan cumplir con sus metas. En dicho contexto, el Tribunal Internacional del Derecho del Mar fue una de las instituciones creadas para administrar el régimen de los océanos. A través de su función consultiva, se encuentra facultado para expedirse respecto a los diversos aspectos del régimen, entre ellos: los derechos y obligaciones de los Estados, la protección del medio marino, la explotación de los fondos marinos, los recursos marinos y la actividad pesquera. En el presente artículo nos proponemos abordar los alcances de la competencia consultiva del Tribunal desde esta perspectiva, a fin de determinar los aportes de esta institución jurisdiccional a la administración y protección de del régimen de los océanos.

  7. Transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular: serie de casos

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    Karen Castro-Medina

    2015-04-01

    Full Text Available Antecedentes. La rehabilitación es un proceso de reaprendizaje motor, que mejora el desempeño en términos de adquisición de nuevas habilidades y adaptación o refinamiento de habilidades aprendidas previamente. A pesar de este conocimiento, existen, considerablemente, pocos estudios que describan el aprendizaje motor después de un accidente cerebrovascular (ACV y la relevancia del mismo en los procesos de rehabilitación y recuperación. Objetivo. Describir la transferencia del aprendizaje motor en pacientes con antecedentes de accidente cerebrovascular después de un tratamiento con procedimientos de reeducación funcional. Materiales y métodos. Se realizó un estudio descriptivo de dos casos con pacientes que recibieron tratamiento fisioterapéutico ambulatorio con los principios de reeducación funcional desarrollados en el Hospital de las Clínicas de la Universidad de São Paulo (Brasil, entre los meses de agosto y octubre de 2013. La transferencia del aprendizaje motor se determinó según los resultados obtenidos en la evaluación de balance funcional (Mini-BESTest. Se evaluó el test antes y después del tratamiento y se compararon los resultados para determinar el porcentaje de mejora. Resultados. En los dos casos se observó mejora clínica en el desempeño de la evaluación de balance funcional Mini-BESTest con un porcentaje de mejora entre el 21% y el 41%. Conclusión. Existen pocos hallazgos literarios que describen el mantenimiento de la capacidad de aprendizaje motor en pacientes con antecedentes de ACV. Este estudio reportó la capacidad para transferir el aprendizaje motor a una habilidad motora no aprendida (balance en dos casos, con base en la mejoría clínica del desempeño motor en el test aplicado.

  8. La responsabilidad civil del empresario por daños y perjuicios derivados de accidente de trabajo

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    Monerri Guillén, Concepción

    2015-01-01

    *Introducción: La presente tesis doctoral bajo el título “La responsabilidad civil del empresario por daños y perjuicios derivados del accidente de trabajo”, ha suscitado gran interés en la doctrina y jurisprudencia de las Salas Primera y Cuarta del Tribunal Supremo ante la falta de criterios unánimes a la hora de enjuiciar la cuestión. El órgano competente para el enjuiciamiento, la valoración del daño y, el descuento de cantidades provenientes de la Seguridad Social, daban lugar al llamado ...

  9. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

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    Antioco López-Molina; Richart Vázquez-Román; Christian Díaz-Ovalle

    2012-01-01

    El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan eviden...

  10. OCTAVIO PAZ Y EL ACCIDENTE COMO IMAGEN DEL MUNDO Octavio Paz and the accident as world’s image

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    Eduardo Aguayo Rodríguez

    2011-12-01

    Full Text Available Examen del significado de la noción de accidente a partir de una perspectiva amplia que permita integrar antecedentes filológicos, filosóficos e históricos fundamentales. Se analiza la significación del accidente en tanto que imagen de mundo en las sociedades contemporáneas, a partir de una serie de reflexiones teóricas desarrolladas por Octavio Paz durante la década del 60 y, finalmente, se plantean algunas claves que pueden vincular la noción de accidente con la narrativa hispanoamericana del siglo XX.The article deals with the notion of accident from a wide point of view integrating philological, philosophical and historical data. The meaning of accident is analyzed according to the image of the world in the post-industrialized societies, from a set of theorical reflexions developed by Octavio Paz during the 60’s; finally, there is a brief discussion about the possible connections between the notion of accident and the hispanic literacy production in the 20th century, specifically in the field of narrative.

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

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    José Luis Díaz Agea

    2014-06-01

    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.

  12. Estructuración del diplomado en investigación de accidentes aéreos de la Fuerza Aérea Colombiana

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    Jean Paul Strong Flores

    2006-01-01

    Full Text Available Esta investigación tiene como objetivo la elaboración del diplomado en investigación de accidentes aéreos que suministrará las competencias necesarias para liderar las investigaciones de accidentes o incidentes aéreos. Esto en el marco de la educación continuada en investigación de accidentes aéreos permitirá a los oficiales de seguridad determinar con exactitud las causas de los accidentes, de tal forma que sea una medida correctiva para desarrollar destreza y habilidades en la investigación de accidentes.

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

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    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)

  14. Analizan partículas calientes del accidente nuclear de Palomares

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    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).

  15. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

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    Antioco López-Molina

    2012-01-01

    Full Text Available El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan evidencia de que las instalaciones en la planta de San Juan Ixhuatepec tenían un nivel de riesgo moderado lo cual se contrapone a la percepción de la sociedad en relación al riesgo de la compañía Pemex, propietaria de la planta. Este trabajo concluye que el accidente fue principalmente debido a errores humanos, así como a la pésima ubicación de la planta.The Dow fire and explosion index and the quantitative risk assessment methodology are applied to analyze one of the most unfortunate accidents in Mexican history: the explosion of gas storage tanks at the San Juan Ixhuatepec plant in Mexico. Additional calculations of over-pressure and thermal radiation are carried out to further explain the domino effect produced as a consequence of the accident. The results give evidence that facilities in San Juan Ixhuatepec had a moderate risk level which is in disagreement with people’s perception of the Pemex company, proprietary of the plant. This study concludes that the accident was mainly due to human error, as well as the inappropriate location of the plant.

  16. 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 Luis; 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.

  17. 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.

  18. 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

  19. afectadas por el accidente del "Prestige" en la costa de Galicia

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    M Pérez López

    2005-01-01

    Full Text Available Las aves marinas son organismos situados en la cumbre de las cadenas alimentarias oceánicas, lo que permite su empleo en programas de biomonitorización para evaluar el efecto de los más diversos contaminantes sobre estos sensibles ecosistemas. En el presente trabajo se han analizado las concentraciones de distintos metales pesados (Pb, Zn, Cd y Cu en hígado y plumas de tres especies de aves marinas (arao, frailecillo y alca directamente afectadas por el vertido de crudo del “Prestige” en noviembre de 2002, empleando para ello animales que murieron a lo largo de la costa de Galicia. Las concentraciones cuantificadas de los cuatro elementos fueron en general bajas para los dos tipos de muestras analizadas (hígado y plumas, situándose en niveles comparables a los cuantificados en estas mismas especies marinas en otras zonas geográficas, no excediendo los niveles que pudieran indicar un incremento en la exposición medioambiental a estos contaminantes inorgánicos

  20. 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.

  1. El subregistro potencial de accidentes de trabajo en el Instituto Mexicano del Seguro Social Potential under-registration of occupational accidents in the Mexican Institute of Social Security

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    José Santiago Salinas-Tovar

    2004-06-01

    Full Text Available OBJETIVO: Evaluar el potencial subregistro de casos de accidentes de trabajo atendidos en el Instituto Mexicano del Seguro Social. MATERIAL Y MÉTODOS: Estudio transversal llevado a cabo en México con información a escala nacional proveniente de 27 Delegaciones del Instituto Mexicano del Seguro Social (IMSS sobre trabajadores atendidos por probable accidente de trabajo, según declaración del trabajador en su primera atención en los servicios de urgencia de hospitales del IMSS durante el mes de noviembre de 2001, que posteriormente se comparó con los registros de casos reclamados o reconocidos oficialmente como accidentes de trabajo, lo que permitió identificar la proporción de los mismos que no terminaron el proceso de calificación. El análisis de la información se hizo a través de estadística descriptiva para cada variable; la estimación anual de las proporciones encontradas se realizó mediante la multiplicación por 12 meses y los intervalos de confianza se estimaron en 95% con el método exacto de Poisson para una proporción. RESULTADOS: La información de 27 de 37 Delegaciones del IMSS reveló que 7 211 casos no fueron reconocidos como accidentes de trabajo en el periodo de estudio; lo que equivaldría a un subregistro de accidentes de trabajo nacional de 26.3%, con variaciones en las Delegaciones de 0 a 68%. Los diagnósticos más frecuentes fueron contusiones y heridas leves. CONCLUSIONES: El subregistro encontrado puede afectar las prestaciones a trabajadores y el equilibrio financiero del seguro de riesgos de trabajo. Sin embargo, todavía es necesario investigar sus causas y los factores para abatirlo, debiendo participar empresarios, instituciones de trabajo y de saludOBJECTIVE: To assess the potential under-registration of work-related accidents in the Mexican Institute of Social Security. MATERIAL AND METHODS: A countrywide cross-sectional study was carried out with information collected from 27 district offices of

  2. 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.

  3. Competencia del desarrollo del pensamiento científico en Ciencias Naturales con énfasis en prevención de accidentes en niños de primaria.

    OpenAIRE

    Alvarado Garcia, Maria Gabriela; Piedras Morales, Miguel Angel

    2011-01-01

    Introducción. Evaluación diagnóstica. Tema 1 ¿Qué significa la competencia para el desarrollo del pensamiento científico en ciencias naturales con énfasis en prevención de accidentes en niños de primaria? Evaluación diagnóstica Objetivos específicos. Contenido. Conclusiones. Evaluación final. Material adicional Tema2 ¿Por qué es relevante que adquiera la competencia para el desarrollo del pensamiento científico en ciencias naturales con énfasis en prevención de acci...

  4. Pesca con anzuelos en barcos palangreros del Océano Pacífico mexicano: efectos en la captura y peso de tiburones y otras especies

    OpenAIRE

    Galeana-Villaseñor, Ildefonso; Galván Magaña, Felipe; Santana Hernández, Heriberto

    2009-01-01

    Se evaluó el efecto de dos tipos de anzuelos y dos tipos de carnada en la tasa de captura de barcos palangreros en el noroeste del Océano Pacífico mexicano. Se realizaron cuatro viajes de pesca comercial con un total de 47 lances, entre marzo de 2005 y agosto de 2006. Los dos tipos de anzuelos usados fueron: recto 11º de inclinado 9/0 de uso tradicional y circular plano 16/0 (experimental). Se utilizaron dos tipos de carnada: calamar gigante (Dosidicus gigas) y peces juveniles de lisa (Mugil ...

  5. 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

  6. 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

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

    OpenAIRE

    Zuly Nayibe Garavito Santos

    2012-01-01

    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 accidentalida...

  8. 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.

  9. IX Proceso abierto de consultas oficiosas de las Naciones Unidas sobre los océanos y el Derecho del mar (IX UNICPOLOS, Nueva york, 23-27 junio de 2008

    Directory of Open Access Journals (Sweden)

    Miguel García García-Revillo

    2009-01-01

    Full Text Available Dentro del marco jurídico que se describe a continuación, se celebró en la Sala 1 de la Sede de las Naciones Unidas en Nueva York, del 23 al 27 de junio de 2008, el IX UNICPOLOS, esto es, el IX Proceso abierto de consultas oficiosas de las Naciones Unidas sobre los océanos y el derecho del mar.

  10. 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...

  11. 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....

  12. Accidente de Trabajo y Recargo

    OpenAIRE

    Pérez Alonso, María Antonia

    2015-01-01

    En la actualidad existen diferentes formas de Accidente de Trabajo. En el presente trabajo se da a conocer las distintas formas y la doctrina de los tribunales. Se aborda el recargo de prestaciones de Seguridad Social y el deber del empresario en cumplir la normativa de Seguridad Social

  13. Interacción océano - atmósfera sobre la zona costera del Ecuador

    OpenAIRE

    Moreano, H.R.

    1983-01-01

    El análisis de temperatura y de precipitación para varias ciudades de la costa ecuatoriana proporciona una idea clara de que el clima de esta zona responde a cambios en las masas de aguas del Océanoo y al movimiento de la zona de convergencia Intertropical (ZICT). Bajo esta consideración se intenta buscar un mecanismo que permita pronosticar la rigurosidad de la Estación lluviosa; que resulta del acercamiento de la ZCIT a la Línea Ecuatorial y a la presencia de aguas cálidas frente a la costa...

  14. 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)

  15. 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)

  16. 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.

  17. Accidentes de tránsito como riesgo laboral ocurridos durante los años 2006 y 2007, valorados en la sección de medicina del trabajo del Departamento de Medicina Legal

    Directory of Open Access Journals (Sweden)

    Josette Bogantes Rojas

    2010-03-01

    Full Text Available En los últimos años los accidentes de tránsito sufridos por los trabajadores mientras llevan a cabo su jornada laboral, han aumentado en número y severidad. En el presente trabajo se estudiaron los accidentes de tránsito que fueron valorados como riesgo laboral en la Sección de Medicina del Trabajo durante los años 2006-2007 (total de casos evaluados por esta causa 121. Obteniéndose del mismo una caracterización del trabajador afectado, siendo este, de sexo masculino, entre los 30 y los 49 años, chofer o mensajero motorizado. Además se logró determinar que la mayoría de las lesiones presentadas por estos trabajadores correspondió con fracturas de los miembros inferiores (tibia y peroné y con traumatismos craneoencefálicos, resultando como secuelas más destacadas el dolor residual y la limitación funcional, por lo que se les otorgó una incapacidad temporal y permanente acorde con la severidad de sus secuelas.In the last years, the traffic accident suffered by workers while carrying out their jobs, increased by number and severity. In this paper we studied the traffic accidents valued as laboral risk by the Department of Work Medicine during 2006-2007 (Total of cases evaluated: 121. There is a dominant pattern among the studied cases; most of them were men from 30 up to 49 years old, bus/taxi drivers or motorcycle messengers. The main injuries presented by these workers corresponded to inferior member fractures (warm and perone and head traumatisms, with sequels such as residual pain and functional limitation, that granted in some cases a temporal or permanent disability depending to the severity.

  18. Incidencia del alcohol etílico y de sustancias psicoactivas en las muertes acaecidas por accidente de tráfico en el sur de España durante 2004

    OpenAIRE

    C Pareja; C. Jurado; MP Giménez

    2007-01-01

    El Instituto Nacional de Toxicología y Ciencias Forenses, la Delegación del Gobierno para el Plan Nacional sobre Drogas y la Dirección General de Tráfico tienen firmado un Convenio de colaboración para establecer la incidencia del consumo de alcohol y sustancias psicoactivas en las muertes en accidentes de tráfico, tanto conductores como peatones. En el estudio, objeto de este trabajo, se analizan los resultados de las muestras de sangre obtenidas en las autopsias practic...

  19. Tuberculosis cutánea por inoculación accidental Cutaneous tuberculosis accidental inoculation

    OpenAIRE

    María Ascensión Maestre Naranjo; Jenry Borda Olivas; Arantxa Ortega Hernández; Esmeralda Tovar Benito; María Luisa Rodríguez de la Pinta; Rosa María Daza Pérez

    2009-01-01

    Caso clínico de una microbióloga con amplia experiencia, que sufre una inoculación accidental al manipular una cepa pura de Mycobacterium tuberculosis. Se pincha en la cara lateral externa de la falange distal del dedo índice, atravesando el guante con la aguja contaminada. (Imagen 1). La trabajadora procede de forma inmediata a la limpieza de la herida. El Servicio de Prevención, registra la inoculación como accidente de trabajo. A las tres semanas del accidente, aparece en el lugar de la in...

  20. Estatus de parámetros oxidativos y del gen p53 en sangre de niños en edad escolar de zonas afectadas por el accidente nuclear de Chernobyl.

    OpenAIRE

    García Mora, Mª Carmen

    2004-01-01

    RESUMEN Tras el accidente nuclear de Chernobyl producido el 26 de abril de 1986 se liberaron muchos radioisótopos, produciendo la contaminación del medio ambiente, con la consiguiente implicación sobre la salud de las personas afectadas. La irradiación produce su efecto sobre el material biológico de manera directa, como consecuencia inmediata de la ionización inducida por la irradiación y de manera indirecta, que al interaccionar sobre cualquier estructura celular, esencialmente el agua t...

  1. 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

  2. Análisis del contenido estomacal y la razón de isótopos estables de carbono (13C) y nitrógeno (15N) del atún aleta amarilla (Thunnus albacares), delfín manchado (Stenella attenuata) y delfín tornillo (Stenella longirostris) del Océano Pacífico Oriental.

    OpenAIRE

    Román Reyes, José Cristóbal

    2005-01-01

    Las agregaciones del atún aleta amarilla (Thunnus albacares), el delfín manchado (Stenella attenuata) y el delfín tornillo (Stenella longirostris) son frecuentes en el Océano Pacífico oriental tropical. A pesar del considerable interés, la asociación entre el atún aleta amarilla y las especies de delfines no se comprende totalmente. La hipótesis de que la asociación está basada en la alimentación ha sido explorada a través del estudio del contenido estomacal, la cual está limitada sólo a desc...

  3. 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

  4. Modificaciones en la propiocepción en pacientes con esguince de tobillo en el ámbito del accidente de trabajo

    OpenAIRE

    González Íñigo, Salvador

    2016-01-01

    Falta palabras claves Objetivos: El propósito de este estudio fue determinar si la propiocepción seguía mostrándose alterada en sujetos que han sufrido un esguince de tobillo (en adelante ET), después de 14 días de la producción. Material y método: Se estudiaron los tobillos lesionados y sanos (grupo de comparación) de 30 sujetos que tuvieron un esguince de tobillo como consecuencia de un accidente de trabajo. Para ello, se realizaron pruebas de Romberg, descalzo, sobre plataforma de fu...

  5. Radiative accidental matter

    CERN Document Server

    Sierra, D Aristizabal; Wegman, D

    2016-01-01

    Accidental matter models are scenarios where the beyond-the-standard model physics preserves all the standard model accidental and approximate symmetries up to a cutoff scale related with lepton number violation. We study such scenarios assuming that the new physics plays an active role in neutrino mass generation, and show that this unavoidably leads to radiatively induced neutrino masses. We systematically classify all possible models and determine their viability by studying electroweak precision data, big bang nucleosynthesis and electroweak perturbativity, finding that the latter places the most stringent constraints on the mass spectra. These results allow the identification of minimal radiative accidental matter models for which perturbativity is lost at high scales. We calculate radiative charged-lepton flavor violating processes in these setups, and show that $\\mu\\to e \\gamma$ has a rate well within MEG sensitivity provided the lepton-number violating scale is at or below $10^6\\,$ GeV, a value (natur...

  6. Characterization of mortality rates resulting from traffic accidents involving cycles Caracterización de la mortalidad por accidentes del tránsito con participación de ciclos

    Directory of Open Access Journals (Sweden)

    Mavis Ortis Sagasta

    2010-08-01

    fallecimientos por accidentes de tránsito en ciclos, ocurridos entre el primero de enero y treinta y uno de diciembre de 2009. Se analizaron las variables: edad, sexo, horario en que ocurrió el accidente, región anatómica predominantemente afectada, causa directa de la muerte e ingestión de alcohol. Resultados: se produjeron 26 muertes (tasa de 6,4 por 100 000 habitantes, fundamentalmente en el grupo de 15 a 29 años; hubo predominio del sexo masculino, con 23 casos para un 88,4 %; el 53, 8 % de los fallecidos eran trabajadores y 23 % estudiantes; hubo predominio de casos fatales en el horario comprendido entre las 6:00 pm y las 11:59 pm; la región anatómica más afectada fue la cefálica (61,5 %; el 46, 2 % de fallecidos tenía más 50 mg de alcohol en sangre; la causa directa de muerte que predominó fue la lesión de centros nerviosos superiores. Conclusiones: los accidentes de tránsito con ciclos son más frecuentes en el sexo masculino en edades jóvenes, se relacionan con la ingestión de bebidas alcohólicas y generalmente afectan la región cefálica.

  7. 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

  8. Hábitos del sueño y accidentes de tránsito en conductores de ómnibus interprovincial de Arequipa, Perú

    Directory of Open Access Journals (Sweden)

    Alex Caso

    2014-12-01

    Full Text Available Con el objetivo de determinar los hábitos de sueño en los conductores de ómnibus y su relación con los accidentes en la ciudad de Arequipa, Perú, se realizó un estudio transversal y descriptivo en una muestra no probabilística de 166 conductores. Las horas de conducción por día fueron de 9,4 ± 3,7; el 54% (89 conduce más de 4 h sin detenerse; 74% (123 conducen de noche y 87% (145 duermen en el ómnibus. El 75% reconoció cansancio durante la conducción (124. El 27% (45 tuvo somnolencia; el 24% (40 refirió haberse accidentado o haber estado a punto de accidentarse durante la conducción. La somnolencia o el cansancio durante la conducción fue frecuente en esta población, y sus hábitos de conducción y descanso podrían propiciarlo.

  9. El accidente de trabajo. Concepto legal y jurisprudencia

    OpenAIRE

    García Romero, José Daniel

    2015-01-01

    El trabajo final de grado versa sobre el concepto de accidente de trabajo que da la jurisprudencia a través de las diferentes sentencias del Tribunal Supremo en la Sala de lo Social, y de los diferentes Tribunales Superiores de Justicia. Analizaremos en profundidad que características tienen que concurrir para que sea considerado como tal, analizando los diferentes supuestos de accidente de trabajo como el accidente in itinere, en misión, etc. También hemos tratado las diferentes contingencia...

  10. 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

    2012-01-01

    Full Text Available Automóviles, coches, camiones y trenes aparecieron en Medellín (Colombia du - rante 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 atro - pellamientos, que podían ser calificados como delitos, extendiendo así el marco de aplicación de las leyes y obligando, incluso, a generar estrategias legales para in - tentar llevar coherentemente estos litigios. El objeto central de este artículo es describir las formas como se presentaron los accidentes de tránsito en el contexto se - ñalado 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.

  11. 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

    2012-12-01

    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 se-ñalado 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.

  12. Radiative accidental matter

    Science.gov (United States)

    Sierra, D. Aristizabal; Simoes, C.; Wegman, D.

    2016-07-01

    Accidental matter models are scenarios where the beyond-the-standard model physics preserves all the standard model accidental and approximate symmetries up to a cutoff scale related with lepton number violation. We study such scenarios assuming that the new physics plays an active role in neutrino mass generation, and show that this unavoidably leads to radiatively induced neutrino masses. We systematically classify all possible models and determine their viability by studying electroweak precision data, big bang nucleosynthesis and electroweak perturbativity, finding that the latter places the most stringent constraints on the mass spectra. These results allow the identification of minimal radiative accidental matter models for which perturbativity is lost at high scales. We calculate radiative charged-lepton flavor violating processes in these setups, and show that μ → eγ has a rate well within MEG sensitivity provided the lepton-number violating scale is at or below 5×105 GeV, a value (naturally) assured by the radiative suppression mechanism. Sizeable τ → μγ branching fractions within SuperKEKB sensitivity are possible for lower lepton-number breaking scales. We thus point out that these scenarios can be tested not only in direct searches but also in lepton flavor-violating experiments.

  13. Dinámica de la flota atunera mexicana del Océano Pacífico Oriental Mexican tuna fleet dynamics of the Eastern Pacific Ocean

    OpenAIRE

    Rafael Solana-Sansores; Irma Dicante; Lourdes P. Arredondo-Uribe

    2009-01-01

    Se analiza la dinámica de la flota atunera mexicana del Pacífico Oriental y su relación con señales medioambientales utilizadas en las estrategias de pesca. La información proviene de una muestra sistemática con arranque aleatorio de 176 cruceros de pesca registrados por el programa mexicano de observadores, entre 1992 y 2005. En cada viaje la información se genera secuencialmente en lapsos de tiempo fijos, permitiendo suponer que los registros son un proceso estocástico discreto y puede anal...

  14. ¿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.

  15. Dinámica de la flota atunera mexicana del Océano Pacífico Oriental Mexican tuna fleet dynamics of the Eastern Pacific Ocean

    Directory of Open Access Journals (Sweden)

    Rafael Solana-Sansores

    2009-12-01

    Full Text Available Se analiza la dinámica de la flota atunera mexicana del Pacífico Oriental y su relación con señales medioambientales utilizadas en las estrategias de pesca. La información proviene de una muestra sistemática con arranque aleatorio de 176 cruceros de pesca registrados por el programa mexicano de observadores, entre 1992 y 2005. En cada viaje la información se genera secuencialmente en lapsos de tiempo fijos, permitiendo suponer que los registros son un proceso estocástico discreto y puede analizarse como una Cadena de Markov. Los registros se agrupan en: (1 desplazamientos espaciales del barco; (2 observación de señales y (3 maniobras de pesca. En el análisis se reconocen dos tácticas de pesca: una sistemática y otra aleatoria. La primera inicia con una búsqueda de señales (aves o mamíferos marinos, seguido de un lance de pesca sobre cardúmenes asociados a delfines o sobre cardúmenes no asociados. Alternativamente, las tácticas aleatorias no involucran una búsqueda y llevan, con menor probabilidad, a un lance sobre atunes no asociados. Ambas tácticas de pesca son influenciados por factores ambientales, ecológicos, sociales, y económicos. De este modo se observan diferentes estrategias durante un ciclo anual o de mayor duración, que están relacionadas con políticas regionales de manejo pesquero derivadas del Acuerdo del Programa Internacional de Conservación de Delfines. Se concluye que la dinámica de la flota atunera mexicana es un factor que deberá analizarse sistemáticamente en la estimación del Esfuerzo de Pesca para obtener mejores evaluaciones de los rendimientos de esta pesquería.It analyzes the fishing dynamics of the Mexican tuna fleet of the Eastern Tropical Pacific (ETP and its relation with environmental signs which are used for fishing. The information comes from a systematic sample with a random start of 176 fishing cruisers, registered by the observer's Mexican program (1992 to 2005. In each trip the

  16. Accidentes de tránsito terrestre

    Directory of Open Access Journals (Sweden)

    José Enrique Ramírez Muñoz

    2013-09-01

    Full Text Available Los accidentes de tránsito terrestres en Costa Rica se han convertido en un serio problema de salud pública, que derivan ya sea en lesiones graves o bien en muertes de personas de todas las edades. Estos eventos incluyen el atropellamiento, las colisiones y choques, y producen cuadros lesionológicos muy diversos de acuerdo a la participación de las personas, el tipo de vehículo y la forma en la que se produce el traumatismo. Así mismo, se debe tener en cuenta la participación de factores coadyuvantes como el uso del casco y el cinturón de seguridad, o bien el consumo de alcohol y el uso del teléfono móvil. La valoración médico legal de las víctimas, vivas o muertas de accidentes de tránsito, está a cargo del Departamento de Medicina Legal del Organismo de Investigación Judicial, y se hace por solicitud de una Autoridad Judicial competente.

  17. 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.

  18. Flavour from accidental symmetries

    Energy Technology Data Exchange (ETDEWEB)

    Ferretti, Luca [SISSA/ISAS and INFN, I-34013 Trieste (Italy); King, Stephen F. [School of Physics and Astronomy, University of Southampton, Southampton, SO17 1BJ (United Kingdom); Romanino, Andrea [SISSA/ISAS and INFN, I-34013 Trieste (Italy)

    2006-11-15

    We consider a new approach to fermion masses and mixings in which no special 'horizontal' dynamics is invoked to account for the hierarchical pattern of charged fermion masses and for the peculiar features of neutrino masses. The hierarchy follows from the vertical, family-independent structure of the model, in particular from the breaking pattern of the Pati-Salam group. The lightness of the first two fermion families can be related to two family symmetries emerging in this context as accidental symmetries.

  19. Accidentes en plantas nucleares de electricidad y el riesgo de cáncer

    Science.gov (United States)

    Hoja informativa acerca de los riesgos del cáncer asociados con accidentes en plantas nucleares de electricidad. Incluye información para pacientes con cáncer que viven en una zona que puede haber sido afectada por un accidente en una planta nuclear.

  20. 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

  1. 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

  2. Ano Brasil. Brasil ?

    OpenAIRE

    Sandra Jatahy Pesavento

    2005-01-01

    2005, Ano Brasil na França. E, para assinalar a data, o prestigioso Grand Palais de Paris abriga Brésil indien, uma exposição que se propõe a combater os clichês. Perguntaria o visitante, curioso: clichês sobre o Brasil?  Não, sobre os povos indígenas, que hoje correspondem a 0,3% da população brasileira, informa o primeiro cartaz explicativo já desde o início do percurso. Uma exposição que se anuncia para dar a ver e sentir uma experiência estética construída como visão de mundo, complement....

  3. 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.

  4. 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...

  5. 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.

  6. PROMETEUS 17, ANO 8

    Directory of Open Access Journals (Sweden)

    Os Editores da Prometeus

    2015-04-01

    Full Text Available A Prometeus chega ao seu número 17 e seu oitavo ano. Nessa edição, temos uma excelente seleção de artigos.Focalizando a filosofia antiga, temos Lethícia Ouro, Bruno Karl, Irley Franco, Leonidas Konstantakos, Helena Maronna, Miguel Ángel Rossi.Em artigo especial, Rodrigo Brito lida com a filosofia judaica de Abrahan Cohen.A filosofia contemporânea é abordada por Antonio Baptista Gonçalves, que trata de Deleuze, e Paulo Sérgio Calvet, que  trata de Hanna Arendt.Nossa edição se encerra com três traduções: uma de Boécio (William Piauí, uma de Tomás de Aquino (Húdson Canuto e uma de Eurídepdes (Evandro Luis SalvadorDesejamos que os pesquisadores se beneficiem com os trabalhos que selecionamos.Os Editores 

  7. 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.

  8. Parlamento do MERCOSUL: primeiro ano de vida

    OpenAIRE

    Almeida Medeiros, Marcelo de; Cavalcanti, Henrique

    2008-01-01

    O Parlamento do Mercosul completou um ano de funcionamento em dezembro de 2007. Este novo órgão mercosulino vem para substituir a Comissão Parlamentar Conjunta (CPC) que, apesar de sua importância, teve uma atuação limitada ao longo do processo de integração. Embora seus poderes institucionais continuem semelhantes á queles detidos pela CPC, o Parlasul apresenta características intrínsecas que o fazem se aproximar mais de um modelo genuíno de parlamento. (Párrafo extraído del texto a modo...

  9. 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.

  10. Fracaso en el control del número de víctimas por accidentes de tráfico en españa: ¿La repuesta correcta a la pregunta equivocada?

    OpenAIRE

    Regidor Enrique; Reoyo Agustín; Calle M. Elisa; Domínguez Vicente

    2002-01-01

    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 tend...

  11. Presentismo: potencialidad en accidentes de salud

    Directory of Open Access Journals (Sweden)

    Grettchen Flores-Sandí

    2006-03-01

    Full Text Available El concepto de salud ha sobrepasado el entorno propiamente sanitario y cada vez más, tiene otras implicaciones sociales, la institución de salud es hoy en día una actividad compleja donde no solamente se gestiona la prevención y tratamiento de las enfermedades de los usuarios sino al recurso humano encargado de su atención. Asimismo en la actualidad se reconoce la importancia del recurso humano para la organización y surge el concepto de "presentismo", referido a aquellos trabajadores que sufren enfermedades que los obligarían a ausentarse del trabajo pero que se presentan a trabajar sin cumplir eficazmente sus funciones. Al respecto y en relación con el presentismo, se debe tomar en cuenta que los efectos adversos o accidentes durante la atención de servicios de salud se encuentran asociados a factores fisiológicos, psicológicos y ambientales e implican desde el punto de vista administrativo, una falla en la productividad, que afecta tanto al usuario del servicio como al trabajador. Se debe considerar que este grupo profesional se ubica entre los grupos de riesgo del presentismo y que con el fin de administrar y reducir el presentismo se requieren estrategias preventivas por parte de la gerencia de salud.

  12. SUS – 20 anos

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Aguilera Campos

    2010-11-01

    Full Text Available A RBMFC não poderia deixar de fazer alusão ao aniversário de 20 anos da promulgação do Sistema Único de Saúde (SUS. Este momento tem sido motivo de reflexão por todos aqueles que acompanham e militam, como nós, na sua construção. Em primeiro lugar cremos ter mais motivos a comemorar do que a lamentar. Em nosso campo de atuação, a Atenção Primária à Saúde e a Medicina de Família e Comunidade, alcançaram-se resultados extraordinários nestas duas décadas assim como estão lançadas para o futuro bases para o seu completo desenvolvimento. A ênfase dada à política de universalização com eqüidade irá requerer de todos os profissionais de saúde um crescente e renovado compromisso. Este esforço persistente deve ser destacado como um dos grandes ganhos em nossa sociedade que se reafirma e se aprimora como democrática. Por outro lado isto não se realizará sem esforços e investimentos em ciência e tecnologia, formação de recursos humanos e melhoria da qualidade em todas as suas dimensões, técnica e administrativa. Não se pode ignorar porém que resultados serão alcançados a médio e longo prazos e que só o trabalho árduo e permanente é capaz de realizar as mudanças almejadas. Assim a continuidade das políticas de Estado como a municipalização, a estabilidade dos mecanismos de financiamento, a capacitação de recursos humanos, a prioridade às ações de promoção e prevenção são aquelas que resultarão em melhores resultados em termos de indicadores de saúde. Não há como negar que algumas das questões consideradas problemáticas para o cidadão e usuário do Sistema Único de Saúde retornam diversas vezes à pauta sem que haja uma clareza de como serão resolvidas pelos gestores, profissionais e a sociedade brasileira em geral. É importante persistir com a decisão política por um modelo que garanta a territorialidade da assistência e que esta seja contínua, com vínculo, tal como

  13. 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).

  14. Bloqueio inadvertido do neuroeixo durante artroplastia vertebral: relato de caso Bloqueo no percibido del neuroeje durante la artroplastia vertebral: relato de caso Accidental spinal block during vertebral artroplasty: case report

    Directory of Open Access Journals (Sweden)

    Michelle Nacur Lorentz

    2006-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A cirurgia de artroplastia vertebral com uso do cimento ósseo tem suas particularidades e complicações. Na maioria das vezes o procedimento é realizado sob anestesia local com sedação, mas algumas vezes é realizado bloqueio subaracnóideo ou peridural com morfina com o intuito de fornecer analgesia pós-operatória. O objetivo deste relato foi discutir as possíveis complicações em cirurgias de artroplastia vertebral. RELATO DO CASO: Paciente do sexo masculino, 76 anos, apresentando fratura patológica em T12, foi admitido para cirurgia de artroplastia vertebral e biopsia óssea. Foi realizada sedação com midazolam e fentanil, o paciente foi colocado em decúbito ventral e o cirurgião infiltrou anestésico local desde a pele até o corpo vertebral de T12 a seguir biopsiou a vértebra e injetou 6 mL de cimento ósseo em T12. Ao final do procedimento o paciente apresentava paralisia dos membros inferiores. CONCLUSÕES: A intervenção cirúrgica na coluna vertebral não é procedimento isento de complicações. Quando se associa bloqueio espinal pode-se retardar o diagnóstico de complicação cirúrgica; além disto corre-se o risco de se imputar à anestesia um problema proveniente do procedimento cirúrgico.JUSTIFICATIVA Y OBJETIVOS: A cirugía de artroplastia vertebral con uso del cimiento óseo tiene sus particularidades y complicaciones. En la mayoría de las veces el procedimiento se realiza bajo anestesia local con sedación, pero en algunos casos se realiza el bloqueo subaracnoideo o peridural con morfina con el interés de suministrar analgesia postoperatoria. El objetivo de este relato fue el de discutir las posibles complicaciones en cirugías de artroplastia vertebral. RELATO DEL CASO: Paciente del sexo masculino, 76 años, presentando fractura patológica en T12, fue admitido para cirugía de artroplastia vertebral y biopsia ósea. Se realizó sedación con midazolam y fentanil, el paciente fue

  15. 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

  16. Accidental degeneracies in string compactification

    Energy Technology Data Exchange (ETDEWEB)

    Bais, F.A.; Taormina, A.

    1986-11-27

    The equivalence of the torus and group manifold compactification of strings is established. Accidental degeneracies are shown to occur for a large class of compactifications. This way many examples are obtained in which modular invariance does not uniquely fix the representation content of the spectrum.

  17. Accidental degeneracies in string compactification

    Science.gov (United States)

    Bais, F. A.; Taormina, A.

    1986-11-01

    The equivalence of the torus and group manifold compactification of strings is established. Accidental degeneracies are shown to occur for a large class of compactifications. This way many examples are obtained in which modular invariance does not uniquely fix the representation content of the spectrum.

  18. Tubercular fistula-in-ano

    International Nuclear Information System (INIS)

    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)

  19. 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

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    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

  20. Efectos de la aplicación del indicador de años de vida productivos perdidos (modelo inversión producción consumo en el ordenamiento de las causas de muerte en México, 1990 Os efeitos da aplicação do indicador de anos de vida produtivos perdidos (modelo inversão-produção-consumo na ordenação das causas de morte no México, 1990 The effects of the application of the investment-production-consumption model of the years of productive life host index on the sequence of causes of death in Mexico

    Directory of Open Access Journals (Sweden)

    Lilia P. Bustamante-Montes

    1994-06-01

    Full Text Available En busca de métodos que apoyen la toma de decisiones y maximizar el beneficio al priorizar necesidades, el presente trabajo discute el modelo de inversión-producción-consumo (IPC que intenta cuantificar el impacto socio-económico de la mortalidad. Este tipo de evaluación toma en cuenta la edad al morir y la potencial productividad futura generando así pérdidas o ganancias a la sociedad, dependiendo de la etapa de la vida en que ocurrió la muerte. Se ilustra para el caso de México el impacto de las diferentes causas de muerte y se compara con la importancia relativa a partir de el ordenamiento con tasas de mortalidad y el indicador de años de vida perdidos. El ordenamiento por tasas muestra a las enfermedades del corazón, accidentes y tumores como las primeras causas. Por otro lado el indicador de años de vida potencial perdidos tradicional muestra en primer lugar a las causas de muerte en edades menores. El indicador de años de vida produtivos perdidos, sin embargo, concede mayor importancia las infecciones, los accidentes y los homicidios desde el punto de vista de la producción y consumo.Com a intenção de apoiar a tomada de decisões e melhorar o benefício, ao priorizar as necessidades, discute-se o modelo de inversão-produção-consumo (IPC, o qual tenta medir o impacto socioeconômico da mortalidade. Esse tipo de avaliação toma em conta a idade ao morrer e a futura produtividade potencial, gerando perdas ou ganhos à sociedade, dependendo da etapa da vida quando ocorreu a morte. Ilustra-se para o México o impacto das diferentes causas de morte e compara-se com a importância relativa, partindo da ordenação com as taxas de mortalidade e o indicador de anos de vida perdidos (IVAPP. Ao ordenar por taxas, observa-se que as doenças do coração, acidentes e tumores são as primeiras causas. Entretanto, o tradicional indicador de anos de vida potencialmente perdidos demonstra que estão em primeiro lugar as causas de morte

  1. Accidental haloperidol poisoning in children

    Directory of Open Access Journals (Sweden)

    Mona P Gajre

    2012-01-01

    Full Text Available Haloperidol, a butyrophenone neuroleptic drug, is an antipsychotic used in the treatment of adult schizophrenia and mania. It is used in children with neurological disorders like chorea and developmental disorders such as hyperactivity. With the advent of newer selective neuroleptics use of haloperidol is now on decline. However, in adults it is still the preferred drug especially in resource challenged settings. Extrapyramidal reactions occur frequently with haloperidol predominantly as parkinsonian symptoms. There are few case reports of accidental haloperidol poisoning in children and this one of them.

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

    OpenAIRE

    Vilma Sousa Santana; Elizabeth Costa Dias; Graziella Lage Oliveira; Maria Cláudia Peres Moura; Leticia Coelho da Costa Nobre; Jorge Mesquita Huet Machado

    2013-01-01

    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 ...

