WorldWideScience

Sample records for city hospital metody

  1. Metodi Matematici della Fisica

    CERN Document Server

    Cicogna, Giampaolo

    2008-01-01

    Questo testo trae la sua origine da miei vecchi appunti, preparati per il corso di Metodi Matematici della Fisica e via via sistemati, raffinati e aggiornati nel corso di molti anni di insegnamento. L'obiettivo è stato sempre quello di fornire una presentazione per quanto possibile semplice e diretta dei metodi matematici rilevanti per la Fisica: serie di Fourier, spazi di Hilbert, operatori lineari, funzioni di variabile complessa, trasformata di Fourier e di Laplace, distribuzioni. Oltre a questi argomenti di base, viene presentata, in Appendice, una breve introduzione alle prime nozioni di teoria dei gruppi, delle algebre di Lie e delle simmetrie in vista delle loro applicazioni alla Fisica. Anche allo scopo di mantenere il libro nei limiti ragionevoli di un manuale di dimensioni contenute e di agevole consultazione, sono stati spesso tralasciati i dettagli tecnici delle dimostrazioni matematiche (o anzi le dimostrazioni per intero) e tutti i formalismi eccessivi che spesso nascondono la vera natura del p...

  2. Implementace metody Balanced Scorecard

    OpenAIRE

    Neuwirth, Pavel

    2014-01-01

    Diplomová práce je zaměřena na hodnocení výkonnosti společnosti pomocí metody Balanced Scorecard. Teoretická část práce popisuje východiska měření výkonnosti, metody Balanced Scorecard a postup při její implementaci. Analytická část vychází z teoretických poznatků z první části a hodnotí situaci společnosti finanční analýzou poměrových ukazatelů, strategickou analýzou a následným sestavením návrhu implementace metody Balanced Scorecard v konkrétní společnosti. Thesis is focused on evaluati...

  3. Metodi matematici della fisica

    CERN Document Server

    Cicogna, Giampaolo

    2015-01-01

    Questo libro trae la sua origine dagli appunti preparati per le lezioni di Metodi Matematici della Fisica tenute al Dipartimento di Fisica dell'Università di Pisa, e via via sistemati, raffinati e aggiornati nel corso di molti anni di insegnamento. L'intento generale è di fornire una presentazione per quanto possibile semplice e diretta dei metodi matematici basilari e rilevanti per la Fisica. Anche allo scopo di mantenere questo testo entro i limiti di un manuale di dimensioni contenute e di agevole consultazione, sono stati spesso sacrificati i dettagli tecnici delle dimostrazioni matematiche (o anzi le dimostrazioni per intero) e anche i formalismi eccessivi, che tendono a nascondere la vera natura dei problemi. Al contrario, si è cercato di evidenziare – per quanto possibile – le idee sottostanti e le motivazioni che conducono ai diversi procedimenti. L'obiettivo principale e quello di mettere in condizione chi ha letto questo libro di acquisire gli strumenti adatti e le conoscenze di base che gli ...

  4. Chirurgiczne metody leczenia padaczki

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    Beata Kaczorowska

    2012-11-01

    Full Text Available U około 6–10% chorych z padaczką, u których stosowano różne kombinacje leków przeciwpadaczkowych, mimo systematycznego leczenia nadal występują napady. Są to chorzy z tzw. padaczką lekooporną. Autorzy przedstawiają możliwości chirurgicznego leczenia takich osób. Potencjalnymi kandydatami do takiego leczenia padaczki są też chorzy z napadami częściowymi prostymi z precyzyjnie określonym ogniskiem padaczkorodnym, którego usunięcie jest możliwe i nie spowoduje powstania u pacjenta tzw. ubytków neurologicznych. W pracy omówiono techniki diagnostyczne pozwalające zlokalizować ognisko padaczkowe w mózgu (EEG z możliwościami długotrwałego monitorowania: Holter, wideometria, telemetria; cyfrowe EEG: rezonans magnetyczny, SPECT, PET, elektrokortykografia. Przedstawiono także rodzaje zabiegów neurochirurgicznych wykonywanych w celu leczenia padaczki: zabiegi resekcyjne (lobektomia, lezjonektomia, hemisferektomia, rozległa resekcja wielopłatowa, zabiegi rozłączeniowe (kallozotomia oraz zabiegi neurostymulacyjne (stymulacja nerwu błędnego, głęboka stymulacja mózgu. Autorzy uważają, że w pewnych określonych przypadkach chorych z padaczką niepoddającą się leczeniu farmakologicznemu są to skuteczne metody leczenia.

  5. Esercizi di metodi matematici della fisica

    CERN Document Server

    Angilella, G G N

    2011-01-01

    Il testo richiama i principali concetti, definizioni e teoremi relativi agli spazi vettoriali, agli sviluppi in serie di Fourier, alle equazioni alle derivate parziali, alle trasformate integrali di Laplace e di Fourier, ad alcune classi di equazioni integrali (con specifico riferimento alla funzione di Green). Si danno altresi' cenni di funzioni di variabile complessa, di teoria dei gruppi, e di spazi funzionali. Di ciascun argomento vengono ampiamente discusse le motivazioni e le applicazioni nel campo della fisica e, talora, di altre discipline scientifiche. Tali argomenti vengono approfonditi da esercizi (perlopiu' svolti, o con soluzione), spesso tratti da effettivi temi d'esame del corso di Metodi matematici per la fisica del corso di laurea in Fisica (Catania).

  6. Changes in HIV-related hospitalizations during the HAART era in an inner-city hospital.

    Science.gov (United States)

    Pulvirenti, Joseph; Muppidi, Uma; Glowacki, Robert; Cristofano, Michael; Baker, Laurie

    2007-08-01

    We evaluated admissions of HIV-positive persons to an inner-city hospital from 2000 to 2005. There was a decline in the number of substance abusers, homeless persons, injection drug abusers, and African Americans, and there was an increase in patients older than 50 years. There were no significant changes in CD4 counts or in utilization of highly active antiretroviral therapy,m but there were more admissions of persons with HIV RNA levels less than 1000 copies/mL, internal medicine problems, cancers, and skin infections. Changes in the demographics of this patient population may reflect external factors (eg, gentrification of low-income housing areas, opening of a new hospital). Lower viral loads suggest better response in those on a highly active antiretroviral regimen, and changes in diagnoses leading to hospitalization may reflect the aging of the HIV population.

  7. QUALITATIVE AND QUANTITATIVE STUDY OF MUNICIPAL SOLID WASTE IN AHWAZ CITY; WITH EMPHASIS ON HOSPITAL WASTES

    OpenAIRE

    Gh. Omrani; A.R. Mesdaghinia; A.E. Amoui

    1998-01-01

    Qualitative and quantitative analyses of hospital and municipal solid waste are necessary for selecting the best and most appropriate method of health care collection, storage, transportation and disposal of this kind of wastes. Quantitative and qualitative analyses of hospital and municipal wastes have been studied in Ahwaz city during spring 1996. The amount of solid wastes in five regions of the city was 560,000 Kg perday (0.648 Kg per capita). Also, the rate of waste production in 6 hospi...

  8. [A survey on nosocomial tuberculosis infection control in hospitals in Osaka City].

    Science.gov (United States)

    Shimouchi, Akira; Konishi, Shozaburo; Tanaka, Takashi

    2005-12-01

    To ascertain nosocomial tuberculosis (TB) infection control practice in hospitals in Osaka City. A questionnaire was distributed in the orientation meeting and collected at the occasion of medical inspection in all 196 hospitals in Osaka City in 2003. TB patients were diagnosed in about half of hospitals in the past 3 years. Basic TB infection control measures were taken in the majority of hospitals; such as chest X-ray screening for all inpatients, health check for employees, tuberculin skin test (TST) for newly employed staff, and nomination of a person in charge of TB infection control. Control measures were practiced more often in hospitals where TB patients were diagnosed, such as "fiberoptic bronchoscopy is to be conducted last in the working hours to avoid contamination of TB bacilli in a room," "TST (including two-step method) for all newly employed staff," "Staff wear N95 mask when they deal with TB patients/suspects," and the differences were statistically significant. It is necessary in hospitals in Osaka City to strengthen nosocomial TB infection control as TB patients were diagnosed in about half of hospitals in the past 3 years. Low cost infection control measures were undertaken more often among hospitals where TB patients were diagnosed. Introduction of high cost equipment or improvement of facilities should be considered in hospitals of high TB risk. Guidelines formulated based on analysis of the survey should facilitate all hospitals to introduce at least low cost effective tuberculosis infection control measures.

  9. Mini Nutritional Assessment for Hospitalized Patients in King Khalid Hospital at Hail city in Saudi Arabia

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    Rafia Bano

    2016-12-01

    Full Text Available Introduction: The Mini Nutritional Assessment (MNA has been developed to assess malnutrition in elderly  and to filter those who might get benefited from early diagnosis and treatment. The objective of the present study was to examine the nutritional profile of old age hospitalized individuals through the use of the MNA in King Khalid Hospital at Hail city of Saudi Arabia. Methods: Demographic data was gathered through a questionnaire and a modified version of MNA, which was translated into Arabic and applied to 100 elderly females aged ≥ 45 years to assess their nutritional status . The MNA version modified by  Nestle and translated into Arabic was used to evaluate the patients for this study. The descriptive analysis of variables is shown as the average ± one standard deviation. Results: Mean age of the participants was 61.12±12.4 years ranging from 45 to 92 years. The mean body mass index of total population was found to be 26.9±5.2 ranging from 18.3 to 46.5 kg/m2. The assessment scores and total malnutrition score was found to be decreasing with increasing age, showing a significant inverse correlation (P<0.01. Furthermore, the difference in the screening scores according to the age was found to be statistically insignificant. Conclusion: Because of the high prevalence of elderly patients that were malnourished or at risk of malnutrition, a more detailed evaluation of nutritional status, along with a regular follow up and dietary intervention to reverse the situation, of these patients is recommended.

  10. The Practice of Emergency Medicine in Fukuoka City Hospital, A Secondary Emergency Facility in Japan

    OpenAIRE

    Okuyama, Toshiro; Hirakawa, Katsuyuki; Kishikawa, Masanobu; Uchiyama, Hideaki; Kawanaka, Hirofumi; Korenaga, Daisuke; Takenaka, Kenji

    2012-01-01

    Objective : The transition of emergency departments and the current situation of emergency medicine (EM) in Fukuoka City Hospital (FCH) were reviewed. Methods : The data concerning emergency medicine, such as the transition of intra-hospital emergency systems, were obtained from annual reports published in our hospital. Additionally, the data regarding educational programs for emergency room staff, the number of patients taken to the emergency room by ambulances, the activities regarding the ...

  11. Patient Satisfaction Level of the Patients who were Hospitalized in Manisa City

    OpenAIRE

    Nasir Nesanir; Gonul Dinc

    2008-01-01

    BACKGROUND:We aimed to obtain satisfaction level of the patients who were hospitalized in Manisa in 2005. METHODS:Data were obtained from the 2005 Manisa Demographic and Health Survey. A representative sample of 11284 people were chosen from people living Manisa city (N=232760) using cluster sampling. The data come from face to face interviews by using a questionaire. We asked if the people has been hospitalized during preceding 1 year period. We obtained 759 hospitalization episodes. We aske...

  12. Equazioni a derivate parziali metodi, modelli e applicazioni

    CERN Document Server

    Salsa, Sandro

    2016-01-01

    Il testo costituisce una introduzione alla teoria delle equazioni a derivate parziali, strutturata in modo da abituare il lettore ad una sinergia tra modellistica e aspetti teorici. La prima parte riguarda le più note equazioni della fisica-matematica, idealmente raggruppate nelle tre macro-aree diffusione, propagazione e trasporto, onde e vibrazioni. Nella seconda parte si presenta la formulazione variazionale dei principali problemi iniziali e/o al bordo e la loro analisi con i metodi dell'Analisi Funzionale negli spazi di Hilbert.

  13. Accreditation of hospitals in brazilian cities of the Soccer World Cup in 2014

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    Rudimar Antunes da Rocha

    2011-08-01

    Full Text Available The article deals with the Hospital Accreditation as a quality parameter of hospitals in Brazil and the world. The focus was to identify how the hospitals of the host cities of the FIFA World Cup in 2014 are classified by the National Accreditation Organization (ONA and Joint Commission on Accreditation of Hospitals (JCI - the Brazilian Consortium for Accreditation (CBA. The Brazilian Manual of Accreditation establishes three stamps of hospital quality: Level 1: Accredited, Level 2: Fully Accredited and Level 3: Accredited with Excellence. From the methodological point of view the study was regarded as an exploratory approach, with a kind psychographic survey, with the intentional collection of data, ie the host cities. The research had a qualitative and quantitative treatment. Data were collected during March and April 2011 through the official websites of the ONA, JCI-CBA and FIFA on the Internet. It was concluded that the cities of Sao Paulo, Rio de Janeiro and Belo Horizonte are the best prepared in time for hospital accreditation by ONA and / or JCI-CBA. The hospitals of other offices need to create mechanisms to achieve a quality accreditation of types urgently. Only thus will avoid the negative image of the Brazilian health services to foreigners who, by bad luck, requiring medical and hospital during the World Cup 2014.

  14. BIOMEDICAL SOLID WASTE MANAGEMENT PRACTICES IN MAJOR PUBLIC HOSPITALS OF SHIMLA CITY

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    Saurabh

    2014-04-01

    Full Text Available BACKGROUND: The actual biomedical waste management situation in the democratic developing country like India is grim. Even though there are Rules stipulating the method of safe disposal of Bio-medical Waste (BMW, hospital waste generated by Government Hospitals is still largely being dumped in the open, waiting to be collected along with general waste. OBJECTIVES: To assess the waste handling and treatment system of hospital bio-medical solid waste METHODOLOGY: A Cross sectional study was conducted in the major public hospitals of Shimla city. The study comprised of cross sectional survey of the personnel handling and monitoring the biomedical waste and observational survey of the hospitals using INCLEN (International Clinical Epidemiology Network data collection tools. RESULTS: The results were described under quantification of waste, segregation and collection, transport, storage, offsite transport, final treatment and disposal, occupational safety. The mean hazardous biomedical waste generated by the major public hospitals was found to be 191.5 g/bed/day (SD 93.83. In 91(86.1% of the patient care areas of the hospitals segregation of the wastes was not observed. None of the patient care areas had designated waste route inside the hospital. All the hospitals except one public hospital had central waste storage facility. Only two of the hospitals (public hospitals had a central storage cum treatment facility. None of the cleaning workers were using complete personal protective measures in any of the public hospitals. CONCLUSION: All major public hospitals of Shimla city in the study area practice poor management of biomedical wastes. The practices for segregation, transportation, storage and treatment and disposal of wastes generated at the major hospitals need change and major improvements

  15. Patient Satisfaction Level of the Patients who were Hospitalized in Manisa City

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    Nasir Nesanir

    2008-10-01

    Full Text Available BACKGROUND:We aimed to obtain satisfaction level of the patients who were hospitalized in Manisa in 2005. METHODS:Data were obtained from the 2005 Manisa Demographic and Health Survey. A representative sample of 11284 people were chosen from people living Manisa city (N=232760 using cluster sampling. The data come from face to face interviews by using a questionaire. We asked if the people has been hospitalized during preceding 1 year period. We obtained 759 hospitalization episodes. We asked to the hospitalized people their satisfaction from hospital services. Data were analyzed using SPSS 10.0 for Windows. Chi square test was used for data analysis. RESULTS:Hospitalization rate was 6.3% during preceding 1 year period. 84.6% of people stated that they were satisfied with the health services during their hospitalization period. Satisfaction percentages was 77.8% for state hospital while they were 86.7%, 87.8% and 92.1% for SSK hospital, university hospital and private hospital, respectively (p=0.001. 86.5% of the hospitalized people said that they were informed about their illnesses by their doctor. 87.5% of them stated that they would prefer the same hospital/doctor if they need. 71.6% of the people stated “the hospital was clean” while 84.8% of them stated “ the doctors were kind”. These percenteges were found higher in university hospital and private hospital compared to other hospitals (p=0.01 for both comparisons. CONCLUSION:We concluded that satisfaction level of the hospitalized people were quitely high in Manisa. The most important factor for the satisfaction level was hospital type. [TAF Prev Med Bull 2008; 7(5.000: 419-428

  16. [Evaluation of customer satisfaction with the hospital catering system in the city of Palermo (Italy)].

    Science.gov (United States)

    Firenze, Alberto; Morici, Mariagrazia; Calamus, Giuseppe; Gelsomino, Viviana; Aprea, Luigi; Di Benedetto, Antonino; Muangala, Muana A Luila; Centineo, Giovanni; Romano, Nino

    2009-01-01

    The aim of the study was to evaluate patients' customer satisfaction with the hospital catering services of two public hospitals and one private sector hospital in the city of Palermo (Italy). A multiple choice questionnaire was administered by face-to-face interview to 207 of 227 hospitalized patients. Positive responses regarding the perceived quality of food were given especially by patients of the private sector hospital, 80% of which reported being satisfied with the catering service. A higher percentage of patients in the private sector hospital were satisfied with the food distribution modalities with respect to the two public hospitals. Only 3% of patients in the private sector hospital required their families to bring food from home, with respect to 7.9% and 30% respectively in the two public hospitals. Private sector patients also reported appreciating the wide availability of food and the help given by health care workers (79% vs a mean of 55% in the two public hospitals). No differences were found amongst hospitals with regards to the hygienic characteristics of meals. The results of this study indicate the need to make changes in the management of the catering service of one of the involved public hospitals especially.

  17. Costs of treating diarrhoea in a children's hospital in Mexico City.

    OpenAIRE

    Phillips, M.; Kumate-Rodríguez, J.; Mota-Hernández, F.

    1989-01-01

    The treatment received by children aged under 5 years with diarrhoea was studied in the Hospital Infantil de México (Federico Goméz), Mexico City. The costs of treatment were calculated and estimates were made of how these had changed since the establishment of an oral rehydration unit in the hospital in 1985. The results indicate that drug treatment of outpatients was generally appropriate and inexpensive. In contrast, the cost of drugs for inpatients was considerably higher. The seriousness...

  18. Costs of treating diarrhoea in a children's hospital in Mexico City.

    OpenAIRE

    Phillips, M.; Kumate-Rodríguez, J.; Mota-Hernández, F.

    1989-01-01

    The treatment received by children aged under 5 years with diarrhoea was studied in the Hospital Infantil de México (Federico Goméz), Mexico City. The costs of treatment were calculated and estimates were made of how these had changed since the establishment of an oral rehydration unit in the hospital in 1985. The results indicate that drug treatment of outpatients was generally appropriate and inexpensive. In contrast, the cost of drugs for inpatients was considerably higher. The seriousness...

  19. Hospital morbidity in a medium-sized city: differentials between men and women

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    Guilherme Oliveira de Arruda

    2014-01-01

    Full Text Available OBJECTIVE: characterize the hospital morbidity of adults living in the city of Maringá, PR, Brazil, between 2000 and 2011, focusing on the differential between men and women. METHOD: this descriptive study was developed based on data from the Hospital Information System of the Unified Health System in order to investigate the association between groups of hospitalization causes and the average length of hospitalization per gender, in three-year periods. RESULTS: the main groups of hospitalization causes for men were: mental disorders, lesions and circulatory diseases; and, among women: tumors, circulatory and genitourinary diseases. Mental disorders and lesions, tumors, circulatory and genitourinary diseases were significantly associated with the female and male genders across the study period. Although not significant, the mean length of hospitalization dropped across the four three-year periods, and only showed a significant difference between men and women in the second triennium. CONCLUSION: differences in the hospital morbidity profile between men and women underline the need for specific health and nursing actions, especially in primary health care, with a view to reducing hospitalizations due to the main groups of causes in the city.

  20. Quantitative and qualitative characteristics of hospital waste in the city of Behshahr-2016

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    Zabihollah Yousefi

    2017-03-01

    Full Text Available Background: Recently, the rapid increase in quantity and type of waste has resulted to environmental pollution and health hazards which serve as a major challenge to humans. The level of this waste can be so high that dangerous chemicals and biological contaminants can be found in ordinary household waste. Major sources of waste in every city are mostly from care/health centers. Hence, this study aims to investigate the quantitative and qualitative waste taken from hospitals in the city. Methods: In this cross-sectional study, four city hospitals were examined in the city. For this purpose, a questionnaire was designed for quantitative analysis method and weighing scales based on the Ministry of Health questionnaire. Data were analyzed using SPSS software and for statistical analyses, Excel and Graph Pad Prism 5 were used. Results: According to findings, the total amount of hospital waste comprising infectious waste, sharp and pharmaceutical chemicals were related to Imam Khomeini hospital with values of 44 220 012 and 10 kg per day respectively, with 220 kg per day of general waste related to same hospital. Hence, the total weight of waste produced per capita, for infectious waste, general waste, chemical waste, and sharp - machinery were 2.35 ± 0.25, 0.39 ± 0.075, 1.25 ± 0.66, 0.05 ± 0.028 and 0.021 ± 0.015 kg per day per bed respectively. Conclusion: The data should be more focused on waste management and frequent orientation to hospitalized patients. This evaluation indicates the poor management of hospital wastes in view of collection, separation, infectious waste care, temporary storage station and on-time transmission and health disposal.

  1. [Fungemia in hospitals of the city of Buenos Aires, Argentina].

    Science.gov (United States)

    López Moral, Laura; Tiraboschi, Iris Nora; Schijman, Mariela; Bianchi, Mario; Guelfand, Liliana; Cataldi, Silvana

    2012-01-01

    The incidence of fungi like pathogens in hospitals varies by regions. Our goal was not only to record the incidence and etiology of fungaemia, but also the change during the 4 years analysed, to determine the time of detection in automated blood culture and by lysis-centrifugation, and finally to assess the gender, age and underlying disease of the patients with fungaemia. An observational multicentre study of fungaemia was conducted in hospitals in the Mycology Network of Buenos Aires. A total of 190,920 blood cultures were processed: 182,050 automated blood culture and 8,870 lysis-centrifugation. Fungi were recovered in 1,020 episodes. The overall incidence of fungaemia was 1.72/1,000 admissions; 683 episodes were due to Candida (68%), and 325 (32%) to other fungi: 214 Cryptococcus, 105 Histoplasma, 7 Rhodotorula, 5 Trichosporon, 2 Pichia, 2 Acremonium, one Saccharomyces and one Fusarium. The incidence of candidaemia was 1.15/1,000 admissions with a wide variation between centres (0.35 to 2.65). Most Candida isolates (97%) were detected in the first 2 days of incubation. Candida albicans was recovered in 43% of the episodes. In fungaemia other than candidaemia, the predominant fungi were Cryptococcus and Histoplasma capsulatum. The incidence remained stable during the study period. Fungaemia by Candida were predominant. C. albicans was involved in less than a half of the episodes. The recovery of Cryptoccocus and H. capsulatum is strongly associated with HIV patients. Copyright © 2011 Revista Iberoamericana de Micología. Published by Elsevier Espana. All rights reserved.

  2. Optimal Site Selection of Urban Hospitals Using GIS Software in Ardabil City

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    Mehdi Parsa Moghadam

    2017-01-01

    Full Text Available Background & objectives: Construction of new service centers including hospitals is expensive and requires optimal site selection for these centers so that all citizens benefit from its increased productivity. It can also help them lower their costs. This study investigates the optimal locations for construction of hospitals in Ardabil using GIS software. Methods: This is an applied research which incorporates a descriptive-analytic methodology. The data is made up of 11 criteria; proximity to densely populated areas, proximity to green space, closeness to main thoroughfares, proximity to fire departments and distance from existing hospitals, industrial centers, slopes, learning centers, cemetery, military bases and from sport facilities. They were all weighted using analytic network process (ANP model. Results: After performing the necessary calculations and evaluations, the highest and lowest weight of criteria belonged to the proximity to densely populated areas (0.229 and distance from the cemetery (0.033, respectively. According to the criteria weights and overlapping of layers, the most and least favorable locations for the establishment of hospitals were identified. Conclusion: Results of the classification showed the best location for construction of hospitals in Ardabil city based on four municipal regions. In region one it belongs to the 8th, 5th, 2nd, and 11th districts in region two districts of 6 and 7 which cover southeastern edge of the city, in region 3 districts of 1, 2, 6, 7, 8 and 10 which contain the western part of the city, and in region four it belongs to districts of 1, 2, 6, 7, 10 and 11 that encompass the blocks in the northern and north-western route of the city. These regions can be used for construction of new hospitals in order to improve people’s access to healthcare services.

  3. Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil.

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    Miranda, Elaine Silva; Shoaf, Kimberley; Silva, Raulino Sabino da; Freitas, Carolina Figueiredo; Osorio-de-Castro, Claudia Garcia Serpa

    2017-06-12

    Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS). The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19) in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges) to -60,569 beds (for mass casualties). The study can contribute to discussions on mass-gathering preparedness.

  4. Expected hazards and hospital beds in host cities of the 2014 FIFA World Cup in Brazil

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    Elaine Silva Miranda

    Full Text Available Planning for mass gatherings involves health system preparedness based on an understanding of natural and technological hazards identified through prior risk assessment. We present the expected hazards reported by health administrators of the host cities for the 2014 FIFA World Cup in Brazil and discuss the hazards considering minimal available public hospital beds in the 12 cities at the time of the event. Four different groups of respondents were interviewed: pharmaceutical service administrators and overall health administrators at both the municipal and hospital levels. The hospital bed occupancy rate was calculated, based on the Brazilian Health Informatics Department (DATASUS. The number of surplus beds was calculated using parameters from the literature regarding surge and mass casualty needs and number of unoccupied beds. In all groups, physical injuries ranked first, followed by emerging and endemic diseases. Baseline occupancy rates were high (95%CI: 0.93-2.19 in all 12 cities. Total shortage, considering all the cities, ranged from -47,670 (for surges to -60,569 beds (for mass casualties. The study can contribute to discussions on mass-gathering preparedness.

  5. QUALITATIVE AND QUANTITATIVE STUDY OF MUNICIPAL SOLID WASTE IN AHWAZ CITY; WITH EMPHASIS ON HOSPITAL WASTES

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    Gh. Omrani

    1998-09-01

    Full Text Available Qualitative and quantitative analyses of hospital and municipal solid waste are necessary for selecting the best and most appropriate method of health care collection, storage, transportation and disposal of this kind of wastes. Quantitative and qualitative analyses of hospital and municipal wastes have been studied in Ahwaz city during spring 1996. The amount of solid wastes in five regions of the city was 560,000 Kg perday (0.648 Kg per capita. Also, the rate of waste production in 6 hospitals of Ahwaz was 2.54 Kg per bed. The average density of hospital and municipal solid wastes were 443 and 284.5 Kg/m3 respectively. Physical contents of municipal and hospital solid wastes were also investigated. The results were as follows Plastic & rubber (%7.7 , %16.57 ; wood and paper (%11.3, %14.35; textiles (%5.32, %13.76 ; metals (%4.7 , %9.48 ; glass (%4.26 , %4.12. Also degradable materials in hospital and municipal wastes were %29.38 and %64.24 of total sample waste, respectively.

  6. [Nutritional status in hospitalized patients in a public hospital in Mexico City].

    Science.gov (United States)

    Fuchs, V; Mostkoff, D; Salmeán, G Gutiérrez; Amancio, O

    2008-01-01

    To determine the frequency of malnutrition among hospitalized patients and to relate nutrition status with body mass index, fasting time, adequacy intake of protein and energy during hospitalization and length of stay. METHODS (STUDY POPULATION, SUBJECTS, INTERVENTION): We evaluated weight loss in the last 6 months prior to admission, body mass index (BMI), ideal and usual body weight percentages, days of hospitalization, energy and protein intake adequacy, fasting days and cause in hospitalized patients at different wards at Hospital General de Mexico. Patients were divided into groups according to their nutritional status (at risk/with malnutrition or normal) and data was assessed descriptively and comparatively by t-tests to determine mean differences. We assessed 561 hospitalized patients. We found different frequencies of malnutrition according to various indicators: 21.17% according to BMI, 38.07% and 19.57% by percentages of habitual and ideal weights--respectively-- and a weight loss in 69.57% of the patients. Mean daily energy intake was found to be of 1,061+/-432.7 kcal, while mean protein intake was 42.1 + 22.7 g, representing only the 69.4% and 54.9% of the energy and protein requirements. We found statically significant differences among malnourished and normal patients in relation to BMI (p Malnutrition is common in hospitalized patients. An important factor in hospital malnutrition is the lack of compliance in the patient's requirements, preventing a fast recovery and increasing their length of stay. Thus, it is important to make changes and improvements in the institutional health system so that there is trained personnel in order to provide and adequate nutrition care attention to the critically ill patient, improving their condition and general prognosis.

  7. Inner-city hospital closures: financial decision or impediment to access?

    Science.gov (United States)

    Jervis, Kathryn J; Goldberg, Gerson M; Cutting, Alan C

    2012-01-01

    This article applies a financial ratio model and a behavioral model of health services use' to examine inner-city hospital closures. We use Medicare Cost Report financial information and demographics to find evidence that hospitals with high debt, less severity of illness, and lower occupancy rates are more likely to close, as expected. We also find that urban hospitals with a high elderly population are more likely to remain open. However, hospitals in our study with a high proportion of Medicare patients and a high minority population are more likely to close. This last finding may have important public policy consequences for access to health care for vulnerable populations, particularly in a recessionary economy under health care reform.

  8. Social responsibility of the hospitals in Isfahan city, Iran: Results from a cross-sectional survey.

    Science.gov (United States)

    Keyvanara, Mahmoud; Sajadi, Haniye Sadat

    2015-02-12

    Changes in modern societies develop the perception that the external environment is essential in organization's practices, especially in the way they deal with aspects such as human rights, community needs, market demands and environmental interests. These issues are usually under the umbrella of the concept of social responsibility. Given the importance of this concept in the context of health care delivery, suggesting a new paradigm in hospital governance, the aim of this study was to measure the social responsibility in hospitals. A cross-sectional survey was employed to collect data from a sample of 946 hospital staff of Isfahan city. Data was obtained by structured and valid self-administrated questionnaire and analyzed by descriptive and analytic statistics using SPSS. The mean score of hospitals' social responsibility was 3.0 compared with the justified range from 1.0 to 5.0. Results showed that there was a significant relationship between social responsibility score and hospitals' ownership (public or private). Also, there was no significant relationship between social responsibility and type of hospital specialty. It is recommended that hospital managers develop and apply appropriate policies and strategies to improve their hospitals' social responsibility level, especially through concentrating on their staff's working environment. © 2015 by Kerman University of Medical Sciences.

  9. Hospital distribution in a metropolitan city: assessment by a geographical information system grid modelling approach

    Directory of Open Access Journals (Sweden)

    Kwang-Soo Lee

    2014-05-01

    Full Text Available Grid models were used to assess urban hospital distribution in Seoul, the capital of South Korea. A geographical information system (GIS based analytical model was developed and applied to assess the situation in a metropolitan area with a population exceeding 10 million. Secondary data for this analysis were obtained from multiple sources: the Korean Statistical Information Service, the Korean Hospital Association and the Statistical Geographical Information System. A grid of cells measuring 1 × 1 km was superimposed on the city map and a set of variables related to population, economy, mobility and housing were identified and measured for each cell. Socio-demographic variables were included to reflect the characteristics of each area. Analytical models were then developed using GIS software with the number of hospitals as the dependent variable. Applying multiple linear regression and geographically weighted regression models, three factors (highway and major arterial road areas; number of subway entrances; and row house areas were statistically significant in explaining the variance of hospital distribution for each cell. The overall results show that GIS is a useful tool for analysing and understanding location strategies. This approach appears a useful source of information for decision-makers concerned with the distribution of hospitals and other health care centres in a city.

  10. Hospital distribution in a metropolitan city: assessment by a geographic information system grid modelling approach.

    Science.gov (United States)

    Lee, Kwang-Soo; Moon, Kyeong-Jun

    2014-05-01

    Grid models were used to assess urban hospital distribution in Seoul, the capital of South Korea. A geographical information system (GIS) based analytical model was developed and applied to assess the situation in a metropolitan area with a population exceeding 10 million. Secondary data for this analysis were obtained from multiple sources: the Korean Statistical Information Service, the Korean Hospital Association and the Statistical Geographical Information System. A grid of cells measuring 1 × 1 km was superimposed on the city map and a set of variables related to population, economy, mobility and housing were identified and measured for each cell. Socio-demographic variables were included to reflect the characteristics of each area. Analytical models were then developed using GIS software with the number of hospitals as the dependent variable. Applying multiple linear regression and geographically weighted regression models, three factors (highway and major arterial road areas; number of subway entrances; and row house areas) were statistically significant in explaining the variance of hospital distribution for each cell. The overall results show that GIS is a useful tool for analysing and understanding location strategies. This approach appears a useful source of information for decision-makers concerned with the distribution of hospitals and other health care centres in a city.

  11. The relationship between nurses’ job satisfaction and patient safety culture in the hospitals of Rasht city

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    Maryam Ooshaksaraie

    2016-09-01

    Full Text Available Introduction: Provision of high quality nursing care for patients, has made patient safety culture as an important issue for improving the quality of health care in the country. This study aimed to determine the relationship between nurses’ job satisfaction and patient safety culture in hospitals of Rasht city, Iran. Material and Method: This research is a descriptive-analytical, cross-sectional, and field data collection study. Nurses working in public and private hospitals in Rasht City comprised the study population, of whom 322 subjects were selected randomly as the study sample. The Wakefield questionnaire and the Agency for Healthcare Research and Quality questionnaire were employed to investigate nurses’ job satisfaction and patient safety culture, respectively. The Pearson correlation coefficient was used for statistical hypothesis testing, employing SPSS software version 19. Result: The results showed that according to the respondents’ viewpoints, scores of job satisfaction (Mean(SD:3.59±0.68 and patient safety culture (Mean(SD:54/0±31/3 Rasht city hospitals were at the average level. Furthermore, there was a significant direct relationship between nurses’ job satisfaction and patient safety culture with the correlation coefficient of 0.643 at the 0.01 level of significance. Conclusion: According to the findings, it is necessary to improve study nurses’ job satisfaction and patient safety culture. Moreover, according to statistical correlation between research variables, increasing nurses’ job satisfaction results in improvement of patient safety culture.

  12. Is Biomedical Waste Management Knowledge Adequate in Paramedics AND Sanitary Workers in Hospitals of Ujjain City?

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    Anand Rajput

    2016-03-01

    Full Text Available "Background: Hospitals produce a byproduct which is wasteful and causes contamination of the environment, with its antecedent complications. Inadequate and inappropriate knowledge of handling may have serious health consequences. Objectives: Present study was conducted to find out the current level of knowledge among paramedics (Lab Technicians, nursing staff and sanitary workers in hospitals of Ujjain city regarding biomedical waste management. Methods: A Cross-sectional study was conducted on 400 study participants in the Government and private hospital of Ujjain city from 1st January 2013 to 30 November 2013.Statistical analysis was done by SPSS 16.0 and chi-square test. Results: Mean age of the total 400 study participants was 31.36 (SD=11.62 years, among them 68.5% were female, majority (64.5% were the nurses and majority (64.7% were working in the concerned hospital since more than 2 years. Nursing staff has adequate knowledge (36.8% as compared to lab technician and sanitary staff (30.3%. Staff who had received medical waste management training had significantly (p<0.05 higher knowledge. Conclusion: On the basis of findings we conclude that the knowledge regarding biomedical waste management is not adequate among nursing staff, lab teqnicians and sanitary workers. " [Natl J Community Med 2016; 7(3.000: 151-154

  13. The changing landscape of hospital capacity in large cities and suburbs: implications for the safety net in metropolitan America.

    Science.gov (United States)

    Andrulis, Dennis P; Duchon, Lisa M

    2007-05-01

    An analysis of trends in hospital use and capacity by ownership status and community poverty levels for large urban and suburban areas was undertaken to examine changes that may have important implications for the future of the hospital safety net in large metropolitan areas. Using data on general acute care hospitals located in the 100 largest cities and their suburbs for the years 1996, 1999, and 2002, we examined a number of measures of use and capacity, including staffed beds, admissions, outpatient and emergency department visits, trauma centers, and positron emission tomography scanners. Over the 6-year period, the number of for-profit, nonprofit, and public hospitals declined in both cities and suburbs, with public hospitals showing the largest percentage of decreases. By 2002, for-profit hospitals were responsible for more Medicaid admissions than public hospitals for the 100 largest cities combined. Public hospitals, however, maintained the longest Medicaid average length of stay. The proportion of urban hospital resources located in high poverty cities was slightly higher than the proportion of urban population living in high poverty cities. However, the results demonstrate for the first time, a highly disproportionate share of hospital resources and use among suburbs with a low poverty rate compared to suburbs with a high poverty rate. High poverty communities represented the greatest proportion of suburban population in 2000 but had the smallest proportion of hospital use and specialty care capacity, whereas the opposite was true of low poverty suburbs. The results raise questions about the effects of the expanding role of private hospitals as safety net providers, and have implications for poor residents in high poverty suburban areas, and for urban safety net hospitals that care for poor suburban residents in surrounding communities.

  14. Investigation of Management Status on MedicalWastes in Public Hospitals of Arak City

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    R Nabizadeh

    2011-04-01

    Full Text Available "nBackground and Objectives: Not paying attention to management and control of medical wastes in different stages of production, keeping, gathering, transporting and finally eliminating them all have been creating various setbacks such that the environment and human's health are in danger with the relevant consequences. This descriptive cross-sectional study was performed in Vali-e Asr, Amir Kabir, Taleghani, Amir Al-Momenin and Imam Khomeini hospitals of Arak city in 2009. In this research the current condition of gathering, maintaining, transportation and final elimination of hospital wastes of Arak city was investigated .Eventually an appropriate model was introduced."nMaterial and Methods: Solid wastes were separated, weighed and registered in two sequential intervals. In order to get acquaintance with the management procedure of medical solid wastes in the hospitals studied, a questionnaire approved byW.H.O was used. The questions were then replied by the Managers and Hygiene Experts worked at hospitals and their responses were recorded."nResults: The investigations conducted in 5 hospitals reveal that the average per annual was2.9 Kg in 24 hours per active bed and 4.6 Kg for each patient. This volume consists of 60% for semi-home solid wastes, 39% for infectious solid wastes, 0.34% for sharp wastes, 0.28% for the pathologic and 0.38% for medicinal and chemical solid wastes."nConclusion: According to the results obtained in this study, in order to reduce pollution create in the hospitals, action should be taken to deal with pollutants at their source of generation. The staff members involved in waste collection and transportation should practice all the personal protection measures.finaly it also should be considered that,success in medical waste management wouldn't be achievable unless all groups of medical staff involved cooperate and participle.

  15. Biological aging and social characteristics: gerontology, the Baltimore city hospitals, and the National Institutes of Health.

    Science.gov (United States)

    Park, Hyung Wook

    2013-01-01

    The intramural gerontological research program in the National Institutes of Health underwent a substantial growth after its creation within the precincts of the Baltimore City Hospitals in 1940. This paper analyzes its development and the associated problems of its early years. Gerontologists aimed at improving the social and economic life of the elderly through scientific research. With this aim in mind, they conducted various investigations using the indigent aged patients of the Baltimore City Hospitals. Yet the scientists of aging, who hoped to eliminate negative social factors that might bias their research and heighten the confusion between pathology and aging per se, eventually stopped using these patients in the hospital as human subjects. Instead they sought educated affluent subjects in order to eliminate the impact of poverty. By doing so, however, they introduced a new source of social bias to their work, especially within the novel project begun in 1958, the Baltimore Longitudinal Study of Aging. This article thus examines the context of the development of gerontologists' research by analyzing their agenda, institutional environment, and research subjects in the 1940s and the 1950s.

  16. Social Responsibility of the Hospitals in Isfahan City, Iran: Results from a Cross-Sectional Survey

    Directory of Open Access Journals (Sweden)

    Mahmoud Keyvanara

    2015-08-01

    Full Text Available Background Changes in modern societies develop the perception that the external environment is essential in organization’s practices, especially in the way they deal with aspects such as human rights, community needs, market demands and environmental interests. These issues are usually under the umbrella of the concept of social responsibility. Given the importance of this concept in the context of health care delivery, suggesting a new paradigm in hospital governance, the aim of this study was to measure the social responsibility in hospitals. Methods A cross-sectional survey was employed to collect data from a sample of 946 hospital staff of Isfahan city. Data was obtained by structured and valid self-administrated questionnaire and analyzed by descriptive and analytic statistics using SPSS. Results The mean score of hospitals’ social responsibility was 3.0 compared with the justified range from 1.0 to 5.0. Results showed that there was a significant relationship between social responsibility score and hospitals’ ownership (public or private. Also, there was no significant relationship between social responsibility and type of hospital specialty. Conclusion It is recommended that hospital managers develop and apply appropriate policies and strategies to improve their hospitals’ social responsibility level, especially through concentrating on their staff’s working environment.

  17. "The City of the Hospital": On Teaching Medical Students to Write.

    Science.gov (United States)

    Hellerstein, David J

    2015-12-01

    "The City of the Hospital" is a creative nonfiction writing workshop for medical students, which the author has conducted annually since 2002. Part of the required preclinical Narrative Medicine curriculum at the Columbia University College of Physicians and Surgeons, this six-week intensive workshop includes close readings of literary works and in-class assignments that are then edited by fellow class members and rewritten for final submission. Over the years, students have produced a wide range of compelling essays and stories, and they describe the class as having an effect that lasts throughout their further medical training. This special section includes selected works from class members.

  18. Ana Karenjina i Emma Bovary u metodičkom zrcalu

    OpenAIRE

    Tomić, Ana

    2015-01-01

    U ovome se radu predlažu nastavne metode, metodički postupci i metodički pristupi za komparativnu interpretaciju dvaju književnih likova – Ane Karenjine iz istoimenog romana Lava Nikolajeviča Tolstoja i Emme Bovary iz romana „Madame Bovary“ Gustavea Flauberta, u intertekstualnom nastavnom sustavu. Upućuje se na važnost ustrojenja stvaralačke nastave književnosti – i na srednjoškolskoj razini (na nastavi književnosti) i na visokoškolskoj razini (na nastavi metodike nastave književnosti) ‒ te s...

  19. [Transparency in public sector acquisitions. The case of hospitals in the City of Buenos Aires].

    Science.gov (United States)

    Rossi, T; Murillo Fort, C; Puente Karolys, J C

    2002-01-01

    This paper deals with corruption and the lack of transparency in public sector purchases as well as with the main instruments to obtain adequate results in purchase negotiation.Firstly, we discuss how corruption causes concern to national governments, international organizations, academic centers, non-governmental organizations and society in general. The consequences of corruption in Argentina and other Latin American countries are highlighted, especially the effect of corruption on economic growth and the way it creates economic inefficiency and inequality.Secondly, the database created by the Subsecretary of Strategic Management of the Autonomous Government of the City of Buenos Aires is analyzed. The central purpose of this study is to evaluate the impact of the Administrative Reform of 1998 on the prices of 24 products acquired by 13 general acute care hospitals from 1998-1999. The weighted prices, the number of units purchased and the total number of contracts given in this period, as well as the products with the greatest utilization rate, are analyzed. Multivariante analysis was used to identify hospitals with appropriate activity and efficient budget administration (activity and negotiation indicators). Price development was analyzed using the regression technique (ordinary least squares), which demonstrated an 8% reduction in prices for the year 1999. The contribution of each hospital to this variation is presented using dummy variables. Thus, six of the 13 hospitals significantly contributed to the decrease in prices. Of these six, three hospitals also contributed to reduction in price dispersion. The results obtained allow us to conclude that, if public hospitals have adequate purchase negotiation instruments and a uniform legal framework, they can achieve a good level of activity. Furthermore, public hospitals can contribute to reductions in price and price dispersion, at the same time as improving efficiency in the assignation and utilization of

  20. Challenges of nurses' deployment to other New York City hospitals in the aftermath of Hurricane Sandy.

    Science.gov (United States)

    VanDevanter, Nancy; Kovner, Christine T; Raveis, Victoria H; McCollum, Meriel; Keller, Ronald

    2014-08-01

    On October 29, 2012, a 12-ft storm surge generated by Hurricane Sandy necessitated evacuation and temporary closure of three New York City hospitals including NYU Langone Medical Center (NYULMC). NYULMC nurses participated in the evacuation, and 71 % were subsequently deployed to area hospitals to address patient surge for periods from a few days up to 2 months when NYULMC reopened. This mixed methods study explored nurses' experience in the immediate disaster and the subsequent deployment. More than 50 % of deployed nurse participants reported the experience to be extremely or very stressful. Deployed nurses encountered practice challenges related to working in an unfamiliar environment, limited orientation, legal concerns about clinical assignments. They experienced psychosocial challenges associated with the intense experience of the evacuation, uncertainty about future employment, and the increased demands of managing the deployment. Findings provide data to inform national and regional policies to support nurses in future deployments.

  1. Costs of treating diarrhoea in a children's hospital in Mexico City.

    Science.gov (United States)

    Phillips, M.; Kumate-Rodríguez, J.; Mota-Hernández, F.

    1989-01-01

    The treatment received by children aged under 5 years with diarrhoea was studied in the Hospital Infantil de México (Federico Goméz), Mexico City. The costs of treatment were calculated and estimates were made of how these had changed since the establishment of an oral rehydration unit in the hospital in 1985. The results indicate that drug treatment of outpatients was generally appropriate and inexpensive. In contrast, the cost of drugs for inpatients was considerably higher. The seriousness of the cases justified much of this additional expense for inpatients, but there is evidence that the costs could be reduced further without jeopardizing the quality of the care. Diagnostic tests were relatively expensive, frequently failed to identify diarrhoeal etiology, and their results correlated poorly with the treatment prescribed. The oral rehydration unit resulted in significant savings by causing a 25% fall in the number of inpatients with diarrhoea. PMID:2766450

  2. HOSPITAL BIRTHS OF LOW BIRTH WEIGHT IN THE CITY OF CUIABÁ THE PERIOD 2000 TO 2008.

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    Carolina Sampaio Oliveira

    2011-01-01

    Full Text Available The ocurrence of low birth weight infants varies among contries, and even a general inidcator of health status of a population to be highly associated with socieconomic conditions(3. Newborns with low birth weight are more vulnerable to problems that increase the risk of morbidity and mortality(9. Several factors may be associated with low newborn weight among mothers with less than 20 years or over 35 years(16,17. Objectives: To describe the low-weight births in hospitals in the city of Cuiaba in the period 2000 to 2008 using the variables of the birth certificate (race, sex of infant and maternal age Method: a quantitative study, cross-sectional, restrospective and described with the use of secundary sources of data obtained from the Information System on Live Births (SINASC. The study population was constituted by the set of all vital statistics records of hospital deliveries of low birth weight infants n= 6.523, in the municipality of Cuiabá – MT in the period 2000 to 2008. Included only information from births and hospital births only, and with body weight equal to or less than 2,500g, this criterion is basead on the WHO classification. Results/Conclusion: The low birth weight hospital in the city of Cuiabá – MT in the period 2000 to 2008, has a prevalence of 6,6%, ocurred among newborns with GA between 37 and 41 weeks (43,3% n= 2827. The low weight births in the state of MT, evolve with the growing reduction of body weight, the highest prevalence being concentrated in the range of 1500 to 2499g weight. The low birth weight are more prevalent in females (53,7%, n=3506 and mullattos (70.4% n= 4595. 49% of mother of lbw infants are those who are aged 21 to 35 years of age (49,7%, n= 3240.

  3. [Knowledge and attitudes towards second hand smoking among hospitality patronage in five cities in China].

    Science.gov (United States)

    Liu, Rui-Ling; Yang, Yan; Liu, Xiu-Rong; Chang, Ai-Ling; Gong, Jie; Zhao, Bai-Fan; Liu, Tao; Jiang, Yuan; Hyland, Andrew; Li, Qiang

    2008-05-01

    To understand the knowledge and attitudes towards second hand smoking (SHS) among restaurant or bar patronage in five cities in China. 405 restaurants and bars were conveniently selected in 5 cities as Beijing, Wuhan, Xi'an, Kunming and Guiyang. From each of these hospitality venues, at least 3 patrons, including one smoker, one female non-smoker and one male nonsmoker were asked to answer a questionnaire on their knowledge and attitudes towards SHS and smoking policies in public places. 43.1% of the respondents had good knowledge on SHS hazards. 65% reported that those who smoked around them had never asked for their permission, and about 60% admitted that they had never asked others to stop smoking in front of them. There were almost two thirds of patrons reporting that they once felt discomfort of SHS in restaurants or bars, nearly half of whom chose to leave the venue to avoid exposure to SHS. Though majority of patrons supported '100% smoke-free hospitals, schools and public vehicles' initiations, the proportions of patrons that supporting '100% smoke-free restaurants and bars' initiations were only 30.0% and 19.8%, respectively. In Beijing, logistic regression model analyses showed that those who supporting 100% smoke-free restaurants and bars tended to be non-smokers, aged 25 years or older and to have had at least college education. Also in Beijing, those being female, having at least college education or non-smokers were more likely to choose restaurants and bars with smoking restrictions. Though knowledge on SHS hospitality patronage was still not high or popular for the public to refuse SHS exposure, banning smoking in hospitality venues was public's inclination and would become a trend in public health endeavor.

  4. The practice of emergency medicine in Fukuoka City Hospital, a secondary emergency facility in Japan.

    Science.gov (United States)

    Okuyama, Toshiro; Hirakawa, Katsuyuki; Kishikawa, Masanobu; Uchiyama, Hideaki; Kawanaka, Hirofumi; Korenaga, Daisuke; Takenaka, Kenji

    2012-12-01

    The transition of emergency departments and the current situation of emergency medicine (EM) in Fukuoka City Hospital (FCH) were reviewed. The data concerning emergency medicine, such as the transition of intra-hospital emergency systems, were obtained from annual reports published in our hospital. Additionally, the data regarding educational programs for emergency room staff, the number of patients taken to the emergency room by ambulances, the activities regarding the Fukuoka Medical Rally (FMR) and the disaster relief team (DRT) were also reviewed and analyzed. Departments of neurology, neurosurgery, emergency, and cardiology were opened sequentially, starting in 2003, with an establishment of facilities of an emergency room (ER), intensive care unit (ICU), stroke care unit (SCU), and coronary care unit (CCU). Regarding educational programs, lectures and demonstrations on basic and advanced life support techniques were given to all staff annually starting in 2004, and resident doctors completed rotations in the ER and the ICU for three months. FCH staff consistently obtained excellent results at the FMR. Ambulance crews attended lectures and received training on EM and intra-tracheal intubation. The numbers of patients taken by ambulance to FCH increased from 129 in 2002 to 2,316 in 2011. The DRT was dispatched to respond to disasters that occurred in Japan. As a secondary emergency hospital, FCH has developed a system to accept emergency patients. This project will contribute to the improvement of the EM system in the area.

  5. The Sewol Ferry Disaster: Experiences of a Community-Based Hospital in Ansan City.

    Science.gov (United States)

    Park, Jong-Hak; Cho, Hanjin; Kim, Joo Yeong; Song, Joo-Hyun; Moon, Sungwoo; Cha, Sang Hoon; Choi, Byung-Min; Han, Chang-Su; Ko, Young-Hoon; Lee, Hongjae

    2017-06-01

    The Sewol ferry disaster is one of the most tragic events in Korea's modern history. Among the 476 people on board, which included Danwon High School students (324) and teachers (14), 304 passengers died in the disaster (295 recovered corpses and 9 missing) and 172 survived. Of the rescued survivors, 72 were attending Danwon High School, located in Ansan City, and residing in a residence nearby. Because the students were young, emotionally susceptible adolescents, both the government and the parents requested the students be grouped together at a single hospital capable of appropriate psychiatric care. Korea University Ansan Hospital was the logical choice, as the only third-tier university-grade hospital with the necessary faculty and facilities within the residential area of the families of the students. We report the experiences and the lessons learned from the processes of preparing for and managing the surviving young students as a community-based hospital. (Disaster Med Public Health Preparedness. 2017;11:389-393).

  6. Particulate matter and out-of-hospital coronary deaths in eight Italian cities.

    Science.gov (United States)

    Serinelli, Maria; Vigotti, Maria Angela; Stafoggia, Massimo; Berti, Giovanna; Bisanti, Luigi; Mallone, Sandra; Pacelli, Barbara; Tessari, Roberta; Forastiere, Francesco

    2010-05-01

    We evaluated the association between PM(10) concentration and out-of-hospital coronary deaths in eight Italian cities during 1997-2004. 16 989 subjects aged >35 years who died out-of-hospital from coronary causes were studied and hospital admissions in the previous 2 years identified. We studied the effect of the mean of current and previous day PM(10) values (lag 0-1). A city-specific case-crossover analysis was applied using a time-stratified approach considering as confounders weather, holidays, influenza epidemics, and summer decrease in population. The pooled percentage increase (95% CI) in mortality per 10 microg/m(3) increase in PM(10) was estimated. A statistically significant increase in out-of-hospital coronary deaths was related to a 10 microg/m(3) increase in PM(10): 1.46% (95% CI 0.50 to 2.43). Although no statistically significant effect modification by age was found, the effect was stronger among subjects aged >65 years (1.60%, 0.59 to 2.63), particularly those aged 65-74 (3.01%, 0.74 to 5.34). People in the lowest socio-economic category (3.34%, 1.28 to 5.45) had a stronger effect than those in the highest category. No clear effect modification was seen for gender, season or any specific comorbidity. An indication of negative effect modification was seen for previous admission for cardiac dysrhythmias. Subjects without hospital admissions in the previous 2 years were slightly more affected by PM(10) effects (1.91%, 0.28 to 3.47) than those with at least one previous hospital admission (1.44%, 0.09 to 2.82). Our results show that short term exposure to PM(10) is associated with coronary mortality especially among the elderly and socio-economically disadvantaged. No clear effect modification by previous hospitalisations was detected except for cardiac dysrhythmias, possibly due to protective treatment.

  7. Effect of cause-of-death training on agreement between hospital discharge diagnoses and cause of death reported, inpatient hospital deaths, New York City, 2008-2010.

    Science.gov (United States)

    Ong, Paulina; Gambatese, Melissa; Begier, Elizabeth; Zimmerman, Regina; Soto, Antonio; Madsen, Ann

    2015-01-15

    Accurate cause-of-death reporting is required for mortality data to validly inform public health programming and evaluation. Research demonstrates overreporting of heart disease on New York City death certificates. We describe changes in reported causes of death following a New York City health department training conducted in 2009 to improve accuracy of cause-of-death reporting at 8 hospitals. The objective of our study was to assess the degree to which death certificates citing heart disease as cause of death agreed with hospital discharge data and the degree to which training improved accuracy of reporting. We analyzed 74,373 death certificates for 2008 through 2010 that were linked with hospital discharge records for New York City inpatient deaths and calculated the proportion of discordant deaths, that is, death certificates reporting an underlying cause of heart disease with no corresponding discharge record diagnosis. We also summarized top principal diagnoses among discordant reports and calculated the proportion of inpatient deaths reporting sepsis, a condition underreported in New York City, to assess whether documentation practices changed in response to clarifications made during the intervention. Citywide discordance between death certificates and discharge data decreased from 14.9% in 2008 to 9.6% in 2010 (P New York City heart disease mortality trends. Other vital records jurisdictions should employ similar interventions to improve cause-of-death reporting and use linked discharge data to monitor data quality.

  8. Effect of Cause-of-Death Training on Agreement Between Hospital Discharge Diagnoses and Cause of Death Reported, Inpatient Hospital Deaths, New York City, 2008–2010

    Science.gov (United States)

    Ong, Paulina; Gambatese, Melissa; Begier, Elizabeth; Zimmerman, Regina; Soto, Antonio

    2015-01-01

    Introduction Accurate cause-of-death reporting is required for mortality data to validly inform public health programming and evaluation. Research demonstrates overreporting of heart disease on New York City death certificates. We describe changes in reported causes of death following a New York City health department training conducted in 2009 to improve accuracy of cause-of-death reporting at 8 hospitals. The objective of our study was to assess the degree to which death certificates citing heart disease as cause of death agreed with hospital discharge data and the degree to which training improved accuracy of reporting. Methods We analyzed 74,373 death certificates for 2008 through 2010 that were linked with hospital discharge records for New York City inpatient deaths and calculated the proportion of discordant deaths, that is, death certificates reporting an underlying cause of heart disease with no corresponding discharge record diagnosis. We also summarized top principal diagnoses among discordant reports and calculated the proportion of inpatient deaths reporting sepsis, a condition underreported in New York City, to assess whether documentation practices changed in response to clarifications made during the intervention. Results Citywide discordance between death certificates and discharge data decreased from 14.9% in 2008 to 9.6% in 2010 (P New York City heart disease mortality trends. Other vital records jurisdictions should employ similar interventions to improve cause-of-death reporting and use linked discharge data to monitor data quality. PMID:25590598

  9. [Air pollution and urgent hospital admissions in nine Italian cities. Results of the EpiAir Project].

    Science.gov (United States)

    Colais, Paola; Serinelli, Maria; Faustini, Annunziata; Stafoggia, Massimo; Randi, Giorgia; Tessari, Roberta; Chiusolo, Monica; Pacelli, Barbara; Mallone, Sandra; Vigotti, Maria Angela; Cernigliaro, Achille; Galassi, Claudia; Berti, Giovanna; Forastiere, Francesco

    2009-01-01

    the relationship between air pollution and hospital admissions has been well studied. In this study, the results of the Italian EpiAir Project are reported on the effect of air pollution on hospital admissions in 9 Italian cities during 2001-2005. The association between particulate matter (PM10) and gases (NO2 and O3) and hospital admissions for cardiac, cerebrovascular, respiratory conditions, pulmonary embolism and diabetes has been evaluated. The study population consists of 701,902 hospital admissions of subjects residents in nine Italian cities and hospitalized in the city in the period 2001- 2005. We used a case-crossover approach and the statistical analysis considered the relevant temporal and meteorological factors for confounding adjustment. The results for ozone refer to the warm semester. The analysis of the association between air pollution and admissions was conducted for each city, and the city-specific estimates were meta-analyzed to obtain pooled results. we found an immediate effect of PM10 and NO2 (lag 0) for cardiac diseases as a group and for specific conditions (coronary syndrome and heart failure). No effect of ozone was observed. For cerebrovascular diseases we did not observe a positive effect of the three pollutants. An effect of NO2 on pulmonary embolism was detected. The association between air pollutants and hospitalization for respiratory diseases (respiratory infections, COPD and asthma) showed different lags for the three pollutants: the effect of PM10 was immediate at lag 0-1 while the effects of NO2 and ozone were prolonged at lag 0-5. The strongest association was between NO2 and asthma admissions, especially in children. No effects on diabetes were found. the main results of the present study confirm the deleterious short term impact of air pollution on cardiovascular and respiratory morbidity in Italian cities.

  10. A survey of Trace Metals Determination in Hospital Waste Incinerator in Lucknow City, India

    Directory of Open Access Journals (Sweden)

    Ranjan Kumar

    2004-08-01

    Full Text Available Information on the elemental content of incinerator burning of human organ, animal and medical waste is scanty in India Nineteen trace elements were analyzed in the incinerator ash from four major hospitals, one municipal waste incinerator and two R & D laboratories engaged in animal experiment in Lucknow city. Concentrations of Zinc and Lead were found to be very high in comparison to other metals due to burning of plastic products. The source of Ca, P and K are mainly bone, teeth and other animal organs. A wide variation in trace concentration of several toxic elements have been seen due to variation in initial waste composition, design of the incinerator and operating conditions.

  11. Multiple sclerosis in Mexico: hospital cases at the National Institute of Neurology and Neurosurgery, Mexico City.

    Science.gov (United States)

    Corona, T; Rodrigues, J L; Otero, E; Stopp, L

    1996-05-01

    The frequency and clinical features of multiple sclerosis (MS) at the National Institute of Neurology and Neurosurgery in Mexico City for the period spanning 1984-1993 is presented. Hospital records of patients with clinically diagnosed MS were selected, the frequency and cumulative frequency of this diagnosis were determined and demographic information and clinical features were recorded. It was found that 70% of the patients were women, 25% were professionals, and 95% were of mixed race. The clinical features of our patients and their neuroimages were consistent with those of MS patients in other populations. Importantly, we found that the frequency of MS has almost doubled over the last 10 years. The reason for this phenomenon is discussed as resulting from better health screening, the availability of nuclear magnetic resonance imaging, and the cultural, demographic and dietary changes that have occurred due to the rapid urbanization of our country.

  12. The Sociology of the Deceased Harvard Medical Unit at Boston City Hospital.

    Science.gov (United States)

    Tishler, Peter V

    2015-12-01

    Many graduates of the Harvard Medical Unit (HMU) at Boston City Hospital, in either the clinical training/residency program or the research program at the Thorndike Memorial Laboratory, contributed in major ways to the HMU and constantly relived their HMU experiences. The HMU staff physicians, descending from founder and mentor physicians Francis W. Peabody, Soma Weiss, and George R. Minot, were dedicated to the teaching, development, and leadership of its clinical and research trainees, whose confidence and dedication to patient care as a result of their mentorship led many to lifelong achievements as clinicians, teachers, and mentors. Their experience also led to a lifelong love of the HMU (despite its loss), camaraderie, happiness, and intense friendships with their associates.

  13. An indoor radon survey of the X-ray rooms of Mexico City hospitals

    Energy Technology Data Exchange (ETDEWEB)

    Juarez, Faustino [Facultad de Ciencias, Universidad Autonoma del Estado de Mexico, Instituto Literario No. 100. Estado de Mexico, 50000, Mexico. Instituto de Geofisica, Universidad Nacional Autonoma de Mexico, Circuito (Mexico); Reyes, Pedro G. [Facultad de Ciencias, Universidad Autonoma del Estado de Mexico, Instituto Literario No. 100. Estado de Mexico, 50000 (Mexico); Espinosa, Guillermo [Instituto de Fisica, Universidad Nacional Autonoma de Mexico, Circuito Exterior Ciudad Universitaria, Mexico D.F. Cp.04510 (Mexico)

    2013-07-03

    This paper presents the results of measurements of indoor radon concentrations in the X-ray rooms of a selection of hospitals in the metropolitan area of Mexico City. The metropolitan area of Mexico City is Mexico's largest metropolitan area by population; the number of patients requiring the use of X-rays is also the highest. An understanding of indoor radon concentrations in X-ray rooms is necessary for the estimation of the radiological risk to which patients, radiologists and medical technicians are exposed. The indoor radon concentrations were monitored for a period of six months using nuclear track detectors (NTD) consisting of a closed-end cup system with CR-39 (Lantrack Registered-Sign ) polycarbonate as detector material. The indoor radon concentrations were found to be between 75 and 170 Bq m{sup -3}, below the USEPA-recommended indoor radon action level for working places of 400 Bq m{sup -3}. It is hoped that the results of this study will contribute to the establishment of recommended action levels by the Mexican regulatory authorities responsible for nuclear safety.

  14. An indoor radon survey of the X-ray rooms of Mexico City hospitals

    Science.gov (United States)

    Juárez, Faustino; Reyes, Pedro G.; Espinosa, Guillermo

    2013-07-01

    This paper presents the results of measurements of indoor radon concentrations in the X-ray rooms of a selection of hospitals in the metropolitan area of Mexico City. The metropolitan area of Mexico City is Mexico's largest metropolitan area by population; the number of patients requiring the use of X-rays is also the highest. An understanding of indoor radon concentrations in X-ray rooms is necessary for the estimation of the radiological risk to which patients, radiologists and medical technicians are exposed. The indoor radon concentrations were monitored for a period of six months using nuclear track detectors (NTD) consisting of a closed-end cup system with CR-39 (Lantrack®) polycarbonate as detector material. The indoor radon concentrations were found to be between 75 and 170 Bq m-3, below the USEPA-recommended indoor radon action level for working places of 400 Bq m-3. It is hoped that the results of this study will contribute to the establishment of recommended action levels by the Mexican regulatory authorities responsible for nuclear safety.

  15. Clinico-epidemiological profile of tobacco users attending a tobacco cessation clinic in a teaching hospital in Bangalore city

    OpenAIRE

    George D′Souza; Dorothy P Rekha; Priya Sreedaran; Srinivasan, K.; Mony, Prem K

    2012-01-01

    Background: Tobacco-attributable mortality in India is estimated to be at least 10%. Tobacco cessation is more likely to avert millions of deaths before 2050 than prevention of tobacco use initiation. Objective: To describe the clinico-epidemiological profile of attendees of a tobacco cessation clinic in a teaching hospital in Bangalore city. Materials and Methods: A descriptive study of 189 attendees seen over 2 years in the Tobacco Cessation Clinic of a tertiary-care teaching hospital in Ba...

  16. "Near miss" obstetric morbidity in an inner city hospital in Saudi Arabia.

    Science.gov (United States)

    Nasrat, H A; Youssef, M H; Marzoogi, A; Talab, F

    1999-07-01

    A defined "near-miss" end-point, e.g. peripartum hysterectomy, is a more useful measure of obstetric care in a modern inner-city hospital than maternal mortality. Thus, indication(s), type of operation, risk factors and surgical morbidity of all cases of peripartum hysterectomy conducted over a period of 85 months at King Abdul Aziz Hospital, Jeddah were reviewed. The incidence of hysterectomy was 1.22 per 1000 deliveries. Atonic postpartum haemorrhage was the most common reason (43.5%), followed by ruptured uterus (30.4%) and placenta accreta (26.1%). Of the atonic group, five patients were primigravidae, three of whom had severe pre-eclampsia. Abnormally prolonged labour was noted in this group. In the uterine rupture group, only two patients had had previous caesarean sections. In the placenta accreta group, three patients had placenta praevia, two of whom had scars from previous caesarean sections. One maternal death was attributed to amniotic fluid embolism.

  17. Hydatid Disease in Yemeni Patients attending Public and Private Hospitals in Sana’a City, Yemen

    Directory of Open Access Journals (Sweden)

    Abdulbasit Alghoury

    2010-04-01

    Full Text Available Objectives: Hydatid disease is endemic and represents a major health problem in Yemen. The aim of this study is to determine the magnitude of the problem of hydatidosis in patients attending Public and Private Hospitals at Sana’a city, Yemen.Methods:66 patients with hydatid disease were identified during the period from August 2006 to February 2007. Complete medical history for all CE patients were collected and analyzed.Results: Among the 66 CE patients, 67% were females and 33% males. Liver was the most common involved organ. Single cyst was more frequently detected than multiple cysts and approximately 94% of the cysts were ≥5 cm. Moreover, Public hospitals were the main source of patients with CE disease.Conclusion: Hydatidosis is still an endemic disease and an important health problem in Yemen which needs to be studied further. Therefore, accurate information on the distribution of the disease is the first step for the control and prevention of the disease. Moreover, it is crucial to investigate the role of different intermediate hosts and genotypes of E. granulosus in humans and animals.

  18. Prevalence of Cryptosporidium among Diarrheic Children Hospitalized in Gonbad Kavus City, 2011

    Directory of Open Access Journals (Sweden)

    This paper should be cited as: Mesgarian F , Sharbatkhori M , Mohammadi R, Rajabi MH . [ Prevalence of Cryptosporidium among Diarrheic Children Hospitalized in Gonbad Kavus City, 2011 ]. mljgoums . 201 5 ; 8 ( 5 : 111 - 118 [Article in Persian] Mesgarian, F. (MSc

    2015-01-01

    Full Text Available Background and Objective: Cryptosporidium is a common protozoan causing diarrhea in human, specifically in children. Hence, we aimed to investigate the prevalence of this protozoan among diarrheic children hospitalized in Gonbad Kavus in 2011. Material and Methods: Three stool samples were collected from diarrheic children in two hospitals of Gonbad city and a relevant questionnaire was filled out for each child. The stool samples were concentrated by formalin ether method, and the infection was assessed by modified acid-fast staining method. Results: Of 547 children, 27 (4.9% were infected with cryptosporidiosis. There was no significant relationship between the amount of infection and gender and habitation area (urban/ rural. The infection rate was significantly prevalent in 2-4-year-old children (P=0.013. The most and the least infection rate were observed in spring and winter, respectively (P< 0.0001. There was a significant association between the disease and keeping animal (P= 0.041 Conclusion: The prevalence of cryptosporidiosis in diarrheic children in Gonbad is almost equal to other regions of the country and keeping animal and spring season may be considered as the risk factors for the disease.

  19. Tastes of the 'Mongrel' City: Geographies of Memory, Spice, Hospitality and Forgiveness

    Directory of Open Access Journals (Sweden)

    Jean Duruz

    2013-02-01

    Full Text Available This article examines cultural fragments – local places, people’s gestures, stories, tastes, affective landscapes – to map geographies of ‘Africa’ in a historically ‘mixed’ urban Australian neighbourhood. Focusing on a small Ethiopian business, Addis Ababa Café, the article develops an analysis framed by economies of nostalgic flavours and intimations of transnational belonging. Conceptually, the article approaches the question of how different people manage the task of living together in ‘our mongrel cities’ from two directions. Firstly, it reworks Giard’s celebrations of ‘doing-cooking’ as embedded knowledge to argue that, in the postcolonial city, memories and spices together constitutes significant cultural capital for identity-based trading. Secondly, it worries at Derrida’s arguments that hospitality and forgiveness are paradoxical. Do their contradictions actually preclude productive analytical connections, even when connections are haunted by ambivalence? Commensality based on alliances of ‘others’ might question at least ethnocentric assumptions of who offers hospitality, who forgives.

  20. Microbial Contamination of Ice Machines Is Mediated by Activated Charcoal Filtration Systems in a City Hospital.

    Science.gov (United States)

    Yorioka, Katsuhiro; Oie, Shigeharu; Hayashi, Koji; Kimoto, Hiroo; Furukawa, Hiroyuki

    2016-06-01

    Although microbial contamination of ice machines has been reported, no previous study has addressed microbial contamination of ice produced by machines equipped with activated charcoal (AC) filters in hospitals. The aim of this study was to provide clinical data for evaluating AC filters to prevent microbial contamination of ice. We compared microbial contamination in ice samples produced by machines with (n = 20) and without an AC filter (n = 40) in Shunan City Shinnanyo Municipal Hospital. All samples from the ice machine equipped with an AC filter contained 10-116 CFUs/g of glucose nonfermenting gram-negative bacteria such as Pseudomonas aeruginosa and Chryseobacterium meningosepticum. No microorganisms were detected in samples from ice machines without AC filters. After the AC filter was removed from the ice machine that tested positive for Gram-negative bacteria, the ice was resampled (n = 20). Analysis found no contaminants. Ice machines equipped with AC filters pose a serious risk factor for ice contamination. New filter-use guidelines and regulations on bacterial detection limits to prevent contamination of ice in healthcare facilities are necessary.

  1. Multidrug resistant Acinetobacter baumannii: a descriptive study in a city hospital

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    Pratap Siddharth

    2010-07-01

    Full Text Available Abstract Background Multidrug resistant Acinetobacter baumannii, (MRAB is an important cause of hospital acquired infection. The purpose of this study is to determine the risk factors for MRAB in a city hospital patient population. Methods This study is a retrospective review of a city hospital epidemiology data base and includes 247 isolates of Acinetobacter baumannii (AB from 164 patients. Multidrug resistant Acinetobacter baumannii was defined as resistance to more than three classes of antibiotics. Using the non-MRAB isolates as the control group, the risk factors for the acquisition of MRAB were determined. Results Of the 247 AB isolates 72% (177 were multidrug resistant. Fifty-eight percent (143/247 of isolates were highly resistant (resistant to imipenem, amikacin, and ampicillin-sulbactam. Of the 37 patients who died with Acinetobacter colonization/infection, 32 (86% patients had the organism recovered from the respiratory tract. The factors which were found to be significantly associated (p ≤ 0.05 with multidrug resistance include the recovery of AB from multiple sites, mechanical ventilation, previous antibiotic exposure, and the presence of neurologic impairment. Multidrug resistant Acinetobacter was associated with significant mortality when compared with sensitive strains (p ≤ 0.01. When surgical patients (N = 75 were considered separately, mechanical ventilation and multiple isolates remained the factors significantly associated with the development of multidrug resistant Acinetobacter. Among surgical patients 46/75 (61% grew a multidrug resistant strain of AB and 37/75 (40% were resistant to all commonly used antibiotics including aminoglycosides, cephalosporins, carbepenems, extended spectrum penicillins, and quinolones. Thirty-five percent of the surgical patients had AB cultured from multiple sites and 57% of the Acinetobacter isolates were associated with a co-infecting organism, usually a Staphylococcus or Pseudomonas. As

  2. [Investigation on Entamoeba histolytica infection in diarrhea patients from general hospitals in Shanghai City].

    Science.gov (United States)

    Zhang, Xiao-ping; He, Yan-yan; Wang, Zhen-yu; Zhang, Yao-guang; Zhu, Qian; Jiang, Shou-fu; Li, Ying; Cheng, Yu-ping; Yin, Ming-min

    2015-12-01

    To understand the status of Entamoeba histolytica infection in diarrhea patients in general hospitals, so as to provide the evidences for the prevention and control of the disease. The diarrhea patients in intestinal disease clinics of 3 general hospitals in Shanghai City were chosen as the investigation objectives, and their fecal and blood samples were collected, and then were detected by the normal saline direct smear method and iodine solution staining, immunochromatographic method and ELISA respectively to understand the infection status of E. histolytica, and the characteristics of the infected persons were analyzed. RESULTS Totally 1 015 fecal samples were detected, and among which 36 positive ones were detected by parasitological examinations, with a general positive rate of 3.55%. There were no statistically significant differences among the positive rates of patients from the three hospitals (P > 0.05), nor between or among those of the patients with different sexes, ages, occupations and education levels (all P > 0.05). The positive rate of E. histolytica in bloody purulent stools was higher than those in loose stools and watery stools (both P histolytica were 8.18% (83/1 015) and 7.12% (48/675) respectively when detected by the immunochromatographic method and ELISA. Summer and autumn are the high risk seasons for E. histolytica infection, and the surveillance should be strengthened in this period. The positive rate of E. histolytica in samples of bloody purulent stools is high, and the combined application of several detection methods can increase the detection rate.

  3. Acceptance of the WHO Surgical Safety Checklist among surgical personnel in hospitals in Guatemala city

    Directory of Open Access Journals (Sweden)

    Hurtado Juan J

    2012-06-01

    in hospitals in Guatemala City. Efforts should aim to universal awareness and complete knowledge on why and how the checklist should be used.

  4. Implementace metody 5S ve výrobním podniku

    OpenAIRE

    Čechová, Petra

    2014-01-01

    Bakalářská práce se zabývá implementací metody 5S v podniku zaměřeném na výrobu a zpracování skelného vlákna. Teoretická část vysvětluje základní principy filozofie Kaizen. V praktické části je navržena a dále implementována metodika 5S ve společnosti. V závěru práce jsou zhodnoceny přínosy aplikace užité metody. This thesis deals with implementation of 5S methods in company focussed on production and processing of fiberglass. The theoretical part explains the basic principles of the philo...

  5. [Air pollution and urgent hospital admissions in 25 Italian cities: results from the EpiAir2 project].

    Science.gov (United States)

    Scarinzi, Cecilia; Alessandrini, Ester Rita; Chiusolo, Monica; Galassi, Claudia; Baldini, Marco; Serinelli, Maria; Pandolfi, Paolo; Bruni, Antonella; Biggeri, Annibale; De Togni, Aldo; Carreras, Giulia; Casella, Claudia; Canova, Cristina; Randi, Giorgia; Ranzi, Andrea; Morassuto, Caterina; Cernigliaro, Achille; Giannini, Simone; Lauriola, Paolo; Minichilli, Fabrizio; Gherardi, Bianca; Zauli-Sajani, Stefano; Stafoggia, Massimo; Casale, Patrizia; Gianicolo, Emilio Antonio Luca; Piovesan, Cinzia; Tominz, Riccardo; Porcaro, Loredana; Cadum, Ennio

    2013-01-01

    to evaluate the relationship between air pollution and hospital admissions in 25 Italian cities that took part in the EpiAir (Epidemiological surveillance of air pollution effects among Italian cities) project. study of time series with case-crossover methodology, with adjustment for meteorological and time-dependent variables. The association air pollution hospitalisation was analyzed in each of the 25 cities involved in the study; the overall estimates of effect were obtained subsequently by means of a meta-analysis. The pollutants considered were PM10, PM2.5 (in 13 cities only), NO2 and ozone (O3); this last pollutant restricted to the summer season (April-September). the study has analyzed 2,246,448 urgent hospital admissions for non-accidental diseases in 25 Italian cities during the period 2006- 2010; 10 out of 25 cities took part also in the first phase of the project (2001-2005). urgent hospital admissions for cardiac, cerebrovascular and respiratory diseases, for all age groups, were considered. The respiratory hospital admissions were analysed also for the 0-14-year subgroup. Percentage increases risk of hospitalization associated with increments of 10 µg/m(3) and interquartile range (IQR) of the concentration of each pollutant were calculated. reported results were related to an increment of 10 µg/m(3) of air pollutant. The percent increase for PM10 for cardiac causes was 0.34% at lag 0 (95%CI 0.04-0.63), for respiratory causes 0.75% at lag 0-5 (95%CI 0.25-1.25). For PM2.5, the percent increase for respiratory causes was 1.23% at lag 0- 5 (95%CI 0.58-1.88). For NO2, the percent increase for cardiac causes was 0.57% at lag 0 (95%CI 0.13-1.02); 1.29% at lag 0-5 (95%CI 0.52-2.06) for respiratory causes. Ozone (O3) did not turned out to be positively associated neither with cardiac nor with respiratory causes as noted in the previous period (2001-2005). the results of the study confirm an association between PM10, PM2.5, and NO2 on hospital admissions

  6. Optimalizace metody PCR-RFLP pro taxonomické zařazení kvasinek

    OpenAIRE

    Olivová, Radana

    2009-01-01

    Tato diplomová práce se zabývá optimalizací metody PCR – RFLP pro taxonomické zařazení kvasinek. Konvenční metody pro identifikaci kvasinek jsou časově náročné. Molekulárně biologické metody založené na PCR slouží k rychlé a precizní identifikaci v porovnání s tradičními fenotypovými metodami. V této práci byla použita molekulárně biologická metoda PCR – RFLP, která bere v úvahu , že v ribozomální DNA kvasinek se opakují konzervativní nekódující oblasti(tzv. spacery), jež jsou charakteristick...

  7. Le prime sensazioni al pianoforte restano per sempre? Indagine sui metodi pianistici per principianti

    Directory of Open Access Journals (Sweden)

    Giuseppe Sellari

    2015-12-01

    Full Text Available I metodi d’insegnamento del pianoforte utilizzati in Italia sono caratterizzati da percorsi basati su differenti ipotesi teoriche e indicazioni pratiche. Il primo libro di pianoforte, qualunque sia il suo valore, stabilisce il primo contatto con lo strumento, lasciando una forte impressione e tracciando il profilo delle competenze inizialmente sviluppate. Una più profonda comprensione di questi testi può mostrare quali sono le capacità e le strategie di apprendimento proposte dai metodi adottati e conseguentemente dagli insegnanti. L'obiettivo di questo studio è quello di identificare quali sono le scelte metodologiche più rappresentative nella didattica pianistica italiana degli ultimi 50 anni. I risultati sono basati sui dati raccolti dai questionari somministrati a 200 pianisti, di età compresa tra 20 e 60, ai quali è stato chiesto, insieme a informazioni generiche, quale fosse stato il loro primo libro pianoforte, quali aspetti positivi o negativi ricordavano maggiormente e quali ritenevano essere più utili. I dati suggeriscono una preferenza rilevante di cinque metodi, che sono stati analizzati secondo una serie di criteri metodologici e analitici. I risultati indicano un panorama metodologico concentrato principalmente sul rapporto iniziale con lo strumento e sulla lettura musicale. Questo studio contribuisce alla riflessione su due aspetti metodologici: lo sviluppo di nuovi repertori e la proposta di metodologie in grado di rispettare il mondo emotivo e cognitivo dei principianti.

  8. Levels of organic compounds in interiors (school, home, university and hospital) of Ouargla city, Algeria

    Science.gov (United States)

    Boudehane, A.; Lounas, A.; Moussaoui, Y.; Balducci, C.; Cecinato, A.

    2016-11-01

    Indoor environments are affected by a number of organic contaminants, whose concentrations can exceed by orders of magnitude those found outdoors in external air. At this regard, polycyclic aromatic hydrocarbons (PAHs) deserve a special concern. PAHs occur in the air both in the gaseous and particulate forms; they are associated to fine aerosols and soil dust, and deposit on surfaces. Nonetheless, scarce information exists about the PAH pollution of indoor locations in Northern Africa. PAHs were first investigated in dust of interiors in Ouargla (Saharan Algeria), concurrently with n-alkanes and polar organics. Settled dust was collected from pre-cleaned surfaces (0.5 m2 each) at 7 internal locations in total from a school, the city hospital and university, and a home. Three sample series were collected 15, 30 days and random after the preliminary cleaning of surfaces. Contemporarily, organic compounds were collected at 15 locations of the target sites by deploying diffusive samplers over the whole study period to obtain molecular signatures of semi-volatile organic fraction. A consolidated procedure consisting of ultra-sonic bath extraction, semi-preparative column chromatography and gas chromatographic - mass spectrometric analysis was applied for chemical characterization of dusts. n-Alkanes ranged from 3.8 to 41 μg/m2 in dust and 0.17-2.42 μg/m3 in gas phase. PAHs concentrations were 17-89 ng/m2 and 45-182 ng/m3, respectively. Caffeine and nicotine were found both in dust (63-2,02 ng/m2 and 7-284 ng/m2, respectively) and as vapors in air (4-416 ng/m3 and 3.5-60 ng/m3). Two sites were affected by cannabinoids, while traces of nonylphenols occurred at all locations. External air was, on the average, more affected by PAHs than the interiors of school and hospital, but not of university. The compound concentrations show that Ouargla city is seriously polluted and requires actions to improve air quality.

  9. Cost of neurocysticercosis patients treated in two referral hospitals in Mexico City, Mexico.

    Science.gov (United States)

    Bhattarai, Rachana; Carabin, Hélène; Proaño, Jefferson V; Flores-Rivera, Jose; Corona, Teresa; Flisser, Ana; Budke, Christine M

    2015-08-01

    To estimate annual costs related to the diagnosis, treatment and productivity losses among patients with neurocysticercosis (NCC) receiving treatment at two referral hospitals, the Instituto Nacional de Neurologia y Neurocirugia (INNN) and the Hospital de Especialidades of the Instituto Mexicano del Seguro Social (HE-IMSS), in Mexico City from July 2007 to August 2008. Information on presenting clinical manifestations, diagnostic tests, hospitalisations, surgical procedures and other treatments received by NCC outpatients was collected from medical charts, and supplemented by an individual questionnaire regarding productivity losses and out-of-pocket expenses related to NCC. The annual average per-patient direct costs were US$ 503 (95% CI: 414-592) and US$ 438 (95% CI: 322-571) for patients without a history of hospitalisation and/or surgery seen at the INNN and the HE-IMSS, respectively. These costs increased to US$ 2506 (95% CI: 1797-3215) and US$ 2170 (95% CI: 1303-3037), respectively, for patients with a history of hospitalisation and/or surgery. The average annual per-patient indirect costs were US$ 246 (95% CI: 165-324) and US$ 114 (95% CI: 51-178), respectively, using minimum salary wages for individuals not officially employed. The total annual cost for patients who had and had not been hospitalised and/or undergone a surgical procedure for the diagnosis or treatment of NCC corresponded to 212% and 41% of an annual minimum wage salary, respectively. The disease tends to affect rural socioeconomically disadvantaged populations and creates health disparities and significant economic losses in Mexico. © 2015 John Wiley & Sons Ltd.

  10. A system dynamics approach for hospital waste management in a city in a developing country: the case of Nablus, Palestine.

    Science.gov (United States)

    Al-Khatib, Issam A; Eleyan, Derar; Garfield, Joy

    2016-09-01

    Hospitals and health centers provide a variety of healthcare services and normally generate hazardous waste as well as general waste. General waste has a similar nature to that of municipal solid waste and therefore could be disposed of in municipal landfills. However, hazardous waste poses risks to public health, unless it is properly managed. The hospital waste management system encompasses many factors, i.e., number of beds, number of employees, level of service, population, birth rate, fertility rate, and not in my back yard (NIMBY) syndrome. Therefore, this management system requires a comprehensive analysis to determine the role of each factor and its influence on the whole system. In this research, a hospital waste management simulation model is presented based on the system dynamics technique to determine the interaction among these factors in the system using a software package, ithink. This model is used to estimate waste segregation as this is important in the hospital waste management system to minimize risk to public health. Real data has been obtained from a case study of the city of Nablus, Palestine to validate the model. The model exhibits wastes generated from three types of hospitals (private, charitable, and government) by considering the number of both inpatients and outpatients depending on the population of the city under study. The model also offers the facility to compare the total waste generated among these different types of hospitals and anticipate and predict the future generated waste both infectious and non-infectious and the treatment cost incurred.

  11. Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine.

    Science.gov (United States)

    Al-Khatib, Issam A; Al-Qaroot, Yousef S; Ali-Shtayeh, Mohammad S

    2009-06-01

    The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed(-1) day(-1). The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m(-3) with a mean value of 166.7 kg m(-3). The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.

  12. Cervical cancer and the HPV link: identifying areas for education in Mexico City's public hospitals.

    Science.gov (United States)

    Aldrich, Tess; Landis, Sarah; García, Sandra G; Becker, Davida; Sanhueza, Patricio; Higuera, Anjarath

    2006-01-01

    To assess Mexico City physicians' knowledge and practices regarding cervical cancer and human papillomavirus (HPV) to compare obstetricians/gynecologists (ob/gyns) and general practitioners (GPs) on these variables. In April 2003, 187 ob/gyns and GPs working in 15 hospitals affiliated with the Federal District Secretary of Health (SSDF) completed a self-administered questionnaire. Pearson's chi-square tests were used to compare ob/ gyns and GPs on outcome variables. Nearly all providers (93%) identified HPV as the principal cause of cervical cancer. Ob/gyns had more detailed knowledge about HPV than GPs and were more likely to have heard of common oncogenic strains (p = .000). Sixteen percent of all physicians incorrectly stated that Pap tests should be performed every six months regardless of previous results, and 17% recommended hysterectomy as an option for treating mild or moderate dysplasia. While SSDF physicians had basic knowledge about the cervical cancer-HPV link, screening and management norms are priority areas for educational interventions.

  13. A Prospective Multi-Center Observational Study of Children Hospitalized with Diarrhea in Ho Chi Minh City, Vietnam.

    OpenAIRE

    Thompson, CN; Phan, MV; Hoang, NV; Minh, PV; Vinh, NT; Thuy, CT; Nga, TT; Rabaa, MA; Duy, PT; Dung, TT; Phat, VV; Nga, TV; Tu, leTP; Tuyen, HT; K. Yoshihara

    2015-01-01

    : We performed a prospective multicenter study to address the lack of data on the etiology, clinical and demographic features of hospitalized pediatric diarrhea in Ho Chi Minh City (HCMC), Vietnam. Over 2,000 (1,419 symptomatic and 609 non-diarrheal control) children were enrolled in three hospitals over a 1-year period in 2009-2010. Aiming to detect a panel of pathogens, we identified a known diarrheal pathogen in stool samples from 1,067/1,419 (75.2%) children with diarrhea and from 81/609 ...

  14. Breast cancer quality of life evaluation in Mexican Women at La Raza Hospital, Mexico City: A preliminary approach

    OpenAIRE

    2008-01-01

    Jacobo Alejandro Gómez-Rico1, Marina Altagracia-Martínez1, Jaime Kravzov-Jinich1, Rosario Cárdenas-Elizalde1, Juan Carlos Hinojosa-Cruz2, Consuelo Rubio-Poo31Departments of Biological Systems and Healthcare, Biological and Health Sciences Division (DCBS), Universidad Autónoma Metropolitana–Xochimilco (UAM-X), Xochimilco, Mexico; 2La Raza Hospital of the Mexican Social Security Institute (IMSS), Mexico City, Mexico; 3Universidad Nacional Au...

  15. [Cancer of the organs of the pancreatoduodenal region (based on autopsy data from 2 hospitals in the city of Donetsk)].

    Science.gov (United States)

    Mikhaĭlichenko, V A

    1979-01-01

    The incidence of cancer of the pancreatoduodenal organs (the pancreas, major duodenal papilla, extrahepatic bile ducts, duodenum) is reported according to the autopsy findings obtained at two clinical hospitals (provincial and municipal) of Donetsk city during the period from 1957 to 1973. There is a tendency to the increased mortality due to cancer of the localization concerned against the background of the reduced total mortality.

  16. Hepatitis B vaccination status among healthcare workers in a tertiary care hospital in Haldwani City of Nainital, Uttarakhand, India

    Directory of Open Access Journals (Sweden)

    Subhash Chandra Joshi

    2014-01-01

    Full Text Available Background: Healthcare workers (HCWs have a high risk of hepatitis B virus (HBV infection. The prevalence of HBV among HCWs in hospitals in developing countries is high. However, the vaccination status of these workers in hospitals in Haldwani city is not well documented. Objectives: The aim was to assess the hepatitis B vaccination status among HCWs in a tertiary care hospital in Haldwani city of Nainital, Uttarakhand, India. Materials and Methods: In this cross-sectional study, 367 HCWs were randomly selected. Information pertaining to demographic and vaccination status was collected by interviewing them with the help of predesigned and pretested interview schedule. Result: The overall proportions of complete, incomplete and unvaccinated respondents with hepatitis B vaccine were 48.5%, 21.8%, and 29.7% respectively. In relation to designation of respondents, 35 (53.8%, 65 (77.4%, 61 (51.7%, 12 (40.0% and 5 (7.2% of respondents who were residents, interns, nurses, technicians and nursing attendants respectively had received Hepatitis B vaccination as against those who had partially received and not received vaccination and this differences were statistically significant. The most common reason for acceptance of vaccine was protection against Hepatitis-B infection (39.9% and the commonest reason for not getting vaccinated was negligence (43.1% Conclusion: These results conclude that because of low immunization coverage, HCWs are at greater risk of getting Hepatitis B infection at the hospital.

  17. Childhood astrovirus-associated diarrhea in the ambulatory setting in a Public Hospital in Cordoba city, Argentina

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    Giordano Miguel O.

    2004-01-01

    Full Text Available Human astroviruses have been increasingly identified as important agents of diarrheal disease in children. However, the disease burden of astrovirus infection is still incompletely assessed. This paper reports results on the epidemiological and clinical characteristics of astrovirus-associated diarrhea, as well as the impact of astrovirus infection on the ambulatory setting at a Public Hospital in Córdoba city, Argentina. From February 2001 through January 2002, 97 randomly selected outpatient visits for diarrhea among children 0.05. According to our estimation about one out of seventy-four children in this cohort would be assisted annually for an astroviral-diarrheal episode in the Public Hospital and one out of eight diarrheal cases could be attributed to astrovirus infection. Astrovirus is a common symptomatic infection in pediatric outpatient visits in the public hospital in the study area, contributing 12.37% of the overall morbidity from diarrhea.

  18. Hospitality in women's wear retail in São Paulo City

    African Journals Online (AJOL)

    jane.b

    Research in Hospitality Management is co-published by NISC (Pty) Ltd and Routledge, Taylor & Francis ... correct practice of commercial hospitality is like the staging of ... values, ethical principles and money. ... Altheman & Borges 2005).

  19. Chinese traffic fatalities and injuries in police reports, hospital records, and in-depth records from one city.

    Science.gov (United States)

    Qiu, Jun; Zhou, Jihong; Zhang, Liang; Yao, Yuan; Yuan, Danfeng; Shi, Jianguo; Gao, Zhiming; Zhou, Lin; Wang, Zhengguo; Evans, Leonard

    2015-01-01

    Claims of sharp reductions in Chinese traffic casualties after 2002 based on police-reported data have been questioned in the literature. The objective of this study is to determine whether a decline in casualties occurred and to better understand the police data. The first of 2 unrelated studies analyzed data from 210 military hospitals throughout China providing records for inpatients injured in traffic accidents (2001-2007). The second compared in-depth crash records (2000-2006) from one city to officially released data. Hospital data showed that casualties increased from 2002 to 2007. The city investigation showed consistently far more fatalities and injuries in the in-depth data than officially released. For example, in-depth data showed 1,720 fatalities. Only 557 of these were reported officially (data loss = 68%). Disaggregating into 3 regions showed a data loss of 41% in urban areas, 63% in rural areas, and 90% in rural-urban fringe zones. For injuries, data losses were even greater. Traffic fatalities and injuries did not decrease from 2002 to 2006. The in-depth city data contained 3 times as many fatalities and 5 times as many injuries as reported by police. Reasons why this occurred and suggestions to improve data collection and reduce casualties are given.

  20. Helminthiasis in selected children seen at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria.

    Science.gov (United States)

    Wagbatsoma, V A; Aisien, M S

    2005-03-01

    Illiteracy, poverty with associated poor environmental sanitation practices have been implicated in the heavy burden of helminthiasis among children. The objective of this cross-sectional survey is to determine the impact of parents' level of education on the intestinal helminthic status of children. All patients, 0-15 years totaling 1030 who visited the communicable disease clinic of the University of Benin Teaching Hospital, Benin City, from October, 2001 to March 2002 were included in this study. However, only 207 of the enlisted patients submitted faecal samples for examination and constituted the study population. Tool for data collection was structured questionnaire that was researcher administered to mother/caregivers after informed consent was obtained. Information sought in the questionnaire included sex and age of the subjects and level of education of their parents. Formol ether concentration method was used for stool examination while intensity was estimated using McMaster counting chamber technique. Of the 207 faecal samples examined 46(22.2% ) had ova of helminths while 161(77.85% ) had none. More school children, 40(19.3% ), than pre-school children, 6(2.9% ) had helminth ova in their faecal samples and the difference was found to be statistically significant (P 0.05). Intestinal helminth ova seen in order of prevalence include A. lumbricoides, 23(11.1% ); hookworm, 12(5.8% ); T. trichiuria, 8(3.8% ); Schistosoma mansoni, 2(1.0% ); Strongyloides stercoralis, 1(0.5% ) while multiple infection was recorded in 11(5.3% ) patients. Intensity of infection was low. The difference between the means for A. lumbricoides, T. trichiuria and multiple infection by age were found to be statistically significant P children but the association was not found to be statistically significant (P > 0.05). Prevalence and intensity of infection was low probably due to periodic antihelminthic treatment offered by the health authorities. Improvement in mother's level of

  1. Evaluation Management of Drugs and Relations with Quality of Outpatient Pharmacy Services in One of Hospital Pontianak City

    Directory of Open Access Journals (Sweden)

    Enggy Erwansani

    2016-04-01

    Full Text Available Nowadays government policy which embodies the National Social Security System (SJSN where the presence of this system that every Indonesian people entitled to social security to be able to meet the basic needs of living. This study aims to describe the pharmaceutical drug outpatient management Hospital X Pontianak City and analyze the relationship management with the quality of pharmaceutical care medicine outpatient Hospital X Pontianak. This medication management including planning, organizing, directing, and monitoring. This study uses a quantitative approach which is an observational analytic research using cross sectional study with a sample of outpatient pharmacy customer research in Hospital X Pontianak. Collecting data using questionnaires from 100 customers outpatient with consecutive sampling method. The results using Pearson Correlation analysis showed the drug management relationship with the quality of outpatient pharmacy services which means the value of aspects planning (r=0.626; p<0,001, organizing (r=0.409; p<0,001, directing (r=0.359; p<0,001, and controlling (r=0.426; p<0,001 with R2 multiple 66.80%. The description of pharmaceutical drug management in outpatient Hospital X produce an average value 96.90% so as to be in very good category, there by proving the existence of a strong relationship between the four functions of management of the quality of pharmaceutical care medicine outpatient Hospital X.

  2. BIOMEDICAL SOLID WASTE MANAGEMENT PRACTICES IN MAJOR PUBLIC HOSPITALS OF SHIMLA CITY

    OpenAIRE

    Saurabh; Salig Ram; Anmol K

    2014-01-01

    BACKGROUND: The actual biomedical waste management situation in the democratic developing country like India is grim. Even though there are Rules stipulating the method of safe disposal of Bio-medical Waste (BMW), hospital waste generated by Government Hospitals is still largely being dumped in the open, waiting to be collected along with general waste. OBJECTIVES: To assess the waste handling and treatment system of hospital bio-medical solid waste METHODOLOGY: A Cross se...

  3. Estimation of the Demand for Hospital Care After a Possible High-Magnitude Earthquake in the City of Lima, Peru.

    Science.gov (United States)

    Bambarén, Celso; Uyen, Angela; Rodriguez, Miguel

    2017-02-01

    Introduction A model prepared by National Civil Defense (INDECI; Lima, Peru) estimated that an earthquake with an intensity of 8.0 Mw in front of the central coast of Peru would result in 51,019 deaths and 686,105 injured in districts of Metropolitan Lima and Callao. Using this information as a base, a study was designed to determine the characteristics of the demand for treatment in public hospitals and to estimate gaps in care in the hours immediately after such an event. A probabilistic model was designed that included the following variables: demand for hospital care; time of arrival at the hospitals; type of medical treatment; reason for hospital admission; and the need for specialized care like hemodialysis, blood transfusions, and surgical procedures. The values for these variables were obtained through a literature search of the databases of the MEDLINE medical bibliography, the Cochrane and SciELO libraries, and Google Scholar for information on earthquakes over the last 30 years of over magnitude 6.0 on the moment magnitude scale. If a high-magnitude earthquake were to occur in Lima, it was estimated that between 23,328 and 178,387 injured would go to hospitals, of which between 4,666 and 121,303 would require inpatient care, while between 18,662 and 57,084 could be treated as outpatients. It was estimated that there would be an average of 8,768 cases of crush syndrome and 54,217 cases of other health problems. Enough blood would be required for 8,761 wounded in the first 24 hours. Furthermore, it was expected that there would be a deficit of hospital beds and operating theaters due to the high demand. Sudden and violent disasters, such as earthquakes, represent significant challenges for health systems and services. This study shows the deficit of preparation and capacity to respond to a possible high-magnitude earthquake. The study also showed there are not enough resources to face mega-disasters, especially in large cities. Bambarén C , Uyen A

  4. Improvement of Inventory Control Using Continuous Review Policy in A Local Hospital at Bandung City, Indonesia

    Directory of Open Access Journals (Sweden)

    Fina Hafnika

    2016-12-01

    Full Text Available Abstract. This research was aimed to analyze the excess inventories issue in pharmacy and medical equipment unit at a local hospital in Bandung which affected the service level of the hospital. As one of the busy hospital in Java, proven by the higher amount of the patient/year than in other average Java typical hospital, the hospital needs to concern about the pharmaceutical and medical equipment inventories in order to fulfill patients’ needs and in the same time keeping the inventory level under control. Therefore, an inventory control evaluation was conducted to determine the appropriate number of inventories and time of order to avoid the excessive goods in central warehouse of the hospital. By using probabilistic inventory model and continuous review policy, the pharmaceutical inventory in the hospital was calculated to compare the ideal and actual amount of the average inventory level (AIL. ABC (Always, Better, Control classification also classified in this research to identify the proper item which potentially can be reduced from the inventory. From the analysis, we have discovered that the hospital potentially able to reduce almost Rp 830 million or 57% from the overstock inventory level by using continuous review policy as the basis of inventory control calculation system. Keywords: Continuous review policy, inventory control, EOQ, ROP, AIL

  5. The definition of life: a survey of obstetricians and neonatologists in New York City hospitals regarding extremely premature births.

    Science.gov (United States)

    Ramsay, Sharon M; Santella, Regina M

    2011-05-01

    Among obstetricians and neonatologists in administrative roles in New York City hospitals, a survey was initiated to compare the physicians' definitions of live birth and fetal death, the gestational age at which they consider infants viable, and the resuscitation practices of the neonatologists. The target survey population was 34 neonatologists, and 39 obstetricians representing 41 of the City's 43 maternity hospitals. A telephone survey was used to gather qualitative data from the physicians regarding their definitions of live birth, fetal death, and viability, and their practices regarding extremely premature births. Surveys were completed for 58 physicians, a response rate of 79% (94% for neonatologists and 67% for obstetricians). Physicians' definitions of live birth and fetal death varied, with almost a third (29%) of physicians including gestational age as part of their live birth criteria. Most of the physicians (90%) consider infants born at ≥23 weeks gestation viable. Most neonatologists (97%) said they always resuscitate infants born at ≥23 weeks gestation, and most (94%) said they would never resuscitate infants born at death. Whereas reporting requirements are based on definitions of live birth and fetal death, physicians make resuscitation and other clinical decisions regarding extremely premature infants based on definitions of viability.

  6. Prevalence of nontuberculous mycobacteria in hospital waters of major cities of Khuzestan province, Iran

    Directory of Open Access Journals (Sweden)

    Azar Dokht eKhosravi

    2016-04-01

    Full Text Available Nontuberculous mycobacteria (NTM are among the emerging pathogens in immunocompromised individuals including hospitalized patients. So, it is important to consider hospitals water supplies as a source for infection. The aim of this study was to determine the prevalence of NTM in the hospital aquatic systems of Khuzestan, South west of Iran. In total, 258 hospital water samples were collected and examined. After initial sample processing, sediment of each sample were inoculated into two Lowenstein-Jensen medium. The positive cultures were studied with phenotypic tests including growth rate, colony morphology, and pigmentation, with subsequent PCR- restriction enzyme analysis (PRA and rpoB gene sequence analysis. Mycobacterial strains were isolated from 77 samples (29.8%, comprising 52 (70.1% rapid growing, and 25 (32.4% slow growing mycobacteria. Based on the overall results, M. fortuitum (44.1% was the most common mycobacterial species in hospital water samples, followed by M. gordonae (n=13,16.8% and M. senegalense (n=5, 7.7%. In conclusion, current study demonstrated the NTM strains as one of the major parts of hospital water supplies with probable potential source for nosocomial infections. This finding also help to shed light on to the dynamics of the distribution and diversity of NTM in the water system of hospitals in the region of study.

  7. [Introduction of hospital information system and anesthesia information management system into the perianesthetic practice at Osaka City University Hospital].

    Science.gov (United States)

    Shimizu, Motoko; Tanaka, Katsuaki; Hagiwara, Chie; Ikenaga, Kazutake; Yoshioka, Miwako; Asada, Akira

    2011-06-01

    Recently, the hospital information systems (HIS) and anesthesia information management systems (AIMS) have been rapidly improved and have been introduced into the clinical practice in Japan drastically; however, few reports have detailed their influences on clinical practice. We here report our experience. We introduced HIS (EGMAIN-EX, Fujitsu Co., Ltd.) in our preoperative evaluation clinic and in the postoperative care unit. AIMS (ORSYS, Philips Electronics Japan) was introduced almost only to the intraoperative management. It became easy for us to acquire patient's information and to share it with the medical staffs in the other departments. However, we had to invest large human resources for the introduction and maintenance of the HIS and the AIMS. Though AIMS is more useful in anesthetic management than HIS, it seems to be more suitable for coordination with the medical staffs in the other departments to use HIS for perioperative management than to use AIMS.

  8. A case study: biomedical waste management practices at city hospital in Himachal Pradesh.

    Science.gov (United States)

    Nema, Akansha; Pathak, Aishwarya; Bajaj, Prasad; Singh, Harvinder; Kumar, Sudhir

    2011-06-01

    Proper management of biomedical waste is a crucial issue for maintaining human health and the environment. The waste generated in the hospitals has the potential for spreading infections and causing diseases. The study was conducted by visiting a near by hospital in order to get acquainted with the generation of the biomedical waste and their disposal strategies. The study includes an assortment of details about the quantity of different types of waste generated, their handling, treatment, final disposal and various management strategies adopted by the hospital. The survey was conducted by asking various questions regarding the issue by the waste management team and the workers involved in managing the waste.

  9. Estimating the hospitalization burden associated with influenza and respiratory syncytial virus in New York City, 2003-2011.

    Science.gov (United States)

    Goldstein, Edward; Greene, Sharon K; Olson, Donald R; Hanage, William P; Lipsitch, Marc

    2015-09-01

    Hospitalization burden associated with influenza and respiratory syncytial virus (RSV) is uncertain due to ambiguity in the inference methodologies employed for its estimation. Utilization of a new method to quantitate the above burden. Weekly hospitalization rates for several principal diagnoses from 2003 to 2011 in New York City by age group were regressed linearly against incidence proxies for the major influenza subtypes and RSV adjusting for temporal trends and seasonal baselines. Average annual rates of influenza-associated respiratory hospitalizations per 100 000 were estimated to be 129 [95% CI (79, 179)] for age <1, 36·3 (21·6, 51·4) for ages 1-4, 10·6 (7·5, 13·7) for ages 5-17, 25·6 (21·3, 29·8) for ages 18-49, 65·5 (54·0, 76·9) for ages 50-64, 125 (105, 147) for ages 65-74, and 288 (244, 331) for ages ≥75. Additionally, influenza had a significant contribution to hospitalization rates with a principal diagnosis of septicemia for ages 5-17 [0·76 (0·1, 1·4)], 18-49 [1·02 (0·3, 1·7)], 50-64 [4·0 (1·7, 6·3)], 65-74 [8·8 (2·2, 15·6)], and ≥75 [38·7 (25·7, 52·9)]. RSV had a significant contribution to the rates of respiratory hospitalizations for age <1 [1900 (1740, 2060)], ages 1-4 [117 (70, 167)], and ≥75 [175 (44, 312)] [including chronic lower respiratory disease, 90 (43, 140)] as well as pneumonia & influenza hospitalizations for ages 18-49 [6·2 (1·1, 11·3)] and circulatory hospitalizations for ages ≥75 [199 (13, 375)]. The high burden of RSV hospitalizations among young children and seniors age ≥75 suggests the need for additional control measures such as vaccination to mitigate the impact of annual RSV epidemics. Our estimates for influenza-associated hospitalizations provide further evidence of the burden of morbidity associated with influenza, supporting current guidelines regarding influenza vaccination and antiviral treatment. © 2015 The Authors. Influenza and Other Respiratory Viruses Published by John

  10. Prevalence and incidence of pressure injuries in pediatric hospitals in the city of São Paulo, SP, Brazil.

    Science.gov (United States)

    Pellegrino, Donata Maria de Souza; Chacon, Julieta Maria Ferreira; Blanes, Leila; Ferreira, Lydia Masako

    2017-07-12

    To identify the incidence and prevalence of pressure injuries (PIs) in children admitted to hospitals in the city of São Paulo, and assess the association between sociodemographic and clinical characteristics with hospital-acquired pressure injuries (HAPIs). A total of 543 children were evaluated, and their sociodemographic and clinical data were recorded. Student's t, Wilcoxon, chi-square, and Fisher's exact tests were used to assess associations between risk factors and the occurrence of HAPIs. The proportion comparison test was used to assess the difference between the prevalence assessments performed at 2 different time points. The mean prevalence was 7.1% and the mean incidence was 21.8%. Stage 1 PIs totaled 55% of the occurrences, followed by deep tissue injury, stage 2 PIs, and unstageable PIs. Twenty-five percent of PIs were associated with the use of medical devices. The sociodemographic characteristics significantly associated with HAPIs were white skin color and the absence of a parent or guardian as the patient's companion, whereas the clinical characteristics most significantly associated with HAPIs were hospitalization time greater than 30 days, enteral nutrition pathway, a chronic illness of the central nervous system, vasomotor medication, and mechanical ventilation (p < 0.05). The prevalence of PIs among pediatric patients admitted to hospitals in São Paulo was similar to, and the incidence was higher than the reported international rates. Patients not accompanied by a parent, hospitalized for longer periods and in critical condition were those most affected by PIs. Copyright © 2017 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

  11. [Porto and the construction of the modern city: the case of Hospital Geral de Santo António in the eighteenth and nineteenth centuries].

    Science.gov (United States)

    da Silva, Helena

    2014-01-01

    During a period of demographic and urban growth of the city of Porto, the need arose for a new hospital. The Santa Casa da Misericórdia of Porto, in charge of erecting the new health facility, appointed the British architect John Carr to design the project. By means of the analysis of a set of archival sources and sundry literature on the topic, we examine the criteria chosen for the design and construction of Hospital Geral de Santo António and if it fulfilled expectations, becoming a special space in the city. This article opens up a perspective on the study of the development of the city and the creation of this health facility, contributing to the historical trajectory of hospital architecture.

  12. Pollen exposure and hospitalization due to asthma exacerbations: daily time series in a European city

    Science.gov (United States)

    Osborne, Nicholas J.; Alcock, Ian; Wheeler, Benedict W.; Hajat, Shakoor; Sarran, Christophe; Clewlow, Yolanda; McInnes, Rachel N.; Hemming, Deborah; White, Mathew; Vardoulakis, Sotiris; Fleming, Lora E.

    2017-05-01

    Exposure to pollen can contribute to increased hospital admissions for asthma exacerbation. This study applied an ecological time series analysis to examine associations between atmospheric concentrations of different pollen types and the risk of hospitalization for asthma in London from 2005 to 2011. The analysis examined short-term associations between daily pollen counts and hospital admissions in the presence of seasonal and long-term patterns, and allowed for time lags between exposure and admission. Models were adjusted for temperature, precipitation, humidity, day of week, and air pollutants. Analyses revealed an association between daily counts (continuous) of grass pollen and adult hospital admissions for asthma in London, with a 4-5-day lag. When grass pollen concentrations were categorized into Met Office pollen `alert' levels, `very high' days (vs. `low') were associated with increased admissions 2-5 days later, peaking at an incidence rate ratio of 1.46 (95%, CI 1.20-1.78) at 3 days. Increased admissions were also associated with `high' versus `low' pollen days at a 3-day lag. Results from tree pollen models were inconclusive and likely to have been affected by the shorter pollen seasons and consequent limited number of observation days with higher tree pollen concentrations. Future reductions in asthma hospitalizations may be achieved by better understanding of environmental risks, informing improved alert systems and supporting patients to take preventive measures.

  13. Public management of urban hospitality: a case study of Agua Branca Park, São Paulo city

    Directory of Open Access Journals (Sweden)

    Luciana Carla Sagi

    2008-10-01

    Full Text Available This article is a qualitative study about the public management of Água Branca Park in São Paulo city and its impacts on the hospitality of this area. The research began in 2005 in master's degree in Hospitality at Anhembi Morumbi University and was pursuing independent until 2008. It is examined the three major dimensions of management: administrative and institutional, socio-political and economic-financial. It was possible to see how aspects related to human resources training, political projects of greater magnitude, physical resources, planning systematic and relationships with the various social actors ultimately result in the hospitality that the park offers to its visitors. Água Branca Park is having a good performance in that sense, since the various components of public management appear to be moving towards the park to be an area full of leisure, which includes the 3 D's of Dumazedier (1980: rest, fun and development, minimizing the pressures that affect Sao Paulo metropolis.

  14. Screening for Common Mental Disorders and Substance Abuse among Temporary Hired Cleaners in Egyptian Governmental Hospitals, Zagazig City, Sharqia Governorate

    Directory of Open Access Journals (Sweden)

    RA Abbas

    2012-12-01

    Full Text Available Background: Informal employment is common in developing countries, including Egypt. This type of employment may have significant consequences on mental health. Objectives: To determine the prevalence and risk factors of common mental disorders and substance abuse among temporary hired hospital cleaners. Methods: A cross-sectional study was conducted on 242 adult temporary cleaners and 209 permanent cleaners working in 4 governmental hospitals in Zagazig City, Sharqia Governorate, Egypt. All participants were invited to complete a structured questionnaire through a semi-structured interview which included the self-reporting questionnaire 20 items (SRQ-20 and the work stress scale. Assessment of drug use included urine-based screening tests for common substances abused. Results: The prevalence of job stress, common mental disorders and substance abuse, particularly tramadol and cannabis (Bango, was significantly higher in the studied temporary cleaners compared to permanent cleaners. Risk factors associated with increased susceptibility of the temporary cleaners to common mental disorders were family history of substance abuse, high crowding index, history of physical illness, low educational level, and smoking; while being unmarried, male sex, family history of mental disorder, age ≥40 years, smoking, and length of service ≥8 years, were associated with substance abuse among the same group. Conclusion: Temporary hired hospital cleaners suffered from impaired mental health more than permanent cleaners. Therefore, expanding the coverage of current laws and occupational safety and health standards to cover workers in the informal sector especially in developing countries is recommended.

  15. Glaucoma awareness and knowledge in a tertiary care hospital in a tier-2 city in South India

    Directory of Open Access Journals (Sweden)

    Mridula Prabhu

    2013-01-01

    Full Text Available Background: Awareness of glaucoma is low in spite of being the second leading cause of preventable blindness in the world. Aim: To study the awareness and knowledge levels of glaucoma in a tertiary eye care hospital in a tier-2 city. Materials and Methods: This is a hospital-based crosssectional study. A total of 704 patients attending ophthalmology outpatient department of Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital (SDM Dharwad, aged 40 years and above were administered a questionnaire after a written informed consent to assess their awareness and knowledge levels of glaucoma. Subjects "having heard of glaucoma" even before they were recruited for the study were defined as "aware", and subjects having some understanding of the eye disease were defined as "knowledgeable". Results: Out of 704 subjects recruited for the study, only 34 (4.8% subjects were aware of glaucoma and 22 (3.1% had some knowledge of glaucoma. Determinants of glaucoma awareness were higher levels of education, diabetes, or glaucoma and family history of glaucoma. Conclusion: Awareness and knowledge of glaucoma was very low among the subjects. The findings of the study stress the need for health awareness for effective prevention of blindness due to glaucoma.

  16. Assessment of pharmacy information system performance in selected hospitals in isfahan city during 2011.

    Science.gov (United States)

    Saqaeian Nejad Isfahani, Sakineh; Mirzaeian, Razieh; Habibi, Mahbobe

    2013-01-01

    In supporting a therapeutic approach and medication therapy management, pharmacy information system acts as one of the central pillars of information system. This ensures that medication therapy is being supported and evaluated with an optimal level of safety and quality similar to other treatments and services. This research aims to evaluate the performance of pharmacy information system in three types of teaching, private and social affiliated hospitals. The present study is an applied, descriptive and analytical study which was conducted on the pharmacy information system in use in the selected hospitals. The research population included all the users of pharmacy information systems in the selected hospitals. The research sample is the same as the research population. Researchers collected data using a self-designed checklist developed following the guidelines of the American Society of Health-System Pharmacists, Australia pharmaceutical Society and Therapeutic guidelines of the Drug Commission of the German Medical Association. The checklist validity was assessed by research supervisors and pharmacy information system pharmacists and users. To collect data besides observation, the questionnaires were distributed among pharmacy information system pharmacists and users. Finally, the analysis of the data was performed using the SPSS software. Pharmacy information system was found to be semi-automated in 16 hospitals and automated in 3 ones. Regarding the standards in the guidelines issued by the Society of Pharmacists, the highest rank in observing the input standards belonged to the Social Services associated hospitals with a mean score of 32.75. While teaching hospitals gained the highest score both in processing standards with a mean score of 29.15 and output standards with a mean score of 43.95, and the private hospitals had the lowest mean scores of 23.32, 17.78, 24.25 in input, process and output standards respectively. Based on the findings, the studied

  17. Studying patient safety culture from the viewpoint of staffs in educational hospitals in Tehran City

    Directory of Open Access Journals (Sweden)

    R. Mohebi Far

    2015-04-01

    Conclusion: It should be noted that paying more attention to the patient safety culture can lead to improve hospitals condition, as a whole, and to have a patient-friendly environment. Special attention should be paid to dimensions with the lowest mean score in order to strengthen them.

  18. Burden of Malnutrition in a Tertiary Care Hospital in Baguio City

    OpenAIRE

    2013-01-01

    The objective of this study is to determine prevalence, risk factors, and prognostic impact of malnutrition. Nutritional state was assessed by Subjective Global Assessment (SGA) and body mass index (BMI). Risk factors for malnutrition and effect of malnutrition on morbidity, mortality, and length of hospital stay were analyzed. Prevalence of malnutrition on admission and on discharge was 73%. Risk factors significantly...

  19. Cockroaches ’ bacterial infections in wards of hospitals, Hamedan city, west of Iran

    Directory of Open Access Journals (Sweden)

    Nejati Jalil

    2012-10-01

    Full Text Available Objective: To identify the relationship between different species of cockroaches with their bacterial infection in different wards of Hamedan county hospitals, western Iran. Methods: Using sticky trap, hand collection and glass trap, 250 cockroaches were collected from 14 wards of 5 hospitals. After having their identification determined by detection key, all of them were used to isolate bacteria from cuticle and alimentary tract. Results: From four identified species, Blatella germanica were the most common in all of the wards (88.8% and next was the Periplaneta Americana (8%. 20 bacteria species isolated from cockroaches' surface and 21 from digestive organ. Escherichia coli were the most predominant bacteria isolated from external surface (26.5 % as well as alimentary tract (30.8%. The frequency of investigated bacteria on cockroaches' body surface was not significantly different between Periplaneta Americana and Blattella germanica except for Kllebsiella oxytoca (P<0.001 and Providensia Spp (P=0.035. Also, frequency of detected bacteria in cockroaches' digestive organ was not significantly different between these two species. Furthermore, the frequency of bacteria isolated from the cockroaches' external surface was not significantly different from that of digestive organ except for shigella disantery (P<0.001, Pseudomonas aeroginosa (P<0.001 and Klebsiella oxytoca (P=0.01 3. Conclusions: Since cockroaches can carry pathogenic bacteria, so their existence in the hospitals could be a serious public health problem. It is suggested to compile programs in order to control cockroaches especially in the hospitals.

  20. Air pollution and hospital admissions for asthma in a tropical city: Kaohsiung, Taiwan

    Energy Technology Data Exchange (ETDEWEB)

    Shang-Shyue Tsai; Meng-Hsuan Cheng; Hui-Fen Chiu; Trong-Neng Wu; Chun-Yuh Yang [I-Shou University, Kaohsiung (Taiwan). Department of Health Care Administration

    2006-07-15

    This study was undertaken to determine whether there is an association between air pollutants levels and hospital admissions for asthma in Kaohsiung, Taiwan. Hospital admissions for asthma and ambient air pollution data for Kaohsiung were obtained for the period from 1996 through 2003. The relative risk of hospital admission was estimated using a case-crossover approach, controlling for weather variables, day of the week, seasonality, and long-term time trends. In the single-pollutant models, on warm days ({>=}25{sup o}C) statistically significant positive associations were found in all pollutants except sulfur dioxide. On cool days ({<=} 25{sup o}C) all pollutants were significantly associated with asthma admissions. For the two pollutant models, CO and O{sub 3} were significant in combination with each of the other four pollutants on warm days. On cool days NO{sub 2} remained statistically significant in all the two-pollutant models. This study provides evidence that higher levels of ambient pollutants increase the risk of hospital admissions for asthma.

  1. Correlates of subjective transportation deficiency among older adults attending outpatient clinics in a tertiary care hospital in Mexico City.

    Science.gov (United States)

    Navarrete-Reyes, Ana Patricia; Medina-Rimoldi, Carlos Tonatiuh; Avila-Funes, José Alberto

    2017-02-11

    Older adults frequently report problems of transportation. Little is known about the correlates of transportation deficiency in Latin America. Therefore, the aim of the present study was to determine the correlates of subjective transportation deficiency (STD) among community-dwelling older adults attending a tertiary care hospital in Mexico City. Cross-sectional study of 228 participants aged ≥70 years being followed in any of the outpatient clinics of a tertiary care hospital in Mexico City. Data were obtained through a structured questionnaire. Univariate and multivariate logistic regression analyses were carried out in order to identify the correlates of STD. The mean age of the participants was 79.8 years (SD 6.4) and 67.1% were women. STD was present in 46% of participants. The multivariate logistic regression model showed that female sex, illiteracy, mobility disability and the use of an assistive walking device had an independent and statistically significant association with STD. Female sex, illiteracy, mobility disability and the use of an assistive walking device were independent correlates of STD in the present study. Identifying the frequency and correlates of transportation deficiency in vulnerable populations will allow for the identification and implementation of useful public policies, as well as for the optimization of prevention and treatment strategies in an attempt to preserve mobility and autonomy, especially in low- and middle-income countries where previous work on transportation deficiency is lacking. Geriatr Gerontol Int 2016; ••: ••-••. © 2017 Japan Geriatrics Society.

  2. Annual economic burden of hepatitis B virus-related diseases among hospitalized patients in twelve cities in China.

    Science.gov (United States)

    Zhang, S; Ma, Q; Liang, S; Xiao, H; Zhuang, G; Zou, Y; Tan, H; Liu, J; Zhang, Y; Zhang, L; Feng, X; Xue, L; Hu, D; Cui, F; Liang, X

    2016-03-01

    A nationwide survey of hepatitis B virus (HBV)-associated economic burden has not previously been performed in China. The purpose of this study was to examine the direct, indirect, and intangible costs of HBV-related diseases within the span of one year. A random sample was taken from specialty and general hospitals across 12 cities in six provinces of China. Intangible costs were estimated based on willingness to pay or open-ended answers provided by patients. The results showed that 27 hospitals were enrolled, with a sample population of 4726 patients (77.7% response rate). The average annual costs were $4454.0 (direct), $924.3 (indirect), and $6611.10 (intangible), corresponding to 37.3%, 7.7%, and 55.1% of the total costs, respectively. The direct medical fees were substantially greater than the non-medical fees. Annual indirect costs were divided into outpatient ($112.9) and inpatient ($811.40) loss of income. The intangible costs of chronic HBV were notably higher than either the direct or indirect costs, consistent with the social stigma in China. The comparison amongst individual cities for the average ratio of direct to indirect costs revealed that the sizes of ratios were negatively correlated with the socioeconomic status of the regions. This study suggested that as a whole in China, the HBV-related diseases caused a heavy financial burden which was positively associated with disease severity. Although the intangible costs coincided with a high prevalence of discrimination against CHB patients in Chinese society, our study may serve as future reference for detailed exploration.

  3. Out-of hospital cardiac arrest in Okayama city (Japan: outcome report according to the "Utsutein Style".

    Directory of Open Access Journals (Sweden)

    Hayashi,Hoei

    2005-04-01

    Full Text Available

    The purpose of this study was to evaluate the outcomes for out-of-hospital cardiac arrest (OHCA and cardiopulmonary resuscitation (CPR in the city of Okayama, Japan, during a 1-year period after the reorganization of defibrillation by Emergency Life-Saving Technicians (ELSTs with standing orders of CPR. The data were collected prospectively according to an Utstein style between June 1, 2003 and May 31, 2004; OHCA was confirmed in 363 patients. Cardiac arrest of presumed cardiac etiology (179 was witnessed by a bystander in 62 (34.6% cases. Of this group, ventricular fibrillation (VF was documented in 20 cases (32.3%, and 1 patient (5% was discharged alive without severe neurological disability. This outcome is average in Japan, but it is quite low level compared with Western countries because there is less VF in Japan. The Utstein style revealed that we must try to detect VF before the rhythm changes and to provide defibrillation as soon as possible in order to improve outcomes. Further research will be required to accurately evaluate OHCA in Okayama city.

  4. Eating Cities

    DEFF Research Database (Denmark)

    Mikkelsen, Bent Egberg; Fisker, Anna Marie; Clausen, Katja Seerup

    2016-01-01

    This paper analyzed the development of a city based sustainable food strategy for the city of Aalborg. It’s based on 3 cases of food service: food for the elderly as operated by the Municipality, food the hospital patients as operated by the region and food for defense staff as operated by the st......This paper analyzed the development of a city based sustainable food strategy for the city of Aalborg. It’s based on 3 cases of food service: food for the elderly as operated by the Municipality, food the hospital patients as operated by the region and food for defense staff as operated...

  5. Notes on risks analysis and security management in a hospital organization: a case study in a city of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Priscila Carneiro Hamada

    2016-04-01

    Full Text Available This study aimed to analyze the processes of security management in a hospital in a big city at Rio de Janeiro’s State. The research method used was case study, strategy chosen by include both direct observation as a series of interviews. The obtained results allowed to highlight the importance of security management in a hospital, educate employees, assess risk scenarios, control the logistics flows of patients and contaminated products and waste.

  6. Depression prevalence in Intensive Care Unit nursing workers: a study at hospitals in a northwestern city of São Paulo State

    OpenAIRE

    de Vargas, Divane; Dias,Ana Paula Vieira

    2011-01-01

    This study aimed to estimate the prevalence of depression in nursing staff working in Intensive Care Units of hospitals from a city in Northwestern São Paulo State - Brazil, examining its association with participants' socio-demographic characteristics. The Beck Depression Inventory was applied to a sample of 67 nursing workers from three general hospitals, showing an 28.4% prevalence of depression. The analysis based on the multiple model showed a significant association between depressi...

  7. [Frequency and antimicrobial resistance of Acinetobacter species in a university hospital of Buenos Aires City].

    Science.gov (United States)

    Rodríguez, Carlos Hernán; Nastro, Marcela; Dabos, Laura; Vay, Carlos; Famiglietti, Angela

    2014-01-01

    Two-hundred Acinetobacter isolates belonging to 200 patients admitted to Hospital de Clínicas José de San Martín during the period March 2013-June 2014 were analyzed. The identification was performed by mass spectrometry and was confirmed by molecular methods. Susceptibility to antimicrobials was studied by the Vitek-2 system. A 94% correlation of both identification methods was found. Multidrug resistant Acinetobacter baumannii was the predominant genomic species (92.6%) in hospital-acquired infections, whereas Acinetobacter pitti and Acinetobacter nosocomialis accounted for 3.5% and 0.5% of the isolates recovered, respectively. In community-acquired infections a major predominance of the different genomic species was observed. Acinetobacter johnsonii and A. baumannii are the most frequent species, accounting for 45.9% of the isolates recovered. Resistance to carbapenems and minocycline was only observed in A. baumannii. Mass spectrophotometry was an effective tool for the identification of the different genomic species.

  8. Ecotoxicological and Genotoxic Evaluation of Buenos Aires City (Argentina Hospital Wastewater

    Directory of Open Access Journals (Sweden)

    Anahí Magdaleno

    2014-01-01

    Full Text Available Hospital wastewater (HWW constitutes a potential risk to the ecosystems and human health due to the presence of toxic and genotoxic chemical compounds. In the present work we investigated toxicity and genotoxicity of wastewaters from the public hospital of Buenos Aires (Argentina. The effluent from the sewage treatment plant (STP serving around 10 million inhabitants was also evaluated. The study was carried out between April and September 2012. Toxicity and genotoxicity assessment was performed using the green algae Pseudokirchneriella subcapitata and the Allium cepa test, respectively. Toxicity assay showed that 55% of the samples were toxic to the algae (%I of growth between 23.9 and 54.8. The A. cepa test showed that 40% of the samples were genotoxic. The analysis of chromosome aberrations (CA and micronucleus (MN showed no significant differences between days and significant differences between months. The sample from the STP was not genotoxic to A. cepa but toxic to the algae (%I = 41%, showing that sewage treatment was not totally effective. This study highlights the need for environmental control programs and the establishment of advanced and effective effluent treatment plants in the hospitals, which are merely dumping the wastewaters in the municipal sewerage system.

  9. Studying Patient Safety Culture from the Viewpoint of Nurse in educational hospitals Ilam City

    Directory of Open Access Journals (Sweden)

    Milad Borji

    2016-12-01

    Full Text Available Introduction: Patient safety culture is the first necessary step to reduce medical errors and improve patient's condition. In this context, this article aims at studying the condition of patient safety culture in hospitals in Elam in 2016. Materials and Methods: In this cross-sectional study, 150 nurses in Ilam were randomly selected. The Culture Hospital Survey on Patient Safety (HSOPSC was used and its reliability and validity had been confirmed by the previous studies. The data were analyzed by SPSS17. Results: The results showed that the nurses' safety was at positive(62.37± 8.70 and there could be found no significant difference in patient safety among the studied hospitals in this article (P<.05. Extra-organizational teamwork and non-punitive response, among the aspects of patient safety, had the lowest means and organizational learning and general understanding had the highest. Conclusion: Considering the importance of patient safety, the interventions need to be performed in order to improve the patient safety condition among nurses, especially in two aspects of extra-organizational teamwork and non-punitive response that had the lowest means.

  10. Using Social Media to Perform Local Influenza Surveillance in an Inner-City Hospital: A Retrospective Observational Study.

    Science.gov (United States)

    Broniatowski, David Andre; Dredze, Mark; Paul, Michael J; Dugas, Andrea

    2015-01-01

    Public health officials and policy makers in the United States expend significant resources at the national, state, county, and city levels to measure the rate of influenza infection. These individuals rely on influenza infection rate information to make important decisions during the course of an influenza season driving vaccination campaigns, clinical guidelines, and medical staffing. Web and social media data sources have emerged as attractive alternatives to supplement existing practices. While traditional surveillance methods take 1-2 weeks, and significant labor, to produce an infection estimate in each locale, web and social media data are available in near real-time for a broad range of locations. The objective of this study was to analyze the efficacy of flu surveillance from combining data from the websites Google Flu Trends and HealthTweets at the local level. We considered both emergency department influenza-like illness cases and laboratory-confirmed influenza cases for a single hospital in the City of Baltimore. This was a retrospective observational study comparing estimates of influenza activity of Google Flu Trends and Twitter to actual counts of individuals with laboratory-confirmed influenza, and counts of individuals presenting to the emergency department with influenza-like illness cases. Data were collected from November 20, 2011 through March 16, 2014. Each parameter was evaluated on the municipal, regional, and national scale. We examined the utility of social media data for tracking actual influenza infection at the municipal, state, and national levels. Specifically, we compared the efficacy of Twitter and Google Flu Trends data. We found that municipal-level Twitter data was more effective than regional and national data when tracking actual influenza infection rates in a Baltimore inner-city hospital. When combined, national-level Twitter and Google Flu Trends data outperformed each data source individually. In addition, influenza

  11. Performance of Implementing Guideline Driven Cervical Cancer Screening Measures in an Inner City Hospital System

    Science.gov (United States)

    Wieland, Daryl L.; Reimers, Laura L.; Wu, Eijean; Nathan, Lisa M.; Gruenberg, Tammy; Abadi, Maria; Einstein, Mark H.

    2013-01-01

    Objective In 2006, the American Society for Colposcopy and Cervical Pathology (ASCCP) updated evidence based guidelines recommending screening intervals for women with abnormal cervical cytology. In our low-income inner city population, we sought to improve performance by uniformly applying the guidelines to all patients. We report the prospective performance of a comprehensive tracking, evidence-based algorithmically driven call-back and appointment scheduling system for cervical cancer screening in a resource-limited inner city population. Materials and Methods Outreach efforts were formalized with algorithm-based protocols for triage to colposcopy, with universal adherence to evidence-based guidelines. During implementation from August 2006 through July 2008, we prospectively tracked performance using the electronic medical record with administrative and pathology reports to determine performance variables such as the total number of Pap tests, colposcopy visits, and the distribution of abnormal cytology and histology results, including all CIN 2,3 diagnoses. Results 86,257 gynecologic visits and 41,527 Pap tests were performed system-wide during this period of widespread and uniform implementation of standard cervical cancer screening guidelines. The number of Pap tests performed per month varied little. The incidence of CIN 1 significantly decreased from 117/171 (68.4%) the first tracked month to 52/95 (54.7%) the last tracked month (p=0.04). The monthly incidence rate of CIN 2,3, including incident cervical cancers did not change. The total number of colposcopy visits declined, resulting in a 50% decrease in costs related to colposcopy services and approximately a 12% decrease in costs related to excisional biopsies. Conclusions Adherence to cervical cancer screening guidelines reduced the number of unnecessary colposcopies without increasing numbers of potentially missed CIN 2,3 lesions, including cervical cancer. Uniform implementation of administrative

  12. Evaluating a decade of exposures to blood and body fluids in an inner-city teaching hospital.

    Science.gov (United States)

    Treakle, Amy M; Schultz, Maureen; Giannakos, George P; Joyce, Patrick C; Gordin, Fred M

    2011-09-01

    To analyze a decade of hospital staff and student exposures to blood and body fluids (BBF) and to identify risk factors relevant to prevention strategies. Retrospective review of a 1999-2008 data set of BBF exposures. The data, maintained by occupational health staff, detailed the type of exposure, the setting in which the exposure occurred, and the occupational group of the BBF-exposed personnel. Washington DC Veterans Affairs Medical Center (VA-DC), an inner-city tertiary care hospital. All healthcare workers and staff at the VA-DC. Review of database. A review of 10 years of data revealed 564 occupational exposures to BBF, of which 66% were caused by needlesticks and 20% were caused by sharp objects. Exposures occurred most often in the acute care setting (which accounted for 39% of exposures) and the operating room (which accounted for 22%). There was a mean of 4.9 exposures per 10,000 acute care patient-days, 0.5 exposures per 10,000 long-term care patient-days, and 0.35 exposures per 10,000 outpatient visits. Housestaff accounted for the highest number of all exposures (196 [35%]). There were, on average, 15.2 exposures per 100 housestaff full-time equivalents. An average of only 1 exposure per year occurred in the hemodialysis center.  Occupational exposures to BBF remain common, but rates vary widely by setting and occupational group. Overall rates are steady across a decade, despite the use of various antiexposure devices and provider education programs. Targeting occupational groups and hospital settings that have been shown to have the highest risk rates should become foundational to future preventative strategies.

  13. Burden of Malnutrition in a Tertiary Care Hospital in Baguio City

    Directory of Open Access Journals (Sweden)

    Rosemarie J. Dominguez

    2013-09-01

    Full Text Available The objective of this study is to determine prevalence, risk factors, and prognostic impact of malnutrition. Nutritional state was assessed by Subjective Global Assessment (SGA and body mass index (BMI. Risk factors for malnutrition and effect of malnutrition on morbidity, mortality, and length of hospital stay were analyzed. Prevalence of malnutrition on admission and on discharge was 73%. Risk factors significantly associated with malnutrition were severity of primary diagnosis (odds ratio [OR] = 3.42, 95% confidence interval [CI] = [2.26, 5.18], p < .0001, age (p < .001, and presence of comorbidities (OR = 1.67, 95% CI = [1.13, 2.46], p < .013. Malnourished patients had longer hospital stay (5.1 ± 4.9 days, p < .0001 and higher risk of dying (OR = 6.38, 95% CI = [1.14, 135.80], p < .030, and were more likely to be confined for more than 7 days (OR = 4.20, 95% CI = [1.89, 9.34], p < .001. The study concludes that malnutrition is prevalent on admission and discharge. Malnourished patients are older, suffer more serious disease, and have comorbidities. Complications risk is higher if malnourished.

  14. Laparoscopic management of pancreatic pseudocysts: experience at a general hospital in Mexico City.

    Science.gov (United States)

    Crisanto-Campos, B A; Arce-Liévano, E; Cárdenas-Lailson, L E; Romero-Loera, L S; Rojano-Rodríguez, M E; Gallardo-Ramírez, M A; Cabral-Oliver, J; Moreno-Portillo, M

    2015-01-01

    Invasive management of pancreatic pseudocysts (PP) is currently indicated in those patients with symptoms or complications. Treatment options are classified as surgical (open and laparoscopic) and non-surgical (endoscopic and radiologic). To describe the morbidity, mortality, and efficacy in terms of technical and clinical success of the laparoscopic surgical approach in the treatment of patients with PP in the last 3 years at our hospital center. We included patients with PP treated with laparoscopic surgery within the time frame of January 2012 and December 2014. The morbidity and mortality associated with the procedure were determined, together with the postoperative results in terms of effectiveness and recurrence. A total of 38 patients were diagnosed with PP within the last 3 years, but only 20 of them had invasive treatment. Laparoscopic surgery was performed on 17 of those patients (mean pseudocyst diameter of 15.3, primary drainage success rate of 94.1%, complication rate of 5.9%, and a 40-month follow-up). The results obtained with the laparoscopic technique used at our hospital center showed that this approach is feasible, efficacious, and safe. Thus, performed by skilled surgeons, it should be considered a treatment option for patients with PP. Copyright © 2015 Asociación Mexicana de Gastroenterología. Published by Masson Doyma México S.A. All rights reserved.

  15. Hospitals

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of Hospitals for 50 states and Washington D.C. , Puerto Rico and US territories. The dataset only includes hospital facilities and...

  16. Audit of antibiotic therapy in surgical neonates in a tertiary hospital in Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Osifo Osarumwense

    2011-01-01

    Full Text Available Objective: To report the outcome of commonly used antibiotic combinations in surgical neonates in sub-Saharan African settings. Methods: A retrospective analysis that determines the outcome of commonly combined antibiotics in surgical neonates between January 2006 and December 2008 at two referral paediatric surgical centres in Benin city was carried out. Results: Ampicillin ampiclox, metronidazole, gentamicin, cefuroxime and ceftriaxone were variously combined in the management of 161 neonates with a mean age at presentation of 9.2 ± 2.6 days, mean weight 3.1 ± 1.4 kg and a male:female ratio 1.6:1. Polymicrobial postoperative wound infections and sepsis caused by Staphylococcus aureus, Escherichia coli, Neisseria meningitidis, Klebsiella pneumonia, Pseudomonas aeroginosa and anaerobes, were mainly encountered. The most common aerobes isolated from wound cultures were S. aureus and P. aeroginosa while the ones from that of blood cultures were E. coli and K. pneumonia. Overall postoperative infections recorded were: wound infection 19 (11.8%, sepsis 16 (9.9% and sepsis-related deaths 6 (3.7%. Conclusion: Combinations of gentamicin/metronidazole/cefuroxime and gentamicin/cefuroxime were adequate for gastrointestinal and extra-gastrointestinal neonatal operations, respectively, in these sub-Saharan African settings, which may be useful in similar regions.

  17. Prevalence of intestinal parasites among patients of a tertiary hospital in Benin city, Nigeria

    Directory of Open Access Journals (Sweden)

    Frederick Olusegun Akinbo

    2011-01-01

    Full Text Available Background : Intestinal parasitic infections have been described as constituting the greatest single worldwide cause of illness and disease. Aim : The objective of this study is to investigate the prevalence of intestinal parasitic infections in relation to sex and age as well as seasons of the year in Benin city, Nigeria. Materials and Methods : The stool samples were processed using saline and iodine mounts and examined microscopically for ova and cysts of parasites. Results : The overall prevalence of intestinal parasitic infections was 3.9% while gender and season had no correlation with the prevalence of intestinal parasites (P = 0.548, P = 0.696. There was a significant relationship between intestinal parasitic infection and age (P < 0.033. Ascaris lumbricoides was the most prevalent (51.4% while Entamoeba histolytica had the least prevalence (5.4%. Conclusion : The results of this study concluded that 36 patients were infected with various intestinal parasites and that age significantly affected the prevalence of parasitic infections. Effective treatment of infected patients and improved sanitary habits is advocated.

  18. Morbidity following Mexico City's 1985 earthquakes: clinical and epidemiologic findings from hospitals and emergency units.

    Science.gov (United States)

    Sánchez-Carrillo, C I

    1989-01-01

    Medical records of 822 inpatients and outpatients cared for by the Department of the Federal District medical services during the 1985 Mexico City earthquakes were reviewed. Record incompleteness varied between 92.8 percent and 14.0 percent for the various study variables. No gender differences were detected among the groups; more than 70.0 percent of the patients were ages 15 to 64 years. Multiple traumatic injuries were frequent for inpatients across age groups, while simple contusions were more frequent among outpatients. Multiple head traumas, thorax-abdomen multiple traumas, and simple fractures of an arm or leg were more frequently recorded for inpatients than for outpatients. Head wounds with contusions; simple contusion of the thorax-abdomen, arms, and legs; and psychological trauma were more frequently recorded for outpatients. Although a great many records were incomplete, the data may reflect what actually happened to these patients, given the similarity of the findings with other reports of disasters. Improved record keeping during emergencies is needed to standardize the quantity and the reliability of the data so that statistical and medical care requirements are soundly based. The use of standard questionnaires for data collection is stressed to facilitate the management of clinical and epidemiologic activities. Longitudinal studies are needed to determine patterns of physical injuries, psychological trauma, and survival.

  19. Investigating Pharmacovigilance Challenges by Nurses of Hospitals Dependent on Medical Sciences University of Ahvaz City

    Directory of Open Access Journals (Sweden)

    Azam Cheraghi Seyfabad,

    2016-06-01

    Full Text Available The present research was conducted in 2015 with purpose of determining pharmacovigilance challenges by nurses of Ahvaz hospitals. The method of research was descriptive and analytical. Research population included nurses of hospitals dependent on Medical Sciences University of Ahvaz that contained 8 hospitals. The number of research samples was estimated to be 259 persons. And data collection tool was a researcher-made questionnaire which evaluated 7 aspects of nurses’ drug safety issues; and in order to analyze questions the mean value of questions was calculated using SPSS Version 20 Software. Research findings showed that nurses were mostly women and married, had university degree of B.A and have participated in training courses in relation to drug safety issues. Most members of working shift were busy with working and employment of most of them was contractual. The main challenges were respectively as following: the field of record and report-writing with mean and standard deviation of observing drug safety standards score as equal to 17/96±17/41; the field of after drug treatment with mean and standard deviation of observing drug safety standards score as equal to18/28±2/42; the field of pharmaceutical services management with mean and standard deviation of observing drug safety standards score as equal to 24/58±2/76; field of patient preparation with mean and standard deviation of observing drug safety standards score as equal to 27/78±2/62; field drug provision with mean and standard deviation of observing drug safety standards score as equal to 35/67±2/87; field of receiving pharmaceutical orders with mean and standard deviation of observing drug safety standards score as equal to 40/12±3/19 and maintenance and preparation of drug with mean and standard deviation of observing drug safety standards score as equal to 42/21±4/22. The highest challenge was related to record and report-writing index and the lowest challenge was

  20. [Etiological agents of dermatomycoses isolated in a hospital of Santa Fe City, Argentina].

    Science.gov (United States)

    Nardin, M E; Pelegri, D G; Manias, V G; Méndez, E de los A

    2006-01-01

    Superficial mycoses are limited to skin, hair, nails and mucous membranes. The most common etiological agents are dermatophytes and yeasts of Candida genus. The aim of this work was to know the etiological agents of dermatomycoses and their clinical presentation. Were analized 2073 samples of skin, hair, nails, and oral mucous membranes obtained from 1817 patients who attended the Microbiology Branch of the Central Laboratory at Dr. J. M. Cullen Hospital, since September 1999 to September 2003. The samples were examined and identified according to the localization and type of lesion. Out of the total samples 55.67% were positive; 63% were recovered from females, and 37% from males. The most common localization was the skin. Trichophyton rubrum was the most frequent dermatophyte, and among yeasts, Candida albicans was the prevalent species. Fourteen non-dermatophytic fungi (Fusarium spp. and Aspergillus spp.) were isolated, and considered emergent pathogens from superficial mycoses.

  1. Sporothrix schenckii in a hospital and home environment in the city of Pelotas/RS - Brazil

    Directory of Open Access Journals (Sweden)

    Antonella S. Mattei

    2011-12-01

    Full Text Available This study describes the isolation of S. schenckii in hospital and home environments in Brazil. Samples were collected from surfaces of a veterinary service place and at home. S. schenckii was detected in 1.5% of the samples from the hospital environment. However, this fungus was isolated from all sampled areas in home environments. The isolation of S. schenckii deonstrates that these surfaces could act as infection sources to anials and huans. Therefore, employees and pet owners could be exposed to this agent, and the contamination, through surfaces, could occur through the traumatic inoculation of the fungus or by direct contact with pre-existing lesions.Esse estudo descreve o isolamento de S. schenckii em ambiente hospitalar e domiciliar, no Brasil. Foram colhidas amostras de superfície de local de atendimento veterinário e ambiente domiciliar. S. schenckii foi isolado em 1,5% das amostras do ambiente hospitalar. Entretanto, esse fungo foi isolado em todas as amostras do ambiente domiciliar. O isolamento do S. schenckii demonstra a importância dessas superfícies atuarem como fontes de infecção para animais e humanos. Portanto, funcionários e proprietários de animais de estimação estariam expostos a esse agente e a contaminação, através das superfícies, poderia ocorrer pela inoculação traumática do fungo ou pelo contato direto com lesões pré-existentes.