  3. 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

  4. Accidente laboral: ACSOM una nueva orientación para gestión automática del riesgo Work accidents: ACSOM a new orientation for automatic risk management

    Directory of Open Access Journals (Sweden)

    A. I. García Felipe

    2009-04-01

    Full Text Available Fundamento. Analizar la accidentalidad laboral en todo tipo de empresas, a través de los riesgos que la provocan, teniendo en cuenta que el objetivo final es establecer una clasificación de riesgos prioritarios. Esta información permite abordar las acciones preventivas oportunas sobre los riesgos más vulnerables. Material y Métodos. Se aplica un conjunto de técnicas estadístico-matemáticas, basadas fundamentalmente en contrastes estadísticos, a los accidentes laborales acaecidos durante tres años, en un organismo de investigación y desarrollo español (I+D con 8.780 trabajadores. Se utiliza como patrón de referencia en este estudio, para un análisis comparativo, el conjunto de accidentes en España durante un periodo de 11 años. Resultados. Tras la aplicación de la nueva metodología, los dos primeros riesgos que requieren acciones preventivas prioritarias son interacción con substancias agresivas y accidentes con maquinaria móvil. Si únicamente se hubieran considerado los dos riesgos con frecuencias más elevadas, sin tener en cuenta la vulnerabilidad de cada uno de ellos, los riesgos prioritarios hubieran sido sobreesfuerzos y caídas al mismo nivel. Conclusiones. El análisis proporciona una relación de los riesgos más vulnerables (puntos débiles, sobre los cuales actuar y de esta forma ser más efectivos a la hora de reducir la accidentalidad.Background. To analyse workplace accidents, by considering the risks that provoke such accidents, bearing in mind that the final aim is to establish a classification of priority risks. This information will make it possible to undertake the opportune preventive actions against the most vulnerable risks. Material and Methods. A set of statistical-mathematical techniques, essentially based on statistical contrasts, was applied to work accidents taking place during a three year period in a Spanish Research and Development (R+D organisation with 8,780 workers. The reference standard

  5. 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.

  6. Accidental inflation in the landscape

    International Nuclear Information System (INIS)

    We study some aspects of fine tuning in inflationary scenarios within string theory flux compactifications and, in particular, in models of accidental inflation. We investigate the possibility that the apparent fine-tuning of the low energy parameters of the theory needed to have inflation can be generically obtained by scanning the values of the fluxes over the landscape. Furthermore, we find that the existence of a landscape of eternal inflation in this model provides us with a natural theory of initial conditions for the inflationary period in our vacuum. We demonstrate how these two effects work in a small corner of the landscape associated with the complex structure of the Calabi-Yau manifold P4[1,1,1,6,9] by numerically investigating the flux vacua of a reduced moduli space. This allows us to obtain the distribution of observable parameters for inflation in this mini-landscape directly from the fluxes

  7. 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.

  8. Idiopathic fistula-in-ano

    Institute of Scientific and Technical Information of China (English)

    Sherief Shawki; Steven D Wexner

    2011-01-01

    Fistula-in-ano is the most common form of perineal sep- sis. Typically, a fistula includes an internal opening, a track, and an external opening. The external opening might acutely appear following infection and/or an abs-cess, or more insiduously in a chronic manner. Mana-gement includes control of infection, assessment of the fistulous track in relation to the anal sphincter muscle, and finally, definitive treatment of the fistula. Fistulo-tomy was the most commonly used mode of manage-ment, but concerns about post-fistulotomy incontinence prompted the use of sphincter preserving techniques such as advancement flaps, fibrin glue, collagen fistula plug, ligation of the intersphincteric fistula track, and stem cells. Many descriptive and comparative studies have evaluated these different techniques with variable outcomes. The lack of consistent results, level I eviden-ce, or long-term follow-up, as well as the heterogeneity of fistula pathology has prevented a definitive treatment algorithm. This article will review the most commonly available modalities and techniques for managing idio-pathic fistula-in-ano.

  9. 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

  10. Acidentes registrados no Centro de Referência em Saúde do Trabalhador de Ribeirão Preto, São Paulo Registros de accidentes Centro de Referencia para la salud del trabajador, Ribeirão Preto, São Paulo Accidents reported at the Workers' Reference Center in Ribeirão Preto, Southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Mônica Bonagamba Chiodi

    2010-06-01

    Full Text Available Pesquisa descritiva com abordagem quantitativa, que teve como objetivo investigar a ocorrência de acidentes de trabalho (AT com exposição a material biológico entre trabalhadores da saúde do município de Ribeirão Preto, São Paulo, registrados no Centro de Referência em Saúde do Trabalhador (CEREST em 2005. Foram registrados através da Comunicação de Acidente de Trabalho 1665 AT (91,7% e 151 (8,3% foram diagnosticadas como doenças ocupacionais. Dos 1665 AT registrados, 480 (28,82% AT vitimizaram trabalhadores das unidades de assistência de saúde e em 53 (31,87% ocorreu exposição a material biológico. O diagnóstico da situação acidentária ocupacional é relevante para a elaboração de estratégias preventivas pelos serviços de atenção ao trabalhador e os resultados da pesquisa ora realizada traz importantes indicadores que possibilitarão a organização de ações em cumprimento ao papel esperado pela Rede Nacional de Atenção à Saúde do Trabalhador (RENAST contribuindo de forma efetiva para a promoção da Saúde do Trabalhador.Enfoque descriptivo de los datos cuantitativos, que tienen por objeto investigar la ocurrencia de accidentes de trabajo (AT con exposición a material biológico entre trabajadores de la salud en el municipio de Ribeirão Preto, São Paulo, Brasil, registrada en el Centro de Referencia en Salud del Trabajador (CEREST en 2005. Se registraron por la Comisión de los Accidentes del Trabajo en 1665 (91,7% y 151 (8,3% fueron diagnosticados como enfermedades profesionales. La registrada en 1665, 480 (28,82% a los empleados víctimas de las unidades de atención de la salud y en 53 (31,87% estuvieron expuestos a material biológico. El diagnóstico de los accidentes de trabajo es relevante para el desarrollo de estrategias preventivas para los servicios de atención al empleado y los resultados de la búsqueda ya ha celebrado importantes indicadores que permitan a la organización de acciones de

  11. Analysis of a local reporting system of incidents in radiotherapy. Experience the first year and a half; Analisis un sistema de notificacion local de incidentes en radioterapia. Experiencia del primer ano y medio

    Energy Technology Data Exchange (ETDEWEB)

    Angulo Pain, E.; Gutierrez bravo, L.; Iborra Oquendo, M.; Castro Ramirez, I.; Quinones Rodriguez, L. A.

    2011-07-01

    In July 2009 began a local electronic reporting system of incidents in radiotherapy based on the WHO Technical Manual Radiation Risk Profile (2008), a voluntary, anonymous, confidential, non-punitive and open to all professionals involved in the radiotherapy process, designed and managed by the UGC of Radiophysics U. Hospital Puerta del Mar. The aim is to describe the implementation of the system, analyze and evaluate their effectiveness incidents detected during the first year.

  12. Accidental Bolus of Parenteral Nutrition.

    Science.gov (United States)

    Lodeserto, Frank; Al-Jaghbeer, Mohammed; Huang, David

    2016-08-01

    There is a paucity of data that exists regarding acute toxicity and management in the setting of parental nutrition (PN) overdose. We describe a case of a patient who received an accidental rapid bolus of PN and fat emulsion. She developed a seizure, metabolic acidosis, arrhythmias, myocardial ischemia, altered mental status, hypotension, and hypoxemia likely caused by elevated triglycerides, leading to a hyperviscosity syndrome. After failing standard therapy, she was successfully treated with a single-volume plasma exchange with resolution of symptoms. Fat emulsion or intravenous lipid emulsion and much of its safety have been recently described in its use as a rescue therapy in resuscitation from drug-related toxicity. Elevated serum triglyceride levels can result in a picture similar to a hyperviscosity syndrome. Plasma exchange is a known therapeutic modality for the management of hyperviscosity syndrome and a novel therapy in the treatment of hyperviscosity syndrome due to fat emulsion therapy. In a patient receiving PN with development of rapid deterioration of clinical status, without an obvious etiology, there should be consideration of PN overdose. A rapid assessment and treatment of severe electrolyte abnormalities should be undertaken immediately to prevent life-threatening cardiovascular and central nervous system collapse. If fat emulsion was rapidly coadministered and there are signs and symptoms of hyperviscosity syndrome, then consideration should be given to plasma exchange as an effective therapeutic treatment option. PMID:25666023

  13. La responsabilidad civil por los daños sufridos en un accidente de trabajo

    OpenAIRE

    San José Sebrango, Marta

    2015-01-01

    RESUMEN: La preocupación por la siniestralidad laboral obliga al legislador a introducir constantes cambios con objeto de tratar de evitar accidentes o, al menos disminuirlos, con el fin de mejorar no solo la calidad de vida de los trabajadores, sino la calidad en el desempeño del trabajo, evitando situaciones gravosas o penosas por la especialización y mejoras reguladas, entre otras, en la Ley de Prevención de Riesgos Laborales. Sin embargo, es inevitable que los accidentes de trabajo se ...

  14. Drogodependencias, conducción y accidentes de tráfico

    OpenAIRE

    Cano Pérez, L.; Osca-Lluch, Julia; Haba Osca, Julia

    2010-01-01

    Los accidentes de tráfico suponen una causa importante de mortalidad, morbilidad y discapacidad. El uso y abuso de alcohol y drogas en los contextos recreativos nocturnos es frecuente y esta muy relacionado con los accidentes de tráfico. El consumo de drogas y la conducción bajo los efectos del alcohol, sin necesidad de efectuarse bajo un efecto de embriaguez, es uno de los grandes problemas que aparecen en el área de la seguridad vial.

  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. 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...

  17. 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

  18. 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

  19. 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

  20. 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

  1. Accidentes ocupacionales y conocimiento sobre precauciones universales en internos universitarios costarricenses

    Directory of Open Access Journals (Sweden)

    Álvaro Rivera-Valdivia

    2005-04-01

    Full Text Available Justificación y objetivo: los internos universitarios (estudiantes de medicina en su último año son vulnerables a accidentes ocupacionales con agujas y otros objetos cortantes, especialmente debido a su inexperiencia y falta de entrenamiento aunados a su deseo de realizar una serie de nuevas actividades y procedimientos. No existe información en nuestro país con respecto a la frecuencia de este tipo de accidentes en internos universitarios de la carrera de medicina. El objetivo del presente estudio fue estudiar la frecuencia y tipo de accidentes ocupacionales sufridos con mayor frecuencia por internos de medicina y evaluar su conocimiento sobre precauciones universales. Metodología: Se realizó un estudio descriptivo de corte transversal a través de una encuesta directa y anónima. De todos los internos de medicina que trabajaban en el Valle Central de octubre de 2001 a enero de 2002 se seleccionó una muestra aleatoria de 201 internos (poder 95%, error 5%. A la población seleccionada se le aplicó una encuesta precodificada, la cual consistía en 20 preguntas estructuradas, la mayoría cerradas y tres abiertas relacionadas con la ocurrencia de accidentes ocupacionales en los médicos internos, número, tipo, acciones tomadas tras el accidente y conocimientos sobre precauciones universales. Posteriormente se hizo un análisis descriptivo de los resultados obtenidos. Resultados: de todos los participantes, 90% habían trabajado más de 3 meses como médicos internos. Más de la mitad habían realizado al menos 3 meses de rotación en una área médica y 3 meses en una área quirúrgica. La muestra incluyó estudiantes de 5 universidades diferentes. Sólo un 37% de los internos encuestados habían recibido la vacunación contra virus de la hepatitis B. Del total de internos, 64% admitió haber sufrido al menos un accidente ocupacional con sangre de algún paciente, un 20% admitió haber sufrido 3 o 4 accidentes. De los internos que

  2. Fatores de risco cardiovasculares em coorte de profissionais da área médica: 15 anos de evolução Factores de riesgo cardiovasculares en cohorte de profesionales del área médica: 15 años de evolución Cardiovascular risk factors in a cohort of healthcare professionals: 15 years of evolution

    Directory of Open Access Journals (Sweden)

    Thiago de Souza Veiga Jardim

    2010-09-01

    Full Text Available FUNDAMENTO: Segundo a Organização Mundial de Saúde (OMS, as doenças cardiovasculares (DCV são responsáveis por 16,7 milhões de mortes/ano. Evidências mostram que as DCV resultam da interação entre fatores de risco variados, presentes desde a infância. OBJETIVO: Verificar, em profissionais da área médica, a presença e evolução de alguns fatores de risco cardiovasculares (FRCV em um intervalo de 15 anos. MÉTODOS: Analisamos um grupo de indivíduos ao ingressar na faculdade de medicina e repetimos a análise 15 anos depois, comparando os dados encontrados. Utilizamos questionários sobre FRCV (hipertensão arterial sistêmica (HAS, diabete melito (DM, dislipidemia e história familiar de DCV precoce, tabagismo, etilismo e sedentarismo. O colesterol, a glicemia, a PA, o peso, a altura, o índice de massa corpórea (IMC foram determinados. RESULTADOS: Comparamos 100 indivíduos (sendo 64,0% homens com idade média de 19,9 anos, com os 72 (sendo 62,5% homens, 34,8 anos incluídos 15 anos após. Houve aumento na prevalência de HAS (6,0% vs 16,7%, p = 0,024, excesso de peso (9,0% vs 26,4%, p = 0,002 e dislipidemia (4,0% vs 19,14%, p = 0,002. Os demais FRCV não se modificaram. Na análise dos valores de pressão arterial sistólica (PAS, pressão arterial diastólica (PAD, colesterol, glicemia e IMC, encontramos elevação na média de todas variáveis (p FUNDAMENTO: Según la Organización Mundial de Salud (OMS, las enfermedades cardiovasculares (ECV son responsables de 16,7 millones de muertes/año. Evidencias muestran que las ECV resultan de la interacción entre factores de riesgo variados, presentes desde la infancia. OBJETIVO: Verificar, en profesionales del área médica, la presencia y evolución de algunos factores de riesgo cardiovasculares (FRCV en un intervalo de 15 años. MÉTODOS: Analizamos a un grupo de individuos al ingresar en la facultad de medicina y hemos repetido el análisis tras 15 años, comparando los datos

  3. Estudo dos acidentes na infância em um pronto socorro pediátrico Estudio de los accidentes en la infancia y registrados en una unidad de urgencias pediátricas Study of accidents involving children assisted at an emergency ward

    Directory of Open Access Journals (Sweden)

    Fernanda Rocha Fodor Filócomo

    2002-01-01

    Full Text Available O objetivo deste estudo foi identificar os acidentes na infância registrados em um pronto socorro infantil. Os dados foram coletados entre janeiro e março de 1999, através de um questionário contendo dados sobre a identificação da criança e do acidente. A população constou de 942 crianças e a amostra ficou reduzida para 890. Principais resultados: a faixa etária mais atingida foi de 7-11 anos, sendo 56,1% do sexo masculino e 43,9% feminino, o tipo de acidente mais freqüente foi queda (46,9%, os pais estavam presentes em 43,4% dos casos. Em 95,7% das ocorrências a criança recebeu alta hospitalar após o atendimento.El objetivo de éste estudio fue el de identificar los accidentes infantiles registrados en una unidad de Urgencias Pediátricas (UUP. Los datos fueron recolectados en el periodo de Enero a Marzo de 1999, utilizando un cuestionario que contenía datos sobre la identificación del niño y del accidente. La población estuvo conformada por 942 niños y la muestra fue reducida para 890. Principales resultados: la faja etárea más afectada fue la de 7 a 11 anos, siendo 56,1% del sexo masculino y 43,9% femenino; el tipo de accidente más frecuente fue la caída (46,9%, los padres estaban presentes en 43,4% de los casos. En 95,7% de las ocurrencias, el niño recibió alta hospitalaria después de ser tendido.The aim of this study was identify cases of accidents victimizing children assisted at the emergence ward of a general hospital. Data were collected from January to March, 1999 through a protocol with variables related to the identification of the accidents as well as of the children. The sample in the study consisted of 890 children of whom 56.1% were males and 43.9% were females. The most prevalent accident was fall (46.9%, the age with a major incidence was between 7 and 11 years old, the parents were present to 43.4% of the cases. The children were discharged from hospital after being given care in 95.7% of the cases.

  4. 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

  5. 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.

  6. 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. PMID:26530828

  7. 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

  8. 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.

  9. 5 CFR 870.206 - Accidental death and dismemberment.

    Science.gov (United States)

    2010-01-01

    ... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' GROUP LIFE INSURANCE PROGRAM Types and Amount of Insurance § 870..., accidental death benefits are equal to the amount of Option A. (c)(1) Under Basic insurance, accidental... automatic part of Basic and Option A insurance for employees. (2) There is no accidental death...

  10. 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.

  11. 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

  12. 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

  13. 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.

  14. Accidental swallowing of orthodontic expansion appliance key.

    Science.gov (United States)

    Monini, André da Costa; Maia, Luiz Guilherme Martins; Jacob, Helder Baldi; Gandini, Luiz Gonzaga

    2011-08-01

    Ingestion of a foreign object, including a dental object, can lead to a trip to the emergency room. This article describes the accidental swallowing of a key that was used to activate a rapid maxillary expander. An orthodontic patient swallowed the key while trying to activate the appliance at home. The object's trajectory was followed on radiographs until it was eliminated. Possible clinical complications, legal implications of this situation, and practices for prevention are described. PMID:21803265

  15. Accidental ingestion of Ecstasy in a toddler.

    Science.gov (United States)

    Chang, Yi-Jung; Lai, Ming-Wei; Kong, Man-Shan; Chao, Hsun-Chin

    2005-12-01

    Toddlers who ingest the drug of abuse 3,4-methylenedioxymethamphetamine (MDMA; 'Ecstasy') are at particularly high risk of serious neurological and cardiovascular side effects. We report of a 20-month-old male toddler who accidentally ingested Ecstasy. He presented with fever and seizures, tachycardia, hypertension, and hyperthermia. Urine amphetamine level was 2111 ng/mL. Treatment included rapid cooling, hydration, and support measures. Vital signs were regularly monitored. His condition became stable on day 2 and urine amphetamine level returned to normal on day 3 of hospitalization. His behavior, activity, and appetite had returned to their usual levels upon follow-up at our outpatient clinic. The incidence of drug abuse with MDMA has increased dramatically over the last decade in developed countries. It can be expected that accidental Ecstasy poisoning in children will increase as well. This case illustrates the need to consider the possibility of accidental Ecstasy ingestion in the differential diagnosis of a child suffering from convulsions with fever.

  16. Ocorrência de acidente de trabalho por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da saúde de um hospital escola de Brasília Frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes y fluidos biológicos entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia Occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel in a Brasília university hospital

    Directory of Open Access Journals (Sweden)

    Helena Eri Shimizu

    2002-12-01

    Full Text Available estudo teve por objetivo verificar e analisar a ocorrência de acidentes de trabalho causados por materiais perfurocortantes e fluidos biológicos em estudantes e trabalhadores da área da saúde. Foi realizado em um hospital-escola de Brasilia. A coleta de dados foi feita a partir dos registros de acidentes de trabalho mantidos pela Comissão de Controle de Infecção Hospitalar e referentes ao período de agosto de 1998 a junho de 2000. Verificou-se que 117 pessoas sofreram acidentes de trabalho, em sua grande maioria causados por agulhas. Concluiu-se que existe a necessidade de melhoria nos sistemas de prevenção de acidentes na instituição.El objetivo del estudio fue el de verificar y analizar la frecuencia de accidentes del trabajo causados por instrumentos puntiagudo-cortantes entre estudiantes y personal de un hospital escuela de la ciudad de Brasilia. Los datos, recogidos de los registros de accidentes del trabajo de la Comisión de Control de Infección Hospitalaria, corresponden al periodo entre agosto de 1998 y junio de 2000. Se verifico que 117 personas sufrieron accidentes del trabajo, en su gran mayoría causados por agujas. Se llegó a la conclusión de que es necesario mejorar el sistema de prevención de accidentes en dicha institución.The objective of the study was to check and analyze the occurrence of work accidents caused by sharp-edged hollow-pointed equipment and biological fluids among medical students and health personnel. It was carried out in a Brasilia university hospital. The data were collected from records of work accidents kept by the Hospital Infection Control Committee, from August 1998 to June 2000. It has turned out that 117 persons were victims of work accidents, the vast majority of them caused by needles. The study has reached the conclusion that the accident prevention system must be improved at the above mentioned hospital.

  17. 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

  18. 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

  19. 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

    Directory of Open Access Journals (Sweden)

    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

  20. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

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    Arlines Piña-Tornés

    2014-10-01

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  1. Mortalidad por accidentes de tránsito en Bayamo, Cuba 2011

    Directory of Open Access Journals (Sweden)

    Arlines Piña-Tornés

    2014-12-01

    Full Text Available Con el objetivo de describir la mortalidad por accidentes de tránsito en Bayamo, Cuba, en el año 2011 se realizó una revisión de los pacientes lesionados y fallecidos a causa de accidentes de tránsito, registrados en Hospital Carlos M. de Céspedes. Se atendieron en emergencias 1365 lesionados, predominando el grupo etario de 25 a 44 años con 372 pacientes (27,3%, y el sexo masculino con 1071 (78,5%. Fallecieron 46 personas, en su mayoría del mismo grupo de edad y de sexo masculino. Los traumatismos múltiples (52,6% y cráneofaciales (34,2% fueron las localizaciones predominantes. Se destacaron los atropellos por vehículo de motor con mortalidad del 26,3%. En conclusión, la mortalidad por accidentes de tránsito predomina en adultos jóvenes masculinos; cuyas consecuencias fatales son debido a traumatismos múltiples por atropellos.

  2. La prevención de accidentes (2

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    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

  3. A filosofia e os anos 1960

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    Pedro Duarte de Andrade

    2012-06-01

    Full Text Available O ensaio aponta a relação da filosofia com os anos 1960, tendo em vista os cruzamentos entre idéias então produzidas e aquele momento histórico. O método empregado alia interpretação histórica e interpretação filosófica, com destaque para alguns autores, como Herbert Marcuse e Michel Foucault. Conclui-se que o pensamento dos anos 1960 cunhou também uma concepção nova do que seria a própria atividade de interpretar, fatos ou idéias.

  4. Accidental Kähler moduli inflation

    Energy Technology Data Exchange (ETDEWEB)

    Maharana, Anshuman [Harish Chandra Research Institute,Chhatnag Road, Jhunsi, Allahabad, UP 211019 (India); Rummel, Markus [Rudolph Peierls Centre for Theoretical Physics, University of Oxford,1 Keble Road, Oxford, OX1 3NP (United Kingdom); Sumitomo, Yoske [High Energy Accelerator Research Organization, KEK,1-1 Oho, Tsukuba, Ibaraki 305-0801 (Japan)

    2015-09-14

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small Kähler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil Kähler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model.

  5. Accidental Kähler moduli inflation

    International Nuclear Information System (INIS)

    We study a model of accidental inflation in type IIB string theory where inflation occurs near the inflection point of a small Kähler modulus. A racetrack structure helps to alleviate the known concern that string-loop corrections may spoil Kähler Moduli Inflation unless having a significant suppression via the string coupling or a special brane setup. Also, the hierarchy of gauge group ranks required for the separation between moduli stabilization and inflationary dynamics is relaxed. The relaxation becomes more significant when we use the recently proposed D-term generated racetrack model

  6. La seguridad en el trabajo a bordo de los buques mercantes: análisis de los accidentes laborales y propuestas para su reducción

    OpenAIRE

    Ugarte Miguel, Carlos

    2013-01-01

    El transporte marítimo desempeña un papel crucial en el comercio internacional, pero la complejidad funcional de los buques modernos exige mano de obra especializada a todos los niveles. La seguridad marítima ha de basarse en prevenir que se cometan errores humanos y en mitigar sus consecuencias. A lo largo de este trabajo se realiza un estudio: del factor humano como causa de los accidentes en los buques, de las operaciones del buque como causa de los accidentes, de la composición de la flot...

  7. 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

  8. 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

  9. Hanseníase em menores de 15 anos no Vale do Jequitinhonha, Minas Gerais, Brasil Lepra en menores de 15 años en el Vale del Jequitinhonha, Minas Gerais, Bra Hansen's Disease in children under fifteen years-old in Jequitinhonha Valley, Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Francisco Carlos Félix Lana

    2007-12-01

    Full Text Available A hanseníase é uma doença de evolução lenta que acomete principalmente a população adulta. A detecção de casos em crianças indica a manutenção da endemia e a precocidade da exposição da população ao bacilo. Este é um estudo ecológico cujo objetivo é analisar a ocorrência da hanseníase em menores de 15 anos no Vale do Jequitinhonha através de indicadores epidemiológicos e operacionais. Os resultados apontam para a manutenção da endemia na região, evidenciando uma passividade dos serviços de saúde e a necessidade de implementação de medidas de prevenção e controle específicas para essa faixa etária, a fim de diminuir a transmissão da doença e os eventuais prejuízos que ela pode acarretar à vida do indivíduo, principalmente, ao acometê-lo na infância.La Lepra es una enfermedad de evolución lenta que acomete principalmente a la población adulta. La detección de casos en niños indica el mantenimiento de la endemia y la precocidad de la exposición de la población al bacilo. Éste es un estudio ecológico cuyo objetivo es analizar la ocurrencia de lepra en menores de 15 años en el Valle del Jequitinhonha a través de indicadores epidemiológicos y operacionales. Los resultados apuntan para el mantenimiento de la endemia en la región, evidenciando una pasividad de los servicios de salud y la necesidad de implementación de medidas de prevención y control específicas para esafaja etaria , a fin de disminuir la transmisión de la enfermedad y los eventuales perjuicios que ella puede acarrearle a la vida del individuo, principalmente, al acometerlo en la infancia.Hansen's disease has a slow evolution, which mostly affects the adult population. Detecting cases in children shows that the endemic continues and there is early exposure of the population to the bacillus. This is an ecological study with the objective of analyzing the occurrence of Hansen's disease in children under fifteen in the Jequitinhonha

  10. 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

  11. Accidental gamma dose measurement using commercial glasses.

    Science.gov (United States)

    Narayan, Pradeep; Vaijapurkar, S G; Senwar, K R; Kumar, D; Bhatnagar, P K

    2008-01-01

    Commercial glasses have been investigated for their application in accidental gamma dose measurement using Thermoluminescent (TL) techniques. Some of the glasses have been found to be sensitive enough that they can be used as TL dating material in radiological accident situation for gamma dosimetry with lower detection limit 1 Gy (the dose significant for the onset of deterministic biological effects). The glasses behave linearly in the dose range 1-25 Gy with measurement uncertainty +/- 10%. The errors in accidental dose measurements using TL technique are estimated to be within +/- 25%. These glasses have shown TL fading in the range of 10-20% in 24 h after irradiation under room conditions; thereafter the fading becomes slower and reaches upto 50% in 15 d. TL fading of gamma-irradiated glasses follows exponential decay pattern, therefore dosimetry even after years is possible. These types of glasses can also be used as lethal dose indicator (3-4 Gy) using TL techniques, which can give valuable inputs to the medical professional for better management of radiation victims. The glasses are easy to use and do not require lengthy sample preparation before reading as in case of other building materials. TL measurement on glasses may give immediate estimation of the doses, which can help in medical triage of the radiation-exposed public. PMID:18285317

  12. Medical management of accidentally exposed individuals

    International Nuclear Information System (INIS)

    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)

  13. Outcome of accidental hypothermia with or without circulatory arrest

    DEFF Research Database (Denmark)

    Wanscher, Michael; Agersnap, Lisbeth; Ravn, Jesper;

    2012-01-01

    Resuscitation guidelines for the treatment of accidental hypothermia are based primarily on isolated cases. Mortality rates are high despite aggressive treatment aimed at restoring spontaneous circulation and normothermia....

  14. ¿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.

  15. Funciones superiores en pacientes con accidente cerebro vascular.

    Directory of Open Access Journals (Sweden)

    Felipe Rodríguez

    2009-07-01

    Full Text Available 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 del Hospital San José al cuál se le administró un Protocolo de Evaluación Neuropsicológica, comparándose luego con un grupo control de 50 sujetos evaluados con el mismo protocolo. Se encuentra que sobre un 20% de la población con ACV evaluada presenta deterioro en al menos uno de los ítems evaluados, siendo las funciones ejecutivas, la memoria a largo plazo y la memoria a corto plazo las áreas mayoritariamente afectada en la población evaluada.

  16. 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

  17. 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.

  18. CLINICAL STUDY OF FISTULA IN ANO

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    Raj

    2015-10-01

    Full Text Available Fistula in Ano is a benign treatable lesion of the rectum and the anal canal. Cryptoglandular infection accounts for about 90% of these cases. Majority of the infections are Acute and a minority contributed by chronic low grade infection hence pointing to varying etiologies. The pathogenesis has been attributed to the bursting open of an acute or inadequately treated Anorectal abscess into the peri anal skin. Diagnosis of the condition can be made easily with a good source of light, a proctoscope and a meticulous digital examination. Establishing a cure in this condition is difficult owing to two reasons. Firstly, the site of the infection makes the patient reluctant to subject themselves to examination. Secondly, a significant percent of these diseases persist or recur when appropriate surgery is not done or when the post op care is inadequate. Mostly it affects the young and the middle age group thus affecting productive man hours and quality of life. MATERIALS AND METHODS: All cases of clinically diagnosed Fistulae-in-ano above the age of 12 years, admitted in various surgical units in K.R. Hospital (attached to Government Medical College, Mysore during the study period December 1, 2008 to May 31, 2010. REUSLTS: Age Incidence, Sex Incidence, Socio Economic Status, Modes of Presentation, No. of External Openings, Situation of External Openings, Level of Fistulae, Type of surgical treatment, Associated with Fissure in Ano, Postoperative complication and Results were studied. CONCLUSION: Commonest age of presentation in our series is 30-40 years – 40%. Males are more commonly affected. Ratio Male: Female::3:1, Disease is more commonly seen in people with lower socio economic status group. 80% High socio economic class 20%. Discharging sinus is the commonest mode of presentation 72% and pain 72% and 84% pass history of perianal abscess was the presenting symptoms.

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

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    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.

  20. Accidental Contamination with Oil during Endodontic Surgery

    Science.gov (United States)

    Plascencia, Hugo; Díaz, Mariana; Cholico, Patricia; del Real, Monserrat; Márquez-de Alba, Salvador

    2016-01-01

    The modern surgical endodontic treatment is a safe and predictable procedure with high success rate. However, several factors can retard or impede the proper healing process. Use of a high speed handpiece during hard tissues management (osteotomy and apical resection) can potentially be one of these factors. Formation of metallic debris from the surgical diamond burs, production of necrotic local tissue due to overheating and the direct liberation of air from conventional handpiece into the working area are potential irritants able to delay the tissue healing. The aim of the present article is to report the histopathological findings of the trans-operational accidental contamination with oil in the surgical area during an endodontic surgery. PMID:27790269

  1. Research progress in study of accidental hypothermia

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    Rui YUAN

    2016-04-01

    Full Text Available Accidental hypothermia refers to a state of lowering of core body temperature down to 35 ℃induced by drowning, burial in snow and prolonged exposure to cold environment, etc. Hypothermia may affect the cardiovascular system, respiratory system, digestive system, etc. The triad consisting "hypothermia, acidosis and coagulopathy" is an important factor accelerating the death of patients. Early, timely application of rewarming measures is regarded as the basic principle in treatment of hypothermia. A series of rewarming measures, such as infusion of warm fluids, inspiration of warm air, abdominal infusion of warm fluid, instruction of warm fluid into pleural cavity, intravenous infusion of warm fluid, rewarming through ECMO, etc. have been used recently. Advance in research on the classification of hypothermia, its impact to the body and the treatment methods are reviewed in present paper. DOI: 10.11855/j.issn.0577-7402.2016.04.15

  2. Accidental etizolam ingestion in a child.

    Science.gov (United States)

    Kato, Zenichiro; Nakamura, Mitsuhiro; Funato, Michinori; Kuwabara, Hideaki; Kondo, Naomi

    2007-07-01

    Etizolam (ETZ) is an antidepressive thienodiazepine drug that is used worldwide. The most frequent adverse effects in adults are drowsiness and muscle weakness, and this can rarely cause paradoxical excitation; however, no information exists on intoxication in children. Furthermore, evidence bearing on its safety in children is not available. We present a case of a child who accidentally took a single dose of ETZ, approximately the same as a therapeutic dose for adults, and who showed paradoxical excitation and muscle weakness. The case presented here suggests that pediatricians and emergency physicians should be aware of the possible adverse effects in children and therapeutic approaches in intoxication of ETZ and the necessity of further investigations on a specific therapeutic guideline for overdose management especially in children. PMID:17666930

  3. 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.

  4. Throat-cutting of accidental origin.

    Science.gov (United States)

    Demirci, Serafettin; Dogan, Kamil Hakan; Gunaydin, Gursel

    2008-07-01

    Incised wounds of the neck can be accidental, homicidal, or suicidal. In this paper, a death case has been presented where a spinning circular saw of a cutting machine in a workshop came off its place and cut the throat of a 30-year-old male who was operating the machine. There was an incision (15 cm x 5 cm) that began in the middle of the neck down the thyroid cartilage, extended horizontally to the left of the neck and ended on the outer part of the neck in the outer left side of m. trapezius. Death occurred because of exsanguination caused by the cutting of carotis artery and jugular vein. In the case we presented, although the cut in the neck initially suggested homicide, it was found to have occurred as a result of an accident after the autopsy and death scene investigation. PMID:18489556

  5. Accidental foreign bodies in pediatric abdomens: A pictorial essay

    International Nuclear Information System (INIS)

    Foreign bodies in pediatric abdomens are caused by accidental ingestion or trauma. The purpose of this article is to review the various findings of accidental foreign bodies in pediatric abdomens. Abdominal radiography, fluoroscopic examination, gastrointestinal contrast studies and CT may be useful in evaluating the location and type of foreign body, and for evaluating complications such as bowel perforation and obstruction

  6. ACCIDENTES CON EXPOSICIÓN A MATERIAL BIOLÓGICO CONTAMINADO POR VIH EN TRABAJADORES DE UN HOSPITAL DE TERCER NIVEL DE MADRID (1986-2001

    Directory of Open Access Journals (Sweden)

    Aurelia García de Codes Ilario

    2004-01-01

    Full Text Available Fundamento: La contaminación por el virus de la inmunodeficiencia humana (VIH es un riesgo ocupacional para los profesionales sanitarios accidentados contaminados con sangre positiva al VIH. El objetivo de nuestro estudio es describir las características de los accidentes registrados durante dieciséis años en un hospital general con sangre o fluidos biológicos procedentes de pacientes VIH positivos, determinar las tasas de exposición accidental en las diferentes categorías profesionales y comprobar el seguimiento realizado por los trabajadores del protocolo de accidentes establecido. Métodos: Estudio descriptivo en un hospital general de Madrid durante el período 1986 a 2001, de los accidentes con presencia de material biológico procedente de personas con serología VIH positiva. Se han estudiado variables del profesional accidentado relacionadas con persona, lugar y tiempo, además de las serologías al inicio y durante el seguimiento protocolizado. Resultados: Durante el período de estudio se declararon 550 accidentes con fuente VIH positiva. La media fue de 34,4 de accidentes por año. La tasa de exposición fue de 7,5 por cada 1.000 trabajadores- año. El colectivo profesional con mayor frecuencia de accidentes fue el personal de enfermería (54,4%. Las lesiones percutáneas fueron las más frecuentes (80,2%. La tasa media de exposición ha sido de 2,6 por cada 100 camas-año. Las zonas anatómicas más afectadas fueron los dedos de la mano (75,6%. El 53,6% de los accidentados finalizó el seguimiento serológico, sin registrarse ninguna seroconversión. Conclusiones: Durante los dieciséis años de estudio, la incidencia anual de accidentes con fuente VIH positiva fue en aumento desde los 27 accidentes declarados en 1986 hasta los 60 accidentes en 1990, con una tendencia descendente desde ese momento hasta contabilizarse 12 accidentes en el año 2001.

  7. 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...... 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...

  8. Hipotermia accidental secundaria a brote de psoriasis generalizada Accidental hypothermia due to generalized psoriasis

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    O. Agudo

    2004-04-01

    Full Text Available La hipotermia accidental es una alteración de la termorregulación corporal, definida como una temperatura central igual o inferior a 35ºC. Según la intensidad se puede clasificar en ligera (35-32,2ºC, moderada (32,2-28ºC y grave (The accidental hypothermia is a disorder of corporal termoregulation, defined as a central temperature below 35ºC. According to the intensity may be classified in mild (35-32.2 ºC, moderate (32.2-28ºC and severe (below 28ºC. The most frequent causes are the exposure to cold, use of depressant drugs of central nervous system and hypoglycemia, although there are other less frequent. We present a case of moderate hypothermia due to generalized psoriasis which required admission in the Intensive Care Unit of Hospital García Orcoyen. The termoregulation, pathogenesis, pathophysiology, diagnosis and management of accidental hypothermia are reviewed.

  9. 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.

  10. 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

  11. Análisis de accidentes severos en contenciones nucleares

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    Goicolea Ruigómez, José María

    1992-04-01

    Full Text Available Analysis for severe accidents has recently been added to the long list of requisites imposed on nuclear power plants. In this work we study the rationale and justiflcation for this type of analysis. Calculations for the structural response of the containment buildings can be performed on the computer using advanced nonlinear Finite Element codes. A state of the art review of these methods is carried out, proposing a methodology based on analysis by numerical methods with experimental validation. Additionally we present some results obtained by the authors for the analysis of both reinforced concrete and steel containments. The concluding remarks show the validity of the proposed methodology, as well as the evidence of a large security margin in the containments, due mainly to the conservatisms in the design stage.

    El análisis frente a accidentes severos ha venido a añadirse recientemente a la larga lista de requisitos impuestos a las centrales nucleares. En este trabajo se pretende estudiar la problemática y justificación de este tipo de análisis. El cálculo de la respuesta de la contención se puede realizar en el ordenador mediante métodos avanzados de elementos finitos no lineales. Se hace una revisión del estado de la técnica en estos métodos, proponiendo una metodología basada en el análisis mediante modelos numéricos con validación experimental. Se presentan asimismo los resultados de análisis realizados, para contenciones tanto de hormigón armado como metálicas. Las conclusiones del trabajo establecen la validez de la metodología empleada, así como la constatación de un amplio margen de seguridad existente en las contenciones evaluadas, debido a los conservadurismos del proceso de diseño original.

  12. 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

  13. 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

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

    International Nuclear Information System (INIS)

    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)

  15. 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.

  16. 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.

  17. Tuberculose Infantil — Anos 90. Revisão Casuística de 5 Anos

    OpenAIRE

    Lage, MJ; Cruz, C.; Chaves, F.; Cavaco, J.; Lopes, B.; Carapau, J.

    2014-01-01

    É apresentada a revisão de 204 casos de tuberculose doença diagnosticados e tratados no Hospital de D. Estefânia num período de 5 anos (1990-1994). Refira-se, nos casos estudados (204), a maior percentagem de crianças no grupo etário dos 5 aos 14 anos (67%), uma incidência de 32% para a raça negra e um predomínio nas classes sociais mais desfavorecidas, contribuindo o concelho da Amadora com a maior percentagem de casos. A inoculação prévia de BCG observou-se em 80% dos casos. As formas...

  18. 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

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

    Directory of Open Access Journals (Sweden)

    Christian R Mejia

    2015-09-01

    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

  20. 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

  1. Accidental Childhood Iron Poisoning: A Problem of Marketing and Labeling.

    Science.gov (United States)

    Krenzelok, Edward P.; Hoff, Julie V.

    1979-01-01

    The article indicates that accidental iron poisoning represents a significant hazard in children less than five years of age. Attractiveness of dosage, high availability, and ambiguity in product labeling contribute to the problem. Journal availability: see EC 114 125. (CL)

  2. Mistakes in diagnosing non-accidental injury: 10 years' experience

    OpenAIRE

    Wheeler, David M; Hobbs, Christopher J

    1988-01-01

    Fifty children who were referred to the child abuse team in Leeds over the 10 years 1976-86 with suspected non-accidental injury were found to have conditions which mimicked non-accidental injury. These included impetigo (nine children) and blue spots (five children). Five children who presented with multiple bruising had haemostatic disorders. Eight children had disorders of the bone. Five children had been previously abused physically. Four showed evidence of neglect. One had evidence of no...

  3. Accidental Implant Screwdriver Ingestion: A Rare Complication during Implant Placement.

    OpenAIRE

    Anshul Jain; Baliga, Shridhar D

    2014-01-01

    One of the complications during a routine dental implant placement is accidental ingestion of the implant instruments, which can happen when proper precautions are not taken. Appropriate radiographs should be taken to locate the correct position of foreign body; usually the foreign body passes asymptomatically from gastrointestinal tract but sometimes it may lead to intestinal obstruction, perforations and impactions. The aim of this article is to report accidental ingestion of 19 mm long scr...