  2. Evaluation of Retention in Methadone Treatment in Patients Attending Baharan Hospital Clinic in Zahedan City

    Directory of Open Access Journals (Sweden)

    M.D. Mohebi

    2015-04-01

    Full Text Available Introduction & Objectives: Substance abuse and opioid dependency refers to hazardous use of psychoactive substance .Prevention and treatment of opiate dependence has not been success-ful. Most effective drug in agonist treatment of opiates is methadone maintenance therapy (MMT.But the lack of cooperation of addicts in methadone maintenance therapy has always been a big problem to continue. The purpose of this study is to investigate the retention in the MMT. Materials & Methods: This historical cohort study analyzed the medical records of patients of Baharan hospital in Zahedan. All 912 cases of methadone maintenance clinic of Baharan hos-pital in Zahedan 2011-2012 were studied and the data were analyzed using SPSS. Tables and indexes were analyzed by the Chi-square test and survival curves were plotted using Kaplan–Meier method and analyzed by Log-Rank test. Results: This study reviewed records from 912 patients with a mean age of 34.67% and stan-dard deviation of 10.88 and the range of 15-86 years. 735 were male and 177 ware female. 1-moth retention rate was 71%, 3 months was 59%, 6 months was 47%, 1 year was 30% and 2 years was 17%. Kaplan-Meier median survival time of 8 months was estimated by relation-ship. Doses higher than 60 mg/d of methadone was associated with increased survival on MMT. Conclusion: Age increase, increase of employment time, increasing of the duration of drug abuse, increasing the daily dose of methadone, oral substance abuse increased retention rate and heroin abuse and smoking were associated with decrease retention rate of methadone maintenance therapy. So, with an emphasis on each of these factors effective steps can be taken to improve the cooperation of patients in MMT. (Sci J Hamadan Univ Med Sci 2015; 22 (1:30-36

  3. Avviamento critico allo studio della dialettologia italiana, I. Problemi e metodi, Pacini Erutore, Pisa, 1969

    Directory of Open Access Journals (Sweden)

    Žarko Muljačić

    1971-12-01

    Full Text Available La dialettologia, come del resto quasi tutta la linguistica ottocentesca, era di prevalenza storica, si interessava cioè allo sviluppo dei vari idiomi, seguendo i loro cambiamenti, uno a uno, lungo l'asse del tempo. Il criterio orizzontale o sincronico è stato impiegato poi con gran successo dallo strutturalismo »classico« il quale, in nn seoondo tempo, perfezionò anche i metodi della ricerca diacronica confrontando tra di loro due o più livelli sincronici appartenenti a epoche diverse. Mancava però a tale indirizzo la dimensione sociale, ossia il sistema linguistico delle parlate, dei dialetti e dei gruppi dialettali veniva considerato come se fosse omogeneo e venivano lasciate in disparte le differenze dovute all'origine sociale dei parlanti. Questa terza dimensione, il cosiddetto spessore sociale, è ora valorizzata in pieno dalla dialettologia piil recente che non si limita soltanto allo studio dei dialetti della campagna ma anche affronta con ooraggio 1o studio dei oosiddeti dialetti urbani.

  4. Falling through the cracks? Missed opportunities for earlier HIV diagnosis in a New York City Hospital.

    Science.gov (United States)

    Nakao, Jolene H; Wiener, Dan E; Newman, David H; Sharp, Victoria L; Egan, Daniel J

    2014-10-01

    Summary Newly diagnosed HIV-positive patients have frequent health care encounters prior to diagnosis representing missed opportunities for diagnosis. This study determines the proportion of patients with new HIV diagnoses with encounters in the 3 years prior to diagnosis. We describe the characteristics of newly diagnosed patients and of "late testers" (CD4 diagnosis). We identified all newly diagnosed with HIV in emergency department, inpatient, and outpatient settings between May 1, 2006, and December 31, 2009. Data abstractors searched hospital records to identify all emergency department, inpatient, and outpatient visits for the 3 years prior to diagnosis. In all, 23,271 HIV tests were performed and 253 persons were newly diagnosed (1.1%); 152 new positives (60.1%) made at least one prior visit. Of patients with CD4 counts available, 104/175 (59.4%) had CD4 HIV-positive patients had multiple encounters prior to diagnosis. Many of these patients presented with CD4 counts below 200 cells/mm(3), indicating true missed opportunities for earlier diagnosis.

  5. The role of echocardiography in Staphylococcus aureus bacteraemia at Auckland City Hospital.

    Science.gov (United States)

    Gow, Nicholas; Lowe, Boris S; Freeman, Joshua; Roberts, Sally

    2015-06-12

    Current guidelines recommend echocardiography in all episodes of Staphylococcus aureus bacteraemia (SAB). This study aimed to determine whether a very low-risk group of patients with SAB could be found in whom echocardiography was of no incremental diagnostic value for the diagnosis of infective endocarditis. Using the ANZCOSS dataset, we identified 574 eligible episodes of adult SAB at Auckland District Health Board (ADHB) between 2007 and 2012, and retrospectively obtained additional microbiological and clinical data. Prevalence of IE was determined using the modified Duke's criteria for diagnosis of IE. Multivariate logistic regression analysis was used to determine whether risk factors were independently associated with IE, and we also assessed their negative predictive value (NPV). Transthoracic and/or transoesophageal echocardiography was performed in 370 (65%) episodes of SAB. The prevalence of clinically definite and clinically possible IE was 5.6% and 8.5%, respectively. Thirty day all-cause mortality was 11.7%. The factors with the highest NPV when absent in hospital-acquired SAB were non central venous line-associated bacteraemia (100%), persistent bacteraemia (96%), and presence of a prosthetic valve or cardiac rhythm management (CRM) device (95%). When none of these three criteria were present the NPV was 100% (99-100%). A group of very low risk patients was found in our study: central line-associated SAB without prosthetic valves / CRM devices and without persistent bacteraemia. These patients had no episodes of IE and echocardiography is of no incremental diagnostic benefit.

  6. Clonal dissemination of VanA-type glycopeptide-resistant Enterococcus faecalis between hospitals of two cities located 100 km apart

    Directory of Open Access Journals (Sweden)

    Moretti M.L.

    2004-01-01

    Full Text Available Nosocomial dissemination of glycopeptide-resistant enterococci represents a major problem in hospitals worldwide. In Brazil, the dissemination among hospitals in the city of São Paulo of polyclonal DNA profiles was previously described for vancomycin-resistant Enterococcus faecium. We describe here the dissemination of VanA phenotype E. faecalis between two hospitals located in different cities in the State of São Paulo. The index outbreak occurred in a tertiary care university hospital (HCUSP in the city of São Paulo and three years later a cluster caused by the same strain was recognized in two patients hospitalized in a private tertiary care hospital (CMC located 100 km away in the interior of the state. From May to July 1999, 10 strains of vancomycin-resistant E. faecalis were isolated from 10 patients hospitalized in the HCUSP. The DNA genotyping using pulsed-field gel electrophoresis (PFGE showed that all isolates were originated from the same clone, suggesting nosocomial dissemination. From May to July 2002, three strains of vancomycin-resistant E. faecalis were isolated from two patients hospitalized in CMC and both patients were colonized by the vancomycin-resistant Enterococcus in skin lesions. All isolates from CMC and HCUSP were highly resistant to vancomycin and teicoplanin. The three strains from CMC had minimum inhibitory concentration >256 µg/ml for vancomycin, and 64 (CMC 1 and CMC 2 and 96 µg/ml (CMC 3 for teicoplanin, characterizing a profile of VanA resistance to glycopeptides. All strains had the presence of the transposon Tn1546 detected by PCR and were closely related when typed by PFGE. The dissemination of the E. faecalis VanA phenotype among hospitals located in different cities is of great concern because E. faecalis commonly colonizes the gastrointestinal tract of patients and healthy persons for periods varying from weeks to years, which, together with the persistence of vancomycin-resistant Enterococcus in

  7. Zinc phosphide toxicities among patients of the University of Benin Teaching Hospital, Benin city, Nigeria: A 10 year experience

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    S E Aghahowa

    2012-01-01

    Full Text Available Background: Due to the poor success rate associated with zinc phosphide ingestion, it became necessary to assess the incidence. Objective: To assess the incidence of zinc phosphide toxicities reported between June 2000 and June 2009 in the University of Benin Teaching Hospital, Benin City, Nigeria. Material and Method : Data were sourced from the archives of casualties of zinc phosphide poisoning. These were entered into a generated case data form after obtaining an ethical permission. Results: All the ages of the 23 casualties reported were within 37.74±13.20 years. The male-female ratio was 4.75:1. Nineteen [78.26%] died after reporting 13.52±11.34 hours following single ingestion. Twenty cases were due to suicidal tendencies; the most common reason given was because of frustration in life related to marital affairs. Among the three unintentional, two were accidental while the other was due to assassination. Postmortem was refused in all the patients that died. One attempted herbal medication. Oil and milk were the most frequent solvents used at home as first-aid care therapy. Three were unintentional. Nine came with empty sachets and containers brought by relatives. Sodium chloride intravenous infusion was the most frequently used. Duration of hospitalization was 13.38±15.60 hours. Intravenous ciprofloxacin and metronidazole were the most common antibiotics used. Oxygen was instituted in 78.26% of the victims during respiratory distress. One ate meal prepared from poisoned rodent and died after reporting. One had alcohol along with the Zinc Phosphide ingestion. Nine were reported at the drug and poison information centre. Conclusion: Attention is needed by all for proper regulation in the handling of poisons and related substances to reduce burden minimally.

  8. Clinico-epidemiological profile of tobacco users attending a tobacco cessation clinic in a teaching hospital in Bangalore city

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    George D′Souza

    2012-01-01

    Full Text Available Background: Tobacco-attributable mortality in India is estimated to be at least 10%. Tobacco cessation is more likely to avert millions of deaths before 2050 than prevention of tobacco use initiation. Objective: To describe the clinico-epidemiological profile of attendees of a tobacco cessation clinic in a teaching hospital in Bangalore city. Materials and Methods: A descriptive study of 189 attendees seen over 2 years in the Tobacco Cessation Clinic of a tertiary-care teaching hospital in Bangalore, with information on socio demographic characteristics, tobacco-use details, nicotine dependence, family/medical history, past quit attempts, baseline stage-of-change, and treatment initiated. Results: Only 5% were ′walk-in′ patients; 98% of attendees were smokers; 97% were males. The mean (±SD age of attendees was 48.0 (±14.0 years. Most participants were married (88%, and predominantly urban (69%. About 62% had completed at least 8 years of schooling. Two-thirds of smokers reported high levels of nicotine dependence (Fagerström score >5/10. About 43% of patients had attempted quitting earlier. Four-fifths (79% of tobacco-users reported a family member using tobacco. Commonly documented comorbidities included: Chronic respiratory disease (44%, hypertension (23%, diabetes (12%, tuberculosis (9%, myocardial infarction (2%, stroke (1%, sexual dysfunction (1% and cancer (0.5%. About 52% reported concomitant alcohol use. At baseline, patients′ motivational stage was: Precontemplation (14%, contemplation (48%, preparation/action (37% and maintenance (1%. Treatment modalities started were: Counseling alone (41%, nicotine replacement therapy alone (NRT (34%, medication alone (13%, and NRT+medication (12%. Conclusions: This is the first study of the baseline profile of patients attending a tobacco cessation clinic located within a chest medicine department in India. Important determinants of outcome have been captured for follow-up and prospective

  9. Typhoid Fever in an inner city hospital: a 5-year retrospective review.

    Science.gov (United States)

    Farmakiotis, Dimitrios; Varughese, Julie; Sue, Paul; Andrews, Phyllis; Brimmage, Mary; Dobroszycki, Joanna; Coyle, Christina M

    2013-01-01

    Typhoid is a leading cause of fever in returning travelers. The prevalence is highest in migrants visiting friends and relatives (VFR travelers) in the Indian subcontinent, where reports of resistance have been of concern. This study is a retrospective analysis of patients with typhoid, seen over a 5-year period, in a tertiary center that serves a large immigrant population. Patients with blood cultures positive for Salmonella Typhi were identified between 2006 and 2010. Charts were reviewed for demographic data, travel history, symptoms and signs, basic laboratory results, susceptibility profiles, treatment, and clinical course. Resistance to nalidixic acid was used as a marker of decreased susceptibility to quinolones. Seventeen patients were identified with S Typhi. The median age was 12 years (range: 2-47 y) and 94% (16 of 17) were hospitalized with a median stay of 7 days; two were admitted to the intensive care unit. Fourteen patients (82%) had a history of recent travel. Twelve were VFR travelers in Bangladesh and Pakistan and two had recently immigrated. In our study, typhoid patients had low eosinophil counts and elevated transaminases. Seventy-six percent (12 of 17) of all isolates were resistant to nalidixic acid, 23.5% (4 of 17) were resistant to ampicillin and co-trimoxazole, and one was resistant to ciprofloxacin. All isolates were susceptible to third-generation cephalosporins. Younger VFR travelers appear to be at greater risk of acquiring infection and developing complications. Absolute eosinopenia and increased liver function test values could be useful early diagnostic clues in a returning traveler with fever, once malaria has been excluded. There was a high rate of decreased susceptibility to fluoroquinolones, confirming that the use of third-generation cephalosporins or macrolides in patients from the Indian subcontinent is most appropriate. Prevention in VFR travelers to South Asia is critical and efforts should be targeted at better education

  10. Risky locations for out-of-hospital cardiopulmonary arrest in a typical urban city

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    Yoshihiro Moriwaki

    2014-01-01

    Full Text Available Background: The aim of this study is to clarify the circumstances including the locations where critical events resulting in out-of-hospital cardiopulmonary arrest (OHCPA occur. Materials and Methods: Subjects of this population-based observational case series study were the clinical records of patients with nontraumatic and nonneck-hanging OHCPA. Results: Of all 1546 cases, 10.3% occurred in a public place (shop, restaurant, workplace, stations, public house, sports venue, and bus, 8.3% on the street, 73.4% in a private location (victim′s home, the homes of the victims′ relatives or friends or cheap bedrooms, where poor homeless people live, and 4.1% in residential institutions. In OHCPA occurring in private locations, the frequency of asystole was higher and the outcome was poorer than in other locations. A total of 181 OHCPA cases (11.7% took place in the lavatory and 166 (10.7% in the bathroom; of these, only 7 (3.9% of OHCPA in the lavatory and none in the bath room achieved good outcomes. The frequencies of shockable initial rhythm occurring in the lavatory and in bath room were 3.7% and 1.1% (lower than in other locations, P = 0.011 and 0.002, and cardiac etiology in OHCPA occurring in these locations were 46.7% and 78.4% (the latter higher than in other locations, P < 0.001. Conclusions: An unignorable population suffered from OHCPA in private locations, particularly in the lavatory and bathroom; their initial rhythm was usually asystole and their outcomes were poor, despite the high frequency of cardiac etiology in the bathroom. We should try to treat OHCPA victims and to prevent occurrence of OHCPA in these risky spaces by considering their specific conditions.

  11. Adult Native Septic Arthritis in an Inner City Hospital: Effects on Length of Stay.

    Science.gov (United States)

    Daynes, Jacob; Roth, Matthew F; Zekaj, Mark; Hudson, Ian; Pearson, Claire; Vaidya, Rahul

    2016-07-01

    The objective of this retrospective study was to assess what factors affected length of stay (LOS) in 183 adult patients with native septic arthritis. Diagnosis was based on a representative physical examination, fluid cell count/Gram stain, and organisms isolated from joint fluid culture. Data included demographics, comorbidities, laboratory results, treatment, and discharge times. Joint fluid cultures were positive in 55% (100 of 183) of the patients, and these patients were the subjects of this study. Blood cultures were taken for 65 patients and were positive in 54%; when positive, they were found to be the same as isolates from joint fluid analysis 91% of the time. Pathogens found in joint fluid analysis were as follows: methicillin-susceptible Staphylococcus aureus (MSSA), 44%; methicillin-resistant S aureus (MRSA), 21%; Streptococcus species, 14%; Pseudomonas, 10%; and other organisms, 11%. Surgical washout less than 24 hours from diagnosis affected LOS (12.25 vs 16.96 days for >24 hours; P<.05), but pathogen type and comorbid conditions did not. Average time for culture sensitivities was 4±1 days. Almost half of the patients had MSSA. Delays that could be controlled were getting an early diagnosis and expedient surgical washout of the joint. A lack of insurance and a requirement of intravenous antibiotics prolonged stay, whereas age, sex, and ethnicity did not. Waiting for bacterial sensitivities was a factor that could not be controlled. The authors believe that polymerase chain reaction or other technologies could lead to early diagnosis and expedient surgery. Effective oral antibiotics against resistant organisms would help the patients leave the hospital earlier. [Orthopedics. 2016; 39(4):e674-e679.].

  12. Candida colonisation in asymptomatic HIV patients attending a tertiary hospital in Benin City, Nigeria

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    Newton O. Esebelahie

    2013-03-01

    Full Text Available Background: Candidiasis is the commonest opportunistic fungal infection in patients infected with human immunodeficiency virus (HIV. CD4+ lymphocyte counts have been found to be a marker of HIV disease progression. Aim: This study focused on determining the spectrum of Candida isolates in urine, stool, and oral specimens among HIV patients in a tertiary hospital. Methods: A total of 300 subjects comprising of 200 HIV patients and 100 non-HIV subjects were used for this study. Three samples (urine, stool, and oral swab were collected from each subject. Each specimen was processed using standard microbiological techniques and emergent Candida isolates were identified with CHROMagar™ Candida and sugar fermentation tests. Results: The overall prevalence of Candida colonisation among HIV patients was 52.5%. HAART-naive patients had a significantly higher prevalence (OR = 3.65; 95% CI = 2.03–6.56; p<0.0001 than their counterpart on highly active antiretroviral therapy (HAART (OR = 1.99; 95% CI = 1.13–3.50; p=0.0232. Female gender was a significant risk factor for acquiring Candida infection (OR = 3.40; 95% CI = 1.14–10.13; p=0.0289. The effect of age on prevalence of candidiasis was observed among HIV patients on HAART (p=0.0161. A CD4+ count <200 cells/µl was a significant risk factor for acquiring candidal infection only among HAART-naive patients (OR = 4.37; 95% CI = 1.60–11.95; p=0.0042. The five species of Candida recovered from this study were C. albicans, C. krusei, C. parapsilosis, C. tropicalis, and C. glabrata. Conclusion: There is a significant relationship between antiretroviral therapy, CD4+ counts, and the prevalence of candidiasis.

  13. Evaluation of communication between physicians and patients in Astana City Hospital №1

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    Anara Zhumadilova

    2014-01-01

    Full Text Available Introduction: Communication between patients and health care providers is important for the effective functioning of health care systems. Miscommunication often stems from discrepancies in expectations of both healthcare professionals and patients due to cultural and historical influences. We investigated the degree to which health care providers (doctors and nurses and patients in Kazakhstan believe that interaction between doctors and patients should be doctor- or patient-oriented. Material and methods: We conducted a cross-sectional study of 163 patients and 176 health care providers (71 doctors and 105 nurses in a general hospital in Astana, Kazakhstan. The subjects completed a structured questionnaire containing the Patient-Practitioner Orientation Scale (PPOS, and scales assessing life and job satisfaction, effort-reward balance of healthcare professionals, and the patients’ perceptions of communication practices. Results: An overwhelming majority of doctors (81.7%, nurses (88.1%, and patients (92.3% were doctor-oriented. Among health care providers, PPOS was not associated with age, sex, life and job satisfaction, or effort-reward imbalance. Among patients, PPOS was not associated with age, sex, or specialty of health care provider. However, higher PPOS among patients (indicating preference for patient-oriented interaction was associated with higher satisfaction with communication with health care providers and, less strongly, with their life satisfaction. Conclusion: The main finding of this study is the very small proportion of doctors, nurses and patients who believe that interaction should be patient-oriented. These results highlight the necessity of improvement of communication among health care providers towards patient-oriented approach in order to decrease miscommunication with patients. The fact that most patients prefer doctor-oriented interaction may reflect historical stereotypes; educational/information interventions among

  14. Tratamiento directamente observado de la tuberculosis en un hospital de la Ciudad de Buenos Aires Directly observed treatment for tuberculosis in a Buenos Aires City hospital

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    Claudio González

    2012-10-01

    Full Text Available Se describe la experiencia en la aplicación del tratamiento directamente observado de tuberculosis (TDO en el período 1/1/1979-31/12/2009 y la comparación de los resultados obtenidos en el periodo 1979-1999 versus los de 2000- 2009. En un hospital de la Ciudad de Buenos Aires, 582 pacientes HIV negativos recibieron inicialmente rifampicina, isoniazida, pirazinamida y etambutol o estreptomicina. En la segunda fase 424 de estos pacientes tratados entre 01/01/1979 y 31/12/1999 (G1, recibieron esquemas bisemanales con rifampicina/isoniazida o isoniazida/estreptomicina y otros 158 pacientes, tratados entre 01/01/2000 y 31/12/2009 (G2 recibieron un esquema bisemanal o trisemanal con rifampicina/isoniazida. Se siguieron las recomendaciones de los programas de control de la Nación y la Ciudad. Los pacientes bajo TDO tuvieron tasas de tratamiento completo más elevadas (82.8% versus 48.7%, (p The outcomes of directly observed therapy of tuberculosis (DOT between 1/1/1979 and 12/31/2009 were analyzed. Results obtained in the 1979-1999 period were compared with those achieved in the 2000-2009 period. In a Buenos Aires City hospital, 582 HIV negative TB patients received rifampin, isoniazid, pyrazinamide and ethambutol or streptomycin in the initial stage, followed by a second stage where patients were included in two groups: G1 composed by 424 patients (period 1/1/1979-12/31/1999 who received either rifampin and isoniazid or rifampin and streptomicin twice a week, and G2, with 158 patients (period 1/1/2000-12/31/2009 who received either rifampin and isoniazid twice or three times a week. National and Buenos Aires City TB Control Programs recommendations were followed. Patients who underwent DOT had higher completeness rates than those included in self-administered therapy (82.8% vs. 48.7%, (p <0.0001. Mean age: 36.3±15.3 years, males: 63.1% and 69.4% were Argentine citizens. A 8.9% had been previously treated, 6.1% had co-morbidities. A 70.6% of

  15. Determination of the prevalence of extended spectrumβ-lactamase in clinical samples collected from Dehradun City Hospital

    Institute of Scientific and Technical Information of China (English)

    Narayan Sharma; Ripan Mujumdar; Rajeev Kumar Gautam

    2016-01-01

    Objective:To detect extended spectrumβ-lactamase (ESBL) and determine its prevalence in various clinical samples collected from Dehradun City Hospital. Methods:The samples were first cultured in MacConkey’s agar plates by streak plate method, then identified by Gram staining and biochemical tests. The isolated bacterial strains were then tested for antibiotic susceptibility by Kirby-Bauer method. TheESBL detection is then carried out by double disc diffusion method. Results: Off the 56 samples cultured, 21 strains were identified which were sixEscherichia coli(E. coli), sixKlebsiella, fourProteus, fourPseudomonas aeruginosa (P. aeruginosa) and only oneAcinetobacter. Eight out of 21 (38.1%) strains including three ofE. coli, three ofKlebsiella and two ofP. aeruginosa, were found to be resistance to all five antibiotics (piperacillin, amikacin, ampicillin, gentamicin, and ciprofloxacin). Initial screening using four antibiotics (cefotaxime, ceftazidime, aztreonam and ceftriaxone) and the final confirmatory test using ceftazidime/clavulanic acid and ceftazidime alone showed that 19.05% of all strains isolated wereESBL producers. Individually, 16.67%E. coli, 16.67%Klebsiella pneumoniae, 25%P. aeruginosa and 100%Acinetobacter were found to beESBL producers. Conclusions:Antibiotic resistance byESBL has become a major risk factor worldwide, therefore routine checkup and accordingly prescription are suggested.

  16. Investigation of Fungal Bioaerosols and Particulate Matter in the Teaching-Medical Hospitals of Khorramabad City, Iran During 2015

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    A Sepahvand

    2016-06-01

    Full Text Available Background and Objective: The presence of fungal bioaerosols in hospitals indoor environments have affected the health of patients with the defect in immunity system. Therefore, determination of the rate and species of these agents is essential. This study aimed to investigate association between fungi contamination and particulate matter (PM10, PM2.5 and PM1 concentrations in the main indoor wards and outdoor environment and to determine I/O ratio in two educational-medical hospitals of Khorramabad City. Materials and Methods: In this description-analytical study, the concentration of fungal bioaerosols and particulate matter was measured in 10 indoor parts and 2 outdoor stations over 6 mounts. The sampling was conducted using Quick Take-30 at an airflow rate of 28.3 L/min and sampling period of 2.5 min onto Sabouraud dextrose agar medium containing chloramphenicol. The particulate matters were measured using Monitor Dust-Trak 8520. Moreover, the relative humidity and temperature were recorded using digital TES-1360. Results: Analysis of 288 fungi samples and 864 particulate matter samples showed that the average of fungi accumulation was 59.75 CFU/m3 and the mean concentrations of PM10, PM2.5 and PM1 in the indoor environment was  27.3, 23, and 20.2 µg/m3 respectively. In addition, in ambient air the mean concentration was 135.3 CFU/m3 for fungal bioaerosols and 40.2, 35.7, and 29.8 µg/m3 for PM10, PM2.5 and PM1 respectively. At the total of fungi samples, 12.5% were negative and 87.5% were positive. Having 101.7%, Infection ward was the most contaminated ward. The operation ward in both hospitals showed the minimum fungal contamination. Conclusions: The results of the present study showed that at all of the samplings the ratio of I/O was lower than one. It was noticed the dominancy of fungal bioaerosols and particulate matter of outdoor source on the indoor environment. In addition, a significant correlation (P < 0.001( was found between

  17. Gli effetti della subgravità e i metodi per riprodurla a terra e in volo

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    G. MEINERI

    1963-06-01

    Full Text Available L'A. enuncia brevemente il problema della subgravità
    descrivendo le principali soluzioni sperimentali escogitate nel corso dell'ultimo
    decennio per rispondere ai vari interrogativi cbe tale particolare caratteristica
    del volo spaziale, clie non trova riscontro in alcuna altra condizione nota
    all'uomo, pone agli studiosi, biologi e tecnici.
    L'A. passa quindi a descrivere i principali metodi e dispositivi per
    riprodurre lo stato di subgravità, distinguendo i sistemi « a terra », auspicabili
    per la loro agevolezza, sicurezza, ma cbe in genere non riproducono che
    taluni aspetti fisiopsicologici dello stato subgravitazionale, dai sistemi, ben
    più indaginosi, che consentono di realizzare stati di subgravità reali e completi
    (voli parabolici, lanci suborbitali e orbitali di missili. Passa infine a
    esporre quanto è stato fatto in questo campo presso il Centro di Studi e
    Ricerche di Medicina Aeronautica e Spaziale di Roma, impiegando la « Torre
    di Subgravità », ideata e costruita presso detto Centro, la quale consente
    di realizzare veri stati di subgravità, sia pure di breve durata, preceduti e
    seguiti da accelerazioni. La « Torre di Subgravità » ha permesso di affrontare
    alcuni problemi inerenti al volo spaziale, soprattutto quelli jtosti dagli stati
    di transizione tra le fasi attive e quella passiva del volo, proponendo soluzioni
    di non trascurabile interesse pratico (comportamento psicomotorio dei
    soggetti, ruolo del labirinto in toto e delle sue singole componenti, ecc..
    L'A. conclude quindi facendo rilevare l'interesse di questa metodica,
    suscettibile di sviluppi anche più ampi, che può ben allinearsi nel campo
    mondiale alle ricerche inerenti al volo spaziale.

  18. Implementation of a radiological safety management system in a hospital of Mexico City; Implementacion de un sistema de gestion de seguridad radiologica en un hospital de la Ciudad de Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Martinez V, D.; Rivera M, T. [CICATA-IPN, 11500 Mexico D.F. (Mexico); Velez D, V. [INER, 14000 Mexico D.F. (Mexico)

    2007-07-01

    Full text: The reflection of this work is based in some radiological accidents that its have happened in some hospital centers or of research. The over exposure of some people is due to the pursuit of the procedures, the lack of quality assurance of the equipment or the inappropriate actions of the technicians. In Mexico one has seen in several hospitals the lack of existence of a Quality Assurance Program to prevent the accidents, the execution of the same ones and those good practices and the lack of Safety Culture makes that the hospital radiological safety it is faulty. The objective of the present work is the implementation of a radiological safety management in a hospital of Mexico City. (Author)

  19. Metody kształtowania bezpieczeństwa pracy z użyciem technologii informatycznych

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    Dariusz Michalak

    2015-04-01

    Full Text Available W artykule zawarto przykłady rozwiązań opracowanych w Laboratorium Metod Modelowania i Ergonomii ITG KOMAG z zakresu kształtowania bezpieczeństwa pracy, z użyciem technologii informatycznych. Można je implementować zarówno na etapie projektowania maszyny, jak i podczas jej eksploatacji. W artykule przedstawiono także innowacyjne metody i środki informatyczne wspomagające bezpieczną realizację czynności utrzymania ruchu oraz realizację szkoleń.

  20. hospital

    African Journals Online (AJOL)

    Pattern of congenital orthopaedic malformations in an African teaching hospital ... malformation in this environment while congenital hip dislocation (CDH) is rare when .... malformations of radial dysplasia and other congenital malformations.

  1. Epidemiological data of patients hospitalized with burns and other traumas in some cities in the southeast of Brazil from 1991 to 1997.

    Science.gov (United States)

    De-Souza, D A; Manço, A R X; Marchesan, W G; Greene, L J

    2002-03-01

    This retrospective analysis of burn patients and victims of other forms of trauma from Ribeirão Preto and nearby cities admitted to hospitals in the city of Ribeirão Preto, São Paulo, Brazil, was carried out to determine the frequency of injuries of all types in order to identify the extent of the problem of burns relative to other forms of trauma. Data concerning 921 patients with burns and 60,344 patients with other traumatic injuries hospitalized during the period from 1991 to 1997 are described. Burns corresponded to 1.5% of the total number of traumatic injuries. When data are reported as absolute numbers or as incidence rate of hospitalized burn patients, burns were two times more frequent among men in most age groups. The case fatality ratio due to burns was 8.4% (77 deaths among 921 patients), with a rate of 6.4% for men and 12.2% for women. The case fatality ratio was higher among women than men regardless of the city of residence. The case fatality ratio was 3.2 and 4.4 times greater for men and women burn victims from other towns than for burn victims from Ribeirão Preto, indicating the need for additional equipment and training of medical and paramedical personnel in the initial measures to be taken with burn patients.

  2. A PROSPECTIVE STUDY OF HEARING IMPAIRMENT IN SCHOOL GOING CHILDREN OF GHAZIABAD CITY ATTENDING A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Saud Lateef chishty

    2014-10-01

    Full Text Available Introduction: Overcrowding, poor hygiene, socio-economic status, climate, lack of resources to avail medical facilities, poor medical awareness have their bearing on the incidence of hearing loss .The family of each hearing-impaired child has its own cultural, social, educational, and financial background, and its own special needs. The aim of this study is to determine the percentage of hearing impaired school going children in Ghaziabad city. Materials and Methods: The material for the present study were a representative sample constituting 1000 school children selected from various localities of Ghaziabad city within age group of 6 — 12 years. The children belonged to all the strata of society and children from both sexes were evaluated for hearing loss and its underlying etiological factors. Children were subjected to detailed ENT examination in our OPD. Results: In the present study sample the incidence of hearing loss is 9.3 %. The maximum cases 60.22 % belonged to the low socio-economic strata. A statistically significant difference of distribution by gender was noticed with a male preponderance (61.29% as against 38.71% for females. The hearing loss in majority of cases was of a mild degree i.e., 26 to 45 dB (34.41% of which majority of cases (87.10% had conductive loss. Wax was the commonest cause of hearing loss (41 .94%. CSOM was found in 21.50 % of all cases. Peak prevalence of hearing loss was found at 8 years of age, again declining after that from 20.43 % to 5.38 % by 12 years of age. Also it was observed that 59.14% children were living in crowded localities of city & 40.86% were living in non- crowded/open locality which is again statistically significant (p< or =0.05 Conclusion: The inferences drawn from the present study substantiates the view point of earlier workers that school screening is the most effective method of diagnosing deafness in school going children and should be extended to all schools in all the areas

  3. Evaluating patients’ perception of service quality at hospitals in nine Chinese cities by use of the ServQual scale

    Institute of Scientific and Technical Information of China (English)

    Min; Li; Douglas; Bruce; Lowrie; Cheng-Yu; Huang; Xiang-Chan; Lu; Ying-Chu; Zhu; Xing-Hua; Wu; Mayila; Shayiti; Qiong-Zhen; Tan; Hua-Ling; Yang; Si-Yuan; Chen; Pan; Zhao; Sheng-Hua; He; Xiu-Rong; Wang; Hong-Zhou; Lu

    2015-01-01

    Objective: To investigate patients’ perception of service quality at hospitals in nine Chinese cities and propose some measures for improvement. Methods: The ServQ ual scale method was used in a survey involving patients at out-patient and in-patient facilities in Shanghai, Chongqing, Chengdu, Nanning, Guilin and Laibin of Guangxi, Honghezhou of Yunnan, Wulumuqi of Xinjiang and Zhongshan of Guangdong. The data collected were entered and analyzed using SPSS 20.0. Statistical analyses included descriptive statistics, factor analyses, reliability analyses, product-moment correlations, independent-sample t-tests, One-way ANOVA and regression analyses. Results: The Kaiser-Meyer-Olkin value for the factor analysis of the scale was 0.979. The Cronbach’s α for the reliability analysis was 0.978. All the Pearson correlation coei cients were positive and statistically signii cant. Visitors to out-patient facilities reported more positive perception tacilities on tangibles(t = 4.168, P(t = 1.979, P Hospitals in various regions of China should enhance their awareness and ability to serve their patients.

  4. Breast cancer quality of life evaluation in Mexican Women at La Raza Hospital, Mexico City: A preliminary approach

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    Jacobo Alejandro Gómez-Rico

    2008-11-01

    Full Text Available Jacobo Alejandro Gómez-Rico1, Marina Altagracia-Martínez1, Jaime Kravzov-Jinich1, Rosario Cárdenas-Elizalde1, Juan Carlos Hinojosa-Cruz2, Consuelo Rubio-Poo31Departments of Biological Systems and Healthcare, Biological and Health Sciences Division (DCBS, Universidad Autónoma Metropolitana–Xochimilco (UAM-X, Xochimilco, Mexico; 2La Raza Hospital of the Mexican Social Security Institute (IMSS, Mexico City, Mexico; 3Universidad Nacional Autónoma de México (UNAM, Faculty of Professional Studies, Zaragoza (FES-Zaragoza, MexicoAbstract: Breast cancer (BC is the second leading cause of death among Mexican women over 40 years of age. This study aimed to identify and examine the effects of cancer stage and surgical treatment on the quality of life (QOL of Mexican women with early stage breast cancer (ESBC treated with either modified radical mastectomy (MRM or breast conservative surgery (BCS, plus adjuvant chemotherapy. The QLQ-C30 and QLQ BR-23 questionnaires were used to assess QOL. Sociodemographic characteristics and clinical factors of 102 women with early BC were also evaluated; analysis of variance (ANOVA was performed and a statistical significance of p < 0.05 was assumed. Most women were of reproductive age. Meaningful differences in QOL as a result of surgical treatment, in women receiving BCS compared with those receiving MRM, were limited to body image. We conclude that MRM and BCS are essentially equivalent choices in terms of QOL, with the exception of the impact on body image. In general, women who received BCS had a better perceived QOL.Keywords: quality of life, breast cancer, Mexican women

  5. Metabolic Syndrome Among Obese Patients Attending the Medical Clinics of Three Reaching Hospitals at Sana's City, Yemen

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    Soumeah M. AL-Ghazan

    2011-06-01

    Full Text Available Background: Yemen faces major challenges in improving the health status of its population as it is entering an epidemiological transition with rising noncommunicable diseases e.g. obesity, diabetes and cardiovascular diseases (CVDs. We designed this study to find out the prevalence of Metabolic Syndrome (MS and its components among obese Yemeni patients.Methods: All obese (waist circumference >102 cm in male and >88 cm in female attending the outpatients medical clinics at the three teaching hospitals in Sana'a city, were examined and their blood pressure (BP, fasting samples of plasma glucose, triglycerides, and HDL cholesterol were measured. The prevalence of MS obtained based on the Adult Treatment Panel III and presence of at least 3 of the following: systolic BP ≥130 mm Hg and/or diastolic BP ≥ 85 mm Hg or on treatment for high BP, fasting glucose ≥110 mg/dl or on diabetes treatment, triglycerides ≥150 mg/dl, and HDL cholesterol <40 mg/dl in men and <50 mg/dl in women.Results: 200 obese were identified during study period with an overall MS prevalence of 46%. The metabolic co-morbidities were raised BP (68%, high triglycerides (66%, reduced high density lipoprotein (64%, and raised fasting blood glucose (40%.Conclusion: Prevalence of MS is high among obese Yemeni patients and high BP was the commonest co-morbidity. These findings highlight an urgent need to develop strategies for prevention, detection, and treatment of MS that could contribute to decreasing the rising incidence of CVD and diabetes.

  6. [Yeast urinary tract infections. Multicentre study in 14 hospitals belonging to the Buenos Aires City Mycology Network].

    Science.gov (United States)

    Maldonado, Ivana; Arechavala, Alicia; Guelfand, Liliana; Relloso, Silvia; Garbasz, Claudia

    2016-01-01

    Urinary tract infections are a frequent ailment in patients in intensive care units. Candida and other yeasts cause 5-12% of these infections. The value of the finding of any yeast is controversial, and there is no consensus about which parameters are adequate for differentiating urinary infections from colonization or contamination. To analyse the epidemiological characteristics of patients with funguria, to determine potential cut-off points in cultures (to distinguish an infection from other conditions), to identify the prevalent yeast species, and to determine the value of a second urine sample. A multicentre study was conducted in intensive care units of 14 hospitals in the Buenos Aires City Mycology Network. The first and second samples of urine from every patient were cultured. The presence of white cells and yeasts in direct examination, colony counts, and the identification of the isolated species, were evaluated. Yeasts grew in 12.2% of the samples. There was no statistical correlation between the number of white cells and the fungal colony-forming units. Eighty five percent of the patients had indwelling catheters. Funguria was not prevalent in women or in patients over the age of 65. Candida albicans, followed by Candida tropicalis, were the most frequently isolated yeasts. Candida parapsilosis and Candida glabrata appeared less frequently. The same species were isolated in 70% of second samples, and in 23% of the cases the second culture was negative. It was not possible to determine a useful cut-off point for colony counts to help in the diagnosis of urinary infections. As in other publications, C. albicans, followed by C. tropicalis, were the most prevalent species. Copyright © 2015 Asociación Española de Micología. Published by Elsevier Espana. All rights reserved.

  7. HOSPITAL, BENIN CITY, NIGERIA

    African Journals Online (AJOL)

    and fundal photography were not done because these facilities were not available ... Confirmation was by using the double test algorithm. 8. RESULTS. A total of .... conjunctiva include excessive exposure to ultraviolet light 17' '8 exposure to ...

  8. Ambient air pollution and hospitalization for congestive heart failure among elderly people in seven large US cities; Pollution atmospherique ambiante et hospitalisations pour insuffisance cardiaque congestive chez les personnes agees dans sept grandes villes des Etats-Unis

    Energy Technology Data Exchange (ETDEWEB)

    Morris, R.D.; Naumova, E.N.; Munasinghe, R.L.M.

    2001-01-01

    The aim of this study is the temporal associations between the urban atmospheric pollution, in particular the carbon monoxide, and the hospitalization for congestive heart failure in elderly people, in seven large US cities. (A.L.B.)

  9. Harassment among university hospital physicians in four European cities. Results from a cross-sectional study in Norway, Sweden, Iceland and Italy (the HOUPE study).

    Science.gov (United States)

    Andersen, Gunn Robstad; Aasland, Olaf Gjerlöw; Fridner, Ann; Lövseth, Lise Tevik

    2010-01-01

    The objective of this cross-national study was to identify work-related factors related to the prevalence of harassment, and identify potential similarities and differences in harassment levels and appointed perpetrators within the same professional group across four European cities. 2078 physicians working in university hospitals in Trondheim, Stockholm, Reykjavik, and Padova participated in the study. Questionnaire comprised items on direct and indirect experience of workplace harassment, appointed perpetrators, psychosocial work environment and basic socio-demographics. Harassment was found to be a relatively frequent work environment problem among physicians in all four European cities, with particular high levels in Padova. Role conflict, human resource primacy, empowerment leadership, and control over work pace were all found to be significantly related to workplace harassment. Differences in harassment prevalence and perpetrators indicated a cultural difference between the Italian and the Nordic hospitals. Harassment followed the line of command in Padova in contrast to being a horizontal phenomenon in the Scandinavian hospitals. This may be explained by national differences in organizational systems and traditions. In order to decrease harassment level and create a positive and productive work environment, each organization must employ different strategies in accordance with their harassment patterns.

  10. Update on the spectrum of histoplasmosis among hispanic patients presenting to a New York City municipal hospital: A contemporary case series

    Directory of Open Access Journals (Sweden)

    Viral Gandhi

    2015-01-01

    Full Text Available Histoplasma capsulatum is the most common endemic mycosis worldwide. Although most of the globe's largest urban hubs fall outside this organism's regions of endemicity, clinicians practicing in a metropolis like New York City or Los Angeles must nevertheless remain vigilant for histoplasmosis because of the large immigrant population that is served by its hospitals. H. capsulatum infection ranges from asymptomatic pulmonary infection to life-threatening diffuse pneumonia with dissemination. The early years of the AIDS epidemic first introduced U.S. clinicians working in areas previously unfamiliar with histoplasmosis to newly immunocompromised patients from endemic regions presenting with disseminated H. capsulatum originally acquired in their home countries. Improvement in HIV prevention and therapeutics has reduced the frequency of such cases. Herein we report three cases of histoplasmosis encountered in our New York City institution over the last three years to emphasize that awareness of this infection remains mandatory for the frontline urban clinician.

  11. Zakażenia EBV – cykl życiowy, metody diagnostyki, chorobotwórczość

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    Joanna Bocian

    2011-01-01

    Full Text Available Wirus Epsteina-Barr (EBV jest szeroko rozpowszechniony na całym świecie. Szacuje się, że około 90–95�0populacji dorosłych przeszło infekcję tym patogenem. EBV jest przede wszystkim czynnikiem etiologicznym mononukleozy zakaźnej. Potwierdzono także związek przebytej infekcji EBV z rozwojem endemicznej postaci chłoniaka Burkitta. Przyjmuje się również, że EBV przyczynia się do występowania najpowszechniejszego powikłania u pacjentów po transplantacjach, jakim jest poprzeszczepowa choroba limfoproliferacyjna. Dużą zależność stwierdza się między przebytą infekcją EBV a rozwojem chłoniaka Hodgkina, raka nosogardzieli i żołądka oraz nowotworów wywodzących się z mięśni gładkich. Podejrzewa się również związek przebytej infekcji z rozwojem niektórych chorób autoimmunologicznych i alergicznych. Wirus Epsteina-Barr jest wirusem z rodziny [i]Herpesviridae[/i], zawierającym materiał genetyczny w ­postaci ­dsDNA. Wyróżnia się dwa typy wirusa Epsteina-Barr: typ A i B. Jedynym naturalnym gospodarzem dla EBV jest człowiek, a docelowymi komórkami dla EBV są głównie limfocyty B oraz komórki epitelialne nosogardzieli. Cykl życiowy EBV dzieli się na fazę lityczną oraz latentną. W fazie latentnej wyróżnia się trzy różne wzory ekspresji poszczególnych białek wirusowych. W pewnych warunkach może dojść do reaktywacji EBV, co ma znaczenie głównie w transplantologii. Podstawowe metody diagnostyki zakażeń EBV to metody serologiczne polegające na detekcji odpowiednich przeciwciał. Ostatnio coraz większe znaczenie mają też metody biologii molekularnej, tj. PCR czy hybrydyzacja [i]in situ[/i].

  12. Metodi, tecniche e politiche per la mobilità nella città amica

    Directory of Open Access Journals (Sweden)

    Roberto Busi

    2011-07-01

    Full Text Available Il tema ambientale ha, come noto, importanti implicazioni sull’assetto e sulla gestione della città e del territorio. Se è probabilmente improprio e pericoloso parlare di “sviluppo sostenibile” (per le aspettative che l’espressione ingenera in ordine alla effettiva compatibilità dei consumi e degli usi propri dello sviluppo con il mantenimento degli standard ambientali ante  si devono comunque sempre praticare atteggiamenti culturali e pratiche operative rispettose nei confronti dell’ambiente. Il concetto di “città amica” sembra prezioso in merito perché in esso è contenuto anche l’imperativo al comportamento discreto in merito al rapporto con le risorse. Il tema trova un’importante coniugazione sull’argomento della mobilità, per il quale, se lo si affronta in base a modelli adeguati, già si dispone di metodi, tecniche e politiche efficaci.Le implicazioni urbanistiche della mobilità sono molte e complesse. Andiamo da quelle (tante! che direttamente sono connesse con l’offerta e la domanda di spostamento di passeggeri e di merci ed ai derivanti potenti meccanismi di localizzazione di funzioni e di interrelazione tra di esse, a quelle di tipo ambientale conseguenti a tale spostamento di gente e di cose oltrechè alle allocazioni ed ai rapporti di causa ed effetto che ne risultano, a quelle ancora di tipo paesistico dovute all’intrusione fisica di mezzi in movimento ed in sosta ed alle relative conseguenze percettive.  E’, infatti, nei rapporti con l’ambiente e col paesaggio che il tema della mobilità manifesta la sua alta valenza di fattore della qualità urbana.Partendo da questi presupposti, il contributo riporta un originale ragionamento dell’autore su alcuni tra i temi principali che sostenitori e detrattori del principio di sostenibilità affrontano, che conduce al nuovo concetto di città amica. Tale ragionamento, basato sull’integrazione territorio, mobilità e ambiente, è consapovelmento rivolto

  13. Depression prevalence in Intensive Care Unit nursing workers: a study at hospitals in a northwestern city of São Paulo State.

    Science.gov (United States)

    de Vargas, Divane; Dias, Ana Paula Vieira

    2011-01-01

    This study aimed to estimate the prevalence of depression in nursing staff working in Intensive Care Units of hospitals from a city in Northwestern São Paulo State - Brazil, examining its association with participants' socio-demographic characteristics. The Beck Depression Inventory was applied to a sample of 67 nursing workers from three general hospitals, showing an 28.4% prevalence of depression. The analysis based on the multiple model showed a significant association between depression and marital status (OR=1.52), night work (OR=1.46) and double shifts (OR=2.11). Also, there were significant percentages of workers who reported discouragement, sadness and hopelessness. In conclusion, the prevalence of depression is significant and more attention should be paid to this problem workers at these units face. Further studies are needed in the attempt to broaden knowledge on the subject, which can support strategies to guarantee attention to ICU nursing workers' physical and mental health needs.

  14. Clinical profile of hand, foot, and mouth disease and its associated complications among children in Shimoga City, southern Karnataka: A hospital-based study

    Directory of Open Access Journals (Sweden)

    Vikram S Kumar

    2015-01-01

    Full Text Available Hand, foot, and mouth disease (HFMD is one of the important public health problems. It has become a common childhood illness in our part of the country. In most instances, this is a mild self-limiting illness. The affected children are often given outpatient care. However, over the last decade, HFMD has emerged as a growing health problem in Asian countries following frequent outbreaks of deaths associated with HFMD caused by a more virulent member of human enterovirus (HEV, namely, HEV71. A hospital-based descriptive study about the clinical presentations and complications of HFMD at the hospitals of Shimoga city between March 2013 and August 2013 is documented and presented here. HFMD was more common in the 1-3-year old age group, with aseptic meningitis being the most common complication. Surveillance of HFMD must be maintained as there is no effective chemoprophylaxis or vaccine available.

  15. Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo

    Directory of Open Access Journals (Sweden)

    Carlos Gorios

    2014-08-01

    Full Text Available ObjectiveTo describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo.MethodsThis was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files covering January to December 2012 were analyzed.ResultsAmong the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8% followed by multiple non-specified trauma (36.4%, in both sexes.ConclusionTransport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over.

  16. Isolation of pathogenic yeasts in the air from hospital environments in the city of Fortaleza, northeast Brazil

    Directory of Open Access Journals (Sweden)

    Rossana A Cordeiro

    Full Text Available This paper reports the results of environmental surveillance of yeasts in specific areas of two tertiary local hospitals. From March 2007 to February 2008, samples from the air of two public hospitals were collected on a monthly basis. The samples were collected through passive sedimentation method (day and night exposure of Petri dishes. A total of 240 air samples from 10 hospital environments were analyzed. These environments presented similar contamination levels, from which 80 fungi isolates were isolated: Candida parapsilosis (n = 34, Rhodotorula spp. (19, Trichosporon asahii (11, C. tropicalis (8, C. albicans (4, C. glabrata (1, C. guilliermondii (1, C. krusei (1 and Saccharomyces spp. (1. Regarding the presence of yeasts and climatic conditions, there were 40 strains (50% in semi-critical areas (natural ventilation and critical areas (air conditioned. Considering the presence of microorganisms with pathogenic potential, environmental monitoring is necessary to prevent possible hospital infections.

  17. Isolation of pathogenic yeasts in the air from hospital environments in the city of Fortaleza, northeast Brazil

    Directory of Open Access Journals (Sweden)

    Rossana A Cordeiro

    2010-02-01

    Full Text Available This paper reports the results of environmental surveillance of yeasts in specific areas of two tertiary local hospitals. From March 2007 to February 2008, samples from the air of two public hospitals were collected on a monthly basis. The samples were collected through passive sedimentation method (day and night exposure of Petri dishes. A total of 240 air samples from 10 hospital environments were analyzed. These environments presented similar contamination levels, from which 80 fungi isolates were isolated: Candida parapsilosis (n = 34, Rhodotorula spp. (19, Trichosporon asahii (11, C. tropicalis (8, C. albicans (4, C. glabrata (1, C. guilliermondii (1, C. krusei (1 and Saccharomyces spp. (1. Regarding the presence of yeasts and climatic conditions, there were 40 strains (50% in semi-critical areas (natural ventilation and critical areas (air conditioned. Considering the presence of microorganisms with pathogenic potential, environmental monitoring is necessary to prevent possible hospital infections.

  18. The relationship between demographic variables, productivity, and staff burnout among staffs of a hospital located in Ilam city

    OpenAIRE

    Bahram Kohnavard; Hakime Mallaki Moghadam; Zohreh Fazli

    2015-01-01

    Background­ and objectives : Burnout is one of the causes of reduced job performance and productivity, this syndrome in jobs who deal directly with people are more than other professions may be viewed. This study was conducted to investigate the relationship between demographic variables, efficiency, and staff burnout in a hospital. Methods : In this descriptive-analytical study all 100 employees of the hospital were evaluated . People by demographic information , Maslach Burnout question...

  19. Disinfectant-resistant bacteria in Buenos Aires city hospital wastewater Resistência bacteriana a desinfetantes em efluentes de um hospital em Buenos Aires, Argentina

    Directory of Open Access Journals (Sweden)

    L. Nuñez

    2007-12-01

    Full Text Available Large quantities of disinfectants are used in hospitals, externally on human skin or to eliminate microorganisms from inanimate objects. After use, residual quantities of these products reach the wastewater, exposing the bacteria that survive in hospital wastewaters to a wide range of biocides that could act as a selective pressure for the development of resistance. Increasing attention has been directed recently to the resistance of bacteria to disinfectants. The aim of this paper was to determine the disinfectant bacterial resistance pattern of the microflora released to the urban sewer system by hospital effluents. The characterization of the waste water microflora was performed by determination of the CFU of heterotrophic bacteria, fecal indicator bacteria, Pseudomonas sp. and Staphylococcus sp., in a Buenos Aires hospital effluent. The bacterial resistance to the disinfectants more frequently used in the hospital practice, glutaraldehyde, chlorhexidine and povidone-iodine, was then evaluated. Disinfectant resistant bacterial strains were isolated and typified. Between 10³ and 10(6 chlorexidine resistant bacteria/100 mL were isolated from the samples. Bacteria resistant to other disinfectants ranged between 10³ and 10(4 /100 mL. The bacterial population resistant to desinfectants to was mainly composed by Enterobacteriaceae, Staphylococcus spp, and Bacillus spp, which are highly associated to nosocomial infections. The results obtained show that the hospital effluents are of importance in the bacterial resistance selection process, particularly in the case of disinfectants.Os hospitais utilizam uma grande quantidade de desinfetantes para eliminar microorganismos tanto da pele humana como de superfícies inanimadas. Após sua utilização, esses produtos podem chegar ao esgoto em quantidades residuais. A pressão seletiva exercida pelos antimicrobianos nos efluentes hospitalares propicia a disseminação de linhagens resistentes. Além dos

  20. Isolation and Identification of Pathogenic Filamentous Fungi and Yeasts From Adult House Fly (Diptera: Muscidae) Captured From the Hospital Environments in Ahvaz City, Southwestern Iran.

    Science.gov (United States)

    Kassiri, Hamid; Zarrin, Majid; Veys-Behbahani, Rahele; Faramarzi, Sama; Kasiri, Ali

    2015-11-01

    Musca domestica L., 1758 is capable of transferring a number of pathogenic viruses, bacteria, fungi, and parasites to animals and humans. The objective of this study was to isolate and identify medically important filamentous fungi and yeasts from adult M. domestica collected from two wards of three hospital environments in Ahvaz city, Khuzestan Province, southwestern Iran. The common house flies were caught by a sterile net. These insects were washed in a solution of 1% sodium hypochlorite for 3 min and twice in sterile distilled water for 1 min. The flies were individually crushed with sterile swabs in sterile test tubes. Then 2 ml of sterile normal saline (0.85%) was added to each tube, and the tube was centrifuged for 5 min. The supernatant was then discarded, and the remaining sediment was inoculated with a sterile swab in the Sabouraud's dextrose agar medium containing chloramphenicol. Isolation and identification of fungi were made by standard mycological methods. In this research, totally 190 M. domestica from hospital environments were captured. In total, 28 fungal species were isolated. The main fungi isolated were Aspergillus spp. (67.4%), Penicillium sp. (11.6%), Mucorales sp. (11%), Candida spp. (10.5%), and Rhodotorula sp. (8.4%). Among the house flies caught at the hospitals, about 80% were found to carry one or more medically important species of fungi. This study has established that common house flies carry pathogenic fungi in the hospital environments of Ahvaz. The control of M. domestica in hospitals is essential in order to control the nosocomial fungal infections in patients. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Post-Flood Profile of Leptospirosis Cases at Teaching Hospital of Municipal Medical College in Surat City

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    Prasad Rachna, Srivastava Vipul, Bansal RK, Pawar AB, Desai Vandana, Desai Kalpana, Jain Mannu

    2010-06-01

    Full Text Available This study reports the clinical profile, pattern of organ involvement and the case fatality of 112 cases of Leptospirosis admitted during an outbreak in the post flood period from August to September 2006 in Surat city. The study reveals the necessity for early detection of cases in an epidemic situation, chemoprophylaxis of those exposed and prompt referral and management with excellent ICU support for decreasing the mortality associated with the disease.

  2. Benzylpiperizine-based party pills' impact on the Auckland City Hospital Emergency Department Overdose Database (2002-2004) compared with ecstasy (MDMA or methylene dioxymethamphetamine), gamma hydroxybutyrate (GHB), amphetamines, cocaine, and alcohol.

    Science.gov (United States)

    Theron, Lynn; Jansen, Karl; Miles, Jennifer

    2007-02-16

    To examine the impact of 'party pills' (PP; herbal highs) on the Auckland City Hospital Emergency Department Overdose Database 2002-2004, and to present figures for five other substances in that database. Auckland City Hospital's Emergency Department's overdose database was reviewed for 2002, 2003, and 2004 for 'herbal ingestions' and 'party pills' (PP), ecstasy, methamphetamine, GHB, cocaine, and alcohol. Adverse effects attributed to PP were examined. In 2002, 1 patient presented with PP ingestion; 4 presented in 2003 and 21 in 2004 respectively (poverdose database for 2004. 'Party pills' appeared to have a minor impact on the overdose database at Auckland City Hospital between 2002 and 2004. There was a significant decrease in GHB presentations from 2003 to 2004 (poverdose presentations.

  3. Prevalence of CTX-M Genes in Bacterial Strain Isolated from Patients Hospitalized in ICUs in The City of Qom, Iran

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    Yaser Sharifi

    2015-11-01

    Full Text Available Background: Pathogenic bacteria because of beta-lactam antibiotic resistance genes are dangerous to society. This resistance due to ESBL genes, plasmids and transposons that by receiving or mutation occurs. The most important factor beta-lactam antibiotic resistance is beta lactamase enzymes. The purpose of this study was to evaluate the frequency of hospital opportunistic pathogenic bacteria producing ESBL and CTX-M genes identified are molecular methods.Methods : In this study, 500 isolates from patients in the ICU of hospitals in the city of Qom was diagnosed by standard biochemical tests. Combined disk test for isolated resistant strains of ESBL was performed in order to identify. Then, strains producing ESBL, DNA extraction and CTX-M genes were detected by PCR.Results : A total of 500 strains isolated, 20 strains (51.28% of P. aeruginosa strains, 40 strains(62.5% of E. coli strains, 38 strains (48.1% of K. pneumoniae strains, 8 strains (33.33% A.baumannii bacteria strains and 4 strains (23.52% of the strains of Enterobacter were carrying CTX-M genes.Conclusions : This study represents a high percentage of beta-lactamase resistance among hospital opportunistic pathogens bacteria. Due to the high prevalence of antibiotic resistance carried out detailed antibiogram tests in infections caused by ESBL-producing organisms is necessary.  

  4. Oxacilin-resistant Coagulase-negative staphylococci (CoNS) bacteremia in a general hospital at São Paulo city, Brasil.

    Science.gov (United States)

    d'Azevedo, P A; Secchi, C; Antunes, A L S; Sales, T; Silva, F M; Tranchesi, R; Pignatari, A C C

    2008-10-01

    In the last decades, coagulase-negative staphylococci (CoNS), especially Staphylococcus epidermidis have become an important cause of bloodstream infections. In addition, rates of methicillin-resistance among CoNS have increased substantially, leading to the use of glicopeptides for therapy. The objective of this study was to evaluate eleven consecutives clinically relevant cases of oxacillin-resistant CoNS bacteremia in a general hospital localized in São Paulo city, Brazil. Five different species were identified by different phenotypic methods, including S. epidermidis (5), S. haemolyticus (3), S. hominis (1), S. warneri (1) and S. cohnii subsp urealyticus (1). A variety of Pulsed Field Gel Electrophoresis profiles was observed by macrorestriction DNA analysis in S. epidermidis isolates, but two of three S. haemolyticus isolates presented the same profile. These data indicated the heterogeneity of the CoNS isolates, suggesting that horizontal dissemination of these microorganisms in the investigated hospital was not frequent. One S. epidermidis and one S. haemolyticus isolates were resistant to teicoplanin and susceptible to vancomycin. The selective pressure due to the use of teicoplanin in this hospital is relevant.

  5. The dilemma of a practice: experiences of abortion in a public maternity hospital in the city of Salvador, Bahia.

    Science.gov (United States)

    McCallum, Cecilia; Menezes, Greice; Reis, Ana Paula Dos

    2016-01-01

    The article discusses abortion and miscarriage from the perspective of women admitted to a public maternity hospital in Salvador (BA), Brazil. Based on qualitative and quantitative research, it draws on participant observation of everyday hospital life. Taking an ethnographic approach, it addresses the hospital experiences of women who had miscarriages or induced abortions, also presenting the views of health professionals. It argues that the way the institution structures care for abortion and miscarriage involves symbolic processes that profoundly affect women's experiences. The discrimination against women who have had abortions/miscarriages is an integral part of the structure, organization and culture of these institutions, and does not derive solely from the individual actions of healthcare personnel.

  6. Criteri e metodi per l’adeguamento prestazionale del patrimonio architettonico degli anni trenta del Novecento. La Facoltà di Ingegneria di Bologna

    Directory of Open Access Journals (Sweden)

    Riccardo Gulli

    2012-12-01

    Full Text Available La riflessione su criteri e metodi idonei per il recupero del patrimonio architettonico esistente richiede di incentrare la tematica su azioni che sappiano coniugare l’istanza storica ed estetica con quella dell’innovazione tecnologica; il presente contributo intende mostrare come l’integrazione di componenti impiantistici ed edilizi, unitamente all’adozione di sistemi domotici di controllo e gestione del comfort interno, possa favorire l’adeguamento agli standard attuali pur preservando i caratteri originari.

  7. Metodi predittivi per Adaptive Radiation Theraphy: effetti del movimento d'organo, degli algoritmi di registrazione deformabile e dell'accumulo di dose

    OpenAIRE

    2016-01-01

    Il lavoro di ricerca è finanziato dal Ministero della Salute - Bando Giovani Ricercatori 2010 MoH (GR-2010-2318757) “Dose warping methods for IGRT and Adaptive RT: dose accumulation based on organ motion and anatomical variations of the patients during radiation therapy treatments”. La ricerca ha sviluppato metodi predittivi per Adaptive Radiation Therapy. Il paziente è soggetto a macro-micro variazioni anatomiche intra-inter frazione e funzionali durante le fasi di preparazione del pia...

  8. Metodički kolegiji kao pretpostavke osposobljavanja studenata za planiranje i razvoj istraživačko-spoznajnih aktivnosti u vrtiću

    OpenAIRE

    Krstović, Jasna

    2007-01-01

    Dr. sc. Jasna Krstović problematizira integrativnost različitih metodičkih kolegija u okviru novog profesionalnog osposobljavanja odgajatelja. Kolika je integracija doista između različitih metodika postignuta i kako ona utječe na provedbu integrativnog, holističkog pristupa u praksi odgoja i obrazovanja, pročitajte u ovom članku.

  9. Comparison of two different running models for the shock wave lithotripsy machine in Taipei City Hospital: self-support versus outsourcing cooperation.

    Science.gov (United States)

    Huang, Chi-Yi; Chen, Shiou-Sheng; Chen, Li-Kuei

    2009-10-01

    To compare two different running models including self-support and outsourcing cooperation for the extracorporeal shock wave lithotripsy (SWL) machine in Taipei City Hospital, we made a retrospective study. Self-support means that the hospital has to buy an SWL machine and get all the payment from SWL. In outsourcing cooperation, the cooperative company provides an SWL machine and shares the payment with the hospital. Between January 2002 and December 2006, we used self-support for the SWL machine, and from January 2007 to December 2008, we used outsourcing cooperation. We used the method of full costing to calculate the cost of SWL, and the break-even point was the lowest number of treatment sessions of SWL to make balance of payments every month. Quality parameters including stone-free rate, retreatment rate, additional procedures and complication rate were evaluated. When outsourcing cooperation was used, there were significantly more treatment sessions of SWL every month than when utilizing self-support (36.3 +/- 5.1 vs. 48.1 +/- 8.4, P = 0.03). The cost of SWL for every treatment session was significantly higher using self-support than with outsourcing cooperation (25027.5 +/- 1789.8 NT$ vs. 21367.4 +/- 201.0 NT$). The break-even point was 28.3 (treatment sessions) for self-support, and 28.4 for outsourcing cooperation, when the hospital got 40% of the payment, which would decrease if the percentage increased. No significant differences were noticed for stone-free rate, retreatment rate, additional procedures and complication rate of SWL between the two running models. Besides, outsourcing cooperation had lower cost (every treatment session), but a greater number of treatment sessions of SWL every month than self-support.

  10. A survey on the medical services in private hospitals of Chongqing city%重庆市民营医院医疗服务现况调查

    Institute of Scientific and Technical Information of China (English)

    唐宗顺; 邹鹏; 何中臣; 唐贵忠

    2012-01-01

    Objective To understand the medical services in private hospitals in the city of Chongqing,and provide decision-making basis for regulating the practice of private medical institutions and health care market. Methods A combination methods of law enforcement inspection and investigation for a comprehensive understanding of the current situation of health care services of private hospital in Chongqing. Results There were 122 private hospitals in different levels of offense in Chongqing,accounting for 61. 93% of the total number of private hospitals. There were 44 private hospitals which employ non-medical personnel suspected,accounting for 22. 34% of the total number of private hospitals. There were 12 private hospitals suspected of publishing false and illegal medical advertisements,accounting for 6. 09% of the total number of private hospitals. Two private hospitals carried out maternal and child health technical services without permission,and 76 private hospitals in other illegal acts. Conclusion Health administrative departments should strengthen guidance,law enforcement supervisory authority should be strict;legal awareness and industry self-regulation should be further strengthen;private hospitals should actively organize training and related work of qualifying examination.%目的 了解重庆市民营医院医疗服务现状,为规范民营医疗机构执业行为和医疗服务市场提供决策依据.方法 采用执法检查和调查相结合的方法,对重庆市民营医院医疗服务现状进行全面了解.结果 全市122家民营医院存在不同程度的违法行为,占民营医院总数的61.93%,其中44家民营医院涉嫌聘用非卫生技术人员,占民营医院总数的22.34%;12家民营医院涉嫌发布虚假违法医疗广告,占民营医院总数的6.09%;2家民营医院擅自开展母婴保健技术服务,76家民营医院存在其他违法行为.结论 卫生行政部门应加强指导,监督机构应严格执法,进一步加强法

  11. Prevalence of potentially pathogenic free-living amoebae from Acanthamoeba and Naegleria genera in non-hospital, public, internal environments from the city of Santos, Brazil

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    Lais Helena Teixeira

    2009-12-01

    Full Text Available Acanthamoeba and Naegleria species are free-living amoebae (FLA found in a large variety of natural habitats. The prevalence of such amoebae was determined from dust samples taken from public non-hospital internal environments with good standards of cleanliness from two campuses of the same University in the city of Santos (SP, Brazil, and where young and apparently healthy people circulate. The frequency of free-living amoebae in both campuseswas 39% and 17% respectively, with predominance of the genus Acanthamoeba. On the campus with a much larger number of circulating individuals, the observed frequency of free-living amoebae was 2.29 times larger (P< 0.00005. Two trophozoite forms of Naegleria fowleri, are the only species of this genus known to cause primary amoebian meningoencephalitis, a rare and non-opportunistic infection. We assume that the high frequency of these organisms in different internal locations represents some kind of public health risk.

  12. [Tetanus in Ho Chi Minh City, Vietnam: epidemiological, clinical and outcome features of 389 cases at the Hospital for Tropical Diseases].

    Science.gov (United States)

    An, V T; Khue, P M; Yen, L M; Phong, N D; Strobel, M

    2015-12-01

    The objective of this study is to describe the different aspects of tetanus during the past recent years in southern Vietnam: epidemiology, clinical picture, management, and death risk factors. It is a retrospective study concerning 389 cases admitted in 2007 and 2008 at the reference Hospital for Tropical Diseases in Ho Chi Minh City. 93% of all cases were generalized tetanus, and 50% were severe cases. A majority of patients were adult males (medium age 43, M/ F sex-ratio 2.9). Half of them underwent tracheotomy and 39% assisted ventilation. Case fatality rate was 6.4%, the lowest reported rate worldwide in the last ten years. Fatalities resulted mainly from neuro-vegetative disorders, essentially cardiogenic shock (28% of all deaths) [OR = 16.95; p 12.000/mm(3) [OR = 2.32; p Vietnam.

  13. Prevalence of potentially pathogenic free-living amoebae from Acanthamoeba and Naegleria genera in non-hospital, public, internal environments from the city of Santos, Brazil.

    Science.gov (United States)

    Teixeira, Lais Helena; Rocha, Silvana; Pinto, Rosa Maria Ferreiro; Caseiro, Marcos Montani; Costa, Sergio Olavo Pinto da

    2009-12-01

    Acanthamoeba and Naegleria species are free-living amoebae (FLA) found in a large variety of natural habitats. The prevalence of such amoebae was determined from dust samples taken from public non-hospital internal environments with good standards of cleanliness from two campuses of the same University in the city of Santos (SP), Brazil, and where young and apparently healthy people circulate. The frequency of free-living amoebae in both campuses was 39% and 17% respectively, with predominance of the genus Acanthamoeba. On the campus with a much larger number of circulating individuals, the observed frequency of free-living amoebae was 2.29 times larger (P< 0.00005). Two trophozoite forms of Naegleria fowleri, are the only species of this genus known to cause primary amoebian meningoencephalitis, a rare and non-opportunistic infection. We assume that the high frequency of these organisms in different internal locations represents some kind of public health risk.

  14. Evaluation of the entrance skin dose due to paediatric chest X-rays examinations carried out at a great hospital in Rio de Janeiro city

    Energy Technology Data Exchange (ETDEWEB)

    Mohamadain, K.E.M. [Sudan Univ. of Science and Technology, Khartoum (Sudan). Faculty of Sciences. Physics Dept.; Azevedo, A.C.P. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Faculdade de Medicina. Dept. de Radiologia; Rosa, L.A.R. da; Mota, H.C. [Instituto de Radioprotecao e Dosimetria (IRD), Rio de Janeiro, RJ (Brazil). Dept. de Fisica Medica; Goncalves, O.D. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Inst. de Fisica. Dept. de Fisica Nuclear; Guebel, M.R.N. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Inst. de Pediatria e Puericultura Martagao Gesteira

    2001-07-01

    A dosimetric survey in paediatric radiology is currently being carried out at the paediatric unit of a great hospital in Rio de Janeiro city, aiming the assessment of patient doses and image quality. The aim of this work was to estimate the entrance skin dose for frontal and lateral chest X-rays exposure to paediatric patients. Three examination techniques were investigated, namely PA, AP and lateral positions. For entrance skin dose evaluation, two different TL dosimeters were used, namely LiF:Mg,Ti and CaSO4:Dy. The age intervals considered were 0-1 year, 1-5 years, 5-10 years and 10-15 years. The results obtained with both dosimeters are similar and the entrance skin dose values evaluated for the different age intervals considered are compared with previous values found in Brazil and also in Europe. (author)

  15. Effects of meteorological elements on admission rates of cerebral infarction patients with hypertensive nephropathy from nine hospitals in Changchun city, Jilin Province

    Institute of Scientific and Technical Information of China (English)

    YANG Bo-yu; ZHANG Yue; XU Chang-yan; JIA Bo-ting; WANG Chun-jie; JIA Zhan-jun; NI Hui

    2013-01-01

    Background It is well recognized that meteorological factors have important influences on the onset and development of many kinds of diseases.The present study was undertaken to investigate the effects of the meteorological elements on admission rates of cerebral infarction patients with hypertensive nephropathy at Changchun city,Jilin Province,northeast China.Methods A total of 763 medical records of inpatients from nine hospitals at Changchun city,during a period from April 6 to April 17 in 2010,were reviewed.These patients were admitted to hospitals due to the occurrence of cerebral infarction.The hypertensive nephropathy was evidenced with certain diagnosis of essential hypertension and hypertension-related kidney injuries.The cerebral infarction was diagnosed according to the World Health Organization (Stroke) standard.All the meteorological data were from practical monitoring records in Jilin Province Meteorological Observatory.The relationships between the epidemiological prevalence of cerebral infarction and meteorological variables were analyzed using the time series models of statistics.Results Compared with admission rates before the violent change in meteorological status (April 6 to April 17,2010),the number of admission patients suffering from cerebral infarction remarkably peaked on April 12.Such an increase was highly correlated with heavy precipitation,elevation of daily average relative humidity,and reduction of average daily air temperature.With the betterment of the meteorological conditions on April 17,the admission rates of cerebral infarction patients dropped to the same level as the dates before snowing (April 6 to April 11).Conclusions The meteorological changes are highly associated with the occurrence of cerebral infarction in patients with hypertensive renal injury in northeast China.This study also suggested that an intensive medical interference for those patients with hypertension-induced organ injuries is very necessary in preventing

  16. The impact of a 100% smoke-free law on the health of hospitality workers from the city of Neuquén, Argentina.

    Science.gov (United States)

    Schoj, Veronica; Alderete, Mariela; Ruiz, Ernesto; Hasdeu, Santiago; Linetzky, Bruno; Ferrante, Daniel

    2010-04-01

    The objective of this study was to evaluate the impact of 100% smoke-free environment legislation on respiratory and sensory irritation symptoms and respiratory function among bar and restaurant workers from the city of Neuquén, Argentina. Pre-ban and post-ban studies without a comparison group in an Argentinean city were conducted. A baseline survey and spirometric measurements were performed with a total of 80 bar and restaurant workers 1 month before (October 2007) and 3 months after (March 2008) the implementation of the new 100% smoke-free legislation. A significant reduction in secondhand smoke exposure was observed after the enactment and enforcement of the new legislation, and an important reduction in respiratory symptoms (from a pre-ban level of 57.5% to a post-ban level of only 28.8%). The reduction of sensory irritation symptoms was even higher. From 86.3% of workers who reported at least one sensory irritation symptom in October 2007, only 37.5% reported the same symptoms in March 2008. Also, data obtained by spirometry showed a significant forced vital capacity increase. Consistent with other studies, 100% smoke-free legislation improved short-term health outcomes in the sample and should be implemented nationwide. Furthermore, undertaking this study has been highly important in promoting 100% smoke-free environment legislation at the workplace as a legitimate right of hospitality workers, and in reducing social acceptance of designated smoking areas in bars and restaurants.