  4. Accidental oil spills - project management strategy

    International Nuclear Information System (INIS)

    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

  5. Epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation.

    Science.gov (United States)

    McClure, R J; Davis, P M; Meadow, S R; Sibert, J R

    1996-07-01

    A two year prospective study was performed to determine the epidemiology of Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation in the UK and the Republic of Ireland. Cases were notified to the British Paediatric Association Surveillance Unit from September 1992 to August 1994 if a formal case conference had been held for the first time during that period to discuss any of the above conditions. A total of 128 cases were identified: 55 suffered Munchausen syndrome by proxy alone, 15 poisoning, and 15 suffocation; 43 suffered more than one type of abuse. The majority of children were aged under 5 years, the median age being 20 months. On 85% of occasions the perpetrator was the child's mother. In 42% of families with more than one child, a sibling had previously suffered some form of abuse. Eighty five per cent of notifying paediatricians considered the probability of their diagnosis as virtually certain before a case conference was convened. The commonest drugs used to poison were anticonvulsants; opiates were the second commonest. Sixty eight children suffered severe illness of whom eight died. The combined annual incidence of these conditions in children aged under 16 years is at least 0.5/100,000, and for children aged under 1, at least 2.8/100,000.

  6. 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

  7. Accidentes de tránsito fatales en Costa Rica en el 2007

    Directory of Open Access Journals (Sweden)

    Maikel Vargas Sanabria

    2008-09-01

    Full Text Available Los accidentes de tránsito en Costa Rica contribuyen significativamente con la tercera causa de muerte en el país en los últimos años: las causas externas, por ello resulta importante conocer el panorama más reciente de las fatalidades causadas por estos eventos. En el presente trabajo se analizarán desde el punto de vista médico legal los accidentes de tránsito fatales, cuyas víctimas fallecieron en el año 2007. Para ello se revisaron todas las autopsias efectuadas (un total de 3003 en el Departamento de Medicina Legal de Costa Rica para ese año. Se obtuvo que una cuarta parte de las mismas se originaron en accidentes de tránsito, lo cual generó una tasa de mortalidad de 16,58 por 100000 habitantes, considerada alta a nivel mundial. El perfil predominante de las víctimas fue: ser de género masculino, en edad económicamente productiva, con accidentes fatales de predominio en la noche, los fines de semana, en las provincias costeras, con fallecimiento en el sitio del hecho por trauma cráneo cervical en ocupantes de automotores o peatones, de los cuales un porcentaje significativo estaba bajo los efectos del alcohol y muy pocos bajo los efectos de otras drogas de abuso. Se insiste en la prevención como la herramienta fundamental para evitarlos.Traffic accidents in Costa Rica have been a contributing cause of death (the third cause of death over the last years; that ’s why its is a mayor issue to know the panorama of the latest fatalities caused by this events. In this article, it will be analyzed from the legal medicine point of view, the fatal transit accidents during the year 2007. For these reason all autopsies (a total of 3003 occurred during that year which were made by the Departamento de Medicina Legal de Costa Rica were reviewed. From these revision, it was obtained that one forth of these autopsies were transit accidents, which means that the mortality rate was 16,58 per 100000 habitants, that is consider high over the

  8. 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

  9. 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.

  10. 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

  11. [Severe accidental hypothermia in an elderly woman].

    Science.gov (United States)

    Knobel, B; Mikhlin, A

    2001-11-01

    Profound hypothermia (core temperature of less than 28 degrees C) is a life threatening state and a medical emergency associated with a high mortality rate. The prognosis depends on underlying diseases, advanced or very early age, the duration prior to treatment, the degree of hemodynamic deterioration, and especially, the methods of treatment, including active external or internal rewarming. This is a case study of an 80-year-old female patient with severe accidental hypothermia (core temperature 27 degrees C). She was found in her home lying immobile on the cold floor after a fall. The patient was in a profound coma with cardiocirculatory collapse, and the medical staff treating her was inclined to pronounce her deceased. On her arrival at the hospital, she was resuscitated, put on a respirator and actively warmed. Very severe metabolic disorders were found, including a marked metabolic acidosis composed of diabetic ketoacidosis (she had suffered from insulin treated type 2 diabetes mellitus) and lactic acidosis with a very high anion gap (42) and a hyperosmotic state (blood glucose 1202 mg/dl). There were pathognomonic electrocardiographic abnormalities, J-wave of Osborn and prolonged repolarization. Slow atrial fibrillation with a ventricular response of 30 bpm followed by a nodal rhythm of 12 bpm and reversible cardiac arrest were recorded. The pulse and blood pressure were unobtainable. Despite the successful resuscitation and hemodynamic and cognitive improvement, rhabdomyolysis (CKP 6580 u/L), renal failure and hepatic damage developed. She was extubated and treated with intravenous fluids containing dopamine, bicarbonate, insulin and antibiotics. Her medical condition gradually improved, and she was discharged clear minded, functioning very well and independent. Renal and liver tests returned eventually to normal limits. Progressive bradycardia, hypotension and death due to ventricular fibrillation or asystole commonly occur during severe hypothermia

  12. 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

  13. Presentismo: potencialidad en accidentes de salud

    OpenAIRE

    Grettchen Flores-Sandí

    2006-01-01

    El concepto de salud ha sobrepasado el entorno propiamente sanitario y cada vez más, tiene otras implicaciones sociales, la institución de salud es hoy en día una actividad compleja donde no solamente se gestiona la prevención y tratamiento de las enfermedades de los usuarios sino al recurso humano encargado de su atención. Asimismo en la actualidad se reconoce la importancia del recurso humano para la organización y surge el concepto de "presentismo", referido a aquellos trabajadores que suf...

  14. Análise dos acidentes com agulhas em um hospital universitário: situações de ocorrência e tendências Análisis de accidentes con agujas en un hospital universitário: situaciones de ocurrencia y tendéncias Analysis of needlestick injuries at a university hospital: occurrence situations and tendencies

    Directory of Open Access Journals (Sweden)

    Maria Meimei Brevidelli

    2002-12-01

    Full Text Available Os acidentes com agulhas constituem um dos principais riscos de transmissão ocupacional de infecções por via sangüínea (AIDS, hepatite B e C. É prioritário, portanto, discutir estratégias de intervenção baseadas nas fontes de risco. O objetivo deste estudo foi analisar os acidentes com agulhas ocorridos em um hospital universitário. A construção de um banco dados dos acidentes notificados, entre 1990 e 1996, permitiu identificar as situações de ocorrência e as tendências ao longo dos anos. Os resultados indicam que a maioria dos acidentes estava relacionada à realização ou auxílio de procedimentos. A implantação das primeiras medidas preventivas (precauções universais aponta para a redução no total de acidentes com perfurações. Não foram observadas alterações nas taxas de acidentes relacionados à prática de reencapar agulhas. Discute-se o uso de diferentes estratégias de intervenção: introdução de materiais de design seguro; mudança de enfoque no treinamento e reorganização do ambiente e das práticas de trabalho.Los accidentes con agujas constituyen uno de los principales riesgos de adquisición de infecciones (SIDA, hepatitis B y C. Por lo tanto, es prioritario discutir estrategias de intervención basadas en las fuentes de riesgo. El objetivo de este estudio fue analizar los accidentes con agujas ocurridos en un hospital universitario. La elaboración de un banco de datos permitió identificar las situaciones de ocurrencia de estos accidentes y las tendencias a largo plazo. Los resultados indican que la mayoría de los accidentes estaba relacionada con la realización o ayuda en los procedimientos. La implantación de las primeras medidas preventivas (precauciones universales muestra la reducción parcial de accidentes perforantes. No se observaron alteraciones en las tasas de accidentes relacionados a la práctica de recubrir agujas. Se discute el uso de diferentes estrategias de intervencion

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

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    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.

  16. 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

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    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

  17. 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

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    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

  18. DEZ ANOS DA RBIE: RETROSPECTIVA E DESAFIOS

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    Marcos da Fonseca Elia

    2009-06-01

    Full Text Available A Revista Brasileira de Informática na Educação faz
    dez anos e chega à adolescência com todo o orgulho de
    uma publicação científica que traz, em tão pouco tempo,
    um currículo de vinte e quatro edições voltadas para uma
    comunidade formada por profissionais com interesses e
    competências multidisciplinares.
    E estes resultados quantitativos foram alcançados
    sem se afastar de um padrão de qualidade, o que veio a ser
    reconhecido em 2005 pelo conceito “B” atribuído à RBIE
    pelo processo de qualificação Qualis do sistema de
    avaliação da CAPES1, pelo qual, como se sabe, desde 2001
    os periódicos e eventos científicos passaram a ser
    enquadrados em categorias indicativas da qualidade A, B
    ou C e esta informação vem sendo utilizada para avaliar os
    cursos de pós-graduação stricto sensu.
    Celebrar este primeiro decênio de vida tão
    auspiciosa significa render tributos, primeiramente, à
    comunidade de Informática na Educação que,
    amalgamada dentro da Sociedade Brasileira de
    Computação, engendrou a Revista e vem exigindo níveis
    de qualidade cada vez maiores de si mesma, para nutrila
    e dela se servir. Em segundo lugar, significa também
    lembrar dos membros da comunidade que cumpriram
    com abnegação uma missão designada por seus pares,
    dedicando boa parte de sua energia, tempo e
    competência para que o sonho se transformasse em
    realidade.
    A eles e elas, representados aqui pelos editoreschefes
    de cada uma das equipes editoriais da Revista: Raul
    Wazlawick (UFSC, 1997-2001, Antônio Carlos Rocha Costa
    (UCPel, 2002-2004, Fábio Sampaio (UFRJ, 2005-2006 e
    Lúcia Giraffa (PUCRS, 2007- 2008; o nosso muito obrigado!
    E à comunidade, tentaremos retribuir oferecendo um ensaio
    histórico e reflexivo sobre a RBIE neste primeiro decênio,
    levantando alguns desafios para o

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

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    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.

  20. Non-accidental collision followed by dental trauma: associated factors.

    Science.gov (United States)

    Ramos-Jorge, Maria Letícia; Tataounoff, Juliana; Corrêa-Faria, Patrícia; Alcântara, Carlos Eduardo Pinto; Ramos-Jorge, Joana; Marques, Leandro Silva

    2011-12-01

    The aim of the present cross-sectional survey was to assess factors associated with non-accidental collision followed by dental trauma among adolescents in the city of Diamantina, Brazil. A total of 387 students from 12 to 15 years of age (mean = 14 SD = 0.9) were randomly selected. The study was carried out in two stages. Firstly, data were collected through dental examinations of permanent incisors. Secondly, a thorough interview was held with 85 adolescents who exhibited dental trauma in the dental examinations. The interview consisted of a detailed description of the incident and physical environment in which it occurred. Descriptive analysis and the chi-square test (P 3 mm (P = 0.007) and inadequate lip coverage (P = 0.013). Analysis of the event revealed that 22.3% of the cases of dental trauma occurred because of non-accidental collision. Non-accidental collision followed by injury occurred mainly at school (P concrete, tiled or ceramic floor (P = 0.001). No statistically significant associations were found between non-accidental collision and gender, age or mother's schooling. It was concluded that the non-accidental collisions happened especially at school and in indoor environments with a concrete, tiled or ceramic floor.

  1. 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. PMID:26844181

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

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    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.

  3. Facies del subfondo del canal Beagle, Tierra del Fuego

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    Gustavo Bujalesky

    2004-03-01

    Full Text Available El canal Beagle conecta los océanos Pacífico y Atlántico en el extremo meridional de Sudamérica y se ubica en el ambiente subantártico. Conforma una cuenca de unos 300 m de profundidad máxima y está separada del océano Atlántico por un umbral de 30 m de profundidad. El canal es un valle tectónico que fue completamente cubierto por el hielo glacial durante la última glaciación. Posteriormente, el canal fue ocupado por un lago glacial desde los 12.000 a los 8.000 años A.P., cuando fue invadido por el mar que alcanzó un nivel máximo entre los 6.000 y 5.000 años A.P. Con el objetivo de analizar las facies sedimentarias superficiales y del subfondo del canal se realizó un relevamiento geofísico con sonar de barrido lateral y un perfilador de 3,5 kHz. Sobre un basamento constituido por rocas metamórficas del Mesozoico, se identificaron depósitos de till y secuencias granodecrecientes que representan distintos estadios del retroceso glaciar, evidenciando hacia la sección superior facies lacustres y por encima depósitos de la transgresión marina del Holoceno. Además, se han identificado paleocauces y secuencias fluviales cubiertas por sedimentos marinos transgresivos.

  4. 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

  5. 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

  6. ACCIDENTAL DEATHS DUE TO ELECTROCUTION DURING AMATEUR ELECTRO - FISHING

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    Ajay

    2013-11-01

    Full Text Available ABSTRACT: Electro - fishing (passing electricity through water to catch fish requires sophisticated equipment. While this method is commonly employed b y scientists for survey and fisheries management, a crude and illegal form electro - fishing is employed in Kerala for catching fish from water bodies. This can result in accidental electrocution and even fatalities. Even though they are rare, forensic patho logists in Kerala do come across such deaths from time to time. 8 cases of accidental death which occurred during electro - fishing are discussed here.

  7. Correcting for accidental correlations in saturated avalanche photodiodes

    CERN Document Server

    Grieve, James A; Tang, Zhongkan; Ling, Alexander

    2015-01-01

    In this paper we present a high-level numerical model for estimating rates of accidental correlations between a pair of passively quenched Geiger mode avalanche photodiodes operating in the saturated regime. By considering the recovery time of both the diodes and the detection circuit we introduce the concept of an "effective duty cycle" and show that it may be estimated by numeric simulation. The impact of effective duty cycle on the observed accidental rate is examined and we demonstrate that the updated model leads to an improved correction factor in actual experiments. This will improve the signal-to-noise ratio in applications depending on correlation measurements.

  8. Accidental ingestion of a fractured Twin-block appliance.

    Science.gov (United States)

    Rohida, Neeraj S; Bhad, Wasundhara A

    2011-01-01

    Orthodontic appliances that become dislodged can cause problems in the airway or the gastrointestinal tract. Accidental ingestion of an appliance during a chair-side procedure or because of inadequate retention of the appliance can create a medical emergency with potentially serious complications, including death from aspiration of the foreign body. This article reports the accidental ingestion of a fractured Twin-block appliance. The ease with which removable appliances can become dislodged if retention is inadequate is discussed, and some serious complications that can arise are described. Precautions the orthodontist can take to prevent such accidents are presented. PMID:21195285

  9. 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

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    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

  10. 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

  11. 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.

  12. Perfiles resilientes y calidad de vida en personas con discapacidad sobrevenida por accidentes de tráfico

    OpenAIRE

    Raquel Suriá Martínez

    2015-01-01

    Objetivos: El objetivo del estudio es identificar si existen combinaciones de factores resilientes que den lugar a diferentes perfiles de resiliencia en personas con lesión medular por un accidente de tráfico. Asimismo, se comprueba si los grupos obtenidos difieren respecto a la calidad de vida. Métodos: Se administraron la Escala de Resiliencia (Wagnild y Young, 1993) y la versión adaptada de la Escala de calidad de vida (GENCAT) a 98 personas con lesión medular. Resultados: El análisi...

  13. 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

  14. 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.

  15. Are diabetic foot lesions precipitated by accidental trauma?

    Science.gov (United States)

    Doshi, H K; Moissinac, K; Harwant, S

    2001-12-01

    Diabetic foot lesions may arise from frictional trauma due to tight or inappropriate footwear, repetitive stresses on parts of the foot, overlying bony prominence generated by walking and accidental trauma to the neuropathic foot. Many diabetics have been found to be unaware of their foot lesion, or know what the precipitating cause was. Based on the assumption that accidental trauma would affect the foot in a random fashion and result in lesions distributed evenly throughout the foot, a study was performed to determine whether foot lesions were distributed evenly or concentrated to certain areas of predilection. It was found that foot lesions were not evenly distributed but concentrated to certain areas of predilection. Even though relatively high proportion of the study population walked about in open slippers and barefeet, the study showed that accidental trauma was not a predominant precipitant of diabetic foot lesions. Diabetic foot lesions tend to occur as a result of cumulative, repetitive trauma to areas of prediliection rather than accidental trauma. PMID:14569763

  16. Quality control for handling of accidental blood exposures.

    NARCIS (Netherlands)

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

    2006-01-01

    A regional counselling service was established to handle all accidental blood exposures using a standardized protocol. Levels of risk were assessed using an algorithm. Accidents that posed a risk for the transmission of hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV) were

  17. 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

  18. 49 CFR 192.751 - Prevention of accidental ignition.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Prevention of accidental ignition. 192.751 Section 192.751 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS... NATURAL AND OTHER GAS BY PIPELINE: MINIMUM FEDERAL SAFETY STANDARDS Maintenance § 192.751 Prevention...

  19. Prescripción facilitada de drogas antihipertensivas y disminución de la muerte prematura por accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Javier Mariani

    2016-04-01

    Full Text Available Introducción: Desde 2003, el programa Remediar (+Redes distribuye gratuitamente medicación antihipertensiva. Durante este período, la mortalidad por accidente cerebrovascular disminuyó, aunque con inequidades entre grupos socioeconómicos. Objetivos: Evaluar la asociación entre la mortalidad por accidente cerebrovascular y la provisión de fármacos antihipertensivos. Estudiar la posible interacción entre los efectos de los antihipertensivos sobre la mortalidad y el nivel socioeconómico. Material y métodos: Se realizó un estudio ecológico para datos de panel. La mortalidad se expresa como tasas estandarizadas.Los fármacos antihipertensivos están ajustados a la población entre la que se distribuyeron y se expresan en cuartiles dedispensación. El nivel socioeconómico se midió por las necesidades básicas insatisfechas. Resultados: Desde el inicio del programa en 2003, la distribución de antihipertensivos aumentó significativamente, sobre todo en los grupos menos afluentes (p < 0,001. No hubo una asociación estadísticamente significativa entre la tasa de dispensaciónde antihipertensivos y la mortalidad por accidente cerebrovascular globalmente. Sin embargo, en los análisis de interacción se observó que en los quintiles 3 a 5 de necesidades básicas insatisfechas (menos afluentes, los cuartiles en los que se distribuyeron más antihipertensivos tuvieron significativamente menor mortalidad por accidente cerebrovascular (p = 0,004,p = 0,015 y p = 0,017, para los quintiles 3 a 5 de nivel socioeconómico. Conclusiones: Los resultados del presente análisis sugieren la ausencia de efectos globales de la provisión de antihipertensivossobre la mortalidad por accidente cerebrovascular. Sin embargo, los datos muestran que, entre los grupos más desfavorecidos,la distribución de antihipertensivos estuvo asociada con una reducción de la mortalidad por esta causa.

  20. 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

  1. Casuística de accidentes de motocicleta y lesiones en los alumnos de la Escuela de Tráfico de la Guardia Civil

    Directory of Open Access Journals (Sweden)

    V. Pacheco Delgado

    2013-06-01

    Full Text Available Objetivos: Conocer la causa de los accidentes de motocicleta y lesiones en los alumnos de la Escuela de Tráfico de la Guardia Civil, para establecer las medidas de protección y prevención más adecuadas. Material y métodos: La investigación se realiza sobre una muestra de 1.826 alumnos de Tráfico en la especialidad de Motorista, de ambos sexos, pertenecientes a nueve cursos, desde el 2009 al 2011. Para definir las lesiones se ha recurrido a la base de datos del Servicio de Sanidad del Centro, investigando un total de 277 Partes de Lesiones. Para conocer las causas, se analizan los Partes de Caída que se cumplimentan en las ambulancias. Resultados: Finalizan el Curso 1.437 alumnos, causando baja 389. El porcentaje de lesionados por año es de 15,11% en 2009, 15,45% en 2010 y 10,06% en 2011. El 2,3% de los que causan baja del Curso, corresponde a lesiones graves durante las clases de conducción. El 28% de los que causaron baja por falta de aptitud en la conducción, sufrieron algún tipo de lesión. Las zonas más afectadas son los miembros inferiores, superiores y tórax; en especial la pierna, tobillo, pie, rodilla y muñeca. Influyen en las causas de accidentes la edad, la climatología y el cansancio por el acumulo de horas de conducción. En cuanto al lugar donde se produce los accidentes, la pista número 5 «los peraltes» y la fase de campo (con motocicleta todo terreno, son más lesivas que la fase de carretera (con motocicleta de gran cilindrada; pero aquí, las lesiones son más graves. Hay instructores con un porcentaje de alumnos lesionados superior al del resto. Conclusiones: Existe una tendencia a una menor siniestralidad al disminuir el número de alumnos por Curso. Las contusiones, esguinces y fracturas son las lesiones más frecuentes y se localizaron principalmente en los miembros inferiores. Es preciso estudiar las causas del elevado número de accidentes en el obstáculo «los peraltes» y fase de campo. El instructor

  2. 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

  3. 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

  4. 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.

  5. 40 CFR 63.95 - Additional approval criteria for accidental release prevention programs.

    Science.gov (United States)

    2010-07-01

    ... accidental release prevention programs. 63.95 Section 63.95 Protection of Environment ENVIRONMENTAL... Additional approval criteria for accidental release prevention programs. (a) A State submission for approval... (“federally-listed chemicals”) that an approvable State Accidental Release Prevention program is...

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

    OpenAIRE

    Cristian Camilo Fernández Lopera

    2015-01-01

    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 C...

  7. Food allergy: practical approach on education and accidental exposure prevention.

    Science.gov (United States)

    Pádua, I; Moreira, A; Moreira, P; Barros, R

    2016-09-01

    Food allergies are a growing problem and currently the primary treatment of food allergy is avoidance of culprit foods. However, given the lack of information and education and also the ubiquitous nature of allergens, accidental exposures to food allergens are not uncommon. The fear of potential fatal reactions and the need of a proper avoidance leads in most of the cases to the limitation of leisure and social activities. This review aims to be a practical approach on education and accidental exposure prevention regarding activities like shopping, eating out, and travelling. The recommendations are focused especially on proper reading of food labels and the management of the disease, namely in restaurants and airplanes, concerning cross-contact and communication with other stakeholders. The implementation of effective tools is essential to manage food allergy outside home, avoid serious allergic reactions and minimize the disease's impact on individuals' quality of life. PMID:27608473

  8. Food allergy: practical approach on education and accidental exposure prevention.

    Science.gov (United States)

    Pádua, I; Moreira, A; Moreira, P; Barros, R

    2016-09-01

    Food allergies are a growing problem and currently the primary treatment of food allergy is avoidance of culprit foods. However, given the lack of information and education and also the ubiquitous nature of allergens, accidental exposures to food allergens are not uncommon. The fear of potential fatal reactions and the need of a proper avoidance leads in most of the cases to the limitation of leisure and social activities. This review aims to be a practical approach on education and accidental exposure prevention regarding activities like shopping, eating out, and travelling. The recommendations are focused especially on proper reading of food labels and the management of the disease, namely in restaurants and airplanes, concerning cross-contact and communication with other stakeholders. The implementation of effective tools is essential to manage food allergy outside home, avoid serious allergic reactions and minimize the disease's impact on individuals' quality of life.

  9. 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 ...

  10. Accidental intraoral injection of formalin during extraction: case report.

    Science.gov (United States)

    Swami, Pushp Chander; Raval, Rushik; Kaur, Mandeep; Kaur, Jasleen

    2016-04-01

    Transparent, clear solutions such as hydrogen peroxide, alcohol, sodium hypochlorite, formaldehyde, and local anaesthetics are widely used in dentistry, so the tissues are liable to accidental injury. Formalin, a 37%-40% solution of formaldehyde, is extensively used in 10% solution as a tissue preservative, but it has toxic effects on systems such as the gastrointestinal tract, respiratory tract, skin, and mucosa. However, we know of few reports of cases of inadvertent injection of alcohol and formalin directly into the human body. In this case report we describe the early and delayed clinical effects of accidental intraoral injection of formalin, the subsequent symptoms and management, and some prudent points that should be learnt to avoid such incidents in the future. PMID:26794082

  11. 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.

  12. Suicidio disimulado como accidente de tráfico: A propósito de un caso Suicide masquerading as traffic accident: case report

    Directory of Open Access Journals (Sweden)

    ME. Domínguez Pedroso

    2007-10-01

    Full Text Available Los motivos que inducen a una persona a enmascarar un suicidio simulando una muerte accidental pueden ser varios. Exponemos un caso en el que la víctima utiliza un accidente de tráfico para disimular un suicidio por arma de fuego y de esta forma conseguir que fuesen abonadas tanto la indemnización del Seguro de Automóviles como los incluidos en un seguro privado contratado poco antes. Sólo a través de una adecuada investigación del lugar de los hechos y de los antecedentes de la víctima junto a la realización del indispensable estudio necrópsico será posible determinar la verdadera etiología médico-legal de las muertes en accidente de tráfico, con especial atención en las que interviene sólo un vehículo con un único ocupante.There are several reasons that induce somebody to mask a suicide simulating an accidental death. We expose a case in which the victim uses a traffic accident to masquerade a suicide by shotgun. By this way, the author tries to receive the reimbursement of the car’s insurance as well as the money included in a private life insurance contracted just few days before. Only with the careful local death examination and the study of the victim's personal history, plus the essential autopsy, could we manage to understand the real aetiology of deaths in traffic accidents, especially focusing on those cases where there is a single car with a single passenger affected.

  13. 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

  14. Accidental Sulfur Poisoning in a Group of Holstein Heifers

    OpenAIRE

    Gunn, Moira F.; Baird, John D.; Wilkie, Judith S. Nimmo

    1987-01-01

    Fourteen animals died or were euthanized after toxic levels of elemental sulfur were accidentally fed to a group of 120 Holstein heifers. Dehydration, rumen stasis, tachycardia, and diarrhea were seen along with metabolic acidosis, hypokalemia, and hypochloremia. The majority of deaths occurred from 3 to 10 days after the sulfur was fed to the heifers. Postmortem examination showed rumenitis, acute alveolitis, and renal tubular necrosis. The toxicity of ingested sulfur was attributed to the c...

  15. Accidental inhalation of mercury vapour: respiratory and toxicologic consequences.

    OpenAIRE

    Lien, D. C.; Todoruk, D. N.; Rajani, H. R.; Cook, D A; Herbert, F. A.

    1983-01-01

    Four adults, including a pregnant woman, and three children were admitted to hospital following accidental exposure to mercury vapour produced by heating mercury-gold amalgam. Initial symptoms and signs included a paroxysmal cough, dyspnea, chest pain, tachypnea, nausea, vomiting, fever and leukocytosis. Pulmonary function testing performed on the second day after exposure revealed air-flow obstruction and minor restrictive defects in three patients. The diffusing capacity of the lung for car...

  16. Paediatric femur fractures at the emergency department: accidental or not?

    Science.gov (United States)

    Hoytema van Konijnenburg, Eva M M; Vrolijk-Bosschaart, Thekla F; Bakx, Roel; Van Rijn, Rick R

    2016-01-01

    Only a small proportion of all paediatric fractures is caused by child abuse or neglect, especially in highly prevalent long bone fractures. It can be difficult to differentiate abusive fractures from non-abusive fractures. This article focuses on femoral fractures in young children. Based on three cases, this article presents a forensic evidence-based approach to differentiate between accidental and non-accidental causes of femoral fractures. We describe three cases of young children who were presented to the emergency department because of a suspected femur fracture. Although in all cases, the fracture had a similar location and appearance, the clinical history and developmental stage of the child led to three different conclusions. In the first two cases, an accidental mechanism was a plausible conclusion, although in the second case, neglect of parental supervision was the cause for concern. In the third case, a non-accidental injury was diagnosed and appropriate legal prosecution followed. Any doctor treating children should always be aware of the possibility of child abuse and neglect in children with injuries, especially in young and non-mobile children presenting with an unknown trauma mechanism. If a suspicion of child abuse or neglect arises, a thorough diagnostic work-up should be performed, including a full skeletal survey according to the guidelines of the Royal College of Radiologists and the Royal College of Paediatrics and Child Health. In order to make a good assessment, the radiologist reviewing the skeletal survey needs access to all relevant clinical and social information. PMID:26642309

  17. Accidental Symmetries and N=1 Duality in Supersymmetric Gauge Theory

    CERN Document Server

    Leigh, Robert G; Leigh, Robert G.; Strassler, Matthew J.

    1996-01-01

    We note that the accidental symmetries which are present in some examples of duality imply the existence of continuously infinite sets of theories with the same infrared behavior. These sets interpolate between theories of different flavors and colors; the change in color and flavor is compensated by interactions (often non-perturbative) induced by operators in the superpotential. As an example we study the behavior of SU(2) gauge theories with 2\

  18. Timing, ``Accidentals'' and Other Artifacts in EPR Experiments

    OpenAIRE

    Thompson, Caroline H.

    1997-01-01

    Subtraction of ``accidentals'' in Einstein-Podolsky-Rosen experiments frequently changes results compatible with local realism into ones that appear to demonstrate non-locality. The validity of the procedure depends on the unproven assumption of the independence of emission events. Other possible sources of bias include enhancement, imperfect synchronisation, over-reliance on rotational invariance, and the well-known detection loophole. Investigation of existing results may be more fruitful t...

  19. Kinematics and kinetics of an accidental lateral ankle sprain

    OpenAIRE

    Kristianslund, Eirik; Bahr, Roald; Krosshaug, Tron

    2011-01-01

    Ankle sprains are common during sporting activities and can have serious consequences. Understanding of injury mechanisms is essential to prevent injuries, but only two previous studies have provided detailed descriptions of the kinematics of lateral ankle sprains and measures of kinetics are missing. In the present study a female handball player accidentally sprained her ankle during sidestep cutting in a motion analysis laboratory. Kinematics and kinetics were calculated from 240 Hz recordi...

  20. 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

  1. Accidental dural puncture rates in UK obstetric practice.

    Science.gov (United States)

    Gleeson, C M; Reynolds, F

    1998-10-01

    Headache following epidural analgesia is a common cause of complaint, but accidental dural puncture rates vary among hospitals and with techniques. We were therefore interested to discover the extent of audit of dural puncture, the dural puncture rates in those UK centres that kept reliable records, and the techniques they used for detecting the epidural space. Consultants in charge of anaesthetic services to all 257 obstetric units in the UK were sent a questionnaire requesting numbers of obstetric epidurals, techniques used to detect the epidural space and the numbers of accidental dural punctures in the years 1991-1995. Replies were received from 191 respondents (74%) of whom 104 were able to provide some information about dural puncture rates. Dural puncture rate was inversely related to the number of epidurals performed; the highest recorded rate was 3.6% in a unit with 1000. Most respondents did not record the loss of resistance technique used but among those who did, the dural puncture rate using mainly saline was 0.69% and using mainly air was 1.11% (P<0.001). Since accurate patient information is crucial for informed consent, audit needs to be improved in many centres. Though the accidental dural puncture rate may be under-reported in this survey, our data are in agreement with other findings that loss of resistance to saline is safer than loss of resistance to air. PMID:15321187

  2. 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.

  3. Role of LuxIR Homologue AnoIR in Acinetobacter nosocomialis and the Effect of Virstatin on the Expression of anoR Gene.

    Science.gov (United States)

    Oh, Man Hwan; Choi, Chul Hee

    2015-08-01

    Quorum sensing is a process of cell-to-cell communication in which bacteria produce autoinducers as signaling molecules to sense cell density and coordinate gene expression. In the present study, a LuxI-type synthase, AnoI, and a LuxR-type regulator, AnoR, were identified in Acinetobacter nosocomialis, an important nosocomial pathogen, by sequence analysis of the bacterial genome. We found that N-(3-hydroxy-dodecanoyl)-L-homoserine lactone (OH-dDHL) is a quorum-sensing signal in A. nosocomialis. The anoI gene deletion was responsible for the impairment in the production of OH-dDHL. The expression of anoI was almost abolished in the anoR mutant. These results indicate that AnoI is essential for the production of OH-dDHL in A. nosocomialis, and its expression is positively regulated by AnoR. Moreover, the anoR mutant exhibited deficiency in biofilm formation. In particular, motility of the anoR mutant was consistently and significantly abolished compared with that of the wild type. The deficiency in the biofilm formation and motility of the anoR mutant was significantly restored by a functional anoR , indicating that AnoR plays important roles in the biofilm formation and motility. Furthermore, the present study showed that virstatin exerts its effects on the reduction of biofilm formation and motility by inhibiting the expression of anoR . Consequently, the combined results suggest that AnoIR is a quorum-sensing system that plays important roles in the biofilm formation and motility of A. nosocomialis, and virstatin is an inhibitor of the expression of anoR. PMID:25975610

  4. Análisis de secuencias de accidente de pérdida de refrigerante en centrales nucleares de agua a presión mediante la metodología ISA

    OpenAIRE

    González Cadelo, Juan

    2015-01-01

    El accidente de pérdida de refrigerante (LOCA) en un reactor nuclear es uno de los accidentes Base de Diseño más preocupantes y estudiados desde el origen del uso de la tecnología de fisión en la industria productora de energía. El LOCA ocupa, desde el punto de vista de los análisis de seguridad, un lugar de vanguardia tanto en el análisis determinista (DSA) como probabilista (PSA), cuya diferenciada perspectiva ha ido evolucionando notablemente en lo que al crédito a la actuación de las salv...

  5. Análisis espacial de los accidentes de tráfico con víctimas mortales en carretera en España, 2008-2011

    OpenAIRE

    Diana Gómez-Barroso; Teresa López-Cuadrado; Alicia Llácer; Rocío Palmera Suárez; Rafael Fernández-Cuenca

    2015-01-01

    Objetivo: Estimar las áreas de mayor densidad de accidentes de tráfico en carretera con víctimas mortales a 24 horas por km2/año en la España peninsular, en el periodo de 2008 a 2011, utilizando un sistema de información geográfica. Métodos: Se geocodificaron los accidentes según la carretera y el punto kilométrico donde ocurrieron. Se calculó el promedio del vecino más cercano para detectar posibles clusters y obtener el ancho de banda necesario para calcular la densidad de Kernel. Res...

  6. 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.

  7. Accidentes por mordedura canina, casos registrados en un hospital de niños de Lima, Perú 1995 - 2009 Dog bite accidents in a children hospital at Lima, Peru. Retrospective study from 1995 - 2009

    OpenAIRE

    Carmen Morales; Néstor Falcón; Henry Hernández; Carla Férnandez

    2011-01-01

    Entre 1995 a 2009 se registraron 206 hospitalizaciones en el Instituto Nacional de Salud del Niño debido a accidentes por mordedura canina. La mediana de edad de los pacientes fue cuatro años y para los días de hospitalización tres. El 61,7 % fueron varones. Los accidentes ocurrieron en el domicilio de una tercera persona (39,3 %), en vía pública (33,5 %) y en el domicilio del agredido (27,2 %). El 66,5 % de los episodios fueron precedidos por un estímulo del niño y el 88,8 % causado por anim...

  8. Terapéuticas intervencionistas para el accidente cerebrovascular isquémico

    Directory of Open Access Journals (Sweden)

    Alejandra T. Rabadán

    2010-10-01

    Full Text Available 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 parecen ser muy promisorias, aunque sin tanta evidencia científica que las avale, requieren la realización y conclusión de estudios randomizados. Dentro de la evolución del ACV isquémico existe una situación particular como es el infarto cerebral "maligno". Constituye un evento devastador, que se presenta en aproximadamente el 10 al 15% de los ACV carotídeos o silvianos, y está asociado con elevada morbimortalidad. Con la información disponible actualmente, es posible recomendar la craniectomía descompresiva (CD como un método efectivo y seguro para disminuir rápidamente la presión intracraneal y lograr un pronóstico favorable sobre una base racional. Aunque no hay estudios randomizados y controlados en la literatura, existe suficiente evidencia para recomendar la CD en casos especiales.

  9. Especialización del uso de la tierra en la microbacia del rio “Ribeirão Descalvado” en Botucatu-San Pablo- en un período de 35 años Spatialization of the land use in the watershed Ribeirão Descalvado, Botucatu SP, in the period of 35 years Espacialização do uso da terra na microbacia do Ribeirão Descalvado, Botucatu (SP no período de 35 anos

    Directory of Open Access Journals (Sweden)

    Natália Souza Ceragioli

    2009-12-01

    Full Text Available La cobertura vegetal del suelo de esa región sufre grandes modificaciones por causa de la  intervención humana. Por eso este trabajo se desarrolló con el objetivo de realizar un inventário  de la región de la micro-bacia del Ribeirão Descalvado – Botucatú (SP. En un período de 35 años, con imágenes de satélite digital, bandas 3,4,y 5 del Sensor TM, del LANDSAT 5, órbita 220, punto 76, cuadrante A –  a partir de su pase  en  08 de junio de 1997 y las fotografías vertivcales de 1962, con la escala de 1:25000. esta área está situada entre las coordenadas geográficas de 22º 50’05” a 22º 54’ 26”- latitud S y  de 48º 22’ 29” a 48º 26’ 36” de Longitud W  Gr. Refiriéndose a un área de 2.136,25 hectáreas. Su cobertura vegetal presentó los siguientes resultados en 196 2: Área de Resflorestamiento: 219,13há; Suelos con atividades agrícolas: 17 há;   Suelos de Pastaje: 530,64há; suelo expuesto: 2,74 há; capones: 281,21 há y mata nativa de 303,4 há. Los resultados obtenidos permitieron contatar que hubo un incremiento significativo en áreas agrícolas en deterimiento, principalmente  de la reducción de las áreas de reflorestación;  pastos y capones. Las imágenes del satélite LANDSAT 5  ofrecieron un excelente banco de informaciones para la clasificación supervisionada , futuros planeamientos y gerenciamiento de la actividad agropecuária. El sistema de información Geugráfica IDRSI se mostró eficiente para la discriminación del uso y de la ocupación del suelo, demostrando la utilidad de la herramienta en el geoprocesamiento  torna fácil y ágil el cruzamiento de datos e informaciones bien como permite el    almacenamiento digital de  los mismos, para que puedan ser utilizados a cualquier momnento, en otros análisis o estudios.
    The cover vegetation of the soil has undergone constant modifications by humans. In this context, this research was carried out to complete the

  10. 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

  11. Atendimento à criança e às mães: investigação do óbito evitável em menores de cinco anos Servicio a los niños y madres: investigación del muerte evitable en menores de cinco años Care of children and mothers: research on preventable deaths in children under five years

    Directory of Open Access Journals (Sweden)

    Denise Albieri Jodas

    2011-12-01

    Full Text Available Avaliar o atendimento à criança e às mães nas unidades básicas a partir da investigação dos óbitos em menores de cinco anos ocorridos em 2008. Estudo avaliativo, 41 óbitos, em Maringá, Paraná, sendo 90,2% evitáveis, 38,5% gestantes tiveram sua primeira consulta de pré-natal no primeiro trimestre; 50,0% realizaram acima de seis consultas; 73,1% foram avaliadas quanto ao risco gestacional; 34,6% prontuários tinham registro de informações sobre exames laboratoriais de pré-natal; 50,0% nascimentos ocorreram por parto cesárea. Em 87,5% prontuários constavam registros de acompanhamento de crescimento da criança e avaliação do risco do recém-nascido; nenhum possuía registros de desenvolvimento neuromotor; 50,0% apresentavam registros completos de vacinação; 75,0% receberam visita domiciliar da equipe saúde da família. Todas as crianças de baixo risco realizaram três consultas médicas, apenas um recém nascido de alto risco atingiu sete consultas médicas. Conclui-se que existem falhas de registros dos profissionais quanto ao pré-natal, bem como na qualidade do acompanhamento de crianças consideradas de risco.Evaluar tratamiento de niños menores de cinco años y madres en las unidades básicas. Estudio de evaluación, 41 muertes en 2008, Maringá, Paraná, Brasil, 90,2% evitable, 38,5% de las mujeres tuvieron su primera consulta prenatal en el primer trimestre, 50,0% tenían más de seis consultas, 73,1% fueron evaluados para riesgo de las mujeres, 34,6% tenían antecedentes tabla de información sobre las pruebas de laboratorio del prenatal, 50,0% de los nacimientos fueron cesárea; 87,5% figuran los registros de vigilancia del crecimiento infantil y la evaluación de riesgos de los recién nacidos, no tenían antecedentes de desarrollo neuromotor, 50.0% tenían registro completo de vacunación, 75,0% recibieron visitas a domicilio. Los niños con bajo riesgo tuvieron tres consultas médicas, un recién nacido de alto

  12. 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}.

  13. Fistulotomy and marsupialisation for simple fistula-in-ano.

    Science.gov (United States)

    Yang, C Y

    1992-06-01

    Nineteen consecutive cases of simple fistula-in-ano treated with fistulotomy and marsupialisation were retrospectively reviewed. Fourteen cases were simple intersphincteric and the remaining 5 cases were uncomplicated transphincteric fistulae. The cases were followed up for between 3 to 10 months (mean 6.9 months). There were no reports of bowel incontinence or recurrence of fistula. The advantages of this 'tissue conserving' procedure are discussed in the paper. PMID:1631585

  14. 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.