  17. BIOPSYCHOSOCIAL CHARACTERISTICS OF ADOLESCENT MOTHERS ASSISTED AT A SCHOOL HOSPITAL IN A CITY OF MINAS GERAIS, BRAZIL

    Directory of Open Access Journals (Sweden)

    Daniela Tavares Gontijo

    2010-10-01

    Full Text Available The adolescence is a human development time characterized by biopsychosocial changes, influenced by personal life experiences. In this context pregnancy along adolescence has been regarded as a relevant social issue due to the high prevalence in this age group. This study aims to describe biopsychosocial characteristics of adolescent mothers in a school hospital (SH of a public university in Minas Gerais, Brazil. This is a cross-sectional descriptive study with 40 adolescent mothers in this hospital. Data were collected through a form and analyzed using descriptive statistics. The data in this study were similar to findings in studies conducted in other urban centers especially as regards the participants’ average age and the precarious economic condition of their families and school performance. The data analysis has highlighted the need to Características de mães adolescentes understand teenage pregnancy as an experience with different factors as biological, psychological, economic and social development. teenage pregnancy, adolescent, reproduction

  18. Biopsychosocial characteristics of adolescent mothers assisted at a school hospital in a City of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Daniela Tavares Gontijo

    2010-01-01

    Full Text Available The adolescence is a human development time characterized by biopsychosocial changes, influenced by personal life experiences. In this context pregnancy along adolescence has been regarded as a relevant social issue due to the high prevalence in this age group. This study aims to describe biopsychosocial characteristics of adolescent mothers in a school hospital (SH of a public university in Minas Gerais, Brazil. This is a cross-sectional descriptive study with 40 adolescent mothers in this hospital. Data were collected through a form and analyzed using descriptive statistics. The data in this study were similar to findings in studies conducted in other urban centers especially as regards the participants’ average age and the precarious economic condition of their families and school performance. The data analysis has highlighted the need to understand teenage pregnancy as an experience with different factors as biological, psychological, economic and social development.

  19. Detection of mcr-1-Carrying Escherichia coli Causing Bloodstream Infection in a New York City Hospital: Avian Origins, Human Concerns?

    Science.gov (United States)

    Macesic, Nenad; Green, Daniel; Wang, Zheng; Sullivan, Sean B; Shim, Kevin; Park, Sarah; Whittier, Susan; Furuya, E Yoko; Gomez-Simmonds, Angela; Uhlemann, Anne-Catrin

    2017-01-01

    The spread of mcr-1 in the United States remains poorly defined. mcr-1-producing Escherichia coli that also carried blaSHV-12 was detected in a hospitalized patient. No additional cases were identified during screening of 801 Gram-negative isolates. Genomic sequencing identified an IncX4 mcr-1- harboring plasmid and ST117 clonal background associated with avian pathogenic E coli.

  20. Technology transfer from havana hospitals to primary care: yamila de armas, MD. Deputy director, provincial health department, havana city province.

    Science.gov (United States)

    Giraldo, Gloria

    2009-01-01

    Dr Yamila de Armas has occupied an array of posts since finishing her residency in family medicine in her home province of Cienfuegos in 1992. She has served as a family doctor; polyclinic, municipal and provincial health director; medical school dean; and twice vice minister of public health. But few would doubt her toughest job is the one she has now: deputy director of the Havana City Provincial Health Department, in charge of medical services for the 2.2 million people living in Cuba's complex, sprawling capital. It was here in 2002-2003 that the program was launched to repair, refurbish and expand the country's nearly 500 community polyclinics. Key to the effort was equipping these facilities with a broader range of new and upgraded medical technology. Dr de Armas offers MEDICC Review her reflections on the results five years later.

  1. Methods of censusing Red fox (Vulpes vulpes populations / Metodi di censimento della Volpe (Vulpes vulpes

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    Juan Francisco Beltrán

    1991-07-01

    Full Text Available Abstract Estimating absolute or relative numbers in red fox populations is not an easy task. Although a range of methods has been described, neither an optimal nor a universally accepted technique has been found. Moreover, none has been tested on populations of known size. We reviewed the efficiency of fourteen indices of fox abundance classified into two groups: (a methods where individuals are captured and marked, which include ear tagging or similar conspicuous markings, toe clipping, radioactive tagging of faeces, radio-tracking, and statistics from hunting and trapping; (b methods not requiring capture, which include both direct methods (nocturnal counts, unsystematic observations, and drive censuses, and indirect methods (den counts, transects for track, scat counts, and scent stations. As a rule, statistics are rarely applicable to populations estimates. Methods involving capture are expensive but provide more accurate estimates than the second group of indices, which are not suitable for paired comparisons from one year to another. Management and wildlife specialists should have in mind such restrictions when considering their goals and the required level of accuracy. Finally, we recommend the simultaneous utilization and comparison of several methods (one from each group, as proposed in a double sampling strategy for optimum evaluations. Riassunto La valutazione della consistenza di una popolazione di Volpe, mediante censimenti assoluti o relativi, è di difficile soluzione. Tra i diversi metodi di conteggio impiegati, nessuno si è rivelato ottimale e universale. Tuttavia nessuno è stato utilizzato per popolazioni di consistenza nota. Qui esaminiamo la validità di 14 metodi impiegati per il calcolo di indici di abbondanza, ripartendoli in due gruppi: (a metodi che implicano la cattura e il marcamento degli animali mediante marche auricolari o contrassegni similari, amputazione delle falangi

  2. FUNGEMIA CAUSED BY Candida SPECIES IN A CHILDREN'S PUBLIC HOSPITAL IN THE CITY OF SÃO PAULO, BRAZIL: STUDY IN THE PERIOD 2007-2010

    Directory of Open Access Journals (Sweden)

    Vanessa Kummer Perinazzo Oliveira

    2014-07-01

    Full Text Available Candidemia remains a major cause of morbidity and mortality in the health care environment. The epidemiology of Candida infection is changing, mainly in relation to the number of episodes caused by species C. non-albicans. The overall objective of this study was to evaluate the frequency of yeasts of the genus Candida, in a four-year period, isolated from blood of pediatric patients hospitalized in a public hospital of the city of São Paulo, Brazil. In this period, yeasts from blood of 104 patients were isolated and, the identified species of Candida by phenotypic and genotypic methods were: C. albicans (39/104, C. tropicalis (25/104, C. parapsilosis (23/104, Pichia anomala (6/104, C. guilliermondii (5/104, C. krusei (3/104, C. glabrata (2/104 and C. pararugosa (1/104. During the period of the study, a higher frequency of isolates of C. non-albicans (63.55% (p = 0.0286 was verified. In this study we verified the increase of the non-albicans species throughout the years (mainly in 2009 and 2010. Thus, considering the peculiarities presented by Candida species, a correct identification of species is recommended to lead to a faster diagnosis and an efficient treatment.

  3. A five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated at two hospitals of Mysore city

    Directory of Open Access Journals (Sweden)

    Chandra Shekar B

    2008-01-01

    Full Text Available Objectives: This study aims to provide a five-year retrospective statistical analysis of maxillofacial injuries in patients admitted and treated during 1 st January 1998 and 31 st December 2002 in two hospitals of Mysore city; to determine the age and sex distribution, etiology, type of injury, day and time of accident, and the influence of alcohol and other drugs; andto suggest measures to prevent such injuries. Materials and Methods: After obtaining permission from the concerned authorities, a pre-designed questionnaire was used to collect the necessary data from the two hospitals. The data was then computerized and statistical analysis was done using statistical package for the social sciences (SPSS windows version 10. Results: Road traffic accident (RTA was the common cause for maxillofacial injuries. Men sustained more injuries compared to women. The injuries were mostly sustained in the age group of 11-40 years, constituting about 78% of all the injuries. Two wheelers were the most commonly involved compared to other vehicle types. Influence of alcohol at the time of injury was found in about 58% of the patients with maxillofacial injuries. The most number of accidents occurred in the weekends. Mandibular fractures were the most common. Conclusion: RTAs are the most common cause for maxillofacial injuries. If RTAs are considered an epidemic of modern times, then prevention is its vaccine.

  4. Viral etiologies of acute respiratory infections among hospitalized Vietnamese children in Ho Chi Minh City, 2004-2008.

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    Anh Ha Lien Do

    Full Text Available BACKGROUND: The dominant viral etiologies responsible for acute respiratory infections (ARIs are poorly understood, particularly among hospitalized children in resource-limited tropical countries where morbidity and mortality caused by ARIs are highest. Improved etiological insight is needed to improve clinical management and prevention. OBJECTIVES: We conducted a three-year prospective descriptive study of severe respiratory illness among children from 2 months to 13 years of age within the largest referral hospital for infectious diseases in southern Vietnam. METHODS: Molecular detection for 15 viral species and subtypes was performed on three types of respiratory specimens (nose, throat swabs and nasopharyngeal aspirates using a multiplex RT-PCR kit (Seeplex™ RV detection, Seegene and additional monoplex real-time RT-PCRs. RESULTS: A total of 309 children were enrolled from November 2004 to January 2008. Viruses were identified in 72% (222/309 of cases, including respiratory syncytial virus (24%, influenza virus A and B (17%, human bocavirus (16%, enterovirus (9%, human coronavirus (8%, human metapneumovirus (7%, parainfluenza virus 1-3 (6%, adenovirus (5%, and human rhinovirus A (4%. Co-infections with multiple viruses were detected in 20% (62/309 of patients. When combined, diagnostic yields in nose and throat swabs were similar to nasopharyngeal aspirates. CONCLUSION: Similar to other parts in the world, RSV and influenza were the predominant viral pathogens detected in Vietnamese hospitalized children. Combined nasal and throat swabs are the specimens of choice for sensitive molecular detection of a broad panel of viral agents. Further research is required to better understand the clinical significance of single versus multiple viral coinfections and to address the role of bacterial (co-infections involved in severe respiratory illness.

  5. Monitor and Analysis on hospital disinfection effect in Luohe city%漯河市2012医疗机构消毒灭菌效果监测

    Institute of Scientific and Technical Information of China (English)

    孟丽; 茹慧萍; 张雪琴

    2013-01-01

    Objective In order to prevent nosocomial infection and offer suggestions, we Analyzed hospital disinfection effect in Luohe city. Methods Through field investigation and Sampling inspection, disinfection effects of the air, bodysurface,hands of medical workers,pressure steam sterilizers and disinfectant in use were evaluated. Results The disinfection qualification rate of medical institution roomair is 90%, the disinfection qualification rate of bodysurface is 92%, the disinfection qualification rate of pressure steam sterilizers is 100%, the disinfection qualification rate of hands of medical workers is 86%, the disinfection qualification rate of disinfectant in use is 96%. Conclusion The qualification rate of hospital disinfection raises yearly,and there are stil some shortcomings in hospital disinfection in Luohe city.%  目的:对我市市级医疗机构消毒效果监测情况进行分析,并提出整改措施,以便更好的预防医源性感染。方法:采用现场调查和采样检测方法,对医疗机构的空气、物体表面、医务人员手、压力蒸汽灭菌器,使用中消毒剂进行消毒效果评价。结果:医疗机构的室内空气合格率为90%,物体表面合格率为92%,压力蒸汽灭菌器合格率为100%,医务人员手合格率为86%,使用中消毒剂合格率为96%。结论:我市市级医疗机构消毒效果监测合格率较往年呈上升趋势,市属医院的消毒工作取得了一定的成效,但部分工作有待提高。

  6. The relationship between demographic variables, productivity, and staff burnout among staffs of a hospital located in Ilam city

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    Bahram Kohnavard

    2015-06-01

    Full Text Available Background­ and objectives : Burnout is one of the causes of reduced job performance and productivity, this syndrome in jobs who deal directly with people are more than other professions may be viewed. This study was conducted to investigate the relationship between demographic variables, efficiency, and staff burnout in a hospital. Methods : In this descriptive-analytical study all 100 employees of the hospital were evaluated . People by demographic information , Maslach Burnout questionnaire (MBI and productivity questionnaire were studied . Data analysis was performed using descriptive and inferential statistics . Results : Findings showed there was a significant correlation between the frequency of emotional exhaustion and reduced personal performance scale (the scale of burnout with productivity. Burnout in emotional exhaustion scale for 41 to 50 years and reduction of operation scale for 20 to 30 years old had the highest score . Metamorphosis and efficiency in terms of significant differences between the study found , and those with a bachelor's degree and those with postgraduate highest grade metamorphic and more than had the highest productivity . Respondents with less than 8 hours daily working hours are significantly higher productivity . Metamorphosis in nurses has higher scale scores . Productivity in anesthesia was significantly higher than other occupational groups. Conclusion : According to different levels of burnout and its damaging effects on the health of employees , lower productivity and quality of patient care , while more research on the causes of light , especially in institutional factors . It is suggested to adopt the methods of adjusting and preventive action to reduce this phenomenon .

  7. Prevalence of Staphylococcus Aureus Colonizing the Health Care Personnel of a Hospital in the City of Cali

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    Leidy Catherine Arteaga Delgado

    2016-01-01

    Full Text Available Objecitve: The aim of this study was to determine the prevalence of isolates of Staphylococcus aureus in workers at a hospital in Cali. Materials and methods: A descriptive study was conducted with samples of nasal swabs, skin smears to 30 health care workers. Phenotypic characterization of isolates was based on susceptibility antibiogram testing and pcr amplification of the identified mecA and agr genes. The origin of isolates was established by analysis of agr gene, identifying the agr groups. Results: Eleven (26.7 % workers were colonized with S. aureus. The frequency of S. aureus was higher in health care personnel who were in the operating room (20 %; OR = 2.077; P> 0.05. Four antibiotypes were identified, this feature is compatible with community clones that have proven to be highly diverse with a large capacity to spread in the community. 36.4 % of the isolates were resistant to cefotaxime and/or oxacillin, suggestive mrsa phenotype in these isolated the mecA gene was identified. Agr i was found primarily among isolates metillicin-sensitive S. aureus (mssa, compatible with community origin, and mrsa isolates belong to agr ii, with hospital waste. Conclusion: The prevalence of S. aureus resistant to antibiotics that colonize health care personnel was demonstrated, mainly in those working in the operating room. Regu­lar monitoring of personnel should be regularly conducted to prevent the spread of pathogens.

  8. The Controlled Study on Sleep Quality of Nurses Between Army Hospitals and Non-army Hospitals in A City%某市军地三甲医院护士睡眠质量对照

    Institute of Scientific and Technical Information of China (English)

    黄海燕; 杨文; 张桂霞; 张爱丽; 高珊

    2013-01-01

    目的:了解军地护士睡眠质量差异,探讨影响军地护士睡眠质量的影响因素。方法采用匹兹堡睡眠质量指数量表调查某市6所医院2000名护士的睡眠质量。按军队医院与地方医院进行分组,比较两组人群的睡眠质量及其影响因素。结果两组人群睡眠质量得分及睡眠障碍发生率均高于国内常模,地方医院护士睡眠质量优于军队医院护士。结论军地医院在护理人力资源配备、护理管理模式、工作条件、护士的工作方法等方面有所不同,从而导致军队医院护士的睡眠质量劣于地方医院,提示军队医院护理管理者需采取有效的干预措施,不断提高护士的身体素质,缓解护理人群的精神压力,积极做好军队医疗保障工作。%Objective To investigate the differences of sleep quality between two nurses groups , one work-ing in the military hospitals , the other in local civil hospitals .To analyze the factors of influencing sleep quality . Methods Sleep quality were surveyed among 2 000 nurses in 6 hospitals in a city by using Sleep Quality Index Scale questionnaire ( PSQI) .The nurses were grouped according to who work in military hospitals or local civil hos-pitals.The differences of sleep quality between the two groups have been compared .Results The scores of sleep quality and the incidence of sleep disorders were higher than the national norm .Nurses group working in local civil hospitals had better sleep quality than that working in military hospital .Conclusion Nursing human resources , nurses working management mode , working conditions , nurses working methods were different , which led to nurses who working in military hospitals suffering worse sleep quality than that working in local civil hospitals .It is neces-sary to take effective interventions for the managers to constantly improve the physical quality and relieve mental stress of nurses , so as to actively carry out health

  9. Bacteriospermia and Sperm Quality in Infertile Male Patient at University of Benin Teaching Hospital, Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Ibadin, O. K.

    2008-01-01

    Full Text Available Male Urogenital tract infection plays an important role in men infertility. Asymptomtic bacteriospermia has been regarded as of the contributing factor to male infertility. In this study, 87 semen samples of infertile men attending the Human Reproduction Research Programme and Invitrofertilization unit (HRRP/IVF of University Benin Teaching Hospital were evaluated Bacteriologically using standard Bacterial culture method. Standard semen analysis was performed according to WHO guidelines. Among the total cases, 36 (41.4% showed at least one pathogen. Staphylococcus aureus (16.1%, Staphylococcus Saprophyticus (9.1%, Escherichia Coli (6.9% Proteus mirabilis (3.4% Klebsiella spp (2.3% Pseudomonas aerouginosa (1.1% and Proteus vulgaris (2.3%. There was a significant relation between bacteriospermia and the rate of number of total motility and morphologically abnormal sperms (p 0.05. It seems that leukocytopermia is not a good maker to predict bacteriospermia.

  10. [Frequency of cancer in a specialty hospital in Mexico City. Implications for the development of early detection methods].

    Science.gov (United States)

    Herrera-Torre, Analy; García-Rodríguez, Francisco Mario; García, Rebeca Gil; Jiménez-Villanueva, Xicoténcatl; Hernández-Rubio, Angela; Aboharp-Hasan, Ziad

    2014-01-01

    Antecedentes: el cáncer es la segunda causa de muerte en México. El Hospital Juárez de México es una institución general de alta especialidad, por lo que la frecuencia de pacientes con cáncer atendidos en su Unidad de Oncología es una muestra representativa de la frecuencia de cáncer en el país. Objetivo: conocer la estadística de tumores diagnosticados en un hospital de tercer nivel. Material y métodos: estudio retrospectivo efectuado con base en la revisión de los expedientes guardados en los archivos de Anatomía Patológica de pacientes atendidos entre los años 2006 y 2010. Se registraron todos los casos positivos a cáncer de material obtenido mediante biopsia o pieza quirúrgica. Se agruparon por edad, sexo y sitios anatómicos. Resultados: se identificaron las 10 neoplasias más frecuentes en uno y otro sexo, los grupos de edad, y sexo más afectado. Conclusiones: la información obtenida refleja la realidad del país de población abierta no derechohabiente. En México, las mujeres padecen más cáncer que los hombres; las neoplasias de mama y tracto genital son las más frecuentes. Deben reforzarse los sistemas de detección oportuna para que la identificación de casos tempranos sea mayor en nuestra población.

  11. The impact of a 100% smoke-free law on the health of hospitality workers from the city of Neuquén, Argentina

    Science.gov (United States)

    Alderete, Mariela; Ruiz, Ernesto; Hasdeu, Santiago; Linetzky, Bruno; Ferrante, Daniel

    2010-01-01

    Objectives The objective of this study was to evaluate the impact of 100% smoke-free environment legislation on respiratory and sensory irritation symptoms and respiratory function among bar and restaurant workers from the city of Neuquén, Argentina. Methods Pre-ban and post-ban studies without a comparison group in an Argentinean city were conducted. A baseline survey and spirometric measurements were performed with a total of 80 bar and restaurant workers 1 month before (October 2007) and 3 months after (March 2008) the implementation of the new 100% smoke-free legislation. Results A significant reduction in secondhand smoke exposure was observed after the enactment and enforcement of the new legislation, and an important reduction in respiratory symptoms (from a pre-ban level of 57.5% to a post-ban level of only 28.8%). The reduction of sensory irritation symptoms was even higher. From 86.3% of workers who reported at least one sensory irritation symptom in October 2007, only 37.5% reported the same symptoms in March 2008. Also, data obtained by spirometry showed a significant forced vital capacity increase. Conclusions Consistent with other studies, 100% smoke-free legislation improved short-term health outcomes in the sample and should be implemented nationwide. Furthermore, undertaking this study has been highly important in promoting 100% smoke-free environment legislation at the workplace as a legitimate right of hospitality workers, and in reducing social acceptance of designated smoking areas in bars and restaurants. PMID:20378587

  12. Bacterial and viral pathogen spectra of acute respiratory infections in under-5 children in hospital settings in Dhaka city

    Science.gov (United States)

    Bhuyan, Golam Sarower; Hossain, Mohammad Amir; Sarker, Suprovath Kumar; Rahat, Asifuzzaman; Islam, Md Tarikul; Haque, Tanjina Noor; Begum, Noorjahan; Qadri, Syeda Kashfi; Muraduzzaman, A. K. M.; Islam, Nafisa Nawal; Islam, Mohammad Sazzadul; Sultana, Nusrat; Jony, Manjur Hossain Khan; Khanam, Farhana; Mowla, Golam; Matin, Abdul; Begum, Firoza; Shirin, Tahmina; Ahmed, Dilruba; Saha, Narayan; Qadri, Firdausi

    2017-01-01

    The study aimed to examine for the first time the spectra of viral and bacterial pathogens along with the antibiotic susceptibility of the isolated bacteria in under-5 children with acute respiratory infections (ARIs) in hospital settings of Dhaka, Bangladesh. Nasal swabs were collected from 200 under-five children hospitalized with clinical signs of ARIs. Nasal swabs from 30 asymptomatic children were also collected. Screening of viral pathogens targeted ten respiratory viruses using RT-qPCR. Bacterial pathogens were identified by bacteriological culture methods and antimicrobial susceptibility of the isolates was determined following CLSI guidelines. About 82.5% (n = 165) of specimens were positive for pathogens. Of 165 infected cases, 3% (n = 6) had only single bacterial pathogens, whereas 43.5% (n = 87) cases had only single viral pathogens. The remaining 36% (n = 72) cases had coinfections. In symptomatic cases, human rhinovirus was detected as the predominant virus (31.5%), followed by RSV (31%), HMPV (13%), HBoV (11%), HPIV-3 (10.5%), and adenovirus (7%). Streptococcus pneumoniae was the most frequently isolated bacterial pathogen (9%), whereas Klebsiella pneumaniae, Streptococcus spp., Enterobacter agglomerans, and Haemophilus influenzae were 5.5%, 5%, 2%, and 1.5%, respectively. Of 15 multidrug-resistant bacteria, a Klebsiella pneumoniae isolate and an Enterobacter agglomerans isolate exhibited resistance against more than 10 different antibiotics. Both ARI incidence and predominant pathogen detection rates were higher during post-monsoon and winter, peaking in September. Pathogen detection rates and coinfection incidence in less than 1-year group were significantly higher (P = 0.0034 and 0.049, respectively) than in 1–5 years age group. Pathogen detection rate (43%) in asymptomatic cases was significantly lower compared to symptomatic group (PStreptococcus pneumonia, and Klebsiella pneumaniae had significant involvement in coinfections with P values of

  13. 500 Cities: City Boundaries

    Data.gov (United States)

    U.S. Department of Health & Human Services — This city boundary shapefile was extracted from Esri Data and Maps for ArcGIS 2014 - U.S. Populated Place Areas. This shapefile can be joined to 500 Cities...

  14. Proportion of depression and its determinants among type 2 diabetes mellitus patients in various tertiary care hospitals in Mangalore city of South India

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    Nitin Joseph

    2013-01-01

    Full Text Available Background: Depression is found to be common among patients with diabetes and it is associated with poor outcomes in disease control. This study was carried out to find out the proportion and determinants associated with depression among patients with established type 2 diabetes mellitus (T2DM in various tertiary care hospitals in Mangalore city of south India. Materials and Methods: This study was conducted in one government and three private tertiary care hospitals in Mangalore in December 2010. All consenting patients with confirmed diagnosis of T2DM were interviewed and screened for depression by administering the 9-item PRIME-MD Patient Health Questionnaire (PHQ-9. Results: Of the 230 T2DM patients, 119 (51.7% were males. The mean age of all participants was 53.61 ± 10.7 years. The median duration of T2DM was found to be 12.1 ± 7.35 years. Among the participants, 71 (30.9% met the criteria for moderate depression, 33 (14.3% for severe depression, and the remaining 126 (54.8% had no clinically significant depression. Only 26 (11.3% patients were already aware that they were depressed, of whom just 3 had taken medical consultation. Among the risk factors, depression was found to be significantly associated with older age, female gender, low socioeconomic status, unskilled and retired employment status, having complications due to T2DM or comorbidities like hypertension and coronary artery disease, being overweight and being on insulin syringe injections. Conclusion: This study found a high proportion of depression among patients with T2DM. Therefore the care of individuals with diabetes mellitus (DM should include the screening and possible treatment of depression in order to achieve and sustain treatment goals.

  15. Tabaquismo en el personal de salud: estudio en una unidad hospitalaria Smoking among health personnel: study in one Mexico City hospital

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    ROBERTO GÓMEZ-GARCÍA

    1998-01-01

    Full Text Available Objetivo. Analizar las características que reviste el tabaquismo entre el personal de salud, al que se le considera especialmente importante por su influencia estratégica entre la población usuaria. Material y métodos. Se diseñó y validó una encuesta breve, y fue aplicada el mes de abril de 1997 entre los trabajadores de un hospital de la Ciudad de México. Se recopiló la información y la opinión sobre esta adicción entre fumadores y no fumadores, y se les analizó por sexo, edad, área, función, turno, etcétera, para identificar las variaciones más relevantes. Resultados. Se resaltó la elevada prevalencia de esta adicción entre el personal administrativo y los médicos. Conclusiones. La elevada tasa de tabaquismo entre los médicos es preocupante porque se contrapone a los principios de su formación, actividad y entorno.Objective. To analyze the characteristics of smoking among health personnel, considered to be of particular importance for their strategic influence on the population. Materials and methods. A short survey was designed and applied in April 1997 to health personnel in one Mexico City hospital. Information and personal view on tobacco addiction was taken from smokers and non-smokers and analyzed by sex, age, region, function, shift, etc. Results. Prevalence among administrative and medical personnel was high. Conclusions. The high smoking prevalence among health personnel should be carefully considered since it is opposed to medical principles on formation, activity and environment.

  16. Etiology of Sudden Cardiac Arrest in Patients with Epilepsy: Experience of Tertiary Referral Hospital in Sapporo City, Japan.

    Science.gov (United States)

    Miyata, Kei; Ochi, Satoko; Enatsu, Rei; Wanibuchi, Masahiko; Mikuni, Nobuhiro; Inoue, Hiroyuki; Uemura, Shuji; Tanno, Katsuhiko; Narimatsu, Eichi; Maekawa, Kunihiko; Usui, Keiko; Mizobuchi, Masahiro

    2016-05-15

    It has been reported that epilepsy patients had higher risk of sudden death than that of the general population. However, in Japan, there is very little literature on the observational research conducted on sudden fatal events in epilepsy. We performed a single-center, retrospective study on all the out-of-hospital cardiac arrest (OHCA) patients treated in our emergency department between 2007 and 2013. Among the OHCA patients, we extracted those with a history of epilepsy and then analyzed the characteristics of the fatal events and the background of epilepsy. From 1,823 OHCA patients, a total of 10 cases were enrolled in our study. The median age was 34 years at the time of the incident [9-52 years; interquartile range (IQR), 24-45]. We determined that half of our cases resulted from external causes of death such as drowning and suffocation and the other half were classified as sudden unexpected death in epilepsy (SUDEP). In addition, asphyxia was implicated as the cause in eight cases. Only the two near-drowning patients were immediately resuscitated, but the remaining eight patients died. The median age of first onset of epilepsy was 12 years (0.5-30; IQR, 3-21), and the median disease duration was 25 years (4-38; IQR, 6-32). Patients with active epilepsy accounted for half of our series and they were undergoing poly anti-epileptic drug therapy. The fatal events related to epilepsy tended to occur in the younger adult by external causes. An appropriate therapeutic intervention and a thorough observation were needed for its prevention.

  17. Current Microbial Isolates from Wound Swab and Their Susceptibility Pattern in a Private Medical College Hospital in Dhaka city

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    Shahin Sultana

    2015-03-01

    Full Text Available Background: Wound infection is one of the major health problems that are caused and aggravated by the invasion of pathogenic organisms where empiric treatment is routine. Objective: To isolate and identify the bacteria causing wound infection and to determine the antimicrobial susceptibility pattern. Materials and method: A total of 263 wound swab and pus samples were collected during the period of January to December 2012 from Delta Medical College and Hospital, Dhaka, Bangladesh. Swabs from the wound were inoculated on appropriate media and cultured and the isolates were identified by standard procedures as needed. Antimicrobial susceptibility testing was performed by disk diffusion method according to ‘The Clinical Laboratory Standard Institute’ guidelines. Results: In this study 220 bacterial isolates were recovered from 263 samples showing an isolation rate of 83.65%. The predominant bacteria isolated from infected wounds were Staphylococcus aureus 89 (40.45% followed by Escherichia coli 62 (28.18%, Pseudomonas aeruginosa 34 (15.45%, Enterococci 18 (8.18%, Acinetobacter 5 (2.27%, Klebsiella 9 (4.09% and Proteus 3 (3.36%. Staphylococcus aureus was sensitive to linezolid (94.38%, fusidic acid (91.01%, vancomycin (87.64%, amikacin (74.15% and gentamicin (73.03%. Among the Gram negative isolates Escherichia coli was predominant and showed sensitivity to imipenem (93.54% amikacin (83.87% colistin (53.22% and piperacillin and tazobactum (53.22% and pseudomonas showed sensitivity to amikacin (73.52%, imipenem (70.58% and colistin (70.58%. Conclusion: Staphylococcus aureus was the most frequently isolated pathogen from wound swab and the antibiotic sensitivity pattern of various isolates help to assist the clinician in appropriate selection of empirical antibiotics against wound infection.

  18. Zatrucie tlenkiem węgla – drogi narażenia, obraz kliniczny, metody leczenia = Carbon monoxide poisoning, routes of exposure, clinical manifestation, treatment

    OpenAIRE

    Sowa, Magdalena; Winnicki, Andrzej; Wójcik, Kamil; Tarkowski, Michał; Gnatowski, Tomasz

    2015-01-01

    Sowa Magdalena, Winnicki Andrzej, Wójcik Kamil, Tarkowski Michał, Gnatowski Tomasz. Zatrucie tlenkiem węgla – drogi narażenia, obraz kliniczny, metody leczenia = Carbon monoxide poisoning, routes of exposure, clinical manifestation, treatment. Journal of Education, Health and Sport. 2015;5(4):345-354. ISSN 2391-8306. DOI: 10.5281/zenodo.17251 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%284%29%3A345-354 https://pbn.nauka.gov.pl/works/556252 http://dx.doi...

  19. Metody i środki zwalczania zagrożeń pyłowych i metanowych w górnictwie węglowym

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    Dominik Bałaga

    2015-04-01

    Full Text Available W artykule przedstawiono problematykę zagrożeń pyłowych i metody ich ograniczania w zakładach górniczych węgla kamiennego. Omówiono budowę i zasadę działania wybranych urządzeń do zwalczania zapylenia oraz urządzeń odpylających projektowanych w ITG KOMAG. Zaprezentowano wyniki prac badawczych i wdrożeniowych potwierdzających efektywność zwalczania zapylenia, szczególnie na stanowiskach pracy w wyrobiskach górniczych.

  20. Health care seeking behaviour and expenditure pattern among Scrub Typhus patients attending a tertiary care hospital in Mysore city

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    Rajesh Jayanandan

    2015-05-01

    Full Text Available Background: Scrub typhus is one among the re-emerging infectious diseases throughout the world. Various studies conducted across India reveals that its public health importance is increasing. This study was conducted 1 To describe the socio-demographic and epidemiological profile of patients admitted with scrub typhus. 2 To assess the health care seeking behaviour of these patients. 3 To estimate the cost factors incurred in the current episode of illness. Methods: This prospective study was conducted from January to December 2013 among all lab confirmed cases of scrub typhus admitted to department of medicine and pediatrics of JSS Hospital, Mysore. The study subjects were interviewed with a pre-tested and structured questionnaire. Data regarding socio-demographic profile, epidemiological profile, disease outcome, health care seeking behaviour and cost factors incurred with current episode of illness were collected. Data entry and analysis were done with SPSS.v.22.0 using descriptive statistics like mean, standard deviations and inferential statistics like chi-square test. Results: Among 192 patients tested positive by Weil-Felix test and/or Immuno-Chromatographic Test (ICT for scrub typhus majority 105 (54.7% were males and were predominantly 135 (70.3 % from rural areas. Mostly 172(89.6% were unaware of any mite bite in the past. Majority 167 (87.0% of them had visited atleast three Health Care Facilities (HCF for treatment. The mean +/- SD total duration of illness was 15.6 +/- 4.1 days. Most 104 (54.2 % of them had suffered from illness for 11-15 days. Majority 175 (91.1% of them had recovered while 3 (1.6% of them had succumbed to the condition. The median Total direct cost, total indirect cost and overall total cost were Rs. 7500 (7000-9500, Rs. 3000 (2500-3500 and Rs. 10500 (10000-13000 respectively. Most 104 (54.2% of them spent from money borrowed from others, followed by 78 (40.6% spent Out Of Pocket (OOP. Conclusion: People from rural

  1. Effects of short-term exposure to air pollution on hospital admissions of young children for acute lower respiratory infections in Ho Chi Minh City, Vietnam.

    Science.gov (United States)

    Le, Truong Giang; Ngo, Long; Mehta, Sumi; Do, Van Dzung; Thach, T Q; Vu, Xuan Dan; Nguyen, Dinh Tuan; Cohen, Aaron

    2012-06-01

    There is emerging evidence, largely from studies in Europe and North America, that economic deprivation increases the magnitude of morbidity and mortality related to air pollution. Two major reasons why this may be true are that the poor experience higher levels of exposure to air pollution, and they are more vulnerable to its effects--in other words, due to poorer nutrition, less access to medical care, and other factors, they experience more health impact per unit of exposure. The relations among health, air pollution, and poverty are likely to have important implications for public health and social policy, especially in areas such as the developing countries of Asia where air pollution levels are high and many live in poverty. The aims of this study were to estimate the effect of exposure to air pollution on hospital admissions of young children for acute lower respiratory infection (ALRI*) and to explore whether such effects differed between poor children and other children. ALRI, which comprises pneumonia and bronchiolitis, is the largest single cause of mortality among young children worldwide and is responsible for a substantial burden of disease among young children in developing countries. To the best of our knowledge, this is the first study of the health effects of air pollution in Ho Chi Minh City (HCMC), Vietnam. For these reasons, the results of this study have the potential to make an important contribution to the growing literature on the health effects of air pollution in Asia. The study focused on the short-term effects of daily average exposure to air pollutants on hospital admissions of children less than 5 years of age for ALRI, defined as pneumonia or bronchiolitis, in HCMC during 2003, 2004, and 2005. Admissions data were obtained from computerized records of Children's Hospital 1 and Children's Hospital 2 (CH1 and CH2) in HCMC. Nearly all children hospitalized for respiratory illnesses in the city are admitted to one of these two pediatric

  2. Frecuencia de micosis en pacientes inmunosuprimidos de un hospital regional de la Ciudad de México Frequency of mycoses in immunosuppressed patients in a regional hospital in Mexico City

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    Francisca Hernández-Hernández

    2003-12-01

    Full Text Available OBJETIVO: Aislar e identificar hongos en diferentes especímenes de pacientes inmunocomprometidos, atendidos en un hospital de la Ciudad de México, y determinar su asociación con micosis. MATERIAL Y MÉTODOS: Se realizó un estudio de tipo observacional transversal en pacientes del Hospital Regional General Ignacio Zaragoza, de junio de 1999 a mayo de 2000. De 108 pacientes se procesaron 268 especímenes para estudio micológico que incluyó examen directo, frotis, cultivos y microcultivos en medios específicos además de pruebas bioquímicas. La mayoría de pacientes tenía diagnóstico clínico de tuberculosis pulmonar y de síndrome de inmunodeficiencia adquirida. RESULTADOS: Se obtuvieron 183 aislamientos de levaduras y 66 de hongos filamentosos. Se diagnosticaron 45 micosis que en su mayoría correspondieron a candidosis pulmonar (32 casos. Las especies de Candida más frecuentes asociadas a patología fueron Candida albicans y C parapsilosis. Se obtuvieron cinco aislamientos de Cryptococcus neoformans variedad neoformans, uno de C albidus, tres de Histoplasma capsulatum y uno de Geotrichum candidum, asociados a infección micótica. CONCLUSIONES: El 41.6% de los pacientes estudiados presentaron una micosis asociada principalmente a síndrome de inmunodeficiencia adquirida y a tuberculosis pulmonar.OBJECTIVE: To isolate and identify the fungi in specimens collected from immunocompromised patients seen in Mexico City hospital, and to assess their association with mycosis. MATERIAL AND METHODS: A total of 268 specimens from 108 patients were processed for mycological study, including direct examination, smears, cultures, and microcultures in specific media, in addition to biochemical tests. Most of the patients had been diagnosed with pulmonary tuberculosis and Acquired Immunodeficiency Syndrome (AIDS. RESULTS: One hundred and eighty-three yeasts and 66 mycelial fungi were isolated. Forty-five mycoses were diagnosed; the most frequent

  3. Metody badania spontanicznych i spowodowanych lekami przeciwpsychotycznymi zaburzeń ruchowych w schizofrenii

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    Olga Kałużyńska

    2013-09-01

    Full Text Available Od dawna wiadomo, że przynajmniej niektóre zaburzenia motoryczne występują u chorych na schizofrenię jeszcze przed podjęciem leczenia lekami przeciwpsychotycznymi istotnie statystycznie częściej niż w populacji ogólnej. Wpro‑ wadzenie leków przeciwpsychotycznych zahamowało jednak ten nurt badań, bowiem od tej pory koncentrowano się wyłącznie na objawach zaburzeń ruchowych powstałych w wyniku stosowania neuroleptyków. W kilku pracach wy‑ kazano również, że niektóre zaburzenia ruchowe są częstsze i bardziej nasilone u krewnych I stopnia osób chorych, lecz rzadsze i mniej nasilone niż u chorych na schizofrenię. Obecnie istnieje wiele narzędzi – skal klinicznych, używa‑ nych w praktyce i badaniach, opartych na obserwacji klinicznej, służących do oceny występowania i nasilenia zabu‑ rzeń motorycznych zarówno spontanicznych, jak i związanych z leczeniem lekami przeciwpsychotycznymi. Najczęściej przy pomocy tych skal ocenia się i monitoruje objawy parkinsonizmu, dystonie oraz akatyzję. Uważa się, że wszyst‑ kie te narzędzia mają jednak wiele wad i nie pozwalają na wykrycie i obiektywny pomiar subklinicznych objawów za‑ burzeń motorycznych. Instrumentalne metody oceny zaburzeń ruchowych (spontanicznych i spowodowanych leka‑ mi przeciwpsychotycznymi pozwalają na wykrycie właśnie subtelnych, słabo nasilonych objawów i dlatego mogą być przydatne przy identyfikacji osób z tzw. stanem wysokiego ryzyka rozwoju psychozy, ocenie występowania dysfunkcji motorycznych u krewnych osób chorych na schizofrenię, a także określaniu stopnia i rodzaju odpowiedzi na leczenie lekami przeciwpsychotycznymi. Większość tych metod wymaga jednak skomplikowanej aparatury i procedury analizy uzyskanych wyników. Jedną z interesujących i stosunkowo łatwych do realizacji metod instrumentalnych wydaje się wieloaspektowa ocena pisma. Zastosowanie nowych metod oceny zaburzeń motorycznych konieczne

  4. Estado nutricio en pacientes internados en un hospital público de la ciudad de México Nutritional status in hospitalized patients in a public hospital in mexico city

    Directory of Open Access Journals (Sweden)

    V. Fuchs

    2008-06-01

    Full Text Available Objetivo: Determinar la frecuencia de desnutrición en los pacientes hospitalizados y relacionarla a su índice de masa corporal, ayuno, consumo de alimentos durante la estancia -nivel energético y proteico- y a los días de hospitalización. Métodos (población de estudio, sujetos, intervención: Se evaluó la pérdida de peso en los últimos seis meses, elíndice de masa corporal (IMC, los porcentajes de peso ideal y habitual, días de hospitalización, porcentaje de adecuación de alimento consumido (en kilocalorías y gramos de proteína, los días y razones del ayuno según fuera el caso en pacientes hospitalizados en diferentes servicios del Hospital General de México. Los pacientes se dividieron en grupos de acuerdo a su estado nutricio (con/en riesgo de desnutrición o normal y se llevó a cabo un análisis descriptivo, así como diversas pruebas t para estimar la diferencia entre medias y comparar los dos grupos. Resultados: Se evaluaron 561 pacientes. Se observaron diferentes frecuencias de desnutrición de acuerdo a varios indicadores: 21,17% de acuerdo al IMC, 38,07% y 19,57% por porcentaje de peso habitual e ideal respectivamente y una pérdida de peso en 69,57% de los pacientes. El promedio de consumo de alimentos diario fue de 1.061 ± 432,7 kcal y 42,1 + 22,7 g de proteína; cubriéndoseúnicamente el 69,4% de energía requerida y el 54,9% de demandas proteicas. Se encontró una diferencia significativa entre los pacientes desnutridos y aquéllos con un estado nutricio adecuado en cuanto al IMC (p Objective: To determine the frequency of malnutrition among hospitalized patients and to relate nutrition status with body mass index, fasting time, adequacy intake of protein and energy during hospitalization and length of stay. Methods (study population, subjects, intervention: We evaluated weight loss in the last 6 months prior to admission, body mass index (BMI, ideal and usual body weight percentages, days of hospitalization

  5. Logistic regression analysis on risk factors for vascular dementia following cerebral infarction in 403 patients from Chongqing City Hospital and family follow-up studies

    Institute of Scientific and Technical Information of China (English)

    Hong Yang; Jingcheng Li; Huadong Zhou

    2007-01-01

    BACKGROUND: Studies have demonstrated that the risk factors of vascular dementia following stroke are greatly different in region, race and other aspects.OBJECTIVE: To analyze the conditions and incidental risk factors of vascular dementia in patients with acute cerebral infarction from Chongqing City. DESIGN: Case analysis.SETTING: Department of Neurology, Daping Hospital, Third Military Medical University of Chinese PLA. PARTICIPANTS: Altogether 546 inpatients with acute ischemic stroke admitted to Department of Neurology, Daping Hospital, Third Military Medical University of Chinese PLA between May 1999 and December 2002 were involved in this study. The involved patients, including 295 males and 251 females, aged 55 - 94 years, dwelled in Chongqing over 5 years. They were admitted to hospital within 48 hours of attack of acute ischemic stroke, and survived for over 3 months. Informed consents were obtained from all the involved subjects.METHODS: ①Following the same standard, cognitive and social function evaluations were conducted by one physician on admission and 3 months after admission. Unified questionnaire, consisting of general characteristics, vascular risk factors, stroke characteristics, neurological physical sign, and other 28 factors of involved subjects, was used in all the patients. According to the investigation results, the patients were assigned into 2 groups: dementia group and non-dementia group. ②Ischemic stroke was diagnosed according to acute ischemic brain disorder>24 hours and CT or MRI imageology.③Neurophysiological examination was conducted in all the patients at 7 to 10 days after stroke (score was two SD less than or equaled to normal level was considered as abnormal).④Diagnosis and statistics of dementia were carried out with Mini-Mental State Examination and The Diagnostic and Statistical Manual of Mental Disorders-IV (published by American Psychiatric Association) on admission and 3 months after admission. Neurologic

  6. Investigating the Relationship of Organizational Commitment and Clinical Competence (Case study: Nurses Working in Montazeri Hospital, City of Najafabad, Iran, 2015

    Directory of Open Access Journals (Sweden)

    Neda Khodadadei

    2016-05-01

    Full Text Available Human resources committed to the organization not only reduces absence, delay, and replacement, but also causes the increase of organizational performance, employees’ mental freshness, better attainment to organizational excellent goals, and achieving individual’s objectives. Hence, organizational commitment has special importance among the employees of hospital. The nurses’ competence is an important criterion required for providing patients’ health-cares. The change in nurses’ roles and duties has changed the job to a complicated one and requires having various skills, and has caused the clinical competence to be considered more. The present study was performed with the aim of investigating the relationship of organizational commitment and clinical competence in nurses. The research was descriptive correlation type, and the statistical population was all nurses (176 persons working in Montazeri Hospital, Najafabad city, selected by Census method and 135 persons were investigated. The data collection tool included three questionnaires of personal information, Allen and Meyer’s questionnaire of organizational commitment, and questionnaire of clinical competence, that their validity and reliability were confirmed. Data was analyzed with independent t-test, ANOVA, Mann-Whitney, and Pearson’s correlation coefficient using the software SPSS 17. The average score of organizational commitment was 91± 10.76, and at medium level. The average score of clinical competence was 74.42±11.69, and at good level. There was no significant relationship between organizational commitment and clinical competence in the nurses. Only, the emotional commitment dimension had significant relationship with the quality assurance area of clinical competence (P<0.05. Organizational commitment of nurses did not have significant relationship with demographic variables under investigation, while their clinical competence had significant relationship with age

  7. [Double-balloon enteroscopy: experience in the Hospital de Especialidades del Centro Médico Nacional Siglo XXI IMSS, Mexico City].

    Science.gov (United States)

    Blancas Valencia, Juan Manuel; Paz Flores, Víctor Manuel; Yokota, Alejo Miyamoto; Huerta Fosado, Blanca Rosa; Meneses, Luis Fernando; Piccini Larco, Julio Roberto; Mejía Cuan, Luis Alvaro

    2005-01-01

    The methods used for the study of the small bowel are not ideal. Double-balloon enteroscopy is a new alternative with therapeutic potential. Evaluate the utility, efficacy and safety of double-balloon enteroscopy in Mexico. Adult patients seen in the Hospital de Especialidades Centro Médico Nacional Siglo XXI, Mexico City who were being studied for: chronic diarrhea, obscure gastrointestinal hemorrhage, weight-loss and chronic anemia were included in the study. Anterograde (oral) and retrograde (anal) approaches were used and study time, findings and complications were evaluated. Thirty-one enteroscopies were performed, 15 were anterograde, 8 retrograde and 8 were performed via both routes, in 23 patients studied between February and October, 2004; 10 of them were women and 13 men with ages ranging from 25 to 80 years. Fourteen patients were sedated and 9 patients were anesthetized. Study time varied form 55 to 90 minutes. With the anterograde route the ileum was reached in 56.6% of cases, 39.1% the jejunum and only in one patient (4.3%) the whole intestine was explored. With the retrograde route in 62.5% of cases the jejunum was explored and 37.5% the ileum. Four patients with obscure gastrointestinal bleeding and 1 patient with chronic anemia had vascular ecstasies, and in 40% of patients there was no identifiable cause. In 2 patients with intestinal stenosis biopsies revealed intestinal lymphoma in one and ischemic injury in another one. The adverse effects were mild and transitoru. Double-balloon enteroscopy is a safe diagnostic and therapeutic method that is useful in cases of obscure hemorrhage, chronic anemia; small bowel pathology was found in 64.7% of cases.

  8. Determining the Relation between Nurses Spiritual Intelligence and Nursing Care Quality in Estahban City Imam Khomeini Hospital (the Relation of Spiritual Intelligence and Nursing Care Quality

    Directory of Open Access Journals (Sweden)

    Alireza Faghihi

    2016-04-01

    Full Text Available Introduction: Nurses' human traits and beliefs could help in better performance of their professional role. Care quality has been the most important priority of nursing whose promotion causes the patients satisfaction increase, efficiency increase and reduction of hospital costs. The present study was conducted for examining the relation between nurses' spiritual intelligence and nurses care quality in Estahban city. Study method: The study method used in this study is descriptive of correlation type and it was performed by accessible sampling method and participation of 80 nurses with bachelor and master's degree. 42- Question spiritual intelligence questionnaire of Badie et.al (2010 and Kioalpak nursing care quality (1975 was used that their reliability was confirmed by content method and their validity with Cronbach alpha method with coefficients 0.8 and 0.85 respectively. The relation between nurses' spiritual intelligence and nursing cares quality was examined by statistical test of Pearson correlation coefficient. Findings: There is a significant positive relation between spiritual intelligence and nursing cares quality ( p=0.00, r =0.502. There is a significant and positive relation between spiritual intelligence and communicational skills quality of nursing cares (p= 0.00, r = 0.398. There is a significant and positive relation between spiritual intelligence and mental and social quality of nursing cares (p=0.000, r = 0.366. Conclusion: Spiritual intelligence in reinforcing beliefs and personality of nurses could help in improving the quality of patients care. Therefore, benefiting from higher spiritual intelligence of nurses in workplace could be effective in promoting better performance and implementing of role which by itself leads to promotion of patients' health.

  9. 德阳市院前急救现况调查与分析%Epidemiology Analysis of Pre-Hospital First Aid Patients of Deyang City

    Institute of Scientific and Technical Information of China (English)

    鄢涛; 王森; 谭鸿; 姜伟; 刘辉; 李远建; 胡壮俐

    2011-01-01

    目的 了解德阳市院前急救患者流行病学特点,提高院前急救质量和管理水平.方法 选用德阳市紧急救援指挥中心救护记录单为调查表,调查对象为2009年1月1日-2009年12月31日德阳市急救中心所有院前急救患者,共16 265例,采用现况研究.结果 ①16 265例患者平均年龄(45.23±17.46)岁,男女性别比为1.18:1,职业以工人(38.26%,6223/16 265)最多.院前急救调度时间、到达时间、现场时间、返回时间分别为(1.89±0.82)min、(14.22±5.23)min、(14.33±4.34)min、(13.12±4.35)min.院前急救病种前5位是创伤(38.80%,6311/16 265,)、脑血管病(18.73%,3047/16265)、心血管病(17.54%,2852/16 265)、呼吸系统疾病(9.67%,1573/16265)、中毒(6.00%,975/16265).院前急救病例一年中以冬夏季最多(62.99%,10 245/16 265);一天中以昼多夜少分布,高峰时间是8:00 ~24:00(86.74%,14 108/16 265).院前急救出诊半径为(8.15±3.25)km,区域分布以市区为主(52.36%,8517/16 265),城郊与农村次之.②死亡病例与非死亡病例调度时间、到达时间、返回时间相比较差异无统计学意义(P>0.05),现场时间死亡病例比非死亡病例明显延长(P<0.05);院前死亡病例以>60岁最多,占54.30%(638/1175);死亡原因以脑血管疾病(28.34%,333/1175)、心血管疾病(24.94%,293/1175)和创伤(22.38%,263/1175)为主.结论 德阳市院前急救有其自身的流行病学特点,本调查为德阳市院前急救的管理和建设提供了一定的参考依据.%Objective To investigate the epidemiological characteristics of the emergency occurred,the distribution of disease and to provide reference for improving the Emergency medical treatment system in Deyang city. Methods 16 26S patients who called for pre-hospital first aid from 2009-01-01 to 2009-12-31 in Deyang city were analyzed. Results ①In 16 265 pre-hospital first aid patients, the ratio of male/female was 1.18:1, the average age was

  10. IMPACT OF EDUCATIONAL INTERVENTION ON THE KNOWLEDGE OF BIO-MEDICAL WASTE MANAGEMENT AMONG HEALTH CARE WORKERS IN A TERTIARY CARE HOSPITAL AT BAGALKOT CITY

    Directory of Open Access Journals (Sweden)

    Mannapur

    2014-05-01

    Full Text Available BACKGROUND: The waste generated from medical activities can be hazardous, toxic and even lethal because of their high potential for diseases transmission and injury that also results in environmental degradation. An adequate and appropriate knowledge of health care waste management among the health care workers is the first step towards developing favourable attitude and practices thereby ensuring safe disposal of hazardous hospital waste. OBJECTIVES: To determine the knowledge regarding the bio-medical waste management among health care workers. To evaluate the effect of the intervention program given to health care workers. METHODS: TYPE OF STUDY: A cross-sectional study. STUDY PERIOD: May-December 2013. STUDY SETTING & STUDY SUBJECTS: The present study was conducted at S. Nijalingappa Medical College and HSK Hospital & Research center in Bagalkot city among paramedical workers which includes all the nursing staff and lab-technicians of the hospital (n =122. An identical pre and post-training questionnaire was designed which is pre-tested & structured and given to the above mentioned paramedical staff before and after the training session. The study variables include general information and questions regarding the knowledge about the health hazards, segregation, storage, personal protective devices, prophylactic vaccination, treatment, disposal and the rule of bio-medical waste management. A series of training sessions were conducted by trained community medicine staff along with PGs and training included knowledge about all aspects of biomedical waste with power point presentation and demonstration. STATISTICAL ANALYSIS: The data was tabulated by using Microsoft Excel 2010 and analyzed by using Openepi software and chi-square test was used. RESULTS: Among 122 participants, 94 (77.05% were males and 28 (22.95% were females. Most of them 94 (77.05% belongs to the age group of 20-29yrs and 24 (19.67% to the age group of 30-39 years. Majority i

  11. Some account of the origin and plan of an association formed for the establishment of a house of recovery or fever hospital in the city of Dublin

    LENUS (Irish Health Repository)

    1801-01-01

    This particular year\\'s reports cover the initial meeting in October 1801, an appendix which considers the experience of fever hospital\\'s in Manchester and Waterford and finally medical testimony supporting the building of a fever hospital.\\r\

  12. Infezione sperimentale di capre con un ceppo atipico di Mycoplasma mycoides subsp. capri isolato in Giordania: confronto tra differenti metodi diagnostici

    Directory of Open Access Journals (Sweden)

    Massimo Scacchia

    2010-06-01

    Full Text Available Sono state infettate sperimentalmente 10 capre con un micoplasma identificato con metodi biomolecolari come Mycoplasma mycoides subsp. capri, ceppo Irbid, isolato da capre in un focolaio di agalassia contagiosa nel nord della Giordania e definito atipico per la sua peculiarità sierologica. Due gruppi di animali infettati rispettivamente per via endotracheale e aerosol sono stati posti in contatto con un terzo gruppo di capre. A sei settimane dall’infezione alcuni animali, sia infettati sia posti in contatto, hanno manifestato febbre, scolo nasale, seguiti da grave sintomatologia respiratoria e poliartrite. Dagli animali deceduti o sacrificati, perché giunti al termine della sperimentazione, sono stati effettuati prelievi di organi. Dopo una descrizione dei quadri clinici ed anatomo-istopatologici, sono stati messi a confronto gli esiti degli isolamenti microbiologici e delle prove immunoisto-chimiche effettuate sugli organi prelevati.

  13. Bio diesel blends stability. Analytical aspects and test methods; Stabilita' delle miscele gasolio-biodiesel. Aspetti analitici e metodi di prova

    Energy Technology Data Exchange (ETDEWEB)

    Pinelli, G. [Stazione Sperimentale per i Combustibili, San Donato Milanese, Milan (Italy)

    2001-08-01

    Bio diesel blends are receiving increasing attention as an alternative to conventional petroleum fuel for Diesel engines. This interest is based on several valuable properties of bio diesel, which, besides the production from renewable sources and its sufficient compatibility with Diesel engines, could reduce exhaust emissions. From technical point of view the main disadvantage of bio diesel is fuel un stability. As a matter of fact, bio diesel is more subject to oxidative degradation than petroleum diesel oil and this can alter the stability of bio diesel blends. In this connection the greatest controversy stability regards test methods for bio diesel blends. This review presents a synthesis of the studies performed in recent years on bio diesel blends stability. Besides considering the analytical aspects involving both products, the most important test methods for stability of bio diesel blends are discussed. [Italian] Le miscele gasolio-biodiesel stanno riscuotendo una crescente attenzione come alternative ai tradizionali comustibili diesel. Questo interesse e' dovuto ad alcune pregevoli proprieta' del biodiesel, il quale, oltre a essere prodotto da fonti rinnovabili, presenta una soddisfacente compatibilita' con i motori Diesel e potrebbe contribuire a ridurre le emissioni inquinanti. Da un punto di vista tecnico il suo grande svantaggio e' la instabilita'. Il biodiesel, infatti, e' piu' soggetto alla degradazione ossidativa rispetto al gasolio e questo puo' alterare la stabilita' delle miscele tra i due prodotti. A tal proposito l'aspetto piu' controverso riguarda i metodi di prova per la valutazione della stabilita' delle miscele gasolio-biodiesel. In questa rassegna viene presentata una sintesi degli studi condotti negli ultimi anni sulla stabilita' delle miscele gasolio-biodiesel. Oltre a considerare gli aspetti analitici riguardanti i due prodotti, vengono discussi i principali metodi di

  14. Perfil epidemiológico de pacientes portadores de TB internados em um hospital de referência na cidade do Rio de Janeiro Epidemiological profile of hospitalized patients with TB at a referral hospital in the city of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Hedi Marinho de Melo Guedes de Oliveira

    2009-08-01

    Maria (HESM, in the city of Rio de Janeiro, Brazil, between January of 2002 and December of 2003. Data were collected using a standardized form. RESULTS: Of the 451 patients included in the study, 313 (69.4% had been referred to the HESM from health care clinics, and 302 (67.0% were male. Most of the patients were in the 30-59 year age bracket, 443 (98.2% lived in the greater metropolitan region of Rio de Janeiro, and 298 (66.1% lived in the city of Rio de Janeiro itself. The most common reason for hospitalization was poor health status (in 237, 52.5%. The most common comorbidity was AIDS (in 137, 30.4%. The most common signs and symptoms at admission were weight loss, fever and productive cough. Sputum smear microscopy was positive in 122 (71.0% of the patients presenting with productive cough at admission. Of the 212 patients being retreated, 156 (73.6% reported noncompliance with previous treatment. Regarding the outcome, 273 (65.8% of the patients were referred to municipal health care centers, 83 (18.4% died, 44 (9.8% were cured, and 27 (6% were discharged against medical advice. CONCLUSIONS: Providing hospitals specializing in TB is relevant for TB control, especially in metropolitan regions. In addition to taking biosafety measures, these hospitals must be prepared to treat patients with TB-related comorbidities and social problems. This study has resulted in improvements at the HESM.

  15. Image city

    DEFF Research Database (Denmark)

    2003-01-01

    Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities.......Image city exhibition explores a condition of mediation, through a focus on image and sound narratives with a point of departure on a number of Asian cities....

  16. Allegheny County Diabetes Hospitalization

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — This data includes the number of people hospitalized with diabetes between 2013-2015, by age group, for Allegheny County Zip Codes.

  17. Allegheny County Hospitals

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The data on health care facilities includes the name and location of all the hospitals and primary care facilities in Allegheny County. The current listing of...

  18. Transport accidents among children and adolescents at the emergency service of a teaching hospital in the southern zone of the city of São Paulo☆☆☆

    Science.gov (United States)

    Gorios, Carlos; de Souza, Renata Maia; Gerolla, Viviane; Maso, Bruno; Rodrigues, Cintia Leci; Armond, Jane de Eston

    2014-01-01

    Objective to describe the victim profile and circumstances of transport accidents involving children and adolescents who were attended at a teaching hospital in the southern zone of the city of São Paulo. Methods this was an individual observational case series study among patients up to the age of 19 years who were attended at a hospital in the southern zone of the city of São Paulo, state of São Paulo, Brazil, due to traffic accidents. The files notifying suspected or confirmed cases of violence and accidents (SIVVA files) covering January to December 2012 were analyzed. Results among the 149 cases notified, 64.4% related to males and 35.6% to females. The transport accidents were predominantly among males, irrespective of age. The main injury diagnoses were superficial head trauma (24.8%) followed by multiple non-specified trauma (36.4%), in both sexes. Conclusion transport accidents among children and adolescents occurred more often among males. The main transport accidents among the children and adolescents attended as emergency cases were caused by motor vehicles and motorcycles. Among the accident victims, the largest proportion was attended because of being run over. PMID:26229833

  19. Obtaining a Well-Aligned ZnO Nanotube Array Using the Hydrothermal Growth Method / Labi Sakārtotu Zno Nanocauruļu Kopu Iegūšana, Izmantojot Hidrotermālo Metodi

    Directory of Open Access Journals (Sweden)

    Krasovska M.

    2015-10-01

    Full Text Available Dotajā darbā tika noteikti optimāli parametri labi sakārtotu ZnO nanocaurulīšu kopu iegūšanai, izmantojot hidrotermālo metodi ar temperatūras pazemināšanu, jeb t.s. selektīvu paškodināšanas metodi (self-selective etching, ir uzsvērtas šās metodes priekšrocības salīdzinājumā ar ķīmiskās kodināšanas metodi, kā arī tika aprakstīta dažādu augšanas faktora (tādu, ka darba šķīduma koncentrācija, augšanas temperatūra un laiks, iedīgļu slāņa iegūšanas veids un iegūšanas parametri ietekme uz iegūtu nanostraktūra morfoloģiju.

  20. 孝感市基层县级医院科技论文产出分析%Analysis of Xiaogan city grass-roots county hospital scientific paper output

    Institute of Scientific and Technical Information of China (English)

    陈涛; 付莉霞; 朱文生; 景华平; 陈敏

    2015-01-01

    Objective primary hospitals at the county level in xiaogan City 17 years for the production of scientific papers in qualitative and quantitative statistical analysis,summary of research progress and existing problems in county hospitals,and provides references for research management in local hospitals.Methods Wanfang medicine network included in 1998-2014 year published Xiaogan city 7 county hospital as the object;All biomedical scientific papers published as the first author to statistical analysis.Results 7 County Hospital of xiaogan City 17-year total output articles 1909,General journals 1273articles(66.68% per cent),Core journal 636 papers (33.31% per cent).Hanchuan city people's Hospital total the largest number of papers;total 544 articles (28.50% total),yingcheng hospital quality highest core journal papers and the highest proportion;total 186 (proportion of the total core thesis 29.25 %),minimum quantity and quality of outputs anlu city people's Hospital,only 15 articles in periodicals of General The core journals and 2 papers (0.89% of the total number of accounts for the paper,core paper accounted for 0.31% of the total).On the whole 2006-2009 published papers began to gradually slow growth,The number 2010-2014 entered the stage of rapid growth,but the core papers for slow growth.Conclusions xiaogan city grass-roots scientific articles in recent years in county hospitals are generally presented a trend of rapid growth,but the quality of growth is relatively slow,output quantity and quality distribution imbalances between hospitals.%目的 对孝感市县级基层医院17年来产出的科技论文质和量进行统计分析,总结县级医院科研进展及当前存在的问题,为基层医院科研管理提供参考信息.方法 对万方医学网收录的1998-2014年孝感市7家县级医院为对象;将所有以第一作者发表的生物医学科技论文进行统计分析.结果 孝感市7家县级医院17年共产出论文1909

  1. Improvements in Patient Acceptance by Hospitals Following the Introduction of a Smartphone App for the Emergency Medical Service System: A Population-Based Before-and-After Observational Study in Osaka City, Japan.

    Science.gov (United States)

    Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Iwami, Taku; Kawamura, Takashi; Izawa, Junichi; Gibo, Koichiro; Komukai, Sho; Hayashida, Sumito; Kiguchi, Takeyuki; Ohnishi, Mitsuo; Ogura, Hiroshi; Shimazu, Takeshi

    2017-09-11

    Recently, the number of ambulance dispatches has been increasing in Japan, and it is therefore difficult for hospitals to accept emergency patients smoothly and appropriately because of the limited hospital capacity. To facilitate the process of requesting patient transport and hospital acceptance, an emergency information system using information technology (IT) has been built and introduced in various communities. However, its effectiveness has not been thoroughly revealed. We introduced a smartphone app system in 2013 that enables emergency medical service (EMS) personnel to share information among themselves regarding on-scene ambulances and the hospital situation. The aim of this study was to assess the effects of introducing this smartphone app on the EMS system in Osaka City, Japan. This retrospective study analyzed the population-based ambulance records of Osaka Municipal Fire Department. The study period was 6 years, from January 1, 2010 to December 31, 2015. We enrolled emergency patients for whom on-scene EMS personnel conducted hospital selection. The main endpoint was the difficulty experienced in gaining hospital acceptance at the scene. The definition of difficulty was making ≥5 phone calls by EMS personnel at the scene to hospitals until a decision to transport was determined. The smartphone app was introduced in January 2013, and we compared the patients treated from 2010 to 2012 (control group) with those treated from 2013 to 2015 (smartphone app group) using an interrupted time-series analysis to assess the effects of introducing this smartphone app. A total of 600,526 emergency patients for whom EMS personnel selected hospitals were eligible for our analysis. There were 300,131 emergency patients in the control group (50.00%, 300,313/600,526) from 2010 to 2012 and 300,395 emergency patients in the smartphone app group (50.00%, 300,395/600,526) from 2013 to 2015. The rate of difficulty in hospital acceptance was 14.19% (42,585/300,131) in the

  2. Prevalência de infecções hospitalares em um hospital geral de alta complexidade no município de Ponta Grossa = Prevalence of hospital infections in a general hospital of high complexity in the Ponta Grossa city in 2007

    Directory of Open Access Journals (Sweden)

    Maria Dagmar da Rocha Gaspar

    2012-01-01

    Committees (HICC. The objective was to outline the profile of infections in a hospital of high complexity, located in the city of Ponta Grossa, Paraná State, determining the prevalence of Hospital Infection in Adult Intensive Care Unit and Neonatal Intensive Care Unit, concerning the profile of sensitivity to antimicrobials. This is a descriptive, retrospective, quantitative study, with 768 infections treated in 2007, 36.8% from Community origin, 63.2% hospital - 16.3% from the NICU, 27.8% from adult ICU and 55.9% from Units. The most prevalent bacteria in the units were: Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa. Adult ICU: Acinetobacter baumannii, Staphylococcus aureus, Escherichia coli. NICU: SNPC, Staphylococcus aureus, Klebsiella pneumoniae. We emphasized the high sensitivity of Acinetobacter baumannii to Ampicillin / sub-activity and Tobramycin; effectiveness of Meropenem, Vancomycin and Ciprofloxacin; low prevalence of methicillin-resistant Staphylococcus aureus/MRSA. These indicators presented significant values of prevalence and antimicrobial sensitivity, resulting from the criteria used by the HICC from the surveyed institution - conducting epidemiological surveillance; Antibiogram Stepped; monitoring of antibiotic prescriptions, and employee training.

  3. Principle and Innovation of Performance Evaluation in Hospital of Traditional Chinese Medicine in Municipal City%地市级中医院绩效管理的原则和创新

    Institute of Scientific and Technical Information of China (English)

    王进臣

    2011-01-01

    With the deepening of health care reform, it is the problem urgently to be solved in achieve performance appraisal system through the utilization of traditional Chinese medicine and the quickening of comprehensive reform of it. New problems and situation of city-level traditional Chinese hospitals is thought. Principles, which are following the development regulation of traditional Chinese medicine, grasping the functional orientation in regional health planning of hospitals, adhering to people oriented principle, stressing quality, making overall plans and taking all factors into consideration, and promoting and integrated development, should be paid attention to in performance reform. So the new thought of performance reform is achieved to provide references for perfecting hospital performance reform.%文章就地市级中医院在绩效改革中面临的新情况新问题,进行思考,提出绩效改革中应着重把握的原则:认真遵循中医药发展规律;把握医院在区域卫生规划中的职能定位;坚持以人为本;注重质量;"六位一体"统筹兼顾、全面发展.并在此基础上构想绩效改革的新思路,为完善医院绩效改革工作提供参考.

  4. 我国东部6省79市乡镇卫生院整体运行效率DEA分析%Using DEA to Analyze on Efficiency of Township Hospitals in 79 Cities in Eastern China

    Institute of Scientific and Technical Information of China (English)

    李建; 张丽芳; 王小万; 范翠萍; 隋霞

    2013-01-01

      目的:评估我国东部79个城市乡镇卫生院整体运行效率,优化资源配置。方法:运用数据包络分析各地区乡镇卫生院技术效率和规模效率并在不同省份之间进行比较。结果:乡镇卫生院不同种类资源配置比例相差较大;医生的日均门诊量9.4人次,年均提供364个住院床日服务;护士年均提供685个住院床日服务;79个城市乡镇卫生院整体效率平均值达到0.8154,技术效率达到0.8334,规模效率达到0.9794;医生和检验等其他技术人员配置过高是影响运行效率的重要因素;床位、医生、护士以及其他卫技人员分别可减少2.2%、14.1%、0.9%和14.6%。结论:各地应在控制乡镇卫生院整体规模的基础上,调整资源配置模式,利用结余人力大力开展公共卫生服务,重点提高医生的技术水平和服务能力。%Objective: To analyze the total medical resources of township hospitals in 79 cities in eastern China to improve the resource structure. Methods: Analyze the technical efficiency and scale efficiency by Data Envelopment Analysis ( DEA) and compare the efficiencies in different provinces. Results: The ratios of medical resources are different in 79 cities. Every doctor in township hospitals provides service for 9.4 outpatients everyday and 364 working days for inpatients annually. Every nurse provides 685 working days for inpatients annually. The overall efficiency of township hospitals from 31 cities is 0.8154, technical efficiency is 0.833 4, and scale efficiency is 0.979 4. The most important factor to impact on efficiency is distributing more doctors and other technical staffs. In 79 cities, the hospitals beds, doctors, nurses, other technical staffs should be reduced by 2.2%, 14.1%, 0.9% and 14.6%. Conclusion: The medical resource allocation should be improved; the saved human resource can provide more public health services and improve the doctors’ technical ability

  5. Innovative methods of hazard evaluation. Central Italy case study; Progetto Misha. Metodi innovativi per la stima dell'hazard. Applicazione all'Italia Centrale

    Energy Technology Data Exchange (ETDEWEB)

    Peruzza, L. [Consiglio Nazionale delle Ricerche, Gruppo Nazionale per la Difesa dai Terremoti, Rome (Italy)

    1999-12-01

    The Misha project (Innovative methods for hazard assessment) represents the application, at selected areas, of the methodologies developed in some strategic sectors for validation of non-conventional techniques for assessment of seismic risk. [Italian] Il progetto Misha (Metodi Innovativi per la Stima dell'Hazard: applicazione all'Italia Centrale) e' una delle attivita' caratterizzanti l'ultimo anno della convenzione triennale (1996-98) stipulata tra il Dipartimento della Protezione Civile ed il CNR-Gruppo Nazionale per la Difesa dai Terremoti. Misha rappresenta l'applicazione ad un'area campione delle metodologie sviluppate in taluni settori strategici nei quali si era articolata la convenzione: lo sviluppo e la validazione metodologica di tecniche non convenzionali per la stima della pericolosita' del territorio nazionale, l'individuazione di linee guida per la raccolta di informazioni sulle strutture sismogenetiche a livello nazionale, la transizione ad una nuova generazione di stime di hazard finalizzate ad un aggiornamento della classificazione sismica ed al riadeguamento antisismico del patrimonio edilizio.

  6. 青岛市某医院人力资源现状调查%Survey of Human Resources in a Hospital of Qingdao City

    Institute of Scientific and Technical Information of China (English)

    孙珍娟

    2011-01-01

    通过对青岛市某三级医院人力资源现状进行分析,了解该院的人力资源配置状况.分析了医院人力资源配置巾存在的问题,提出改善医院人力资源结构、提高卫生技术队伍的整体素质等解决对策,以促使医院人力资源配置趋于合理.%In order to know the situation of human resources, this paper analyzed the main problem of the hospital's situation of human resources, advanced the improvement of the frame of the hospital's situation of human resources and increase of the level of the whole medical troop. Finally, the hospital's situation of human resources will be more reasonable.

  7. Beer City

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Shandong Province’s Qingdao is becoming China’s great beer city sicenically located on a peninsula over-looking the Pacific Ocean, Qingdao, |or Tsingtao, is a coastal city soaked in two kinds of foam. One floats in

  8. Sin City?

    DEFF Research Database (Denmark)

    Svarer, Michael; Gautier, Pieter A.; Teulings, Coen n.

    , the ones who stay in the city have significant higher divorce rates. Similarly, for the couples who married outside the city, the ones who move to the city are more likely to divorce. This correlation can be explained by both a causal and a sorting effect. We disentangle them by using the timing...

  9. Changing City. Insediamenti dispersi nel contesto irlandese / Changing City. Dispersed Urbanism in an Irish Context

    Directory of Open Access Journals (Sweden)

    Susanne Dunne

    2013-09-01

    Full Text Available Questo saggio si interroga sull’efficacia dei metodi di progettazione urbana tradizionali nel contesto della città dispersa e cerca di esplorare nuove strategie di sovrapposizione da utilizzare al fine della rigenerazione o della riqualificazione dell’ambiente urbano a bassa densità. L'articolo illustra i progetti degli studenti elaborati durante il workshop di progettazione urbana intitolato "Città in cambiamento" svoltosi presso la Nantes School of Architecture (coordinato da Susan Dunne, in cui gli studenti hanno esplorato tre città Irlandesi (Belfast, Limerick e Tallaght. Le tre città sono accomunate da condizioni di bassa densità edilizia e di dispersione urbana con conseguenti problematiche socio-economiche. Un approccio progettuale flessibile e interdisciplinare costituisce la base per le proposte di progetto di seguito descritte creando nuove situazioni in grado di contrastare l’attuale tendenza di progettare lo sviluppo urbano attraverso risposte formaliste. / This brief essay questions the use of traditional urban design methods in the dispersed city and seeks to explore new overlapping strategies to be used when regenerating or invigorating the low density urban environment. The article illustrates various student projects generated during the urban design workshop "Changing Cities" in Nantes School of Architecture (led by design tutor Susan Dunne where the students explored three cities in Ireland (Belfast, Limerick and Tallaght.The three cities that have in common low density dispersed urban conditions that go hand in hand with a high concentration of socio-economic problems. An interdisciplinary flexible design approach forms the basis for the project proposals creating new situations and new energies as opposed to master planning a formal response.

  10. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the market place, the religious sanctuary and places for the performing arts and cultural heritage. For the modern city they are the tightly woven fabric of social reality, and their configuration can make certain cities more hospitable than others, is the leading idea....

  11. City PLANTastic

    DEFF Research Database (Denmark)

    The city is going green. From New York to Copenhagen vegetables are enthusiastically planted on city squares, and buildings are turning green everywhere . The word “plant” is on everyone’s lips, reflecting a growing desire to solve ecological, technical and social challenges in the city. Hovever,...... and urbanism, who reflect upon the multiple roles of plants in the future city through their most recent projects. The theme for the 2012 World in Denmark conference is City PLANTastic, which will also be explored by researchers through their works....

  12. EVALUATION OF TREATMENT OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION BEFORE REFERENCE EVENT AND BEFORE DISCHARGE FROM THE HOSPITAL: REGISTER DATA (KHABAROVSK CITY. PART 2

    Directory of Open Access Journals (Sweden)

    L. N. Malay

    2017-01-01

    Full Text Available Aim. To study a treatment of patients with acute  myocardial infarction (AMI before  and during hospitalization in a Khabarovsk  hospital, which has an opportunity of primary percutaneous coronary  intervention (PCI, as well as hospital outcomes according to the AMI Register.Material and methods. 321 patients consecutively hospitalized in the Khabarovsk  Regional Vascular Center were included into AMI Register: 177 patients with ST-segment elevation AMI (STEMI; 55.1%; 135 patients non-ST-segment elevation AMI (non-STEMI; 42.1%; 9 patients with early recurrence of AMI and early post-infarction stenocardia (2.8%.Results. Before reference AMI a frequency of administration of statins was 13.7%, angiotensin-renin blockers – 29.3%, acetylsalicylic acid – 28.7%, beta-blocker – 25%. Among patients with atrial fibrillation only 7 ones (17% were treated with oral anticoagulants.        141 patients (79.6% with STEMI underwent PCI procedure: primary PCI – 82.3% and delayed PCI – 17.7%. PCI with coronary  stenting was performed  in 86.5% of patients with STEMI. Frequency  of PCI in non-STEMI patients was 42%: primary PCI – 43.9%, delayed PCI – 56.1%, PCI with coronary stenting – 43.9%. Gender and age of the patients did not influence the choice of tactics of revascularization in STEMI and non-STEMI (PCI(+, PCI(-, PCI with coronary  stenting (p<0.05.Medication in hospital: double antithrombotic therapy (DATT was prescribed in 86.9% of patients; direct anticoagulants – in 91.2%, statins – in 97.2%, beta-blockers – in 88.5%; renin-angiotensin-aldosterone system inhibitors – in 90.6%. A total lethality in STEMI was 15.2%, and in non-STEMI – 1.5%. Lethality in PCI-negative patients with STEMI was higher than  this in patients with non-STEMI (p<0.001. In STEMI patients lethality was 3.3  times lower in PCI-positive patients in comparison with PCI-negative patients.Conclusion. AMI Register demonstrated that before

  13. Suicide attempts by exogenous intoxication among female adolescents treated at a reference hospital in the city of Recife-PE, Brazil

    Directory of Open Access Journals (Sweden)

    Juliana Lourenço de Araújo Veras

    2011-10-01

    Full Text Available This study aimed to assess cases of self-inflicted poisoning among adolescents reported by the Toxicological Care Center of a reference hospital in Recife-PE, Brazil. The data were collected between March and May 2010 from hospital charts and structured interviews with the participants and parents/guardians. Among the 25 cases of attempted suicide registered in the period, 21 were female adolescents, who made up the sample of the present study. The adolescents were between 13 and 19 years of age. Pesticides were the most frequent toxic agent used (61.9%. The results of the present study underscore the importance of studying suicide in this population, with a focus on family relations, in order to lay the foundation for the development of prevention and treatment programs for this vulnerable group.

  14. Is Walk Score associated with hospital admissions from chronic diseases? Evidence from a cross-sectional study in a high socioeconomic status Australian city-state.

    Science.gov (United States)

    Mazumdar, Soumya; Learnihan, Vincent; Cochrane, Thomas; Phung, Hai; O'Connor, Bridget; Davey, Rachel

    2016-12-08

    To explore patterns of non-communicable diseases (NCDs) in the Australian Capital Territory (ACT).To ascertain the effect of the neighbourhood built environmental features and especially walkability on health outcomes, specifically for hospital admissions from NCDs. A cross-sectional analysis of public hospital episode data (2007-2013). Hospitalisations from the ACT, Australia at very small geographic areas. Secondary data on 75 290 unique hospital episodes representing 39 851 patients who were admitted to ACT hospitals from 2007 to 2013. No restrictions on age, sex or ethnicity. Geographic Information System derived or compatible measures of general practitioner access, neighbourhood socioeconomic status, alcohol access, exposure to traffic and Walk Score walkability. Hospitalisations of circulatory diseases, specific endocrine, nutritional and metabolic diseases, respiratory diseases and specific cancers. Geographic clusters with significant high and low risks of NCDs were found that displayed an overall geographic pattern of high risk in the outlying suburbs of the territory. Significant relationships between neighbourhood walkability as measured by Walk Score and the likelihood of hospitalisation with a primary diagnosis of myocardial infarction (heart attack) were found. A possible relationship was also found with the likelihood of being hospitalised with 4 major lifestyle-related cancers. Our research augments the growing literature underscoring the relationships between the built environment and health outcomes. In addition, it supports the importance of walkable neighbourhoods, as measured by Walk Score, for improved health. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. Prevalence and Clinical Characteristics of Depression in City General Hospital Inpatients%某市市级综合医院住院患者抑郁症检出率及临床特征

    Institute of Scientific and Technical Information of China (English)

    桑文华; 栗克清; 赵素银; 严保平; 魏昆岭; 张彦恒; 米琨; 徐保彦; 杨老虎; 孙秀丽; 孙振卿

    2016-01-01

    Objective :To investigate the prevalence and clinical characteristics of depression in Baoding municipal general hospital inpatients for the relevant departments to carry out the work to provide the basis of mental health . Methods :A hospital - based cross - sectional study was conducted in three - ranked general hospitals in Baoding cit‐y ,a total of 1306 patients completed general survey and self - rated Hospital Anxiety and Depression Scale .The pa‐tients whose HAD scores were 8 and above were interviewed by psychiatrists ,psychiatric diagnoses were made ac‐cording to the DSM - IV criteria by using the Mini International Neuropsychiatric Interview (M IN I) .Results :81 hospitalization cases were checked .the adjusted occurrence rate of depressive disorder of the inpatients in city general hospitals was 12 .8% ;Occurrence among the top five departments were cardiology department ,neurology depart‐ment ,digest and endocrinology department ,oncology and gynecology department .Conclusion :The occurrence of the major depressive disorder among the inpatients in general hospitals in Baoding City is higher ,many patients with de‐pression are associated with anxiety .%目的:了解保定市市级综合医院住院患者中抑郁症的检出率及临床特征,为相关部门开展精神卫生相关工作提供依据。方法:采用随机整群抽样方法抽取保定市市级综合医院住院患者共658名,进行一般情况问卷调查及医院用抑郁量表筛查,对量表筛查>8分者采用抑郁和焦虑自评量表评定并用简明国际神经精神障碍访谈检查中文版(Mini International Neuropsychiatric Interview ,MINI)诊断。结果:MINI 共诊断抑郁症患者81例,市级综合医院住院患者中抑郁症校正检出率为12.8%;抑郁症检出率排在前5位的科室是心内科15例(14.4%)、神经内科18例(14.3%)、肿瘤内科13例(14.1%)、消化及内分泌科12例(12.6

  16. 苏州综合医院护士遭受工作场所暴力的调查%Survey of workplace violence among nurses in general hospitals of Suzhou City

    Institute of Scientific and Technical Information of China (English)

    孟红燕; 王海芳; 林璐; 赵雪萍; 赵鑫

    2013-01-01

    目的 探讨苏州综合医院护士遭受工作场所暴力(WPV)的流行病学特征,为进一步预防和减少WPV的发生提供理论依据.方法 采用“医院工作场所暴力调查问卷修订版”作为测量工具,对苏州地区3所三级综合医院和6所二级综合医院的护士进行工作场所暴力情况调查.结果 接受调查的942名护士中,有588名报告在过去一年曾经遭受过不同形式的WPV,发生率为62.4%(588/942);68.2% (401/588)的WPV发生在白班;患者家属是主要的施暴者;遭受暴力时,排在前3位的应对方式分别为“耐心解释”“忍让回避”“求助保安”,选择“报警”的护士仅占极少数;所在医院预防工作场所暴力的措施及态度也令护士不尽满意.结论 苏州市综合医院护士遭受WPV的发生率较高,暴力严重危害护士的身心健康和护理队伍的稳定,政府、社会媒体、医院管理者应共同努力,尽量减少和避免护士工作场所暴力发生,营造安全和谐的医疗工作环境.%Objective To explore the characteristics of workplace violence (WPV) among nurses in general hospitals of Suzhou City,and provide theoretical evidence for further prevention and reduction of WPV.Methods Totals of 942 nurses were investigated by the Revised Version of Hospital WPV Questionnaire,who were from 3 Crade A general hospitals and 6 Crade B gengeral hospitals in Sozhou City.Results Among 942nurses,62.4% (588) nurses reported that they suffered from different forms of WPV in the past year.And 68.2% nurses (401/588) occurred during day shift with the patient' s family being the major source of violence.When encountering violence,the first three reactions of nurses were " patient explanation"." tolerant avoidance" and " resorting to securities".Very few nurses would choose to call the police.In terms of measures and attitudes,the hospitals with which the nurses were working did an unsatisfactory job in preventing WPV

  17. Application of Health Information System for Primary Hospitals in Jinzhou City%基层医疗卫生信息系统在锦州市的应用

    Institute of Scientific and Technical Information of China (English)

    倪宁

    2013-01-01

    The informatization in primary health care system is experiencing a rapid development. Focusing on the health information system in primary hospitals in Jinzhou City, this article elucidates the construction, implementation, and management of informatization projects in primary hospitals in terms of background, functions, and technical properties. The expansion of informationization projects in counties, towns, and villages will facilitate the longitudinal interconnection of the public health functions among primary health care providers.%基层医疗卫生信息化正在经历着一个快速建设发展的历程。本文以锦州市基层医疗卫生信息系统为研究对象,从项目背景、功能实现、技术特性等方面对基层卫生信息化项目的建设、实施、管理进行了探索和分析,旨在将基层医疗信息化应用覆盖范围扩大到县、镇、村,从而实现公共卫生服务职能在全市基层医疗机构的纵向联通。

  18. Hepatitis B: Its awareness, practice and frequency of vaccination among selected high risk health-care workers at tertiary care hospitals in Agartala city

    Directory of Open Access Journals (Sweden)

    Taranga Reang

    2015-04-01

    Full Text Available Background: Hepatitis B virus (HBV infection is a global problem and >350 million HBV carriers in the world. Objectives: The aim was to assess awareness, practice of selected high risk health care workers (HCW regarding risk for contracting hepatitis B and self-reported vaccination status. Materials and Methods: A cross-sectional study was conducted among 300 selected HCW of AGMC and GBP Hospital, TMC and Dr BRAM Teaching Hospital and Indira Gandhi Memorial Hospital, Agartala during Jan to March 2014. Results: About 72.1% respondents were females with overall mean age of 24.10 (standard deviation ±7.011. 67.5% females were within the age group of 18-23 years. Majority (70.4% of the participants were nursing students and Hindu (92.5% nuclear families (54.6%. Majority (69.3% of them were aware that hepatitis B transmission was possible through unsafe sex, infected blood/body fluid, contaminated syringe, needle and scalpel, 19.6% knew through infected blood and body fluids, 5.7% knew through contaminated syringe, needle and scalpel, 1.8% knew through unsafe sex. 59.3% had a history of contact with known hepatitis B case. 62.2% were vaccinated with three doses of hepatitis B vaccine. Majority of the participants had exposed to hepatitis B positive case while at work (P = 0.001. The exposed persons with known hepatitis B cases have consulted doctor, vaccinated and treated with medicines (P = 0.002; used needle destroyer (P = 0.012; vaccinated with 3 doses of hepatitis B vaccine (P = 0.001; and used sterile gloves while performing work (P = 0.000, especially while dealing with blood and body fluid. Conclusion: In spite of having good knowledge, the way they practice for prevention of hepatitis B infections were inadequate and need further improvement.

  19. INSTANT CITY

    DEFF Research Database (Denmark)

    Marling, Gitte; Kiib, Hans

    2013-01-01

    experiments are taking place in ‘the instant city’, and how can it be characterized? It also emphasizes the relation between city life, urban design, and the aesthetics of architecture and urban spaces. The question here is, in what way architecture and urban scenography are used as tools to support the goal...... emphasis has been laid on creating a vivid, and engaging social environment in order to create a lab for social, and architectural experi- ments. These goals challenge the city planning as well as the urban sce- nography. The article addresses the research questions: What kind of city life and social...... of an experimental and social en- gaged city environment? The analysis shows that the specific city life at the instant city, Roskilde Festival, can be characterized by being ‘open minded’, ‘playful’ and ‘inclusive’, but also by ‘a culture of laughter’ that penetrates the aesthetics and the urban scenography....

  20. The Relationship between Spiritual Intelligence and Happiness on the Nurse Staffs of the Fatemeh Zahra Hospital and Bentolhoda Institute of Boushehr City

    Directory of Open Access Journals (Sweden)

    Fariborz Bagheri

    2011-11-01

    Full Text Available Background: Spiritual intelligence defined as the capacity of human understanding for asking ultimate, questions about the meaning of life and relation between us and world we are living in it. It seems employing spiritual intelligence in the life will guide us to achieve happiness and wellbeing in the life. The goal of this survey is to investigate relation between of spiritual intelligence and happiness among nurses of two main hospitals, namely Fatemeh Zahra and Bentolhosa in Bousher. Methods: This is a cross-sectional descriptive and inferential designed study. A total of 125 hospital nurses, who were working in Boushehr, were recruited by convenience sampling. The questionnaires were completed by respondents themselves (self reporting. The questionnaires were combined from three parts. I Spiritual intelligence questionnaire Naseris four-point Linker-type inventory that made in Allameh of university in Iran. II Oxford happiness questionnaire. III Demographic characteristics. Results: The findings showed there were significant relationship between spiritual intelligence variables, self-conscious transcendence (p< 0.001, r=0.288, spiritual experiences (p<0.000, r=0.347, patience (p<0.002, r=0.274, and happiness of nurses. But neither happiness nor spiritual intelligence shows any correlation with demographic characteristic such as age, sex, marital status, education, degree, years of nursing experience, but only the ward were the nurses performing their duties with spiritual intelligence and happiness has significant relationship. Conclusion: Promoting spiritual intelligence of the nurses can help them have more stable happiness.

  1. Confidentiality and physicians' health. A cross-sectional study of University Hospital Physicians in four European cities (the HOUPE-study).

    Science.gov (United States)

    Løvseth, Lise Tevik; Aasland, Olaf Gjerløw; Fridner, Ann; Jónsdottir, Lilja Sigrun; Marini, Massimo; Linaker, Olav Morten

    2010-01-01

    To investigate how the subjective burden of confidentiality can act as a stressor that affects physicians' psychological health and wellbeing. Cross-sectional survey data from a sample of university hospital physicians (N=1,956) in four European countries (Sweden, Norway, Iceland and Italy) who participated in the HOUPE (Health and Organization among University hospital Physicians in Europe) study was analysed. About 25% of the participants reported that confidentiality impedes emotional support to a considerable degree. An index of confidentiality as a barrier to seeking support (ICBS) had a negative effect on physicians' health and wellbeing. The effect of ICBS was confirmed and slightly increased when controlled for variables known to buffer the adverse mental and physical effects of stress. Though the physicians in Iceland and in Norway found confidentiality the most challenging, it was the physicians in Italy and Sweden who showed a significant effect of ICBS on their health and wellbeing. Whether confidentiality is a stressor in its own right or an amplifier of stressful situations in medical practice should be further investigated to gain a better understanding of the effect of confidentiality on physicians' coping, stress and health. In addition, there is a need to investigate how physicians can balance coping with the inevitable emotional demands of medical practice and maintaining the ethics of confidentiality in a way that protects both patients' privacy rights and physicians' health and wellbeing.

  2. Leading Cities

    DEFF Research Database (Denmark)

    Pogner, Karl-Heinz

    2017-01-01

    and technical engineering; Smart Cities) is very prominent in the traditional mass media discourse, in PR / PA of tech companies and traditional municipal administrations; whereas the second one (participation; Livable Cities) is mostly enacted in social media, (local) initiatives, movements, (virtual......) communities, new forms of urban governance in municipal administration and co-competitive city networks. Both forms seem to struggle for getting voice and power in the discourses, negotiations, struggles, and conflicts in Urban Governance about the question how to manage or lead (in) a city. Talking about...

  3. Help-seeking Behaviors Among Caregivers of Schizophrenia and other Psychotic Patients: A Hospital-based Study in Two Geographically and Culturally Distinct Indian Cities

    Directory of Open Access Journals (Sweden)

    Sujit Kumar Naik

    2012-01-01

    Full Text Available Background: India is a country of several diversities and cultures, which may influence the help-seeking behavior of mentally ill patients and families. Only a few Indian studies have focused on help seeking, especially for severe mental disorders. Objective: The study aimed to describe and compare the help-seeking behaviors among caregivers of psychotic patients visiting psychiatric clinics at two distinct cities of India. Materials and Methods: This was a cross-sectional exploratory study of key caregivers (N=50 of patients with a DSM-IV TR diagnosis of schizophrenia and other psychotic disorders, visiting psychiatric out-patient departments of VIMHANS, New Delhi, and CIMS, Bilaspur, Chhattisgarh. After due informed consent was taken, a semi-structured proforma was administered for socio-demographic profile, illness details, causative beliefs, and information on help seeking. Results: Supernatural forces were held responsible by 40% of the Bilaspur sample in contrast to 8% in New Delhi sample. Faith-healers were initial contacts for 56% and 64% of sample, respectively, at New Delhi and Bilaspur. Faith-healers followed by a psychiatrist formed the commonest pathway of care at both centers (32% and 36%, respectively. The sample at New Delhi spent significantly more money (median: $4000 vs. $10 and traveled greater distances (median: 35 km vs. 10 km for faith-healers during the course of illness. Two-thirds of sample in New Delhi and one-third at Bilaspur were aware of the nearby psychiatrist at the time of initial help seeking; however, only 28% and 12%, respectively, chose psychiatrist as an initial contact. The New Delhi sample reported a fear of medication adverse effects and stigma as perceived disadvantages of psychiatric help. The median time lost at both the centers was 1 month, with a maximum of 8.4 years in New Delhi and 4.9 years in Bilaspur. Of the total, 16% caregivers at New Delhi and 32% at Bilaspur center reported an intention to

  4. Survey on nurses’ attitude to safety culture of hospital patients in general hospitals of Nantong city%南通市综合医院护士的病人安全文化态度调查

    Institute of Scientific and Technical Information of China (English)

    徐旭娟; 单君; 吴娟

    2015-01-01

    Objective:To investigate status quo of clinical nursings’ attitude to safety culture of hospital pa‐tients ,to provide the reference for targeted safety education for clinical nursing .Methods:A total of 1 953 nurses (working time >3 months) who had practice certificates in 5 general hospitals of Nantong received the survey by using the patient safety culture assessment questionnaire w hich w as constructed by Chen Fanglei ect .Re‐sults:The clinical nurses’ attitude to the patients safety culture was overall positive .There were statistically sig‐nificant differences in the scores of attitude to patient safety culture between different ages ,the level of the hos‐pital ,the title ,the time of nursing work of nurses and whether they has received a safety culture training or not (P<0 .05) .Conclusion:Hospitals should strengthen the safety culture education of low seniority nurses ,Second grade hospital needs to further improve their working conditions and take corresponding measures to improve nurses’ cognition level of patient safety culture ,to ensure the safety of patients .%[目的]调查南通市临床护理人员对医院病人安全文化态度现状,为针对性地对临床护理人员进行安全教育提供参考。[方法]采用病人安全文化测评问卷对南通市5所综合性医院具有执业证书的1953名护士(工作时间>3个月)进行问卷调查。[结果]南通市临床护士对病人安全文化态度总体比较积极。不同年龄、就职医院等级、职称、从事护理工作时间及是否接受过安全文化培训护士对病人安全文化态度总分比较差异有统计学意义(P<0.05)。[结论]医院应加强对低年资护士的安全文化教育,二级医院需要进一步改善工作条件,采取相应措施提高护士安全文化认知水平,保障病人安全。

  5. 淄博市医院消毒卫生质量监测分析%SURVAILLANCE AND ANALYSIS OF HOSPITAL DISINFECTION QUALITY IN ZIBO CITY

    Institute of Scientific and Technical Information of China (English)

    杜俊; 崔峰; 郑加玉; 石志恺; 刘磊

    2012-01-01

    目的 了解医院消毒卫生质量状况,找出相关因素和薄弱环节,加强管理,提高医院消毒管理水平.方法 通过现场考察和抽样检测方法,对本地区不同类型医疗机构消毒管理和消毒卫生质量进行了调查与监测.结果 共调查99所医疗机构,省级、市级、县级和乡镇医疗机构不同监测对象消毒质量总平均合格率分别为93%、91%、86%和70%.省级和市级医院使用后手术器械清洗效果监测合格率分别为92%和90%;医务人员手卫生依从率分别为62%和51%.结论 本次调查的省市县乡镇4级医疗机构消毒卫生质量合格率依次降低;医务人员手卫生依从率较低,应有针对性地加强管理力度.%Objective To know the status of hospital disinfection quality, find the relevant factors and the weak link, strengthen management and improve the management level of hospital disinfection. Methods Field investigation and sampling test method were used to survey and monitor disinfection quality of different types of medical institutions. Results In 99 medical institutions, the disinfection quality of average rate of in the provincial, the municipal, the county and the township medical institutions were 93% , 91% , 86% and 70% respectively. The qualified rate of the cleaned surgical instruments in the provincial and the municipal hospitals were 92% and 90% respectively. The hand hygiene compliance rate of medical personnel was 62% and 51% respectively. Conclusion The qualified rate of the disinfection quality in 4 levels of medical institutions is decreased in proper order. The hand hygiene compliance rate is low in medical staff, which should be focused to strengthen its management.

  6. Outcome of Patients Admitted with Presumptive Diagnosis of Influenza During 2009 Emerging H1N1 Pandemia in Referral Hospital of Ardabil City

    Directory of Open Access Journals (Sweden)

    Shahram Habibzadeh

    2013-06-01

    Full Text Available Background & Objectives: Considering new pandemic attack with new emerging (H1N1 influenza virus, the study was designed for evaluating clinical and epidemiologic characteristics of patients in Imam Khomeini hospital, admitted with presumptive diagnosis of H1N1 influenza . In all of the patients clinical and paraclinical findings and outcome (including mortality rate and definitive diagnosis were evaluated. Bed occupancy rate in infectious disease ward and ICU and also mean days of admission were calculated.   Methods: This is a cross sectional study . All 118 patients with acute respiratory symptoms and possible diagnosis of emerging H1N1 influenza that had been admitted at least 24 hours in hospital from 20 October to 1 February 2009 were enrolled in the study. Data collection was done based on questionnaires, with a team other than researchers. The questionnaire included demographic data , clinical symptoms , laboratory findings , radiographic manifestations and outcome of patients. Data analysis was performed with SPSS software version16.   Results: A total of 118 patients were studied: 71 patients ( 60.2% were female and 47 patients ( 39.8% were male. Mean ( ± SD age of admitted patients was 33.81 ± 15.64 years old. The most of admitted patients were in age range of 15 to 30 years old. The most common findings in CXR were bilateral respiratory consolidations and the most common symptoms were fever, weakness and fatigue. About 12.7% of patients had diarrhea. Leukopenia (WBC 10000 occurred respectively in 4.58% and 33.2% of cases . Nine patients (7% were admitted in ICU. I n 21 patients (18% RT-PCR test results were positive and three of these patients had been admitted in ICU. In patients admitted in ICU while their diagnosis was confirmed, mortality was 33%. 48.3% of patients had at least one predisposing medical condition . Total admission days were 577 days, consisting 519 days in infectious disease ward and 58 days in ICU. Average of

  7. Dentistry and food safety – the oral health of food handlers at a public hospital in the city of Belém, Pará

    Directory of Open Access Journals (Sweden)

    Elaine Beatriz Teixeira Ramalho

    2008-01-01

    Full Text Available Objective: This research evaluated the oral health of 40 food handlers in the Nutrition and Diet Unit of a public hospital in Belém-Pará. Methods: Interview and intra-oral examination of the subjects.Results: The results showed a high prevalence of tooth decay and periodontal disease, in addition to a low level of education and motivation as regards oral health care in the studied sample.Conclusion: The authors concluded that oral health care and education should be included in publications for and training of food handlers,since oral health promotion would benefit these workers directly, by increasing their quality of life, and indirectly benefit the entirecommunity that consumes the food prepared by them. The results and conclusions of this work should encourage the development of oralhealth care promotion programmers as regards this particular group of employees, the food handlers.

  8. Large city Hospital Vacuum Suction System Design%城市大型医院的负压吸引系统设计

    Institute of Scientific and Technical Information of China (English)

    李佳

    2009-01-01

    医院医用气体作为生命支持系统,发挥着重要的作用.医用气体系统包括氧气、压缩空气、特殊气体及负压吸引等系统.作者对城市大型医院负压吸引系统的整体构成,工作流程及设备配置都进行了介绍和分析.%Hospital medical gas as a life-support systems, in the treatment to be widely applied, and play an important role. Medical gas systems include oxygen, compressed air, special gas and vacuum suction systems. Vacuum suction system for easy introduction and analysis.

  9. [Drug monitoring in hospitals of Cordoba City (Argentina). 2-year-experience of the Pharmacological Department as a peripheric effect of ANMAT].

    Science.gov (United States)

    Segura, Aída E del V; Mutal, Víctor; Lizzio, Salvador; Montrull, Hilda L

    2005-01-01

    There were designed Monitorings study (FVG), centred on three Public Hospitals of C6rdoba, seeking to detect Adverse Reactions for medicines. To such purpose there were realized forming courses of human resources in FVG. FVG's cards were distributed, of own design, recovered then. For statistical calculation there was applied the INFO 4. 84 informed cards were recovered. The groups of involved medicines: they were: Antibiotics (22%), cardiovascular (16%), antiulcerous (10%), anxiolytics (8.75%), nonsteroidal anti-inflammatory (8%), onchologics (6%), anticonvulsants (3.75%), hypolypemics (3.5%), sexual hormones (2.5%), hypoglycemics (2.5%), plasmatic expansors (2.5%). The organs affected by RAM were: Central Nervous System (25%), skin (25%), gastrointestinal (17.5%), Bleeds (7.5%), cardiovascular (7.5%), respiratory (7%), immune (6%), renal (4%). The analysis of imputability indicated: Definite RAM: 10 % Probable RAM: 90%.

  10. Adherence to good practices in membrane premature rupture. Perinatology Service. University Hospital “Dr. Gustavo Aldereguía Lima”, Cienfuegos city. From January to December 2002.

    Directory of Open Access Journals (Sweden)

    Yusimi Miranda Pérez

    2004-12-01

    Full Text Available Fundament:Nursing good practice demands standardizationof care,in such a way that they guide and unite the different ways of performance. Objetive: to determine the adherence of the care plan to the guide of good nursing practice in the premature rupture of the membranes and the level of the staff for the level of preparation for its performance in the Service of Perinatology. Methods: Descriptive, correlational and prospective study applied to 622 pregnant women admitted at the Perinatology Service of ¨Dr. Gustavo Aldereguía Lima¨ Hospital from Cienfuegos province who had a rupture of the membrane. 311 patients (50% of the universe, selected with probabilistic simple randomized way, without exclusive criteria were studied. Adherence was measured by using evaluation means. Results:43 % of the assessed clinical records, received between 95 and 100 points . Among the 16 nurses evaluated , 43,7 % had difficulties, being 25 % technicians.

  11. [A retrospective study on the incidence of chronic renal failure in the Department of Internal Medicine and Nephrology at University Hospital of Antananarivo (the capital city of Madagascar)].

    Science.gov (United States)

    Ramilitiana, Benja; Ranivoharisoa, Eliane Mikkelsen; Dodo, Mihary; Razafimandimby, Evanirina; Randriamarotia, Willy Franck

    2016-01-01

    Chronic renal failure is a global public health problem. In developed countries, this disease occurs mainly in the elderly, but in Africa it rather affects active young subjects. This disease need for expensive treatments in a low income country, because of its costs. Our aim is to describe the epidemiology of new cases of chronic renal failure in Madagascar. This is a retrospective, descriptive study of 239 patients with chronic renal failure over a 3 year period, starting from 1 January 2007 to 31 December 2009, in the Department of Internal Medicine and Nephrology at University Hospital of Antananarivo. The incidence was 8.51% among patients hospitalized in the Department. The average age of patients was 45.4 years with extremes of 16 and 82 years and a sex ratio 1,46. The main antecedent was arterial hypertension (59.8%). Chronic renal failure was terminal in 75.31% of the cases (n=180). The causes of chronic renal failure were dominated by chronic glomerulonephritis (40.1%), nephroangiosclerosis (35.5%). Hemodialysis was performed in 3 patients (1.26%), no patient was scheduled for a renal transplantation. Mortality rate in the Department was 28.87%. Chronic renal failure is a debilitating disease with a dreadful prognosis which affects young patients in Madagascar. Its treatment remains inaccessible to the majority of patients. The focus must be mainly on prevention, especially on early effective management of infections, arterial hypertension and diabetes to reduce its negative impacts on the community and public health. The project on renal transplantation: living donor, effective and less expensive treatment compared to hemodialysis could also be a good solution for these Malagasy young subjects.

  12. INTRATRACHEAL SUCTION: STUDY IN PATIENTS OF AN EMERGENCY AND INTENSIVE CARE UNIT IN A HOSPITAL OF THE METROPOLITAN REGION OF NATAL CITY – RN

    Directory of Open Access Journals (Sweden)

    Glaucea Maciel de Farias

    2006-04-01

    Full Text Available ABSTRACT: Intratracheal suction is a simple and important mechanical procedure on hospital routine. It’s largely used on patients in Intensive Care Units (ICU, under mechanical ventilation or not. This study seeks to characterize the professionals that perform the procedure of upper air tracts aspiration and identify how this procedure is being performed. The research is of the descriptive exploratory type with prospective data and quantitative approach, performed on the Emergency Room and ICU of a hospital in the greater Natal-RN. The population is comprised of 14 nurses, 22 nursing technicians, 14 nursing auxiliaries, 03 physicians and 07 physiotherapists. The structure observation technique was employed in the data collection. The instrument was comprised of a suction protocol based on the directives of the Agência Nacional de Vigilância Sanitária, Ministério da Saúde, and of the Guidelines for Prevention of Nosocomial Pneumonia of the Center for Disease Control (CDC, 1997. We’ve discovered that the guidelines for this procedure were not taken into consideration in almost every step of this care. The most outstanding discovery was the absence of hand washing before (92,81% and after (50,29% this care. The small participation of the nurse (3,59% on this activity is also considered a point of extreme relevance, since it’s a unit for care of extreme complexity. The data indicate the need to intensify the educating activities that promote a change of behavior on these professionals, thus improving the quality of assistance and prevention of nosocomial infections. KEYWORDS: Intensive Care; Quality of Health Care; Nursing Care.

  13. Atypical Cities

    Science.gov (United States)

    DiJulio, Betsy

    2011-01-01

    In this creative challenge, Surrealism and one-point perspective combine to produce images that not only go "beyond the real" but also beyond the ubiquitous "imaginary city" assignment often used to teach one-point perspective. Perhaps the difference is that in the "atypical cities challenge," an understanding of one-point perspective is a means…

  14. Soft Cities

    DEFF Research Database (Denmark)

    Brix, Anders; Yoneda, Akira; Nakamura, Kiyoshi

    2015-01-01

    of a sustainable future. The project is the result of a joint research study between Denmark and Japan. Taking as its example the city of Kyoto, the project investigates some possible strategies on how cities more generally may be transformed into liveable, healthy and ecologically sensible environments....

  15. Environmental social responsible practices of hospitality industry ...

    African Journals Online (AJOL)

    Environmental social responsible practices of hospitality industry: The case of first level hotels and lodges in Gondar city, Ethiopia. ... positive and negative impact of tourism and hospitality industry, taking responsibility towards ... Article Metrics.

  16. Prevalence and etiologic agents of female reproductive tract infection among in-patients and out-patients of a tertiary hospital in Benin city, Nigeria

    Directory of Open Access Journals (Sweden)

    Christopher Aye Egbe

    2010-10-01

    Full Text Available Background: Reproductive tract infections are public health problems in women of reproductive age and can result in serious consequences if not treated. Aims: To determine the prevalence and causes of reproductive tract infections among in-patients and out-patients attending a tertiary health institution in Benin City. The antimicrobial susceptibility profiles of bacterial agents will also be determined. Patients and Methods: High vaginal swabs or endocervical swabs and blood were collected from 957 patients consisting of 755 out-patients and 202 in-patients. The swabs were processed and microbial isolates identified using standard technique. Disc susceptibility tests were also performed on microbial isolates. The blood samples were used for serological diagnosis of syphilis. Results: There was no significant difference in the prevalence of female reproductive tract infections between in-patients (52.48% and out-patients (47.02%, although in-patients showed a significantly higher risk of developing mixed infections (in-patients vs. out-patients; 34.91% vs. 22.25%, OR = 1.873 95% CI = 1.169, 3.001; P = 0.01. Candida albicans was the most prevalent etiologic agent among out-patients studied while Staphylococcus aureus was the most prevalent etiologic agent among in-patients. Trichomonas vaginalis was observed only among out-patients. Ceftriaxone, ciprofloxacin and ofloxacin were the most active antibacterial agents. Syphilis was not detected in any patient. Conclusion: An overall prevalence of 48.17% of female reproductive tract infection was observed among the study population. Although there was no significant difference between in-patients and out-patients, in-patients appeared to have 1-3-fold increase risk of developing mixed infections. The most prevalent etiologic agent differs between in-patients and out-patients. Despite the high activity of ceftriaxone, ciprofloxacin and ofloxacin against bacterial isolates from both in-patients and out

  17. Prevalence and etiologic agents of female reproductive tract infection among in-patients and out-patients of a tertiary hospital in Benin city, Nigeria

    Directory of Open Access Journals (Sweden)

    Richard Omoregie

    2010-01-01

    Full Text Available Background: Reproductive tract infections are public health problems in women of reproductive age and can result in serious consequences if not treated. Aims: To determine the prevalence and causes of reproductive tract infections among in-patients and out-patients attending a tertiary health institution in Benin City. The antimicrobial susceptibility profiles of bacterial agents will also be determined. Patients and methods: High vaginal swabs or endocervical swabs and blood were collected from 957 patients consisting of 755 out-patients and 202 in-patients. The swabs were processed and microbial isolates identified using standard technique. Disc susceptibility tests were also performed on microbial isolates. The blood samples were used for serological diagnosis of syphilis. Results: There was no significant difference in the prevalence of female reproductive tract infections between in-patients (52.48% and out-patients (47.02%, although in-patients showed a significantly higher risk of developing mixed infections (in-patients vs. out-patients; 34.91% vs. 22.25%, OR = 1.873 95% CI = 1.169, 3.001; P = 0.01. Candida albicans was the most prevalent etiologic agent among out-patients studied while Staphylococcus aureus was the most prevalent etiologic agent among in-patients. Trichomonas vaginalis was observed only among out-patients. Ceftriaxone, ciprofloxacin and ofloxacin were the most active antibacterial agents. Syphilis was not detected in any patient. Conclusion: An overall prevalence of 48.17% of female reproductive tract infection was observed among the study population. Although there was no significant difference between in-patients and out-patients, in-patients appeared to have 1-3-fold increase risk of developing mixed infections. The most prevalent etiologic agent differs between in-patients and out-patients. Despite the high activity of ceftriaxone, ciprofloxacin and ofloxacin against bacterial isolates from both in-patients and out

  18. INSTANT CITY

    DEFF Research Database (Denmark)

    Marling, Gitte; Kiib, Hans

    2013-01-01

    experiments are taking place in ‘the instant city’, and how can it be characterized? It also emphasizes the relation between city life, urban design, and the aesthetics of architecture and urban spaces. The question here is, in what way architecture and urban scenography are used as tools to support the goal...... of an experimental and social en- gaged city environment? The analysis shows that the specific city life at the instant city, Roskilde Festival, can be characterized by being ‘open minded’, ‘playful’ and ‘inclusive’, but also by ‘a culture of laughter’ that penetrates the aesthetics and the urban scenography.......This article analyses Roskilde Festival as an Instant City. For more than 40 years, Roskilde Festival has had many thousands participants for a weeklong festival on music, performances and cultural experiences in a layout designed as an urban environment. During the last ten years, in- creasing...

  19. Emerging quinolones resistant transfer genes among gram-negative bacteria, isolated from faeces of HIV/AIDS patients attending some Clinics and Hospitals in the City of Benin, Edo State, Nigeria

    Directory of Open Access Journals (Sweden)

    Enabulele IO

    2006-12-01

    Full Text Available A survey of 1431 gram-negative bacilli from June 2001 to September 2005 were obtained from the faeces of 920 HIV/AIDS patients attending some Clinics and Hospitals in Benin City, Nigeria, were screened for quinolones resistance gene. The HIV/AIDS patients CD4 cells range was ≤14/mm3 ≥800/mm3 of blood. Out of the 1431 isolates, 343 (23.9% were resistance to quinolones with a MIC ≥4μg/ml for norfloxacin, ciprofloxacin and pefloxacin while a MIC of ≥32 µg/ml for nalidixic acid. The screened isolates include Pseudomonas aeruginosa 64(18.7%, E coli 92(26.8%, Klebsiella pneumoniae 53(15.4%, Salmonella typhi 39(11.4%, Shigella dysenteriae 36(10.5%, Proteus mirabilis 34(9.9% and Serratia marcescens 25(7.3%. The average resistance of the isolates to the various quinolones ranged from 42.7% to 66.7%. Klebsiella were the most resistant isolates with a mean resistance of 66.7% while Proteus were the less resistant isolates with a mean resistance of 42.7%. Most isolates were resistant to Nalidixic acid followed by norfloxacin while the less resistant were to the pefloxacin. The frequency of qnr genes transfer to EJRifr as recipient ranged from 2 x 10-2 to 6 x 10-6 with an average of 2 plasmids per cell. The molecular weight of the plasmids ranged from <2.9kbp to <5.5 kbp. This indicated that plasmids allowed the movement of genetic materials including qnr resistant genes between bacteria species and genera in Benin City, Nigeria.

  20. Antimicrobial susceptibility pattern of bacterial isolates from wound infection and their sensitivity to antibiotic agents at super specialty hospital, Amravati city, India

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    Hrishikesh Sawdekar

    2015-02-01

    Full Text Available Background: Wound infection is one of the health problems that is caused and aggravated by the invasion of pathogenic organisms. Information on local pathogens and sensitivity to antimicrobial agent is crucial for successful treatment of wounds. So the present study was conducted to determine antimicrobial susceptibility pattern of bacterial isolates from wound infection and their sensitivity to antimicrobial agents. Methods: A retrospective study was conducted among patients with wound infection in Suyash super speciality hospital, from January 2012 to December 2013. Wound swab was collected using sterile cotton swabs and processed for bacterial isolation and susceptibility testing to Systemic antimicrobial agents. Results: In this study 78 bacterial isolates were recovered from 258 specimens showing an isolation rate of 31.2%. The predominant bacteria isolated from wounds were gram positive staphylococci 36 (46.2%, followed by gram negative streptococci 18 (23.1% gram negative pseudomonas 12 (15.4 % and gram negative proteus 8 (10.4%. The gram positive and gram negative bacteria constituted 68 (87.2% and 10 (12.8% of bacterial isolates; respectively. Conclusion: In the present study most of the pathogens isolated from wound isolates showed high rate of resistance to most commonly used newer antibiotics used to treat bacterial infections. Therefore, rational use of antibiotics should be practiced. [Int J Res Med Sci 2015; 3(2.000: 433-439

  1. Efficacy and safety of Camosunate for the treatment of uncomplicated malaria in the University of Benin Teaching Hospital, Benin City, Nigeria

    Directory of Open Access Journals (Sweden)

    Damien Uyagu

    2013-10-01

    Full Text Available In Nigeria, nearly 110 million clinical cases of malaria are diagnosed per year, thus being a major public health problem. The problems of resistance resulted in the introduction of the artemisinin based combinations (ACT by the WHO. Artesunate and amodiaquine (AS+AQ is at present the world’s second most widely used ACT. This study is an assessment of the efficacy and safety of Camosunate (a brand of AS+AQ; Geneith Pharmaceutical Ltd., Oshodi, Lagos in the treatment of uncomplicated malaria conducted at the University of Benin Teaching Hospital (UBTH. A cross-sectional assessment of the efficacy and safety of Camosunate was conducted over a period of one year using 120 patients selected after stratification, by random sampling technique. All recruited patients had slide-proven uncom- plicated malaria and were followed up for 28 days on commencement of Camosunate. Data was collected using a structured interviewer- administered questionnaire and was analysed using SPSS version 15. The overall efficacy of Camosunate was found to be 95.8%. Treatment was well tolerated as testified by the fact that there was no case withdrawal due to adverse drug reaction (ADR or treatment emergent signs and symptoms (TESS. Also no evidence of toxicity was recorded. Camosunate is highly efficacious and well tolerated in this area of Nigeria and justifies its use as a first line treatment for uncomplicated malaria.

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

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

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

  3. Agentes etiológicos de micosis superficiales aislados en un Hospital de Santa Fe: Argentina Etiological agents of dermatomycoses isolated in a hospital of Santa Fe City: Argentina

    Directory of Open Access Journals (Sweden)

    M. E. Nardin

    2006-03-01

    Full Text Available Las micosis superficiales están limitadas a piel, pelos, uñas y membranas mucosas. Los principales agentes etiológicos son los dermatofitos y las levaduras del género Candida. El objetivo de este trabajo fue conocer los agentes etiológicos de las dermatomicosis y la localización de las lesiones que producían. Se analizaron 2073 muestras de piel, pelos, uñas y membranas de mucosa oral, provenientes de 1817 pacientes que asistieron a la Sección Microbiología del Laboratorio Central del Hospital Dr. J. M. Cullen desde setiembre de 1999 a setiembre de 2003 inclusive. La toma de muestra y posterior procesamiento e identificación se realizó de acuerdo a la localización y al tipo de lesiones que presentaban los pacientes. El 55,67% de los materiales resultó positivo, correspondiendo el 63% a mujeres y el 37% a varones. La piel lisa fue la localización más frecuente. En las dermatofitosis predominó Trichophyton rubrum y en aquellas donde desarrollaron levaduras la especie Candida albicans fue prevalente. Se destaca el aislamiento de 14 hongos filamentosos no dermatofitos (Fusarium spp. y Aspergillus spp., considerados agentes patógenos emergentes en micosis superficiales.Superficial mycoses are limited to skin, hair, nails and mucous membranes. The most common etiological agents are dermatophytes and yeasts of Candida genus. The aim of this work was to know the etiological agents of dermatomycoses and their clinical presentation. Were analized 2073 samples of skin, hair, nails, and oral mucous membranes obtained from 1817 patients who attended the Microbiology Branch of the Central Laboratory at Dr. J. M. Cullen Hospital, since September 1999 to September 2003. The samples were examined and identified according to the localization and type of lesion. Out of the total samples 55.67% were positive; 63% were recovered from females, and 37% from males. The most common localization was the skin. Trichophyton rubrum was the most frequent

  4. Analysis of molecular epidemiologic characteristics of extended-spectrum β-lactamase (ESBL)-producing Escherichia coli colonizing feces in hospital patients and community dwellers in a Japanese city.

    Science.gov (United States)

    Nakamura, Akihiro; Komatsu, Masaru; Noguchi, Nobuyoshi; Ohno, Yuki; Hashimoto, Eriko; Matsutani, Hiroko; Abe, Noriyuki; Fukuda, Saori; Kohno, Hisashi; Nakamura, Fumihiko; Matsuo, Shuji; Kawano, Seiji

    2016-02-01

    Infectious diseases caused by extended-spectrum β-lactamase (ESBL)-producing Escherichia coli are prevalent because of nosocomial infection. In addition, colonization of ESBL-producing E. coli in the intestinal tract of community dwellers due to the contamination of meat or environmental water is assumed to be one of the sources, but the causes have not been clarified. To analyze these factors, we investigated the difference in clonal groups using a combination of phylogenetic groups and multilocus sequence typing of ESBL-producing E. coli, which were obtained from the feces of an inpatient group in our hospital and a community-dwelling group living in a Japanese city. The carriage rate of ESBL-producing E. coli in the inpatient group was 12.5% (32/257), similar to that of 8.5% (42/496) in the community dwellers (P = 0.082). Of the ESBL clonal groups detected from the community dwellers, 52% (22/42) were clonal groups, including D-ST1485, D-ST70, D-ST2847, B2-ST550, B2-ST3510, A-ST93, A-ST580, A-ST716 and B1-ST2787, that have not been detected from human pathogens, meat, companion animals and environmental water, whereas all clonal groups detected from the inpatients were those that had already been reported. The rate of fluoroquinolone-resistant ESBL clonal groups colonizing the intestinal tract of the inpatient group rose as the number of hospital days increased. These results indicated that different factors were related to colonization of ESBL-producing E. coli in the feces of the inpatient group and the community-dwelling group.

  5. Flying Cities

    DEFF Research Database (Denmark)

    Herbelin, Bruno; Lasserre, Sebastien; Ciger, Jan

    2008-01-01

    . This cross-modal interaction not only supports our artistic messages, but also aims at providing anyone with a pleasant and stimulating feedback from her/his speech activity. As the feedback we have received when presenting Flying Cities was very positive, our objective is now to cross the bridge between art......Flying Cities is an artistic installation which generates imaginary cities from the speech of its visitors. Thanks to an original interactive process analyzing people's vocal input to create 3D graphics, a tangible correspondence between speech and visuals opens new possibilities of interaction...

  6. City Branding

    DEFF Research Database (Denmark)

    Frimann, Søren; Stigel, Jørgen

    2006-01-01

    with their relatively concrete dimensions are absent when the main question is one of values. Furthermore, when  the relatively straightforward identification and power structures of corporations and consumers are replaced by the more diversified structures of city government, their poplulations, and potential visitors......, problems seem to multiply in what has becom known as city branding. This analysis of the communicational aspects of two Danish provincial towns´ branding efforts examines both their internally and externally directed communication. It demonstrates that an insufficient understanding of - or willingness...... to face - these differences will inevitably hamper such branding efforts because of the consequential inconsistencies. Finally, paths to more effective city branding are indicated...

  7. Sin City?

    DEFF Research Database (Denmark)

    Svarer, Michael; Gautier, Pieter A.; Teulings, Coen n.

    , the ones who stay in the city have significant higher divorce rates. Similarly, for the couples who married outside the city, the ones who move to the city are more likely to divorce. This correlation can be explained by both a causal and a sorting effect. We disentangle them by using the timing......-of-events approach. In addition we use information on father's location as an instrument. We find that the sorting effect dominates. Moving to the countryside is therefore not a cheap way to prolong relationships....

  8. Barriers professional competence and its relationship with job satisfaction of nurses' moral distress and pre-hospital emergency city of Bam and Jiroft in 1393

    Directory of Open Access Journals (Sweden)

    Mohammadjavad Rahimzadeh

    2016-05-01

    Full Text Available In order to "protect the health of people" Several organizations have been founded and given its role in saving lives when seconds play, is formed Medical Center Emergency Management Whose duty is satisfactory service in the shortest possible time. Because one of the pre-hospital emergency center nurses work centers and first deal with critical diseases carried by nurses, so they are faced with numerous obstacles which could impact on their job satisfaction has less moral distress. In this study, efficient professional barriers and its relation to moral distress and job satisfaction are studied prehospital emergency nurses. This study is a descriptive - correlation of prehospital emergency personnel Bam on 82 Jiroft who were selected by census was conducted. Data gathering questionnaire, including demographic characteristics, barriers to efficient professional, moral distress, job satisfaction after obtaining the appropriate reliability and validity were used. Analysis of the data in this study using SPSS version 18, using measures of central tendency and dispersion, t-test, Pearson correlation coefficient, ANOVA and regression analysis were used. According to the non-normal distribution efficiency and moral distress two variables obstacles relationship between these two variables with Spearman nonparametric Kruskal-Wallis test other variables and for other variables that were normally distributed parametric tests and ANOVA were used Pearson correlation coefficient. A total of 82 patients with mean age (31.54± 5.66 participated in th e study showed. Results are73.4% married, work experience, most people (% 91.5 were under 15 years old. Most people (52% with traffic and pedestrians as factors impeding efficient professional, fully agreed, the average score of moral distress (o.48 ± 2.13, the level of moral distress was most mid-level and job satisfaction 52. 4% of them were average. The results showed that between moral distress and job

  9. [Cultural adaptation and Argentine validation of the Northwick Park Neck Pain Questionnaire in the hospitals of the Autonomous City of Buenos Aires].

    Science.gov (United States)

    Aguirre, Mariana V; Rodríguez, Matias G; Clarett, Martín; Iribarne, Juan I; Martínez, Marianela; Battistotti, Romina; López de Arcaute, Ana S; Adarves, Romina; Orsini, Esteban

    2013-01-01

    Objetivo: realizar la adaptación cultural y validación del Cuestionario Northwick Park (NPQ) en Argentina, determinando sus propiedades psicométricas, en pacientes con dolor cervical de origen mecánico derivados al Servicio de Kinesiología del Hospital D. F. Santojanni. Materiales y Métodos: Se solicitó la autorización del autor original del NPQ, luego se realizó la adaptación lingüística y prueba piloto. Las propiedades psicométricas incluyeron: confiabilidad test-retest (coeficiente de correlación intraclase, CCI), validez (coeficiente de correlación de Pearson NPQ-Escala Análoga Visual, EVA), consistencia interna (alfa de Cronbach) y sensibilidad al cambio (prueba T para pruebas pareadas NPQ-EVA). Se incluyeron consecutivamente 60 pacientes de septiembre de 2007 a febrero de 2009 con dolor cervical mecánico. Se midieron las variables porcentaje de discapacidad (NPQ) y dolor (EVA) al día del ingreso, a las 24 horas y al alta. Resultados: Veintiséis pacientes completaron el estudio, 4 fueron eliminados y 30 no completaron la 3° medición. Se obtuvo una buena confiabilidad test-retest (ICC 0.8979) y una alta consistencia interna (alfa de Cronbach 0.86). La validez mostró una buena correlación (r= 0,678). La sensibilidad al cambio fue buena (r=0.661). Conclusión: El NPQ es un instrumento válido, confiable y sensible para evaluar la discapacidad asociada al dolor cervical de origen mecánico en pacientes atendidos en el ámbito hospitalario de la Ciudad Autónoma de Buenos Aires.

  10. Demand for care and nosocomial infection rate during the first influenza AH1N1 2009 virus outbreak at a referral hospital in Mexico City Demanda asistencial y tasa de infección nosocomial durante el primer brote de influenza AH1N1 2009 en un hospital de referencia en la Ciudad de México

    Directory of Open Access Journals (Sweden)

    Rogelio Pérez-Padilla

    2011-08-01

    Full Text Available OBJECTIVE: Comparison of routine hospital indicators (consults at the Emergency Room (ER and hospital admissions during the 2009 pandemic of the influenza AH1N1 virus at the national referral hospital for respiratory diseases in Mexico City. MATERIAL AND METHODS: The outbreak was from April to mid-May 2009 and two control periods were used:2009 (before and after the outbreak,and during April-May from 2007 and 2008. RESULTS: During the outbreak total consultation at the ER increased six times compared with the 2007-2008 control period and 11 times compared with the 2009 control period. Pneumonia- or influenza-related ER consultations increased 23.2 and 15.3%, respectively. The rate of nosocomial infection during the outbreak was 13.6 and that of nosocomial pneumonia was 6 per/100 hospital discharges, a two-fold and three-fold increase compared to the control periods respectively. CONCLUSIONS: During the outbreak,mean severity of admitted patients increased,with a rise in in-hospital mortality and nosocomial infections rate, including nosocomial pneumonia.OBJETIVO: Comparación de indicadores hospitalarios de rutina (consultas de urgencia, admisiones hospitalarias etc. durante la pandemia de influenzaAH1N1 2009 en un hospital de referencia para enfermedades respiratorias de la Ciudad de México. MATERIAL Y MÉTODOS: El brote se consideró de abril a la mitad de mayo de 2009 y se comparó con dos periodos control: el de 2009 (antes y después del brote, y durante abril y mayo de 2007 y 2008. RESULTADOS: Durante el brote las consultas de urgencia crecieron seis veces comparadas con el periodo control 2007-2008 y 11 veces contra el periodo control de 2009. Las consultas por neumonía o influenza incrementaron 23.2 y 15.3% comparadas contra los periodos control, respectivamente. La tasa de infección nosocomial durante el brote fue de 13.6 y la de neumonía nosocomial de 6.0 por 100 egresos hospitalarios, el doble y el triple de la documentada en los

  11. 2011-2013年常熟市3家医院麻醉药品应用分析%Analysis on Use of Narcotic Drugs in Three Hospitals of Changshu City during 2011-2013

    Institute of Scientific and Technical Information of China (English)

    张俐

    2015-01-01

    目的:了解常熟市2家三乙医院、1家二甲医院麻醉药品的使用现状和趋势,评价药物利用情况。方法:采用回顾性分析方法,对上述3家医院2011—2013年麻醉药品的销售金额、用药频度( DDDs)和限定日费用( DDC)等进行排序、分析。结果:3年来,3家医院麻醉药品的销售金额和DDDs均有不同程度的增长。2011、2013年盐酸瑞芬太尼销售金额排序均居第1位(2012年居第2位);枸橼酸舒芬太尼注射液、枸橼酸芬太尼注射液、芬太尼透皮贴剂各年度销售金额排序在前5位内波动。枸橼酸芬太尼注射液的DDDs逐年递增,3年均居DDDs排序第1位;盐酸哌替啶注射液因其显著的神经毒性和较弱的镇痛效果,使用量明显减少。结论:常熟市3家医院麻醉药品的使用基本合理,但仍应继续加强对麻醉药品的规范化使用和管理。%OBJECTIVE:To analyze the status quo and the tendency of the use of narcotic drugs in three hospitals ( two three-B level hospital and one two-B level hospital ) in Changshu city and evaluate the drug use in these hospitals .METHODS:Retrospectively , the use of the narcotic drugs in three hospitals during the period of 2011-2013 was analyzed statistically in respect of the consumption sum , DDDs and DDC etc.RESULTS: The consumption sum and DDDs of narcotic drugs over the three years increased to different degree .In terms of consumption sum , remifentanil hydrochloride ranked the first in 2011 and 2013, and sufentanil citrate injection , fentanyl citrate injection, fentanyl transdermal system ranked among the top five .Fentanyl citrate injection increased year by year in DDDs and it dominated the DDDs list over three consecutive years .The consumption amount of pethidine hydrochloride injection was decreasing due to its strong neurotoxicity and poor analgesic effect .CONCLUSIONS:The use of narcotic drugs in three hospitals of Changshu was basic

  12. City Streets

    Data.gov (United States)

    Minnesota Department of Natural Resources — This data set contains roadway centerlines for city streets found on the USGS 1:24,000 mapping series. In some areas, these roadways are current through the 2000...

  13. City Branding

    DEFF Research Database (Denmark)

    Frimann, Søren; Stigel, Jørgen

    2006-01-01

    with their relatively concrete dimensions are absent when the main question is one of values. Furthermore, when  the relatively straightforward identification and power structures of corporations and consumers are replaced by the more diversified structures of city government, their poplulations, and potential visitors...... to face - these differences will inevitably hamper such branding efforts because of the consequential inconsistencies. Finally, paths to more effective city branding are indicated...

  14. Model cities

    OpenAIRE

    Batty, M.

    2007-01-01

    The term ?model? is now central to our thinking about how weunderstand and design cities. We suggest a variety of ways inwhich we use ?models?, linking these ideas to Abercrombie?sexposition of Town and Country Planning which represented thestate of the art fifty years ago. Here we focus on using models asphysical representations of the city, tracing the development ofsymbolic models where the focus is on simulating how functiongenerates form, to iconic models where the focus is on representi...

  15. O estado de nutrição de crianças internadas por tôdas as causas em hospital assistencial do município de S. Paulo The nutritional status in children interned irrespective of diagnosis in an assistencial Hospital in the city of S. Paulo - Brazil

    Directory of Open Access Journals (Sweden)

    Ondina Rosenburg

    1971-06-01

    Full Text Available Um estudo sôbre o estado de nutrição de 2.007 crianças entre 0 e 24 meses de idade, internadas num Hospital Assistencial do Município de São Paulo, revela que o percentual total de desnutridos corresponde a cêrca de 3/4 da população observada. O percentual total de distróficos foi menor em 1963 do que em 1961, mas em 1969 ultrapassou o de 1963. O maior percentual de desnutridos em grau mais avançado (D³, que se encontrava, em 1961 e 1963, no primeiro semestre do segundo ano de vida, deslocou-se em 1969, para o segundo semestre do primeiro ano de vida.The nutritional status of 2.007 children, between zero to 24 months, admitted to an Assistential Hospital of S. Paulo City irrespective of diagnosis, was studied. The total percentage of distrophics in all grades reached almost 3/4 of the supervisioned children. The percentual decrease of undernourished children observed in 1963 did not persist in 1969. The greatest percentage of children in D3 which in 1961 and 1963 was found in the first semester of the 2nd year of life, displaced itself in 1969 to the 2nd semester of the first year of life.

  16. Absorbed doses received by patients submitted to chest radiographs in hospitals of the city of Sao Paulo, Brazil; Doses absorvidas pelos pacientes submetidos a radiografias toracicas em hospitais do municipio de Sao Paulo

    Energy Technology Data Exchange (ETDEWEB)

    Freitas, Marcelo Baptista de

    2000-07-01

    Medical irradiation contributes with a significant amount to the dose received by the population. Here, this contribution was evaluated in a survey of absorbed doses received by patients submitted to chest radiological examinations (postero-anterior (PA) and lateral (LAT) projections) in hospitals of the city of Sao Paulo. Due to the variety of equipment and procedures used in radiological examinations, a selection of hospitals was made (12, totalizing 27 X-ray facilities), taking into account their representativeness as medical institutions in the city, in terms of characteristics and number of radiographs carried out. An anthropomorphic phantom, provided with thermoluminescent dosemeters (TLD-1 00), was irradiated simulating the patient, and the radiographic image quality was evaluated. Absorbed doses were determined to the thoracic region (entrance and exit skin and lung doses), and to some important organs from the radiation protection point of view (lens of the eye, thyroid and gonads). The great variation on the exposure parameters (kV, mA.s, beam size) leads to a large interval of entrance skin doses-ESD (coefficients of variation, CV, of 60% and 76%, for PA and LAT projections, respectively, were found) and of organ doses (CV of 60% and 46%. for thyroid and lung respectively). Mean values of ESD for LAT and PA projections were 0.22 and 0.98 mGy, respectively. The average absorbed doses per exam (PA and LAT) to thyroid and lung, 0.15 and 0.24 mGy respectively,showed that the thyroid was irradiated by the primary beam in many cases. Values of lens of the eye and gonad absorbed doses were below 30 {mu}Gy. Comparison of the lung doses obtained in this study with values in the literature, calculated by Monte Carlo simulation, showed good agreement. On the other hand, the comparison shows significant differences in the dose values to organs outside the chest region (thyroid, lens of eye and gonads). The effective dose calculated for a chest examination, PA and

  17. 中国五城市餐饮业顾客对被动吸烟的认知和态度%Knowledge and attitudes towards second hand smoking among hospitality patronage in five cities in China

    Institute of Scientific and Technical Information of China (English)

    刘瑞玲; 李强; 杨焱; 刘秀荣; 常爱玲; 龚洁; 赵白帆; 刘涛; 姜垣; Andrew Hyland

    2008-01-01

    Objective To understand the knowledge and attitudes towards second hand smoking(SHS) among restaurant or bar patronage in five cities in China. Methods 405 restaurants and bars were conveniently selected in 5 cities as Beijing, Wuhan, Xi'an, Kunming and Guiyang. From each of these hospitality venues, at least 3 patrons, including one smoker, one female non-smoker and one male nonsmoker were asked to answer a questionnaire on their knowledge and attitudes towards SHS and smoking policies in public places. Results 43.1% of the respondents had good knowledge on SHS hazards. 65%reported that those who smoked around them had never asked for their permission, and about 60%admitted that they had never asked others to stop smoking in front of them. There were almost two thirds of patrons reporting that they once felt discomfort of SHS in restaurants or bars, nearly half of whom chose free restaurants and bars' initiations were only 30.0% and 19.8%, respectively. In Beijing, logistic regression model analyses showed that those who supporting 100 % smoke-free restaurants and bars tended to be non-smokers, aged 25 years or older and to have had at least college education. Also in Beijing, those being female, having at least college education or non-smokers were more likely to choose restaurants and bars with smoking restrictions. Conclusion Though knowledge on SHS hospitality patronage was still not high or popular for the public to refuse SHS exposure, banning smoking in hospitality venues was public's inclination and would become a trend in public health endeavor.%目的 了解中国城市餐饮业顾客对被动吸烟的认知、态度.方法 2007年7-10月采用方便抽样的方法,对北京、西安、武汉、昆明、贵阳5个城市405家不同类型餐馆/酒吧的2109名顾客进行问卷调查.结果 43.1%的顾客对烟草危害有较全面的认识;近60%的顾客表示不曾主动反对他人在面前吸烟,近三分之一的顾客曾因接触"二手烟"感到

  18. 荆州市院前急救人员手卫生状况调查%Investigation of hand hygiene status among pre-hospital emergency care staff in Jingzhou City

    Institute of Scientific and Technical Information of China (English)

    刘克英; 李培玲; 张枭霄; 陈春霞

    2012-01-01

    目的 了解荆州市院前急救医护人员手卫生状况及其影响因素.方法 采用问卷调查方法,调查85名院前急救人员手卫生执行状况;采用手部菌落采样法调查试验组45人(加强六步洗手法教育和使用手消毒剂)、对照组40人的手部污染状况.并调查救护车上的洗手设备情况.结果 院前急救人员手卫生执行率低.两组院前急救人员出诊中、洗手后的平均菌落数与手合格率差异均有统计学意义(P<0.01).14辆救护车上有洗手设备的仅6辆,但均不能正常使用.结论 院前急救人员自我保护意识强于保护患者的意识.救护车上手卫生设施缺失严重,院前急救人员手部污染严重,出诊前按常规的六步洗手法洗手不现实,但在救护车上用快速手消毒剂擦手是切实可行的,是减少手部细菌污染的好办法.%[Objective] To understand the hand hygiene status and its influencing factors among pre-hospital emergency care staff in Jingzhou City. [ Methods] The practice status of hand hygiene was investigated in 85 pre-hospital emergency care workers by questionnaire survey. By using hand bacterial colonies sampling, the hand contamination status of the study group (45 people) which was given education of six-step hand-washing method and using hand disinfectant, and the control group (40 people) was investigated. The status of hand-washing equipment in the ambulances was investigated. [Results]The practice rate of hand hygiene among pre-hospital emergency care staff was low. There were significant differences in average colony counts during treatment and after hand-washing, and qualified rate of hand hygiene between two groups (P <0.01). Among 14 ambulances, only 6 had hand-washing equipment, but all of them cannot work normally. [Conclusion] The self-protection consciousness of pre-hospital emergency care staff is higher than the consciousness of protecting patients. The deficiency of hand-washing equipment is

  19. Drone City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2016-01-01

    design” will be used as a background perspective to reflect upon the future of drones in cities. The other perspective used to frame the phenomenon is the emerging discourse of the “smart city”. A city of proliferating digital information and data communication may be termed a smart city as shorthand......This paper address the phenomenon of drones and their potential relationship with the city from the point of view of the so-called “mobilities turn”. This is done in such a way that turns attention to a recent redevelopment of the “turn” towards design; so the emerging perspective of “mobilities...... for a new urban condition where cities are networked and connected (as well as disconnected) from the local block to global digital spheres. In the midst of many of the well-known data-creating devices (e.g. Bluetooth, radio-frequency identification (RFID), GPS, smartphone applications) there is a “new kid...

  20. The interstices of hospitality

    African Journals Online (AJOL)

    jane.b

    Printed in The Netherlands — All rights reserved. Introduction ... event, the rule of the city is anonymity disguised in the rules of urbanity ... understanding the theoretical meaning of hospitality (in part ... obligation that both behave appropriately in the meeting. ... which the concepts of consumption, commerce, utilitarianism,.

  1. Flying Cities

    DEFF Research Database (Denmark)

    Ciger, Jan

    2006-01-01

    The Flying Cities artistic installation brings to life imaginary cities made from the speech input of visitors. In this article we describe the original interactive process generating real time 3D graphics from spectators' vocal inputs. This example of cross-modal interaction has the nice property...... of providing a tangible correspondence between the two spaces. This interaction mean has proved to suit the artistic expression well but it also aims at providing anyone with a pleasant and stimulating feedback from speech activity, a new medium for creativity and a way to visually perceive a vocal performance....... As the feedback we have received when presenting Flying Cities was very positive, our objective now is to cross the bridge between art and the potential applications to the rehabilitation of people with reduced mobility or for the treatment of language impairments....

  2. Soft Cities

    DEFF Research Database (Denmark)

    Brix, Anders; Yoneda, Akira; Nakamura, Kiyoshi

    2015-01-01

    This paper presents a project exploring sustainable ways of urban living. The project renders a scenario comprised of an array of simple conversions of existing urban spaces and buildings, in the attempt to tie strategies ranging from urban planning to interior design into a coherent vision...... of a sustainable future. The project is the result of a joint research study between Denmark and Japan. Taking as its example the city of Kyoto, the project investigates some possible strategies on how cities more generally may be transformed into liveable, healthy and ecologically sensible environments....

  3. Fun City

    DEFF Research Database (Denmark)

    Once the blues guitarist B.B. King sang that when he "didn't wanna live no more", he would go shopping instead. Now, however, shopping has become a lifestyle... The city of today has become "Disneyfied" and "Tivolized". It has become a scene for events. The aim of the book is to encircle and pin...... down the consquences of these developments, to elocidate the interplay between funscapes and fear culture, and to account for the meaning of new concepts and new phenomena such as "event culture", "urban scenography", "experience economy","city branding" and "cultural planning"....

  4. Unhappy Cities

    Science.gov (United States)

    Glaeser, Edward L.; Gottlieb, Joshua D.; Ziv, Oren

    2016-01-01

    There are persistent differences in self-reported subjective well-being across US metropolitan areas, and residents of declining cities appear less happy than others. Yet some people continue to move to these areas, and newer residents appear to be as unhappy as longer-term residents. While historical data on happiness are limited, the available facts suggest that cities that are now declining were also unhappy in their more prosperous past. These facts support the view that individuals do not maximize happiness alone but include it in the utility function along with other arguments. People may trade off happiness against other competing objectives. PMID:27546979

  5. Flying Cities

    DEFF Research Database (Denmark)

    Ciger, Jan

    2006-01-01

    of providing a tangible correspondence between the two spaces. This interaction mean has proved to suit the artistic expression well but it also aims at providing anyone with a pleasant and stimulating feedback from speech activity, a new medium for creativity and a way to visually perceive a vocal performance......The Flying Cities artistic installation brings to life imaginary cities made from the speech input of visitors. In this article we describe the original interactive process generating real time 3D graphics from spectators' vocal inputs. This example of cross-modal interaction has the nice property...