  15. 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.

  16. 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. PMID:26492946

  17. Evaluation and mitigation of accidental releases of radioactivity

    International Nuclear Information System (INIS)

    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)

  18. Biokinetics of radionuclides and treatment of accidental intakes

    International Nuclear Information System (INIS)

    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)

  19. 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.

  20. Methemoglobinemia as a result of accidental lacquer thinner poisoning

    Directory of Open Access Journals (Sweden)

    Ranju Singh

    2012-01-01

    Full Text Available Lacquer thinner, commonly used for removing household paints, is known to contain a mixture of various aromatic hydrocarbons, halogenated hydrocarbons and naptha; if ingested, it may cause methemoglobinemia. We report two cases who presented to us with a history of accidental ingestion of paint thinner. Both the patients had very high levels of methemoglobin and were treated with methylene blue (MB, but did not respond to the MB therapy. One of them received an exchange transfusion followed again by MB and survived. Unfortunately the other patient succumbed to the poisoning.

  1. Accidental Degeneracy and Berry Phase of Resonant States

    CERN Document Server

    Mondragón, A

    1997-01-01

    We study the complex geometric phase acquired by the resonant states of an open quantum system which evolves irreversibly in a slowly time dependent environment. In analogy with the case of bound states, the Berry phase factors of resonant states are holonomy group elements of a complex line bundle with structure group C*. In sharp contrast with bound states, accidental degeneracies of resonances produce a continuous closed line of singularities formally equivalent to a continuous distribution of "magnetic" charge on a "diabolical" circle, in consequence, we find different classes of topologically inequivalent non-trivial closed paths in parameter space.

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

    Directory of Open Access Journals (Sweden)

    César Gutiérrez

    2014-06-01

    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

  3. La geste castillane et la construction de l’espace impérial hispanique dans la Historia de los hechos de los castellanos en las Islas y Tierra firme del mar océano d’Antonio de Herrera y Tordesillas (1549-1625

    Directory of Open Access Journals (Sweden)

    Renaud Malavialle

    2012-01-01

    castellanos, los más nobles súbditos del primer gran reino de la Península ibérica, de vocación universal. De la dialéctica de los puntos de vista tomados en cuenta emerge el espacio metódico de un discurso de pretensión verídica, credible en el ámbito ibérico y difícilmente falsificable entre la República de las Letras. Su objeto : grabar a fuego en la historia oficial los derechos de los castellanos y de la Monarquía Católica sobre el espacio colonial legítimamente conquistado y por conquistar.

  4. 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.

  5. 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...

  6. 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

  7. 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

  8. Basic real immunization coverage for the first year of life in a Family Health Unit La cobertura de vacunación del esquema básico real para el primer año de vida en una Unidad de Salud de la Familia Cobertura vacinal real do esquema básico para o primeiro ano de vida numa Unidade de Saúde da Família

    Directory of Open Access Journals (Sweden)

    Sandra Maria Magalhães Villela Carneiro

    2012-09-01

    Full Text Available

    Purpose: to evaluate basic immunization coverage for the first year of life in a family health unit in Maceio, Alagoas, Brazil. Methods: it was a cross-sectional study. Sixty six children from 12 to 24 months old were included. All parents or answerable persons for the children undergone to an interview. Additional data were collected from immunization cards for each child. Basic immunization coverage was considered complete when children received immunization on adequate age and intervals. Categorical variables were disposed in proportions. Mean and standard deviation were calculated for numeral variables. Differences between appropriate and inappropriate vacinal coverage groups were measured through Pearson’s qui-square (p < 0.05. Results: We obtained a sample of 66 children, of whom 24,2% (n = 16 completed the basic immunization schedule. The average number of residents was 4,7 ± 1,8, while the averege number of siblngs was 1,0 ± 1,0. It was found that 75,8% (n = 50 of children were part of the C2 or D. The average age of the person responsible was 30,53 ± 11 ranging from 16 to 62 years. Conclusion: The coverage for each of vaccines was always greater than the coverage for theentire scheme. It was found that a significant portion of children in this research did not receive all recommended doses, at ages appropriate and corret intervals. Therefore, the init needs to improve it’s technical procedures, and administrative in order to ensure full immunization coverage in due course.

    Objetivos: Evaluar la cobertura actual del régimen de la unidad básica de la vida en una familia de La Salud Maceió-AL. Métodos: Estudio transversal realizado en la Unidad de Salud de la Familia en Meceió Dr. Helvio Auto-AL. Se

  9. Estratégia competitiva: Michael Porter 30 anos depois

    OpenAIRE

    Manuel Portugal Ferreira; Fernando A. Ribeiro Serra; Marcelo Lopes Carneiro; Aline Botelho Schneider

    2009-01-01

    Os estudos de estratégia têm sido muito influenciados pelos trabalhos de Michael Porter, em todas as suas fases, como as cinco forças, as estratégias genéricas, a cadeia de valor e as vantagens competitivas das nações. Neste artigo, analisou-se a influência de Porter nos trabalhos brasileiros em estratégia, a partir dos trabalhos selecionados e apresentados no EnANPAD. No levantamento para a análise dos artigos, considerando 10 anos de EnANPAD (1997-2006), foram selecionados 46 artigos. A ide...

  10. Two new tools and a working method for crisis management of accidental spills at sea. Doctoral thesis

    Energy Technology Data Exchange (ETDEWEB)

    Koops, W.

    1992-12-14

    Tables of Contents: Accidental spills and crisis management at sea; Present global situation concerning prevention of accidental spills; Present regional situation concerning preparation for accidental spills in the North Sea; Present national (Dutch) situation concerning response to accidental spills; Improvements in present crisis management approach; Design of the gravity scale for accidental spills; Introduction and design of a diagnostic model for accidental spills at sea; Introduction and design of a working method to support decision making in response situations; The computer program; Calibration and evaluation of the newly developed tools and working method; and, Appendices with background information.

  11. Procedures, placement, and risks of further abuse after Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation

    OpenAIRE

    Davis, P.; McClure, R; Rolfe, K; Chessman, N; Pearson, S.; Sibert, J; Meadow, R

    1998-01-01

    OBJECTIVES—To investigate outcome, management, and prevention in Munchausen syndrome by proxy, non-accidental poisoning, and non-accidental suffocation.
DESIGN—Ascertainment through British Paediatric Surveillance Unit and questionnaires to responding paediatricians.
SETTING—The UK and Republic of Ireland, September 1992 to August 1994.
SUBJECTS—Children under 14 years diagnosed with the above.
MAIN OUTCOME MEASURES—Placement and child protection measures for victims and sib...

  12. Presencia de la estética suprematista en Océano Mar de Alessandro Baricco

    Directory of Open Access Journals (Sweden)

    Laura González

    2007-07-01

    Full Text Available L’article propose un parallèle analytique entre l’esthétique suprématiste -représentée sous forme paradigmatique par le tableau de Malevitch “Carré blanc sur fond blanc”- et le roman Océan mer de l’italien Alessandro Baricco. Ce livre tire toute sa force de la façon dont l’auteur italien se sert des principes esthétiques du peintre russe pour mieux les subvertir. Cela est particulièrement évident dans le personnage qui aspire à peindre la mer et obtient un résultat tout à fait inattendu.El artículo propone un paralelo analítico entre la estética suprematista -encarnada de forma paradigmática en el cuadro “Cuadrado blanco sobre cuadrado blanco” de Malevich- y la novela Océano mar del italiano Alessandro Baricco. La fuerza del libro radica precisamente en cómo el autor italiano se sirve de los principios estéticos del pintor ruso para subvertirlos. Ello es especialmente visible en el personaje que aspira a pintar el mar y obtiene un resultado del todo inesperado.

  13. Accidental endoscopic finding of Anisakis simplex in human colon

    Directory of Open Access Journals (Sweden)

    Aurelia Aloia

    2011-09-01

    Full Text Available Anisakidosis is a zoonotic disease caused by the ingestion of nematodes belonging to the family of Anisakidae. Human infection is caused by intake of raw or undercooked sea fish and cephalopods infested by Anisakis larvae. We present a case of accidental endoscopic finding of an alive nematode adhering to distal ascending colon in a 32 years old man, submitted to colonoscopy owing to recent onsets of rectal bleeding of likely hemorrhoidal origin. The nematode, removed from colon by means of biopsy forceps, has been identified as L3 larvae of A. simplex by a light microscope. Histological examination of intestinal mucosa showed a mild fibrosis of lamina propria, characterized by focal lymphocytic inflammation and scattered infiltration of eosinophils. The patient reported the intake of marinated anchovies 3 days before endoscopic examination.

  14. Accidental intraoral formalin injection: a rare case report

    Directory of Open Access Journals (Sweden)

    Ramakant Dandriyal

    2014-12-01

    Full Text Available Formalin is a hazardous chemical that needs cautious handling and special storage. Owing to its disinfectant and fixative (i.e. for preserving pathologic tissue specimens in histopathology properties, it is widely used in dentistry. Although, the terms formaldehyde and formalin are often confused as being identical, these are different as to the concentrations of the primary component i.e. formaldehyde. In fact, the common fixative available as 10% neutral buffered formalin is actually a 4% solution of formaldehyde (i.e., a 10% solution made from a 37-40% commercially pure formaldehyde solution. This case report describes an unfortunate case of accidental injection instead of local anesthetic, of formalin into the pterygomandibular space in a 35-year old woman during inferior alveolar nerve block for surgical removal of impacted lower right third molar and its successful management by cautious debridement (under both local and general anesthesia and empirical drug therapy (utilizing analgesics and antibiotics.

  15. 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. PMID:26907016

  16. Siquieros accidental painting technique: a fluid mechanics point of view

    CERN Document Server

    Zetina, Sandra

    2012-01-01

    This is an entry for the Gallery of Fluid Motion of the 65th Annual Meeting of the APS-DFD (fluid dynamics video). This video shows an analysis of the 'accidental painting' technique developed by D.A. Siqueiros, a famous Mexican muralist. We reproduced the technique that he used: pouring layers of paint of different colors on top of each other. We found that the layers mix, creating aesthetically pleasing patterns, as a result of a Rayleigh-Taylor instability. Due to the pigments used to give paints their color, they can have different densities. When poured on top of each other, if the top layer is denser than the lower one, the viscous gravity current undergoes unstable as it spread radially. We photograph the process and produced slowed-down video to visualize the process.

  17. Notas sobre Accidentes Aéreos causados por Aves

    Directory of Open Access Journals (Sweden)

    Oscar Rivera

    2009-06-01

    Full Text Available En varios artículos de opinión publicados en Engormix, el autor se ha referido a dos épocas muy peligrosas para la presentación de accidentes aéreos en diferentes países, situados especialmente en el hemisferio norte (Boreal. Comprenden dos etapas, la primera, en los meses de Septiembre y Octubre, cuando comienza el invierno en el Ártico que deja a millones de aves sin alimento, razón por la cual inician la migración a los diferentes continentes en busca de alimentos; la segunda, durante los meses de Febrero y Marzo, cuando emprenden su regreso al sitio de partida, coincidiendo con la iniciación de la primavera que les garantiza comida suficiente...

  18. Subtraction of "accidentals" and the validity of Bell tests

    CERN Document Server

    Thompson, C H

    1999-01-01

    In some key Bell experiments, including two of the well-known ones by Alain Aspect, 1981-2, it is only after the subtraction of ``accidentals'' from the coincidence counts that we get violations of Bell tests. The data adjustment, producing increases of up to 60% in the test statistics, has never been adequately justified. Few published experiments give sufficient information for the reader to make a fair assessment. There is a straightforward and well known realist model that fits the unadjusted data very well. In this paper, the logic of this realist model and the reasoning used by experimenters in justification of the data adjustment are discussed. It is concluded that the evidence from all Bell experiments is in urgent need of re-assessment, in the light of all the known ``loopholes''. Invalid Bell tests have frequently been used, neglecting an improved one derived by Clauser and Horne in 1974. ``Local causal'' explanations for the observations have been wrongfully neglected.

  19. 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

  20. Accidentes de trabajo con material biológico en el cotidiano de enfermería en unidad de alta complejidad.

    OpenAIRE

    Caetano, J.A.; Soares, E.; Braquehais, A.R.; Rolim, K.A.C.

    2006-01-01

    Se trata de una investigación de campo de carácter descriptivo, exploratorio, con abordaje cuantitativo. Esta investigación tuvo por objetivo investigar el conocimiento del equipo de enfermería sobre la prevención de accidentes con material biológico. La muestra estuvo constituida por 25 trabajadores de enfermería de la emergencia de un hospital de referencia en el municipio de Sobral/Ce. En la colecta de datos fue utilizado un cuestionario que se destinó al levantamiento ...

  1. El uso de SIG en el análisis de la distribución de accidentes en carreteras: el caso de Tamaulipas, México

    OpenAIRE

    Laura Luna González; Luis Chias Becerril

    1999-01-01

    En este trabajo se analiza la distribución de los accidentes de transito en las carreteras federales del estado de Tamaulipas durante 1992, mediante el uso de un sistema de información geográfica (SlG). Se utilizó el SIG Arc/lnfo, aplicando el conjunto de programas conocido como Segmentación Dinámica (Dynarnic Segmentation). que permite manejar diferentes bases de datos tabulares sobre el fenómeno estudiado y establecer ligas de acceso virtuales entre dichas bases de información y los vect...

  2. Rehabilitación neuropsicológica en el síndrome de neglect tras accidente cerebrovascular: caso clínico

    Directory of Open Access Journals (Sweden)

    Modesto Romero-López

    2011-12-01

    Full Text Available El síndrome de neglect se manifiesta por déficits en la atención perceptiva y la respuesta a estímulos presentados en el hemicampo contralesional; frecuentemente es consecuencia de un accidente cerebrovascular que afecta al hemisferio cerebral derecho. Se presenta el caso de una paciente con infarto en la arteria cerebral media derecha a la que se le practicó una evaluación y participó en un programa de rehabilitación neuropsicológica. Se discuten la eficacia de la rehabilitación del neglect en sus diferentes aspectos.

  3. Accidental Perforation of Endotracheal Tube during Orthognathic Surgery for Maxillary Prognathism - a Case Report

    Directory of Open Access Journals (Sweden)

    Manish Jain

    2008-01-01

    Full Text Available Maxillary prognathism(excess is a congenital anomaly characterized by facial disfigurement. Accidental perforation of endotracheal tube during corrective surgery is not an uncommon complication. A case of accidental perforation of endotracheal tube during surgery and its management is presented here.

  4. Two Cases of Accidental Injection of Epinephrine into a Digit Treated with Subcutaneous Phentolamine Injections

    Directory of Open Access Journals (Sweden)

    Ryan P. Bodkin

    2013-01-01

    Full Text Available Accidental injection into the digit from an epinephrine autoinjection device can cause discoloration, pain, and paresthesias. Although loss of digit is rare, treatment in the emergency department is commonly aimed at vasodilation of the affected tissue. We report two cases of accidental injection of epinephrine into the digits that were successfully treated with subcutaneous phentolamine injection with no adverse events.

  5. Two Cases of Accidental Injection of Epinephrine into a Digit Treated with Subcutaneous Phentolamine Injections

    Science.gov (United States)

    Bodkin, Ryan P.; Acquisto, Nicole M.; Wiegand, Timothy J.

    2013-01-01

    Accidental injection into the digit from an epinephrine autoinjection device can cause discoloration, pain, and paresthesias. Although loss of digit is rare, treatment in the emergency department is commonly aimed at vasodilation of the affected tissue. We report two cases of accidental injection of epinephrine into the digits that were successfully treated with subcutaneous phentolamine injection with no adverse events. PMID:24024046

  6. 76 FR 73021 - Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

    Science.gov (United States)

    2011-11-28

    ... Injury in Support of Claim for Compensation or Pension/Statement of Witness to Accident, VA Form 21- 4176...: VA Form 21-4176 is used to support a claim for disability benefits based on an accidental injury that... AFFAIRS Agency Information Collection (Report of Accidental Injury in Support of Claim for Compensation...

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

    International Nuclear Information System (INIS)

    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

  8. Dez anos de MERCOSUL: uma visão brasileira

    Directory of Open Access Journals (Sweden)

    Paulo Roberto de Almeida

    2000-03-01

    Full Text Available Critical assessment of the first ten years of MERCOSUL, from a Brazilian perspective, dealing with the following questions: brief historical information on the backround process of the integration between Brazil and Argentina, the decision-making process in the context of the 1991 Asuncion treaty, the development of MERCOSUL in the 1990’s, its achievements and shortcomings, its political underpinnings and its legal-institutional structure, as well as its unfinished agenda, together with the challenges ahead in the regional, hemispheric and global contexts, in particular the FTAA question.Avaliação crítica dos primeiros dez anos do MERCOSUL, numa visão brasileira, tratando das seguintes questões: breve digressão histórica sobre os antecedentes do esquema integracionista, a decisão integracionista adotada pelo Brasil e pela Argentina, o desenvolvimento do MERCOSUL nos anos 1990, suas realizações materiais e frustrações econômicas, seus pressupostos políticos e sua estrutura jurídico-institucional, assim como as lacunas remanescentes do processo integracionista, em face dos desafios existentes nos planos regional, hemisférico e global, com destaque para a questão da ALCA.

  9. O Leviathan declinante: a crise brasileira dos anos 80

    Directory of Open Access Journals (Sweden)

    Brasilio Sallum Jr.

    1991-12-01

    Full Text Available Este artigo faz um balanço da crise brasileira dos anos 80. Busca analisar a interação entre crise econômica e transformação política, enfatizando a importância da distinção conceituai entre Estado e regime político. Usa sistematicamente tais conceitos para explicar a natureza da crise e as dificuldades da transição para a democracia. E salientada a ruptura das alianças que sustentaram o velho Estado desenvolvimentista surgido nos anos 30 e a extensão das dificuldades que retardaram a emergência de um novo pacto hegemônico.This article evalvates the Brazilian crisis in the Eighties, analysing the feedback between economic crisis and political change. Its approach emphatizes the importance of the difference between the concepts of State and political regime. These two concepts are used in a systematic way to explain the nature of the crisis and the difficulties of the transition tomards democracy. The rupture of the alliances that supported the old developmental State of the thirties in undescored, as well as the extent of the difficulties that delay the emergence of a new hegemonic pact.

  10. Rol y condiciones estratégicas del médico dentro del Sistema de Gestión de Seguridad y Salud Ocupacional

    OpenAIRE

    Óscar Eduardo Vera-Romero; Virgilio Efraín Failoc-Rojas; Franklin Miguel Vera-Romero

    2015-01-01

    El impacto negativo de los accidentes laborales es tanto sanitario como económico. Se calcula que cerca de 2,3 millones de muertes al año se deben por trabajo. Existen factores de riesgo, como exposición a riesgos físicos, químicos, biológicos, psicosociales y ergonómicos ocasionando desequilibrio de salud y causar accidentes, enfermedades. Para proteger la salud en estos campos existe la Medicina del Trabajo. El Objetivo de este estudio es describir el rol y condiciones estratégicas del médi...

  11. EVOLUCIÓN DE LA MORTALIDAD POR ACCIDENTES INFANTILES Y SU DISTRIBUCIÓN GEOGRÁFICA EN ESPAÑA (1975-1994

    Directory of Open Access Journals (Sweden)

    Miguel Ruiz Ramos

    2001-01-01

    Full Text Available Fundamentos: En los países desarrollados los accidentes infantiles ocupan los primeros lugares como causa de mortalidad. El objetivo de este trabajo es describir su evolución en España desde 1975 a 1994, así como su distribución por Comunidades Autónomas. Método: Con las defunciones por accidentes y las poblaciones de España y sus Comunidades Autónomas de 1 a 14 años de las estadísticas oficiales de mortalidad se han calculado los siguientes indicadores: porcentajes sobre el total de defunciones, tasas brutas de mortalidad, tasas ajustadas por edad, tasas específicas por grupos de edad y riesgos relativos. Estos indicadores han sido calculados por género, año de defunción y Comunidad Autónoma. Resultados: Entre 1975 y 1994 se ha reducido la mortalidad por accidentes infantiles en España, en un 3% anual en las niñas y en un 3,5% en los niños. La razón niños/niñas se ha mantenido alrededor de 2. Los accidentes de tráfico han supuesto en torno al 50%. Aragón presentaba el riego relativo más bajo tanto en niñas como en niños, con 0,54 y 0,57 respectivamente, y Galicia el más alto con 1,73 en niñas y 1,91 en niños. El porcentaje sobre el total de defunciones infantiles fue muy variable entre las Comunidades Autónomas, mientras que el porcentaje de accidentes de tráfico estuvo alrededor del 50% en todas las Comunidades Autónomas. Conclusiones: En España la mortalidad por accidentes infantiles ha descendido de una manera notable, en la actualidad se estima que los niños mueren un 50% menos que en 1975. La distribución por Comunidades Autónomas presenta grandes diferencias.

  12. Characterization and Comparison of Injuries Caused by Accidental and Non-accidental Blunt Force Trauma in Dogs and Cats.

    Science.gov (United States)

    Intarapanich, Nida P; McCobb, Emily C; Reisman, Robert W; Rozanski, Elizabeth A; Intarapanich, Pichai P

    2016-07-01

    Motor vehicle accidents (MVA) are often difficult to distinguish from non-accidental injury (NAI). This retrospective case-control study compared animals with known MVA trauma against those with known NAI. Medical records of 426 dogs and cats treated after MVA and 50 after NAI were evaluated. Injuries significantly associated with MVA were pelvic fractures, pneumothorax, pulmonary contusion, abrasions, and degloving wounds. Injuries associated with NAI were fractures of the skull, teeth, vertebrae, and ribs, scleral hemorrhage, damage to claws, and evidence of older fractures. Odds ratios are reported for these injuries. MVA rib fractures were found to occur in clusters on one side of the body, with cranial ribs more likely to fracture, while NAI rib fractures were found to occur bilaterally with no cranial-caudal pattern. Establishing evidence-based patterns of injury may help clinicians differentiate causes of trauma and may aid in the documentation and prosecution of animal abuse. PMID:27364279

  13. Psicología del Testimonio

    OpenAIRE

    Ferrer Cascales, Rosario Isabel; Reig-Ferrer, Abilio; Albaladejo Blázquez, Natalia; Fernández-Pascual, M. Dolores

    2009-01-01

    Por Psicología del testimonio entendemos el conjunto de conocimientos que intentan determinar la calidad (exactitud y credibilidad) de los testimonios que sobre los delitos, accidentes o sucesos cotidianos, prestan los testigos presenciales. El objetivo general de esta asignatura es introducir al alumnado en el campo conceptual de la Psicología del testimonio y estudiar las cuestiones teóricas y aplicadas más actuales de la investigación en esta área de estudio. Contenidos: Introducción a la ...

  14. Gravidade dos acidentes de trabalho atendidos em serviços de emergência Gravedad de los accidentes de trabajo atendidos en servicios de emergencia Severity of occupational injuries treated in emergency services

    Directory of Open Access Journals (Sweden)

    Vilma Sousa Santana

    2009-10-01

    leitos hospitalares e UTI.OBJETIVO: Estimar el nivel de gravedad de accidentes de trabajo y factores asociados. MÉTODOS: Estudio longitudinal realizado en la cuidad de Salvador, Nordeste de Brasil, conducido con todos los 406 casos de accidentes de trabajo atendidos en dos unidades de emergencia de hospitales públicos, entre junio y agosto de 2005. Los participantes fueron identificados durante la admisión en el servicio de emergencia y entrevistados mensualmente en sus residencias, hasta el retorno al trabajo o finalización del tratamiento. La gravedad fue definida con la Abbreviated Injury Scale utilizada para calcular escores del Injury Severity Score. Fueron estimadas la letalidad y la mortalidad hospitalaria, permanencia e internación en la unidad de terapia intensiva (UTI. Variables descriptoras fueron sexo, edad, área de actividad económica y ocupación. Se emplearon proporciones, razones de proporciones e intervalos de confianza para la inferencia estadística y promedio y prueba t de Student para variables normales continuas. RESULTADOS: La mayor parte de los 406 casos fue de gravedad leve (39,4% y moderada (38,7%, seguida por los de nivel serio (17,2%, severo (3,2% y crítico (1,5%. La letalidad global fue 0,7% y 5,0% entre los que permanecieron internados (14,8%, mientras que el promedio de hospitalización fue 3,2 días (DE=2,8. Tres casos (0,7% necesitaron UTI (promedio= 8,4 días, DE=1,2. La mayor parte de los casos graves ocurrió entre los hombres y los que tenían más de 37 años de edad. No hubo diferencias socioeconómicas estadísticamente significativas. Accidentes con trabajadores de transporte (RP= 2,20; IC 90%: 1,06;4,58 y comercio (RP=1,85; IC 90%: 1,14;3,00 fueron más graves que el grupo referido. La proporción de accidentes graves fue 54% mayor entre los de trayecto en comparación con los típicos. En total fueron 325 días de hospitalización y 34 días de permanencia en UTI. CONCLUSIONES: Fue elevada la gravedad de accidentes de

  15. 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)

  16. 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)

  17. Análisis edad-periodo-cohorte de la mortalidad por accidentes de tráfico en España

    Directory of Open Access Journals (Sweden)

    Saiz-Sánchez Carmen

    1999-01-01

    Full Text Available OBJETIVO. Estudiar la evolución de la mortalidad por accidentes de tráfico en España y su posible aplicación a un modelo edad-periodo-cohorte, así como el efecto que pueden tener algunas medidas de seguridad vial seleccionadas. MATERIAL Y MÉTODOS. Se obtuvieron las tasas de mortalidad por accidentes de tráfico y las tasas en intervalos quinquenales de edad para cada sexo, lo que permite su estudio como tasas específicas de edad por cohortes de nacimiento. Para determinar la asociación entre las medidas de seguridad vial seleccionadas y la mortalidad se han construido modelos de regresión de Poisson. RESULTADOS. Se observaron dos ondas evolutivas en la mortalidad por accidentes de tráfico. Respecto a la edad, no podemos hablar de un efecto claro; tampoco se encontró un efecto cohorte ni para varones ni para mujeres. En relación con las medidas de seguridad vial, se discutió la consistencia que guardaban los modelos seleccionados con los resultados gráficos, y se obtuvo que el uso obligatorio del casco y de las luces de cruce en motocicletas se ha asociado significativamente a la reducción de la mortalidad (RR 0.73, p< 0.05. CONCLUSIONES. La mortalidad por accidentes de tráfico en España muestra un ligero incremento en el periodo estudiado. Este comportamiento de las tasas no puede ser explicado suficientemente por los efectos de la edad, el periodo de diagnóstico de la muerte y la cohorte de nacimiento; en cambio las medidas de seguridad vial introducidas se valoraron positivamente.

  18. Aplicaciones del refuerzo positivo a la reducción de accidentes en el trabajo

    Directory of Open Access Journals (Sweden)

    Luis López Mena

    1990-01-01

    Full Text Available A system for the reductíon of accidents in the enterprise was devised, founded in operant conditioning (token economy principies. 1t is calIed "Green Card" and it is centered on positive reinforeement. It was used with .three Chilean enterprises, with a total of 914 workers. Results indicated that accídentabilítv index reductíon was 62.8%. A follow-up of three years showed that the obtained reductíon was maintained. The importance of this system for the prevention of industrial accidents. is indicated

  19. Involvement of Ca2+ Activated Cl- Channel Ano6 in Platelet Activation and Apoptosis

    Directory of Open Access Journals (Sweden)

    Guoxing Liu

    2015-11-01

    Full Text Available Background/Aims: The ubiquitously expressed Ca2+ Activated Cl- Channel Ano6 participates in the stimulation of cell membrane scrambling. Defective Ano6 underlies the Scott syndrome, an inherited bleeding disorder with impaired scrambling of plasma membrane phospholipids. At least in theory, the bleeding disorder of Scott syndrome may result from impaired platelet function. Activators of platelets include thrombin and collagen related peptide (CRP, which trigger increase of cytosolic Ca2+-activity ([Ca2+]i, production of reactive oxygen species (ROS, degranulation, integrin activation, as well as cell shrinkage and phospholipid scrambling of the cell membrane. The present study thus explored whether Ano6 modifies activation-induced alterations of cytosolic Ca2+-activity ([Ca2+]i, degranulation (P-selectin exposure, integrin activation, phosphatidylserine exposure on the platelet surface and platelet volume. Methods: Platelets from mice lacking Ano6 (ano6-/- were compared to platelets from corresponding wild-type mice (ano6+/+. [Ca2+]i was estimated from Fluo-3 fluorescence, ROS from DCFDA fluorescence, degranulation from P-selectin abundance, integrin activation from αIIbβ3-integrin abundance, phosphatidylserine abundance from annexin-V-binding, and cell volume from forward scatter. Results: Platelet number in blood was slightly higher in ano6-/- mice than in ano6+/+ mice. Without activation [Ca2+]i and volume were similar in ano6-/- and ano6+/+ platelets as well as ROS abundance, P-selectin abundance, αIIbβ3 integrin activation, and phosphatidylserine exposure were negligible in both genotypes. Thrombin (0.01 U/ml and CRP (2 or 5 µg/ml increased [Ca2+]i, ROS abundance, platelet degranulation, αIIbβ3 integrin activation, and triggered annexin-V-binding as well as cell shrinkage, all effects less pronounced in ano6-/- than in ano6+/+ platelets. Conclusions: Genetic knockout of Ano6 blunts thrombin- and CRP-induced activation and apoptosis

  20. Aprendendo com as crianças de 3 anos

    OpenAIRE

    Rosa, Maria João Neves Ventinhas

    2015-01-01

    O principal objetivo deste relatório foi a observação e participação em todo o processo profissional que envolveu o acompanhamento de um grupo de crianças na faixa etária dos três anos de idade, com características diferenciais entre si, tendo este relatório, no âmbito da Unidade Curricular de Prática Educativa, a finalidade de descrever todo este o meu percurso. Tive igualmente a oportunidade de além da caracterização teórica da instituição, elaborar uma caracterização assente na prática...

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. The Frequency of the Accidental Contamination with Laboratory Samples in Yazd Clinical Laboratories’ personnel in 2011

    Directory of Open Access Journals (Sweden)

    Jafari, AA. (PhD

    2014-05-01

    Full Text Available Background and Objective: laboratory personnel have always accidental exposure to clinical samples, which can cause the transmission of infection. This threat can be prevented and controlled by education for the use of safety instruments. The purpose was to determine the frequency of accidental exposure to laboratory samples among Yazd laboratory personnel in 2011. Material and Methods: This descriptive cross-sectional study was conducted on 100 of Yazd clinical laboratory personnel. The data was collected, using a valid and reliable questioner, via interview and analyzed by means of SPSS software. Results: Eighty-six percent of the subjects reported an experience of accidental exposure to clinical samples, such as blood, serum and urine. The causes were carelessness (41% and work overload (29%. Needle- stick was the most prevalent injury (52% particularly in sampler workers (51% and in their hands (69%. There wasn’t significant relationship between accidental exposure to laboratory samples and the variables such as private and governmental laboratories (p=0.517, kind of employment (p=0.411, record of services (p=0.439 and academic degree (p=0.454. The subjects aged 20-29 (p=0.034 and worked in sampling unit had the highest accidental exposure. Conclusion: based on the results, inexperience of the personnel especially in sampling room, overload at work and ignorance of applying safety instruments are known as the most important reasons for accidental exposure to clinical samples. Keywords: Contamination; accidental Exposure; Infectious agents; laboratory; personnel

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

    Energy Technology Data Exchange (ETDEWEB)

    Matahri, N. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Fontenay-aux-Roses (France)

    2006-07-01

    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)

  7. 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.

  8. Accidental intoxication with hydrochloric acid and hydrofluoric acid mixture.

    Science.gov (United States)

    Smędra-Kaźmirska, A; Kędzierski, M; Barzdo, M; Jurczyk, Ap; Szram, S; Berent, J

    2014-01-01

    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.

  9. Accidental release of chlorine and its impact on urban areas

    Energy Technology Data Exchange (ETDEWEB)

    El-Sheikh, H.A.; Badr, O.A.; El Kadi, H.M.; Hamoda, M.F. [United Arab Emirates Univ., Abu Dhabi (United Arab Emirates). Faculty of Engineering

    1995-12-31

    Among the possible scenarios of accidental releases of chlorine from high pressure cylinders, this paper considers a typical one for the analysis. The calculated transient mass flow rate of chlorine released from a one-tonne cylinder showed that such an accident takes about 10 minutes to evacuate the cylinder. However, the toxic effect in the surrounding atmosphere continues for a longer period (about 20 minutes). The size and location of the toxic cloud at ground level were predicted as functions of time using an EPA-based dispersion model. The results showed a growth of the toxic cloud for some time beyond which it started to decay. For the typical scenario considered in this study, the most dangerous situation generated a toxic cloud with dimensions of 4000 m and 600 m in the downwind and crosswind directions, respectively. A study of the effects of some meteorological parameters on the size and location of the toxic cloud at ground level was also conducted. In general, it was observed that enhancing atmospheric mixing produced larger toxic zones during the early stages of the release and caused an opposite effect during the later ones. This dynamic data was linked to a GIS environment and the time variant was represented using an animation technique for Al-Ain City, United Arab Emirates. Data base information related to physical urban characteristics and population was immediately obtained for the affected areas.

  10. Accidental blood exposures among medical residents in Paris, France.

    Science.gov (United States)

    Mir, O; Adam, J; Veyrie, N; Chousterman, B; Gaillard, R; Gregory, T; Yordanov, Y; Berveiller, P; Loulergue, P

    2011-03-01

    Accidental blood exposure (ABE) exposes healthcare workers, including medical residents, to the risk of occupational infection. We aimed to determine the characteristics of ABEs in residents with an anonymous self-reporting electronic questionnaire. A total of 350 residents (33% from surgical disciplines) entered this survey. One hundred and eighty-five residents (52%) reported at least one ABE during their residency (median, 2; range, 1-25), 53% of which occurred in operating theatres. Sixty-nine per cent of residents followed the current procedures for local disinfection. ABEs were notified to the hospital administration by 62% of residents, but only 51% of residents were referred to the occupational medicine department. The most frequently reported concerns following ABEs were human immunodeficiency virus (52%) and hepatitis C virus infection (39%). In 74% of cases, the serological status of the index patient was investigated. Only 54% of residents were aware of their hepatitis B surface antibody titres. Medical residents behaved inappropriately in 33% of cases in this survey. Further educational programmes should include residents, and not only senior healthcare workers, in order to improve individual behaviours.

  11. Prolonged Toxic Encephalopathy following Accidental 4-Aminopyridine Overdose

    Directory of Open Access Journals (Sweden)

    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.

  12. 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.

  13. Accidental over-exposure from dental X-ray equipment

    International Nuclear Information System (INIS)

    A description is given of an unusual dental X-ray procedure which resulted in accidental over-exposure both to the dentist and to several of his patients when a short-circuit was present in newly-installed equipment. The short-circuit by-passed the exposure control and energized the tube for certain orientations of the X-ray tube. The dentist left the patients, who wore protective aprons, to initiate the exposure themselves, using the control button. Although the warning lights were on, the dentist was not present in the room during the exposure, and the over-exposures were only detected when the developed X-ray films were found to be completely blackened. A reconstruction of the procedure enabled estimates to be made of the dose equivalents to the dentist's body and to the skin of the head, the eyes and the gonads of the patients. The dentist had overlooked several of basic principles recommended in the Code of Practice for the Protection of Persons against Ionizing Radiations from Medical and Dental Use (1972). It is pointed out that incidents involving failure of dental equipment (usually the timer mechanism) are not infrequent. (U.K.)

  14. 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).

  15. 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.

  16. Kinematics and kinetics of an accidental lateral ankle sprain.

    Science.gov (United States)

    Kristianslund, Eirik; Bahr, Roald; Krosshaug, Tron

    2011-09-23

    Ankle sprains are common during sporting activities and can have serious consequences. Understanding of injury mechanisms is essential to prevent injuries, but only two previous studies have provided detailed descriptions of the kinematics of lateral ankle sprains and measures of kinetics are missing. In the present study a female handball player accidentally sprained her ankle during sidestep cutting in a motion analysis laboratory. Kinematics and kinetics were calculated from 240 Hz recordings with a full-body marker setup. The injury trial was compared with two previous (non-injury) trials. The injury trial showed a sudden increase in inversion and internal rotation that peaked between 130 and 180 ms after initial contact. We observed an attempted unloading of the foot from 80 ms after initial contact. As the inversion and internal rotation progressed, the loads were likely to exceed injury threshold between 130 and 180 ms. There was a considerable amount of dorsiflexion in the injury trial compared to neutral flexion in the control trials, similar to the previously published kinematical descriptions of lateral ankle sprains. The present study also adds valuable kinetic information that improves understanding of the injury mechanism. PMID:21824618

  17. Learning From Biomarkers in Victims Accidentally Exposed to Ionizing Radiation

    Institute of Scientific and Technical Information of China (English)

    Yan Wang; Liqing Du; Chang Xu; Qin Wang; Zhiyi Song; Jianxiang Liu; Xu Su

    2016-01-01

    Biomarkers,such as chromosome aberration and micronuclei assays,prove to be reliable for facilitating clinical diagnosis in radiation accidents.In a radiation accident in India,chromosomal aberration,γ-H2AX,as well as other blood markers,were detected in accidentally exposed victims.This multi-parametric approach aided in confirming that individuals had been exposed by ionizing radiation.However,doses were impossible to estimate because of a 30-day delay in accident awareness.Exposure dose for victims was estimated using a dose-response curve previously established.Dose estimation,blood cell depletion kinetics,and no appearance of prodromal symptoms suggested that doses of exposure were low.Hematologic investigation,sampling time,and chromosome aberration scoring were all proposed according to data from the victims exposed to 60Co.Finally,knowledge regarding chromosome aberration analysis and the importance of international co-operation and assistance should be shared from this accident.

  18. 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.

  19. Non-accidental pediatric trauma: radiographic findings in the abused child

    OpenAIRE

    Deltoff, Marshall

    1994-01-01

    The common radiographic manifestations of abused children are discussed along with the mandated obligation of the doctor to recognize and report any reasonable suspicion of non-accidental trauma in his/her pediatric patients.

  20. Fate of Accidental Symmetries of the Relativistic Hydrogen Atom in a Spherical Cavity

    CERN Document Server

    Al-Hashimi, M H; Wiese, U -J

    2015-01-01

    The non-relativistic hydrogen atom enjoys an accidental $SO(4)$ symmetry, that enlarges the rotational $SO(3)$ symmetry, by extending the angular momentum algebra with the Runge-Lenz vector. In the relativistic hydrogen atom the accidental symmetry is partially lifted. Due to the Johnson-Lippmann operator, which commutes with the Dirac Hamiltonian, some degeneracy remains. When the non-relativistic hydrogen atom is put in a spherical cavity of radius $R$ with perfectly reflecting Robin boundary conditions, characterized by a self-adjoint extension parameter $\\gamma$, in general the accidental $SO(4)$ symmetry is lifted. However, for $R = (l+1)(l+2) a$ (where $a$ is the Bohr radius and $l$ is the orbital angular momentum) some degeneracy remains when $\\gamma = \\infty$ or $\\gamma = \\frac{2}{R}$. In the relativistic case, we consider the most general spherically and parity invariant boundary condition, which is characterized by a self-adjoint extension parameter. In this case, the remnant accidental symmetry is ...

  1. Management options for accidental injection of epinephrine from an autoinjector: a case report

    Directory of Open Access Journals (Sweden)

    Mathez Christian

    2009-06-01

    Full Text Available Abstract Introduction Epinephrine autoinjector devices are used with increasing frequency to treat severe anaphylactic reactions. Accidental injection, usually involving a finger, is a potential complication. Case presentation A physician in a Family Practice training program accidentally injected epinephrine into his left thumb while reading the operating instructions of an autoinjector (Epipen®. He developed swelling, pallor, and pain in the thumb. Treatment included topical nitroglycerin, oral vasodilators and warming of the thumb. As expected, none caused an immediate response; however, after 8 hours, the thumb was pink and warm. There was full recovery 2 months after the accident. We reviewed the treatment of accidental epinephrine injection, and found that the use of parenteral adrenergic alpha blocker phentolamine would have produced immediate recovery. Conclusions All health professionals concerned with the use of epinephrine autoinjectors should receive adequate instruction on their use. A regimen for management of accidental epinephrine injection, in particular the use of phentolamine, should be emphasized.

  2. 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...