  6. Bioindication on the basis of benthic diatoms: Advantages and disadvantages of the Polish phytobenthos lake assessment method (IOJ – the Diatom Index for Lakes / Bioindykacja na podstawie okrzemek bentosowych: Mocne i słabe strony polskiej metody oceny jezior na podstawie fitobentosu (IOJ – Indeks Okrzemkowy Jezior

    Directory of Open Access Journals (Sweden)

    Bielczyńska Aleksandra

    2015-12-01

    Full Text Available Wrażliwość okrzemek na presje antropogeniczne (np. eutrofizację lub zakwaszenie wód skutkuje ich szerokim zastosowaniem w bioindykacji. W wielu krajach na świecie podjęto się opracowania lub stosowania opracowanych już indeksów biotycznych opartych na okrzemkach fitobentosowych, służących ocenie stanu wód. Od 2000 roku w krajach członkowskich Unii Europejskiej odbywa się to w ramach wdrażania Ramowej Dyrektywy Wodnej. Wyniki uzyskane przy użyciu polskiej metody oceny jezior na podstawie okrzemek epifitycznych (IOJ - Indeks Okrzemkowy Jezior, znacznie odbiegają od wyników jakie dają pozostałe metody oceny stanu ekologicznego. W niniejszym artykule podjęto się prześledzenia literatury naukowej dotyczącej fitobentosu w bioindykacji w celu zidentyfikowania silnych i słabych stron polskiej metody IOJ oraz wskazania potencjalnych kierunków udoskonalenia metody. Prześledzono literaturę dokumentującą zmienność fitobentosu związaną z jego siedliskiem, zmienność przestrzenną w skali jeziora oraz zmienność w sezonie wegetacyjnym. Przytoczone piśmiennictwo wskazuje na to, że doprecyzowanie wytycznych do procedury poboru prób oraz zwiększenie liczby stanowisk badawczych mogłoby zwiększyć funkcjonalność polskiej metody oceny jezior. Zasugerowano również, że warto podjąć się przetestowania wpływu zmienności sezonowej zespołu fitobentosu na jego wartość bioindykacyjną.

  7. Socio-demographic characteristics, clinical profile and prevalence of existing mental illness among suicide attempters attending emergency services at two hospitals in Hawassa city, South Ethiopia: a cross-sectional study.

    Science.gov (United States)

    Ayehu, Moges; Solomon, Tarekegn; Lemma, Kinfe

    2017-01-01

    Suicide is a major public health problem worldwide. It contributes for more than one million deaths each year. Since previous suicidal attempt was considered as the best predictor of future suicide, identifying factors behind suicidal attempt are helpful to design suicide prevention strategies. The aim of this study was to assess socio-demographic characteristics, clinical profile and prevalence of existing mental illness among patients presenting with suicidal attempt to emergency services of general hospitals in South Ethiopia. We conducted a cross-sectional study on patients presenting with complications of suicidal attempt to emergency departments of two general hospitals in Hawassa city from November, 2014 to August, 2015. Data was collected using semi-structured questionnaire which contained socio-demographic and clinical variables. The Mini International Neuropsychiatric Interview version 5 (MINI PLUs) was used to assess the prevalence of existing mental illness among study participants. Data was entered and analyzed using IBM SPSS statistics 21 software package. A total of 96 individuals were assessed, of whom 56 (58.3%) were females. The mean age of study participants was 21.5 (8.0) years. The majority, 75 (78.1%), of the study participants were aged below 25 years. Ingesting pesticide poisons and corrosive agent were used by the majority to attempt suicide. Mental illness was found in only three (3.1%) of the study participants. Impulsivity (the time between decision to attempt suicide and the actual attempt of less than 5 min) was reported by 30 (31.2%) of the study participants, of whom 18 (60%) were males. Males were found three times more likely to attempt suicide impulsively than women (COR = 3.0, 95% CI 1.2-7.3). Quarreling with family members, facing financial crisis, and having unplanned and unwanted pregnancy were reported by the majority of study participants as immediate reasons to attempt suicide. The presence of stressful life events and

  8. 广州市某三甲医院护理人员同理心调查%Investigation of the empathy status of nurses in grade 3 and first-class hospitals of Guangzhou city

    Institute of Scientific and Technical Information of China (English)

    王幼芳; 王芳; 李海燕

    2013-01-01

    目的 了解三甲医院护理人员同理心水平及其影响因素.方法 2012年4月采取随机方便抽样方法对广州市某三级甲等医院的180名护士,采用同理心量表进行问卷调查,了解其同理心情况.结果 共发放问卷180份,回收177份,其中回收有效问卷151份,有效回收率为85.3%.151名护理人员的同理心得分为(62.42 ±4.93)分.不同文化程度、婚姻状况、工作时间、职称、同理心相关课程学习情况、聘用类型的护理人员的同理心得分不同,差异有统计学意义(F值分别为27.433,37.170,73.201,58.164,27.707,48.741;P <0.01),其中文化程度、婚姻状况、工作时间、职称、同理心相关课程学习情况对护理人员的同理心水平有影响(t值分别为6.302,2.617,3.397,2.486,3.158;P<0.05).结论 护理人员应重视自身文化水平的提高和同理心相关课程的学习,为患者提供更人性化的优质护理服务,对减少护患纠纷、构建和谐的护患关系具有积极的意义.%Objective To investigate the status and influencing factors of empathy of nurses in grade 3 and first-class hospitals of Guangzhou city.Methods Convenient sampling method was used and a total of 151 nurses of grade 3 and first-class hospitals in Guangzhou city had been interviewed with the empathy scale.Results Of the 180 distributed questionnaires,totally 172 questionnaires were retrieved,the effective response rate was 85.3%.The empathy score of nurses were (62.42 ± 4.93).The significant score difference was found in nurses with different education level,marital status,working hours,professional title,learning of related empathy courses and employ type (F =27.433,37.170,73.201,58.164,27.707,48.741 ; P < 0.01).The influencing factors of empathy were education level,marital status,working hours,professional tide and learning of related empathy courses (t =6.302,2.617,3.397,2.486,3.158,respectively; P < 0.05).Conclusions Nurses should pay attention

  9. City 2020+

    Science.gov (United States)

    Schneider, C.; Buttstädt, M.; Merbitz, H.; Sachsen, T.; Ketzler, G.; Michael, S.; Klemme, M.; Dott, W.; Selle, K.; Hofmeister, H.

    2010-09-01

    This research initiative CITY 2020+ assesses the risks and opportunities for residents in urban built environments under projected demographic and climate change for the year 2020 and beyond, using the City of Aachen as a case study. CITY 2020+ develops scenarios, options and tools for planning and developing sustainable future city structures. We investigate how urban environment, political structure and residential behavior can best be adapted, with attention to the interactions among structural, political, and sociological configurations and with their consequences on human health. Demographers project that in the EU-25-States by 2050, approximately 30% of the population will be over age 65. Also by 2050, average tem¬peratures are projected to rise by 1 to 2 K. Combined, Europe can expect enhanced thermal stress and higher levels of particulate matter. CITY 2020+ amongst other sub-projects includes research project dealing with (1) a micro-scale assessment of blockages to low-level cold-air drainage flow into the city centre by vegetation and building structures, (2) a detailed analysis of the change of probability density functions related to the occurrence of heat waves during summer and the spatial and temporal structure of the urban heat island (UHI) (3) a meso-scale analysis of particulate matter (PM) concentrations depending on topography, local meteorological conditions and synoptic-scale weather patterns. First results will be presented specifically from sub-projects related to vegetation barriers within cold air drainage, the assessment of the UHI and the temporal and spatial pattern of PM loadings in the city centre. The analysis of the cold air drainage flow is investigated in two consecutive years with a clearing of vegetation stands in the beginning of the second year early in 2010. The spatial pattern of the UHI and its possible enhancement by climate change is addressed employing a unique setup using GPS devices and temperature probes fixed to

  10. Invasive pneumococcal disease in a third level pediatric hospital in Mexico City: epidemiology and mortality risk factors Enfermedad neumocócica invasora en un hospital pediátrico de tercer nivel en la Ciudad de México: características epidemiológicas y factores de riesgo asociados con mortalidad

    Directory of Open Access Journals (Sweden)

    Demóstenes Gómez-Barreto

    2010-10-01

    Full Text Available Objective. To assess the epidemiologic characteristics of invasive pneumococcal diseases (IPD among a population in a pediatric hospital in Mexico City and analyze mortality-related risk factors, serotype distribution and antibiotic susceptibility related to S.pneumoniae. Material and Methods. We performed a retrospective review of IPD cases at a third level pediatric hospital between 1997-2004. Results. A total of 156 patients were included. The mortality rate was 27.5% and was associated with six pneumococcal serotypes: 14, 6B, 23F, 6A, 19F and 19A. There was no relationship between mortality and antimicrobial susceptibility pattern. A total of 28.2% of isolates were resistant to penicillin and 24.6% were resistant to cefotaxime. A statistically significant relationship was observed between mortality and previous underlying disease (CI 95%; 2.5-18.3; pObjetivo. Conocer la epidemiología de la enfermedad neumocócica invasora (ENI en un hospital pediátrico y analizar los factores de riesgo relacionados con la mortalidad, la distribución de serotipos y el patrón de susceptibilidad de S. pneumoniae. Material y métodos. Revisión retrospectiva de los casos de ENI en un hospital pediátrico de tercer nivel, entre 1997 y 2004. Resultados. En 156 pacientes la mortalidad fue de 27.5%. Los serotipos de neumococo más frecuentemente relacionados con la mortalidad fueron: 14, 6B, 23F, 6A, 19F y 19A; no hubo relación de mortalidad con la resistencia a antibióticos. El 28.2% mostró resistencia a penicilina y 24.6% a cefotaxima. A través del modelo multivariado, se encontró una relación estadísticamente significativa entre la mortalidad y enfermedad previa (IC 95%; 2.5-18.3; p<0.05. Conclusiones. La mortalidad asociada a la ENI tuvo relación significativa con antecedente de una enfermedad previa y con seis serotipos, cinco incluidos en la vacuna neumocócica conjugada 7-valente.

  11. Sin City?

    NARCIS (Netherlands)

    Gautier, Pieter A.; Svarer, Michael; Teulings, Coen N.

    2007-01-01

    Is moving to the countryside a credible commitment device for couples? We investigate whether lowering the arrival rate of potential alternative partners by moving to a less populated area lowers the dissolution risk for a sample of Danish couples. We find that of the couples who married in the city

  12. Excite City

    DEFF Research Database (Denmark)

    Marling, Gitte; Kiib, Hans; Jensen, Ole B.

    This paper takes its point of departure in the pressure of the experience economy on European cities - a pressure which in recent years has found its expression in a number of comprehensive transformations of the physical and architectural environments, and new eventscapes related to fun and cult...

  13. Vacant city

    NARCIS (Netherlands)

    Marzot, N.

    2013-01-01

    Abandoned places that the crisis has multiplied, unaware wrecks of a project of civilization that has consumed its thrust and life-giving function, are waiting for new desirable interpretations, they are an expression of a possible city in opposition to the existing, even if not recognized by any in

  14. Drone City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2016-01-01

    This paper address the phenomenon of drones and their potential relationship with the city from the point of view of the so-called “mobilities turn”. This is done in such a way that turns attention to a recent redevelopment of the “turn” towards design; so the emerging perspective of “mobilities...... design” will be used as a background perspective to reflect upon the future of drones in cities. The other perspective used to frame the phenomenon is the emerging discourse of the “smart city”. A city of proliferating digital information and data communication may be termed a smart city as shorthand...... on the block” that will potentially be a game-changer for urban governance, economics and everyday life. Here we are thinking of the unmanned aerial vehicle or drone as the popular term has it. Therefore, the paper asks how life in “drone city” may play out. Drones may alter the notion of surveillance by means...

  15. Sustainable Cities

    DEFF Research Database (Denmark)

    Georg, Susse; Garza de Linde, Gabriela Lucía

    /assessment tool. The context for our study is urban regeneration in one Danish city, which had been suffering from industrial decline and which is currently investing in establishing a “sustainable city”. Based on this case study we explore how the insights and inspiration evoked in working with the tool...

  16. Transparencia en las adquisiciones del sector público: el caso de los hospitales de la Ciudad de Buenos Aires Transparency in public sector acquisitions: The case of hospitals in the City of Buenos Aires

    Directory of Open Access Journals (Sweden)

    T. Rossi

    2002-02-01

    gestión de compra claros y precisos y con una normativa homogénea y uniforme, pueden lograr un buen nivel de actividad. Además, pueden contribuir a la baja de precios y la disminución de la dispersión de los mismos, a la vez que mejoran la eficiencia en la asignación y utilización de los recursos.This paper deals with corruption and the lack of transparency in public sector purchases as well as with the main instruments to obtain adequate results in purchase negotiation. Firstly, we discuss how corruption causes concern to national governments, international organizations, academic centers, non-governmental organizations and society in general. The consequences of corruption in Argentina and other Latin American countries are highlighted, especially the effect of corruption on economic growth and the way it creates economic inefficiency and inequality. Secondly, the database created by the Subsecretary of Strategic Management of the Autonomous Government of the City of Buenos Aires is analyzed. The central purpose of this study is to evaluate the impact of the Administrative Reform of 1998 on the prices of 24 products acquired by 13 general acute care hospitals from 1998-1999. The weighted prices, the number of units purchased and the total number of contracts given in this period, as well as the products with the greatest utilization rate, are analyzed. Multivariante analysis was used to identify hospitals with appropriate activity and efficient budeget administration (activity and negotiation indicators. Price development was analyzed using the regression technique (ordinary least squares, which demonstrated an 8% reduction in prices for the year 1999. The contribution of each hospital to this variation is presented using dummy variables. Thus, six of the 13 hospitals significantly contributed to the decrease in prices. Of these six, three hospitals also contributed to reduction in price dispersion. The results obtained allow us to conclude that, if public

  17. Návrh výroby tělesa plynového analyzátoru s využitím metody Direct Metal Laser Sintering

    OpenAIRE

    Říčan, Daniel

    2011-01-01

    Tato diplomová práce se zabývá možností výroby plynového analyzátoru technologií Rapid Prototyping a to metodou Direct Metal Laser Sintering. V teoretické části je popsána stávající výroba součásti ve společnosti Frentech Aerospace s.r.o a inovace ve firmě Innomia a.s, metodou Direct Metal Laser Sintering. Dále je proveden rozbor principu jednotlivých metod Rapid Prototyping, především metody Direct Metal Laser Sintering. Cílem experimentální části je porovnání mechanických vlastností a struk...

  18. [Insomnia: prevalence in Cordoba city hospital].

    Science.gov (United States)

    Fernandez, M E; Lopez, S M; Cazaux, A; Cambursano, V H; Cortes, J R

    2012-01-01

    Introducción: Insomnio es el trastorno caracterizado por sueño deficiente o de mala calidad con consecuencias diurnas adversas. La prevalencia es 30-50% en adultos y puede llevar al desarrollo de depresión. A pesar de las altas tasas de prevalencia es una entidad poco reconocida, subdiagnosticada y subtratada. Poco se ha publicado acerca de la prevalencia en pacientes con enfermedades crónicas. Objetivos: conocer prevalencia y características clínicas del insomnio en pacientes ambulatorios con enfermedades crónicas. Materiales y métodos: Estudio prospectivo descriptivo observacional de corte transversal. Se definió insomnio en base a los criterios del ICSD-2. La obtención de los datos se realizó por un cuestionario autoadministrado. Resultados: Encuestamos a 100 pacientes que acudieron a la consulta de diferentes especialidades clínicas, edad promedio 50 años. El 57% mujeres. El 69% cumplía criterios de insomnio. Las enfermedades más prevalente fueron HTA: 57%; asma: 20%, diabetes: 18% e hipotiroidismo: 17%. Entre los pacientes con insomnio, el 62% fueron mujeres, el 35 % lo presentaban de manera aislada y el restante 65% presentaba condiciones asociadas a insomnio secundario (el 60% presentaban depresión). La cuarta parte de los pacientes consultó por insomnio alguna vez. La prevalencia de criterios de depresión en los enfermos crónicos analizados fue de 52%, y asciende a 63% en los pacientes que padecen insomnio. Discusión: La prevalencia de insomnio en pacientes con enfermedades crónicas es alta, siendo en pacientes ambulatorios con enfermedades crónicas del 69%, muy superior a la media descripta en la población general. Es una entidad subtratada. Conclusiones: La prevalencia de insomnio en pacientes con enfermedades crónicas es alta, está subdiagnosticada y subtratada. Presenta una asociación significativa con depresión.

  19. A survey report on dermatitis patients in hospital in Baoan district of Shenzhen city from 1992 to 2006%深圳市某区1992至2006年皮炎住院病例的调查

    Institute of Scientific and Technical Information of China (English)

    朱志良; 叶伟国; 王绵珍; 张虹; 吴俊华

    2010-01-01

    目的 了解近年来深圳市某区皮炎住院患者的流行病学分布特点,为研究三氯乙烯(TCE)药疹样皮炎和预防提供依据.方法 对1992至2006年该区及其各街道医院的住院皮炎患者临床资料进行描述性分析.结果该区住院皮炎患者共645例,1998至2005年患者总人数呈上升趋势,主要年龄段为16~岁,其次为26~岁,工人占多数.过敏性皮炎(34.1%)、药物性皮炎(30.8%)、TCE药疹样皮炎(9.3%),依次为住院皮炎病例的前3位.60例TCE药疹样皮炎病例中有过敏史者2例(3.3%),与其他皮炎病例(144例,22.6%)比较,差异有统计学意义(P<0.05);TCE药疹样皮炎患者肝功能异常的比例(71.7%)较高,与其他皮炎(13.8%)比较,差异有统计学意义(P<0.05);患者主要分布于电子、五金、电镀行业.结论 TCE药疹样皮炎危害严重,加强工人的自我保护意识,重视重点行业、重点工种工人的工初观察和健康监护,减少职业接触机会,可以有效地减少TCE所致皮炎的发生.%Objective To analyze the epidemiological distribution of dermatitis patients in hospital and provide basis for studying the basic conditions and the prevention of dermatitis especially TCE-induced dermatitis in Baoan District of Shenzhen City.Methods All dermatitis patients in hospital in Baoan District from 1992 to 2006 were descriptively analyzed.Results There were 645 dermatitis patients in hospital in Baoan District.The total number of patients tended to rise in recent years,mainly in group of 16~ years old,followed by 26~ years old,with the majority of workers.The clinical diagnosis was allergic dermatitis (34.1%),drug-induced dermatitis and TCE-induced dermatitis (9.3%).Two among 60 patients with TCE-induced dermatitis had history of allergy (3.3%) with significat difference (P<0.05) compared with the patients with other dermatitis(144,22.6%).The risk of hepatic dysfunction in TCE-induced dermatitis(71.7%) was significantly greater

  20. Sustainable Cities

    DEFF Research Database (Denmark)

    Georg, Susse; Garza de Linde, Gabriela Lucía

    Judging from the number of communities and cities striving or claiming to be sustainable and how often eco-development is invoked as the means for urban regeneration, it appears that sustainable and eco-development have become “the leading paradigm within urban development” (Whitehead 2003......), urban design competitions are understudied mechanisms for bringing about field level changes. Drawing on actor network theory, this paper examines how urban design competitions may bring about changes within the professional field through the use of intermediaries such as a sustainable planning....../assessment tool. The context for our study is urban regeneration in one Danish city, which had been suffering from industrial decline and which is currently investing in establishing a “sustainable city”. Based on this case study we explore how the insights and inspiration evoked in working with the tool...

  1. Sharing City

    DEFF Research Database (Denmark)

    This magazine offers an insight into the growing commercial innovation, civic movements, and political narratives surrounding sharing economy services, solutions and organisational types. It presents a cross-section of the manifold sharing economy services and solutions that can be found in Denmark....... Solutions of sharing that seeks to improve our cities and local communities in both urban and rural environments. 24 sharing economy organisations and businesses addressing urban and rural issues are being portrayed and seven Danish municipalities that have explored the potentials of sharing economy....... Moreover, 15 thought leading experts - professionals and academic - have been invited to give their perspective on sharing economy for cities. This magazine touches upon aspects of the sharing economy as mobility, communities, sustainability, business development, mobility, and urban-rural relation....

  2. Isolamento e identificação de amebas de vida livre potencialmente patogênicas em amostras de ambientes de hospital público da cidade de Porto Alegre, RS Isolation and identification of potentially pathogenic free-living amoebae in samples from environments in a public hospital in the city of Porto Alegre, Rio Grande do Sul

    Directory of Open Access Journals (Sweden)

    Ana Maris Carlesso

    2007-06-01

    Full Text Available Um estudo sobre a presença de amebas de vida livre em um hospital público foi desenvolvido na Cidade de Porto Alegre, RS. Poeira e biofilmes de 15 ambientes hospitalares, incluindo CTI, UTI pediátrica, cozinha, emergência, centro cirúrgico ambulatorial e centro cirúrgico, reservatórios de água, torneira e 6 bebedouros coletivos foram coletados mensalmente, de julho de 2004 a março de 2005, usando-se suabes estéreis, preparados para a pesquisa. As AVL foram isoladas em cultivo, utilizando-se meio de ágar não nutriente adicionado de Escherichia coli, mortas pelo calor. A identificação dos protozoários foi feita pela observação morfológica de cistos e trofozoítos, segundo critérios morfológicos de Page (1988. Das 135 amostras coletadas dos 15 ambientes estudados, 47 (35% foram positivas para AVL. Destas, 34% apresentaram características morfológicas próprias do gênero Acanthamoeba.A study on the presence of free-living amoebae in a public hospital was developed in the city of Porto Alegre, State of Rio Grande do Sul. Dust and biofilms were collected using sterile swabs that had been prepared for this study, from 15 hospital environments, including the intensive care center, pediatric intensive care unit, kitchen, emergency room, outpatient surgical center, clinical surgical center, water storage tanks, taps and six drinking fountains for general use, every month from July 2004 to March 2005. The FLAs were isolated by culturing, using non-nutrient agar medium with the addition of heat-killed Escherichia coli. The protozoa were identified by morphological observation of cysts and trophozoites, in accordance with Page's morphological criteria (1988. Among the 135 samples collected from the 15 environments, 47 (35% were positive for FLAs. Of these, thirty-four percent presented morphological characteristics particular to the genus Acanthamoeba.

  3. 南宁市传染病医院重症医学科患者现状调查%Investigation on present situation of patients in Department of Critical Care Medicine in Infectious Disease Hospital of Nanning City

    Institute of Scientific and Technical Information of China (English)

    林艳荣; 吴锋耀; 刘升; 韦静

    2016-01-01

    ObjectiveTo investigate the current situation of intensive care unit (ICU) inpatients in Infectious Disease Hospital of Nanning to provide a reference for the prevention and control of infectious diseases and construction and development of ICU in such a hospital.Methods The clinical data of inpatients from January 2011 to December 2015 in the Infectious Disease Hospital Affiliated to Guangxi Medical University (that is the Fourth People's Hospital of Nanning City) were retrospectively analyzed, and the distributions of patients with various diseases, ages, of the characteristics of children severe infectious diseases in ICU, the numbers of patients with infectious diseases in general ward and ICU, the average time and daily cost of hospitalization and mortality were conducted.Results During 2011 to 2015, 855 cases in ICU were treated, including 709 cases of infectious diseases, 146 cases of non-infectious disease. The top 5 infectious diseases were ranked as follows: tuberculosis, human acquired immune deficiency syndrome (AIDS), hand-foot-mouth disease (HFMD), viral hepatitis, tetanus, accounting for 96.47% of the total infectious disease inpatients in ICU; there were 25 cases of other legal infectious diseases, accounting for 3.53%, including dengue fever, measles, malaria, chicken pox, mumps, rabies, typhoid fever, paratyphoid fever, scrub typhus, bacillary dysentery, leptospirosis, human infections with highly pathogenic H7N9 avian influenza, epidemic hemorrhagic fever, A H1N1 influenza, and besides, critically ill patients carrying virus (viral hepatitis B and AIDS) in 7 pregnant women, 22 surgical patients, and 117 patients with internal medicine diseases were also admitted and treated. The top 4 infectious diseases causing deaths in ICU were tuberculosis, AIDS, viral hepatitis and HFMD: The infectious diseases with top 6 high mortalities in ICU were as follows: rabies, viral hepatitis, AIDS, tuberculosis and tetanus. The age range was wide in this study

  4. Campaign supports new name for TX hospital. Effort expands children's hospital's image and increases awareness.

    Science.gov (United States)

    2007-01-01

    For years, the North Texas Hospital for Children at Medical City in Dallas struggled with its brand awareness. It's long-winded name was largely unknown among the city's 1.2 million residents. The hospital needed a new name and it needed one fast. The year 2005 proved to be both a burden and an opportunity for the 311-bed pediatric hospital. It survived a legal battle with a local competitor for the right to use the word "children's" in its name, created a new identity, and launched a three-year branding initiative to introduce its new name: Medical City Children's Hospital.

  5. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  6. Hospitals; hospitals13

    Data.gov (United States)

    University of Rhode Island Geospatial Extension Program — Hospital Facilities information was compiled from several various sources. Main source was the RI Department of Health Facilities Regulation database, License 2000....

  7. Prevalência de infecções hospitalares em um hospital geral de alta complexidade no município de Ponta Grossa - doi: 10.4025/actascihealthsci.v34i1.8943 Prevalence of hospital infections in a general hospital of high complexity in the Ponta Grossa city in 2007 - doi: 10.4025/actascihealthsci.v34i1.8943

    Directory of Open Access Journals (Sweden)

    Emanoel Severo

    2011-12-01

    Committees (HICC. The objective was to outline the profile of infections in a hospital of high complexity, located in the city of Ponta Grossa, Paraná State, determining the prevalence of Hospital Infection in Adult Intensive Care Unit and Neonatal Intensive Care Unit, concerning the profile of sensitivity to antimicrobials. This is a descriptive, retrospective, quantitative study, with 768 infections treated in 2007, 36.8% from Community origin, 63.2% hospital - 16.3% from the NICU, 27.8% from adult ICU and 55.9% from Units. The most prevalent bacteria in the units were: Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa. Adult ICU: Acinetobacter baumannii, Staphylococcus aureus, Escherichia coli. NICU: SNPC, Staphylococcus aureus, Klebsiella pneumoniae. We emphasized the high sensitivity of Acinetobacter baumannii to Ampicillin / sub-activity and Tobramycin; effectiveness of Meropenem, Vancomycin and Ciprofloxacin; low prevalence of methicillin-resistant Staphylococcus aureus/MRSA. These indicators presented significant values of prevalence and antimicrobial sensitivity, resulting from the criteria used by the HICC from the surveyed institution - conducting epidemiological surveillance; Antibiogram Stepped; monitoring of antibiotic prescriptions, and employee training.

  8. Status quo of training demands of nursing staff in three grade class A general hospitals in Shenzhen city%深圳市三级甲等综合医院护理人员培训需求现状

    Institute of Scientific and Technical Information of China (English)

    邓小梅; 丁小容; 李敏红; 曾杏珍; 余颖娟; 梁桂玲

    2014-01-01

    [目的]了解护理人员对院内培训的培训内容、培训方式、培训时间的需求现状,为制订针对性的培训提供依据。[方法]采用整群抽样的方法对深圳市3家三级甲等综合医院654名护理人员采用自行设计的问卷进行调查,并进行统计学分析。[结果]护理人员最希望培训的内容为专科知识,而不同的群体之间培训内容需求又存在一定的差异;对不同的培训内容希望有不同的培训特点并采取不同的培训方式;80.6%护理人员希望培训时间能够具有一定的灵活性和自主选择性。[结论]培训内容应因人而异,不同的培训内容应采取不同的培训方式,同时培训本身能有一定的灵活性以增强培训效果。%Obj ective:To know about the status quo of training demands of nursing staff for training content,training methods and training time,so as to provide the basis for formulating targeted training.Methods:A total of 654 nurses were surveyed by adopt cluster sampling method and self de-signed questionnaire in three grade class A general hospital in Shenzhen city.Related data were statistical analysed.Results:The most training con-tent nursing staff hope was specialized knowledge.And training content re-quirements existed certain differences between different groups.Nursing staff hope different characteristics for different training contents,and adopt different ways of training.80.6% of nursing staff hoped that the training time have a certain flexibility and independent selectivity.Conclusion:The training content should be different from person to person.Different ways of training should be adopted for different training contents.At the same time,training itself can have a certain flexibility in order to improve train-ing effect.

  9. Fatores de risco e profilaxia para tromboembolismo venoso em hospitais da cidade de Manaus Risk factors and prophylaxis for venous thromboembolism in hospitals in the city of Manaus, Brazil

    Directory of Open Access Journals (Sweden)

    Edson de Oliveira Andrade

    2009-02-01

    January and March of 2006, involving inpatients at three hospitals in the city of Manaus, Brazil. Risk stratification for VTE was based on the criteria established by the Brazilian Society of Angiology and Vascular Surgery and by the International Union of Angiology. Clinical, surgical and medication-related risk factors were analyzed. The statistical analysis of the data obtained was conducted, adopting an alpha error of 5% and 95% CI. Qualitative data were analyzed using the chi-square test, whereas quantitative data were analyzed using Student's t-test. RESULTS: Of the 1,036 patients included (total number of admissions, 1,051, 515 (49.7% were male, and 521 (50.3% were female. A total of 23 risk factors for VTE were identified (total number of occurrences, 2,319. The stratified risk for VTE was 50.6%, 16.6% and 30.8% among the admissions of high-, moderate- and low-risk cases, respectively. In 73.3% of the admissions, nonpharmacological prophylaxis was not employed at any point during the study period. In 74% of those classified as high- or moderate-risk cases, no prophylactic medications were administered. CONCLUSIONS: This study showed that, in the population studied, risk factors were common and that prophylactic measures were not employed in patients prone to developing VTE and its complications.

  10. 富阳市儿童伤害首诊监测分析%An Analysis on Characteristics and Causes of Injury in Children Visiting Hospital for the First Time in Fuyang City

    Institute of Scientific and Technical Information of China (English)

    吴欧; 刘庆敏; 夏自成; 何勇; 孙军; 查君

    2012-01-01

    Objective To understand the epidemiological characteristics and causes of injury among children under 14 years old in Fuyang, and Hangzhou, and to provide scientific evidence for the effective prevention. Methods The surveillance of injury was conducted among children visiting hospital for the first time in 3 sentinel hospitals using unified damage monitoring registration form in Fuyang city in 2011. A descriptive analysis was conducted on the occurring place, type, severity of the injury and the demographic characteristics of the injury patients. Results A total of 977 injury cases aged 0-14 was reported accumulatively in 2011. The male to female ratio of the cases was 1.61. Thefirst3 injury occurring places were home ( 81. 78% ), school(9.31% ) and street ( 4. 81% ). The first5 injury causes were animal attack (49. 74% ), falling down ( 25. 90% ), blunt strike ( 14. 02% ), cut ( 3. 07% ) and burn injury ( 1. 84% ). The injuries occurred during leisure time, school activity and sports accounted for 81.68%, 6.04% and 4.71% respectively. Most injuries were unintentional ( 98. 60% ) and mild injuries accounted for 89. 97%. Conclusion The children injury in Fuyang, Hangzhou was still a serious public health problem. The safety education for children should be strengthened and the effective measures should be taken to prevent injury among children, especially from animal attack.%目的 了解富阳市14岁以下儿童伤害分布特征并探讨伤害发生原因,为儿童伤害干预提供依据.方法 选取富阳市3家监测哨点医院,采用统一制定的伤害监测登记表对2011年前来就诊的首诊儿童伤害病例进行登记.对伤害发生的地点、类别、严重程度、患者职业、性别和年龄等进行描述性分析.结果 全年累计收集0~14岁伤害儿童977例,男女性别比为1.61:1.伤害发生地点前3位分别为住宅(81.78%)、学校(9.31%)和街道/城区(4.81%).伤害原因前5位分别为动物伤(49.74%)、跌落伤(25

  11. Survey on the sleep quality and its influencing factors in the hospitalized patients in the department of cardiology of a certain grade Ⅲ-A hospital in Suzhou city%苏州某三甲医院心内科住院患者睡眠质量及影响因素调查分析

    Institute of Scientific and Technical Information of China (English)

    刘琳; 顾洁

    2014-01-01

    目的:调查分析苏州某三甲医院心内科住院患者睡眠质量及影响因素,探讨改善住院患者睡眠质量的方法。方法:选取心内科住院患者261例采用访谈、问卷调查表及匹兹堡睡眠质量指数量表( PSQI)调查其睡眠质量,并分析其影响因素。结果:住院期间主观睡眠质量、睡眠潜伏期、睡眠时间、睡眠障碍、睡眠效率、昼夜睡眠倒置及总分患者得分均高于住院前得分(均P<0.05)。有慢性疾病史的患者住院期间和住院前睡眠质量均高于无慢性疾病史患者(均P<0.05)。有住院经历或者重大手术史的患者比没有类似经历的患者住院期间睡眠质量分数高( P<0.05)。住院时间<2周患者的睡眠质量分数高于住院时间≥2周的患者(P<0.05),睡眠时间接受治疗和护理(午夜)比没有接受任何治疗或护理的睡眠质量分数高(P<0.05)。此外,患者住在单人病房的住院期间睡眠质量分数均高于那些住在拥挤病房(双人或以上)的患者( P<0.05)。结论:心内科患者在住院期间睡眠质量差,受内源性因素和外源性因素两方面影响,其中外源性环境因素是最主要的原因。%Objective:To investigate and analyze the sleep quality and its influencing factors in the hospitalized patients in the depart-ment of cardiology of a certain gradeⅢ-A hospital in Suzhou city in order to find the methods to improve the sleep quality of inpatients. Methods:The interview,questionnaire survey and the Pittsburgh sleep quality index( PSQI)were adopted to investigate the sleep quality of 261 inpatients in the department of cardiology and analyze its influencing factors. Results:The subjective sleep quality,sleep latency,sleep time and sleep disorders,sleep efficiency,irregular sleep circadian rhythm and the total scores of the patients were better,milder and higher during hospitalization than those before hospitalization

  12. Estado imunitário relativo à poliomielite das crianças de 0-12 anos, residentes no município de São Paulo, Brasil e assistidas pelo Hospital Menino Jesus Immunity status to poliomyelitis of 0-12 years old children living in S. Paulo city, Brazil and using the Menino Jesus Hospital

    Directory of Open Access Journals (Sweden)

    Victorio Barbosa

    1975-06-01

    Full Text Available A prevalência dos anticorpos neutralizantes contra os três tipos de poliovírus e os níveis de imunidade para diferentes grupos etários foram determinados, através de um inquérito soro-epidemiológico, numa população de crianças de 0-12 anos de idade, residentes no município de São Paulo, Brasil e assistidas pelo Hospital Menino Jesus. Os resultados mostraram um número elevado de crianças suscetíveis à infecção por poliovírus no primeiro ano de vida, particularmente no grupo etário de 9-12 meses, em que a proporção de crianças completamente desprotegidas (triplo-suscetíveis alcançou 42,5%. Neste grupo, a prevalência de anticorpos dos tipos 1, 2 e 3 foi apenas em torno de 40%. Dentre as crianças do grupo etário de 0-5 anos, que receberam três ou mais doses de vacina oral trivalente, verificou-se a baixa proporção de 60% de duplo mais triplo-imunes. Os resultados mostraram que o estado imunitário das crianças deste grupo foi o mesmo nas três zonas geográficas da Capital, sendo em torno de apenas 50% a proporção de crianças duplo mais triplo-imunes. Estes resultados indicam níveis precários de imunidade, particularmente nas crianças do primeiro ano de vida. Existe, pois, uma necessidade evidente de realizar novos inquéritos sorológicos, além de intensificar e melhorar a vacinação de manutenção contra a poliomielite em nosso meio.The prevalence of neutralizing antibodies for the three types of polioviruses and the immunity levels of different age groups were determined through a seroepidemiological survey, in a population of 0 to 12 year old children, living in the city of S. Paulo and attending the Menino Jesus Hospital. The results showed a high number of children susceptible to infection by polioviruses, mainly in the 9-12 month age bracket where the proportion of individuals completeley susceptible was 42.5%. In this group the prevalence of type 1, 2 and 3 antibodies was only about 40%. For the 0

  13. Comparison between two alternative approaches for the analysis of polarization evolution of EM waves in a nonuniform, fully anisotropic medium. A magnetized plasma; Paragone tra due metodi alternativi per l'analisi della polarizzazione di onde elettromagnetiche in un plasma magnetizzato

    Energy Technology Data Exchange (ETDEWEB)

    Segre, S. E. [ENEA, Div. Fusione, Centro Ricerche Frascati, Frascati, Rome (Italy)

    2001-07-01

    A comparison is made between two alternative approaches for the analysis of polarization evolution of em waves in a magnetized plasma. The two approaches are the Coupled Wave-Equation Formalism (CWF) and the Stokes Vector Formalism (SVF). After brief descriptions of the two formalisms the correspondence between them is spelled out. The two formalisms are then compared and their relative advantages and limitations are discussed. [Italian] Si fa un confronto tra due metodi alternativi per l'analisi della polarizzazione di onde elettromagnetiche in un plasma magnetizzato. I due metodi sono il formalismo delle equazioni accoppiate per le onde (Coupled Wave-equation Formalism) e il formalismo del vettore di Stokes (Stokes Vector Formalism). Dopo brevi descrizioni dei due formalismi, viene esplicitata la corrispondenza tra essi quindi i due formalismi vengono confrontati e si discutono i loro meriti e limiti relativi.

  14. Learning Cities as Healthy Green Cities: Building Sustainable Opportunity Cities

    Science.gov (United States)

    Kearns, Peter

    2012-01-01

    This paper discusses a new generation of learning cities we have called EcCoWell cities (Economy, Community, Well-being). The paper was prepared for the PASCAL International Exchanges (PIE) and is based on international experiences with PIE and developments in some cities. The paper argues for more holistic and integrated development so that…

  15. Branding Cities, Changing Societies

    DEFF Research Database (Denmark)

    Ooi, Can-Seng

    Societal changes are seldom discussed in the literature on city branding. The time element is important because it highlights the fluctuating reality of society. The city brand message freezes the place but in fact, the city branding exercise is a continuous process. Society emerges too. City...... brands are supposed to accentuate the uniqueness of the city, be built from the bottom-up and reflect the city's identity. This paper highlights three paradoxes, pointing out that city branding processes can also make cities more alike, bring about societal changes and forge new city identities. A city...... branding campaign does not just present the city, it may change the city. The relationships between the branding exercise and the city are intertwined in the evolution of the place....

  16. Discussion on Non-Medical Bottleneck Factors Affecting City Grade Hospital to Carry Out Peritoneal Dialysis%市级医院开展腹膜透析的“非医疗瓶颈因素”探讨

    Institute of Scientific and Technical Information of China (English)

    万启军; 何永成; 许慧丽; 董旭; 宋海英

    2013-01-01

    Objective To discuss the non-medical bottleneck factors that affect the city grade hospitals to carry out the peritoneal dialysis(PD). Methods Retrospective analyze the clinical data of 160 cases of end-stage renal disease(ESRD) patients on continuous ambulatory peritoneal dialysis(CAPD) treatment from July, 1996 to December,2011 in our hospital,explore the influence of peritoneal dialysis center' s scale size,cost of dialysate,understanding of medical personnel and ESRD patients about peritoneal dialysis on the peritoneal dialysis in our hospital. Compare the difference of the main complications of CAPD between cumulative numbers of patients less than and more than 50; drop-out rate, time on treatment (TOT) ,1 year catheter intact rate and so on. Results The peritoneal dialysis was suggested only by 45. 6% of medical personnel in terms of cost-effect ratio,and by 51. 8% in terms of quality of life. Before the dialysate is charged as a drug,66. 8% of renal physicians suggested patients to choose hemodialysis,but it changed to 43.3% after dialysate is charged as a supply,there is a significant difference(P <0.05). When the cumulative numbers of patients was less than 50, the rates of drop-out rate,death rate, vessel drifting rate, rate of dialysate leaks,tunnel infection rate and PD associated peritonitis were all higher,but the TOT,1 year survival rate and 1 year vessel intact rate were lower,as compare with those when the cumulative numbers of patients was more than 50,and the difference was significance(P <0.05). Conclusion The misunderstanding of renal medicals and the ESRD patients, the way of medical payment and the size of the PD center together limited the speed of the development of PD center.%目的 探讨在市级医院开展腹透的“非医疗瓶颈因素”.方法 分析1996年7月-2011年12月间肾内科160例持续非卧床腹膜透析(CAPD)患者的临床资料,探讨腹透中心规模、腹透液计费方式、医患对腹透的认识等因

  17. Hospital Compare

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare has information about the quality of care at over 4,000 Medicare-certified hospitals across the country. You can use Hospital Compare to find...

  18. HCAHPS - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospital ratings for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). HCAHPS is a national, standardized survey of hospital...

  19. Expats rank Chinese cities

    Institute of Scientific and Technical Information of China (English)

    By Lv Dong

    2012-01-01

    Beijing, April The results of the "2011 Amazing China- The Most Attractive Chinese Cities for Foreigners" election are released. Expats choose Beijing, Shanghai, Tianjin and other cities as Chinas 10 most attractive cities for foreigners.

  20. Pittsburgh City Facilities

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Pittsburgh City FacilitiesIncludes: City Administrative Buildings, Police Stations, Fire Stations, EMS Stations, DPW Sites, Senior Centers, Recreation Centers, Pool...

  1. Pittsburgh City Facilities

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — Pittsburgh City FacilitiesIncludes: City Administrative Buildings, Police Stations, Fire Stations, EMS Stations, DPW Sites, Senior Centers, Recreation Centers,...

  2. Norovirus - hospital

    Science.gov (United States)

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

  3. Jackson Park Hospital Green Building Medical Center

    Energy Technology Data Exchange (ETDEWEB)

    Dorsey, William [Jackson Park Hospital Foundation, Chicago, IL (United States); Vasquez, Nelson [Jackson Park Hospital Foundation, Chicago, IL (United States)

    2010-05-01

    Jackson Park Hospital completed the construction of a new Medical Office Building on its campus this spring. The new building construction has adopted the City of Chicago's recent focus on protecting the environment, and conserving energy and resources, with the introduction of green building codes. Located in a poor, inner city neighborhood on the South side of Chicago, Jackson Park Hospital has chosen green building strategies to help make the area a better place to live and work.

  4. DEATH CAUSES ANALYSIS OF CASES IN HOSPITALS IN NANCHANG CITY OF JIANGXI PROVINCE IN 2009%2009年南昌市县级以上医疗机构报告死亡病例分析

    Institute of Scientific and Technical Information of China (English)

    付仁龙; 范义兵; 熊文艳; 赵萍萍; 杨树

    2011-01-01

    [Objective] The study was conducted to describe the characteristics of network-reporting death cases among country and medical institutions above levels in Nanchang city of Jiangxi in 2009, in order to provide scientific basis in setting down policy and measure of disease control and prevention, and improve their health care. [Methods] Coded by international disease classification ICD-10, the relevant statistical indicators were analyzed by using SPSS (15.0). [Results] In 2009, the total number of network-reporting death cases in medical institutions of Nanchang was 3 934, among which 2 616 were males, 1 318 were females (the sexual ratio was 1.98 : 1). People over the age of 60 years old were the main population, accounting to 64.62% of the death cause proportion. Accounting for 77.61% of the death cause proportion, chronic non-communicable disease was the leading death cause in hospitals with tumor (1 205 cases, 30.63%) ranking first in the death causes order, followed by cardiovascular and cerebrovascular disease (1 114 cases, 28.32%). Injury death was on the second of sequence of death causes (426 cases, 10.83%). Lung cancer was the leading death cause of tumor, followed by carcinoma of liver, colon and rectum cancer. With comparison of these various ages, it came to the conclusion that deaths in males were more than females. Cerebrovascular disease was the main death cause of cardiovascular and cerebrovascular disease, followed by ischemic heart disease and hypertension. From the age of 15-19, the number of people who died of tumor or cardiovascular and cerebrovascular disease reached the highest point at the age of 70-79, which was increasing with increase of age. Traffic accidents was the main cause for injury, followed by accidental fall and drowning. The peak period of injury was in the age group of 30-59. [Conclusion] Chronic non-communicable diseases is the main death cause among the medical institutions in Nanchang city, injury is on the second of

  5. Cities, Towns and Villages - City Limit (polygon)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — Data available online through GeoStor at http://www.geostor.arkansas.gov. Arkansas Cities: This data set contains all of the city limit boundaries within the state...

  6. Exploring Reasons for Bed Pressures in Winnipeg Acute Care Hospitals

    Science.gov (United States)

    Menec, Verena H.; Bruce, Sharon; MacWilliam, Leonard R.

    2005-01-01

    Hospital overcrowding has plagued Winnipeg and other Canadian cities for years. This study explored factors related to overcrowding. Hospital files were used to examine patterns of hospital use from fiscal years 1996/1997 to 1999/2000. Chart reviews were conducted to examine appropriateness of admissions and hospital stays during one pressure…

  7. City positioning theories and city core competencies

    Institute of Scientific and Technical Information of China (English)

    Xinquan; Zhu

    2007-01-01

    Gity positioning The Chinese city in a decision develops the topic of the destiny. Since the 90's of 20 centuries, the economic integral and globalization developed rapidly. The development make national boundary become not so important, the function of the city is increasingly outstanding. In other words, national competition ability is morally now on the city competition ability. At the same time, this development result that the industry is divided internationally and is divided in cities. Therefore, under the condition of globalization, if the city wants the superior development, it must take advantages and avoid shortage, to position the city accurately, establish the competition and development the strategy. The city positioning is clearly defined the city competition ability, more important it indicated the direction of the city development. Trough the analysis of the resource and environment of the city, decide an accurate position of the best function of the city, well configure the inner and outside resource, catch the opportunities,face the challenges, maximized the market share in order to maximized the wealth and city competition ability.

  8. Vigilancia de los niveles de uso de antibióticos y perfiles de resistencia bacteriana en hospitales de tercer nivel de la Ciudad de México Surveillance of antibiotic utilization and bacterial resistance profiles in tertiary level hospitals in Mexico City

    Directory of Open Access Journals (Sweden)

    Lilia Benavides-Plascencia

    2005-06-01

    Full Text Available OBJETIVO: Determinar los niveles de uso de antibióticos y el perfil de resistencia de las bacterias nosocomiales, e identificar y proponer estrategias para disminuir la resistencia a los antibióticos. MATERIAL Y MÉTODOS: Estudio descriptivo, retrolectivo (1994-1995, hecho en seis hospitales de tercer nivel de la Ciudad de México. RESULTADOS: La resistencia del grupo hospitalario fue de 86%, mientras que el consumo total de antibióticos por institución varió entre 44 y 195 dosis diarias definidas/100 camas-día. CONCLUSIONES: Se identificaron los elementos para instrumentar un sistema de vigilancia integral que mejore el uso de antibióticos y la valoración de la resistencia bacteriana.OBJECTIVE: To identify the levels of antibiotic utilization and the resistance profiles of nosocomial bacteria, as well as the strategies to diminish resistance to antibiotics. MATERIAL AND METHODS: A descriptive, retrospective (1994-1995 study was conducted in six tertiary level hospitals in Mexico City. RESULTS: A total of 86% antibiotic resistance was observed in these hospitals. The overall consumption of antibiotics per hospital ranged between 44 and 195 Defined Daily Doses/100 day-beds. CONCLUSIONS: We identified the components to frame an integral surveillance system aimed at improving the use of antibiotics and the quality of the bacterial resistance assessment in these hospitals.

  9. Investigation of the triage model in the emergency department consists of 35 triple A comprehensive hospitals in Guangzhou city%广州市35家三甲综合医院急诊分诊模式调查研究

    Institute of Scientific and Technical Information of China (English)

    刘青艳; 王根群; 赖晓娟; 贾海娜; 李雪英; 朱慧瑜

    2014-01-01

    目的:了解广州市三甲综合医院急诊科的分诊模式,为完善广州市三甲综合医院急诊科的分诊体系提供依据。方法:通过自行设计的广州市三甲综合医院急诊分诊模式调查表,对广州市35家三甲综合医院急诊科进行调查。结果:54.3%的医院有参照卫生部的分诊指导原则统一分诊标准;74.3%的医院制定分诊流程;65.7%的医院有分诊护士准入制度;48.6%的医院对分诊质量进行评价;各大医院对急诊设施的配备欠统一。结论:我们应在卫生部公布的《急诊病人病情分级试点指导原则》的指导下,结合本地区的具体情况,借鉴国内外先进经验,进一步完善分诊体系,统一标准,为患者提供便捷、高效、安全的急诊护理服务。%Object:Study the triage model of emergency departments , and provide basis for improving this triage system of triple A comprehensive hospitals in the Guangzhou city.Method:Though filling out and analysing self-designed the questionnaire to the triage mode in emergency department of triple A comprehensive hospitals in Guangzhou city,we investigate the triage model in the emergency department consists of 35 triple A comprehensive hospitals in the Guangzhou city.Result:It shows that 54.3% of the hospitals involved setup uniform triage standards referencing to the Ministry of Health hospital triage guidelines; 74.3% of hospitals have developed triage process; 65.7% of hospital nurses attend access system; 48.6% of hospitals have performed triage quality evaluation;hospitals for emergency facilities remain Not uniform.Conclusion:It should setup a Unified standard and improve the triage system though following the direction of Guiding Principle of Grading Pilot Emergency Patients published by the Ministry of Health,combining with the specific circumstances of the region,referring to the domestic and foreign advanced experience. And provide patients with convenient

  10. Lietotāju apkalpošanas kvalitātes novērtēšana publiskajās bibliotēkās izmantojot SERVQUAL metodi

    OpenAIRE

    2007-01-01

    Maģistra darbā raksturota lietotāju apkalpošanas kvalitātes novērtēšana publiskajās bibliotēkās, par pamatu izmantojot SERVQUAL kvalitātes novērtēšanas metodi. Bibliotēkas nepietiekami bieži izvērtē savu darbību. Tāpēc ir nepieciešams novērtēt bibliotēku pakalpojumu piedāvājumu, kā arī izzināt esošās atšķirības sniegtajos pakalpojumos starp lietotāju vēlmēm, interesēm un reāli saņemtajiem pakalpojumiem. Lai novērtētu patreizējo apkalpošanu publiskajās bibliotēkās Latvijā, praktiskajā pētī...

  11. Risk analysis in case of fire on PZL BRYZA using the event tree analysis / Analiza ryzyka w przypadku pożaru samolotu PZL BRYZA z wykorzystaniem metody drzewa zdarzeń

    Directory of Open Access Journals (Sweden)

    Papis Mateusz

    2016-10-01

    Full Text Available Tematem publikacji jest wykorzystanie metody drzewa zdarzeń do analizy ryzyka w sytuacjach złożonych. Zbudowano model związany z wystąpieniem pożaru na pokładzie samolotu PZL Bryza z wykorzystaniem instrukcji użytkowania samolotu w locie. Określono prawdopodobieństwa zdarzeń spowodowanych przez zdarzenie inicjujące oraz straty spowodowane przez każde z wyróżnionych końcowych zdarzeń niepożądanych. Prawdopodobieństwo wystąpienia zdarzenia inicjującego wyznaczono z wykorzystaniem danych statystycznych dotyczących bezpieczeństwa w lotnictwie. Ryzyko określono jako prawdopodobieństwo powstania strat co najmniej określonej kategorii w trakcie jednego lotu. W wyniku przeprowadzonej analizy stwierdzono, że prawdopodobieństwo wystąpienia pożaru w locie jest znikome. Jednak w takim przypadku prawdopodobieństwo śmierci jednego lub więcej pasażerów jest stosunkowo wysokie.

  12. Zvyšování produktivity na obráběcím centru pomocí metody štíhlé výroby

    OpenAIRE

    Illeová, Marie

    2012-01-01

    Diplomová práce se zabývá problematikou zvyšování produktivity pomocí metody štíhlé výroby zvané Lean. V dnešní době je potřeba udržet si přízeň zákazníka a finanční prosperitu firmy. Právě štíhlá výroba se zaměřuje na spokojenost zákazníka a na zvýšení finančního přínosu firmě, tím, že se snaží odstranit plýtvání, která se vyskytují v procesu. Lean Six Sigma je metoda, která se zaměřuje na spokojenost zákazníka (Lean) a na zdokonalování procesů (Six Sigma). Jejím cílem je zvýšit kvalitu a zá...

  13. Investigación de cocaína y marihuana en meconio de neonatos atendidos en un hospital público: Primera experiencia realizada en la ciudad Córdoba, Argentina Screening of cocaine and marijuana in meconium of newborns from a public hospital of city of Córdoba, Argentina

    Directory of Open Access Journals (Sweden)

    Andrés Suárez

    2009-12-01

    Full Text Available Se investigaron cocaína y marihuana en meconio de neonatos nacidos en la Maternidad Provincial de la Ciudad de Córdoba y se relacionaron los resultados con las semanas de gestación y los pesos al nacer. Las determinaciones se realizaron utilizando inmunoensayo y cromatografía gaseosa-espectrometría de masas. Se analizaron 48 muestras de meconio recolectadas durante un año (2007-2008. De los 48 meconios analizados, 17 correspondieron a neonatos masculinos y 31 a neonatos femeninos. Se procesaron en paralelo 15 muestras de meconio como controles normales (niños no expuestos a drogas seleccionados por historia clínica y controles prenatales. De las 48 muestras de meconio 13 fueron positivas para cocaína y/o marihuana. El peso y las semanas de gestación de los neonatos cuyas muestras fueron positivas se compararon frente a un grupo control normal, hallándose mayores diferencias estadísticamente significativas (α=0,05 - pWe investigated cocaine and marijuana in meconium of newborns attended at the Hospital Materno Provincial of Córdoba City and the results were correlated with birthweight and weeks of pregnancy. The samples were analyzed using immunoassay (FPIA and gas chromatography-mass spectrometry (GC-MS for confirmation. Forty eight samples of meconium were collected during one year period (2007-2008. Of the 48 samples screened, 17 correspond to masculine sex and 31 to feminine. Fifteen samples of meconium from normal newborns (newborns not exposed to drugs selected by maternal self report, pregnancy controls were processed as control group. The results obtained in 48 samples of meconium showed 13 cases tested positive for cocaine and/or marijuana. Birth weight and weeks of gestation of newborn with positive sample results were compared with a control group. A statistically significant difference (α= 0.05 - p<0.0001 was found in relation to birth weight. Although these results arise from a small number of samples, these data have

  14. clinical profile of atopic dermatitis in benin city, nigeria.

    African Journals Online (AJOL)

    Department of Medicine University of Benin Teaching Hospital, Benin City, Nigeria. ... Subjects: All new cases of atopic dermatitis presenting to the clinic during the study' period. Results: 594 .... New York: Mcgraw-Hill, 1993: 1543. 1564. 2.

  15. Risk factors associated with cholera in Harare City, Zimbabwe, 2008 ...

    African Journals Online (AJOL)

    Risk factors associated with cholera in Harare City, Zimbabwe, 2008. ... Two suspected cholera cases at Beatrice Road Infectious Diseases Hospital were reported ... Lack of water, low knowledge on cholera prevention measures and delays in ...

  16. O sistema de medicação em um hospital especializado no município do Rio de Janeiro El sistema de medicación en un hospital de la ciudad de Rio de Janeiro The medication system in a specialized hospital in the city of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Rejane Burlandi de Oliveira

    2011-09-01

    Full Text Available Este estudo teve como objetivo analisar o sistema de medicação de um hospital especializado do Município do Rio de Janeiro. Tratase de um estudo de avaliação de natureza descritiva. Foram selecionados alguns dos principais processos do sistema de medicação: prescrição, dispensação, preparo e administração dos medicamentos. A fim de descrever o sistema de medicação foram utilizadas para coleta de dados: entrevista, observação não participante e análise de prontuários. Foi identificado um grande número de etapas e profissionais envolvidos, assim como problemas relacionados à segurança e ao ambiente durante a prescrição, dispensação, preparo e administração dos medicamentos. Sistemas inseguros podem gerar várias consequências para os pacientes e as instituições de saúde; neste sentido, é necessária a implementação de estratégias visando à mudança na cultura de detecção das falhas, de forma a auxiliar os profissionais na prevenção de erros através de medidas que garantam a qualidade dos processos executados.Este estudio tuvo como objetivo analizar el sistema de medicación en un hospital especializado de Rio de Janeiro. Se trata de un estudio de evaluación de carácter descriptivo. Hemos seleccionado algunos de los procesos clave del sistema de medicación: prescripción, dispensación, preparación y administración de los medicamentos. Con el fin de describir el sistema de medicación, fueron utilizados para la recogida de datos: entrevistas, observación del participante y análisis de registros médicos. Hemos identificado un gran número de pasos y los profesionales implicados, y los problemas relacionados con la seguridad y el medio ambiente durante la prescripción, dispensación, preparación y administración de los medicamentos. Sistemas inseguros pueden generar consecuencias diferentes para los pacientes y las instituciones de salud, en este sentido es necesario aplicar estrategias dirigidas

  17. Survey of Antibiotic Resistance and Frequency of blaOXA-23 and blaOXA-24 Oxacillinase in Acinetobacter baumannii Isolated from Tracheal Tube Specimens of Patients Hospitalized in Intensive Care Units in Isfahan city

    OpenAIRE

    M Ghalebi; Eslami, G.; H Zandi; Farhang, A; Vakili, M.; N. Mohammadi; A Dehghan Banadkouki

    2017-01-01

    Introduction: Acinetobacter baumannii is a non-fermentative gram-negative coccobacill that is prevalent in intensive care units. Carbapenem resistant A.baumannii isolates have been reported worldwide. Oxasillinase beta-lactamase enzymes are involved in bacterial resistance to carbapenem. This study aimed to determine the prevalence of blaOXA-23 and blaOXA-24 genes in A. baumannii isolated from tube discharge specimens of hospitalized patients in the intensive care units of the hospitals in Is...

  18. Water changed the cities

    DEFF Research Database (Denmark)

    Elle, Morten; Jensen, Marina Bergen

    An improvement in water infrastructure and cleaning up the waters changed many harbour cities in Denmark at the beginning of the 90s. The harbour cities changed from drity, run-down industrial harbours to clean and attractive harbour dwelling creating new city centres and vital city areas...

  19. Water changed the cities

    DEFF Research Database (Denmark)

    Elle, Morten; Jensen, Marina Bergen

    An improvement in water infrastructure and cleaning up the waters changed many harbour cities in Denmark at the beginning of the 90s. The harbour cities changed from drity, run-down industrial harbours to clean and attractive harbour dwelling creating new city centres and vital city areas...

  20. Hospitality Management: Perspectives from Industry Advisor

    Directory of Open Access Journals (Sweden)

    Rachel Roginsky

    2013-07-01

    Full Text Available In prior quarterly reports, Pinnacle Advisory Group presented timely updates about the New England lodging industry, which included focused profiles on particular cities. In this issue, the firm offers more general insight about the hospitality industry. Several Pinnacle executives recently participated in a panel discussion about investment, management, and careers in the hospitality industry.

  1. The Life Saving Effects of Hospital Proximity

    DEFF Research Database (Denmark)

    Bertoli, Paola; Grembi, Veronica

    the exogenous variation in the proximity to cities that are allowed by law to have a hospital based on their population size. Our instrumental variable results, based on Italian municipalities data from 2000 to 2012, show that an increase by a standard deviation of distance to the nearest hospital (5 km...

  2. Hospitality Management: Perspectives from Industry Advisor

    OpenAIRE

    Rachel Roginsky; Matthew Arrants

    2013-01-01

    In prior quarterly reports, Pinnacle Advisory Group presented timely updates about the New England lodging industry, which included focused profiles on particular cities. In this issue, the firm offers more general insight about the hospitality industry. Several Pinnacle executives recently participated in a panel discussion about investment, management, and careers in the hospitality industry.

  3. Violência de gênero contra trabalhadoras de enfermagem em hospital geral de São Paulo (SP Violencia de género contra trabajadoras de enfermería en hospital general de São Paulo, Brasil Gender-violence against the female nursing staff of a Brazilian hospital in São Paulo City

    Directory of Open Access Journals (Sweden)

    Ane R Oliveira

    2008-10-01

    Full Text Available OBJETIVO: Estimar a ocorrência de violência psicológica, física e sexual em profissionais de enfermagem. MÉTODOS: Estudo transversal com amostra de 179 profissionais (50 enfermeiras e 129 auxiliares/técnicas de enfermagem de um hospital geral do município de São Paulo, SP, entre 2005 e 2006. Utilizou-se questionário aplicado face a face por entrevistadoras treinadas. A violência foi abordada em suas formas psicológica, física e sexual para agressores homens e mulheres, agrupados em: parceiros íntimos, familiares e outros agressores como conhecidos e estranhos. Procedeu-se a uma análise descritiva, calculando-se as freqüências dos tipos de violência com intervalo de confiança de 95%. RESULTADOS: A violência por parceiro íntimo foi a mais freqüente (63,7%; IC 95%:55,7;70,4 seguida pela violência perpetrada por outros (pacientes/acompanhantes, colegas de trabalho da área da saúde, estranhos, chefia de enfermagem e conhecidos; 45,8%; IC 95%: 38,3;53,4. A violência por familiares ocupou o terceiro lugar (41,3%; IC 95%: 34,0;48,9 e foi cometida, principalmente, por pai, irmãos (homens, tios e primos. Em geral, poucas profissionais de enfermagem que sofreram violência buscaram ajuda: 29,7% para a violência por parceiro íntimo; 20,3% para a violência por outros e 29,3% para a violência por familiares. Não perceberam o vivido como violento, 31,9% das entrevistadas. CONCLUSÕES: As taxas de violência de gênero entre mulheres profissionais de saúde foram significativas, principalmente para a violência cometida por parceiros íntimos e familiares. Entretanto, a busca de ajuda frente aos agravos sofridos foi baixa, considerando ser um grupo de escolaridade significativa.OBJETIVO: Estimar la ocurrencia de violencia psicológica, física y sexual en profesionales de enfermería. MÉTODOS: Se realizó estudio transversal con muestra de 179 profesionales (50 enfermeras y 129 auxiliares técnicas de enfermería de un hospital

  4. Biometeorology for cities

    Science.gov (United States)

    Hondula, David M.; Balling, Robert C.; Andrade, Riley; Scott Krayenhoff, E.; Middel, Ariane; Urban, Aleš; Georgescu, Matei; Sailor, David J.

    2017-09-01

    Improvements in global sustainability, health, and equity will largely be determined by the extent to which cities are able to become more efficient, hospitable, and productive places. The development and evolution of urban areas has a significant impact on local and regional weather and climate, which subsequently affect people and other organisms that live in and near cities. Biometeorologists, researchers who study the impact of weather and climate on living creatures, are well positioned to help evaluate and anticipate the consequences of urbanization on the biosphere. Motivated by the 60th anniversary of the International Society of Biometeorology, we reviewed articles published in the Society's International Journal of Biometeorology over the period 1974-2017 to understand if and how biometeorologists have directed attention to urban areas. We found that interest in urban areas has rapidly accelerated; urban-oriented articles accounted for more than 20% of all articles published in the journal in the most recent decade. Urban-focused articles in the journal span five themes: measuring urban climate, theoretical foundations and models, human thermal comfort, human morbidity and mortality, and ecosystem impacts. Within these themes, articles published in the journal represent a sizeable share of the total academic literature. More explicit attention from urban biometeorologists publishing in the journal to low- and middle-income countries, indoor environments, animals, and the impacts of climate change on human health would help ensure that the distinctive perspectives of biometeorology reach the places, people, and processes that are the foci of global sustainability, health, and equity goals.

  5. hospital's perspective

    African Journals Online (AJOL)

    Cost effectiveness of autologous blood transfusion - A developing country hospital's ... 4Military Hospital, Lagos. Summary. An autologous blood donation program was set up at. National .... risk of infection for autologous patients was 5.06.

  6. Analysis of the Responsibilities and Authorities in Governance Structure of Public Hospitals in Shanghai City%上海市公立医院治理结构的职能和权力分析

    Institute of Scientific and Technical Information of China (English)

    张冬慧; 涂诗意; 薛迪

    2012-01-01

    Through the key informers and questionnaire surveys, the responsibilities and authorities of 3 types of 'current governance structures of public hospitals in Shanghai are analyzed. The diversities of governance structures of public hospitals in Shanghai and their differences in responsibilities and authorities are indicated. The direction of the governance structure's reform of public hospitals in Shanghai is also suggested.%通过关键知情者访谈和问卷调查.分析了目前上海市公立医院3种治理模式的职能和权力.指出了上海市公立医院治理形态的多样化、不同治理模式的不同职能和权力结构,并对上海市公立医院治理结构改革的方向提出了建议.

  7. Impact of Tactile Stimulation on Neurobehavioral Development of Premature Infants in Assiut City

    Science.gov (United States)

    Sayed, Atyat Mohammed Hassan; Youssef, Magda Mohamed E.; Hassanein, Farouk El-Sayed; Mobarak, Amal Ahmed

    2015-01-01

    Objective: To assess impact of tactile stimulation on neurobehavioral development of premature infants in Assiut City. Design: Quasi-experimental research design. Setting: The study was conducted in the Neonatal Intensive Care Unit at Assiut University Children Hospital, Assiut General Hospital, Health Insurance Hospital (ElMabarah Hospital) and…

  8. City health development planning.

    Science.gov (United States)

    Green, Geoff; Acres, John; Price, Charles; Tsouros, Agis

    2009-11-01

    The objective of this evaluation was to review the evolution and process of city health development planning (CHDP) in municipalities participating in the Healthy Cities Network organized by the European Region of the World Health Organization. The concept of CHDP combines elements from three theoretical domains: (a) health development, (b) city governance and (c) urban planning. The setting was the 56 cities which participated in Phase III (1998-2002) of the Network. Evidence was gathered from documents either held in WHO archives or made available from Network cities and from interviews with city representatives. CHDPs were the centrepiece of Phase III, evolving from city health plans developed in Phase II. They are strategic documents giving direction to municipalities and partner agencies. Analysis revealed three types of CHDP, reflecting the realpolitik of each city. For many cities, the process of CHDP was as important as the plan itself.

  9. On the uniform reimbursement plan for hospitalization expenses under the new rural cooperative medical system (NRCMS) in Nanjing city%南京市新型农村合作医疗建立统一住院费用补偿方案探讨

    Institute of Scientific and Technical Information of China (English)

    林振平; 陈家应; 王劲松; 张海

    2009-01-01

    Objective To probe into the feasibility of establishing a uniform reimbursement plan for hospitalization expenses under NRCMS in Nanjing city. Methods Hospitalization expenses in 2005 for peasants under NRCMS from the sour suburb districts and county in Nanjing were sampled. Based on this study, a reimbursement ratio was designed for such peasants as classified by "grades, sections and accumulated reimbursement". Results A uniform NVRMS reimbursement plan for hospitalization expenses may not be practical for all peasants in Nanjing. Yet such a plan of relative uniformity is worthy of experimenting as follows: no minimum for reimbursement;within the same expense range, reimbursement ratio may be measured and fixed accordingly among districts and county in the city, ranging 20%-70%;a uniform ceiling and reimbursement range are recommended. Conclusions A uniform city-wide plan requires by-step and planned implementations. With support from government finance, fund-raising gaps among these areas can be narrowed gradually, cutting back differences in their reimbursement plans in the end.%目的 探索南京市新型农村合作医疗建立统一住院费用补偿方案的可能性.方法 抽样调查了南京市"四区一县"2005年参合农民的住院费用资料,用"分级、分段、累加补偿"的方法设计参合农民的住院费用补偿比.结果 全市新型农村合作医疗建立完全统一的住院补偿标准是有困难的,可以建立相对统一的住院费用补偿方案:实行"0"起报;在费用段相同的情况下,各区县的补偿比根据实际情况测定,在20%70%间适当选择;可以制定统一的封顶线和补偿范围.结论 全市若要实现补偿标准完全统一的目标,应分步骤、有计划地实施,通过政府财政筹资,不断调整各区县的筹资差异,逐步减少补偿方案的差别.

  10. Non-pharmaceutical factors for poor glycemic control in 13,970 Chinese women with drug-treated type 2 diabetes: a cross-sectional survey in 77 tertiary hospitals in four Chinese cities

    Directory of Open Access Journals (Sweden)

    Lu J

    2014-08-01

    Full Text Available Juming Lu,1,* Jianping Weng,2,* Weijun Gu,1 Xiaohui Guo,3 Wenying Yang,4 Dajin Zou,5 Zhiguang Zhou,6 Dalong Zhu,7 Qiuhe Ji,8 Linong Ji,9 Xilin Yang10 1Department of Endocrinology, Chinese PLA General Hospital, Beijing, 2Department of Endocrinology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 3Department of Endocrinology, First Hospital of Peking University, Beijing, 4Department of Endocrinology, Sino-Japan Friendship Hospital, Beijing, 5Department of Endocrinology, Changhai Hospital of Shanghai, Shanghai, 6Department of Endocrinology, The Second Xiangya Hospital of Central South University, Changsha, 7Department of Endocrinology, Nanjing Drum Tower Hospital, Nanjing, Jiansu, 8Department of Endocrinology, Xijing Hospital affiliated to 4th Military Medical University, Xi’an, 9Department of Endocrinology, Peking University People’s Hospital, Beijing, 10Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, People’s Republic of China *These authors contributed equally to the manuscript Background: Achieving good glycemic control improves clinical outcomes among patients with type 2 diabetes (T2D. This study aimed to explore non-pharmaceutical factors for poor glycemic control in Chinese women with T2D who used antidiabetic drug(s. Methods: A cross-sectional survey was conducted in March to June 2011 in 77 top tertiary hospitals in Beijing, Shanghai, Tianjin, and Guangzhou, People’s Republic of China (the coverage rates of the 3A hospitals: 74.4%, 76%, 55%, and 29.3%, respectively. Of 29,502 patients with T2D who used oral antidiabetic drugs (OADs alone or combined with insulin, 13,970 were women and used in the analysis. Logistic regression analysis was used to obtain odds ratios (ORs and 95% confidence intervals (CIs of factors for hyperglycemia defined as HbA1c (glycated hemoglobin ≥77 mmol/mol (7.0%.Results: The mean age was 60.3 (standard deviation

  11. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2016-01-01

    Hospital meals and their role in nutritional care have been studied primarily from a life and natural science perspective. This article takes a different approach and explores the idea of hospitality inspired by Jacques Derrida’s work on the ontology of hospitality. By drawing on ethnographic...... fieldwork in a Danish hospital, hospitality practices were studied using a socio-material assemblage approach. The study showed that rethinking the meal event could change the wards into temporary “pop-up-restaurants,” transcending the hospital context and providing a scene for shifting host...... and management involved in hospital food service and in nutritional care to work more systematically with the environment for improved hospital meal experiences in the future...

  12. Jerusalem: City of Dreams, City of Sorrows

    Science.gov (United States)

    Ricks, Thomas

    2011-01-01

    Jerusalem is more than an intriguing global historical city; it is a classroom for liberal learning and international understanding. It had never been a city of one language, one religion and one culture. Looking at the origins of Jerusalem's name indicates its international and multicultural nature. While Israelis designate Jerusalem as their…

  13. City Car = The City Car / Andres Sevtshuk

    Index Scriptorium Estoniae

    Sevtshuk, Andres, 1981-

    2008-01-01

    Massachusettsi Tehnoloogiainstituudi (MIT) meedialaboratooriumi juures tegutseva Targa Linna Grupi (Smart City Group) ja General Motorsi koostööna sündinud kaheistmelisest linnasõbralikust elektriautost City Car. Nimetatud töögrupi liikmed (juht William J. Mitchell, töögruppi kuulus A. Sevtshuk Eestist)

  14. City Car = The City Car / Andres Sevtshuk

    Index Scriptorium Estoniae

    Sevtshuk, Andres, 1981-

    2008-01-01

    Massachusettsi Tehnoloogiainstituudi (MIT) meedialaboratooriumi juures tegutseva Targa Linna Grupi (Smart City Group) ja General Motorsi koostööna sündinud kaheistmelisest linnasõbralikust elektriautost City Car. Nimetatud töögrupi liikmed (juht William J. Mitchell, töögruppi kuulus A. Sevtshuk Eestist)

  15. European Cities in the World City Network

    NARCIS (Netherlands)

    P. Taylor (Peter)

    2003-01-01

    textabstractThis is primarily an empirical paper that brings together selected results from the GaWC research programme. The latter studies inter-city relations at a global scale. Empirical research is based upon a model of world city network network formation as a product of the location strategies

  16. A Crowded City

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Over 4 million vehicles on road challenge Beijing’s city management Beijing, the city once known as the kingdom of bicycles, has become clogged with automobiles, the Beijing Municipal Government Publicity Office said on December 18.

  17. Build a Green City

    Institute of Scientific and Technical Information of China (English)

    XUYING; HAOXUE

    2005-01-01

    MA'ANSHAN,dubbed ""City of Iron and Steel,""is on the south bank of the Yangtze River in eastern Anhui Province, bordering Jiangsu Province. One of the city's most impressive features is its clean environment.

  18. EU Smart City Governance

    National Research Council Canada - National Science Library

    Carmela Gargiulo; Valentina Pinto; Floriana Zucaro

    2013-01-01

    .... The paper wants to outline which future EU draws for the city, through an integrated and contextual reading of addresses and strategies contained in the last documents, a future often suggested as Smart City...

  19. HOSPITALITY TODAY AND TOMORROW

    Directory of Open Access Journals (Sweden)

    Ray F. IUNIUS

    2017-08-01

    Full Text Available As a wise man once said, “Don’t worry about what you don’t know. Be worried about what you think you know, but don’t.” Regarding different ways “hospitality” is understood, the root of the problem lies in part in the different interpretations that hospitality has in different cultures and languages. In American English, for example, when we speak about “hospitality” we first think of it as an industry and only secondarily as an attribute of an individual or community. In other cultures, the primary meaning of hospitality is more a characteristic of people, or of a country or city, etc., and encompasses such ideas as welcome, reception, amiability, generosity, etc. – not an industry! Even in American English, other words are sometimes used to describe the same economic activity: lodging, accommodation, etc.

  20. Przegląd metody leczenia i najczęstszych przyczyn amputacji otwartych i zamkniętych w obrębie kończyny górnej = Review of the methods of treatment and the most common causes of open and closed amputations within areas upper extremity

    OpenAIRE

    Pietkun, Katarzyna; Siminska, Joanna; Stocka, Joanna; Ogurkowski, Karol; Hagner, Wojciech; Nowacka, Krystyna

    2015-01-01

    Pietkun Katarzyna, Siminska Joanna, Stocka Joanna, Ogurkowski Karol, Hagner Wojciech, Nowacka Krystyna. Przegląd metody leczenia  i najczęstszych przyczyn amputacji otwartych i zamkniętych w obrębie kończyny górnej = Review of the methods of treatment and the most common causes of open and closed amputations within areas upper extremity. Journal of Education, Health and Sport. 2015;5(3):311-324. ISSN 2391-8306. DOI: 10.5281/zenodo.16770 http://ojs.ukw.edu.pl/index.php/johs/art...

  1. Organismo territoriale e annodamenti urbani. Metodi di progetto per i centri minori del Lazio / Territorial organism and urban knottingt. Design methods for minor centers of Lazio

    Directory of Open Access Journals (Sweden)

    Giuseppe Strappa

    2013-07-01

    , con esisti disastrosi, a quello abitativo. / The research, currently being finalized by the study group by me coordinated at the Faculty of Architecture of "Sapienza" in Rome, within the more general topic of "City in extension", investigates the problem of how minor historical centers may experience contemporary transformations "congruent" with their formative process, in the belief that it is necessary to accept the incontrovertible fact that an urban organism, like any living organism, can only host continuous modifications. The study is part of a general framework of the national research and shares the assumption that the connotations of the Italian landscape suggests alternative tools, compared to the current ones, for the architectural design, and the possibility of an original placement, with specific characters, in the international state art of the discipline. In particular, the research examines the landscape characters of the Lazio region due to the diffusion in the territory of towns of considerable historical interest that are rapidly losing their quality. These centers are structurally weakened also by the influence of the near metropolitan area of Rome, wich its rapidly changing its shape through a gradual disorganization. The research proposes (and verifies the potential in some case studies, the reading of the urban fabrics of small towns, their form with typical characters, their potential “knotting”, the transformations in nodal places to form new nodal organisms, specialized building that innovate the existing fabric in a coherent and proportionate manner, allowing to avoid a “specialistic sprawl” (see the case of the displacement of the town halls outside of the town center that is added, with a disastrous result, to the current residential sprawl.

  2. Revisiting city connectivity

    NARCIS (Netherlands)

    Mans, U.

    2014-01-01

    This article introduces a new perspective on city connectivity in order to analyze non-hub cities and their position in the world economy. The author revisits the different approaches discussed in the Global Commodity Chains (GCC), Global Production Networks (GPN) and World City Network (WCN) discou

  3. Imagineering the city

    NARCIS (Netherlands)

    van den Berg, M.; Paddison, R.; Hutton, T.

    2015-01-01

    Cities today are products. The urban experience is commodified into marketable items by urban entrepreneurs. Urban administrations, city marketers, politicians, local businesses and other actors all over the world are developing entrepreneurial strategies to sell their city. From "‘I ♥ New York"’ to

  4. The Creative Cities Network

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    The Creative Cities Network, started by UNESCO in 2004, is one of the world’s highest-level non-governmental organizations in creative industry. The network focuses on the excellence of its member cities as its main product, and finds ways to maintain relevance in city life, local economy

  5. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

    Full Text Available Development of accommodation, as basic services offered to tourists, led to the creation of a genuine hospitality industry. Currently, the hospitality industry is no longer just the accommodation service itself but also requires an atmosphere that ensures leisure tourists in the hotel. Thus, hospitable unit manager offers its service in addition to accommodation and catering services, leisure services, treatment services, business services required.. The existence of factors such as revenue growth, increasing leisure time, the development of transport services, the emergence of new tourist attractions have caused increasing international flows of tourists, with consequent development of units hospitable, and therefore a strong hospitality industry. In Romania, after 1990, the tourism sector experienced a true expansion, both through the development of the hotel sector, but also by developing rural hospitality units.

  6. Me, the City

    Directory of Open Access Journals (Sweden)

    Konstantin Lidin

    2014-09-01

    Full Text Available The search for identity of cities looks rather urgent and attracts attention of many researchers. Addressing this issue, the article draws an analogy between a human person and a city. Like a city, a human being needs to comprehend his self-identity in order to resist depressive tendencies. It is shown that a person’s depressive symptoms are similar to those of cities. The city identity necessary to resist depression can be searched for both historically and geographically. The historical aspect consists of local myths and legends about the city and the citizens. The geographical aspect of identity comprises features of the terrain, climate, flora and fauna of the region where the city is located.

  7. Cities as development drivers

    DEFF Research Database (Denmark)

    Johnson, Bjørn; Poulsen, Tjalfe; Hansen, Jens Aage

    2011-01-01

    There is a strong connection between economic growth and development of cities. Economic growth tends to stimulate city growth, and city economies have often shaped innovative environments that in turn support economic growth. Simultaneously, social and environmental problems related to city growth...... can be serious threats to the realization of the socio-economic contributions that cities can make. However, as a result of considerable diversity of competences combined with interactive learning and innovation, cities may also solve these problems. The ‘urban order’ may form a platform...... for innovative problem solving and potential spill-over effects, which may stimulate further economic growth and development. This paper discusses how waste problems of cities can be transformed to become part of new, more sustainable solutions. Two cases are explored: Aalborg in Denmark and Malmö in Sweden...

  8. Accurate falls risk assessment and interventions for preventing falls in patients in the acute care setting within a private hospital in a large capital city: a best practice implementation project.

    Science.gov (United States)

    Szymaniak, Samara

    2015-09-01

    Patient falls are a leading cause of adverse events in Australian hospitals. Most Australian hospitals have fall prevention policies, procedures and programs for preventing inpatient falls; however despite these resources many preventable falls continue to occur in Australian hospitals.It is imperative that clinicians understand the potential impact of inpatient falls, and what triggers can be identified and managed by a multifactorial team approach. Patients admitted to hospital often experience changes in physical and/or cognitive function which is then exacerbated by an unfamiliar environment and medical interventions. Adverse outcomes post falling can range from minor injuries such as skin tears to significant injuries such as intracranial hemorrhages and fractures which can ultimately result in permanent disability or death.In 2007, Calvary Wakefield Hospital implemented a Falls Minimization Program requiring routine assessment of all patients admitted using an Admission Risk Screening Tool in conjunction with completion of a detailed Falls Risk Assessment Tool when indicated. The aim of this implementation was to review current nursing practice against compliance with the Falls Minimization Program and also identify areas for improvement with a focus on preventative strategies. It was essential that the project and its outcomes also complement the National Safety and Quality Health Service Standards (standard 10 - Preventing Falls and Harm from Falls) that provide a benchmark for Calvary Wakefield Hospital. This was achieved by completing a baseline audit, implementing a corrective action plan post audit and then re-auditing in three months once strategies had been implemented This project used the pre- and post-implementation audit strategy made up of eight criteria using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice. The audit, review, implementation and re-audit sequence was the strategy

  9. 广州市某三甲医院住院患者卫生系统反应性与满意度的研究%Study on health system responsiveness and satisfaction of inpatients in a class 3A comprehensive hospital in Guangzhou City

    Institute of Scientific and Technical Information of China (English)

    胡德红; 陈帝清; 黄丽娟; 吴冬玲; 胡前胜; 刘允香; 梁熙德

    2013-01-01

    目的 探讨广州市某三甲医院患者住院服务的卫生系统反应性及满意度,为医院改善医疗服务质量提供理论依据.方法 自行设计反应性及满意度调查问卷,调查广州市某三甲医院500例住院患者.结果 医院在服务的技术、硬件方面做得比较好,但在非医疗方面,如就医环境、保密性、及时性、社会支持、患者对医护人员、医疗机构的选择性、医疗收费价格和费用等方面的卫生系统反应性与满意度较低.反应性与满意度的相关关系较为密切.结论 医院应关注患者非健康服务方面的合理期望,充分尊重患者的隐私权,简化服务流程,提高服务的及时性,改善和创造温馨的就医环境,提供宗教服务与场所,尊重患者的选择权,降低医疗收费价格和费用,从而进一步提升医院服务质量的水平.反应性与满意度的相关关系较为密切,提高反应性有助于提高患者的满意度.%Objective To investigate the health system responsiveness and satisfaction of the class 3A comprehensive hospital services for inpatienls in Guangzhou City, in order to provide the theoretical basis for hospital to improve the quality of service. Methods After the questionnaire of health system responsiveness and satisfaction self designed, 500 inpatienls from a class 3A comprehensive hospital in Guangzhou City were investigated. Results Among all of factors of responsiveness and satisfaction, hospital services technology, hardware were doing better. But the non-medical aspects, including medical environment, confidentiality, social supports, medical cost, right of choice of providers had lower health system responsiveness and satisfaction. Responsiveness and satisfaction relationship were close. Conclusion The hospital should pay attention to the non medical health care with reasonable expectations of patients. In order to develop hospital services quality and achieve continuous improvement in

  10. Desigualdades entre pacientes hospitalizados por doenças cardíacas e vasculares-cerebrais em localidade do Estado de São Paulo (Brasil, 1986 Inequalities among patients hospitalized for cardiac and cerebral-vascular diseases in the City of the State of S. Paulo, Brazil, 1986

    Directory of Open Access Journals (Sweden)

    Juan Stuardo Yazlle Rocha

    1989-10-01

    Full Text Available Valendo-se de um sistema de informações sobre hospitalizações no Município de Ribeirão Preto, SP (Brasil foram estudadas as características clínico-epidemiológicas referidas dos pacientes internados, em 1986, por doenças cardíacas e vasculares-cerebrais (DCVC. De 43.499 hospitalizações ocorridas naquele ano, 4.673 foram ocasionadas por doenças cardíacas e vasculares-cerebrais. Utilizando a fonte de financiamento da internação como indicador do estrato social ao qual pertence o paciente, foram compostos 4 grupos de estudo: particulares, "outros", previdenciários e "não pagantes"; estes grupos apresentaram diferenças significativas quanto a coeficiente de internações por DCVC, média e mediana de idade na hospitalização, perfil ocupacional, duração da internação, freqüência dos sub-grupos diagnósticos, coeficientes de mortalidade e a idade média e mediana nos casos de óbitos. Estas diferenças foram atribuídas às disparidades sociais no nível de vida e condições de trabalho dos grupos estudados o que determina diferenças no adoecer, ser assistido e no morrer.The clinical and epidemiological characteristics of hospitalizations due to cardiac and cerebral-vascular diseases (CCVD - ICD 390 - 438, which occurred in 1986, were studied on the basis of data from an information system relating to medical care in the City of Ribeirão Preto, State of S. Paulo, Brazil. These causes accounted for 4,673 of the annual total of 43,449 hospital admissions. Using the sources of payment of the hospitalization as an indicator of the patients' social strata, the following four study groups were defined: private, social insurance, non-paying and "others". These groups showed significant differences in relation to the following variables: hospitalization rates due to CCVD, mean and median age at admission and time of death, occupation, average length of stay in the hospital, mortality rates and relative frequencies of specific

  11. SmartCityWare: A Service-Oriented Middleware for Cloud and Fog Enabled Smart City Services

    DEFF Research Database (Denmark)

    Mohamed, Nader; Al-Jaroodi, Jameela; Jawhar, Imad

    2017-01-01

    Smart cities are becoming a reality. Various aspects of modern cities are being automated and integrated with information and communication technologies to achieve higher functionality, optimized resources utilization, and management, and improved quality of life for the residents. Smart cities...... such efforts is the Cloud of Things (CoT). CoT provides a platform for linking the cyber parts of a smart city that are executed on the cloud with the physical parts of the smart city, including residents, vehicles, power grids, buildings, water networks, hospitals, and other resources. Another useful...... technology is Fog Computing, which extends the traditional Cloud Computing paradigm to the edge of the network to enable localized and real-time support for operating-enhanced smart city services. However, proper integration and efficient utilization of CoT and Fog Computing is not an easy task. This paper...

  12. 某专科医院精神科住院病人用药时点调查%Inpatient utilization of psychotropic drugs:A time-point survey of psychiatry in a mental hospital of zhongshan city

    Institute of Scientific and Technical Information of China (English)

    温全胜; 卢文芬; 厉倬学; 孙录

    2014-01-01

    Objective To investigate the status and regularities in the utilization of psychotropic drugs for the third people's hospital of zhongshan hospital patients.Methods The durg use was analyzed,and the regularity of prescription was summarized for overall hospitalized patients in our hospital at the same day,i.e.May 14th.2013.Results The top 5 antipsychotic drugs were Risperidone,Clozapine,Olanzapine,Aripiprazole and Quetiapine.The top 3 mood stabilizers were Sodium Valproate,Oxcarbaz-epine and Magnesium Valproate.Conclusion Atypical antipsychotic drugs have become the first line antipsychotic drugs.The medication scheme for psychotic inpatients in this hospital is rational on the whole.But more attention should be paid to make reasonable use of such medicine as Antane and Benzodiazeyzine.%目的:了解中山市第三人民医院住院精神障碍患者的药物应用情况及其用药规律。方法采用一日法,以2013年5月14日为时间节点,对该院住院病人的用药情况进行分析,总结其用药规律。结果①单用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占60.53%、27.70%、30.74%、7.40%和14.23%,未使用抗精神病药、心境稳定剂、抗焦虑药/镇静催眠药、抗抑郁药和苯海索分别占5.50%、69.83%、66.98%、92.60%和85.77%;②使用频率居前5位的抗精神病药分别为利培酮174例(33.02%),氯氮平143例(27.13%),奥氮平107例(20.30%),阿立哌唑75例(14.23%),喹硫平68例(12.90%)。居前3位的心境稳定剂分别为丙戊酸钠110例(20.87%),奥卡西平22例(4.17%),丙戊酸镁19例(3.60%)。结论非典型抗精神病药和新型抗抑郁药已成为临床一线用药,临床用药总体较规范,但仍需要注意苯海索和苯二氮艹卓类(BDZ)药物的合理使用。

  13. Formigas (Hymenoptera: Formicidae urbanas em um hospital no município de Luz, Estado de Minas Gerais - DOI: 10.4025/actascihealthsci.v32i1.5805 Ants (Hymenoptera: Formicidae in a hospital in the city of Luz, Minas Gerais, Brazil - DOI: 10.4025/actascihealthsci.v32i1.5805

    Directory of Open Access Journals (Sweden)

    Renata Bernardes Faria Campos

    2009-12-01

    Full Text Available As formigas urbanas, quando presentes em ambientes hospitalares, tornam-se um perigo potencial à saúde pública, pelo fato de terem a capacidade de transportar organismos patogênicos, podendo essas estar diretamente associadas ao problema de infecção hospitalar. Durante o período de um ano, foram realizadas coletas de formigas em um hospital do município de Luz, Estado de Minas Gerais, utilizando-se iscas não-tóxicas. As mesmas foram distribuídas em 16 pontos de coleta, sendo três localizados na área externa e os demais na área interna do hospital. Foram encontradas formigas em 15 dos 16 pontos amostrados. Os gêneros mais abundantes foram Brachymyrmex e Tapinoma, sendo sua presença registrada tanto na parte externa, quanto na interna. Salienta-se, ainda, a presença do gênero Camponotus, observada, geralmente, onde há disponibilidade de alimento (como cozinha, quarto, refeitório e local de acondicionamento de lixo e falhas estruturais nas paredes. Também foram coletados, no hospital, Wasmannia, Pheidole, Linepithema, Monomorium, Dorymyrmex, Solenopsis e Paratrechina, totalizando-se dez gêneros. Nossos resultados indicam possíveis implicações da precariedade em estruturas de construção em hospitais e a importância da limpeza nesses ambientes.Urban ants, when present in hospital environments, can be a potential danger to public health, because they can carry pathogenic organisms and are possibly directly associated with the hospital cross infection problem. During a one-year period, collections were carried out, using non-toxic baits in a hospital of Luz, Minas Gerais State. The samples were distributed in 16 sites, being three outside and the others inside the hospital. Ants were found in 15 of the 16 sampled points. The most abundant genera were Brachymyrmex e Tapinoma, recorded inside and outside the hospital. The Camponotus genus was present as well, and generally collected where food was available (such as kitchen

  14. City Carbon Footprint Networks

    Directory of Open Access Journals (Sweden)

    Guangwu Chen

    2016-07-01

    Full Text Available Progressive cities worldwide have demonstrated political leadership by initiating meaningful strategies and actions to tackle climate change. However, the lack of knowledge concerning embodied greenhouse gas (GHG emissions of cities has hampered effective mitigation. We analyse trans-boundary GHG emission transfers between five Australian cities and their trading partners, with embodied emission flows broken down into major economic sectors. We examine intercity carbon footprint (CF networks and disclose a hierarchy of responsibility for emissions between cities and regions. Allocations of emissions to households, businesses and government and the carbon efficiency of expenditure have been analysed to inform mitigation policies. Our findings indicate that final demand in the five largest cities in Australia accounts for more than half of the nation’s CF. City households are responsible for about two thirds of the cities’ CFs; the rest can be attributed to government and business consumption and investment. The city network flows highlight that over half of emissions embodied in imports (EEI to the five cities occur overseas. However, a hierarchy of GHG emissions reveals that overseas regions also outsource emissions to Australian cities such as Perth. We finally discuss the implications of our findings on carbon neutrality, low-carbon city concepts and strategies and allocation of subnational GHG responsibility.

  15. Empirical Study on Governmental Compensation Strategies to Municipal Public Hospitals in Shenyang City after the Abolition of Drug Retail Mark-up Policy%沈阳市直属公立医院药品加成收入取消后政府补偿对策实证研究

    Institute of Scientific and Technical Information of China (English)

    戚钰; 王卓非; 何钦成

    2013-01-01

    Objective To imitate and calculate the ways, input amount and feasibility of governmental compensation to municipal public hospitals in Shenyang city after abolishing drug retail mark-up policy under existing conditions, so as to provide regional demonstration for the decision-making and smooth implementation of public hospital reform. Methods The relevant information of 18 municipal public general hospitals or specialized hospitals during 2008-2010, such as annual basic numeration tables, summary and detailed statements of income and expenditure were collected, and the average data of both national and provincial hospitals in the same or similar level during 2009-2011 were retrieved from China Health Statistics Yearbook. The Questionnaire of Compensation to Medical Institutions was self-designed, distributed and reclaimed in order to get the data of respective hospitals during 2008-2010. Then the following 4 compensation ways were calculated: governmental input compensation, price compensation of medical service, pharmaceutical affairs compensation for price difference, and integrated way of the former 3 compensations; and the feasibility of compensation after health system reform was analyzed. Results a) If the drug retail mark-up policy was abolished in municipal hospitals, the total loss of hospitals would increase from RMB 200 million yuan in 2008 to approximately RMB 330 million yuan in 2010. b) The balance of payments and patient's cost of Shenyang municipal public hospitals were basically similar to those of both national and provincial hospitals in the same level. c) As for the year of 2010, the new governmen- tal compensation after implementation of new health system reform was at least RMB 438 million yuan, accounted for about 1.8 % of general budget expenditure in Shenyang municipal level. d) The results of the imitation and calculation of 3 price adjustment schemes of medical service showed that, only the third could completely compensate the abolition

  16. Strong advocacy led to successful implementation of smokefree Mexico City.

    Science.gov (United States)

    Crosbie, Eric; Sebrié, Ernesto M; Glantz, Stanton A

    2011-01-01

    To describe the approval process and implementation of the 100% smokefree law in Mexico City and a competing federal law between 2007 and 2010. Reviewed smokefree legislation, published newspaper articles and interviewed key informants. Strong efforts by tobacco control advocacy groups and key policymakers in Mexico City in 2008 prompted the approval of a 100% smokefree law following the WHO FCTC. As elsewhere, the tobacco industry utilised the hospitality sector to block smokefree legislation, challenged the City law before the Supreme Court and promoted the passage of a federal law that required designated smoking areas. These tactics disrupted implementation of the City law by causing confusion over which law applied in Mexico City. Despite interference, the City law increased public support for 100% smokefree policies and decreased the social acceptability of smoking. In September 2009, the Supreme Court ruled in favour of the City law, giving it the authority to go beyond the federal law to protect the fundamental right of health for all citizens. Early education and enforcement efforts by tobacco control advocates promoted the City law in 2008 but advocates should still anticipate continuing opposition from the tobacco industry, which will require continued pressure on the government. Advocates should utilise the Supreme Court's ruling to promote 100% smokefree policies outside Mexico City. Strong advocacy for the City law could be used as a model of success throughout Mexico and other Latin American countries.

  17. Redução do número de internações hospitalares por asma após a implantação de programa multiprofissional de controle da asma na cidade de Londrina Reduction in the number of asthma-related hospital admissions after the implementation of a multidisciplinary asthma control program in the city of Londrina, Brazil

    Directory of Open Access Journals (Sweden)

    Alcindo Cerci Neto

    2008-09-01

    Full Text Available OBJETIVO: Avaliar a relação entre a redução do número de internações hospitalares por asma e as transformações ocorridas após a intervenção realizada no sistema de saúde de Londrina. MÉTODOS: Em 2003, houve intervenção no sistema de saúde local (Unidades de Saúde da Família. Foram adotados os seguintes passos: elaboração de protocolo baseado no III Consenso Brasileiro no Manejo da Asma, fornecimento gratuito de corticosteróides inalatórios aos pacientes, capacitação de profissionais de saúde e realização de ações educativas, especialmente para a comunidade. Foram analisadas as autorizações de internação hospitalar de pacientes de Londrina com diagnóstico único de asma entre 2002 e 2005. RESULTADOS: A média de idade foi de 14,3 ± 0,5 anos, sem predomínio de sexo. Houve redução mais acentuada do número de internações hospitalares em 2005, em comparação aos anos anteriores estudados. Verifica-se declínio mais acentuado em Unidades de Saúde da Família onde a capacitação dos profissionais ocorreu há mais tempo. O índice de internação hospitalar por asma após a intervenção (2004 e 2005-120/100.000 habitantes-foi significativamente menor que o encontrado antes da intervenção (2002 e 2003 -178/100.000 habitantes (p OBJECTIVE: To evaluate the relationship between the reduction in the number of asthma-related hospital admissions and the changes occurring after the intervention performed in the health care system of the city of Londrina, Brazil. METHODS: In 2003, an intervention was performed in the local health care system (Family Health Clinics. The steps adopted were as follows: development of a protocol based on the III Brazilian Consensus on Asthma Management; access to free inhaled corticosteroids for patients; training of health professionals; and implementation of educational measures, especially for the community. The authorizations for hospital admissions of patients diagnosed with

  18. The epidemiology of acute viral gastroenteritis in hospitalized children in Cordoba city, Argentina: an insight of disease burden Epidemiologia da gastrenterite viral aguda em crianças hospitalizadas na cidade de Córdoba, Argentina: uma percepção ao impacto da doença

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    Miguel O. GIORDANO

    2001-08-01

    Full Text Available Information concerning the disease burden of viral gastroenteritis has important implications for the use and monitoring the impact of public health policies. The present study, carried out in Córdoba city, Argentina, documents the epidemiology of severe viral diarrhea as well as the burden of viral gastrointestinal disease in the hospital children admission. A total of 133 stools were collected from hospitalized children (Town Childhood Hospital suffering from acute diarrhea and studied for the presence of Group A rotavirus, astrovirus and adenovirus 40/41 by enzyme-immuno assay, between November 1997 and October 1998. Enteric viruses accounted for 42.1% of the total diarrheal cases analyzed. Group A rotaviruses, astroviruses, adenoviruses 40/41 and mixed infections were found in 35.3, 4.5, 1.5, and 0.8% studied specimens respectively. We estimated that 1 in 27 children in the 0-35 month-old cohort/range would be annually hospitalized for a viral gastroenteritis illness. The major impact on viral diarrhea lies on rotaviral infection, accouting for 84.0% of the viral diarrheal cases analyzed and for approximately one third of severe diarrheas requiring hospital admission in Córdoba City, Argentina.Dados a respeito do impacto das gastrenterites virais têm implicações importantes para o monitoraramento do impacto das políticas de saúde pública. O presente estudo, feito na cidade de Córdoba, Argentina, documenta a epidemiologia da diarréia viral severa como também o impacto que a mesma representa na admissão hospitalar de crianças. Pesquisou-se a presença de Rotavírus grupo A, Astrovírus e Adenovírus 40/41 por ensaio imuno-enzimático em 133 amostras de fezes obtidas durante o período de novembro de 1997 a outubro de 1998, de crianças hospitalizadas por diarréia aguda. Os virus entéricos constituíram 42,1% do total de casos de diarréia analisados. Encontraram-se Rotavírus Grupo A, Astrovírus, Adenovírus 40/41 e infec

  19. Caracterización epidemiológica de intoxicaciones en el Hospital Infantil Napoleón Franco Pareja de la ciudad de Cartagena de 2009 a 2010 / Epidemiological characteristics of intoxications in the Hospital Infantil Napoleon Franco Pareja in the city of Cartagena from 2009 to 2010

    OpenAIRE

    Galofre Ruiz, Mario David

    2011-01-01

    Introducción. En Colombia, la frecuencia de intoxicaciones pediátricas es un evento de interés en salud pública; se ha escrito poco sobre el comportamiento epidemiológico de intoxicaciones en niños; este estudio se realizó en el Hospital Infantil Napoleón Franco Pareja, centro de atención de segundo nivel que presta servicios en Cartagena y en el departamento de Bolívar. Objetivo. Determinar la prevalencia de intoxicaciones en pacientes pediátricos atendidos en el Hospital Infantil Napoleó...

  20. Cities as development drivers

    DEFF Research Database (Denmark)

    Johnson, Bjørn; Poulsen, Tjalfe; Hansen, Jens Aage

    2011-01-01

    for innovative problem solving and potential spill-over effects, which may stimulate further economic growth and development. This paper discusses how waste problems of cities can be transformed to become part of new, more sustainable solutions. Two cases are explored: Aalborg in Denmark and Malmö in Sweden....... It is shown that the cities have the potential to significantly contribute to a more sustainable development through increased material recycling and energy recovery. Waste prevention may increase this potential. For example, instead of constituting 3% of the total greenhouse gas emission problem, it seems......There is a strong connection between economic growth and development of cities. Economic growth tends to stimulate city growth, and city economies have often shaped innovative environments that in turn support economic growth. Simultaneously, social and environmental problems related to city growth...

  1. EU Smart City Governance

    Directory of Open Access Journals (Sweden)

    Carmela Gargiulo

    2013-11-01

    Full Text Available In recent years European Commission has developed a set of documents for Members States tracing, directly or indirectly, recommendations for the transformation of the European city. The paper wants to outline which future EU draws for the city, through an integrated and contextual reading of addresses and strategies contained in the last documents, a future often suggested as Smart City. Although the three main documents (Cohesion Policy 2014-2020 of European Community, Digital Agenda for Europe and European Urban Agenda face the issue of the future development of European cities from different points of view, which are respectively cohesion social, ICT and urban dimension, each of them pays particular attention to urban and territorial dimension, identified by the name of Smart City. In other words, the paper aims at drawing the scenario of evolution of Smart Cities that can be delineated through the contextual reading of the three documents. To this end, the paper is divided into three parts: the first part briefly describes the general contents of the three European economic plan tools; the second part illustrates the scenarios for the future of the European city contained in each document; the third part seeks to trace the evolution of the Smart Cities issue developed by the set of the three instruments, in order to provide the framework of European Community for the near future of our cities

  2. Different Creative Cities

    DEFF Research Database (Denmark)

    Lorenzen, Mark; Vaarst Andersen, Kristina

    2012-01-01

    and exhibits a tendency of congregating in major cities with diverse service and cultural offers and tolerance to non-mainstream lifestyles. However, we find that a range of smaller Danish cities also attract the creative class. Second, we undertake qualitative interviews that facilitate theory building. We...... suggest that many creatives are attracted by the smaller cities' cost advantages, specialized job offers, attractive work/life balances, and authenticity and sense of community. The article synthesizes its results into four stylized types of creative cities, and concludes by discussing the policy...

  3. Suburbs and Cities

    OpenAIRE

    William N. Goetzmann; Matthew I. Spiegel; Susan M. Wachter

    1996-01-01

    This paper addresses the issue of how closely the fortunes of suburbs are tied to the fortunes of the central city. We use similarities in residential housing price dynamics as a measure of how closely the economies of cities and suburbs are related. We develop housing price indices for most of the zip codes in California, and use these in a clustering procedure to see whether cities and suburbs naturally aggregate together, or whether they move separately. We find that central cities tend to...

  4. Governing the City

    DEFF Research Database (Denmark)

    Kornberger, Martin

    2012-01-01

    cities. This theoretical curiosity is reflected in the rising interest in urban strategy from practice. For instance, the World Bank regularly organizes an Urban Strategy Speaker Series, while the powerful network CEOs for Cities lobbies for a strategic approach to urban development. Critical scholars...... such as Zukin diagnose not a shift in but a shift to strategic thinking in the contemporary city. This article poses the question: what makes strategy such an attractive ‘thought style’ in relation to imagining and managing cities? How can we understand the practice of urban strategy? And what are its intended...

  5. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  6. Hospital Inspections

    Data.gov (United States)

    U.S. Department of Health & Human Services — Welcome to hospitalinspections.org, a website run by the Association of Health Care Journalists (AHCJ) that aims to make federal hospital inspection reports easier...

  7. Radiofrequency field surveys in hospitals.

    Science.gov (United States)

    Foster, K R; Soltys, M; Arnofsky, S; Doshi, P; Hanover, D; Mercado, R; Schleck, D

    1996-01-01

    The authors surveyed levels of radiofrequency (RF) fields in the frequency range 0.1-1,000 MHz in four hospitals in the Philadelphia area, to obtain background information related to the possible interference of radiofrequency fields with medical equipment. Two large center-city hospitals, a regional county hospital, and two suburban hospitals were surveyed. Measurements were made at six to 12 sites in each hospital, in each of the three frequency bands. More limited additional measurements were conducted in a fifth hospital as well. Sites were selected to include areas where strong RF signals from transmitting antennas might be expected to be present (e.g., locations close to windows in upper stories of buildings near paging antennas) as well as other representative sites in the hospital. The median RF field strengths were quite low (0.1-0.5 V/m), but at specific locations the RF signals from broadcast sources exceeded 1 V/m. Much stronger fields were recorded close to electrosurgical units and hand-held transmitters (cellular telephones and UHF transceivers).

  8. The structure of nursing human resource in public hospitals at the country level or above in Xianning City of Hubei Province%湖北省咸宁市县级以上公立医院护理人力资源结构分析

    Institute of Scientific and Technical Information of China (English)

    丁芳

    2011-01-01

    目的 了解湖北省咸宁市县级以上公立医院护理人力资源结构现状,为相关部门合理配置护理人力资源提供参考依据.方法 在22所医院中发放护理人力资源情况调查表,结合全国、湖北省护士结构的相关数据及咸宁市经济、人口情况进行综合分析.结果 2008年末,咸宁市千人口护理人力数0.97人,医护比为1:0.84,护士占专业技术人员比例为33.16%,均不能达标.咸宁市县级以上公立医院护理人员结构中,中专及以下学历占主导地位,占56.96%;高级、中级、初级职称之比为1:11.60:10.88,职称结构不合理;≤40岁护士占69.90%,护士年龄结构比较合理.结论 加强卫生行政管理力度,结合医院护理事业发展和临床护理工作需要,合理配置护理人力.%Objective To investigate the structure of nursing human resource in public hospitals at county level or above in Xianning City of Hubei Province,so as to provide reference for relevant departments to reasonably allocate nursing human resources.Methods A questionnaire about nursing human resources was used to investigate the structure of nursing human resources in 22 public hospitals at county level or above in Xianning City of Hubei Province.Then the collected data were analyzed and compared with the nursing human resource of the whole country and Hubei Province.Results By the end of 2008, there was 0.97 nursing staff for every thousand people in Xianning City,and the doctor - nurse ratio was 1 : 0.84 ,and nurses accounted for 33.16% of the health professional and technical personnel,which all didnt reach the standards,the nurses with technical secondary school background or below accounted for 56.96% ,and the ratio of senior profession title, middle profession title, and primary profeesion title was 1 : 11.60 : 10.88, and ≤40 years old nurses accounted for 69.90%.The results showed that the structure of nurses' profession title was unreasonable and the age

  9. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  10. Study of multi-drug resistant microorganisms isolated from blood cultures of hospitalized newborns in Rio de Janeiro city, Brazil Estudo de microrganismos resistentes a múltiplas drogas isolados de hemoculturas de neonatos hospitalizados na cidade do Rio de Janeiro, Brasil

    Directory of Open Access Journals (Sweden)

    Marcio M. Loureiro

    2002-01-01

    Full Text Available The aims of this study were to determine the frequency and antimicrobial resistance patterns of microorganisms associated with sepsis cases in a public maternity hospital, and to analyze the main demographic data relating to these infected neonates over a two year period. We analyzed 255 positive blood cultures and the medical records of newborns admitted to the neonatal intensive care unit of the Hospital Maternidade Alexander Fleming II, Rio de Janeiro city, Brazil, from July 1997 to July 1999. Identification and antibiograms of the isolated strains were performed according to routine laboratory procedures. Demographics and microbiological data were analyzed using the Epi-Info program. The mean age of the newborns was 13.1 days, with an average of 1.2 strains isolated per patient. Antibiotics were administered to 207 (83.1% patients before positive blood culture presentation. A total of 90.8% patients were premature; 83.9% had a gestational age of less than 36 weeks; 52.6% presented very low birth weight; 39.8% had asphyxia and 33.3% presented hyaline membrane disease. A total of 301 microorganisms were isolated with a predominance of Klebsiella pneumoniae (22.9%, coagulase-negative Staphylococci (17.3%, Serratia marcescens (15.9% and Pseudomonas aeruginosa (10.6%. Gram-negative strains showed high resistance levels to cephalosporins and aminoglycosides. A total of 93.3% Staphylococcus aureus strains were methicillin-resistant. The newborns examined in this study presented several risk factors for acquiring hospital infection and the isolated microorganisms showed high levels of resistance to the majority of the antibiotics routinely used in the hospital.Os objetivos deste estudo foram determinar a freqüência e perfis de resistência a antimicrobianos de microorganismos associados com casos de sepsis em um hospital maternidade pública, e analisar os principais dados demográficos relacionados a estes neonatos infectados durante um per

  11. Associação do índice de massa corporal e da relação cintura/quadril com hospitalizações em adultos do Município do Rio de Janeiro, RJ Body Mass Index, waist hip ratio and hospitalizations in the City of Rio de Janeiro, RJ

    Directory of Open Access Journals (Sweden)

    Fernanda da Motta Afonso

    2002-08-01

    /hip ratio with the occurrence of hospitalizations were evaluated in a population based sample of the city of Rio de Janeiro (1996. Residents of both sexes from 20 to 60 years, totaling 1,446 men and 1,749 women were measured and interviewed in their homes. About 5% of men and 5.8% of women reported hospitalizations. Hospitalization in the previous year excluded childbirth. For women, hospitalizations increased with the increase of Body Mass Index. Logistic regression was chosen for analysis, having hospitalization as the dependent variable and including Body Mass Index, waist/hip ratio, age, smoking and per capita income in the model. Body Mass Index and waist/hip ratio were positively associated with hospitalizations only for women (Odds Ratio = 1.06 for each unit of Body Mass Index, p=0.01. In relation to abdominal fat, an increase of 12 cm in the waist and 80 cm in hips in women resulted in an Odds Ratio of 3.5 (p = 0.01. Overweight and particularly abdominal fat distribution are important risk factors for morbidity, evaluated through hospitalizations among women.

  12. Survey of the current situation of job burnout of junior nurses in the hospitals at the level of gradeⅢ class A in Beijing city and analysis of the related factors%北京市三甲医院低年资护士职业倦怠现状调查及相关因素分析

    Institute of Scientific and Technical Information of China (English)

    许亚红; 张茜; 陈英

    2015-01-01

    目的:了解北京市三甲医院低年资护士职业倦怠的状况,探讨影响低年资护士职业倦怠的相关因素。方法:应用一般资料问卷、MBI - GS 工作倦怠量表对北京市3所三级甲等综合医院的100名低年资护士进行调查。结果:北京市三甲医院低年资护士存在较严重职业倦怠,50%存在情感耗竭;去个性化者占60%;成就感低落占49%。护龄2~4年的护士职业倦怠最重,是否参加科室轮转培养会影响护士的职业倦怠水平。结论:北京市三甲医院低年资护士存在较高的职业倦怠,护理管理者重视低年资护士规范化培训,以便降低护士职业倦怠。%Objective:To investigate the current situation of job burnout of junior nurses in the hospitals at the level of grade Ⅲclass A in Beijing city and analyze the related factors. Methods:The general information questionnaire and MBI - GS job burnout scale were used to conduct a survey on 100 junior nurses of 3 hospitals at the level of grade Ⅲclass A in Beijing city. Results:The job burnout existed in these junior nurses,50% of them had emotional exhaustion,60% had depersonalization and 49% had low personal accomplishment. The most serious job burnout existed in the nurses with nursing age of 2 to 4 years. Conclusion:The nursing managers should pay attention to stand-ardized training for junior nurses so as to reduce their job burnout.

  13. 成都市某三甲医院孕妇孕期膳食习惯及行为调查%Investigation on gestational dietary habits and behaviors of pregnant women in a third-class hospital of Chengdu city

    Institute of Scientific and Technical Information of China (English)

    冯希源; 罗碧如

    2013-01-01

    Objective:To survey the changes of gestational dietary habits and behaviors of pregnant women in a third-class hospital of Chengdu city.Methods:Based on the theory of reasoned action,a self-designed questionnaire was used to investigate 600 pregnant women from a third-class hospital of Chengdu city.Results:Abnormal dietary structure and deficiency of nutritional knowledge during pregnancy were found widely among pregnant women,there was statistically significant difference in pregestational BMI among the pregnant women in different age groups (P =0.003) ; there were statistically significant differences in the proportions of pregnant women smoking,drinking,and coffee drinking among pregestational period,the first trimester of pregnancy and the second and the third trimesters of pregnancy (P =0.000).Conclusion:Dietary behaviors and nutritional knowledge during pregnancy need improvements,dietary behaviors monitoring and nutritional knowledge health guidance should be strengthened during pregnancy.%目的:调查成都市某三甲医院孕妇孕期膳食习惯及行为的变化情况.方法:以理性行为理论为基础,自行设计问卷对在成都市某三甲医院门诊就诊的600例孕妇进行调查.结果:孕妇普遍存在孕期膳食结构不合理,孕期营养知识缺乏的问题,不同年龄段孕前BMI之间差异有统计学意义(P=0.003);孕前、孕早期、孕中晚期在吸烟、喝酒、喝咖啡等方面差异具有统计学意义(P=0.000).结论:孕妇孕期膳食行为及营养知识有待改善,应加强孕期膳食行为监督及营养知识健康教育指导.

  14. The City at Stake:

    Directory of Open Access Journals (Sweden)

    Sophie Esmann Andersen

    2009-12-01

    Full Text Available Studies of the city have been addressed from many different approaches such as law, political science, art history and public administration, in which the eco-nomic, political and legal status of the city have played a major role. However, a new agenda for conceptualizing the city has emerged, in which the city assumes new roles. By using stakeholder theory as a framework for conceptualizing the city, we argue that the city assumes a political-economic agenda-setting role as well as providing a stage for identity constructions and relational performances for consumers, organizations, the media, politicians and other stakeholders. Stakeholder theory allows us to conceptualize the city as being constituted by stakes and relationships between stakeholders which are approached from three analytical positions (modern, postmodern and hypermodern, respectively, thereby allowing us to grasp different stakes and types of relationships, ranging from functional and contractual relationships to individualized and emotionally driven or more non-committal and fluid forms of relationships. In order to support and illustrate the analytical potentials of our framework for conceptualizing urban living, we introduce a project which aims to turn the city of Aarhus into a CO2-neutral city by the year 2030, entitled Aarhus CO2030. We conclude that applying stakeholder theory to a hyper-complex organization such as a city opens up for a reconceptualization of the city as a web of stakes and stakeholder relations. Stakeholder theory contributes to a nuanced and elaborate understanding of the urban complexity and web of both enforced and voluntary relationships as well as the different types of relationships that characterize urban life.

  15. Metody ujmowania etyki biznesu w Polsce

    OpenAIRE

    Zadroga, Adam

    2009-01-01

    From the beginning of the 1990s, a considerable interest in business ethics has been observed in Poland. It seems that the heritage of Polish researchers concerned with this academic discipline is already rich enough, and at the same time so diverse that it is worth making an attempt to systematize it, deepening and naming appropriate principle methods of grasping business ethics in Poland. The carried-out analyses allowed determining the following leading methods in the formal aspect:...

  16. Alternativní metody organizace dat

    OpenAIRE

    RUBÁČEK, Jan

    2011-01-01

    The objective of this thesis is to monitor the issue of data organization, focusing especially at their efficient retrieval. Particular attention will also be paid to the use of the 3D working environment. This thesis furthermore analyses primary and secondary sources and describes a creation of a 3D application based on this analysis.

  17. Methods of medical sterilization; Metody sterylizacji medycznej

    Energy Technology Data Exchange (ETDEWEB)

    Stachowicz, W. [Institute of Nuclear Chemistry and Technology, Warsaw (Poland)

    1997-10-01

    Broad review of different (physical, chemical and mechanical) methods commonly used for medical materials sterilization have been performed. Among them the special attention have been played on radiosterilization. The advantages and weaknesses each of the presented method have been pointed out. 1 fig.

  18. Caos, statistica e metodi di ricampionamento

    Directory of Open Access Journals (Sweden)

    Simone Giannerini

    2007-10-01

    Full Text Available Chaos theory offers to the statistician new perspectives for time series analysis as well as concepts and ideas that have a through contribution to statistics. On the other hand, statistical methodology has shown to play a crucial role for the comprehension of nonlinear and chaotic phenomena. From this standpoint we present some essential notions for the analysis of chaotic time series. Particular attention is given to the problem of estimating Lyapunov exponents, together with the derivation of confidence intervals for estimates. For this latter problem we propose a solution based on resampling by means of spline interpolation. We show from simulations that the distribution of the maximal Lyapunov exponent obtained by way of resampling a single series with our method, agrees with the true distribution obtained from series with different initial conditions.

  19. State of malnutrition in hospitals of Ecuador

    Directory of Open Access Journals (Sweden)

    Sylvia Gallegos Espinosa

    2014-08-01

    Full Text Available Rationale: Hospital malnutrition is a global health problem affecting 30-50% of hospitalized patients. There are no estimates of the size of this problem in Ecuadorian hospitals. Hospital malnutrition might influence the quality of medical assistance provided to hospitalized populations. Objectives: To estimate the current frequency of malnutrition among patients admitted to Ecuadorian public hospitals. Materials and methods: The Ecuadorian Hospital Malnutrition Study was conducted between November 2011 and June 2012 with 5,355 patients (Women. 37.5%; Ages ≥ 60 years. 35.1%; Length of stay ≤ 15 days. 91.2% admitted to 36 public hospitals located in the prominent cities of 22 out of the 24 provinces of the country. Malnutrition frequency was estimated by means of the Subjective Global Assessment survey. Results: Malnutrition affected 37.1% of the surveyed patients. Malnutrition was dependent upon patient's age and education level; as well as the presence of cancer, sepsis, and chronic organic failure. Hospital areas showed different frequencies of hospital malnutrition. Health condition leading to hospital admission influenced negatively upon nutritional status. Malnutrition frequency increased as length of stay prolonged. Conclusions: Malnutrition currently affects an important proportion of patients hospitalized in public health institutions of Ecuador. Policies and actions are urgently required in order to successfully deal with this health problem and thus to ameliorate its negative impact upon quality of medical care

  20. A liveable city:

    DEFF Research Database (Denmark)

    Sommerlund, Julie

    2014-01-01

    is increas- ingly based in and on cities rather than nations, and cities compete for businesses, branding, tourists and talent. In the western world, urbanisation has happened simultane- ously to de-industrialisation, which has opened industrial neighbourhoods and harbours for new uses – often focus- ing...

  1. Deer City Legend

    Institute of Scientific and Technical Information of China (English)

    LIUHUANZHI; LILIKUN

    2003-01-01

    MORE and more commodities,such as clothes,shoes,millinery,lighters and shavers,now bear the “Made in Wenzhou”mark.It woule appear that Wenzhou grooms the whole nation.Lucheng(deer city)District in central Wenzhou is the nucleus of the city's thriving light industry sector.

  2. Reflective cool cities

    NARCIS (Netherlands)

    Heidegger, V.

    2011-01-01

    This "designers' manual" is made during the TIDO-course AR0531 Smart & Bioclimatic Design. Our globe is heating, and cities are heating up much more. At the same time, cities are growing and green spaces are substituted by buildings and streets. These man-made surfaces are dark and tend to heat up

  3. Walkout in Crystal City

    Science.gov (United States)

    Barrios, Greg

    2009-01-01

    When students take action, they create change that extends far beyond the classroom. In this article, the author, who was a former teacher from Crystal City, Texas, remembers the student walkout that helped launch the Latino civil rights movement 40 years ago. The Crystal City student walkout remains a high point in the history of student activism…

  4. Preface (to Playable Cities)

    NARCIS (Netherlands)

    Unknown, [Unknown; Nijholt, A.; Nijholt, Antinus

    In this book, we address the issue of playfulness and playability in intelligent and smart cities. Playful technology can be introduced and authorized by city authorities. This can be compared and is similar to the introduction of smart technology in theme and recreational parks. However, smart

  5. City Improves State Enterprises

    Institute of Scientific and Technical Information of China (English)

    EnjoyceZhu

    2003-01-01

    As China's new leadership drafts measures to help ailing Stateowned enterprises(SOEs),Changchun,a strategic city in the Rust Belt,is reaping benefits unseen in more than a decade of SOE reform.Home to a large number of SOEs,Changchun has had its share of bureaucracy and stagnation.The city initiated a program called,“Saving SOEs

  6. CHONGQING, the Hot City

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Chongqing is a well-known city with a history of more than 3,000 years. It is a famous historical and cultural city in China. Chongqing is the birthplace of the Bayu Culture. At present, Chongqing is a municipality directly under the Central Government with the largest area, the most administrative districts and the largest population.

  7. City profile: Paramaribo

    NARCIS (Netherlands)

    Verrest, H.J.L.M.

    2010-01-01

    Paramaribo, the largest and only significant urban area in Suriname, is a typical primate city. The majority of the countries’ population resides here and the majority of political, social and economic functions is clustered in the urban zone. In the course of the 20th century, the city changed dram

  8. Making the Experience City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2009-01-01

    This paper describes the latest research into cultural planning and architectural branding in Denmark based on the ‘Experience City' research project located at Aalborg University. The paper explores the implication of the turn towards culture and experience in the contemporary Danish city. It thus...

  9. Futures of cities

    DEFF Research Database (Denmark)

    2008-01-01

    Bogen dokumenterer resultater fra den internationale kongres Futures of Cities arrangeret af IFHP International Federation of Housing and Planning, Realdania, Kunstakademiets Arkitektskole og City of Copenhagen. Kongressen blev afholdt i september 2007 i Øksnehallen og på Kunstakademiets Arkitekt...

  10. Manejo de crises asmáticas em crianças: conhecimento de profissionais de saúde quanto ao tópico em hospitais-escola do Recife (PE Acute asthma management in children: knowledge of the topic among health professionals at teaching hospitals in the city of Recife, Brazil

    Directory of Open Access Journals (Sweden)

    Giovanna Menezes de Medeiros Lustosa

    2011-10-01

    Full Text Available OBJETIVO: O conhecimento sobre o manejo da asma aguda em crianças é um tema pouco explorado. O objetivo deste estudo foi avaliar o conhecimento de profissionais de saúde do Recife (PE sobre o assunto. MÉTODOS: Estudo transversal de tipo inquérito com 27 médicos e 7 enfermeiros, com mais de 2 anos de trabalho, de dois grandes hospitais-escola de pediatria do Recife, avaliados através de questionários autoaplicáveis com questões fechadas. RESULTADOS: Tanto os pediatras quanto os enfermeiros apresentaram conhecimento inadequado sobre o uso de inaladores dosimetrados, nebulização, tipo e dosagem dos medicamentos, assim como técnicas de descontaminação e desinfecção do material. CONCLUSÕES: O conhecimento inadequado do manejo da asma aguda em crianças pode refletir em um tratamento menos efetivo nesses hospitais. Medidas educativas são necessárias para minimizar o problema.OBJECTIVE: Knowledge of acute asthma management in children is a subject that has rarely been explored. The objective of this study was to assess the level of such knowledge among health professionals in the city of Recife, Brazil. METHODS: This was a cross-sectional survey involving 27 pediatricians and 7 nurses, all with at least two years of professional experience, at two large pediatric teaching hospitals in Recife. The participants completed a self-administered multiple-choice questionnaire. RESULTS: The pediatricians and nurses all possessed insufficient knowledge regarding the use of metered dose inhalers, nebulization, and types/doses of medications, as well as techniques for decontamination and disinfection of the equipment. CONCLUSIONS: Insufficient knowledge of acute asthma management in children can lead to less effective treatment in hospitals such as those evaluated here. Educational programs should be developed in order to minimize this problem.

  11. Analysis of Hospitalization Expense Covering Policy of Basic Medical Insurance According to Sustainable Strategy-Rugao City of Jiangsu Province as an Example%可持续方针下基本医疗保险住院待遇支付政策分析--以江苏省如皋市为例

    Institute of Scientific and Technical Information of China (English)

    周子华

    2013-01-01

    Health insurance is the world recognized problems. Pay pay policy has profound influence on the sustainable development of the medical insurance business. For treatment of medical treatment insurance system improve patients lack of power,high medical insurance fund balance,such problems as high burden,based on the worker is basic medical treatment insurance system as an example,and paid in hospitalization medical treatment policy as the research object,combined with the practice of Rugao City,emphatically discussed topic in hospital of insurance of primary medical treatment to pay pay policy system construction,put forward the policy of "five must adhere to the" refactoring the design concept.%医疗保险是世界公认的难题。待遇支付政策对医疗保险事业的可持续发展影响深远。针对医疗保险制度待遇提升乏力、医保基金高结余、病患高负担等问题,本文以职工基本医疗保险制度为例,且以住院医疗待遇支付政策为研究对象,结合如皋市的实践,着重讨论基本医疗保险住院待遇支付政策体系建设课题,提出了“五个必须坚持”的政策设计重构理念。

  12. High prevalence of syphilis-HIV co-infection at four hospitals of the City of Buenos Aires: Argentina Alta prevalencia de co-infección sífilis-VIH en cuatro hospitales de la Ciudad de Buenos Aires: Argentina

    Directory of Open Access Journals (Sweden)

    G. Griemberg

    2006-09-01

    Full Text Available A cross-sectional anonymous study of 261 STD (sexually transmitted diseases outpatients and 288 outpatients from other hospital departments was conducted at four major city hospitals in Buenos Aires. High prevalence of human immunodeficiency virus (HIV (14.5% and syphilis (30.2% was noted. Fifty-two persons were diagnosed with both HIV and syphilis. Of the 87 HIV cases observed, 52 (59.7% were co-infected with syphilis. Stratified analysis by gender showed that the prevalence of HIV, syphilis and HIV/syphilis co-infection was significantly (pSe realizó un estudio transversal no vinculante entre pacientes ambulatorios de cuatro grandes hospitales de Buenos Aires, 261 provenían de consultorios de enfermedades de transmisión sexual (ETS y 288 de otros servicios. Se observó una alta prevalencia del virus de la inmunodeficiencia humana (VIH (14,5% y sífilis (30,2%. En cincuenta y dos pacientes se diagnosticaron ambas infecciones. De los 87 casos VIH, 52 (59,7% estaban coinfectados con sífilis. El análisis estratificado por sexo demostró que la prevalencia de VIH, sífilis y coinfección VIH/sífilis fue significativamente (p<0,001 más alta en hombres que en mujeres (VIH: 20,1% vs. 4,6%; sífilis: 39,3% vs. 17,4%; coinfección: 13,6% vs. 1,7%. En la Argentina se requieren programas integrados de intervención VIH/ETS y una más efectiva vigilancia epidemiológica.

  13. Analysis on the medication of respiratory system at sample hospitals of six cities in the Yangtze River Basin in 2010%2010年长江流域6市样本医院呼吸系统用药分析

    Institute of Scientific and Technical Information of China (English)

    徐红冰; 归成; 刘皋林

    2013-01-01

      目的:了解2010年长江流域6市样本医院呼吸系统用药的情况和变化趋势。方法:统计2010年长江流域的上海等六市253家样本医院呼吸系统用药销售金额、排序等,结合临床应用对销售金额领先的前10位品种进行分析。结果:呼吸系统药物销售金额前茅品种有溴环己胺醇、多索茶碱、孟鲁司特钠等。结论:呼吸系统药物是防治呼吸道疾病的最常用药物之一,需求量大,市场前景广阔。%Objective:To understand the condition and trends of the respiratory medication at the sample hospitals of six cities in the Yangtze River Basin in 2010. Methods:The sales and ranking of respiratory medication of 253 sample hospitals were counted and the top 10 species were analyzed by combination with the clinical application. Results:The respiratory medication with high sales includes ambroxol, doxofylline, montelukast and so on. Conclusion:The respiratory medication is one of the most commonly used drugs in the prevention and treatment of respiratory diseases with large demand and broad market prospect.

  14. 长沙市综合医院手术室男护士工作现状调查%Investigation of Working Present Situation of Male Nurses at Operating Room in General Hospital of Changsha City

    Institute of Scientific and Technical Information of China (English)

    余尚昆; 董小文

    2016-01-01

    目的:调查湖南省长沙市二级甲等以上综合医院手术室男护士的工作现状,以帮助他们正确看待自己的专业,解决一些疑惑,以便为改善医院手术室男护士身心健康状况提供依据,从而使他们以良好的状态工作。方法采取双向调查的方法,随机选择长沙市8所二级甲等以上综合手术室男护士和女护士各60人,以及男护士参与过手术的患者、手术医生、女护士各50名,采用自行设计的调查问卷进行调查。结果男护士在手术室中承担着大量有益的工作,与女护士比较男护士在应急、体力、学习、互补等方面具有优势,手术患者、手术室医生、手术室护士对男护士满意度较高,差异有统计学意义(P<0.05)。结论手术室应该根据自身情况,不断加强男护士队伍建设,充分发挥其优势,更好地服务患者。%Objective To investigate the working situation of male nurses at operating room in secondary A or higher general hospitals in Changsha and give them assistance to correctly view their major and solve their problems in order to provide evidence for improving the physical and mental health of operating room male nurses. Thus enable them to work in good condition. Methods Adopted to investigate two-way, 8 secondary hospitals above comprehensive operation room male nurses and nurse of 60 people were randomly selected in Changsha, as well as male nurses in surgery patients, doctors and women nurses 50 cases, using self-designed questionnaire survey. Results Male nurse takes a lot of useful work in the operating room, compared with female nurses male nurses in emergency, physical strength, gender, learning, complementary, have obvious advantages, surgery patients, operating room doctors and nurses on male nurse satisfaction is high, the difference has statistical significance (P<0.05).ConclusionAccording to self-condition, operating rooms should continue to

  15. 辽阳市医院消毒存在的主要问题及处理方法%THE CHALLENGE AND ACTION ABOUT HOSPITAL DISINFECTION IN LIAOYANG CITY

    Institute of Scientific and Technical Information of China (English)

    赵丹

    2012-01-01

    目的 了解二级及以上级别医疗机构消毒效果现状,找出存在的问题,提出改进措施.方法 采用现场采样和细菌定量检测方法,对辖区内相关医疗机构消毒效果进行了监测.结果 灭菌医疗用品、使用中消毒液、压力蒸汽灭菌器合格率均为100%,医务人员手合格率为99.80%,物体表面合格率为99.35%,空气合格率为88.89%.结论 辖区内二级及其以上级别医疗机构消毒质量整体较好,室内空气消毒有待加强,还应加强医院消毒监督监测力度.%Objective To understand the current disinfection status of the second level and above medical institutions in order to identify problems and to propose measures for improvement. Methods The field sampling and quantitative detec-tion of bacteria were used to monitor disinfection effects of the relevant medical institutions in the area. Results The quali-fied rates of sterilization of medical supplies, disinfectants in use and pressure steam sterilizer were 100% ; those of medi-cal staff hand and material surface were 99. 80% and 99. 35% respectively; the qualified rate of the air health quality was 88. 89%. Conclusion The disinfection qualities of the second level and above medical institutions in the region are good in general. Disinfection of indoor air and supervision and monitoring of hospital disinfection need to be strengthened.

  16. How can a change in the operating system of the mental health review board promote the discharge of long-term hospitalized psychiatric patients? A case study of Seoul city.

    Science.gov (United States)

    Lee, Myung-Soo; Lim, Hee-Young; Kim, Youngki; Lee, Yong-Suk

    2014-01-01

    One of the most typical and chronic problem in Korean mental health system is the prolonged length of hospital stay. In contrast to there are many components which leads to long length of stay of psychiatric patients in Korean situation such as low and fixed medical fee for psychiatric inpatient treatment, shortage of community resources, lack of care-givers' awareness and so on, there are just few mechanisms to handle this issue such as Mental Health Review Board (MHRB) which is based on Mental Health Act since 1995. However, the discharge order rate was very low and there community care system after discharge order is still very weak. The Korean government has revised the Mental Health Act in 2008 and changed the operating principals of the MHRB from a regional level to a local level to strengthen the function of MHRB. However, the discharge order rate versus the whole evaluation requests still remains at a very low level or less than 5%. And it is still very difficult to execute a discharge order against a patient whose symptoms and conditions become psychiatrically stabilized enough for discharge, due to a shortage of community care facilities and a lack of social support system. These results are exactly same with former studies. Any policies to promote psychiatric discharge including MHRB are needed to take the comprehensive factors into consideration, such as payment program, community infrastructure, increasing care-givers' acceptance and so on. Despite of the political trial of Korean government to reduce length of stay of chronic psychiatric patients, it was not successful. Still it had failed to propose a detailed policy measure in terms of the above-mentioned prerequisites. Therefore, new system and program developments including reform of payment system which reflect prior studies' recommendations are essential.

  17. Universities Scale Like Cities

    CERN Document Server

    van Raan, Anthony F J

    2012-01-01

    Recent studies of urban scaling show that important socioeconomic city characteristics such as wealth and innovation capacity exhibit a nonlinear, particularly a power law scaling with population size. These nonlinear effects are common to all cities, with similar power law exponents. These findings mean that the larger the city, the more disproportionally they are places of wealth and innovation. Local properties of cities cause a deviation from the expected behavior as predicted by the power law scaling. In this paper we demonstrate that universities show a similar behavior as cities in the distribution of the gross university income in terms of total number of citations over size in terms of total number of publications. Moreover, the power law exponents for university scaling are comparable to those for urban scaling. We find that deviations from the expected behavior can indeed be explained by specific local properties of universities, particularly the field-specific composition of a university, and its ...

  18. Great cities look small

    CERN Document Server

    Sim, Aaron; Barahona, Mauricio; Stumpf, Michael P H

    2015-01-01

    Great cities connect people; failed cities isolate people. Despite the fundamental importance of physical, face-to-face social-ties in the functioning of cities, these connectivity networks are not explicitly observed in their entirety. Attempts at estimating them often rely on unrealistic over-simplifications such as the assumption of spatial homogeneity. Here we propose a mathematical model of human interactions in terms of a local strategy of maximising the number of beneficial connections attainable under the constraint of limited individual travelling-time budgets. By incorporating census and openly-available online multi-modal transport data, we are able to characterise the connectivity of geometrically and topologically complex cities. Beyond providing a candidate measure of greatness, this model allows one to quantify and assess the impact of transport developments, population growth, and other infrastructure and demographic changes on a city. Supported by validations of GDP and HIV infection rates ac...

  19. Marriage and the City

    DEFF Research Database (Denmark)

    Gautier, Pieter; Svarer, Michael; Teulings, Coen

    Do people move to cities because of marriage market considerations? In cities singles can meet more potential partners than in rural areas. Singles are therefore prepared to pay a premium in terms of higher housing prices. Once married, the marriage market benefits disappear while the housing...... premium remains. We extend the model of Burdett and Coles (1997) with a distinction between efficient (cities) and less efficient (non-cities) search markets. One implication of the model is that singles are more likely to move from rural areas to cities while married couples are more likely to make...... the reverse movement. A second prediction of the model is that attractive singles benefit most from a dense market (i.e. from being choosy). Those predictions are tested with a unique Danish dataset....

  20. Marriage and the City

    DEFF Research Database (Denmark)

    Gautier, Pieter; Svarer, Michael; Teulings, Coen

    Do people move to cities because of marriage market considerations? In cities singles can meet more potential partners than in rural areas. Singles are therefore prepared to pay a premium in terms of higher housing prices. Once married, the marriage market benefits disappear while the housing...... premium remains. We extend the model of Burdett and Coles (1997) with a distinction between efficient (cities) and less efficient (non-cities) search markets. One implication of the model is that singles are more likely to move from rural areas to cities while married couples are more likely to make...... the reverse movement. A second prediction of the model is that attractive singles benefit most from a dense market (i.e. from being choosy). Those predictions are tested with a unique Danish dataset....

  1. The Flickering Global City

    Directory of Open Access Journals (Sweden)

    Eric Slater

    2015-08-01

    Full Text Available This article explores new dimensions of the global city in light of the correlation between hegemonic transition and the prominence of financial centers. It counterposes Braudel’s historical sequence of dominant cities to extant approaches in the literature, shifting the emphasis from a convergence of form and function to variations in history and structure. The marked increase of finance in the composition of London, New York and Tokyo has paralleled each city’s occupation of a distinct niche in world financial markets: London is the principal center of currency exchange, New York is the primary equities market, and Tokyo is the leader in international banking. This division expresses the progression of world-economies since the nineteenth century and unfolds in the context of the present hegemonic transition. By combining world-historical and city-centered approaches, the article seeks to reframe the global city and overcome the limits inherent in the paradigm of globalization.

  2. A liveable city:

    DEFF Research Database (Denmark)

    Sommerlund, Julie

    2014-01-01

    There are over 20 cities world-wide with a population of over 10 million people. We have entered ‘The Millennium of the City’. The growth of urban populations has been accompanied by profound changes of the cities’ economic and social profile and of the cities themselves. The world economy...... is increas- ingly based in and on cities rather than nations, and cities compete for businesses, branding, tourists and talent. In the western world, urbanisation has happened simultane- ously to de-industrialisation, which has opened industrial neighbourhoods and harbours for new uses – often focus- ing...... on experience. We will argue for a human turn in the research on liveabil- ity and urbanisation, and debates the concept of liveability. We will take Copenhagen as our main case and compare with other cities from around the world....

  3. Preferência pela via de parto nas parturientes atendidas em hospital público na cidade de Porto Velho, Rondônia Delivery preferences among women giving birth at a public hospital in the city of Porto Velho, in the Brazilian State of Rondônia

    Directory of Open Access Journals (Sweden)

    José Ferrari

    2010-12-01

    Full Text Available As parturientes que procuram o Centro Obstétrico do Hospital de Base de Porto Velho, Rondônia, para terem seus filhos são mulheres provenientes das camadas sociais desfavorecidas, ao contrário das mulheres com níveis de renda diferenciados que procuram os médicos em seus consultórios particulares e parem seus filhos por meio de cesarianas com dia e hora previamente marcados. O artigo aborda a questão do aumento da crescente incidência de cesarianas verificado em vários países latinos e também no mundo desenvolvido onde tem motivado necessárias e inadiáveis discussões no campo da Bioética e procura conhecer a opinião das parturientes quanto à via de parto que foram atendidas no Centro Obstétrico do Hospital de Base nos anos de 2006 e 2007.Women who come to give birth at the Obstetrics Center of the Hospital de Base in Porto Velho, in the Brazilian State of Rondônia are from underprivileged social groups. Wealthier women attend private clinics and give birth by way of caesarian section at a pre-scheduled date and time. This article addresses the question of the increase in the incidence of caesarian birth in Latin countries and also in the developed world, where this has provoked necessary and urgent bioethical discussion. It also investigates the opinions of women giving birth at the Obstetrics Center of the Hospital de Base in 2006 and 2007.

  4. A hybrid solar/diesel water heating system: in medicine area in a hospital in Mexico city; Sistema hibrido de energia solar y diesel para calentamiento de agua: caso en el area de medicina fisica en un hospital en la ciudad de Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Nolasco Mejia, Miguel; Wolpert Kuri, Jorge [UNAM, Mexico, D.F. (Mexico)

    2000-07-01

    A hybrid solar/diesel water heating system for therapy in a hospital in Mexico is described in this paper. The use of solar energy in hospitals and clinics, represent an environmentally friendly alternative to the burning of fossil fuels. Analysis is made regarding the feasibility of integrating both solar energy and conventional energy (fuel oil) as back up, to satisfy the hot water demand for hydrotherapy in a hospital. Results from simulation show that solar energy is a cheap means to provide up to 60% of the hot water demand. The solar assisted system proposed uses flat plate solar collectors integrated with an existing hot water tank, where water is heated with vapor from a diesel ran boiler. This represents significant savings on the solar system cost. [Spanish] La utilizacion de la energia solar en hospitales y clinicas, representa una posibilidad para obtener ahorros importantes de energia para satisfacer la demanda de agua caliente. En el presente estudio se analiza la demanda de agua caliente para uso en medicina fisica (hidroterapia), en un hospital ubicado en la Cd. De Mexico y la factibilidad de usar la energia solar, empleando como apoyo el sistema tradicional de combustible fosil (diesel). Mediante un analisis termico se determina el calor necesario para satisfacer la demanda de agua caliente. El analisis economico muestra los costos del sistema solar, los ahorros que se tendran y el periodo de recuperacion de la inversion. Los resultados muestran que la utilizacion de la energia solar es factible debido a la disminucion tanto del consumo de combustible, como de las emisiones atmosfericas. Se propone la instalacion de un sistema solar con colectores planos y el aprovechamiento de uno de los dos tanques de agua caliente existentes, donde se efectua la trasferencia de calor al agua por medio de vapor, lo cual disminuye el costo del sistema solar. La aportacion solar puede ser mayor del 60%, el complemento sera aportado por el sistema tradicional con

  5. 安阳市医疗机构乙型肝炎诊断报告情况调查%Diagnosis and reporting of the hepatitis B case in hospitals in Anyang City

    Institute of Scientific and Technical Information of China (English)

    职建军; 何景阳; 李蓬; 张栓虎; 于杰; 曹玉红; 王利娜; 张延炀

    2014-01-01

    目的:了解安阳市医疗机构中乙型肝炎诊断报告现状,为进一步提高诊断报告质量提供依据。方法采用分层随机抽样的方法分别抽取市区、县不同类型医疗机构,随机抽取其2012年报告病例作为调查对象,按中国疾病预防控制中心2012年乙型肝炎监测项目技术方案进行核实;对医务人员掌握乙肝诊断报告相关知识情况进行问卷调查。结果诊断准确率为60.04%,报告准确率为43.71%,误诊率为39.96%,误报率为56.29%。一级医院、二级医院、三级医院和专科医院的诊断和报告差异有统计学意义(x2=40.851,P<0.05;x2=70.742,P<0.05),但是一级医院和二级医院差异无统计学意义(x2=0.021,P>0.05;x2=0.024,P>0.05)。结论调查医疗机构的乙肝病例诊断报告准确率不高,今后要加强专业培训、技术指导和行政监督。%Objective To study the current situation of hepatitis B diagnostic reports among the medical institutions in Anyang City,and to provide the evidence for improving the diagnostic report quality. Methods Reported cases in 2012,which were randomly selected from medical institutions at different type in urban and county,were verified according to the Hepatitis monitoring project technical solutions in 2012 by Chinese Center for Disease Control;A questionnaires with knowledge about the diagnostic reports of hepatitis B was conducted among medical personnel. Results Diagnostic accuracy was 60.04%,report accuracy was 43.71%,misdiagnosis rate was 39.96%,false alarm rate was 56.29%. There are differences (x2=40.851,P0.05;x2=0.024,P>0.05). Conclusions The accuracy of the hepatitis B cases diagnostic reports of medical institutions was not good. It is necessary to strengthen the professional training, technical guidance and administrative oversight.

  6. All-Round Marketing Increases Hospital Popularity.

    Science.gov (United States)

    Ziqi, Tao

    2015-06-01

    Xuzhou Center Hospital is in a competing medical market in Xuzhou city. This hospital has been dedicating to improve the medical skills and provide professional and individualized service to the patients in order to improve the patient's experience and increase the patient's satisfaction. On the other side, this hospital has provided an all-round marketing campaign to build up the social influence and public reputation through public-praise marketing, web marketing, media marketing, and scholar marketing. Besides, this hospital has been cooperating with foreign medical institutions and inviting foreign medical specialists to academic communication. With the combined effects of improving medical service and all-round marketing, the hospital's economic performance has been enhanced significantly and laid a solid foundation for its ambition to become the first-class hospital in Huaihai Economic Zone.

  7. 2008 City of Baltimore Lidar

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — In the spring of 2008, the City of Baltimore expressed an interest to upgrade the City GIS Database with mapping quality airborne LiDAR data. The City of Baltimore...

  8. Cities, Towns and Villages, City Limits of City of Dubuque, IA, Published in 2007, City of Dubuque.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Cities, Towns and Villages dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'City Limits of City of...