  3. Simple battery armor to protect against gastrointestinal injury from accidental ingestion

    OpenAIRE

    Laulicht, Bryan; Traverso, Giovanni; Deshpande, Vikram; Langer, Robert; Karp, Jeffrey M.

    2014-01-01

    Accidental battery ingestion in children is a recognized source of significant morbidity and mortality. To mitigate the risks of accidental battery ingestion, legislation has been introduced to regulate the locking of battery compartments. Regulation of battery housings has translated into modest reductions in the number of battery ingestion cases reported. We report here the fabrication of waterproof, pressure-sensitive battery coatings that are nonconductive in the low-pressure gastrointest...

  4. Menace of childhood non-accidental traumatic brain injuries: A single unit report

    OpenAIRE

    Musa Ibrahim; Adamu Ladan Mu′azu; Nura Idris; Musa Uba Rabiu; Binta Wudil Jibir; Kabir Ibrahim Getso; Mohammad Aminu Mohammad; Femi Luqman Owolabi

    2015-01-01

    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 S...

  5. Fate of accidental symmetries of the relativistic hydrogen atom in a spherical cavity

    OpenAIRE

    Al-Hashimi, M. H.; Shalaby, A. M.; Wiese, U. -J.

    2015-01-01

    The non-relativistic hydrogen atom enjoys an accidental $SO(4)$ symmetry, that enlarges the rotational $SO(3)$ symmetry, by extending the angular momentum algebra with the Runge-Lenz vector. In the relativistic hydrogen atom the accidental symmetry is partially lifted. Due to the Johnson-Lippmann operator, which commutes with the Dirac Hamiltonian, some degeneracy remains. When the non-relativistic hydrogen atom is put in a spherical cavity of radius $R$ with perfectly reflecting Robin bounda...

  6. 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.

  7. 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.

  8. 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.

  9. Balloon dilatation of post-surgical ano-rectal strictures in two infants

    Energy Technology Data Exchange (ETDEWEB)

    Wilder, W.M.; Melhem, R.E.

    1989-08-01

    Balloon dilatation of ano-rectal strictures offers an alternative to surgical repair of such lesions. This procedure has been described in higher colonic strictures secondary to necrotizing enterocolitis in infants but not in post-surgical ano-rectal strictures. Two cases of successful balloon dilatation are reported. Anal sphincter injury resulting in fecal incontinence, as previously reported, did not occur. (orig.).

  10. Estudio del NCI revela que la obesidad extrema puede acortar la esperanza de vida hasta en 14 años

    Science.gov (United States)

    Los adultos con obesidad extrema tienen mayor riesgo de morir a edad más joven por cáncer y muchas otras causas entre ellas, enfermedades cardíacas, accidentes cerebrovasculares, diabetes y enfermedades del hígado y los riñones, según estudio del NCI.

  11. 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

  12. Estratégia competitiva: Michael Porter 30 anos depois

    Directory of Open Access Journals (Sweden)

    Manuel Portugal Ferreira

    2009-12-01

    Full Text Available Os estudos de estratégia têm sido muito influenciados pelos trabalhos de Michael Porter, em todas as suas fases, como as cinco forças, as estratégias genéricas, a cadeia de valor e as vantagens competitivas das nações. Neste artigo, analisou-se a influência de Porter nos trabalhos brasileiros em estratégia, a partir dos trabalhos selecionados e apresentados no EnANPAD. No levantamento para a análise dos artigos, considerando 10 anos de EnANPAD (1997-2006, foram selecionados 46 artigos. A identificação e seleção dos artigos envolveram os seguintes critérios: busca complementar por palavra-chave Porter na base de dados do EnANPAD; avaliação dos títulos e resumos dos artigos apresentados na área de estratégia entre 1997 e 2006, bem como na íntegra quando necessário. Procedeu-se também à análise das referências utilizadas nos artigos e o posicionamento dos autores em relação às tipologias de Porter. Como resultado, verificou-se que Michael Porter é um autor com grande influência nas pesquisas acadêmicas de estratégia. Seus estudos mais utilizados são os da análise da indústria e das estratégias genéricas, e também se verificou que a maioria dos estudos analisados é favorável aos seus conceitos, mesmo existindo pesquisas contrárias.

  13. acaecidas por accidente de tráfico en el sur de España durante 2004

    Directory of Open Access Journals (Sweden)

    C Pareja

    2007-01-01

    Full Text Available El Instituto Nacional de Toxicología y Ciencias Forenses, la Delegación del Gobierno para el Plan Nacional sobre Drogas y la Dirección General de Tráfico tienen firmado un Convenio de colaboración para establecer la incidencia del consumo de alcohol y sustancias psicoactivas en las muertes en accidentes de tráfico, tanto conductores como peatones. En el estudio, objeto de este trabajo, se analizan los resultados de las muestras de sangre obtenidas en las autopsias practicadas a los conductores en el Sur de España durante el año 2004. Los parámetros a considerar son: sexo, edad, fecha, concentración de etanol y consumo simultáneo de sustancias psicoativas que afecten la capacidad de conducción. Los análisis se han realizado siguiendo los procedimientos empleados habitualmente en el Instituto Nacional de Toxicología y Ciencias Forenses para este tipo de determinaciones, consistente en cromatografía de gases con detector FID para la determinación de alcoholemia; mientras que para las sustancias psicoactivas se realiza screening mediante CEDIA y posterior confirmación y cuantificación mediante cromatografía de gases con detector NPD y cromatografía de gases-espectrometría de masas. De los 495 casos recibidos, 232 correspondían a conductores, la mayoría de los cuales eran varones accidentados en la comunidad andaluza. Cabe destacar la incidencia de muertes en menores de 30 años, así como el consumo de alcohol entre los fallecidos, observándose en más de la mitad de estos casos una concentración de alcohol en sangre superior al límite permitido por la Dirección General de Tráfico, de 0,5 gramos de etanol por litro de sangre, superándose incluso, en muchos de ellos, la concentración de 1,5 g/l. Los resultados obtenidos confirman la importante relación entre los accidentes de tráfico mortales y el consumo de alcohol y sustancias psicoactivas.

  14. 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.

  15. Estudio descriptivo sobre heridas incisas por accidente laboral

    OpenAIRE

    Reyes Recio, AJ.; Ramírez González, P.; Stagnaro, MA.

    2011-01-01

    La patología traumática y especialmente las heridas, son uno de los principales motivos de consulta de los usuarios que acuden a nuestros centros asistenciales. El conocimiento de las características, tanto de las heridas como de los trabajadores que las padecen, nos permitirá mejorar la calidad de la asistencia sanitaria prestada y conocer con detalle las duraciones medias de Incapacidad Temporal (IT) para la adecuada y óptima reincorporación del paciente a su puesto de trabajo. Como obj...

  16. Análisis de la respuesta estructural del edificio de contención de un reactor nuclear PWR frente a una secuencia de Station Blackout

    OpenAIRE

    Martínez Casanovas, Josep Maria

    2013-01-01

    Después del Accidente que sucedió el 11 de marzo de 2011 en la central nuclear de Daichii-Fukushima, han sido muchos los debates reabiertos acerca de la seguridad que ofrecen los reactores nucleares en operación. Debido a las incertidumbres que este accidente ha suscitado, surge ésta tesina, en la que se pretende conocer y comprender técnicamente que sucedería si un accidente similar al de Fukushima ocurriese en uno de los reactores de nuestro país. Con el principal objetivo de encontrar res...

  17. Fate of accidental symmetries of the relativistic hydrogen atom in a spherical cavity

    Science.gov (United States)

    Al-Hashimi, M. H.; Shalaby, A. M.; Wiese, U.-J.

    2015-11-01

    The non-relativistic hydrogen atom enjoys an accidental SO(4) symmetry, that enlarges the rotational SO(3) symmetry, by extending the angular momentum algebra with the Runge-Lenz vector. In the relativistic hydrogen atom the accidental symmetry is partially lifted. Due to the Johnson-Lippmann operator, which commutes with the Dirac Hamiltonian, some degeneracy remains. When the non-relativistic hydrogen atom is put in a spherical cavity of radius R with perfectly reflecting Robin boundary conditions, characterized by a self-adjoint extension parameter γ, in general the accidental SO(4) symmetry is lifted. However, for R =(l + 1) (l + 2) a (where a is the Bohr radius and l is the orbital angular momentum) some degeneracy remains when γ = ∞ or γ =2/R. In the relativistic case, we consider the most general spherically and parity invariant boundary condition, which is characterized by a self-adjoint extension parameter. In this case, the remnant accidental symmetry is always lifted in a finite volume. We also investigate the accidental symmetry in the context of the Pauli equation, which sheds light on the proper non-relativistic treatment including spin. In that case, again some degeneracy remains for specific values of R and γ.

  18. Doctrinal elements for the post-accidental management of a nuclear accident - Final version

    International Nuclear Information System (INIS)

    This report examines and defines the objectives, principles and main actions for the post-accidental management of a nuclear accident. It defines the emergency phase and the post-accidental phase, three basic objectives (to protect the population against the hazards of ionizing radiations, to support populations affected by the accident consequences, to restore affected territories), management principles, key issues for post-accidental management. It defines actions to be undertaken: post-accidental zoning, monitoring of deposited radioactivity, early actions for the protection and taking charge of population, information. It addresses the different aspects of post-accidental management planning in a period of transition: reception of population, reduction of population exposure to deposited radioactivity, treatment of public health problems, improvement of the knowledge on the radiological situation of the environment, improvement of the radiological quality of the different environments, dealing with wastes, empowerment of stakeholders through an adequate governance, support and redeployment of economic activity, help and compensation, information. Appendices more deeply discuss actions to be undertaken just after the emergency phase, for the management of the transition period, and for the management of the long-term period

  19. 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.

  20. 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

  1. Nuevo sitio de anidamiento del Albatros Ceja Negra, DIOMEDEA MELANOPHRIS TEMMINK 1828, en el Seno Almirantazgo, Tierra del Fuego, Chile

    OpenAIRE

    Aguayo, Anelio; Acevedo, Jorge; Acuña, Paola

    2003-01-01

    Con motivo de la realización de la segunda prospección de mamíferos marinos en seno Almirantazgo, Tierra del Fuego, realizada por el Grupo de Biología Marina del Centro de Estudios del Cuaternario Fuego-Patagonia y Antártica (CEQUA), realizada a bordo del yate “Chonos”, el 18 de enero de 2003, entre las 09:40 h y 11:30 h, se permaneció en las aguas circundantes del islote Albatros (54°27´20´´S; 69°01´12´´W), hallando el lugar de anidamiento en forma accidental....

  2. A não aceitação da gravidez e o desenvolvimento de crianças com quatro anos de idade no bairro Vila Jardim, Porto Alegre, Rio Grande do Sul, Brasil Unwanted pregnancy and children development at four years of age in Vila Jardim, Porto Alegre, Rio Grande do Sul, Brazil No aceptación del embarazo y el desarrollo infantil a los cuatro años de edad en Vila Jardim, Porto Alegre, Rio Grande do Sul, Brasil

    Directory of Open Access Journals (Sweden)

    Angela Helena Marin

    2012-12-01

    Full Text Available

    Objetivo: investigar como a gravidez não planejada e não aceita pode afetar o desenvolvimento da criança e quais os fatores sociodemográficos, das relações familiares e da rede social que podem interagir nessa relação. Método: participaram 82 mulheres que não planejaram a gestação, parte de um estudo longitudinal que incluiu todas as famílias do Bairro Vila Jardim de Porto Alegre, que tiveram filhos em hospital público entre novembro de 1998 e dezembro de 1999. Estas foram divididas em dois grupos: 73 mulheres que aceitaram a gestação até o quarto mês e nove delas que não a aceitaram. As participantes foram entrevistadas sobre: a gravidez e o parto, o relacionamento do casal e o impacto do nascimento da criança tanto para as suas vidas como para a dos pais da criança e famílias de origem. O desenvolvimento das crianças aos quatro anos foi avaliado pelo Teste de Denver II. Resultados: encontrou-se uma diferença significativa entre os grupos, demonstrando que os filhos de mães que não aceitaram a gestação apresentam maiores dificuldades de desenvolvimento da linguagem e da coordenação motora fina em relação às crianças cujas gestações foram aceitas até o quarto mês. Destaca-se que o grupo de mães que não aceitou a gestação apresentou problemas conjugais de moderados a graves e maior número de filhos. Conclusões: as crianças cuja gestação não foi aceita têm maiores riscos de apresentarem problemas de desenvolvimento, quando comparadas com aquelas fruto de gestações não planejadas, mas aceitas até o quarto mês. Esse achado salienta a importância de os profissionais de saúde identificarem durante o pré-natal a aceitação ou não da gestação, visto que este fator, assim como a qualidade da relação conjugal e o n

  3. Del Piero

    OpenAIRE

    Umbaca, Enzo

    2015-01-01

    Rifacendosi al “Pinturicchio”, epiteto con cui Gianni Agnelli consacrava il calciatore Alessandro Del Piero un “artista del calcio”, Enzo Umbaca scrisse al popolare personaggio invitandolo a collaborare ad una performance durante la quale Pinturicchio-Del Piero avrebbe affrescato il muro di una galleria torinese calciando un pallone macchiato di grafite contro un muro sul quale è appesa la copia di un opera del Pinturicchio.

  4. Insomnia medication use and the probability of an accidental event in an older adult population

    Directory of Open Access Journals (Sweden)

    Alon Y Avidan

    2010-11-01

    Full Text Available Alon Y Avidan1, Liisa A Palmer2, Justin F Doan3, Robert W Baran31UCLA Department of Neurology, Los Angeles, CA, USA; 2Thomson Reuters, Washington, DC, USA; 3Takeda Global Research and Development Center, Deerfield, IL, USAObjective: This study examined the risk of accidental events in older adults prescribed a sedating antidepressant, long-acting benzodiazepine, short-acting benzodiazepine, and nonbenzodiazepine, relative to a reference group (selective melatonin receptor agonist.Methods: This was a retrospective cohort analysis of older adults (≥65 years with newly initiated pharmacological treatment of insomnia. Data were collected from the Thomson MarketScan® Medicare Supplemental and Coordination of Benefits databases (January 1, 2000, through June 30, 2006. Probit models were used to evaluate the probability of an accidental event.Results: Data were analyzed for 445,329 patients. Patients taking a long-acting benzodiazepine (1.21 odds ratio [OR], short-acting benzodiazepine (1.16 OR, or nonbenzodiazepine (1.12 OR had a significantly higher probability of experiencing an accidental event during the first month following treatment initiation compared with patients taking the reference medication (P < 0.05 for all. A significantly higher probability of experiencing an accidental event was also observed during the 3-month period following the initiation of treatment (1.62 long-acting benzodiazepine, 1.60 short-acting benzodiazepine, 1.48 nonbenzodiazepine, and 1.56 sedating antidepressant; P < 0.05.Conclusions: Older adults taking an SAD or any of the benzodiazepine receptor agonists appear to have a greater risk of an accidental event compared with a reference group taking an MR.Keywords: insomnia, accidental events, benzodiazepine receptor agonist, melatonin receptor agonist, older adults

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

    International Nuclear Information System (INIS)

    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

  6. Pierre Bourdieu, dez anos depois Pierre Bourdieu, ten years after

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    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

  7. 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

  8. Inhaled Surfactant in the treatment of accidental Talc Powder inhalation: a new case report

    Directory of Open Access Journals (Sweden)

    Lo Piparo Caterina

    2011-09-01

    Full Text Available Abstract The use of talcum powder is incorrectly part of the traditional care of infants. Its acute aspiration is a very dangerous condition in childhood. Although the use of baby powder has been discouraged from many authors and the reports of its accidental inhalation have been ever more rare, sometimes new cases with several fatalities have been reported. We report on a patient in which accidental inhalation of baby powder induced severe respiratory difficulties. We also point out the benefits of surfactant administration. Surfactant contributed to the rapid improvement of the medical and radiological condition, preventing severe early and late complications and avoiding invasive approaches.

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

    International Nuclear Information System (INIS)

    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)

  10. Investigation of Thermal Equilibrium around an Accidental Event and Impact on Possibly Enclosed Surrounding Environment

    Science.gov (United States)

    Sarkar, Biswanath; Shah, Nitin; Choukekar, Ketan; Kapoor, Himanshu; Kumar, Uday; Das, Jotirmoy; Bhattacharaya, Ritendra; Vaghela, Hitensinh; Muralidhara, Srinivasa

    Complex and large cryogenic distribution systems are integral part of a fusion machine having superconducting magnets, cryopumps, etc. The various equipment of the cryogenic distribution system are interconnected via Cryogenic Transfer Lines (CTLs) to distribute cold helium to end users. During nominal operation of the fusion machine, helium inventory in CTLs could be in order of several tons. The cold helium present in CTLs could be released in surrounding volume due to accidental scenario. The present analysis, aims to estimate lowest temperature in the surrounding volume due to accidental scenario. The paper will describe simulation results and the test plan in a simulated condition.

  11. Laryngeal impaction of an archwire segment after accidental ingestion during orthodontic adjustment.

    Science.gov (United States)

    Umesan, Uday Kumar; Ahmad, Wizziyiane; Balakrishnan, Priya

    2012-08-01

    Orthodontic archwires or fractured appliances that are accidentally swallowed can become lodged in the airway or gastrointestinal tract. Inadvertent ingestion or aspiration of an appliance or archwire piece during orthodontic appliance adjustment is a medical emergency with potentially serious complications, including possible death from asphyxiation. This article reports the accidental ingestion of a piece of orthodontic archwire that became impacted in the larynx; it was subsequently retrieved. Some potential complications are discussed, along with suggested precautions to prevent such mishaps when using fixed appliances. PMID:22858337

  12. 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...

  13. Manejo del arbolado urbano en Bogotá

    OpenAIRE

    Germu00E1n Tovar Corzo

    2007-01-01

    El manejo del árbol urbano en la ciudad de Bogotá, ha cobrado especial importancia debido a que es un elemento que está siendo impactado mayormente por el proceso de renovación urbana del Distrito y porque además, es una fuente de alto riesgo debido al preocupante estado físico y sanitario de muchos de sus individuos, causantes de los muchos y frecuentes accidentes por caída de ramas y por el volcamiento total de sus estructuras. Desde 1998 la ciudad de Bogotá ha establecido un orden instituc...

  14. Percepción del riesgo y accidentalidad en la clase de Educación Física en alumnado de Educación Secundaria: una propuesta de intervención didáctica

    OpenAIRE

    Cámara-Pérez, José-Carlos

    2012-01-01

    [ES] Esta Tesis Doctoral pretende profundizar en el estudio de la percepción del riesgo y la propensión al accidente deportivo en alumnos de primaria, secundaria y bachillerato de centros educativos de la provincia de Jaén. Para ello se establecen 3 estudios; en el primero de ellos se diseñó un cuestionario de percepción del riesgo en el deporte escolar analizando la influencia del sexo, ciclo educativo y accidentes previos. En el segLmdo de los estudios se diseñó un cuestionario para analiza...

  15. Brasil: 200 anos de Estado; 200 anos de administração pública; 200 anos de reformas Brazil: 200 years of state; 200 years of public administration; 200 years of reforms

    Directory of Open Access Journals (Sweden)

    Frederico Lustosa da Costa

    2008-10-01

    Full Text Available A passagem dos 200 anos da transferência da corte portuguesa para o Brasil tem suscitado a realização de inúmeros eventos comemorativos, como seminários, palestras, exposições e a publicação de livros e artigos em jornais e revistas. Entretanto, poucos encontros, discussões e publicações em torno dos "200 anos" procuraram destacar a questão da constituição do Estado nacional e da formação da administração pública brasileira. Este artigo preenche uma pequena parte da lacuna deixada na comemoração do bicentenário da chegada da família real portuguesa ao Brasil. Oferece um rápido panorama da história das transformações por que tem passado a administração pública brasileira, destacando as mudanças planejadas, quer dizer, os esforços de reforma do aparelho de Estado. São enfatizadas as três grandes reformas que se sucederam a partir de meados dos anos 1930 do século passado, separadas entre si por intervalos de 30 anos - 1937, 1967 e 1995 (ou 1998, ano da promulgação da Emenda Constitucional no 19. Todo o percurso percorrido desde 1808 configura hoje uma tríplice efeméride - 200 anos de Estado nacional, 200 anos de administração pública e 200 anos de reformas institucionais e administrativas.The passing of 200 years since the transfer of the Portuguese Royal Court for Brazil has generated the realization of innumerable commemorative events, such as seminars, guest speakers, expositions and the publication of books and articles in journals and magazines. However, few findings, discussions and publications about the "200 years" looked to examine the question of the constitution of the national state and the formation of Brazilian public administration. This article intends to fill the large void left in the commemoration of the 200 years since the arrival of the Royal Portuguese Family in Brazil. It offers a quick historical panorama of the transformations that Brazilian public administration experienced

  16. RELACIÓN DEL SISTEMA FAMILIAR Y CAPACIDAD DE AUTOCUIDADO DEL ADOLESCENTE QUE CONSUME BEBIDAS ALCOHÓLICAS

    OpenAIRE

    Lidia García Ortiz; Leticia Casique Casique

    2012-01-01

    El consumo de alcohol se inicia en la etapa adolescente y puede propiciar múltiples problemas, como el bajo rendimiento escolar, abandono de sus estudios, embarazos no deseados, dificultades familiares y accidentes automovilísticos, que los puede llevar a la muerte. Además el consumo de alcohol puede ser la puerta de entrada a otro tipo de adicciones. (Instituto Nacional de Estadística, 2006) Analizar la relación del Sistema Familiar y la Capacidad de Autocuidado del adolescente, ayuda a enfe...

  17. 50 CFR 23.52 - What are the requirements for replacing a lost, damaged, stolen, or accidentally destroyed CITES...

    Science.gov (United States)

    2010-10-01

    ... lost, damaged, stolen, or accidentally destroyed CITES document? 23.52 Section 23.52 Wildlife and...) CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED SPECIES OF WILD FAUNA AND FLORA (CITES) Application..., or accidentally destroyed CITES document? (a) Purpose. A Management Authority may issue a...

  18. 36 CFR 1230.10 - Who is responsible for preventing the unlawful or accidental removal, defacing, alteration, or...

    Science.gov (United States)

    2010-07-01

    ... MANAGEMENT UNLAWFUL OR ACCIDENTAL REMOVAL, DEFACING, ALTERATION, OR DESTRUCTION OF RECORDS § 1230.10 Who is... destruction, removal, alteration or defacement of records; (c) Implement and disseminate policies and... preventing the unlawful or accidental removal, defacing, alteration, or destruction of records?...

  19. 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

  20. Facies del subfondo del canal Beagle, Tierra del Fuego Sub-bottom facies of the Beagle Channel, Tierra del Fuego

    Directory of Open Access Journals (Sweden)

    Gustavo Bujalesky

    2004-03-01

    Full Text Available El canal Beagle conecta los océanos Pacífico y Atlántico en el extremo meridional de Sudamérica y se ubica en el ambiente subantártico. Conforma una cuenca de unos 300 m de profundidad máxima y está separada del océano Atlántico por un umbral de 30 m de profundidad. El canal es un valle tectónico que fue completamente cubierto por el hielo glacial durante la última glaciación. Posteriormente, el canal fue ocupado por un lago glacial desde los 12.000 a los 8.000 años A.P., cuando fue invadido por el mar que alcanzó un nivel máximo entre los 6.000 y 5.000 años A.P. Con el objetivo de analizar las facies sedimentarias superficiales y del subfondo del canal se realizó un relevamiento geofísico con sonar de barrido lateral y un perfilador de 3,5 kHz. Sobre un basamento constituido por rocas metamórficas del Mesozoico, se identificaron depósitos de till y secuencias granodecrecientes que representan distintos estadios del retroceso glaciar, evidenciando hacia la sección superior facies lacustres y por encima depósitos de la transgresión marina del Holoceno. Además, se han identificado paleocauces y secuencias fluviales cubiertas por sedimentos marinos transgresivos.The Beagle Channel connects the Pacific and Atlantic oceans in the southernmost part of South America, and has a subantarctic environment. It is a deep basin (300 m depth separated from the Atlantic Ocean by a shallow sill (30 m depth. The Beagle Channel is a tectonic valley that was completely covered by ice during the Last Glaciation. Later, it was occupied by a glacial lake from 12,000 to 8,000 years B.P. and then flooded by the sea, reaching a maximum sea level between 6,000 and 5,000 years B.P. A geophysical survey (side scan sonar and 3.5 kHz profiler was carried out in the channel to analyze the sea-bed and sub-bottom sedimentary facies. Metamorphic Mesozoic basement rocks are overlain by glacial deposits (till and fining upwards sequences. These sequences

  1. PREVENTION REFERENCE MANUAL: CHEMICAL SPECIFIC, VOLUME 14: CONTROL OF ACCIDENTAL RELEASES OF PHOSGENE

    Science.gov (United States)

    The report, discussing phosgene, is one of a series addressing the prevention of accidental releases of toxic chemicals. Phosgene, a highly reactive and corrosive liquid that boils at room temperature has an Immediately Dangerous to Life and Health (lDLH) conctntration of 2 ppm, ...

  2. Multiple scattering and accidental coincidences in the J-PET detector simulated using GATE package

    CERN Document Server

    Kowalski, P; Wiślicki, W; Raczyński, L; Bednarski, T; Białas, P; Bułka, J; Czerwiński, E; Gajos, A; Gruntowski, A; Kamińska, D; Kapłon, Ł; Kochanowski, A; Korcyl, G; Kowal, J; Kozik, T; Krzemień, W; Kubicz, E; Niedźwiecki, Sz; Pałka, M; Rudy, Z; Salabura, P; Sharma, N G; Silarski, M; Słomski, A; Smyrski, J; Strzelecki, A; Wieczorek, A; Wochlik, I; Zieliński, M; Zoń, N

    2015-01-01

    Novel Positron Emission Tomography system, based on plastic scintillators, is developed by the J-PET collaboration. In order to optimize geometrical configuration of built device, advanced computer simulations are performed. Detailed study is presented of background given by accidental coincidences and multiple scattering of gamma quanta.

  3. Accidental ingestion of Ecstasy by a toddler: unusual cause for convulsion in a febrile child.

    Science.gov (United States)

    Cooper, A J; Egleston, C V

    1997-05-01

    The case is reported of a toddler who presented with an apparent febrile convulsion. The final diagnosis was that of accidental ingestion of Ecstasy. The child made an uneventful recovery. Ecstasy toxicity should be added to the list of differential diagnoses in a child presenting with fever and an unexplained seizure. PMID:9193992

  4. Accidental ingestion of Ecstasy by a toddler: unusual cause for convulsion in a febrile child.

    OpenAIRE

    Cooper, A. J.; Egleston, C. V.

    1997-01-01

    The case is reported of a toddler who presented with an apparent febrile convulsion. The final diagnosis was that of accidental ingestion of Ecstasy. The child made an uneventful recovery. Ecstasy toxicity should be added to the list of differential diagnoses in a child presenting with fever and an unexplained seizure.

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

    International Nuclear Information System (INIS)

    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)

  6. 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 metaphorical

  7. Guidebook for the treatment of accidental internal radionuclide contamination of workers

    International Nuclear Information System (INIS)

    This work is a guide intended for the treatment of accidental internal radionuclide contamination of workers. It is a practical guide, based on an actual treatments examination to eliminate the incorporated radionuclides from organism, and to avoid the radioinduced diseases development. It should be used by work doctors, emergency doctors, radiation protection agents, nurses and medical personnel. (N.C.)

  8. [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 t

  9. 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...

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

    NARCIS (Netherlands)

    G.J. van der Ploeg; J.C. Goslings; B.H. Walpoth; J.J.L.M. Bierens

    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 coh

  11. Insertion of an intrathecal catheter following accidental dural puncture : a meta-analysis

    NARCIS (Netherlands)

    Heesen, M.; Kloehr, S.; Rossaint, R.; Walters, M.; Straube, S.; van de Velde, M.

    2013-01-01

    Background: Inserting an intrathecal catheter after accidental dural puncture in parturients to prevent postdural puncture headache is becoming increasingly popular. We aimed to identify relevant published articles investigating this intervention and subject data to a meta-analysis. Methods: A syste

  12. TRACE-RELAP comparison in simulation of accidental situations stop conditions under different plant configurations

    International Nuclear Information System (INIS)

    RHRS (Residual heat removal system) loss in accidental conditions would be a non-negligible risk to the safety of the plant, especially if it is in certain configurations that make it more vulnerable by undermining its core cooling capability. One occurs when the primary is in terms of reduced inventory or half loop.

  13. SUMMARY OF ACCIDENTAL RELEASES OF RADIOACTIVITY DETECTED OFF THE NEVADA TEST SITE, 1963-1986

    Science.gov (United States)

    Of the more than 450 underground nuclear explosives tests conducted at the Nevada Test Site from August 1963 (signing of the Limited Test Ban Treaty) through the end of 1986, only 23 accidentally released radioactivity that was detectable beyond the boundary of the NTS. Of these ...

  14. Accidental displacement of a dental implant into the submandibular space during explantation.

    Science.gov (United States)

    Kim, B H; Kim, B C; Lee, J

    2016-07-01

    Dental implants are reliable and widely used, but complications such as peri-implantitis occasionally necessitate their removal. Accidents during removal are similar to those that may occur during extraction, including displacement into another structure in the maxillofacial region. We present a rare case of accidental displacement into the submandibular space, which happened during an attempt to remove an implant. PMID:26507676

  15. Accidental Epipen injection into a digit - the value of a Google search.

    Science.gov (United States)

    Turner, M. J. A.; Purushotham, A. D.

    2004-01-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly. PMID:15140311

  16. The Costs of Cultural Change: Accidental Injury and Modernization among the Papago Indians

    Science.gov (United States)

    Hackenberg, Robert A.; Gallagher, Mary M.

    1972-01-01

    Several theories are examined suggesting that stress associated with modernization is responsible for excesses of accidental injuries among American Indians. A preliminary version of this paper was presented at the annual meetings of the American Anthropological Association, New York, 1971. (FF)

  17. Accidental Epipen injection into a digit - the value of a Google search.

    Science.gov (United States)

    Turner, M J A; Purushotham, A D

    2004-05-01

    Despite the lack of awareness by the clinicians consulted of the most suitable treatment for accidentally injected epinephrine, this patient was successfully treated due mainly to the ability of clinicians on-site to access the Internet in the A&E department. A broad search engine such as Google can be an invaluable tool in finding important clinical information rapidly.

  18. [Accidental injection of adrenaline in a finger with EpiPen].

    Science.gov (United States)

    Kaspersen, J; Vedsted, P

    1998-11-01

    We report a case of accidental injection of 0.3 mg epinephrine in the right pollux. The actual case was treated with systemic nitroglyceride and immersion of the finger in hot water. A review of the literature shows that the adequate treatment is local infiltration with Phentholamine Mesylate. There is a need to describe this treatment in conventional literature.

  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. Elaboración y aplicación de un programa de actuación ante accidentes, adaptado a niños ciegos

    Directory of Open Access Journals (Sweden)

    Roberto Barcala Furelos

    2003-12-01

    Full Text Available La investigación es un proceso vivo y en continuo desarrollo. Los avances científicos proporcionan una mejor calidad de vida (a nivel personal y/o social, pudiendo abarcar diversos campos del conocimiento. En esta línea de trabajo, y con la intención de aportar un documento de rigor científico y de utilidad social, presentamos el objetivo de investigación, donde analizamos en qué medida la "Elaboración y aplicación de un programa de formación en autoprotección y pautas básicas de actuación ante accidentes, adaptado a niños/as ciegos y deficientes visuales" podría ser viable y contribuir a la mejora de la autonomía personal, autoprotección detección y activación de la cadena de supervivencia y aplicación de los primeros auxilios en caso de accidente. En este proyecto de investigación se ha pretendido elaborar un programa formativo a jóvenes ciegos y deficientes visuales, con edades comprendidas entre los 11 y los 15 años, donde se abordan tres objetivos fundamentales:

    • Diseñar un programa de formación a niños/as ciegos y deficientes visuales, sobre los mecanismos de autoprotección, activación de la cadena de supervivencia y técnicas de SVB, que mejore su autonomía personal y que supongan un beneficio social.

    • Evaluar la viabilidad del programa, la validez de las adaptaciones de las técnicas y protocolos así como el aprendizaje cuantitativo-cualitativo de los alumnos/as.

    • Contribuir (en la medida de lo posible al objetivo propuesto por la Organización Mundial de la Salud (OMS, que no es otro que disminuir en un 25% el número de accidentes infantiles y sus consecuencias, antes del año 2005.

    El desarrollo descriptivo y experimental del programa se ha ceñido al periodo lectivo 2002-2003, y los sujetos estudiados representaban la población de Galicia y las poblaciones de Ávila, Salamanca y Zamora, de niños y niñas ciegos y deficientes

  1. Reinserción del colgajo fibroperióstico en la luxación de los tendones peroneos

    OpenAIRE

    Villanueva García, E.; Fernández Gabarda, Rafael; Fernández Sabaté, E.

    2008-01-01

    La luxación de los tendones peroneos es una patología rara. Esta lesión pasa frecuentemente desapercibida y en su forma aguda es diagnosticada de esguince lateral de tobillo. Ocurre habitualmente en deportistas jóvenes y especialmente en accidentes de esquí. La presentación más frecuente es el despegamiento y elevación del retináculo junto con el periostio del margen lateral del extremo distal del peroné formando una bolsa que aloja los tendones luxados. Presentamos tres pacientes con luxació...

  2. Normas de desempenho em tarefa de leitura de palavras/pseudopalavras isoladas (LPI para crianças de 1º ano a 7º ano

    Directory of Open Access Journals (Sweden)

    Jerusa Fumagalli de Salles

    2013-12-01

    Full Text Available O instrumento de avaliação de leitura de palavras/pseudopalavras isoladas (LPI, de fácil aplicação e baixo custo, avalia a habilidade de leitura oral (reconhecimento de palavras/ pseudopalavras. São estímulos criteriosamente selecionados conforme regularidade, extensão, frequência e lexicalidade, permitindo avaliar a funcionalidade das rotas de leitura (modelos de dupla-rota. Este estudo apresenta a construção das normas de desempenho (escores totais, em palavras regulares, irregulares e pseudopalavras para crianças do 1º ano a 7º ano do ensino fundamental, divididas por anos completos de escolarização, idade e tipo de escola. Os resultados mostraram que as crianças de séries e idades mais avançadas apresentaram melhor desempenho em LPI do que as de séries iniciais e mais novas. Os estudantes de escolas privadas tiveram melhor desempenho do que os de escolas públicas. O instrumento pode ser utilizado por diversos profissionais, para complementar a avaliação e subsídio para diagnósticos, planejamento de aulas, encaminhamentos e intervenções.

  3. Adverse events in humans associated with accidental exposure to the livestock brucellosis vaccine RB51.

    Science.gov (United States)

    Ashford, David A; di Pietra, Jennifer; Lingappa, Jairam; Woods, Christopher; Noll, Heather; Neville, Bridget; Weyant, Robbin; Bragg, Sandra L; Spiegel, Richard A; Tappero, Jordan; Perkins, Bradley A

    2004-09-01

    Brucella abortus strain RB51 vaccine, is an attenuated live bacterial vaccine that was licensed conditionally by the Center for Veterinary Biologics, Veterinary Services, Animal and Plant Health Inspection Service, USDA, on 23 February 1996, for vaccination of cattle in the United States. Accidental human inoculations can occur during vaccination of cattle, and previous live Brucella vaccines designed for cattle have been known to cause brucellosis in humans. The Centers for Disease Control and Prevention (CDC) established passive surveillance for accidental inoculation with the RB51 vaccine in the United States to determine if this veterinary vaccine is associated with human disease, to describe the circumstances of accidental inoculation, to evaluate the potential efficacy of post-exposure chemoprophylaxis, and to develop recommendations for post-exposure management following exposure to RB51. Reports were received from 26 individuals. Accidental exposure to RB51 occurred by needle stick injury in 21 people (81%), conjunctival spray exposure in four (15%), and spray exposure of an open wound in one (4%) individual. At least one systemic symptom was reported in 19 (73%) people, including three (12%) who reported persistent local reactions with systemic involvement. One case required surgery, and B. abortus strain RB51 was isolated from the wound of that individual. Seven cases reported no adverse event associated with accidental exposure. Nine cases reported previous exposure to Brucella vaccines, including one case who also reported a previous diagnosis of brucellosis following exposure to S19 vaccine. Accidental needle stick injuries and conjunctival or open wound exposures of humans with the RB51 vaccine are associated with both local and systemic adverse events in the United States that are consistent with brucellosis; however, it remains undetermined if strain RB51 vaccine can cause systemic brucellosis in humans. Early culture attempts on those exposed and

  4. Management of Ano-Rectal disorders by Kṣārasūtra: A clinical report

    Directory of Open Access Journals (Sweden)

    Vijaya Kumari Kurapati

    2014-01-01

    Full Text Available Background: Ano-rectal complaints are usually benign in origin. Most of the patients suffering with these disorders do not seek medical advice at an early stage due to embarrassment. It results in advancement of the disease and significant disturbance in the quality of life. Among the available treatment modalities of ano-rectal disorders (ARDs, Kṣārasūtra (medicated thread appears to be the best in terms of relief and nonrecurrence. Aims and Objectives: The aim of this study is to provide evidence-based data about the practical application of Kṣārasūtra (medicated thread in the management of ARDs. Materials and Methods: An ano-rectal operation theatre was established in September 2012, in association with the Government Ayurvedic Speciality Clinic at District Hospital, Rajahmundry, Andhra Pradesh, to facilitate the AYUSH services in Allopathic Hospitals. Present report includes the details of ARDs treated by Kṣārasūtra (Medicated thread method during 2012-2013. A total of 127 ano-rectal cases were operated, which included 44 cases of hemorrhoids, 40 cases of fistula-in-ano, 39 cases of fissure-in-ano and three cases of peri-anal abscess. All the cases were analyzed as per the observations, subjective and objective parameters, and follow-up was carried out for a period of 6 months. Results: In the 127 ARDs treated, 45 patients suffering from hemorrhoids, 36 patients got complete relief, marked relief observed in 4 patients, moderate relief observed in 5 patients. In fistula-in-ano, out of 40 patients 29 patients got complete relief, marked relief was seen in 7 patients out of them 4 patients were referred to anti-tubercular treatment center, 4 patients left against medical advice. In fissure-in-ano-out of 39 patients, 32 patients got complete relief, 5 patients got marked relief, moderate relief observed in 2 patients. These results authenticate the effectiveness of Kṣārasūtra, no adverse effects or recurrence observed in any

  5. Restos de aves del Pleistoceno de Pradeña (Segovia, España

    Directory of Open Access Journals (Sweden)

    Antonio SÁNCHEZ MARCO

    2009-12-01

    Full Text Available RESUMEN: Se estudian restos, probablemente del Pleistoceno superior, de cuatro taxones avíanos procedentes del karst de Pradeña. La singularidad del conjunto consiste en el predominio del Tarro Canelo Tadorna ferrugínea, anátida poco frecuente en nuestros días en Europa occidental.ABSTRACT: This paper reports the occurrence of four avian taxa in the karst of Pradeña village, very probably from the Upper Pleistocene period. Its most striking feature is the relative abundance of the Ruddy Shelduck Tadorna ferruginea, a currently non-frequent anatid in West Europe.

  6. AB095. Increased expression of TMEM16A/Ano1 chloride channel associated with diabetic erectile dysfunction

    Science.gov (United States)

    Ruan, Yajun; Chen, Yingwei; Li, Mingchao; Wang, Tao; Yang, Jun; Rao, Ke; Wang, Shaogang; Yang, Weimin; Liu, Jihong; Ye, Zhangqun

    2016-01-01

    Objective To investigate the presence, location and functional role of TMEM16A/anotamin-1 (Ano1) calcium-activated chloride channel (CaCC) in the penile of rats with diabetic erectile dysfunction. Methods Eight-week-old male Sprague-Dawley (SD) rats were administrated streptozotocin (diabetic) or citrate buffer (control) randomly. Erectile function was measured by cavernous nerve electrostimulation at 12th week after diabetes was induced. The effect of Ano1 specific inhibitor—T16Ainh-A01 on intracavernous pressure (ICP) was evaluated. Then the penile tissues were harvested for molecular exploration. Real-time PCR and Western Blotting were used to assess the expression of Ano1 in penile tissues. Immunofluorescent labelling of penile tissue allowed localization of Ano1. Cavernous smooth muscle cell (CSMC) was cultured in high glucose medium. The change of Ano1 was measured using Western Blotting. The proliferation of CSMC was evaluated by cell counting kit-8 (CCK-8). Results Erectile function was impaired in diabetic rats. The expression of Ano1 was increased in rats with diabetic erectile dysfunction at mRNA and protein levels. Immunofluorescent labelling revealed the presence of Ano1 mainly in cavernous smooth muscle cells. The inhibition of Ano1 increased the ICP of DED rats. High glucose in vitro enhanced the proliferation of CSMC and the expression level of Ano1. Conclusions Ano1 is expressed in rat penile tissue and is increased with diabetes mellitus. The inhibition of Ano1 increased the ICP of DED rats. The alerted Ano1 may be associated with diabetic erectile dysfunction. It is a potential therapy target for ED in the future.

  7. En un accidente de tráfico ¿las lesiones pueden ayudar a dictaminar si llevaba el cinturón puesto? In a traffic accident, injuries may help to establish if the safety belt was used?

    Directory of Open Access Journals (Sweden)

    A. Ortega Pérez

    2005-01-01

    Full Text Available En dos juicios distintos se discutió sobre si las accidentadas llevaban puesto el cinturón de seguridad en el momento del accidente. Las características del accidente y las de las lesiones, junto a la revisión de la bibliografía médica nacional e internacional sobre el asunto llevan a concluir que las fracturas esternales y costales tienen una gran posibilidad de haber sido causadas por el cinturón, especialmente cuando el accidentado no presenta lesiones en el cráneo, en la cara, en el abdomen o en las extremidades superiores. Asimismo, también aumentan con la edad los riesgos de fracturas esternales, costales o ambas.In two different Courts, the lawyers asked if the injured person was using the safety belt when the accident happened. The characteristics of the accident and those of the injuries, along with the review of the national and international medical literature about the question lead to the conclusion that sternal and rib fractures have a great possibility to have been caused by the safety belt itself, specially when the person does not have injuries in the cranium, in the face, in the abdomen or in the arms. On the same way, the risk of sternal and/or costal fractures increases with the age of the person.

  8. The Ca2+-activated Cl- channel Ano1 controls microvilli length and membrane surface area in the oocyte.

    Science.gov (United States)

    Courjaret, Raphael; Hodeify, Rawad; Hubrack, Satanay; Ibrahim, Awab; Dib, Maya; Daas, Sahar; Machaca, Khaled

    2016-07-01

    Ca(2+)-activated Cl(-) channels (CaCCs) play important physiological functions in epithelia and other tissues. In frog oocytes the CaCC Ano1 regulates resting membrane potential and the block to polyspermy. Here, we show that Ano1 expression increases the oocyte surface, revealing a novel function for Ano1 in regulating cell morphology. Confocal imaging shows that Ano1 increases microvilli length, which requires ERM-protein-dependent linkage to the cytoskeleton. A dominant-negative form of the ERM protein moesin precludes the Ano1-dependent increase in membrane area. Furthermore, both full-length and the truncated dominant-negative forms of moesin co-localize with Ano1 to the microvilli, and the two proteins co-immunoprecipitate. The Ano1-moesin interaction limits Ano1 lateral membrane mobility and contributes to microvilli scaffolding, therefore stabilizing larger membrane structures. Collectively, these results reveal a newly identified role for Ano1 in shaping the plasma membrane during oogenesis, with broad implications for the regulation of microvilli in epithelia. PMID:27173493

  9. 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.

  10. Accidentes de tráfico, víctimas mortales y consumo de alcohol

    OpenAIRE

    Arranz Muñoz, José María; Gil, Ana Isabel

    2006-01-01

    Clasificación JEL: C3, H2, I1, R4. El objetivo de este artículo es analizar la relación existente entre los precios de las bebidas alcohólicas, el consumo de alcohol y los accidentes mortales de tráfico a partir de datos de las comunidades autónomas españolas durante el periodo 1998-2002. Entre los principales resultados de la investigación se aprecia una correlación positiva entre el consumo de alcohol y el ratio de accidentes mortales de tráfico. Además, las acciones dirigidas a modif...

  11. 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.

  12. IIE Bulletin: selected articles from 1998 issues of `Boletin iie`; Articulos selecccionados del Boletin iie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    Boletin IIE, produced by the Instituto de Investigaciones Electricas in Mexico, is issued six times a year. Separate citations and abstracts have been prepared for individual articles in scope for the ETDE Energy database. [Espanol] El Boletin IIE es producido en Mexico por el Instituto de Investigaciones Electricas. Este se publica 6 veces al ano. Se han preparado citas y resumenes para articulos individuales dentro del alcance de la base de datos Energy del ETDE.

  13. 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.)

  14. Can accidental introductions of non-native species be prevented by fish stocking audits ?

    OpenAIRE

    Davies, G. D.; Gozlan, Rodolphe; Britton, J R

    2013-01-01

    Accidental introductions of non-native species into aquatic environments often result in invasive populations that cause substantial conservation concerns. They account for 8% of all fish introductions and often occur when fish consignments are intentionally released into the wild (stocked') but are unknowingly contaminated with a hitch-hiking' species that is also released.This study tested the efficacy of a fish stocking audit procedure in preventing the introduction of a model hitch-hiking...

  15. Transient thermal creep of concrete in accidental conditions at temperatures up to 400°C

    OpenAIRE

    HASSEN, S; COLINA, H

    2006-01-01

    In this work, the transient thermal strains of high-performance concrete (HPC) under constant load and increasing temperatures up to 400°C in accidental conditions are studied experimentally. Heating is applied at a rate of 1.5°C/min until successive constant temperature levels are reached. These temperature stages are maintained for 24 h to ensure the stabilisation of internal temperature and the physico-chemical thermo-dependent process. The analysis of experimental measures is concentrated...

  16. Determining the Role of Hand Feeding Practices in Accidental Shark Bites on Scuba Divers

    OpenAIRE

    Clua, E.E.; Torrente, F.

    2015-01-01

    International audience; Introduction: Shark-based ecotourism is significantly developing around the world, often without appropriate management of risk. This activity involves a risk of accidental bites on divers that can be quite severe or even fatal. Objectives: To determine if ecotourism companies' liability can be engaged in the context of bites on scuba divers in presence of hand-feeding practices, supporting the legitimacy of financial compensation for the victims. Methods: We analyzed ...

  17. Significant effect of accidental pollinations on the progeny of low setting Prunus interspecific crosses

    OpenAIRE

    Arbeloa Matute, Arancha; Daorden Álvarez, María Elena; García Martín, Elena; Wünsch, Ana; Hormaza Urroz, José Ignacio; Marín Velázquez, Juan Antonio

    2006-01-01

    The incidence of fortuitous pollination on interspecific hybridizations of the plum rootstock Myrobalan with the apricot cultivars 'Moniquí' and 'Moniquí Borde' was assessed in this work. Progeny was originated through hand pollination of emasculated flowers of three Myrobalan clones, without bagging, in 1998 and 1999. Fruit set was low and variable among years (1.8-8.0%), but higher than the level of accidental pollination measured with emasculated and non-pollinated flowers (1.2%). Molecula...

  18. MARC - the NRPB methodology for assessing radiological consequences of accidental releases of activity

    International Nuclear Information System (INIS)

    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)

  19. Baclofen intoxication after accidental ingestion in a 3-year-old child

    OpenAIRE

    Dasarwar Nagesh; Shanbag Preeti; Kumbhare Nilesh

    2009-01-01

    Baclofen is a skeletal muscle relaxant, used to control spasticity in both adults and children with neuromuscular disorders. Several cases of baclofen overdose have been reported, but only a small number have involved children. We report a 3-year-old girl with accidental ingestion of baclofen, who presented with coma, bradycardia and hypotension. She recovered within 24 hours with supportive treatment. The case emphasizes the importance of warning parents about the potential toxicity of baclo...

  20. Accidental hijab pin ingestion in Muslim women: an emerging endoscopic emergency?

    OpenAIRE

    Goh, Jason; Patel, Neeral; Boulton, Ralph

    2014-01-01

    Ingested foreign body is an infrequent indication for emergency endoscopy in the adult gastroenterology practice. We describe the clinical features and endoscopic management of the first four cases of accidental ingestion of hijab pins by Muslim women in our unit, all presenting within a 12-month period. The pins were all successfully retrieved without any complications. In this report, we review published guidelines and the current literature, as well as discussing the approach (conservative...

  1. Ferrofluid-associated Cutaneous Dyschromia: Discoloration of Hand and Fingers Following Accidental Exposure to Ferromagnetic Fluid

    OpenAIRE

    Cohen, Philip R; Arfa, Kenneth S.

    2016-01-01

    Background: Ferrofluid is a colloidal suspension that usually consists of surfactant-coated nanoparticles of magnetite (Fe3O4) in a carrier liquid. Ferromagnetic fluid forms spikes when the liquid is exposed to a magnetic field. Purpose: The authors describe a man who developed temporary discoloration of his right palm and fingers after accidental cutaneous contact with ferrofluid and discuss some of the current and potential applications of this unique liquid. Methods: A 28-year-old man was ...

  2. Accidental Continuous Releases from Coal Processing in Semi-Confined Environment

    OpenAIRE

    Bruno Fabiano; Emilio Palazzi; Fabio Currò

    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-...

  3. del Nim

    Directory of Open Access Journals (Sweden)

    Arturo Martínez Rodríguez

    2007-01-01

    Full Text Available Dado su uso específico como fuente de insecticidas naturales de fácil biodegradación, entre otras ventajas, el cultivo del árbol Nim ha sido mundialmente extendido en muchas regiones de Asia, África, Australia y América Latina, incluyendo Cuba. La cosecha del fruto del Nim se hace engorrosa debido a la altura que adquieren estos árboles a los pocos años de sembrados, siendo la cosecha mecánica mediante sacudidores de ramas o del tronco, una posible vía de solución práctica de esta problemática. En el presente trabajo se efectúa, mediante la simulación con el empleo de herramientas CAD-3D y programas de análisis por elementos finitos, un análisis modal abarcador de un número importante de modos de vibración del sistema fruto-pedúnculo del Nim. Como resultado del estudio se pudieron recomendar entornos de frecuencias de las vibraciones a aplicar con mejores expectativas durante la cosecha mecanizada de este producto.

  4. Accidental ingestion of BiTine ring and a note on inefficient ring separation forceps

    Directory of Open Access Journals (Sweden)

    Baghele ON

    2011-05-01

    Full Text Available Om Nemichand Baghele1, Mangala Om Baghele21Department of Periodontology, SMBT Dental College and Hospital, Sangamner, Ahmednagar, Maharashtra, India; 2Private General Dental Practice, Mumbai, IndiaBackground: Accidental ingestion of medium-to-large instruments is relatively uncommon during dental treatment but can be potentially dangerous. A case of BiTine ring ingestion is presented with a note on inefficient ring separation forceps.Case description: A 28-year-old male patient accidentally ingested the BiTine ring (2 cm diameter, 0.5 cm outward projections while it was being applied to a distoproximal cavity in tooth # 19. The ring placement forceps were excessively flexible; bending of the beaks towards the ring combined with a poor no-slippage mechanism led to sudden disengagement of the ring and accelerated movement towards the pharynx. We followed the patient with bulk forming agents and radiographs. Fortunately the ring passed out without any complications.Clinical implications: Checking equipment and methods is as important as taking precautions against any preventable medical emergency. It is the responsibility of the clinician to check, verify and then use any instrument/equipment.Keywords: foreign bodies/radiography, foreign bodies/complications, equipment failure, dental instrument, accidental ingestion

  5. Decay Heat Removal and Transient Analysis in Accidental Conditions in the EFIT Reactor

    Directory of Open Access Journals (Sweden)

    Giacomino Bandini

    2008-01-01

    Full Text Available The development of a conceptual design of an industrial-scale transmutation facility (EFIT of several 100 MW thermal power based on accelerator-driven system (ADS is addressed in the frame of the European EUROTRANS Integral Project. In normal operation, the core power of EFIT reactor is removed through steam generators by four secondary loops fed by water. A safety-related decay heat removal (DHR system provided with four independent inherently safe loops is installed in the primary vessel to remove the decay heat by natural convection circulation under accidental conditions which are caused by a loss-of-heat sink (LOHS. In order to confirm the adequacy of the adopted solution for decay heat removal in accidental conditions, some multi-D analyses have been carried out with the SIMMER-III code. The results of the SIMMER-III code have been then used to support the RELAP5 1D representation of the natural circulation flow paths in the reactor vessel. Finally, the thermal-hydraulic RELAP5 code has been employed for the analysis of LOHS accidental scenarios.

  6. Accidental Coverage of Both Renal Arteries during Infrarenal Aortic Stent-Graft Implantation: Cause and Treatment

    Directory of Open Access Journals (Sweden)

    Umberto Marcello Bracale

    2014-01-01

    Full Text Available The purpose of this paper is to report a salvage maneuver for accidental coverage of both renal arteries during endovascular aneurysm repair (EVAR of an infrarenal abdominal aortic aneurysm (AAA. A 72-year-old female with a 6 cm infrarenal abdominal aortic aneurysm was treated by endovascular means with a standard bifurcated graft. Upon completing an angiogram, both renal arteries were found to be accidentally occluded. Through a left percutaneous brachial approach, the right renal artery was catheterized and a chimney stent was deployed; however this was not possible for the left renal artery. A retroperitoneal surgical approach was therefore carried out with a retrograde chimney stent implanted to restore blood flow. After three months, both renal arteries were patent and renal function was not different from the baseline. Both endovascular with percutaneous access via the brachial artery and open retroperitoneal approaches with retrograde catheterization are feasible rescue techniques to recanalize the accidentally occluded renal arteries during EVAR.

  7. 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.)

  8. Investigation of post-accidental management conditions. Complete final report dated July 31, 2009

    International Nuclear Information System (INIS)

    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

  9. Study of TSL and OSL properties of dental ceramics for accidental dosimetry applications

    International Nuclear Information System (INIS)

    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.

  10. Accidental hanging: a novel mobile suspension apparatus partially hidden inside the clothes.

    Science.gov (United States)

    Kodikara, Sarathchandra

    2012-12-01

    Accidental hanging is uncommon. An immobile/fixed and exposed suspension apparatus is seen in almost all cases of hanging. A 50-year-old man, who was drunk, was trying to steal an iron rod by hiding it under his clothing. To secure hiding, he attached it to his body by a loose ligature around the neck, the waist belt of the sarong, and another band around the waist and by his underwear. Sometime later, because of ethanol intoxication, he fell asleep in the sitting position. While he was sitting on the floor, the iron rod was lifted up accidentally, and its upper end was wedged against the wall behind the victim, and the lower end was fixed against the floor. When he fell asleep, the weight of the tilted head acted as the constricting force compressing the neck by the ligature that was used to attach the iron rod to the neck. The cause of death was concluded as hanging in a man with ethanol intoxication. This case highlights a novel mobile suspension apparatus partially hidden inside the clothes, in a case of accidental hanging. A similar case has not been reported in the forensic literature. PMID:22083076

  11. Estudantes do ensino medio e o conhecimento em HIV/AIDS: que mudou em dez anos?

    Directory of Open Access Journals (Sweden)

    Luciane Ferreira do Val

    2013-06-01

    Full Text Available Estudo exploratório, descritivo, comparativo, com abordagem quantitativa, cujo objetivo foi comparar o conhecimento de estudantes do ensino médio de duas escolas estaduais públicas de Peruíbe, SP, Brasil, sobre o Vírus da Imunodeficiência Humana (HIV e da Síndrome da Imunodeficiência Adquirida (aids, nos anos de 1999 e 2010. Nos dois anos, na população estudada predominaram estudantes do sexo feminino, menores de 18 anos, solteiros e de cor branca. Foi encontrada diferença estatisticamente significativa quanto ao conhecimento sobre HIV/aids entre os grupos estudados. Verificou-se que mesmo havendo intervalo de dez anos entre os estudos, os dois grupos de estudantes não se consideraram vulneráveis ao HIV e apresentaram dúvidas quanto ao conhecimento correto sobre o tema, o que indica a necessidade de sua abordagem contínua com adolescentes jovens.

  12. 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).

  13. 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

  14. Luxación del núcleo de polietileno acetabular en prótesis total de cadera

    OpenAIRE

    Panisello Sebastiá, Juan José; Martínez Martín, Angel Antonio; González Agudo, José Alberto; Lecina Galve, F.; Clavero Vicente, Enrique

    1999-01-01

    El desmontaje del núcleo de polietileno en prótesis modulares de cadera es una complicación rara, generalmente atribuible a malposición de los implantes o accidentes sobre la cadera proteizada. Se presenta un caso en el que se produjo este accidente sobre implantes bien orientados, atribuible a un intento excesivo de recuperar movilidad sobre una cadera previamente rígida y con retracción residual de partes blandas. Disassembly of polythylene cup in modula hip prostheses is an uncommon com...

  15. Homenagem a August Karl Gustav Bier por ocasião dos 100 anos da anestesia regional intravenosa e dos 110 anos da raquianestesia

    Directory of Open Access Journals (Sweden)

    Almiro dos Reis Jr

    2008-08-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: August Karl Gustav Bier foi o introdutor de duas importantes técnicas de anestesia regional: a anestesia regional intravenosa e a anestesia subaracnóidea, ambas até hoje amplamente empregadas. Completando neste ano de 2008 a primeira delas 100 anos e a segunda 110 anos de existência, seria mais do que justo prestarmos uma homenagem ao notável médico que as criou. CONTEÚDO: O texto relata os dados familiares, estudantis iniciais, do curso acadêmico e da residência médica, as atividades profissionais e universitárias, a personalidade, a aposentadoria e o falecimento de A. K. G. Bier. Descreve suas numerosas contribuições à Medicina e à Anestesiologia em particular. Refere-se às pesquisas que realizou sobre a anestesia regional intravenosa, muitas ainda válidas ou incompletamente esclarecidas. Cita as experiências iniciais e as discordâncias sobre seu papel na criação da raquianestesia. Narra episódios que ele viveu durante a Primeira e a Segunda Guerra Mundial. Também são mencionadas as enormes contribuições de Bier à cultura, aos esportes, à educação física e, sobretudo, à ecologia, ao criar a famosa Floresta de Sauen. Finalmente, são citadas as merecidas homenagens que recebeu em sua pátria e em vários outros países. CONCLUSÕES: A. K. G. Bier criou e introduziu em Anestesiologia dois notáveis e ainda atuais métodos de anestesia regional e foi grande defensor da preservação do meio ambiente. Portanto, ocorrendo neste ano o primeiro centenário da anestesia regional intravenosa é válida a descrição de sua biografia como um tributo ao importante médico alemão.

  16. 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

  17. Potencial del agua del suelo

    OpenAIRE

    Bustamante Heliodoro

    2012-01-01

    La energía potencial del agua presenta diferencias de un punto del suelo a otro; esas diferencias son las que originan el movimiento del agua de acuerdo a la tendencia universal de la materia en el sentido de moverse de donde la energía potencial es mayor a donde dicha energía es menor. En el suelo el agua en consecuencia se mueve hacia donde su energía decrece hasta lograr su estado de equilibrio. Se desprende entonces que la cantidad de energía potencial absoluta contenida en el agua, no es...

  18. 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

  19. LA ÍNDOLE TECNOLÓGICA DEL SER HUMANO

    Directory of Open Access Journals (Sweden)

    José Luis del Barco Collazos

    2009-01-01

    Full Text Available La técnica no es accidental, sino esencial, al ser humano. Es el modo de vida del homo sapiens sapiens. No ha habido vida humana pretecnológica ni un periodo de la historia sin ella. Desde que el hombre puso los pies sobre la tierra empezó a fabricar instrumentos. Y seguirá fabricándolos. El arado, la aeronave y los ingenios técnicos del futuro son fases del progreso técnico. La asombrosa capacidad humana para fabricar se debe a la conexión entre las manos y el cerebro. La técnica no debe ser objeto de reverencia ni de temor pero sí debe ser gobernada.

  20. Electrification of rural area Los Sabinos Mexico : 12 years after; Electrificacion del poblado los Sabinos Mexico: 12 anos despues

    Energy Technology Data Exchange (ETDEWEB)

    Agredano, D. J.; Munguia, R. G. del; Guillen, S. O.; Huacuz, V. J.; Mata, R. P.

    2004-07-01

    The rural community of Los Sabinos in west Mexico was electrified with PV systems at the end of 1991, in compliance with the compromises acquired by the national utility during the construction of the Aguamilpa Hydropower Plant. Among the options originally considerate to provide electricity services to the community were: a grid extension, installation of a gen-set with a mini-grid, and the utilization of renewable energy conversion systems. This paper presents the results obtained from the evaluation of the PV systems chosen as the preferred option to electrify Los Sabinos. Results presented here include some relevant aspects found during the commissioning of the systems, the second evaluation carried out 30 months after the installations and the last carried out at the end of 2003. (Author)

  1. Rito y mito como instrumentos de previsión y manipulación del clima entre los huaves de San Mateo del Mar (Oaxaca)

    OpenAIRE

    Signorini, Ítalo

    2013-01-01

    Note portant sur l’auteur Los huaves ocupan la franja litoral que separa al Océano Pacífico de las dos grandes lagunas, llamadas mar Superior y mar Inferior, que se abren sobre la costa meridional del Istmo de Tehuantepec, en las cercanías de la ciudad homónima. Aquí, sin embargo, trataré sólo de los residentes en el municipio de San Mateo del Mar. La aridez extrema del territorio es la causa de que las actividades económicas de los huaves se centren primordialmente en la pesca; pues a pesar ...

  2. Perfil epidemiológico de los accidentes de tránsito en el Perú, 2005-2009 Epidemiological profile of road traffic accidents in Peru, 2005-2009

    Directory of Open Access Journals (Sweden)

    Víctor Choquehuanca-Vilca

    2010-06-01

    Full Text Available Objetivo. Determinar las características del perfil epidemiológico de los accidentes de tránsito (AT en el Perú, en el periodo 2005 -2009. Materiales y métodos. Estudio descriptivo, retrospectivo, se analizó fuentes secundarias de información de AT de la Policía Nacional del Perú y la Estrategia Sanitaria Nacional de Accidentes de Tránsito (ESNAT del Ministerio de Salud. Resultados. En el quinquenio estudiado se produjeron 404 120 AT, el 63,8% de éstos sucedió en Lima. Los automóviles y las camionetas representan los tipos de vehículo más veces involucrados en estos accidentes. El exceso de velocidad y la imprudencia del conductor son las principales causas de la siniestralidad. El tipo de accidente más común es el choque (57%. Los varones de 20 a 34 años son la población más vulnerable. Los AT han provocado 17 025 muertos y 235 591 lesionados en el Perú durante este periodo. Conclusiones. Los AT son un problema emergente de salud pública en el Perú. La tendencia de las cifras de mortalidad y morbilidad por accidentes de tránsito en el Perú ha seguido una curva ascendente entre los años 2005 y 2008; sin embargo, estas cifras durante el 2009 se han reducido de manera muy poco significativa. Los sistemas de información deben integrarse para proporcionar información confiable a las instituciones nacionales involucradas en esta problemática, de manera que sirvan de referencia para futuras decisiones políticas.Objective. To determine the characteristics and epidemiological profile of road traffic injuries (RTI in Peru during the period 2005-2009. Materials and methods. Descriptive, retrospective study, secondary sources of information on RTI from the National Police of Peru and the National Sanitary Strategy for the Control of Traffic Accidents (ESNAT of the Ministry of Health were analyzed. Results. During the 5 years of study, there were 404120 TA, of which 63.8% occurred in Lima. Cars and vans are the types of vehicle

  3. Evolucion del ingreso agricola real en America Latina, 1990-2005: evidencia en base a cuentas nacionales y encuestas de hogares

    OpenAIRE

    Valdes, Alberto; Foster, William; Perez, Rodrigo; Rivera, Rodrigo

    2008-01-01

    El estudio analiza la evolucion del ingreso real de los ocupados en la agricultura entre los anos 1990 y 2005 para los casos de Brasilm Chile, Columbia y Mexico. Con informacion del PIB Agricola y de ingresos autonomos provenientes de las encuestas de hogares, se analiza si el alto cremiento del PIB Agricola, observado durante el periodo, se tradujo en un incremento efectivo de los ingresos reales de los ocupados agricolas, distinguiendo a estos entre asalariados, cuenta propia y empleados. D...

  4. 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...

  5. Accidental overexposures

    International Nuclear Information System (INIS)

    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

  6. Propuestas de mejora del registro de datos catalán en base a países pioneros en seguridad vial

    OpenAIRE

    Canela Ribas, Santiago

    2014-01-01

    La presente tesina se pretende conseguir que los datos de accidentes puedan llegar a ser más representativos, y permitan de esta manera, una investigación y un análisis más preciso del problema, reduciendo el tiempo, esfuerzo y recursos invertidos en su recopilación.

  7. Quem são as mulheres que amamentam por 2 anos ou mais?

    Directory of Open Access Journals (Sweden)

    Elisa Justo Martins

    2012-02-01

    Full Text Available 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. Para testar as associações entre o desfecho (aleitamento materno por 2 anos ou mais e as variáveis explicativas, utilizou-se regressão de Poisson seguindo modelo hierárquico. RESULTADOS: Mostraram-se associados de forma positiva, com o desfecho: permanência da mãe em casa com a criança nos primeiros 6 meses de vida [risco relativo (RR = 2,13; intervalo de confiança de 95% (IC95% 1,12-4,05]; não uso de chupeta (RR = 2,45; IC95% 1,58-3,81; e introdução mais tardia de água e/ou chás e de outros leites na alimentação da criança. Para cada dia a mais sem a introdução desses líquidos, aumentava a probabilidade de a criança ser amamentada por 2 anos ou mais em 0,5% e 0,1%, respectivamente. Coabitação com o pai da criança mostrou associação negativa com o desfecho (RR = 0,61; IC95% 0,37-0,99. CONCLUSÃO: Mãe permanecer em casa com a criança nos primeiros 6 meses de vida, não coabitar com companheiro, não oferecer chupeta e postergar a introdução de água e/ou chás e outros leites na alimentação das crianças são características e comportamentos associados com a manutenção da amamentação por 2 anos ou mais.

  8. Perfil de mulheres de 40 a 49 anos cadastradas em um núcleo de saúde da família, quanto à realização do exame preventivo de Papanicolaou Perfil de mujeres de 40 a 49 años registradas en un núcleo de salud de la familia en cuanto a la realización del examen preventivo de Papanicolaou Pap smear realization profile of women between 40 and 49 years registered at a family health center

    OpenAIRE

    Aline da Silveira Ramos; Pedro Fredemir Palha; Moacyr Lobo da Costa Júnior; Sônia Camila Sant'Anna; Nariman de Felicio Bortucan Lenza

    2006-01-01

    Trata-se de pesquisa de abordagem descritiva, exploratória, cujo objetivo é traçar o perfil de mulheres na faixa etária de 40 a 49 anos, em um Núcleo de Saúde da Família do Município de Ribeirão Preto, segundo as variáveis: cadastro no serviço, posse de convênio e data de realização do preventivo, entre outras. Foram coletados dados dos prontuários de 213 mulheres. Utilizou-se o programa Epi Info 6.0 para digitação, análise e criação do banco de dados. Os resultados revelam que 49% das mulher...

  9. Retinal photoreceptor focal disruption secondary to accidental Nd:YAG laser exposure.

    Science.gov (United States)

    Milani, Paolo; Pierro, Luisa; Pece, Alfredo; Marino, Valerio; Scialdone, Antonio

    2011-10-01

    Retinal injuries caused by accidental laser exposure include retinal or vitreous hemorrhages, macular holes and edema. We describe the imaging of a bilateral macular lesion secondary to accidental Nd:YAG laser exposure. Observational case report. We performed color photography, fluorescein angiography and autofluorescence (AF) with a scanning laser ophthalmoscope, as well as time-domain and spectral-domain optical coherence tomography (OCT). After accidental exposure to a 1064 nm Nd:YAG laser, a patient experienced blurred vision in the left eye (LE) with visual acuity of 20/60. Color, fluorescein angiography and OCT imaging showed a retinal hemorrhage in the foveal area of the left eye and in the inferomacular region of the asymptomatic right eye. Steroid therapy was then administered, and 5 days later there was rapid improvement with progressive re-absorption of the hemorrhages and functional recovery. At 6 month follow-up, visual acuity was 20/20 in both eyes with unremarkable biomicroscopy, except for focal foveal retinal pigment epithelium (RPE) atrophy in the LE. In comparison to previous hemorrhages, OCT could visualize focal disruption of the photoreceptor IS/OS junction in both eyes. Due to different macular pigment distribution and lesion localization, 787 nm near-infrared AF depicted a small hypofluorescent spot in both eyes, whilst at 488 nm AF a black spot became evident in the right eye only. Despite the re-absorption of foveal hemorrhage and the functional recovery, AF and OCT imaging highlighted the persistence of small focal disruptions of the photoreceptor outer segments and RPE. PMID:22002418

  10. Heat and mass transfers in a concrete wall with composite liner under accidental conditions

    Energy Technology Data Exchange (ETDEWEB)

    Billard, Y.; Shekarchi, M.; Debicki, G. E-mail: Gerard.debicki@insa-lyon.fr; Granger, L.; Chauvel, D

    2004-03-01

    The aim of this work was to study the behaviour of a concrete wall, covered with a composite liner and exposed to accidental conditions leading to high temperatures and pressures on a face of the material. In the laboratory, two practical levels of accidental situations (beyond design) have been considered. Firstly, the 'SC1' scenario (accidental conditions) consisted of a rise from ambient conditions to a saturation point of 160 deg. C, and a pressure of 0.75 MPa in 12 h, using the maximum increase possible with the apparatus. This rise was then followed by cooling, leading to 0.22 MPa and 120 deg. C in 24 h. These conditions were maintained for several days. Secondly, a 'SC2' scenario (severe accident conditions) consisted of a rise to a saturation point of 173 deg. C and a pressure of 1 MPa, these conditions were maintained for 24 h before cooling. A cylindrical specimen of 1.3 m of thickness was used. Thermocouples, pressure taps and moisture gauges were implemented before concreting. These devices provided local information, and were mostly distributed in the first 0.30 m of the concrete. The concrete composition (high performance concrete) was the same as that used for the construction of the CIVAUX 2 nuclear power station. Typical experimental results for the evolution of temperature, pressure and water content as functions of time are shown for the two test conditions. The concrete attached to the back of the composite dried, and a mass transfer was induced towards colder zones in the centre of the specimen. The liner acted as a heat insulator and the pressure acting on the back of the composite remained lower than that applied on the composite. The residual adhesion of the liner to the concrete was measured. Finally, the overall results allowed the comparison of situations where the wall was lined and unlined, during exposure to SC1 and SC2 conditions.

  11. PWR physics, operation and safety - Management of accidental situations of the reactor system

    International Nuclear Information System (INIS)

    This document contains a brief presentation and the table of contents of a book in which the author first presents the main types of accidents which are taken into account in safety demonstration. He presents the risk concerning the three safety barriers, and the various accidents affecting the three safety functions: reactivity control, power evacuation, confinement by the third barrier. Then the author describes approaches to the management of accidents affecting these three safety functions: reactivity insertion accidents due to absorber withdrawal (presentation, absorber cluster extraction transients, primary fluid dilution transient), steam pipe failure accidents or reactivity insertion by primary cooling (presentation, description of a transient of steam-pipe failure, sensitivity study of main parameters), loss-of-coolant accidents (presentation, intermediate breach, the big breach, peculiar case of breaches in stopped status), total loss of support systems such as in Fukushima (loss of electric supplies, of the cold source), loss of steam generator tubes. In the next part, the author addresses the Three Mile Island (TMI) accident and the lessons learned in terms of post-accidental management: presentation of the reactor and description of the accident. The author presents the 'status approach' of the post-accidental management, addresses the core post-fusion situations and their consequences as far as containment is concerned. He finally proposes ways to manage accidental situations for the PWR system. Appendices propose some additional aspects of system thermal-hydraulics, a presentation of safety deterministic and probabilistic approaches, comments on the Chernobyl and Fukushima accidents, comments on human and organizational factors regarding nuclear safety, some specific design aspects of the PWR reactor regarding safety, a presentation of assessment equations and data for the 1300 MWe PWR model

  12. 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.

  13. Numerical research of a super-large cooling tower subjected to accidental loads

    Energy Technology Data Exchange (ETDEWEB)

    Li, Yi; Lin, Feng [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Gu, Xianglin, E-mail: gxl@tongji.edu.cn [Department of Building Engineering, Tongji University, Shanghai 200092 (China); Lu, Xiaoqin [Guangdong Electric Power Design Institute, Guangzhou 510660 (China)

    2014-04-01

    With the continued development of nuclear power plants, more and more super-large cooling towers are to be built in China and around the world. For the safe operation of nuclear power plants, research work has been done on the causes of collapse of cooling towers, collapse modes and the secondary disasters caused by the collapse of cooling towers. However, the collapse modes and the ground vibration induced by the collapse of cooling towers subjected to the accidental loads have not been fully understood. This paper has been focused on the modes and mechanisms behavior of the collapse of cooling towers subjected to accidental loads. Meanwhile, prediction of the ground vibration due to the collapse of the cooling towers has also been completed in a parallel project. Using dynamic finite element program LS-DYNA, a 3D finite element model for a super-large cooling tower was developed and the nonlinear material models were incorporated. In this paper, four types of accidental loads were considered to trigger the collapse or local failure of the tower, including vehicle collision, airplane impact, local explosion and missile attack. It was found that vehicle collision, missile attack and small TNT equivalent explosives (2 kg, 20 kg, 200 kg) might result in local failure of the cooling tower, however, the tower can still keep stable. On the other hand, large TNT equivalent explosives (2000 kg, 4500 kg) could cause severe damages in the inclined columns of the cooling tower, and lead to progressive collapse of the entire cooling tower. The two kinds of TNT equivalent explosives caused the same collapse mode while the collapsing duration was different. The airplane impacted at the throat of the cooling tower caused the local failure of shell structure of the tower, and then the progressive collapse of the cooling tower happened due to the gravitational action. The resulting collapse mode was different from that triggered by the local explosion.

  14. Surgery for fistula-in-ano in a specialist colorectal unit: a critical appraisal

    OpenAIRE

    Sileri Pierpaolo; Cadeddu Federica; D'Ugo Stefano; Franceschilli Luana; Del Vecchio Blanco Giovanna; De Luca Elisabetta; Calabrese Emma; Capperucci Sara; Fiaschetti Valeria; Milito Giovanni; Gaspari Achille

    2011-01-01

    Abstract Background Several techniques have been described for the management of fistula-in-ano, but all carry their own risks of recurrence and incontinence. We conducted a prospective study to assess type of presentation, treatment strategy and outcome over a 5-year period. Methods Between 1st January 2005 and 31st March 2011 247 patients presenting with anal fistulas were treated at the University Hospital Tor Vergata and were included in the present prospective study. Mean age was 47 year...

  15. 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 notions o...

  16. Is Project Management Still an Accidental Profession? A Qualitative Study of Career Trajectory

    Directory of Open Access Journals (Sweden)

    Tracey M. Richardson

    2015-02-01

    Full Text Available In this study, the authors used qualitative techniques to look for reoccurring themes related to 87 project managers’ responses to interview questions associated with entry into the field of project management and career progression. The study found that despite the efforts of higher education, professional associations, and their professional development and certifications, the project management remains a destination by accident. Professional project managers do not intend to be project managers but “fall into” the profession. This study provides a conceptual framework for project manager career trajectory that has implications for project management training and mentoring and contributes to the growing literature on the accidental profession.

  17. 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.

  18. 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.

  19. Balantidiosis: a rare accidental finding in the urine of a patient with acute renal failure.

    Science.gov (United States)

    Khanduri, Ankit; Chauhan, Sapna; Chandola, Iva; Mahawal, Bs; Kataria, Vk

    2014-05-01

    Balantidium coli is the only ciliated protozoan which is known to infect human and nonhuman primates. Route of infection is faecal-oral route. It is actively motile and causes mostly asymptomatic infections, or it may develop dysentery which is similar to that which is caused by Entamoeba histolytica. Here, we are describing a case of an accidental finding of B.coli in the urine of a patient who presented with acute renal failure, based on its characteristic morphology and motility which were seen on light microscopy. This is the third case of Urinary Balantidiosis which has been reported from India. PMID:24995185

  20. Non-accidental chlorpyrifos poisoning-an unusual cause of profound unconsciousness.

    Science.gov (United States)

    Lee, Jiun-Chang; Lin, Kuang-Lin; Lin, Jainn-Jim; Hsia, Shao-Hsuan; Wu, Chang-Teng

    2010-04-01

    Chlorpyrifos is an organophosphorus anticholinesterase insecticide, and organophosphate intoxication can induce symptoms such as miosis, urination, diarrhea, diaphoresis, lacrimation, excitation of central nervous system, salivation, and consciousness disturbance (MUDDLES). Although accidental poisoning of children with drugs and chemicals is a common cause for consciousness disturbance in children, the possibility of deliberate poisoning is rarely considered. We report on a healthy 5-year 6-month-old boy with recurrent organophosphate intoxication. Reports of chlorpyrifos intoxication in children are quite rare. This case report demonstrates decision-making process and how to disclose deliberate chlorpyrifos poisoning of the toddler by the stepmother, another example of Munchausen syndrome by proxy. PMID:19763618

  1. Crisis Management of Accidental Extubation in a Prone-Positioned Patient with Klippel-Feil Syndrome.

    Science.gov (United States)

    Spond, Matthew; Burns, Tyler; Rosenbaum, Thea; Lienhart, Kristen

    2016-06-15

    We present the case of an accidental extubation in a prone-positioned patient with a challenging airway because of Klippel-Feil syndrome and previous cervical spine fusions. The surgical procedure was well underway when this occurred, which added substantially to the difficulties produced by this event. We herein highlight the corrective steps we took in our case. We also recommend the need for a comprehensive preoperative briefing with all operating room personnel together with an action plan for how to prevent this particular scenario. PMID:27301052

  2. The present status and recent applications of the accidental tritium assessment code UFOTRI

    Energy Technology Data Exchange (ETDEWEB)

    Raskob, W. [Forschungszentrum Karlsruhe GmbH, Institut fuer Neutronenphysik und Reaktortechnik, Karlsruhe (Germany)

    1999-03-01

    The computer program UFOTRI can be used for assessing the impact of accidental released tritium in the two chemical forms tritiated water vapour and tritium gas. By applying UFOTRI to potential European sites for ITER, it could be demonstrated that the main goal, the nonevacuation criteria, is fulfilled for the present release limits. Contributions in international studies together with the re-evaluation of experimental data showed that the plant sub-model as well as the soil sub-model are areas for further improvement. (author)

  3. Orofacial manifestations from accidental exposure to caesium 137 in Goiania, Brazil.

    Science.gov (United States)

    Gomes, M A; Wascheck, C de C; Scully, C; Almeida, O de P; Bozzo, L

    1990-08-01

    The accidental close exposure of over 200 adults and children to a caesium-137 (137Cs) source in Goiania, Brazil in 1987 produced significant short-term morbidity in about 50 patients, and four deaths within a few weeks. Some 57% of those maximally exposed to radiation, developed orofacial lesions, notably purpura, spontaneous bleeding, ulcers and/or acute candidiasis. These lesions were probably mainly the consequences of depression of bone marrow elements by the radionuclide. Though the oral lesions that may follow iatrogenic exposure to ionizing radiation are well recognized this appears to be the first report on the oral sequelae of a serious radiation accident.

  4. Acute ischaemia of the leg following accidental intra-arterial injection of dissolved flunitrazepam tablets.

    Science.gov (United States)

    Leifert, J A; Bossaller, L; Uhl, M

    2008-11-01

    Accidental intra-arterial injection of drugs is a sporadic complication in i.v. drug addicts. A 22-year-old drug-abuser injected flunitrazepam tablets dissolved in tap water into her left femoral artery and presented with clinical signs of acute ischaemia of the left leg. Severe rhabdomyolysis developed within 5 hours after the injection. Selective arterial catheter angiography showed an acute occlusion of the posterior tibial artery. Combination therapy with i.a. urokinase, i.a. prostaglandines and i.v. anticoagulation resulted in re-opening of the obstructed distal artery and complete cessation of symptoms.

  5. Accidental hijab pin ingestion in Muslim women: an emerging endoscopic emergency?

    Science.gov (United States)

    Goh, Jason; Patel, Neeral; Boulton, Ralph

    2014-01-01

    Ingested foreign body is an infrequent indication for emergency endoscopy in the adult gastroenterology practice. We describe the clinical features and endoscopic management of the first four cases of accidental ingestion of hijab pins by Muslim women in our unit, all presenting within a 12-month period. The pins were all successfully retrieved without any complications. In this report, we review published guidelines and the current literature, as well as discussing the approach (conservative vs proactive endoscopic retrieval) and timing of endoscopic treatment. The Muslim community may need to be alerted to the potential health hazard of hijab pins. PMID:24390968

  6. 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...