  9. 三甲综合性医院护士压力源调查分析及对策%Three comprehensive hospitals nurses pressure source investigation and analysis of baoding city and countermeasures

    Institute of Scientific and Technical Information of China (English)

    闫璐; 李佳林; 许丽萍; 杨洁; 于晓彤; 张家玮

    2015-01-01

    Objectives to understand the pressure sources, stress levels and related factors of nurses in Baoding three comprehensive hospitals..Methodsby way of applying workload scale of nurses, self-made questionnaire to survey 160 nurses of different ages, titles, and departments to investigate evaluation.Resultsthe working pressure major sources of nurses, according to their degree, are workload and time distribution, nursing major and working, patient care, working environment and resources, management and interpersonal relationships. Nurses’ pressure ource there was no signiifcant difference in all the depertment. Stress levels of nurses, which rank from light to heavy, are as follows: mild pressure 30%, moderate pressure 53.3% and severe pressure accounted for 16.7%. The factors affecting pressure source department, marriage, age and title.ConclusionIt is suggested that, to reduce the pressure of nurses, to maintain the stability of nursing professional team and to improve working efficiency and nursing quality, nursing administrators are supposed to implementscientiifc management under the consideration of working pressure sources of nurses and related influential factor.%目的:了解保定市三甲综合性医院护士压力源、压力程度及相关影响因素。方法应用护士工作量表,自制调查表以问卷调查的方式对我院160名护士进行调查测评。结果护士主要压力源低依次为:工作量及时间分配、护理专业及工作方面、病人护理方面、工作环境及资源方面、管理及人际关系方面;各科护士压力源无显著性差异;护士压力程度由轻到重依次为:轻度压力占30%,中度压力占53.3%;重度压力占16.7%;影响压力源的因素有科室、婚姻、年龄和职称。结论建议护理管理者针对护士工作压力源及相关影响因素实施科学管理,减轻护士压力,提高工作效率和护理质量。

  10. 北京市某医院79例非计划再手术原因与改进措施%Causes and improvement measures for 79 cases of unplanned reoperation in a hospital in Beijing City

    Institute of Scientific and Technical Information of China (English)

    于瑾; 王东; 宋景晨; 马谢民

    2016-01-01

    目的:对北京市某三级甲等综合性医院2015年79例非计划再手术病例进行回顾性分析,探讨非计划再手术发生的原因,并提出防范措施,以指导医疗流程的改进。方法对筛选出的非计划再手术病例采用根因分析法分析手术病历信息。结果患者管理失误、患者合并症,以及手术技术错误,如手术后出血、未达预期效果手术再调整、手术损伤、吻合口瘘、切口问题是导致非计划再手术发生的根本原因。结论通过完善管理制度、加强围手术期管理、提高医务人员临床技能水平,可持续改进医疗服务质量,减少非计划再手术的发生。%Objective The paper conducts retrospective analysis on the 79 cases of unplanned reoperation in a Grade-A Class-3 hospital in Beijing during 2015, discusses the causes of unplanned reoperation, and brings forward precautionary measures in order to guide the improvement of medical process.Method For the cases of unplanned reoperation screened out, root cause analysis is adopted to analyze the medical record of operation of these cases.ResultThe root causes of unplanned reoperation include errors in perioperative management of patients, patient’s comorbidity, and errors in surgical technique, such as postoperative hemorrhage, readjustment through operation in case of the failure to reach the expected effect, operation injury, anastomotic leakage, and incision problem.Conclusion The medical service quality can be continuously improved and the occurrence of unplanned reoperation reduced by completing management system, enhancing the management during perioperative period, and improving the clinical skills of medical personnel.

  11. 阳江市人民医院283株沙门菌培养结果分析%Analysis the culturing result of 283 strains of Salmonella in Yangjiang City People′s Hospital

    Institute of Scientific and Technical Information of China (English)

    黎莉; 黄焕宜; 陈金玲; 黎青梅; 陈冬玲; 茹辽金

    2016-01-01

    Objective To investigate the serotype distribution and drug resistance situation of Salmonella infections in the hospi‐tal from January 2014 to June 2015 and provide the basis for clinical rational use of antibiotics .Methods Separation ,culture ,bio‐chemical identification ,serotyping and drug sensitive experiment of Salmonella were carried out for strains isolated from stool speci‐mens of 2 465 patients with diarrhea in the hospital from January 2014 to June 2015 ,and data were analyzed statistically .Results A total of 283 Salmonella strains were isolated ,the overall detection rate was 11 .48% .There was no statistically significant differ‐ence of detection rate between male and female patients(χ2 =0 .083 ,P>0 .05) .Infant group got the highest detection rate of Salmo‐nella(16 .63% ) and the highest constituent ratio of positive specimens(57 .95% ) .283 Salmonella strains were ascribing to 25 sero‐groups ,Salmonella typhimurium variation and Salmonella typhimurium account for 47 .70% and 20 .85% respectively ,which were dominant serotypes .100 .00% of Salmonella were resistant to tobramycin ,amikacin ,more than 60 .00% of Salmonella were resistant to paediatric compound sulfamethoxazole tablets ,gentamicin ,ampicillin and ampicillin‐sulbactam and only 0 .71% of Salmonella were resistant to piperacillin‐tazobactam ,levofloxacin .Conclusion The Salmonella isolated in the hospital were with relatively high resistant rate .Clinicians should use antibiotics rationally according to the drug sensitivity test results and the patient′s personal con‐ditions ,and avoid the production of multiple drug‐resistant strains .%目的:了解阳江市人民医院2014年1月至2015年6月沙门菌感染情况、血清型分布和耐药情况,为临床合理选用抗菌药物提供依据。方法对该院2014年1月至2015年6月腹泻的住院患者和门诊患者送检的2465份大便标本进行分离、培养、生化鉴定、血清分型和药敏试

  12. 2010年广东省深圳市光明新区医院急诊伤害监测资料分析%Sentinel surveillance of injury in a district hospital in Shenzhen city, Guangdong province, 2010

    Institute of Scientific and Technical Information of China (English)

    陈小良; 邰昌松; 詹劲基; 苏展; 李伟梅

    2012-01-01

    Objective To understand the epidemiological characteristics of injuries in emergency department in the hospital in Guangming new district and provide evidence for injury prevention and control. Methods Descriptive epidemiological analysis was conducted on the surveillance data of injury in the hospital in 2010. Results A total of 22 784 injury cases were reported in 2010. The injuries were mainly caused by blunt force (40. 24% ), falling down (16. 46% ), animal bite (13. 28% ), knife/sharp instrument wound (11.43% ) and motor vehicle accident (10. 51% ). The injuries mainly occurred in industrial/construction sites (40. 80% ) and on street/road( 22. 65% ). Most cases were unintentional injuries (83. 97% ) and mild in severity (76. 30% ). The majority of serious injuries were caused by motor vehicle accident (55. 26% ). Most injuries occurred during 08:00 -22:00 in a day (85. 51% ). No obvious peak was found in overall time distribution of injury cases, but the differences on the time distribution in different populations were significant (x2 = 998, P = 0. 00). The injuries in pre school aged children mainly occurred during 17: 00 - 20:00 (37. 43% ), the injuries in students mainly occurred during 16:00 - 19:00 (36.91 % ) and self wounding/suicide mainly occurred during 00:00-01:00 (12. 85% ) ,20:00 - 21:00 (8.38%) and 21:00 - 22:00 (8.38%). Conclusion Targeted intervention should be focused on occupational injury, animal bite and traffic accident injury prevention and control in different population, places and times.%目的 了解广东省深圳市光明新区医院急诊伤害分布情况,为伤害事件预防与控制提供依据.方法 采用统一的调查表对在深圳市光明新区伤害监测哨点医院急诊科就诊的首诊伤害病例进行登记,运用描述流行病学方法进行分析.结果 2010年全年累计伤害病例22 784例,伤害发生的主要原因为钝器伤(40.24%)、跌倒/坠落(16.46%)、动物伤(13.28%)、刀/锐器伤(11

  13. @City: technologising Barcelona

    Directory of Open Access Journals (Sweden)

    Rojas, Jesús

    2007-05-01

    Full Text Available This article is about the concept of the contemporary city - the influence that technology has when one thinks about, plans and lives in a city. The conjunction of technology and city reformulates customs and social practices; it can even determine the way one constitutes one's own identity. One can see how close the relation is between technology (specifically, TICS and the structures of the city in a wide variety of situations: in social interactions on the street, in transport, and in ways of buying, of working and entertainment. "@City" is a concept that very well reflects the emergent properties of a current city, that is, the coexistence of a physical and a virtual urban space. The "22@Barcelona" project attempts to bring together different types of spaces. By combining the physical with the virtual, 22@Barcelona, as a neighborhood of @City, creates an uncertain and blurred border between both spaces.The article also examines the impact that these spaces have on the psycho-social processes involved in the daily life of a traditionally working-class neighborhood, now strongly limited by technological boundaries.

  14. @City: technologising Barcelona

    Directory of Open Access Journals (Sweden)

    Jesús Rojas

    2007-05-01

    Full Text Available This article is about the concept of the contemporary city - the influence that technology has when one thinks about, plans and lives in a city. The conjunction of  technology and city reformulates customs and social practices; it can even determine the way one constitutes one's own identity. One can see how close the relation is between technology (specifically, TICS and the structures of the city in a wide variety of situations: in social interactions on the street, in transport, and in ways of buying, of working and entertainment. "@City" is a concept that very well reflects  the emergent properties of a current city, that is, the coexistence of a physical and a virtual urban space. The "22@Barcelona" project attempts to bring together different types of spaces. By combining the physical with the virtual, 22@Barcelona, as a neighborhood of @City,  creates an uncertain and blurred border between both spaces.The article also examines the impact that these spaces have on the psycho-social processes involved in the daily life of a traditionally working-class neighborhood, now strongly limited by technological boundaries.

  15. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  16. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

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

  17. Saúde mental em um hospital público: o olhar de profissionais médicos do município do Rio de Janeiro Mental health in a public hospital: the perspective of medical professionals of the city of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Heloisa dos Reis Malheiro Máximo

    2006-01-01

    Full Text Available Este estudo teve por objetivo compreender percepções de médicos de um hospital público acerca do papel dos profissionais de Saúde Mental nesse espaço institucional, explorando interfaces estabelecidas entre as duas categorias no cotidiano da assistência, tal como percebidas pelos informantes. Para tanto, desenvolveu-se um estudo qualitativo fundamentado na tradição crítico-interpretativa como caminho metodológico, elegendo-se como técnica a entrevista não-diretiva. A amostra foi composta por médicos de diferentes setores que, no momento do estudo, haviam encaminhado pacientes para os profissionais de Saúde Mental e integravam a equipe do hospital por um período mínimo de dois anos. Com base nas categorias que emergiram no campo, a análise identificou diferentes temas, configurando uma rede interpretativa que representou a base do exercício hermenêutico. Os resultados do estudo apontam uma heterogeneidade no que se refere às concepções dos informantes acerca do papel da Saúde Mental no espaço hospitalar. No que tange à organização do trabalho, a variável tempo é fator fundamental no cotidiano do atendimento. Percebe-se uma nítida diferenciação entre o paradigma "psi", referente aos profissionais da Psicologia e da Psiquiatria, e o paradigma médico, revelando obstáculos para uma efetiva integração entre esses dois modelos.This study aims to understand the perceptions of the medical professionals at a public hospital, concerning the role of the Mental Health professionals, identifying simultaneously, the interfaces established between these two categories in the assistance enviroment. Therefore, we begin with the study on demand that characterizes the client assisted by mental health professionals, discussing the main demands required by the medical doctors in the different areas of the hospital unit. At the same time, we highlight the reasons of these indications. Based on this data, we have developed this

  18. Making the Experience City

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    2009-01-01

    makes an investigation into the complex relationship between the words and policies of the ‘Experience Economy' and the actual urban transformations made in cities with reference to these changes. The paper discusses the cases researched in relation to the state, market, civil society framework as well......This paper describes the latest research into cultural planning and architectural branding in Denmark based on the ‘Experience City' research project located at Aalborg University. The paper explores the implication of the turn towards culture and experience in the contemporary Danish city. It thus...

  19. Smart city – future city? smart city 20 as a livable city and future market

    CERN Document Server

    Etezadzadeh, Chirine

    2016-01-01

    The concept of a livable smart city presented in this book highlights the relevance of the functionality and integrated resilience of viable cities of the future. It critically examines the progressive digitalization that is taking place and identifies the revolutionized energy sector as the basis of urban life. The concept is based on people and their natural environment, resulting in a broader definition of sustainability and an expanded product theory. Smart City 2.0 offers its residents many opportunities and is an attractive future market for innovative products and services. However, it presents numerous challenges for stakeholders and product developers.

  20. Cities and Refugees

    DEFF Research Database (Denmark)

    Katz, Bruce; Noring, Luise; Garrelts, Nantke

    institutions, it is municipalities across Europe in general and Germany in particular who are responsible for planning, delivering, and, in some cases, financing the housing, education, and full integration of new arrivals. “Cities and Refugees: The European Response” is a collaboration of the Brookings...... Centennial Scholar Initiative and the Foreign Policy program, with key research led by the Copenhagen Business School. It aims to show the extent to which cities are at the vanguard of this crisis and to deepen our understanding of the role and capacity of city governments and local networks in resettlement...... and long-term economic and social integration....

  1. 兰州市大气气态污染物与呼吸系统疾病日入院人数的时间序列分析%A time-series study on the relationship between gaseous air pollutants and daily hospitalization of respiratory disease in Lanzhou City

    Institute of Scientific and Technical Information of China (English)

    王敏珍; 郑山; 王式功; 陶燕; 尚可政

    2012-01-01

    Objective To evaluate the relationship between exposure to gaseous air pollutants ( NO2 and SO2) and daily hospital admissions for respiratory diseases. Methods After controlling long time trend, the " day of week" effect and confounding factors of meteorology, a semi-parametric generalized additive model ( GAM) was used to analyze the exposure-effect relationship between gaseous air pollutants and daily respiratory hospital visits from 2001 to 2005 in Lanzhou city. Results Both NO2 and SO2 have positive relationships with residents' hospital visits for respiratory complaints. In single-pollutant models, the best fits for NO2 and SO2were one day after ( Lagl ) and the same day visit (Lag0). With an IQR concentration increase in NO2 ( Lagl ) and SO2(Lag0) , the relative risks of daily hospital admissions for respiratory diseases were 1. 060(95% CI 1.046 - 1.074) and 1.048(95% CI 1.031 - 1.065), respectively. The susceptible populations were female and the elderly. The health effect of gaseous air pollution was more obvious in autumn and winter. Conclusion The ambient NO2 and SO2 concentrations have an adverse effect on daily hospital visits for respiratory diseases of residents in Lanzhou.%目的 探讨兰州市大气气态污染物NO2和SO2对呼吸系统疾病住院的健康效应.方法 采用时间序列的半参数广义相加模型(GAM),在控制了时间的长期趋势、“星期几效应”及气象因子等混杂因素的影响后,分析2001 - 2005年兰州市大气NO2和SO2浓度与呼吸系统疾病入院人数的暴露-反应关系.结果 大气NO2和SO2浓度对呼吸系统疾病入院人数具有不同程度的影响.单污染物模型中,NO2和SO2分别以滞后1天和0天对呼吸系统健康的影响最强.滞后1天NO2和无滞后SO2浓度增加一个四分位数间距时,呼吸系统疾病入院人数增加的相对危险度分别为:1.060 (95% CI 1.046~1.074)和1.048(95% CI 1.031~1.065);女性和老年人为易感人群;2种污染

  2. Perfil demográfico e sócio-econômico da população de internos dos hospitais psiquiátricos da cidade do Rio de Janeiro Demographic and socioeconomic characteristics of patients from psychiatric hospitals in the city of Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    João Paulo Lyra da Silva

    1999-09-01

    Full Text Available O perfil dos pacientes internados em hospitais psiquiátricos, embora fundamental para implementação de mudanças na política assistencial, nem sempre é conhecido. Realizou-se um censo dos pacientes nos vinte hospitais psiquiátricos do Rio de Janeiro. Neste artigo, são apresentadas as características demográficas e sócio-econômicas dos 3.223 pacientes (66,0% homens; 52,6% com idade inferior a 40 anos em 24 de outubro de 1995. Dentre estes, 73,8% não haviam completado o 1º grau e 25,5% eram analfabetos; 71,6% dos homens e 61,1% das mulheres eram solteiros. Homens e mulheres eram divorciados/separados em igual proporção (13%. À época da primeira internação 43,1% dos pacientes tinham atividade laborativa remunerada. Porém, no momento do censo, apenas metade mantinha essas atividades. Cerca de 50% dos pacientes não recebia visitas ou estas eram esporádicas. Esse dado, juntamente com os fatos de 37,4% estarem internados há mais de um ano e de 65,1% não saírem de licença do hospital, caracteriza uma situação de isolamento. Os resultados do censo são discutidos tendo com base em dados epidemiológicos, e hipóteses são formuladas para explicar alguns desses achados.Knowledge on the characteristics of patients admitted to psychiatric hospitals is essential to adequate care, yet such information is not always available. A survey was conducted on patients in the 20 psychiatric hospitals in the city of Rio de Janeiro, Brazil. This paper presents demographic and socioeconomic data on the study population: 3223 persons (66.0% male; 52.6% under 40 on October 24, 1995. 73.8% had not finished elementary school; 25.5% were illiterate. 71.6% of the males and 61.1% of the females were single. Both groups had the same divorce percentage (13%. 43.1% of patients had jobs at the time of first admission, but only half had kept them by the time of this survey. Some 50% of the patients only received visits at extended intervals or not at all

  3. A new methodology for hospital design.

    Science.gov (United States)

    Mejia, Ana Maria Silva

    2013-08-01

    According to architect, Ana Maria Silva Mejia, 'a new era for the design of hospitals in Guatemala has arrived', with a considerable growth in interest around good healthcare facility design. Here, in a slightly adapted version of an article, 'A new methodology for design', first published in the IFHE (International Federation of Hospital Engineering) Digest 2012, she reports on the application of a new methodology designed to optimise efficient use of space, and clinical and other adjacencies, in a district hospital in the City of Zacapa. The system has subsequently been successfully applied to a number of other Guatemalan healthcare facilities.

  4. Cross-sectional study on infection of hospitalized patients in a class three grade a hospital of Chengdu city in the year 2014%2014年成都市某三甲医院住院患者感染状况横断面研究

    Institute of Scientific and Technical Information of China (English)

    周贵; 苏超敏; 王慧玲; 杨娇; 罗江磋; 周梦来; 舒海燕; 刘佳

    2015-01-01

    Objective: To study the state of nosocomial infections in a Class three grade an hospital for predicting the incidence of nosocomial infection and improving the quality of medical services. Methods The infected inpatient were spotting by Kyorin real-time monitoring software in combination with the information the doctors reported the infections were chocking. Results There were 60 cases of community infection, mostly in department of TCM hepato entrology, general geriatrics, cardiothoracic surgery, intensive medicine, and pediatrics;there were 58 cases of hospital infection in departments of intensive medicine, neurosurgery, cardiothoracic surgery, neonate pediatrics, and intensive medicine of elderly. There were no statistical differences among the hospital infections in thoracic surgery, neurosurgery, intensive medicine, senile severe medicine, and neonate pediatrics (字2 = 0.488,P = 0.975).The main sites community infections were lower respiratory tract (53.13%), blood system(12.50%), urinary tract(9.38%), superficial cuts(7.81%), upper respiratory tract(3.13%), etc; sites of hospital infectiens were lower respiratory tract(52.24%), urinary tract(11.94%), gastrointestinal tract(5.97%), respiratory (5.97%), superficial cuts (2.99%),etc. The common detected community-acquired strains were:escherichia coli(8), klebsiella pneumoniae(3), pseudomonas aeruginosa(3), streptococcus pneumoniae (2), the common strains detected from hospital infections ware: escherichia coli (6), acinetobacter baumannii(6), pseudomonas aeruginosa (5), klebsiella pneumoniae (4), staphylococcus aureus (1) etc. Conclusions: The different infection status of community and hospital needs different intervention strategies. It is much necessary to strengthen the supervision and management of departments with high incidence of nosocomial infections, such as critical care medicine, neurosurgery, cardiothoracic surgery, neonatology, and intensive medicine of elderly. In order to control the

  5. Towards Intelligently - Sustainable Cities?

    Directory of Open Access Journals (Sweden)

    Luca Salvati

    2013-04-01

    Full Text Available In the quest for achieving sustainable cities, Intelligent and Knowledge City Programmes (ICPs and KCPs represent cost-efficient strategies for improving the overall performance of urban systems. However, even though nobody argues on the desirability of making cities “smarter”, the fundamental questions of how and to what extent can ICPs and KCPs contribute to the achievement of urban sustainability lack a precise answer. In the attempt of providing a structured answer to these interrogatives, this paper presents a methodology developed for investigating the modalities through which ICPs and KCPs contribute to the achievement or urban sustainability. Results suggest that ICPs and KCPs efficacy lies in supporting cities achieve a sustainable urban metabolism through optimization, innovation and behavior changes.

  6. Earthquakes in cities revisited

    CERN Document Server

    Wirgin, Armand

    2016-01-01

    During the last twenty years, a number of publications of theoretical-numerical nature have appeared which come to the apparently-reassuring conclusion that seismic motion on the ground in cities is smaller than what this motion would be in the absence of the buildings (but for the same underground and seismic load). Other than the fact that this finding tells nothing about the motion within the buildings, it must be confronted with the overwhelming empirical evidence (e.g, earthquakes in Sendai (2011), Kathmandu (2015), Tainan City (2016), etc.) that shaking within buildings of a city is often large enough to damage or even destroy these structures. I show, on several examples, that theory can be reconciled with empirical evidence, and suggest that the crucial subject of seismic response in cities is in need of more thorough research.

  7. Should Cities Regulate Graffiti?

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Graffiti, while still a new phenomenon to most Chinese, is becoming more familiar among teenagers in big cities like Beijing and Shanghai. A recent report by Xinhua News Agency discusses the trend. The report said a small

  8. Towards healthy cities.

    Science.gov (United States)

    Satterthwaite, D

    1996-01-01

    Cities contain many of the world's most unhealthy living environments. They are considered ecologically unsustainable because of high consumption and waste levels, attributed to high population density. However, well planned and managed cities can combine high living standards with remarkably low levels of energy consumption, resource use and wastes. The concentration of people and production creates many more possibilities of collecting and recycling wastes and for walking, bicycling and a high quality public transport. This potential for providing healthy, stimulating and valued places to live and work for all age groups could be achieved with good governance. In any city, this approach means encouragement and support from all levels of government for a great range of investments of capital, expertise and time by individuals, households, communities, voluntary organizations and nongovernmental organizations, as well as private enterprises. Moreover, this means managing competing claims and finding common ground between enterprises, trade unions and residents about what should be done to make the city healthier.

  9. WE LOVE THE CITY

    DEFF Research Database (Denmark)

    2011-01-01

    WE LOVE THE CITY Byen i bygningen, bygningen i byen Lasse Andersson, Ph.d., arkitekt maa, adjunkt ved Aalborg Universitet Med udstillingen WE LOVE THE CITY vil vi formidle mødet mellem urban design oog arkitektur. Disciplinen ’at bygge by’ har de seneste 20 år ikke tændt hjerterne hos...... fjern og ’usexet’ for unge arkitekter in spe. Det kan fremtidens by ikke være tjent med, og WE LOVE THE CITY vil derfor gerne vise alle, der færdes i byen og bruger dens arkitektur, at her er et potentiale. Med udstillingen WE LOVE THE CITY ønsker Utzon Centeret, LasseVegas Kontoret ApS og ADEPT...

  10. City of Parsons, Kansas

    Science.gov (United States)

    The EPA is providing notice of a proposed Administrative Penalty Assessment against the city of Parsons, KS, for alleged violations at the wastewater treatment plant located at 1636 22000 Rd, Parsons, KS 67357.

  11. The Experience City

    DEFF Research Database (Denmark)

    Marling, Gitte; Jensen, Ole B.; Kiib, Hans

    2009-01-01

      The article take its point of departure in the pressure of the experience economy on European cities - a pressure which in recent years has found its expression in a number of comprehensive transformations of the physical and architectural environments, and new eventscapes related to fun...... and cultural experience are emerging. In the discussion of the transformation into the ‘experience economy' relevant to cities and urban areas we rarely find an analysis of the physical and spatial implications of this transformation. However, the physical, cultural and democratic consequences...... of this development are discussed in the paper, as well as the problems and the new opportunities with which the ‘Experience city' is faced. The article focus on the design of the Danish Experience City with special emphasis on hybrid cultural projects and on performative urban spaces. It present the first findings...

  12. Postsovkhoz City & Postsovkhoz Person

    Index Scriptorium Estoniae

    2001-01-01

    Põlvamaal Moostes mõtte- ja keskkonnakunstitalgud "Postsovkhoz City" ja "Postsovkhoz Person". Näha saab endistesse tööstushoonetesse ülespandud näitusi ja installatsioone. 11. VIII esinejad, ettekanded.

  13. OpenCities Project

    Data.gov (United States)

    US Agency for International Development — The Open Cities Project aims to catalyze the creation, management and use of open data to produce innovative solutions for urban planning and resilience challenges...

  14. Ecological city planning

    Directory of Open Access Journals (Sweden)

    Salvador Rueda

    2013-07-01

    Full Text Available A territory, a city, a neighbourhood are all ecosystems; a mixture of chemico-physical and organic elements related to each other. That which defines an ecological system is the set of rules and characteristics which condition its relationships, and its duration in time is guaranteed by its efficiency and internal organization which applied to the city is translated in the reduction of the use of natural resources and in the increase of social organization. To increase the efficiency of the urban systems is the necessary condition for the formulation of ecological city planning favouring the maximum liveability of sites. Liveability is directly correlated to the optimization of numerous elements (public space, equipment, services, building techniques, innovative technology, social cohesion, biodiversity. To carry out such objectives, ecological city planning proposes a new model of town planning on three levels (subsoil, ground level, and upper level.

  15. City sewer collectors biocorrosion

    Science.gov (United States)

    Ksiażek, Mariusz

    2014-12-01

    This paper presents the biocorrosion of city sewer collectors impregnated with special polymer sulphur binders, polymerized sulphur, which is applied as the industrial waste material. The city sewer collectors are settled with a colony of soil bacteria which have corrosive effects on its structure. Chemoautotrophic nitrifying bacteria utilize the residues of halites (carbamide) which migrate in the city sewer collectors, due to the damaged dampproofing of the roadway and produce nitrogen salts. Chemoorganotrophic bacteria utilize the traces of organic substrates and produce a number of organic acids (formic, acetic, propionic, citric, oxalic and other). The activity of microorganisms so enables the origination of primary and secondary salts which affect physical properties of concretes in city sewer collectors unfavourably.

  16. Aging City Leads Way

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The northern city of Dalian has become a model of care for the elderly that other Chinese cities are following Chinese Minister of Civil Affairs Li Xueju has called upon civil affairs agencies in the nation to learn from Dalian’s diversified models for elderly care,ranging from running collectively owned and foreign-designed nursing homes to offering tax incentives to private households and companies serving the elderly

  17. Keys to the City

    DEFF Research Database (Denmark)

    Monsson, Christian Kjær

    2014-01-01

    Review of: Keys to the City: How Economics, Institutions, Social Interaction, and Politics Shape Development / Michael Storper Princeton University Press, Princeton, NJ, 2013, 288 pp., $39.95/£27.95 (cloth), ISBN 9780691143118......Review of: Keys to the City: How Economics, Institutions, Social Interaction, and Politics Shape Development / Michael Storper Princeton University Press, Princeton, NJ, 2013, 288 pp., $39.95/£27.95 (cloth), ISBN 9780691143118...

  18. Sinking coastal cities

    Science.gov (United States)

    Erkens, G.; Bucx, T.; Dam, R.; de Lange, G.; Lambert, J.

    2015-11-01

    In many coastal and delta cities land subsidence now exceeds absolute sea level rise up to a factor of ten. A major cause for severe land subsidence is excessive groundwater extraction related to rapid urbanization and population growth. Without action, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other coastal cities will sink below sea level. Land subsidence increases flood vulnerability (frequency, inundation depth and duration of floods), with floods causing major economic damage and loss of lives. In addition, differential land movement causes significant economic losses in the form of structural damage and high maintenance costs for (infra)structure. The total damage worldwide is estimated at billions of dollars annually. As subsidence is often spatially variable and can be caused by multiple processes, an assessment of subsidence in delta cities needs to answer questions such as: what are the main causes? What is the current subsidence rate and what are future scenarios (and interaction with other major environmental issues)? Where are the vulnerable areas? What are the impacts and risks? How can adverse impacts be mitigated or compensated for? Who is involved and responsible to act? In this study a quick-assessment of subsidence is performed on the following mega-cities: Jakarta, Ho Chi Minh City, Dhaka, New Orleans and Bangkok. Results of these case studies will be presented and compared, and a (generic) approach how to deal with subsidence in current and future subsidence-prone areas is provided.

  19. [The hospital: reality and proposable future].

    Science.gov (United States)

    Cardinale, A E; Torregrossa, M V

    2008-01-01

    In this work we run over hospital history from Middle ages to the present time. Hospitals were charitable institutions in fact they rise inside monasterys, churches or castles with an architecture in modum crucis as a symbolic expression of Christ crucifix. During Renaissance, new scientific Knowledges and the need of technical assistance in a suitable place, lead to a new kind of hospital included into the functional centres of the city were medical practice takes the places of spiritual assistance. In XVIII century hospital is like a "human diseases botanical garden" divided into departments with a circular structure in conformity with a functional model of control. To exceed the isolation of single room, rectangular rooms born with a radially arrangement. At the end of 700's born the pavilions structures typical of hospitals until half 900's when the "monobloc" take place. Today hospital becomes horizontal, include in the context of the city, with hall as a big hotel and with trading centres in accordance with Renzo Piano model and with a new vision of hospital as a welcome place were the patient is a guest to treat as a person of consequence.

  20. City marketing: online communication plan for the city of Lisbon

    OpenAIRE

    Altrichter, Benjamin

    2011-01-01

    Mestrado em Marketing City Marketing represents marketing efforts of cities in order to attract more visitors. Today, we are confronted everyday with marketing campaigns in all different communication media promoting countries, cities or events. Cities are competing for visitors on a global scale, forcing them to adapt successful marketing strategies for gaining and retaining costumers. Yet, City Marketing still remains an unknown chapter for a big part of the general public an...

  1. Sinking Coastal Cities

    Science.gov (United States)

    Erkens, G.; Stuurman, R.; De Lange, G.; Bucx, T.; Lambert, J.

    2014-12-01

    In many coastal cities land subsidence now exceeds absolute sea level rise up to a factor of ten. Without action, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other coastal cities will continue to sink, even below sea level. The ever increasing industrial and domestic demand for water in these cities results in excessive groundwater extraction, causing severe subsidence. In addition, coastal cities are often faced with larger natural subsidence, as they are built on thick sequences of soft soil. The impacts of subsidence are further exacerbated by climate-induced sea level rise. Land subsidence results in two types damage: foremost it increases flood vulnerability (frequency, inundation depth and duration of floods), with floods causing major economic damage and loss of lives. Secondly, differential land movement causes significant economic losses in the form of structural damage and high maintenance costs of roads and transportation networks, sewage systems, buildings and foundations. The total damage worldwide is estimated at billions of dollars annually. To survey the extent of groundwater associated subsidence, we conducted a quick-assessment of subsidence in a series of mega-cities (Jakarta, Ho Chi Minh City, Dhaka, New Orleans and Bangkok). For each city research questions included: what are the main causes, how much is the current subsidence rate and what are predictions, where are the vulnerable areas, what are the impacts and risks, how can adverse impacts can be mitigated or compensated for, and what governmental bodies are involved and responsible to act? Using the assessment, this paper discusses subsidence modelling and measurement results from the selected cities. The focus is on the importance of delayed settlement after increases in hydraulic heads, the role of the subsurface composition for subsidence rates and best practice solutions for subsiding cities. For the latter, urban (ground)water management, adaptive flood risk management

  2. Access to primary care in Hong Kong, Greater London and New York City.

    Science.gov (United States)

    Chau, Pui Hing; Woo, Jean; Gusmano, Michael K; Weisz, Daniel; Rodwin, Victor G; Chan, Kam Che

    2013-01-01

    We investigate avoidable hospital conditions (AHC) in three world cities as a way to assess access to primary care. Residents of Hong Kong are healthier than their counterparts in Greater London or New York City. In contrast to their counterparts in New York City, residents of both Greater London and Hong Kong face no financial barriers to an extensive public hospital system. We compare residence-based hospital discharge rates for AHC, by age cohorts, in these cities and find that New York City has higher rates than Hong Kong and Greater London. Hong Kong has the lowest hospital discharge rates for AHC among the population 15-64, but its rates are nearly as high as those in New York City among the population 65 and over. Our findings suggest that in contrast to Greater London, older residents in Hong Kong and New York face significant barriers in accessing primary care. In all three cities, people living in lower socioeconomic status neighborhoods are more likely to be hospitalized for an AHC, but neighborhood inequalities are greater in Hong Kong and New York than in Greater London.

  3. Empirical study of the compensation mechanism with the drug addition policy canceled at municipal public hospitals of Anshan city%鞍山市公立医院取消药品加成政策后补偿机制的实证研究

    Institute of Scientific and Technical Information of China (English)

    伍芳; 郭锋; 何钦成

    2014-01-01

    Objective To explore the feasibility of various compensation approaches and their combination after canceling the drug addition at municipal public hospitals in Anshan city.Methods 2008~201 1 medical services,balance of payments of Anshan municipal public hospitals during 2008~201 1 were analyzed,to calculate the balance of profit and loss of the hospitals with the drug addition canceled,as well as the effects of various compensation models and their combinations on hospitals’balance,government financial burden,costs of health insurance and patients’out-of-packet costs.Results Without drug addition,hospitals are found with surplus drop,and doubled number of years in deficit.Losses incurred by the canceling can be covered partly by pricing adjustment of medical services or collection of pharmaceutical service surcharge,with complete compensation by collection of medical service surcharge;government financial subsidies for large equipment depreciation or medical services offer part of the compensation,which is affordable by government finance.Such deficits cannot be covered completely by any single approach,yet they can be greatly eased by a combination of the approaches mentioned above.With impacts on all stakeholders in consideration,the optimal solution is the combination of the scheme with adjusted services price plus collection of pharmaceutical service surcharge and medical services compensation.Conclusion With the drug addition policy canceled,the establishment and perfection of the compensation mechanism calls for a synergy of pricing,health insurance and government finance.%目的:探讨鞍山市属医院取消药品加成后各种补偿方式及其组合的可行性。方法分析2008年至2011年鞍山市属医院医疗服务、收支状况。测算取消药品加成后医院的收支盈亏,各种补偿方式和组合对医院收支平衡、政府新增投入、医保及患者费用的影响。结果若无药品加成,医院收支盈余下降

  4. Situação da pesquisa em enfermagem em hospitais do município de São Paulo Situación de la investigación en enfermería en hospitales de São Paulo - Brasil Nursing research situation in hospital in the city of São Paulo

    Directory of Open Access Journals (Sweden)

    Nilce Piva Adami

    1996-01-01

    Full Text Available Tendo por objetivo descrever a situação da pesquisa em enfermagem em hospitais do município de São Paulo, no período de 1989 a 1993, foi realizada uma pesquisa exploratória, descritiva, abrangendo 14 estabelecimentos sendo sete públicos e sete da rede privada. Nos públicos foram produzidas 114 pesquisas e nos privados 40, predominando as apresentadas em eventos científicos. Foram expressas as facilidades e dificuldades para a produção de pesquisa nestas instituições, bem como, a incorporação dos resultados destas na prática, principalmente quando o objetivo de estudo emerge de problemas percebidos no processo assistencial. Centros de pesquisa, parceria serviço-universidade e contratação de enfermeiras pesquisadoras foram estratégias adotadas para o desenvolvimento de pesquisas em algumas das instituições estudadas.El propósito del presente estudio es la descripción de la situación de la investigación en enfermería en los hospitales de la ciudad de São Paulo, Brasil, en el período de 1989 hasta 1993. El diseño utilizado fue exploratorio-descriptivo, abarcando 14 instituciones hospitalarias, de las cuales 7 corresponden al sector público y 7 al sector privado. En los primeros fueron realizadas 114 investigaciones y 40 en los hospitales del sector privado. Hubo predominancia de investigaciones presentadas en coloquios científicos. Las facilidades y las dificultades para la utilización de sus resultados en la atención de enfermería, en especial cuando el objeto del estudio tuvo su origen en el proceso asistencial. Para el desarrollo de la investigación en las instituciones estudiadas, fueron empleadas algunas estrategias entre ellas: centros de investigaciones, integración servicio-universidad y contratación de enfermeras investigadoras.The objective of this study is to show nursing research situation in public and private hospitals in the city of São Paulo, form 1989 to 1993. It is an exploratory and

  5. Resultados maternos e neonatais em Centro de Parto Normal peri-hospitalar na cidade de São Paulo, Brasil Resultados maternos y neonatales en un Centro de Parto Normal perihospitalario en la ciudad de São Paulo, Brasil Maternal and perinatal outcomes of an alongside hospital Birth Center in the city of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Sheila Fagundes Lobo

    2010-09-01

    describe the maternal and perinatal results of care in the alongside hospital birth center Casa de Maria (CPN-CM, located in the city of São Paulo. The random sample included 991 women and their newborns, attended between 2003 and 2006. The results showed that 92.2% of women had a companion of her choice during childbirth and the practices commonly used were shower or immersion bath (92.9%, amniotomy (62.6%, walking (47.6%, massage comfort (29.8% and episiotomy (25.7%. Regarding newborns, 99.9% of them had Apgar scores =7 in the fifth minute, 9.3% received aspiration of the upper airway, no one needed to be intubated and 1.4% were removed to the hospital. The model of care in the CPN-CM provides maternal and perinatal outcomes expected for low obstetric risk women, and means a safe option and less interventionist model in normal childbirth.

  6. 衡水市某三甲医院2011年-2014年恶性肿瘤住院病例统计分析%Statistical Analysis on the Hospitalized Malignant Tumor Cases of a Grade A and Tertiary Hospital in Hengshui city from 2011 to 2014

    Institute of Scientific and Technical Information of China (English)

    冯亚宾; 姜瑞博; 张旭刚; 彭晔; 王雪静

    2016-01-01

    Objective To understand the characteristics of malignant tumor in this hospital through analyzing on the medical records of malignant tumor cases in a first class hospital, and provide scientific evidence for the development of medical technology as well as the formulation of the prevention, screening, monitoring and control measures made by the hygiene administrative department.Methods Draw the first page of the medical records in year 2011-2014 through the hospital information system, and do statistic analysis and classify the hospitalized malignant tumor cases through ICD-10 principal coding of the main diagnosis.Results The medical records of malignant tumor cases increased year by year from 2011 to 2014(P<0.01),and there were 8017 in all, including 4354 male and 3663 female. The average ratio of male and female was 1.19:1. ①The top 10 malignant tumors were lung cancer, breast cancer, stomach cancer, Colon / rectal cancer, esophageal cancer, liver cancer, thyroid cancer, uterine cancer, bladder cancer and leukemia. Sex composition of malignant tumor: Uterine malignant tumors were all female patients. Wemen were more likely to have breast cancer and thyroid cancer, while men were more likely to have the rest. The top 5 malignant tumors in male were lung cancer, stomach cancer, esophageal cancer, Colon / rectal cancer and liver cancer. The top 5 malignant tumors in female were breast cancer, lung cancer, Colon / rectal cancer, thyroid cancer and uterine cancer. ③Constituent ratio of sex and age:The number of patients with malignant tumor increased with age increasing, the high-risk age group was ≥60years old, which was 56.72%(P<0.01);There were more male patients than female ones in the group ≤14 years old and≥60 years old, while the rest group are instead.④Malignant tumor of lung, stomach, esophageal took the first three places in the group ≥60 years old⑤Regional distribution of malignant tumors:The highest prevalence was in Taocheng District

  7. Prevalence of depressive and anxiety disorders in cardiovascular outpatients from 14 tertiary general hospitals of 5 Chinese cities%综合医院心内科门诊患者抑郁和焦虑障碍患病率调查

    Institute of Scientific and Technical Information of China (English)

    李果; 姜荣环; 郭成军; 刘梅颜; 张丽军

    2014-01-01

    目的 调查中国5城市(北京、上海、广州、成都、长沙)综合医院心内科门诊患者抑郁障碍和焦虑障碍的患病率.方法 本研究为以医院为基础的横断面调查,患者来自5个城市共14家三级甲等综合医院的心内科门诊.以指定调查日内年龄≥18岁、意识清楚、能独立回答问题并知情同意的就诊者为调查对象,顺序纳入.患者完成一般问卷、医院焦虑抑郁量表(HADS)的自评筛查;就诊科室医生在不了解筛查结果的情况下独立完成诊疗;由经过一致性培训的精神科医师对HADS≥8分的患者进行国际神经精神科简式访谈问卷(MINI)的诊断性评估.知情同意并完成筛查但拒绝MINI检查者按失访处理.结果 完成调查的患者2 123例.(1)经失访校正后现患总患病率:抑郁和焦虑4.05% (86/2 123),抑郁或焦虑14.27% (303/2 123),抑郁或焦虑或混合抑郁焦虑14.37% (305/2 123).(2)经失访校正后的终生总患病率:抑郁和焦虑5.37%(114/2 123),抑郁或焦虑16.91%(359/2 123),抑郁或焦虑或混合抑郁焦虑17.00%(361/2 123).结论 综合医院心内科门诊患者焦虑、抑郁患病率高,应注意对抑郁焦虑的识别诊断.%Objective To explore the prevalence of depression and (or) anxiety disorders among cardiovascular outpatients of tertiary general hospitals of five Chinese cities.Methods A hospital-based cross-sectional survey was conducted in the cardiovascular out-patient departments of 14 tertiary general hospitals in five Chinese cities.The patients aged 18 years and over were recruited consecutively,who were conscious and with informed consent,and can finish the questionnaire independently.All the subjects were screened with Hospital Anxiety Depression Scale (HADS).The subjects with HADS score of 8 and over were interviewed and diagnosed by psychiatrists using mini international neuropsychiatric interview (MINI).The physicians made the diagnosis and management without

  8. 预见性护理在中山市某哨点医院流行性感冒患者输液过程中的应用分析%The Application Analysis of Foreseeing Nursing in Transfusion for Influenza Patients in A Sentinel Hospital of Zhongshan City

    Institute of Scientific and Technical Information of China (English)

    曾华优

    2014-01-01

    目的:探讨预见性护理在中山市某哨点医院流行性感冒患者输液过程中的应用效果。方法:分析门诊收治的流行性感冒输液患者10000例临床资料,依据是否实施预见性护理措施分为常规护理组5000例和预见性护理组5000例。结果:预见性护理组流行性感冒患者自我认知、治疗环境、病情控制感、自信心评分均优于常规护理组,预见性护理组流行性感冒患者局部渗血、静脉炎的发生率均优于常规护理组,两组比较差异均有统计学意义(P<0.05)。结论:预见性护理在流行性感冒患者输液过程中的应用可以提高患者的自我认知,降低输液并发症的发生率,值得临床推广应用。%Objective:To discuss the application effect of foreseeing nursing in tranfusion for influenza patients in a sentinel hospital of Zhongshan city. Method:10 000 cases of influenza patients from the outpatient service of our hospital were enrolled for the study,they were divided into two groups according with the nursing measure.5000 cases of patients were treated with foreseeing nursing,others were treated with routine nursing.Result:The self awareness,treatment circumstance,feeling of disease control and the sense of confidence in the foreseeing nursing group were better than routine nursing group(P<0.05).Local bleeding, phlebophlogosis score in the foreseeing nursing group were better than routine nursing group(P<0.05).Conclusion:The application of foreseeing nursing in transfusion for influenza patients can improve the patients’ self awareness reduce the incidence of transfusion complications,so it worthy to be generalized.

  9. 邯郸市综和医院妇产科医务人员心理健康状况调查%Investigation on mental health status of medical workers in departments of obstetrics and gynecology in comprehensive hospitals of Handan city

    Institute of Scientific and Technical Information of China (English)

    郭丽娟

    2012-01-01

    [Objective]To know the mental health status of medical workers in departments of obstetrics and gynecology in comprehensive hospitals, provide the references for researching the effective ways of improving their quality of life and work. [ Methods] U-sing the symptom checklist 90 (SCL-90) , 218 medical workers in departments of obstetrics and gynecology in 11 comprehensive hospitals of Handan city were investigated. [Results]The scores of somatization, compulsion, interpersonal sensitivity, anxiety, depression, hostility, horror and paranoia of medical workers in departments of obstetrics and gynecology were significantly higher than those of Chinese norm. The scores of horror and paranoia of doctors were higher than those of nurses, and the mental health level of medical workers aged 30- 40 years old was lower than that of other age groups. [ Conclusion] This paper shows that people should pay attention to the psychological pressure of the medical workers in departments of obstetrics and gynecology, especially in young medical workers.%目的 了解综和医院妇产科医务人员心理健康状况,为探索提高妇产科医务人员工作及生活质量的有效途径提供参考.方法 采用SCL-90症状自评量表对邯郸市11家二级以上综和医院妇产科医务人员218人进行调查.结果 妇产科医务人员躯体化、强迫、人际敏感、焦虑、抑郁、敌对、恐怖、偏执因子分显著高于中国常模.医生组恐怖、偏执因子分高于护理组;30 ~40岁医务人员心理健康水平低于其他年龄组.结论 妇产科医务人员,尤其是青年医务人员的心理压力应引起人们的关注.

  10. Investigation on the cognition and acceptability of medical personnel to human papillomavirus and its vaccine in a hospital of Tangshan city%唐山市某医院医护人员对HPV及其疫苗认知和接受度调查

    Institute of Scientific and Technical Information of China (English)

    马冬; 邱卉; 王海秋; 梁天明; 于艳; 李鸥

    2012-01-01

    Objective: To survey the cognition, attitude, and acceptability of medical personnel to human papillomavirus ( HPV) and its vaccine in a hospital of Tangshan city, Hebei province, explore the perspectives of general practitioners and nurses to inoculation of HPV vaccine, provide a certain basis for the spread of HPV vaccine. Methods: A self - designed questionnaire was used to survey the cognitions and attitudes of 200 medical workers to HPV and its vaccine in a hospital of Tangshan city by a self - administered and anonymous way. Results; Among 198 medical workers, 91. 5% of the doctors and 75. 0% of the nurses had heard of HPV, 53. 2% of the doctors and 47. 7% of the nurses had heard of HPV vaccine. More than half of the doctors and nurses were worried about the safety (61. 2% vs. 65. 8% ) and effectiveness (59. 6% vs. 65. 1) of HPV vaccine; only 23.4% of the doctors and 34. 8% of the nurses would like to use HPV vaccine. 3. 1% of the doctors and 30. 9% of the nurses advised the patients to use HPV vaccine, only about 30. 0% of the doctors and nurses agreed their children to use HPV vaccine, 65. 3% of the doctors and 55. 7% of the nurses advised that the adolescents aged more than 18 years old could received HPV vaccination. Conclusion; The cognitive levels of doctors and nurses to HPV are relatively high, but not enough, their cognitions to HPV vaccine are deficient, the most of the doctors and nurses have reservations about HPV vaccine.%目的:调查河北省唐山某医院医护人员对HPV及其疫苗的认知、态度和接受性,探究全科医师和护士对HPV疫苗接种的看法,为HPV疫苗的推广提供一定的基础.方法:采用自行设计的调查问卷,以自填式匿名方式调查唐山市某医院200名医护人员对HPV病毒及其疫苗的认知态度.结果:198名医护人员中,91.5%的医师和75.0%的护士曾经听说过HPV,53.2%的医师和47.7%的护士曾经听说过HPV疫苗,超过半数的医师和

  11. Prevalência da co-infecção HIV-sífilis em um hospital universitário da cidade do Rio de Janeiro no ano de 2005 Prevalence of HIV-syphilis coinfection in a university hospital in the city of Rio de Janeiro in 2005

    Directory of Open Access Journals (Sweden)

    Dario José Hart Pontes Signorini

    2007-06-01

    Full Text Available Estudo de prevalência da co-infecção HIV-sífilis realizado com 830 pacientes em acompanhamento ambulatorial para HIV/aids entre janeiro e maio de 2005 no Hospital na cidade do Rio de Janeiro. Os participantes realizaram exames de VDRL (veneral disease research laboratory, contagens de células CD4+/CD8+ e de carga viral e responderam perguntas sobre características sócio-demográficas e história prévia de sífilis. A prevalência da sífilis foi de 2,7% (22, a relação entre homens e mulheres co-infectados foi de 4:1, aproximadamente. Homossexuais masculinos foram os mais acometidos e não encontramos associação entre co-infecção e idade, escolaridade e parâmetros laboratoriais testados. Do total de casos com sífilis, 73% (16 relataram tratamento prévio; destes, 14 (88% pacientes foram re-infectados, enquanto 2 (12% pacientes realizaram tratamento inapropriado. A presença de co-infecção HIV-sífilis em pacientes em acompanhamento rotineiro alerta-nos para necessidade de aconselhá-los a adotar práticas sexuais seguras durante os seus atendimentos ambulatoriais.This was a study on the prevalence of HIV-syphilis coinfection among 830 HIV/AIDS patients who were being followed up as outpatients at a hospital in Rio de Janeiro between January and May 2005. The participants underwent laboratory tests at the venereal disease research laboratory (VDRL consisting of CD4+/CD8+ cell counts and viral load tests. They answered questions about their sociodemographic characteristics and past medical history of syphilis. The prevalence of syphilis was 2.7% (22 patients and the ratio between men and women with coinfection was approximately 4:1. Homosexual men were the category most affected. We did not find any association between coinfection and age, schooling and the laboratory parameters tested. Out of the total number of patients with syphilis, 73% (16 reported previous treatment; of these, 14 (88% were reinfected, while two (12

  12. Adherence to good practices in membrane premature rupture. Perinatology Service. University Hospital “Dr. Gustavo Aldereguía Lima”, Cienfuegos city. From January to December 2002. Adherencia a buenas prácticas en rotura prematura de membranas. Servicio Perinatología. Hospital "Dr. Gustavo Aldereguia Lima". Cienfuegos. Enero- diciembre 2002.

    Directory of Open Access Journals (Sweden)

    Yosleidy Capote Fragoso

    2004-12-01

    Full Text Available Fundament:Nursing good practice demands standardizationof care,in such a way that they guide and unite the different ways of performance. Objetive: to determine the adherence of the care plan to the guide of good nursing practice in the premature rupture of the membranes and the level of the staff for the level of preparation for its performance in the Service of Perinatology. Methods: Descriptive, correlational and prospective study applied to 622 pregnant women admitted at the Perinatology Service of ¨Dr. Gustavo Aldereguía Lima¨ Hospital from Cienfuegos province who had a rupture of the membrane. 311 patients (50% of the universe, selected with probabilistic simple randomized way, without exclusive criteria were studied. Adherence was measured by using evaluation means. Results:43 % of the assessed clinical records, received between 95 and 100 points . Among the 16 nurses evaluated , 43,7 % had difficulties, being 25 % technicians.

    Fundamento:Las buenas prácticas de enfermería exigen la estandarización de los cuidados, de modo que guíe y unifique los diferentes modos de actuación. Objetivo: Determinar la adherencia del plan de cuidado a la guía de la buena práctica de enfermería en la rotura prematura de membranas y el grado de preparación del personal para su realización en el Servicio de Perinatología.Métodos: Estudio descriptivo, correlacionar y retrospectivo realizado en un universo de 622 gestantes ingresadas en el Servicio de Perinatología del Hospital ¨Gustavo Aldereguía Lima¨ de Cienfuegos con rotura prematura de membranas, del que se tomó una muestra de 311 pacientes, el 50 % del universo, escogidas por el método probabilistico al azar simple por sorteo, sin criterios de exclusión. La adherencia fue medida a través de instrumentos de

  13. Comparison of the Roche RealTime ready Influenza A/H1N1 Detection Set with CDC A/H1N1pdm09 RT-PCR on samples from three hospitals in Ho Chi Minh City, Vietnam

    Science.gov (United States)

    Tham, Nguyen thi; Hang, Vu thi Ty; Khanh, Trong Huu; Viet, Do Chau; Hien, Tran Tinh; Farrar, Jeremy; van Vinh Chau, Nguyen; van Doorn, H. Rogier

    2012-01-01

    Background Real-time PCR can be considered the gold standard for detection of influenza viruses due to its high sensitivity and specificity. Roche has developed the RealTime ready Influenza A/H1N1 Detection Set, consisting of a generic influenza virus A PCR targeting the M2 gene (M2 PCR) and a specific PCR targeting the HA of A/H1N1-pdm09 (HA PCR, 2009 H1N1), with the intention to make a reliable, rapid, and simple test to detect and quantify 2009 H1N1 in clinical samples. Methods We evaluated this kit against the USCDC/WHO real-time PCR for influenza virus using 419 nose and throat swabs from 210 patients collected in 3 large hospitals in Ho Chi Minh city, Vietnam. Results In the per patient analysis, when compared to CDC PCR, the sensitivity and specificity of the M2 PCR were 85.8 and 97.6%, respectively; the sensitivity and specificity of HA PCR were 88.2 and 100%, respectively. In the per sample analysis, the sensitivity and specificity in nose swabs were higher than in throat swabs for both M2 and HA PCRs. The viral loads as determined with the M2 and HA PCRs correlated well with the Ct values of the CDC PCR. Conclusion Compared with the CDC PCR, the kit has a reasonable sensitivity and very good specificity for the detection and quantification of Influenza A virus and A/H1N1-pdm09. However, given the current status of 2009 H1N1, a kit that can detect all circulating seasonal influenza viruses would be preferable. PMID:22785431

  14. Universities scale like cities.

    Directory of Open Access Journals (Sweden)

    Anthony F J van Raan

    Full Text Available Recent studies of urban scaling show that important socioeconomic city characteristics such as wealth and innovation capacity exhibit a nonlinear, particularly a power law scaling with population size. These nonlinear effects are common to all cities, with similar power law exponents. These findings mean that the larger the city, the more disproportionally they are places of wealth and innovation. Local properties of cities cause a deviation from the expected behavior as predicted by the power law scaling. In this paper we demonstrate that universities show a similar behavior as cities in the distribution of the 'gross university income' in terms of total number of citations over 'size' in terms of total number of publications. Moreover, the power law exponents for university scaling are comparable to those for urban scaling. We find that deviations from the expected behavior can indeed be explained by specific local properties of universities, particularly the field-specific composition of a university, and its quality in terms of field-normalized citation impact. By studying both the set of the 500 largest universities worldwide and a specific subset of these 500 universities--the top-100 European universities--we are also able to distinguish between properties of universities with as well as without selection of one specific local property, the quality of a university in terms of its average field-normalized citation impact. It also reveals an interesting observation concerning the working of a crucial property in networked systems, preferential attachment.

  15. The administration of the Rorschach inkblot method and changes in autonomic nervous system activity [Aplikace Rorschachovy metody a změny v aktivitě autonomního nervového systému

    Directory of Open Access Journals (Sweden)

    Emil Šiška

    2009-09-01

    ím dopadem na zdraví. CÍLE: Cílem této studie bylo zjistit, zda aplikace Rorschachovy metody (Rorschach Inkblot Method – RIM může ovlivnit aktivitu autonomního nervového systému (ANS ve smyslu posunu autonomní rovnováhy směrem k sympatiku. METODIKA: Test RIM byl aplikován u 39 zdravých žen (22,8 ± 2,4 roku. Aktivita ANS byla hodnocena pomocí spektrální analýzy variability srdeční frekvence (SA HRV před testem RIM, v jeho průběhu a po jeho ukončení. Stejný postup byl zachován i v souboru 30 zdravých žen (21,41 ± 1,7 roku, avšak test RIM byl zaměněn za Stroopův test (Stroop color word test – SCWT, který se používá jako uznávaný zátěžový faktor ovlivňující významně aktivitu ANS. Pro hodnocení aktivity ANS bylo použito pět relativních ukazatelů SA HRV: percentuální podíl komponent VLF, LF a HF na celkovém spektrálním výkonu a poměry mezi komponentami (VLF/HF a LF/HF. Tyto poměry byly použity pro porovnání změn aktivity ANS, ke kterým došlo při použití obou psychologických testů (RIM a SWCT. VÝSLEDKY: Během aplikace testu RIM došlo k významnému poklesu spektrálního výkonu HF (%, významnému vzestupu VLF a LF (% a významnému vzestupu poměrů VLF/HF a LF/HF. Mezi testy RIM a SCWT nebyly shledány žádné rozdíly v dynamice VLF/HF (ukazatel stresu. ZÁVĚRY: Aplikace testu RIM může vyvolat silnou stresovou reakci spojenou s významným poklesem vagové aktivity a posunem autonomní rovnováhy směrem k sympatiku. Aplikace testů RIM a SCWT může vyvolat stres podobné intenzity a s podobným dopadem na aktivitu ANS.

  16. Proportion change of clinical feature and diagnosis of hospitalized patients with mood disorder in Zhongshan City from 2010 to 2014%2010~2014年中山市情感障碍住院患者的临床特征及诊断构成变化

    Institute of Scientific and Technical Information of China (English)

    蒋廷云; 邢志强; 张文蔚; 薛坤喜; 杜启峰; 肖翠琪

    2015-01-01

    目的:了解2010~2014年中山市情感障碍(MD)住院患者的临床特征与诊断构成变化趋势。方法采用回顾性分析的调查方法,收集2010年1月1日~2014年12月31日在本院住院治疗的MD患者的临床资料,内容包括性别、婚姻、发病年龄、确诊年龄等人口学资料及既往诊断,住院次数、出院诊断等临床资料。结果共收集932例MD患者的资料,其中20~29岁年龄段为住院年龄高峰(287例,30.8%),30~39岁年龄段次之(262例,28.1%)。近5年MD的诊断率依次为10.4%、14.0%、16.4%、19.3%、18.9%。 MD患者中,双相情感障碍(BPD)最多,占73.8%,其它依次为抑郁发作(10.4%)、躁狂发作(9.4%)、复发性抑郁障碍(6.0%)、持续性心境障碍(0.3%)、其它MD(0.1%)。结论2010年~2014年本院MD住院患者以年轻人(20~40岁)居多,且MD的诊断率呈逐年增高趋势。BPD在本院MD住院患者中所占比例最多,这可能与近年本院精神科临床医生对BPD的识别水平提高有关。%Objective To understand the proportion change trend of clinical feature and diagnosis of hospitalized pa-tients with mood disorder (MD) in Zhongshan City from 2010 to 2014. Methods Retrospective analysis was carried out, and data of all MD hospitalized in our hospital from January 1st 2010 to December 31st 2014 were collected,and the contents included demographics data like gender,marriage,age of onset and age at diagnosis and clinical data like prior diagnosis,hospitalized times and discharge diagnosis. Results Data of 932 cases of MD were collected,of whom the age group of 20 to 29 was the peak one in hospital(287 cases,30.8%);age group of 30 to 39 took the second place (262cases, 28.1%).Diagnosis rates of MD of this 5 years was successively 10.4%,14.0%,16.4%,19.3% and 18.9%.In the patients with MD,most of which were bipolar disorder (BPD),accounting for 73.8%,others by turns were depressive episode (10

  17. Mapping the Gendered City

    DEFF Research Database (Denmark)

    Almahmood, Mohammed Abdulrahman M; Scharnhorst, Eric; Carstensen, Trine Agervig;

    2017-01-01

    Walking is a mode of perceiving the city which also contributes to health and social benefits. This paper studies the influence of the socio-cultural aspects on the practice of walking and the meaning of walkscapes in Riyadh, one of the most auto-dependent and gender-segregated cities on the Arab...... Peninsula, where socio-cultural values and restrictions regulate men and women’s use and access to public spaces. The methodology used is a combination of movement tracking data using GPS technology and map-based workshops where participants can reflect on their walking behaviour and spatial preferences....... The results of mapping where the respondents walk show a city consisting of gender-specific walkscapes. Indoor environments, such as shopping malls, function as ‘urban shelters’ for women, so they use such spaces for walking. On the other hand, young men mainly walk in urban streets, which provide greater...

  18. Mapping the gendered city

    DEFF Research Database (Denmark)

    Almahmood, Mohammed Abdulrahman M; Scharnhorst, Eric; Carstensen, Trine Agervig

    2017-01-01

    opportunities for gender interaction. However, streets are socially conceived as men’s walkscapes, which limits women’s presence, especially at certain times of the day. This paper reveals how walking experience, tempo-rhythm, sense of place and range of walkscapes are not only determined by ‘universal’ spatial......Walking is a mode of perceiving the city which also contributes to health and social benefits. This paper studies the influence of the socio-cultural aspects on the practice of walking and the meaning of walkscapes in Riyadh, one of the most auto-dependent and gender-segregated cities on the Arab....... The results of mapping where the respondents walk show a city consisting of gender-specific walkscapes. Indoor environments, such as shopping malls, function as ‘urban shelters’ for women, so they use such spaces for walking. On the other hand, young men mainly walk in urban streets, which provide greater...

  19. Smart Aarhus: Participatory Digital City Development in Scandinavia

    DEFF Research Database (Denmark)

    Brynskov, Martin

    This talk will present and discuss some of the most prominent opportunities and challenges facing cities with an ambition to leverage the potential of digital technologies. The perspective is that of Aarhus, Denmark, a Scandinavian city situated in Nothern Europe in a conurbanized area...... of approximately one million people. Aarhus has recently announced a digital agenda, the Smart Aarhus Initiative. It will be formulated and implemented alongside unprecedented urban developments over the coming decade, the largest, relatively speaking, in the region, encompassing new constructions in central urban...... areas, the waterfront, an entire hospital city, large housing areas, as well as suburban areas. Aarhus has a dual purpose for its digital agenda: First, ICT (Information & Communication Technologies) will be a cornerstone in the coming transformation of the city and the region, with a focus on serving...

  20. Città/Fabbrica. Uno Studio di Prosperità Inaspettata / Factory/City. A Study in Unexpected Prosperity

    Directory of Open Access Journals (Sweden)

    Mei Lun Xue

    2015-01-01

    Full Text Available Prato rappresenta uno studio di come la crescita industriale nella produzione tessile possa influenzare la condizione architettonica. Negli anni del dopoguerra, i pratesi hanno sviluppato metodi di specializzazione in una rete di PMI familiari. L’industria tessile del territorio si è ristretta negli ultimi anni, alla fine soccombendo alle forze della produzione di massa. La stessa città ha visto un aumento degli immigranti cinesi, che trovano lavoro nella fiorente industria di indumenti “fast fashion”. Un rogo in una fabbrica nel dicembre del 2013 ha rivelato tensioni e la colpevolezza del grande pubblico. Ciò nonostante, il successo storico di Prato e le sue necessità urgenti richiedono un esame e un confronto. La disaggregazione fisica della fabbrica e della città dà indizi su ciò che si può salvare e rinnovare. / Prato is a study of industrial growth in textile production, coming to bear on an architectural condition. In the years after World War II, the Pratese developed methods of specialization in a network of small- to medium-sized family owned firms. The local textile industry has contracted in recent years, finally falling to the forces of mass production. The city itself has seen an increase in Chinese immigrants, who find work in the burgeoning ‘fast fashion’ garment industry. A factory fire in December 2013 exposed the tensions and culpability of the population at large. Yet Prato’s historical success and urgent needs beg for examination, and comparison. The physical disaggregation of factory and city give clues as to what can be retrieved, and made anew.

  1. Prototyping a Smart City

    DEFF Research Database (Denmark)

    Korsgaard, Henrik; Brynskov, Martin

    In this paper, we argue that by approaching the so-called Smart City as a design challenge, and an interaction design perspective, it is possible to both uncover existing challenges in the interplay between people, technology and society, as well as prototype possible futures. We present a case...... in which we exposed data about the online communication between the citizens and the municipality on a highly visible media facade, while at the same time prototyped a tool that enabled citizens to report ‘bugs’ within the city....

  2. Climate change and cities

    Energy Technology Data Exchange (ETDEWEB)

    Satterthwaite, David

    2006-10-15

    What is done, or not done, in cities in relation to climate change over the next 5-10 years will affect hundreds of millions of people, because their lives and livelihoods are at risk from global warming. What is done in cities will also have a major influence on whether the escalating risks for the whole planet will be reduced or eliminated. Climate change needs to be considered in all development plans and investments - local, regional, national and international. Urban growth must be made more climate-resilient and help reduce, rather than increase, greenhouse gas emissions. This will not be done by the market; it can only be done by governments.

  3. H Hospit tal was ste gen i neratio in Owe on and erri, Ni mana igeria ...

    African Journals Online (AJOL)

    sunny

    which could be solid or liquids (wastewater), hospital ... despite waste management issues suffered by countries ... reported for Sylhet city is in consistence to that of Dhaka ... environmental costs on hospital management for its ... with the municipal wastes in landfills. ..... other few efforts can get hospitals off the list of major.

  4. Assessment of the Knowledge of Blast Injuries Management among Physicians Working in Tripoli Hospitals (Libya).

    Science.gov (United States)

    Oun, Abdulhakim M; Hadida, Elmokhtar M; Stewart, Charles

    2017-03-08

    Introduction No study on hospital staff preparedness for managing blast injuries has been conducted in Libya. The internal conflict in Libya since 2011 and the difficulties faced by the hospitals has highlighted the need for such studies. Hypothesis Physicians working in Tripoli (capital city Libya) hospitals are inadequately prepared for the management of blast injuries.

  5. City of Crystal City, Missouri - Clean Water Act Public Notice

    Science.gov (United States)

    The EPA is providing notice of proposed Administrative Penalty Assessment against the City of Crystal City, Missouri, a municipality located in Jefferson County, Missouri, 63019, for alleged violations associated with the City’s wastewater treatment progra

  6. Epidemiological investigation and analysis on pre-hospital emergency of traumatic patients in the east of Yichang City%宜昌市城区东部院前急救创伤患者的流行病学调查与分析

    Institute of Scientific and Technical Information of China (English)

    李意; 李新志; 阙祥勇; 谢德平; 朱蕾

    2015-01-01

    目的:分析和探讨宜昌市城区东部创伤发生的规律和临床特点。方法采用回顾性调查研究2008年1月至2012年1月期间通过我院急诊科出动“120”接诊的3531例创伤患者,记录包括年龄、职业、性别、致伤原因、创伤部位、院前时间等指标并进行统计学分析。结果我院“120”接诊的院前急救创伤患者人数呈逐年递增趋势,其人数占院前急救患者总人数的比例却不呈逐年递增趋势;院前急救创伤患者男女比值约为2.5:1;创伤高发人群为中青年人(平均年龄为36.25岁),高发年龄段分别为21~30岁(18.86%)、31~40岁(23.65%)、41~50岁(24.16%);我院接诊的3531例创伤患者的创伤发生时间分布规律为:每年好发月份为9月、11月、12月,整体上来说下半年创伤发生率明显高于上半年,每周分布中以周一及周日创伤发生率高,每天好发创伤的时间段为14:00~16:00、18:00~22:00,尤以20:00~22:00为多;致伤原因位居前三位的分别为交通伤、摔伤、暴力伤,其在不同年龄段的分布有所不同,而男、女性在致伤原因中所占构成比也不同;创伤部位中前三位的分别为头颅和脑、下肢、胸部。结论以创伤好发时间、年龄等相关指标的流行病学规律为依据,组织医护人员进行专项培训,合理的分配急救资源,使创伤患者得到及时确切的救治,做好院前与院内救治的无缝连接,可大大减少创伤患者的致死率和致残率。%Objective To investigate and analyze the epidemiological characteristics of the patients with trau-ma in the east of Yichang City. Methods The clinical data of 3 531 traumatic patients who were rescued by“120”of our hospital region from January 2008 to January 2012 were retrospectively analyzed, including age, occupation, gender, causes, wound areas and pre-hospital time. Results During this four-year period, the number of

  7. A Committed City

    Institute of Scientific and Technical Information of China (English)

    LI LI

    2010-01-01

    @@ Shanghai, one of the most populated cities in the world's most populous nation, knew it had the largest ever 'World Exposition to prepare for more than two years prior to its opening, when a record number of countries and international organizations confirmed their participation.

  8. The Emerging City

    DEFF Research Database (Denmark)

    Samson, Kristine

    ” – urban furniture that was originally part of an election campaign for the cultural minister of Denmark, will illustrate how both political and artistic signatures become deterritorialized through urban space, time and every day social use. The second example is taken from corporate city development...

  9. Cities at Play

    DEFF Research Database (Denmark)

    Magnussen, Rikke; Elming, Anna

    2015-01-01

    for redesigning the neighbourhood in Minecraft and LEGO. These were presented to City of Copenhagen architects and urban planners as well as the head of the Department of Transport, Technology and Environment. Overall the study showed that tasks focused on solving local living problems through neighbourhood...

  10. Nature in the City.

    Science.gov (United States)

    Ferbert, Mary Lou

    1981-01-01

    Describes a science program developed by the Cleveland Museum of Natural History, "Nature in the City," in which students and teachers learn together about the natural community surrounding their school. Includes program's rationale, list of "adventures," and methods. Discusses strategies of Sherlock Holmes'"adventure" focusing on animal tracks…

  11. Mobilities, Futures & the City

    DEFF Research Database (Denmark)

    Freudendal-Pedersen, Malene; Kesselring, Sven

    2016-01-01

    The future of cities and regions will be strongly shaped by the mobilities of people, goods, modes of transport, waste and information. In many ways, the ‘why and ‘for what’ often get lost in discourses on planning and designing mobilities. The predominant planning paradigm still conceptualizes...

  12. WE LOVE THE CITY

    DEFF Research Database (Denmark)

    Andersson, Lasse

    2012-01-01

    With a point of departure in amongst others the Danish office of ADEPT’s approach, ‘The city in the building and the building in the city’ (ADEPT 2012), it is consequently the aim of this article to show how workshops can help shape and develop a spatial and architectural approach to form finding...

  13. WE LOVE THE CITY

    DEFF Research Database (Denmark)

    Andersson, Lasse

    2012-01-01

    With a point of departure in amongst others the Danish office of ADEPT’s approach, ‘The city in the building and the building in the city’ (ADEPT 2012), it is consequently the aim of this article to show how workshops can help shape and develop a spatial and architectural approach to form finding...

  14. Bug City: Beetles [Videotape].

    Science.gov (United States)

    1998

    "Bug City" is a video series created to help children learn about insects and other small critters. All aspects of bug life are touched upon including body structure, food, habitat, life cycle, mating habits, camouflage, mutualism (symbiosis), adaptations, social behavior, and more. Each program features dramatic microscopic photography,…

  15. Clean Cities Tools

    Energy Technology Data Exchange (ETDEWEB)

    None

    2014-12-19

    The U.S. Department of Energy's Clean Cities offers a large collection of Web-based tools on the Alternative Fuels Data Center. These calculators, interactive maps, and data searches can assist fleets, fuels providers, and other transportation decision makers in their efforts to reduce petroleum use.

  16. That City is Mine!

    NARCIS (Netherlands)

    Rooijendijk, Cordula

    2005-01-01

    This thesis is about urban ideal images. It is about dreams - not fictitious beliefs, but dreams that humankind can realize tomorrow. It is about images from intellectuals, pastry cooks, urban planners and firemen. About people who deeply care about their cities, about their hopes, frustrations, ang

  17. Bandung City, Indonesia

    NARCIS (Netherlands)

    Tarigan, A.K.M.; Sagala, S.S.; Samsura, D.A.A.; Fiisabiilillah, D.F.; Simarmata, H.A.; Nababan, M.

    2016-01-01

    Bandung City has grown to become a very important centre in Indonesia, demonstrating a higher economic growth rate than the national average. It has experienced many challenges resulting from rapid urbanisation, including slums, basic infrastructures, and flooding. Despite such issues, a gradual imp

  18. Accepted into Education City

    Science.gov (United States)

    Asquith, Christina

    2006-01-01

    Qatar's Education City, perhaps the world's most diverse campus, is almost entirely unknown in the United States, but represents the next step in the globalization of American higher education--international franchising. Aided by technology such as online libraries, distance learning and streaming video, U.S. universities offer--and charge tuition…

  19. Melbourne: A Parasite City?

    National Research Council Canada - National Science Library

    Birrell, Bob; Healy, Ernest

    2010-01-01

    Melbourne appears to be booming. Job growth is far more rapid than in Sydney. This article shows that Melbourne's economy is being driven by population growth and that most job growth is in the city-building and people-servicing industries...

  20. Airport as city

    NARCIS (Netherlands)

    Yin, M.

    2011-01-01

    The airport city is a two-fold phenomenon: the areas surrounding the airport develop due to their proximity and accessibility to the terminal complex, and the terminal complex itself develops in to a pseudo-urban centre. This situation is manifest to varying extents in all major airports of the worl