  7. The accidental potential of diffractive thinking technologies. Mapping and colouring social differentiation in/of school

    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...

  8. Electron paramagnetic resonance technique for radiation dosimetry: emerging trends for laboratory and accidental dosimetry

    International Nuclear Information System (INIS)

    The applications of Electron Paramagnetic Resonance (EPR) for radiation dosimetry are briefly reviewed. In particular, EPR-alanine dosimetry and accidental dosimetry using EPR signals from human tooth enamel have been discussed. The alanine dosimetry was found to be useful from low doses such as 1 Gy to high doses such as 100 kGy. The signals from tooth enamel are found to be invaluable in assessing the absorbed dose of people exposed to radiation accidents and also survivors of atomic bomb explosions. New emerging trends using EPR signals from bones exposed to radiation have also been briefly reviewed. (author)

  9. Guidelines on the medical therapy of persons accidentally overexposed to ionizing radiations. Internal contamination

    International Nuclear Information System (INIS)

    This work represent a guide for the treatment of accidental intakes of radionuclides. The different phases of radioactive contamination, the transfer and non-transfer of radioisotopes, the general principles in the treatment of internal contamination and the follow-up are determined. The in vivo monitoring and the evaluation of activity level are specified in this document. The applied treatment depends on the via of intake, that is: inhalation, ingestion, and through skin. The decontamination procedures that reduce the radionuclide transfer are specified. The different drugs, used to enhance radionuclides elimination, are enumerated in this work. Considerations about the iodine prophylaxis in radiologic als accidents are considered. (author)

  10. 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.

  11. Accidental capture of vertebrates in small mammal studies in Santa Catarina State, southern Brazil

    Directory of Open Access Journals (Sweden)

    Ivo Rohling Ghizoni-Jr

    2005-05-01

    Full Text Available This report contains a list of vertebrate species caught accidentally by live-traps while conducting capture and recapture studies with small mammals in Santa Catarina State, southern Brazil. Twentytwo terrestrial vertebrate species were registered: two amphibians, four reptiles, thirteen birds and three mammals. The use of vegetable baits as attractive smells, for example banana and peanut butter, was of great value in terms of the capture of a great diversity of species belonging to a wide range of feeding habitats, including insectivores and carnivores, probably attracted by arthropods that had fed on the baits.

  12. Rol y condiciones estratégicas del médico dentro del Sistema de Gestión de Seguridad y Salud Ocupacional

    Directory of Open Access Journals (Sweden)

    Óscar Eduardo Vera-Romero

    2015-03-01

    Full Text Available El impacto negativo de los accidentes laborales es tanto sanitario como económico. Se calcula que cerca de 2,3 millones de muertes al año se deben por trabajo. Existen factores de riesgo, como exposición a riesgos físicos, químicos, biológicos, psicosociales y ergonómicos ocasionando desequilibrio de salud y causar accidentes, enfermedades. Para proteger la salud en estos campos existe la Medicina del Trabajo. El Objetivo de este estudio es describir el rol y condiciones estratégicas del médico dentro del sistema de gestión de seguridad y salud ocupacional. Materiales y Métodos: Revisión bibliográfica en BIREME, Scielo Perú, España, Colombia y publicaciones de la International Labour Organización (ILO. Conclusión: El Rol Estratégico del Médico dentro del Sistema de Gestión de Seguridad y Salud Ocupacional presenta los enfoques: humano, médico-legal, económico y social; con responsabilidad directa en la implementación de políticas y programas de salud ocupacional, basado en los códigos de ética nacional e internacional.

  13. Preliminary results of using a commercial fibrin sealant in the treatment of fistula-in-ano.

    Science.gov (United States)

    Chan, K M; Lau, C W; Lai, K K T; Auyeung, M C; Ho, L S; Luk, H T; Lo, K H

    2002-02-01

    A prospective non-randomised study fibrin sealant injection to manage patients with fistula-in-ano, with magnetic resonance imaging (MRI) monitoring, was performed during the period 5/6/1999 to 28/2/2000. The aim was to determine whether a fibrin sealant could be used as a treatment modality for anorectal fistula and the usefulness of MRI perineum to monitor the disease activity. Ten patients were included in the study. Mean age was 47 years (range 7 months to 70 years). Male: female ratio was 9:1. Mean follow-up duration was 26.4 weeks. The overall success rate was 60%. The success rate of different fistula types were different (60%, 0%, 100% for intersphincteric, transphincteric, subcutaneous, respectively). Variable decrease in signal on STIR images and contrast enhancement was noted in the patients with successful and failure of fibrin sealant injection. In conclusion, fibrin sealant injection is a useful alternative treatment in the management of fistula-in-ano. MRI is helpful in delineating the anatomy of fistula-in-ano but not a useful tool to follow-up disease activity. PMID:11878300

  14. Prática alimentar nos dois primeiros anos de vida

    Directory of Open Access Journals (Sweden)

    Daniela Braga Lima

    2011-12-01

    Full Text Available Avaliou-se prática alimentar de crianças menores de dois anos. Estudo transversal desenvolvido em 2004-2005, a partir de dados do Estudo de Consumo Alimentar Populacional de Belo Horizonte/ECAP-BH. A amostra compreendeu 148 crianças menores de dois anos. Realizou-se entrevista em domicílio com mães/responsáveis e levantou-se os alimentos consumidos nas últimas 24 horas, incluindo leite materno e idade de introdução da alimentação complementar. Medianas de aleitamento materno exclusiva e total foram 60 e 150 dias, respectivamente. A introdução de outros tipos de leite e de alimentos não-lácteos ocorreu precocemente. Do ponto de vista nutricional, as dietas eram desbalanceadas e o ferro foi o nutriente mais deficiente no primeiro ano de vida. Os resultados evidenciam a necessidade da implementação de medidas de intervenção nos serviços de saúde do município para a promoção da alimentação complementar saudável.

  15. El sur también existe: el corredor multimodal del istmo de Tehuantepec en la era de la globalización

    OpenAIRE

    Carlos Martner Peyrelongue

    2012-01-01

    Después de un siglo de la época de mayor esplendor del cruce interoceánico del istmo de Tehuantepec, por donde llegaron a circular grandes volúmenes de mercancías entre el océano Pacífico y el Atlántico, en los albores del siglo xxi se busca implementar el proyecto Sistema Logístico del Istmo de Tehuantepec, para volver a posicionar a esta región del sureste mexicano como un eje relevante de movilidad articulado a las modernas redes de transporte de la globalización. En este sentido, el objet...

  16. Modelo de identificación y caracterización de tramos de carreteras sin accidentes (tramos blancos. Aplicación a la red de autopistas de peaje españolas

    Directory of Open Access Journals (Sweden)

    de la Peña-González, E.

    2015-12-01

    Full Text Available The traditional approach to infrastructural safety follows the consideration of mitigation tools, such as the identification and management of black spots or road sections with high accident concentration, or preventing tools, as road safety audits and inspections. A complement to these tools is presented in this paper, from a new perspective: the consideration of road sections where, under similar conditions and similar risk exposure, there are no accidents (white road sections. A model has been calibrated to the Spanish toll motorways network, identifying the specific geometric parameters and traffic characteristics which have the highest influence in the occurrence of white sections with sufficient length, without accidents during a significant period of time: heavy vehicles traffic volume, with of the road section and speed.El planteamiento tradicional de análisis de la accidentalidad en carretera pasa por la consideración de herramientas paliativas, como son la identificación y gestión de los puntos negros o tramos de concentración de accidentes, o preventivas, como las auditorías o inspecciones de seguridad vial. En este artículo se presenta un complemento a estas herramientas, desde una perspectiva novedosa: la consideración de los tramos donde, bajo unas condiciones similares a las de otros tramos y una similar exposición al riesgo, no se producen accidentes (tramos blancos. Se resume el modelo que se ha calibrado para las autopistas de peaje españolas, identificando los parámetros específicos de la geometría de la vía y del tráfico que más influencia tienen en el hecho de que en algunos tramos de suficiente longitud, no se produzcan accidentes durante un periodo significativo de tiempo: el tráfico de pesados, al ancho de calzada y la velocidad de circulación.

  17. Culturas del Mundo

    DEFF Research Database (Denmark)

    Benwell, Ann Fenger; Costa, Alberto; Waehle, Espen

    2006-01-01

    ’Culturas del mundo. Colecciones del Museo Nacional de Dinamarca’ with Ann Fenger Benwell in Culturas del Mundo. Colecciones del Museo Nacional de Dinamarca, ed. Silvia Sauquet, Fundación "la Caixa", Barcelona 2006, pp. 31-39......’Culturas del mundo. Colecciones del Museo Nacional de Dinamarca’ with Ann Fenger Benwell in Culturas del Mundo. Colecciones del Museo Nacional de Dinamarca, ed. Silvia Sauquet, Fundación "la Caixa", Barcelona 2006, pp. 31-39...

  18. Construção da participação comunitária para a prevenção de acidentes domésticos infantis Construcción de la participación comunitaria para prevenir accidentes domesticos infantiles Constructing community involvement for the prevention of home accidents in children

    Directory of Open Access Journals (Sweden)

    Justina Inês Brunetto Verruck Acker

    2009-02-01

    Full Text Available INTRODUÇÃO: Este artigo relata parte de um estudo cujo objetivo foi mobilizar a equipe do Programa de Saúde da Família para a construção da participação comunitária visando a prevenir acidentes domésticos de crianças menores de cinco anos, tendo como fundamento teórico as Sete Teses de Roberto Briceño-Léon. METODOLOGIA: foi empregada a Pesquisa Convergente Assistencial com uma Equipe do Programa de Saúde da Família de uma cidade do interior do Rio Grande do Sul. Foram realizadas oficinas educativas com a equipe e posteriormente realizadas atividades educativas com famílias da comunidade. As informações foram coletadas por meio de observação e de entrevista coletiva, sendo realizada análise de conteúdo. RESULTADOS: criação das ferramentas educativas: a música "A Lição do Sapeca", a dramatização da música, a dinâmica "O que é isto?" e a dinâmica "Casa Simulada". CONSIDERAÇÕES: evidencia-se que, com criatividade e congruência, a equipe de saúde desencadeou o processo de mobilização da comunidade para prevenir acidentes domésticos infantis.INTRODUCCIÓN: Este artículo relata parte de un estudio cuyo objetivo ha sido movilizar el grupo del Programa de Salud de la Familia para la construcción de la participación comunitaria para prevenir accidentes domésticos de niños menores de 5 años. La fundamentación teórica ha sido las Siete Tesis de Roberto Briceño-Léon. METODOLOGÍA: Se ha usado la Investigación Convergente Asistencial con un grupo del Programa de Salud de la Familia de una ciudad del interior de Rio Grande do Sul. Se han realizado oficinas educativas con el grupo y después se han hecho actividades educativas con las familias de la comunidad. Las informaciones se han recogido a través de la observación y encuestas, y se ha usado el análisis de contenido. RESULTADOS: Instauración de cuatro herramientas educativas: la canción "A Lição do Sapeca", la dramatización de la música, la din

  19. Vivenciando el trabajo de los buzos mariscadores que han sufrido un accidente Living the work of seafood divers who have suffered an accident

    Directory of Open Access Journals (Sweden)

    Irene Aguilar Gallardo

    2005-11-01

    Full Text Available El objetivo de esta investigación es describir las vivencias del trabajo de buzos mariscadores que viven en caletas de pescadores de las provincias de Llanquihue y Palena y que hubieran tenido un accidente durante la práctica de su oficio, en el contexto de su significado cultural. Para este estudio se utilizó la investigación cualitativa, optando por el método etnográfico de Spradley (1979-1980. La recolección de los datos se realizó mediante la Observación Participante y la Entrevista Etnográfica. Al validar los dominios, taxonomías y temas surge el tema central que es: describiendo vivencias de su oficio. En él se destacan ideas y percepciones similares en este grupo humano respecto a la vida y al trabajo que realizan y diferencias en relación a las razones para continuar en el oficio para algunos, porque les apasiona y para otros porque se sienten obligados por ser ésta la única opción que les permite la subsistencia a ellos y su grupo familiar. El subtema que emerge es "a mayor profundidad está la mercancía", de éste se generan los dominios de lo que sucede con el buzo: los riesgos de trabajar a mayor profundidad, las causas de los accidentes, las consecuencias y secuelas, las percepciones durante la rehabilitación, las formas que adoptan para prevenir accidentes y las expectativas para el futuro. Los datos obtenidos del estudio permitirán al equipo de salud ampliar conceptos y conocimientos de experiencias, vivencias y significado que los buzos le otorgan al trabajo en su contexto cultural. Lo anterior, contribuirá a facilitar el proceso de interacción con este grupo humano y realizar acciones de salud concordantes con su modo de sentir y pensar, uniendo esfuerzos para la prevención, promoción, recuperación y rehabilitación de su salud.The objective of this research is to describe the work experiences of the shellfish divers who belong to the province of Llanquihue and Palena who have suffered and accident during

  20. Hazards of combustible gases accidentally released from the process plant of HTGR process applications

    International Nuclear Information System (INIS)

    This report summarizes the preliminary work on reformer explosions for the indirect cycle plant design effort of the High-Temperature Gas-Cooled Reactor for Process Heat (HTGR-PH). Models were completed for the determination of the combustible behavior of the releases (either instantaneous like puffs or continuous like jets or plumes), the amount of combustible material, and the propagation of detonation and shock waves (i.e., blast) as a consequence of potential explosions. A preliminary analysis reveals that (1) incombustible or flammable but nonexplosive mixtures can be formed by accidental releases from the reformer inlet flow and (2) the addition of sufficient steam to the reformer flow renders nonexplosive any accidental release from the reformer area. The explosion of combustible releases is then analyzed with reference to the worst contributor: synthesis gas. The explosions of instantaneous releases, while enroute, are analyzed under different meteorological conditions. The explosions of continuous releases are analyzed in situ for determining the effects on structures and equipment in the vicinity of the jets by considering (1) detonations inside the combustible region of jets and (2) blasts outside the combustible region of jets

  1. Report on international round table conference 'Accidental radiation contamination of food of animal origin'. Vol. I

    International Nuclear Information System (INIS)

    The World Association of Veterinary Food Hygienists (WAVFH) held an international round table conference in Stockholm, Sweden, January 26-29, 1987. The topic of the conference was 'Accidental Radiation Contamination of Food of Animal Origin'. The agenda was divided into three major topic areas: 1. Ecological Science; 2. Veterinary Science - Live Animals; and 3. Veterinary Science - Food of Animal Origin. Experts and delegates from member countries presented papers, participated in discussions and workshops and produced a multidisciplinary report covering the topic areas. The recent accidental release of radioactive substances into the environment from the Chernobyl accident, demonstrated the need for veterinary, ecological, physical and medical sciences to be prepared to respond to an incident in order to protect the environment, food chain, other agricultural assets and humans from the adverse effects of radionuclides. Several presentations suggested that even with the best technologies, national and regional commitment, and relatively unrestricted resource levels, nuclear incidents can cross international boundaries and can contaminate the environment to the extent that the integrity of various food and water supplies can be at risk. Speakers and subsequent discussers tended to concentrate on the issues associated with lessening future environmental impacts if similar types of incidents should occur again

  2. Cuidados de Enfermería en el Accidente Ofídico

    Directory of Open Access Journals (Sweden)

    Lorenzo Hernández, María Piedad

    2013-04-01

    Full Text Available El accidente ofídico supone una emergencia médica que requiere atención médica inmediata, pudiendo provocar la muerte de no realizarse una actuación adecuada precoz. El tratamiento varía según la geografía y características de las serpientes autóctonas, existiendo múltiples protocolos, que en ocasiones resultan contradictorios. El objetivo de este trabajo es realizar el proceso de atención de enfermería en el accidente ofídico, siendo imprescindible poseer un conocimiento integral de las especies peligrosas en España, consecuencias de la mordedura y tratamiento específico. Para la elaboración de este artículo se revisó la bibliografía para poner de manifiesto el plan de actuación y cuidados enfermeros. Con la elaboración de un plan de atención de enfermería individualizado se disminuye el riesgo de secuelas y se proporciona un cuidado y una atención sanitaria de calidad.

  3. Triage and management of accidental laboratory exposures to biosafety level-3 and -4 agents.

    Science.gov (United States)

    Jahrling, Peter; Rodak, Colleen; Bray, Mike; Davey, Richard T

    2009-06-01

    The recent expansion of biocontainment laboratory capacity in the United States has drawn attention to the possibility of occupational exposures to BSL-3 and -4 agents and has prompted a reassessment of medical management procedures and facilities to deal with these contingencies. A workshop hosted by the National Interagency Biodefense Campus was held in October 2007 and was attended by representatives of all existing and planned BSL-4 research facilities in the U.S. and Canada. This report summarizes important points of discussion and recommendations for future coordinated action, including guidelines for the engineering and operational controls appropriate for a hospital care and isolation unit. Recommendations pertained to initial management of exposures (ie, immediate treatment of penetrating injuries, reporting of exposures, initial evaluation, and triage). Isolation and medical care in a referral hospital (including minimum standards for isolation units), staff recruitment and training, and community outreach also were addressed. Workshop participants agreed that any unit designated for the isolation and treatment of laboratory employees accidentally infected with a BSL-3 or -4 pathogen should be designed to maximize the efficacy of patient care while minimizing the risk of transmission of infection. Further, participants concurred that there is no medically based rationale for building care and isolation units to standards approximating a BSL-4 laboratory. Instead, laboratory workers accidentally exposed to pathogens should be cared for in hospital isolation suites staffed by highly trained professionals following strict infection control procedures.

  4. Implications for platform re-assessment based on in-service damage resulting from accidental loadings

    Energy Technology Data Exchange (ETDEWEB)

    Sharp, J.V.; Stacey, A. [Health and Safety Executive, London (United Kingdom); Frieze, P.A.; Nichols, N.W.

    1996-12-01

    Current offshore design codes enable the capacity of structural components to be determined, but the equations apply only to the undamaged state. The ability to assess the performance of such components containing damage has only recently been developed and is important in the re-assessment of structures. In particular knowledge of the performance of members which are dented or bowed as a result of accidental damage is important in establishing the capacity of structures in-service, when for example using pushover analyses. Much research has been taken on the capacity of dented and bowed members. This paper reviews this data and establishes a database using screening criteria. This data is then compared with theoretical predictions from recently developed draft ISO equations. These show that dents and bows can significantly reduce the performance of members. A survey of offshore damage resulting in repairs has shown that 30% of this damage is the result of accidental events such as ship impact and dropped objects. Most damage found to members was in the form of dents, bows and cracks, with member severance in a few cases. The implications of this information for reassessment and offshore inspections are considered.

  5. Risk determination method for accidental water basin contamination based on risk source coupling with sensitive targets.

    Science.gov (United States)

    Li, Zongfeng; Zeng, Bo; Zhou, Tinggang; Li, Guowei; Zhu, Xiaobo

    2016-01-01

    Accidental water basin pollution seriously threatens human health and ecological security, but rapid, effective methods for evaluating this threat are lacking. This paper aims to develop a risk evaluation method for basin accidents by coupling the risk source with sensitive targets to evaluate the zone accident risk levels of basins and prevent the accidental environmental pollution of water. This method incorporates the interplay between risk sources and sensitive targets by evaluating the zone risk levels of water environments from different sources, effectiveness of the risk source control mechanisms, vulnerability of sensitive targets and spatial and temporal relationships between these sources and targets. Using the Three Gorges Reservoir region as an example, a risk system for water basin pollution incidents consisting of a risk indicator quantification system, a risk zoning method and a verification method for the zoning results is developed and implemented. The results were verified in a field investigation, which showed that the risk zoning model provides rapid, effective and reliable zoning results. This research method could serve as a theoretical reference and technological support for evaluating water basin accident risks. Furthermore, the results are useful for evaluating and protecting the aquatic environments in the Three Gorges Reservoir region. PMID:26207430

  6. Structural Integrity Assessment of VVER-1000 RPV under Accidental Cool down Transients

    International Nuclear Information System (INIS)

    Corrosion, Fatigue and Irradiation embrittlement are the major degradation mechanisms responsible for ageing of RPV (and its internals) of a Pressurized Water Reactor. While corrosion and fatigue can generate cracks, irradiation damage can lead to brittle fracture initiating from these cracks. Ageing in nuclear power plants needs to be managed so as to ensure that design functions remain available throughout the life of the plant. From safety perspective, this implies that ageing degradation of systems, structures and components important to safety remain within acceptable limits. Reactor Pressure Vessel has been identified as the highest priority key component in plant life management for Pressurized Water Reactors. Therefore special attention is required to ensure its structural integrity during its lifetime. In this paper, structural integrity assessment for typical VVER-1000 RPV is carried out under severe accidental cool down transients using the Finite Element Method. Three different accidental scenarios are postulated and safety of the vessel is conservatively assessed under these transients using the Linear Elastic Fracture Mechanics approach. Transient thermo mechanical stress analysis of the core belt region of the RPV is carried out in presence of postulated cracks and stress intensity factors are calculated and compared with the material fracture toughness to assess the structural integrity of the vessel. The paper also include some parametric analyses to justify the methodology. (author)

  7. Allowing the Accidental; the Interplay Between Intentionality and Realism in Photographic Art

    Directory of Open Access Journals (Sweden)

    Katrina Mitcheson

    2010-01-01

    Full Text Available We experience photographs both as intentional and as prone to the accidental. The photograph is both capable of being an artwork with its own, constructed world and of drawing our attention to the reality of the objects used in creating it. In this article I employ the insights contained in the concepts of Barthes’ studium and punctum in order to explore how the artist’s intentions and the realism of photography interact aesthetically. I advance the idea that a unique aesthetics of photography can be rooted in the tension between the intentional, culturally coded message of a photograph and the emanation of a reality that escapes intentional control. Our aesthetic experiences of the artist’s intentions and the appearance of the real depend upon and enhance each other. I claim that the photographer can intentionally allow the accidental, leaving room for the audience to encounter a punctum, and that the control manifested in the photographer's work can serve to heighten the experience of the penetration of the studium by the punctum when it occurs.

  8. Spontaneous hematologic recovery from bone marrow aplasia after accidental tenfold overdosage with radiophosphorus

    Energy Technology Data Exchange (ETDEWEB)

    Gmuer, J.; Bischof, B.; Coninx, S.; Bucher, U.; Poretti, G.; Henrichs, K.; Kaul, A.; Roedler, H.D.; Buettner, K.; Frick, P.G.

    1983-04-01

    Two patients with polycythemia vera received intravenously an accidental tenfold overdosage of radiophosphorus therapy (60 and 50 mCi 32P, respectively). In both patients, the occurrence of hemorrhagic complications 3 wk after the 32P medication led to detection of the error and referral to our hospital. Upon admission they showed an agranulocytosis, severe thrombocytopenia, and bone marrow aplasia. In both cases, spontaneous recovery of the hematopoiesis was observed from day 40 posttreatment onward. In one patient, a slow but ultimately complete normalization of blood counts and marrow morphology took place, whereas in the other, a mild thrombocytopenia persists. Nearly 5 yr after the accidental overdosage, both patients are clinically well. Symptoms of polycythemia vera have not reappeared up to now. Attempts were made to evaluate the radiation dose absorbed by the bone marrow. In the first patient, the daily 32P excretion was determined from day 22 to day 60, whereas in the other patient a whole body count was performed on day 78 after administration. From these results, an approximate cumulative bone marrow dose of 10 Sv (1000 rem) could be calculated.

  9. U.S. regulatory requirements for blast effects from accidental explosions

    International Nuclear Information System (INIS)

    This paper is limited to accidental explosions external to nuclear power plants. Procedures for deciding if the risk of damage due to an accidental explosion is sufficiently high to warrant detailed study and methods for assessing structural capability when detailed study is needed are described. The dynamic blast load effect may be estimated by a simplified static procedure. The regulatory staff permits use of a dynamic load factor of 2 applied to the overpressure or reflected pressure, as appropriate, and the assumption that structures and structural elements will deform dynamically as though the loads were applied statically. This assumption allows the designer to compute stresses, moments and shears without reference to the distribution of inertial forces within the structure. Blast pressure should be considered to act both inward and outward to account for dynamic stress reversal. Overturning and sliding stability as well as the ability of supporting structures to carry loads transmitted from the directly loaded exterior surfaces must be assessed. A detailed dynamic analysis in which force-time histories and the stiffness and mass properties of the structures are employed is also acceptable. Damping is not important for air blast effects. The regulatory staff requires that blast effects be resisted elastically. This is consistent with regulatory philosophy that global loading situations should not be permitted to cause global damage. Appendix C to ACI-349, 'Code Requirements for Nuclear Safety Related Concrete Structures', in conflict with regulatory requirements, permits a ductility of 3 for blast loadings

  10. Study of the luminescence properties of dental materials for their use in accidental dosimetry

    International Nuclear Information System (INIS)

    Full text: The current social and political situation in many world areas and the increasing hostilities between countries and cultures have accentuated the risk of a malicious use of ionising radiations. Terrorist attacks with the intentional disseminations of radioactive materials in urban settlements may involve a large number of persons, and a rapid estimation of the severity of the exposure is required for undertaking suitable protective actions and supporting decision making. Promising methodologies for a prompt dose evaluation, are those exploiting the luminescence and dosimetric properties of objects and materials which can be easily found in the contaminated area. Among these objects, dental materials have the advantage to be on contact with human body and they could therefore represent individual dosimeters in case of accidental exposure to ionising radiation. The interest in the use of dental ceramics for dosimetric purposes dates back to late 1970, however, it is only through the use of high-sensitive experimental techniques and instrumentation today available, that the potentiality of such materials as accidental dosimeters can be exploited. Moreover, innovative materials are being continuously introduced into the market, containing new additives and pigments with peculiar optical properties. In this study, Thermally Stimulated Luminescence (TSL) and Optically Stimulated Luminescence (OSL) techniques are applied to investigate the luminescence and dosimetric properties of several dental materials, including resins, glass and feldspatic ceramics, and also zirconia and alumina based ceramics, being their use widely increased in the recent years in substitution of metal cores. (author)

  11. Autorreporte de accidentes de tránsito en una encuesta nacional en la población urbana de Perú Self-reporting of road traffic accidents in a national survey of urban population in Peru

    Directory of Open Access Journals (Sweden)

    Paolo Wong

    2010-06-01

    Full Text Available Objetivos. Estimar la frecuencia del autorreporte de accidente de tránsito como antecedente en el último año en la población general y determinar qué factores se encuentran asociados. Materiales y métodos. Se realizó un análisis secundario de los datos de la III Encuesta Nacional de Consumo de Drogas en la Población General del Perú 2006 de DEVIDA. Se midieron las variables sociodemográficas: edad, sexo, región de procedencia, nivel educativo alcanzado y estado civil. Asimismo, se evaluó el consumo de drogas legales, ilegales y médicas. La variable de respuesta fue el autorreporte de accidente de tránsito. Se realizó análisis descriptivo y bivariado de las variables sociodemográficas y de consumo de drogas (legales e ilegales con el autorreporte de accidente de tránsito. Resultados. La frecuencia de reporte de accidente de tránsito en el último año según la encuesta fue de 2,93% (IC95%: 2,92-2,94. Los factores asociados a autorreportar un accidente de tránsito son: vivir en la selva (OR: 2,03; IC95%: 1,55-2,65, género masculino (OR: 1,79; IC95%: 1,46-2,22, consumo de drogas legales en el último año (OR: 1,98; IC95%: 1,53-2,55,consumo de alcohol en el último año (OR: 1,82; IC95%: 1,44-2,32 y consumo de drogas médicas en el último año (OR: 2,45; IC95%: 1,63-3,68. Conclusiones. La prevalencia de autorreporte de accidente de tránsito en el último año fue muy elevada comparada con estudios similares y otras fuentes reportantes. Las variables asociadas con el antecedente de accidente de tránsito son: el vivir en la selva, ser varón, el consumo de drogas legales en el último año, especialmente alcohol y consumo de drogas médicas en el último año. Es necesario reflexionar acerca del sistema de información sobre accidentes de tránsito a fin de una mayor caracterización del problema haciendo énfasis en el consumo de drogas legales.Objectives. To estimate the frequency of self-reporting of road traffic

  12. Estudio del riesgo en ductos de transporte de gasolinas y diesel en México

    OpenAIRE

    Ruperto Enrique Olivera-Villaseñor; Alejandro Rodríguez-Castellanos

    2012-01-01

    Se propone una metodología de análisis de riesgo operativo en poliductos debido a daños por terceras partes (tomas clandestinas), originados del hurto de gasolinas en ductos de Petróleos Mexicanos (Pemex). La problemática se aborda desde una perspectiva global de accidentes en los ductos en el mundo, en los Estados Unidos de América y en México, después se trata específicamente el entorno que vive actualmente la industria de poliductos de Pemex-Refinación. Del análisis y resultados obtenidos,...

  13. Estudio del riesgo en ductos de transporte de gasolinas y diesel en México

    OpenAIRE

    Ruperto Enrique Olivera-Villaseñor; Alejandro Rodríguez-Castellanos

    2005-01-01

    Se propone una metodología de análisis de riesgo operativo en poliductos debido a daños por terceras partes (tomas clandestinas), originados del hurto de gasolinas en ductos de Petróleos Mexicanos (Pemex). La problemática se aborda desde una perspectiva global de accidentes en los ductos en el mundo, en los Estados Unidos de América y en México, después se trata específicamente el entorno que vive actualmente la industria de poliductos de Pemex-Refinación. Del análisis y resultados obtenidos,...

  14. Análisis de las muertes por accidentes de tránsito en el municipio de Lanús, Argentina, 1998-2004

    Directory of Open Access Journals (Sweden)

    Guillermo Raúl Macías

    2010-01-01

    Full Text Available El objetivo del presente trabajo fue analizar el perfil sociodemográfico de las muertes por accidentes de tránsito (AT de residentes en el municipio de Lanús (Provincia de Buenos Aires, Argentina entre los años 1998 y 2004. Para ello se realizó un estudio epidemiológico descriptivo, utilizando datos oficiales de mortalidad de Argentina. Se estudiaron las muertes por AT codificadas por la CIE-10, según residencia y ocurrencia. Se analizaron variables sociodemográficas y económicas mediante análisis uni y bivariados, cálculo de la mortalidad proporcional (MP, razón de mortalidad proporcional (RMP y georreferenciamiento por lugar de residencia y de ocurrencia. Lanús presenta un perfil de mortalidad por AT similar al de los países desarrollados. La combinación de técnicas se presenta como una alternativa interesante para trabajar con datos secundarios, en áreas pequeñas y con pequeños números. Esta investigación proporciona contribuciones para intervenir sobre los problemas relacionados con los AT en el nivel individual y local. Se destaca la necesidad de estudios transdisciplinarios que aborden el problema desde otros enfoques metodológicos.

  15. Predisposición a sufrir lesiones no intencionadas en la infancia: el papel del temperamento infantil y el estilo educativo paterno

    OpenAIRE

    Valero Gómez, María Amparo

    2016-01-01

    A partir del primer año de edad y durante los primeros años de vida, las lesiones no intencionadas son un problema importante de salud, que se encuentran entre las primeras causas de muerte en todos los países. La mayoría de estudios analizan los factores epidemiológicos más relevantes de aquellos accidentes que han llegado a los servicios sanitarios. Sin embargo, no se ha prestado la suficiente atención a los accidentes que no tienen consecuencias graves, ni a las características personales ...

  16. Co-variabilidad de la temperatura superficial del mar entre cuencas del Hemisferio Sur

    Directory of Open Access Journals (Sweden)

    Ana Laura Berman

    2011-12-01

    Full Text Available En este trabajo se estudian relaciones estadísticas entre diferentes regiones de los océanos del Hemisferio Sur en todo el espacio tiempo-frecuencia durante los últimos cincuenta años aplicando la metodología de transformada ondeletas de coherencia a promedios anuales de anomalías mensuales de temperatura superficial del mar. Entre los resultados más relevantes encontrados debe mencionarse que las regiones del oeste y centro del Pacífico tropical tienen una estrecha relación en oscilaciones menores a 8 años y en oscilaciones alrededor de 12 años pero notables desacoples son detectados en el resto del espacio de frecuencias. Por otra parte, la relación entre las regiones del oeste y del este del Pacífico tropical es significativa sólo en oscilaciones menores a 8 años con una clara interrupción durante la década de 1980. Importantes conexiones en oscilaciones interdecadales son detectadas entre las regiones del oeste y centro del Pacifico subtropical. En el Océano Atlántico se encuentran relaciones significativas en un amplio rango de frecuencias entre las regiones del oeste y, especialmente, entre las regiones tropicales mientras que en el Océano Indico solo se observan relaciones importantes entre áreas subtropicales en oscilaciones decadales e interdecadales. El análisis también revela fuertes conexiones entre las tres cuencas oceánicas en diferentes bandas de frecuencia.Relations among different regions of the Southern Hemisphere oceans in the whole time-frequency space during the last fifty years are studied applying the methodology of Wavelet Coherence Analysis to annual means of monthly anomalies of sea surface temperature. Among the most relevant results, it must be mentioned that the western and central regions of the tropical Pacific have a close relation in oscillations shorter than 8 years and in oscillations around 12 years but important disconnections are detected in the rest of the space of frequencies

  17. Diagnóstico de factores de riesgo relacionados con la accidentabilidad de mano en trabajadores de una empresa refresquera Diagnostic of risk factor related to the accidentes of hand in workers of solf-drinks industry

    Directory of Open Access Journals (Sweden)

    Gabriela Betzabé Pérez-Manriquez

    2012-03-01

    Full Text Available Con el propósito de que se profundice en el reconocimiento de factores de riesgos derivados de este tipo de empresas y de estas actividades específicamente, para que se prevengan y minimicen los efectos a la salud de forma integral al interior de las empresas, el presente trabajo pretende determinar los factores de riesgo potencialmente relacionados con los accidentes de mano. Objetivos: Determinar los factores de riesgo relacionados con los accidentes en mano para identificar que permitan disminuir la posibilidad de accidentes de mano mediante la modificación, eliminación y/o control de los factores presentes. Material y métodos: Estudio observacional, descriptivo y longitudinal llevado a cabo en la población trabajadora del área de ventas, compuesta por 206 ayudantes y 81 agentes, de una Cooperativa productora Bebidas frutales de la Ciudad de México, en el periodo de 2007-2009. Se empleo el Método de Freeman Modificado para el Diagnóstico Situacional. Resultados: Los factores de riesgo relacionados con accidentes de mano identificados y jerarquizados son: en primer lugar los psicosociales derivados de Organización Laboral (ritmo acelerado de la actividad y la Condición Insegura (traslado del personal en la defensa trasera del camión; en segundo lugar se encontraron los Ergonómicos (movimientos repetitivos, manejo manual de cargas, junto con el Acto Inseguro (omisión del uso del equipo de protección personal, y la Condición Insegura (tipo de unidad, puerta y material transportado; y falta de capacitación; finalmente en tercer lugar los psicosociales de Organización Laboral (jornada indefinida mínima de 8 horas máxima de 14 y Condición Insegura (objetos punzocortantes en cajas. Conclusiones: Los accidentes de mano constituyen un problema de salud pública importante a nivel nacional e internacional. Es de suma importancia identificar los factores de riesgo que se relacionan con su génesis como son: los factores

  18. The Chernobyl – Thirty Years After The Post – Accidental Radiological – Hygienic and Medical Consequences

    Directory of Open Access Journals (Sweden)

    G. G. Onishchenko

    2016-01-01

    Full Text Available As the result of the Chernobyl NPP accident more than 200 thousand square kilometers of the European territories were contaminated by Cs-137 in the amount of above 37 kBq/m2 (1 Ci/km2 . Belorussia, Russia and Ukraine amount up to 70% of this entire affected area. More than 600 000 people were engaged in the accidental cleanup operations, 340000 were evacuated or relocated within 1986-1991. The early stage evacuation efficacy is confirmed by the absence of acute radiation syndrome among the population and by the prevented collective dose which amounts to no less than 10 000 man/Sv. The effective measure to reduce the internal radiation dose to the population at the early accidental stage was introduction of maximum tentative permissive levels of radionuclide content in the foodstuffs.Among the identified post -accident medical consequences of the Chernobyl is the radiation syndrome found in 134 emergency cleanup workers within the first 24 hours of the accident’s development. Out of that number, 28 people died within the first four months, 19 people died before 2006. The accident’s liquidators developed radiation -induced leukemia ( the attributive risk value is 45-60% . People exposed to high radiation doses display the statistically significant 18% morbidity increase of all types of solid cancers at the doses above 150 mSv. There is the statistically significant information indicating the increased amount of thyroid cancer morbidity among those who were just children and teenagers at the time of the accident. The adverse psychological consequences are accounted for not just the fear of overexposure but also for the disturbance of the habitual lifestyle especially mindful of the forced relocation.The longterm protection measures, radionuclide decay and selfcleaning of the contaminated areas resulted in the drastic reduction of the population dose in the radioactively contaminated territories. In 2015, only in some settlements of the Briansk

  19. Urban "accidental" wetlands mediate water quality and heat exposure for homeless populations in a desert city

    Science.gov (United States)

    Palta, M.

    2015-12-01

    In urban settings where humans interact in complex ways with ecosystems, there may be hidden or unanticipated benefits (services) or harm (disservices) conferred by the built environment. We examined interactions of a highly vulnerable population, the homeless, with urban waterways and wetlands in the desert city of Phoenix, Arizona, U.S.A. Climate change models project increases in heat, droughts, and extreme floods for the southwestern U.S. These projected changes pose a number of problems for sustainability and quality of future water supply, and the ability of human populations to mitigate heat stress and avoid fatalities. Urban wetlands that are created "accidentally" (by water pooling in abandoned areas of the landscape) have many structural (e.g., soils and hydrology) and functional (e.g., high denitrification) elements that mimic natural, unaltered aquatic systems. Accidental wetland systems in the dry bed of the Salt River, fed by storm and waste water from urban Phoenix, are located within economically depressed sections of the city, and show the potential for pollutant and heat mitigation. We used a mixed-method socio-ecological approach to examine wetland ecosystem functions and the ways in which homeless populations utilize Salt River wetlands for ecosystem services. Interviews and trash surveys indicated that homeless people are accessing and utilizing the wetlands as a source of running water, for sanitary and heat mitigation services, and for recreation and habitation. Environmental monitoring demonstrated that the wetlands can provide a reliable source of running water, nutrient and pathogen removal, heat mitigation, and privacy, but they may also pose a health risk to individuals coming in contact with the water through drinking or bathing. Whether wetlands provided a net benefit vs. harm varied according to site, season, and particular service, and several tradeoffs were identified. For example, heat is highest during the summer storm season

  20. Accidental Thawing of Embryos, Cryopreserved for Transfer. Two Italian cases, Milan and Rome.

    Science.gov (United States)

    Busardò, Francesco P; Vergallo, Gianluca Montanari; Turillazzi, Emanuela; Bolino, Giorgio; Vullo, Annamaria; Frati, Paola

    2016-01-01

    The bioethical and juridical debate on the status of frozen embryos sometimes adds new issues arising from new scientific evidence or by accidental occurrences that bring to the attention of the scientific community the need for new practical solutions. Within this scenario, there have been, in recent years, episodes concerning the accidental thawing of embryos, which have been cryopreserved for transfer. Two Italian cases (the Milan and the Rome cases) are here reported: the Milan case involves a couple undergoing artificial insemination. Three eggs were collected for insemination and two of them had been fertilized. During the night of 8/9 May 2007 a short circuit occurred, resulting in an electricity blackout, which caused the loss of the embryos in culture, which should have been transferred to the woman's uterus on 9 May. The couple applied for damage compensation from the hospital following the loss of the embryos. The case went to Court and the result was a judgment issued by the Milan civil court, which recognized that the centre was to blame for irreparable damage to the embryos. The Rome case, involves two couples (A and B) affected by sterility who applied to an authorized public centre to undergo an ART program. Following the medical procedures, two of the embryos produced were transferred to the woman in couple A and five were frozen, whereas three embryos produced by couple B were transferred to the uterus of the woman and six eggs were cryopreserved in the centre. Two years after the procedure there was an electricity blackout, and the backup electricity generator failed to function, causing the loss of the gametes and the embryos cryopreserved in the centre. Legal proceedings begun by the couples to obtain compensation for damages are still underway. The above reported cases have significantly intensified the bioethical debate on the lawfulness of such practices and on the fate of the cryopreserved embryos, at the same time opening new frontiers in

  1. ACUTE ACCIDENTAL POISONING IN CHILDREN: A HOSPITAL-BASED RETROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Kameshore

    2014-10-01

    Full Text Available INTRODUCTION: Acute accidental poisoning in children is a big problem anywhere in the world. Studies done elsewhere in India showed a wide range of incidence of the problem. Hence, it was felt important to study its magnitude and associated characteristics as of now. OBJECTIVE: The current study was taken up to know the magnitude among children admitted in JNIMS, Imphal which is a newly established medical institute and also to study the characteristics like age, gender, type of poison, duration of hospital-stay and outcome of the cases. MATERIALS & METHODS: Retrospective data of all acute accidental poisoning cases among children admitted in the Pediatrics Ward, JNIMS, Imphal during the period July 2008 - December 2013 were analyzed by using descriptive statistics. RESULT: Of all the 13,663 children admitted, 148 cases were because of acute accidental poisoning giving an incidence rate of 1.08%. The male is to female ratio was 1.31:1. The last three years of the study period showed a slightly increasing trend in the incidence. Children aged 1-4 years were the most commonly affected (65.54%. Kerosene oil was by far the commonest (42% of all the poisonous substances consumed. Food poisoning, poisoning with organic compounds, poisoning with medicinal drugs and poisoning with corrosives comprised 21%, 12%, 9% and 8% respectively of all the cases. There was no mortality. DISCUSSION: The incidence rate of 1.08% as found out from the current study was on the lower side as compared to reports of previous studies done in other parts of the country. Yet, it was two-fold of the incidence reported from RIMS which is situated in the same State. Parental negligence in storing poisonous substances in the household was implicated. They need to be made aware for keeping harmful poisonous substances in safe places out of the reach of children. CONCLUSION: Community-based studies are recommended for estimating more accurately the magnitude of the problem in the

  2. Michael Porter 30 anos depois de Estratégia Competitiva

    OpenAIRE

    Schneider, Aline; Carneiro, Marcelo; Serra, Fernando; Ferreira, Manuel Portugal

    2008-01-01

    Os estudos de estratégia empresarial têm sido muito influenciados pelos trabalhos de Michael Porter, em particular na estratégia competitiva, análise da indústria e das vantagens competitivas das nações. Neste artigo, analisamos a influência de Porter nos trabalhos brasileiros em estratégia, a partir dos trabalhos selecionados e apresentados no ENANPAD. No levantamento para a análise dos artigos, considerando 10 anos de ENANPAD (1997 – 2006), foram selecionados 46 artigos. A identificação e s...

  3. Doença de arranhadela do gato em mulher de 44 anos de idade

    OpenAIRE

    Murinello, Natacha; Murinello, N.; Murinello, A; Damásio, H; Carvalho, A; Sousa, R.

    2010-01-01

    A doença da arranhadela do gato é uma zoonose causada pela bactéria Bartonella henselae, e transmitida ao homem por inoculação em lesões de arranhadelas ou mordeduras de gatos. Descreve-se aqui um caso de doença da arranhadela do gato numa mulher de 44 anos de idade, imunocompetente, que se apresentou com uma pápula/crosta num dedo da mão direita, linfadenopatias regionais e foi tratada com azitromicina por apresentar uma linfadenopatia epitroclear muito dolorosa. O diagnóstico de infecção po...

  4. Estudo-piloto com clozapina em hospital público: resultados de um ano de acompanhamento

    OpenAIRE

    Silva Carlos Eduardo da Rocha e; Pereira Basilio de B; Rozenthal Marcia; Elkis Helio

    2001-01-01

    OBJETIVOS: Estudo-piloto prospectivo e naturalístico para avaliação da efetividade e segurança do uso da clozapina em pacientes esquizofrênicos crônicos resistentes, em tratamento num hospital psiquiátrico público -- Instituto Municipal Nise da Silveira, localizado no Rio de Janeiro, RJ. MÉTODO: Foram tratados com clozapina, por um período de um ano, monitorados com hemogramas semanais nas 18 primeiras semanas e mensais nas subseqüentes, nove pacientes (sete homens e duas mulheres) com média ...

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

    Directory of Open Access Journals (Sweden)

    Julio César Reina

    2008-06-01

    Full Text Available 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 papilomatosis respiratoria recurrente en hombres y mujeres. Se calcula que unas 300 millones de mujeres en el mundo portan la infección por VPH. El advenimiento de las vacunas profilácticas contra el VPH representa una estrategia prometedora en la prevención de las enfermedades relacionadas con este virus.

  6. Gestión del mantenimiento del parque automotor de transporte público: diagnóstico y propuestas de mejoramiento

    Directory of Open Access Journals (Sweden)

    Holman Fernando Rojas Suárez Jorge Nevardo Prieto Muñoz Diego Alfonso Pedroza C. Giovanni Hernán Fonseca H. .

    2010-11-01

    Full Text Available En las carreteras colombianas se presentannumerosos accidentes que causan pérdidas de vidas,heridos y daños materiales; los accidentes devehículos de transporte público tienen especialimpacto por su alta frecuencia. Mediante conveniocon el Ministerio de Transporte y Colciencias, laEscuela de Ingeniería de Transporte y Vías de laUniversidad Pedagógica y Tecnológica de Colombiarealizó un estudio orientado a determinar las causasde accidentalidad del transporte público por carreteray a proponer medidas. El estudio se basó en loscorredores Bogotá-Sogamoso y Cúcuta-Pamplona,por presentar alta accidentalidad. Este artículo

  7. Variability and genetic differentiation among Anopheles (Ano. intermedius Chagas, 1908 and Anopheles (Ano. mattogrossensis Lutz & Neiva, 1911 (Diptera: Culicidae from the Brazilian Amazon

    Directory of Open Access Journals (Sweden)

    Joselita Maria Mendes dos Santos

    2005-10-01

    Full Text Available Anopheles (Anopheles intermedius and Anopheles (Ano. mattogrossensis are Brazilian anopheline species belonging to the scarcely studied Anopheles subgenus. Few studies have been done on the genetic differentiation of these species. Both species have been found infected by Plasmodium and are sympatric with other anopheline species from the Nyssorhynchus subgenus. Eighteen enzymatic loci were analyzed in larval specimens of An. intermedius and An. mattogrossensis aiming to estimate the variability and genetic differentiation between these species. An. mattogrossensis population showed higher genetic variability (P = 44.4 and Ho = 0.081 ± 0.031 than that of An. intermedius (P = 33.3 and Ho = 0.048 ± 0.021. Most analyzed loci showed genotypic frequencies according to Hardy-Weinberg equilibrium, except for LAP1 and LAP2 in An. intermedius, and EST1 and PGM loci in An. mattogrossensis. The genetic distance between these species (D = 0.683 was consistent with the inter-specific values reported for Anopheles subgenus. We verified that the polymorphism and heterozygosity percentile values found in both species and compared to those in the literature, showed no relation between the level of isozyme variability and geographical distribution. The low variability found in these two species is probably more related to the niche they occupy than to their geographic distribution.

  8. El ancho mar-océano que nos une y nos separa

    OpenAIRE

    Femenías, María Luisa

    2015-01-01

    En este trabajo quiero bosquejar algunos aspectos del complejo panorama del feminismo en América Latina. Para ello, realizo algunas precisiones que van de la deconstrucción del discurso feminista hegemónico al concepto de saberes situados, retomando infielmente un concepto de Haraway. En primer lugar, analizo el constructo Mujer de América Latina, siguiendo a Mohanty, a fin de apartarme de comprensiones monolíticas fácilmente ontologizables. Luego, retomo la distinción entre discriminación y ...

  9. Accidental formation of Gd₄(SiO₄)₂OTe: crystal structure and spectroscopic properties.

    Science.gov (United States)

    Daszkiewicz, Marek; Gulay, Lubomir D

    2015-07-01

    Designing new functional materials with increasingly complex compositions is of current interest in science and technology. Complex rare-earth-based chalcogenides have specific thermal, electrical, magnetic and optical properties. Tetragadolinium bis[tetraoxidosilicate(IV)] oxide telluride, Gd4(SiO4)2OTe, was obtained accidentally while studying the Gd2Te3-Cu2Te system. The crystal structure was determined by means of single-crystal X-ray diffraction. The compound crystallizes in the space group Pnma. Three symmetry-independent gadolinium sites were determined. The excitation and emission spectra were collected at room temperature and at 10 K. Gd4(SiO4)2OTe appears to be a promising optical material when doped with rare-earth ions. PMID:26146399

  10. 'Battered pets': features that raise suspicion of non-accidental injury.

    Science.gov (United States)

    Munro, H M; Thrusfield, M V

    2001-05-01

    A study of veterinarians' perceptions, and experience, of non-accidental injury (NAI) to pets was undertaken using an anonymous questionnaire distributed to a random sample of 1000 small animal practitioners in the UK. NAI was acknowledged by 91.3 per cent (95 per cent confidence interval, 88.2 to 93.9 per cent) of the 404 respondents who returned questionnaires, of whom 48.3 per cent (95 per cent confidence interval, 43.4 to 53.1 per cent) had either suspected or seen NAI. Four hundred and forty-eight cases were documented, predominantly in dogs (243) and cats (182). Factors either raising suspicion, or facilitating recognition, of NAI included: implication of a particular person, features of the history, referral agency involvement, behaviour of the owner and/or the animal, nature of the injuries, and socioeconomic class of owners. Additionally, sexual abuse and suspected cases of Munchausen syndrome by proxy were recorded.

  11. Dynamic evaluation of environmental impact due to tritium accidental release from the fusion reactor

    International Nuclear Information System (INIS)

    As one of the key safety issues of fusion reactors, tritium environmental impact of fusion accidents has attracted great attention. In this work, the dynamic tritium concentrations in the air and human body were evaluated on the time scale based on accidental release scenarios under the extreme environmental conditions. The radiation dose through various exposure pathways was assessed to find out the potential relationships among them. Based on this work, the limits of HT and HTO release amount for arbitrary accidents were proposed for the fusion reactor according to dose limit of ITER. The dynamic results aim to give practical guidance for establishment of fusion emergency standard and design of fusion tritium system. - Highlights: • Dynamic tritium concentration in the air and human body evaluated on the time scale. • Different intake forms and relevant radiation dose assessed to find out the potential relationships. • HT and HTO release amount limits for arbitrary accidents proposed for the fusion reactor according to dose limit

  12. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation, January 1983-December 1984

    International Nuclear Information System (INIS)

    March 1, 1984, was the 30th anniversary of the Bravo thermonuclear test that resulted in the accidental exposure of the populations of Rongelap and Utirik atolls to radioactive fallout. The chronicling of the medical events resulting from that exposure is continued in this report, which covers the period from January 1983 through December 1984. An updated listing of all relevant publications from the Medical Department Brookhaven National Laboratory, is presented in the Reference Section. Thirty years of observation continue to show no detectable increase in mortality in the exposed population as a result of that exposure. The survival curves of the high-exposure Rongelap group, the low-exposure Utirik population, and an unexposed group of Rongelap people matched by age and sex to the exposed Rongelap group in 1957 continue to be similar. 89 refs., 2 figs., 6 tabs

  13. The accidental data scientist big data applications and opportunities for librarians and information professionals

    CERN Document Server

    Affelt, Amy

    2015-01-01

    Harvard Business Review recently named the data scientist described as a high-ranking professional with the training and curiosity to make discoveries in the world of Big Data as "the sexiest job of the 21st century." Librarians and information professionals have always worked with data in order to meet the information needs of their constituents, thus "Big Data" is not a new concept for them though it is spawning new approaches along with a language all its own. InThe Accidental Data Scientist, Amy Affelt shows information professionals how to leverage their skills and training to master emerging tools, techniques, and vocabulary; create mission-critical Big Data research deliverables; and discover rewarding new career opportunities by embracing their inner Data Scientist.

  14. Medical status of Marshallese accidentally exposed to 1954 Bravo fallout radiation, January 1983-December 1984

    Energy Technology Data Exchange (ETDEWEB)

    Adams, W.H.; Engle, J.R.; Harper, J.A.; Heotis, P.M.; Scott, W.A.

    1986-01-01

    March 1, 1984, was the 30th anniversary of the Bravo thermonuclear test that resulted in the accidental exposure of the populations of Rongelap and Utirik atolls to radioactive fallout. The chronicling of the medical events resulting from that exposure is continued in this report, which covers the period from January 1983 through December 1984. An updated listing of all relevant publications from the Medical Department Brookhaven National Laboratory, is presented in the Reference Section. Thirty years of observation continue to show no detectable increase in mortality in the exposed population as a result of that exposure. The survival curves of the high-exposure Rongelap group, the low-exposure Utirik population, and an unexposed group of Rongelap people matched by age and sex to the exposed Rongelap group in 1957 continue to be similar. 89 refs., 2 figs., 6 tabs.

  15. The European Community dimension to the problem of accidental radioactive releases to the environment

    International Nuclear Information System (INIS)

    The European Community has to comply with the provisions of the Euratom Treaty, 1957. As well as providing the conditions necessary for the growth of nuclear industries it lays down the task to establish uniform Safety Standards to protect the health of workers and of the general public. This includes emergency planning in case of nuclear accidents. As a result the Community followed the guide, published in 1982 by the International Commission on Radiological Protection, on the radiological protection criteria for controlling doses to the public in the event of accidental releases of radioactive materials. However when the Chernobyl accident occured the Community and International arrangements proved to be inadequate to respond to the consequent widespread contamination over Europe. Measures have been taken since then to improve the preparedness of the Community. They include better exchange of information, control of contaminated foodstuffs and better information to the public. (U.K.)

  16. [Accidental saline poisoning in newborn infants. Morphologic findings and pathogenetic discussion].

    Science.gov (United States)

    Walter, G F; Maresch, W

    1987-01-01

    In the nursery of an Austrian hospital, five newborns accidentally received 10% natrium chloride solution by infusion or oral feeding. Because of wrong labelling by the hospital pharmacy the solution was taken for 10% glucose. In all five newborns, bradycardia, edemas, cyanosis and cramps occurred. In all cases, autopsy revealed a fatal haemorrhagic encephalopathy and more or less extended haemorrhages of the lungs, the kidneys and the liver. There was no suppurative pneumonia and no arteritis. The intracerebral bleedings, thromboses and necroses may be provoked by tissue shrinking caused by hypernatraemic dehydration. The cerebral lesions again cause hyperosmolarity leading to death in most cases. Peritoneal dialysis which may be life-saving in some cases, unfortunately has not been performed in the present cases.

  17. The use of consequence modelling in assessing accidental releases of activity

    International Nuclear Information System (INIS)

    The radiological consequences of an accidental release can be expressed as the number of health effects in the exposed population and its descendents, and the economic and social implications that may result from restrictions placed on the consumption of foodstuffs, or on the occupation of domestic and commercial premises. For any given release of activity there will be a probability distribution of consequences which will depend on the meteorological characteristics and demographic data particular to the release location. The characteristics of this distribution should be important in reaching judgements on the acceptability of a given site or design. The relative importance of the different endpoints is analysed and the influence of the release location on the resulting distribution is considered. (author)

  18. Forensic aspects of paediatric fractures. Differentiating accidental trauma from child abuse

    Energy Technology Data Exchange (ETDEWEB)

    Bilo, Rob A.C. [Netherlands Forensic Institute, The Hague (Netherlands). Department of Pathology and Toxicology; Rijn, Rick R. van [Emma Childrens' s Hospital/Academic, Medical Center Amsterdam (Netherlands). Department of Radiology; Robben, Simon G.F. [Maastricht University Medical Center, Maastricht (Netherlands)

    2010-07-01

    Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence? (orig.)

  19. Survival After Accidental Extrahepatic Distribution of Y90 Microspheres to the Mesentery During a Radioembolization Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Sabet, Amir; Ahmadzadehfar, Hojjat [University Hospital, Department of Nuclear Medicine (Germany); Schaefer, Nico [University Hospital, Department of Surgery (Germany); Wilhelm, Kai; Schueller, Heinrich [University Hospital, Department of Radiology, Division of Radiation Oncology (Germany); Ezziddin, Samer, E-mail: samer.ezziddin@ukb.uni-bonn.de [University Hospital, Department of Nuclear Medicine (Germany)

    2012-08-15

    We present the acute management and outcome of a patient after an accidental mesenteric distribution of Y90 microspheres during radioembolization (RE). This report describes and highlights: (1) the incidence of a significant reflux during a RE session while injecting into a replaced right hepatic artery from the superior mesenteric artery, (2) the appearance of diffuse mesenteric Y90 distribution in bremsstrahlung-imaging, (3) the management protocol with the radiation protection agent amifostine, (4) the development of typical adverse effects in the expected time window, and (5) survival of the patient without long-term sequelae. This report should sensitize physicians to this particular problem and may help to avoid as well as manage similar radioembolization incidences.

  20. Accidental Continuous Releases from Coal Processing in Semi-Confined Environment

    Directory of Open Access Journals (Sweden)

    Bruno Fabiano

    2013-09-01

    Full Text Available 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-up is developed on the basis of the intrinsic hazards of the released compound. The results will help identifying and assessing low rate release consequences therefore to set-up appropriate prevention and control measures. The developed methodology was tested at the real-scale and validated by numerical computational fluid dynamics (CFD simulations showing the effectiveness of the methodology to evaluate and mitigate the risk connected to confined hazardous releases.

  1. Psychosocial factors and safety behaviour as predictors of accidental work injuries in farming

    DEFF Research Database (Denmark)

    Glasscock, David John; Rasmussen, Kurt; Carstensen, Ole;

    2006-01-01

    Farming is one of the most hazardous occupations in terms of the incidence and seriousness of accidental injuries. Research with other occupational groups has drawn attention to the role of psychosocial factors and stress. Such research needs to be extended to agriculture. Since stress may...... be a problem faced by farmers, there is a particular need to investigate the associations between farm accidents and work stressors and stress reactions. Using multivariate logistic regression analyses, this study aimed to uncover the best psychosocial predictors of injury, while controlling for exposure......-related confounders. From a randomly selected sample of 794 farms, 10% of all farms in Ringkoebing County, Denmark, 393 farmers completed completed weekly accident registration over 12 months. The study sample consisted of 310 farmers who also completed questionnaires on psychosocial factors. Results indicated...

  2. Multiple simultaneous intracerebral hemorrhages following accidental massive lumbar cerebrospinal fluid drainage: Case report and literature review

    Directory of Open Access Journals (Sweden)

    Ruiz-Sandoval Jose

    2006-01-01

    Full Text Available Multiple simultaneous intracerebral hemorrhages (ICH are uncommon. We report the case of an 80-year-old woman with previous diagnosis of normal pressure hydrocephalus and who was brought to our hospital with altered mental status and urinary incontinence. Medical history of hypertension, hematological disorders or severe head trauma was absent. Platelet count and coagulation profile were unremarkable. An initial head computed tomography (CT showed sulcal enlargement and ventricular dilatation, but no evidence of ICH. A tap test indicated as a guide to case selection for shunt surgery accidentally resulted in cerebrospinal fluid (CSF overdrainage. The patient presented sudden neurological deterioration, with sluggishly responsive pupils and generalized tonic-clonic seizures. A new head CT demonstrated multiple supra and infratentorial ICH. The patient became comatose and had a fatal course. Hence, CSF overdrainage may either cause or precipitate multiple simultaneous ICHs, affecting both the infratentorial and supratentorial regions.

  3. Complications following an accidental sodium hypochlorite extrusion: A report of two cases

    Science.gov (United States)

    Bosch-Aranda, María L.; Canalda-Sahli, Carlos; Gay-Escoda, Cosme

    2012-01-01

    Sodium hypochlorite (NaOCl) is the most commonly used solution in root canal treatments, as it is a low-cost method that displays a very effective antimicrobial activity against microbiota of infected root canals. However, this solution can cause complications especially due to its cytotoxic features. When this solution is injected into the adjacent tissues, the patient usually experiences intense pain, and an urgent treatment should be implemented in order to prevent a long-term sequelae. This paper describes the clinical features of two patients that experienced an accidental extrusion of NaOCl after endodontic treatment of varying severity and with different treatments. Furthermore, it shows the long-term neurologic injuries that this type of accidents may cause and a treatment protocol for these situations will be suggested. Key words:Nerve damage, root canal irrigation, root canal treatment, sodium hypochlorite. PMID:24558554

  4. Forensic aspects of paediatric fractures. Differentiating accidental trauma from child abuse

    International Nuclear Information System (INIS)

    Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence? (orig.)

  5. Urban Early Adolescent Narratives on Sexuality: Accidental and Intentional Influences of Family, Peers, and the Media.

    Science.gov (United States)

    Charmaraman, Linda; McKamey, Corinne

    2011-01-01

    In this paper, we examine the ways that early adolescents talked, interacted, and made references to events in their individual and collective lives during photography-based focus groups about sexuality and relationships. Twenty-three participants (10 boys and 13 girls) were recruited from three urban schools participating in a comprehensive sex education impact evaluation in the Northeast. We analyzed conversational narratives that were elicited in a group process while sharing photos of important people, contexts, and situations, showcasing participants' exploration of sexuality and relationships. Our analysis revealed four main themes: (a) direct and indirect family communication about sexuality, (b) accidental and intentional Internet usage, (c) shared and contested peer knowledge, and (d) school as a direct and indirect learning context. Implications and future directions for practice, research, and policy are explored. PMID:22983141

  6. The radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR

    CERN Document Server

    Kelly, G N; Charles, D; Hemming, C R

    1983-01-01

    This report contains an assessment of the radiological impact on the Greater London population of postulated accidental releases from the Sizewell PWR. Three of the degraded core accident releases postulated by the CEGB are analysed. The consequences, conditional upon each release, are evaluated in terms of the health impact on the exposed population and the impact of countermeasures taken to limit the exposure. Consideration is given to the risk to the Greater London population as a whole and to individuals within it. The consequences are evaluated using the NRPB code MARC (Methodology for Assessing Radiological Consequences). The results presented in this report are all conditional upon the occurrence of each release. In assessing the significance of the results, due account must be taken of the frequency with which such releases may be predicted to occur.

  7. The accidental release of exotic species from breeding colonies and zoological collections.

    Science.gov (United States)

    Barrat, J; Richomme, C; Moinet, M

    2010-04-01

    Exotic species have often been introduced into a new country in zoological or botanical gardens or on game and fur farms. When accidentally or deliberately released, these alien species can become invasive and have negative impacts on native plant and animal communities and human activities. This article focuses on a selection of such invasive species: principally the American mink (Neovison vison), but also the coypu (Myocastor coypus), muskrat (Ondatra zibethicus), raccoon dog (Nyctereutes procyonoides), raccoon (Procyon lotor) and African sacred ibis (Threskiornis aethiopicus). In each of these cases, the authors describe the biological characteristics and life history of the species, in relation to its invasive capacity, the origins and establishment of non-native populations, the environmental consequences and possible control measures. The main negative impacts observed are the destruction of habitat, the introduction and/or spread of pathogens and changes in the composition of native communities with consequent effects on biodiversity. PMID:20617652

  8. Accidental permutation symmetries as a test for Grand Unification: the supersymmetric $SU(5)$ case

    CERN Document Server

    Fichet, Sylvain

    2016-01-01

    Unification of matter fields implies the existence of accidental permutation symmetries, which potentially remain immune to large quantum corrections up to the TeV scale. We investigate the case of a supersymmetric $SU(5)$ grand unified theory, where such a permutation symmetry is present in the up-type squark sector. We present a variety of tests allowing to challenge the $SU(5)$ hypothesis based on the observation of squarks at the LHC. These tests appear as relations among observables involving flavour-violating or chirality-flipping decays of squarks. Moreover, they rely on top-polarimetry and charm-tagging. As an example, we discuss the application to the scenario of Natural Supersymmetry, while more examples can be found in the related journal publications.

  9. Regional scale atmospheric dispersion simulation of accidental releases of radionuclides from Fukushima Dai-ichi reactor

    Science.gov (United States)

    Srinivas, C. V.; Venkatesan, R.; Baskaran, R.; Rajagopal, V.; Venkatraman, B.

    2012-12-01

    This paper presents the results of regional scale atmospheric dispersion simulation of accidental emission of radionuclides from the Fukushima Daiichi Reactor, Japan following the Tohoku earthquake and tsunami event on 11 March 2011. The objective was to study the temporal behaviour of plume trajectory, concentration, deposition and radiation dose pattern over an 80 km range around the reactor. The time-varying meteorological parameters during the release period were simulated with a multi-scale nested atmospheric model WRF ARW and the trajectory, plume dispersion were computed with Lagrangian Particle Dispersion models HYSPLIT, FLEXPART using the available information on accidental source term. The simulations indicated that the wind flow over Japan during the release period was driven by the large scale extra-tropical westerly waves and associated low pressure systems. In the lower levels, the flow was influenced by the local topography/sea breeze causing occasional landward wind shift on the east coast of Japan. Simulated airflow trajectories revealed that the plume stayed over the ocean by westerly winds on most days and the radioactivity dispersed over sea surface. Landward trajectories were found on a few days due to southeasterly, easterly and northeasterly flow (15-17, 19-21 March 2011) during which much of the radionuclides deposited over the land region. The hotspot of depositions occurred over east Pacific Ocean near to Japan. Over the land relatively high depositions were simulated in a narrow zone of 20 km width and 80 km length in the northwest sector in agreement with monitor data. Simulations showed wet depositions over the land to be higher than the dry depositions during 12-30 March due to occurrence of rainfall on some days. Comparison of activity deposition and air dose values with available observations confirmed that the plume pattern in a finer length scale around the site could be simulated realistically and agree with the measurements

  10. El Cuerpo Militar de Sanidad en la Investigación de Accidentes Aéreos

    Directory of Open Access Journals (Sweden)

    F. Rios Tejada

    2012-12-01

    Full Text Available La investigación de un accidente o incidente aéreo puede ser simple o enormemente compleja. El proceso de investigación puede conducir a la elaboración de un informe directo y conciso o lo más frecuente, significa un largo camino de recopilación, análisis, estudio y finalmente la elaboración de posibles conclusiones. En este proceso, los aspectos médicos, psicológicos, ambientales, psicosociales o ergonómicos englobados en el término genérico de factores humanos cobran una especial relevancia, atribuyéndose hasta un 60-80% de causas directas o coadyuvantes al mismo. En este trabajo se revisan los antecedentes jurídicos y base legal en la que se apoya la Comisión para la investigación técnica de accidentes de aeronaves militares (CITAAM, así como sus atribuciones, organización y composición, sus funciones generales y más concretamente las encomendadas al vocal médico de la misma. Desde su creación en 1994, la experiencia acumulada ha sido enorme, haciéndose mención de algunos datos de interés estadístico pero señalando también la labor de formación realizada y su proyección nacional e internacional, sobre todo en el marco de la OTAN.

  11. Imaging of accidental contamination with F-18-solution; a quick trouble-shooting procedure

    Directory of Open Access Journals (Sweden)

    Kalevi Kairemo

    2016-01-01

    Full Text Available To the best of our knowledge, imaging of accidental exposure to radioactive fluorine-18 (F-18 due to liquid spill has not been described earlier in the scientific literature. The short half-life of F-18 (t½=110 min, current radiation safety requirements, and Good Manufacturing Practice (GMP regulations on radiopharmaceuticals have restrained the occurrence of these incidents. The possibility of investigating this type of incidents by gamma and positron imaging is also quite limited. Additionally, a quick and precise analysis of radiochemical contamination is cumbersome and sometimes challenging if the spills of radioactive materials are low in activity. Herein, we report a case of accidental F-18 contamination in a service person during a routine cyclotron maintenance procedure. During target replacement, liquid F-18 was spilled on the person responsible for the maintenance. The activities of spills were immediately measured using contamination detectors, and the photon spectrum of contaminated clothes was assessed through gamma spectroscopy. Despite protective clothing, some skin areas were contaminated, which were then thoroughly washed. Later on, these areas were imaged, using positron emission tomography (PET, and a gamma camera (including spectroscopy. Two contaminated skin areas were located on the hand (9.7 and 14.7 cm2, respectively, which showed very low activities (19.0 and 22.8 kBq respectively at the time of incident. Based on the photon spectra, F-18 was confirmed as the main present radionuclide. PET imaging demonstrated the shape of these contaminated hot spots. However, the measured activities were very low due to the use of protective clothing. With prompt action and use of proper equipments at the time of incident, minimal radionuclide activities and their locations could be thoroughly analyzed. The cumulative skin doses of the contaminated regions were calculated at 1.52 and 2.00 mSv, respectively. In the follow-up, no skin

  12. Non-accidental injury in companion animals in the Republic of Ireland

    Directory of Open Access Journals (Sweden)

    McGuinness Kristina

    2005-07-01

    Full Text Available Non-accidental injury (NAI, animal abuse and "battered pet" syndrome are terms used to identify "the intentional harm of an animal". The terms include, but are not limited to, wilful neglect, inflicting injury, pain or distress, or malicious killing of an animal. Three categories of abuse are recognised: physical, sexual and neglect. A postal survey was conducted to determine the extent to which NAI was recognised by veterinary surgeons in urban, semi-rural and rural veterinary practices in the Republic of Ireland. The questionnaire was sent to 600 veterinarians; completed submissions were received from 115 respondents (19.2%. The occurrence of NAI was acknowledged by 106 (92.2% of the respondents and cases had been seen by 50 (43.3% of them, comprised of 36.2% of urban veterinary surgeons from rural towns and of 82% of urban practitioners. In 59% of cases the client indicated the injury was non-accidental; 39 (67.2% of the 58 reported cases involved a single event. Signs that made veterinary surgeons suspicious of NAI included inconsistent history, untreated injuries, recurring injuries, meekness of the animal, suspicious behaviour of the owner and injuries consistent with abuse. The types of injuries observed included burns, lacerations, gunshot wounds, poisoning, injury to genitalia, bruising and fractures. The findings of this study are comparable with those from other countries. Most but not all veterinary surgeons in Ireland recognise NAI and animal abuse is of significant concern in rural and urban communities as evidenced by this survey of practising veterinary surgeons.

  13. The effectiveness of a multidisciplinary QI activity for accidental fall prevention: Staff compliance is critical

    Directory of Open Access Journals (Sweden)

    Ohde Sachiko

    2012-07-01

    Full Text Available Abstract Background Accidental falls among inpatients are a substantial cause of hospital injury. A number of successful experimental studies on fall prevention have shown the importance and efficacy of multifactorial intervention, though success rates vary. However, the importance of staff compliance with these effective, but often time-consuming, multifactorial interventions has not been fully investigated in a routine clinical setting. The purpose of this observational study was to describe the effectiveness of a multidisciplinary quality improvement (QI activity for accidental fall prevention, with particular focus on staff compliance in a non-experimental clinical setting. Methods This observational study was conducted from July 2004 through December 2010 at St. Luke’s International Hospital in Tokyo, Japan. The QI activity for in-patient falls prevention consisted of: 1 the fall risk assessment tool, 2 an intervention protocol to prevent in-patient falls, 3 specific environmental safety interventions, 4 staff education, and 5 multidisciplinary healthcare staff compliance monitoring and feedback mechanisms. Results The overall fall rate was 2.13 falls per 1000 patient days (350/164331 in 2004 versus 1.53 falls per 1000 patient days (263/172325 in 2010, representing a significant decrease (p = 0.039. In the first 6 months, compliance with use of the falling risk assessment tool at admission was 91.5% in 2007 (3998/4368, increasing to 97.6% in 2010 (10564/10828. The staff compliance rate of implementing an appropriate intervention plan was 85.9% in 2007, increasing to 95.3% in 2010. Conclusion In our study we observed a substantial decrease in patient fall rates and an increase of staff compliance with a newly implemented falls prevention program. A systematized QI approach that closely involves, encourages, and educates healthcare staff at multiple levels is effective.

  14. Modelling for radiological and radioecological consequences of an accidental radionuclide release at Sea

    International Nuclear Information System (INIS)

    Full text: Scenarios concerning accidental releases of radionuclides into water bodies can be found in the open literature, mostly in connection with nuclear power plants located either onshore or inland. However, meager attention has been given to nuclear reactors used as energy sources for propulsion at sea, which are also subject to accidents. Such potential accidents may involve the loss of part of the reactor core to the surrounding water body. In addition of the initial instantaneous releases, one can estimate delayed source terms based on the rate at which radionuclides are dissolved or leached from the solidified material, like part of the core or structural materials in contact with water. Most of such solidified material might be a mixture of uranium, zirconium, iron, calcium, silica, fission and activation products, and transuranium elements as oxides, forming a glassy type solid. Transport models were used to calculate radionuclide concentrations in water resulting from short and delayed source terms. Oceanographic data used in the calculations were taken either from the open literature or from unclassified reports of the Brazilian Navy, being, however, as generic as possible. Time-dependent concentration functions for radionuclides in aquatic food following an accidental release reflect the net result of intake and elimination processes. However, to avoid the complexities of multiple parameters involved in such processes, the model accounts only for trophic transfer of radionuclides, and yet avoids the necessity of analyzing the details of each transfer step used to determine fish, crustacea, molluscs and seaweed accumulation. Swimming and other aquatic sports are not included in the model used for dose calculations because of theirs relatively low importance in comparison with the pathways concerning ingestion of aquatic food

  15. ACCIDENTAL SUBCUTANEOUS INJECTION OF VECURONIUM BROMIDE IN A PATIENT WITH BURNS

    Directory of Open Access Journals (Sweden)

    Usha Dev

    2014-10-01

    Full Text Available BACKGROUND AND OBJECTIVES: In patients with burn injury drug pharmacology will be altered and this poses special anaesthetic challenge when an subcutaneous injection of a non- depolarizing muscle relaxant occurs in such a patient. Small studies remain an important source of knowledge and hence this study aims to provide information on the anaesthetic management in a case of accidental subcutaneous injection of vecuronium bromide in a burns patient. PRESENTATION, DIAGNOSIS & MANAGEMENT: A 22 year young male with 4 days old hot water induced grade 1 burns involving 45% of body surface area was posted for burns dressing. Anaesthesia was induced with propofol and vecuronium bromide through an external jugular vein to aid tracheal intubation. As the patient was not anaesthetized even after 10 minutes routine check lead to the discovery of fullness at the tip of the intravenous catheter indicating an extravasation of the drugs. Hence the other external jugular vein was cannulated and the patient induced and intubated using propofol, sevoflurane, nitrous oxide and oxygen. The action of vecuronium outlasted the duration of surgery. So the patient continued to receive support of mechanical ventilation with nitrous oxide and oxygen. It took 130 minutes for the clinical signs of recovery from the muscle relaxant to manifest. He was then reversed & extubated with subsequent good recovery. CONCLUSION: Subcutaneous injection of these drugs poses problems of delayed onset of action and prolonged duration of action. In an inadvertent accidental subcutaneous 0.1 mg/kg vecuronium bromide injection in a patient with 4 day old 45% burns showed delayed onset action and prolonged neuromuscular blockade due to subcutaneous deposition of the drug which was managed with mechanical ventilation .The reported resistance to the action of NDMR drugs in patient with burns was not noticed here probably because of the age of the thermal injury.

  16. Associação Brasileira de Enfermagem: 70 anos de luta pela vida

    Directory of Open Access Journals (Sweden)

    Ana Kelve de Castro Rodrigues

    1997-12-01

    Full Text Available Relata-se a origem, organização, expansão, projeção da Associação Brasileira de Enfermagem (ABEn, associadas à sua filosofia e pondo em evidência suas realizações, desde sua origem, em 1926, até o momento atual, em que se comemora seus 70 anos. O principal objetivo do trabalho foi relatar a história da entidade ao longo dos seus 70 anos e narrar o incentivo propiciado pela mesma para que a enfermagem contribua decididamente para a construção de um corpo de conhecimentos próprios da profissão, a definição legal do exercício da profissão, a regulamentação do ensino através de suas comissões. A metodologia foi composta de pesquisa bibliográfica e entrevista com profissionais atuantes. Conclui-se que a ABEn está cada vez mais forte e consciente de como fazer para alcançar muitos outros objetivos para originar grandes conquistas que contribuirão para garantir o espaço e o poder da enfermagem como profissão voltada para o ser humano, portanto, para uma vida melhor, com mais amor, paz e justiça social.

  17. Macroprolactinoma aos 6 anos de idade dificuldades diagnósticas: difficulties in diagnosis

    Directory of Open Access Journals (Sweden)

    Miriam Da Costa Oliveira

    1992-09-01

    Full Text Available Prolactinoma é raro na infância e adolescência. O diagnóstico mais precoce conhecido na literatura ocorreu aos 8 anos de idade. Aqui é relatado o achado de tumor selar em menina com 6 anos, embora só fosse procurado auxílio médico tardiamente, quando a paciente já apresentava atrofia parcial de papila. Nessa ocasião, foi constatada reserva diminuída de hormônio do crescimento e de cortisol, bem como hiperprolactinemia. Devido à rápida deterioração visual, a paciente foi submetida a craniotomia fronto-temporal com a hipótese diagnóstica de craniofaringioma. O exame imuno-histoquímico do tecido tumoral foi positivo para prolactina. Conclui-se que o prolactinoma deve ser considerado no diagnóstico diferencial de tumores selares na infância, por possibilitar terapêutica menos agressiva.

  18. Morfologia e Crescimento dos 6 aos 10 anos de idade em Viana do Castelo, Portugal

    Directory of Open Access Journals (Sweden)

    Luis Paulo Rodrigues

    2008-09-01

    Full Text Available Ao longo de quatro anos, o Estudo Morfofuncional da Criança Vianense observou 1911 crianças entre os 6e os 10 anos de idade, resultando em 4064 observações individuais(2054 de raparigas, 2006 de rapazes.Os resultados encontrados nos indicadores morfológicos simples(altura, peso, pregas adiposas, diâmetros ósseos e perímetros muscularese no somatótipo, são descritos normativamente (valores percentílicose comparados com outros estudos nacionais e internacionais. As crianças vianenses demonstraram possuir uma estatura média ligeiramente superior às reportadas nos estudos portugueses e um ritmo de crescimento diferente das norte-americanas; peso semelhante ao das congéneres nacionais mas inferior ao das EUA; valores de pregas adiposas geralmente inferiores aos encontrados em Portugal e EUA; perímetros musculares e diâmetros ósseos semelhantes aos seus pares portugueses; e uma tendência para o aumento, com a idade, do ectomorfismo nos rapazes e do endomorfismo em ambos os sexos. Este panorama parece indicar que as crianças vianenses apresentam características de aptidão morfologia que estão longe de espelhar as preocupações internacionais nesta matéria.

  19. Abordagem da amamentação nos primeiros anos do ensino fundamental

    Directory of Open Access Journals (Sweden)

    Dulce Maria Pereira Garcia Galvão

    2013-04-01

    Full Text Available Para analisar os currículos e os livros escolares adotados nos primeiros cinco anos do Ensino Fundamental na disciplina de Ciências quanto à presença ou não de termos relacionados à prática da amamentação, realizamos um estudo descritivo analisando o currículo e 16 manuais de 25 escolas públicas de três municípios do interior paulista, de setembro/2010 a fevereiro/2011. Definimos previamente alguns conceitos considerados imprescindíveis para ensinar e explicar à criança noções de amamentação. Verificamos que nenhum bloco temático do currículo aborda explicitamente a temática amamentação. Nove dos 16 conteúdos definidos estavam presentes em oito dos 16 livros. Da análise emergiu a categoria apoio e ajuda da família. Três obras utilizavam ilustrações associadas à alimentação artificial. No programa e nos manuais escolares existem diversas oportunidades de incluir este tema. Aconselha-se a integração dos conteúdos em todos os manuais de Ciências dos primeiros anos do ensino fundamental.

  20. Nuno Portas, Hestnes Ferreira, Conceição Silva: Sobressaltos em Lisboa, anos 1960

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    Jorge Figueira

    2012-10-01

    Full Text Available Nos anos 1960, a arquitectura portuguesa vai disseminar‑se em várias experiências antagónicas. Nuno Portas, Hestnes Ferreira e Conceição Silva demonstram que o projecto de arquitectura não decorre de uma doutrina, e que a cultura arquitectónica é um campo crescentemente complexo. Portas rompe com a tradição Beaux Arts, que em Portugal é também a da arquitectura moderna, em nome de uma proficiência da análise e do sistemático; Hestnes Ferreira integra uma história poetizada na arquitectura moderna, seguindo a porta aberta por Louis Kahn, com quem trabalha; Conceição Silva reflecte uma relação permeável e inclusiva com o mercado, também das imagens, que a partir dos anos 1980 será comum na prática da arquitectura. A resposta “científica”, a exigência “poética” e o diálogo “comércio/arte” que as três experiências denotam, respectivamente, constituem, ainda hoje, uma aspiração particular para a jovem arquitectura portuguesa.