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Sample records for colangitis autoinmune reporte

  1. Tiroiditis no-autoinmunes

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    Leonardo F. L Rizzo

    2014-12-01

    Full Text Available El término tiroiditis comprende un grupo de enfermedades de la glándula tiroides caracterizado por la presencia de inflamación, abarcando entidades autoinmunes y no-autoinmunes. Pueden manifestarse como enfermedades agudas con dolor tiroideo severo (tiroiditis subaguda y tiroiditis infecciosas, y condiciones en las cuales la inflamación no es clínicamente evidente, cursando sin dolor y presentando disfunción tiroidea y/o bocio (tiroiditis inducida por fármacos y tiroiditis de Riedel. El objetivo de esta revisión es aportar un enfoque actualizado sobre las tiroiditis no-autoinmunes cubriendo sus aspectos clínicos, diagnósticos y terapéuticos.

  2. Encefalitis autoinmune en pediatría

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    Juan Carlos García-Beristáin

    2017-06-01

    Full Text Available La encefalitis es un desorden inflamatorio del encéfalo que deriva en un estado mental alterado, crisis convulsivas, déficits neurológicos focales, acompañado usualmente de signos de inflamación en el líquido cefalorraquídeo y hallazgos en la resonancia magnética que pueden ir desde normalidad hasta anormalidades extensas. La encefalitis puede ocurrir como resultado de una infección primaria del sistema nervioso central, o bien, por un proceso autoinmune desencadenado por una infección, vacuna o neoplasia oculta. La encefalitis autoinmune involucra varios tipos de entidades con diferentes fisiopatologías, el entender estas entidades nos ayuda a utilizar los recursos y elementos diagnósticos necesarios, así como la mejor estrategia terapéutica.

  3. Primeras experiencias con drenaje biliar percutáneo de urgencia en la colangitis aguda

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    José Luis González González

    Full Text Available Introducción: la obstrucción biliar es motivo frecuente de morbilidad en los pacientes con metástasis hepáticas, adenopatías periportales y cáncer hepatobiliopancreático. La colangitis aguda es la complicación más temida, debido a su mortalidad. En este trabajo se presentan los primeros abordajes percutáneos realizados por cirujanos del Hospital Clínicoquirúrgico "Hermanos Ameijeiras" como herramienta para el tratamiento urgente de esta entidad. Objetivo: caracterizar el drenaje percutáneo transparietohepático de urgencia en pacientes con colangitis aguda e ictericia obstructiva. Métodos: se realizó un estudio descriptivo, prospectivo y aplicado con 30 pacientes atendidos de esta forma en dicha institución entre enero de 2008 y diciembre de 2010. Resultados: el diagnóstico etiológico preponderante fue el de tumor maligno de la cabeza del páncreas. La localización baja de la lesión duplicó a la localización alta. La mejoría clínica de la ictericia se evidenció en la mayoría de los pacientes después de una semana tras el procedimiento: el drenaje percutáneo constituyó el método definitivo en el 73,3 % de los pacientes. Las edades medias para los distintos diagnósticos etiológicos exhibieron diferencias estadísticamente significativas. No hubo complicaciones ni mortalidad relacionadas con el procedimiento. Conclusiones: el drenaje biliar percutáneo guiado por ultrasonido es una herramienta útil y segura para el tratamiento de urgencia de la colangitis aguda. Es un método que pueden realizar los cirujanos generales con entrenamiento adecuado y específico, y tiene asociadas pocas complicaciones.

  4. Prevalencia de enfermedad celíaca en pacientes con hepatopatías crónicas

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    Crivelli, Adriana N.

    2016-01-01

    La enfermedad celíaca (EC) es definida como una enteropatía crónica del intestino delgado mediada por mecanismos inmunes, precipitada por la exposición al gluten y prolaminas relacionadas de la dieta, en individuos genéticamente predispuestos. Diversas enfermedades hepáticas pueden asociarse a la EC. El espectro del compromiso hepático en la EC es muy amplio e incluye, entre otros, enfermedad hepática criptogenética (desde leve a severa), hepatitis autoinmune, colangitis esclerosante primaria...

  5. Pancreatitis autoinmune: pseudotumor inflamatorio, afectación multifocal, hipertensión portal y evolución a largo plazo Autoimmune pancreatitis: inflammatory pseudotumor, multifocal fibrosclerosis, portal hypertension, and long-term outcome

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    J. L. Beristain

    2008-10-01

    Full Text Available La pancreatitis autoinmune es una enfermedad recientemente caracterizada y que en la actualidad constituye un reto diagnóstico especialmente su diferenciación con el cáncer de páncreas. Su evolución a largo plazo es poco conocida, presentándose un caso estudiado a lo largo de 14 años y mostrando su evolución clínica, bioquímica y morfológica. Paciente mujer de 54 años que debuta con un cuadro de ictericia obstructiva y molestias abdominales inespecíficas y constatación en la TAC de un aumento de la cabeza del páncreas, todo ello sugestivo de neoplasia de páncreas. Fue intervenida evidenciándose un aumento difuso de todo el páncreas descartándose malignidad intraoperatoriamente, realizando únicamente colecistectomía y coledocoduodenostomía, quedando diagnosticada entonces como pancreatitis crónica. Durante los años posteriores fueron apareciendo diferentes procesos autoinmunes como asma, sialoadenitis y colangitis esclerosante secundaria, así como episodios recurrentes de ictericia e insuficiencia pancreática endocrina y exocrina. La aparición de estas complicaciones y la detección de niveles séricos elevados de IgG4 y de anticuerpos antianhidrasa carbónica II condujo a la reevaluación de la histología inicial concluyendo finalmente con el diagnóstico de pancreatitis autoinmune al evidenciarse una infiltración linfocitaria y plasmacitaria IgG4+, así como fibrosis y flebitis obliterativa. En los últimos años se ha añadido a las anteriores complicaciones una fibrosis retroperitoneal con hipertensión portal, varices esofágicas y esplenomegalia.Autoimmune pancreatitis is a recently characterized disease that still constitutes a diagnostic challenge, especially regarding differential diagnosis from neoplasia. Long-term outcome is poorly known. We herein report a case of a patient with autoimmune pancreatitis and 14 years of follow-up, and show its clinical, biochemical, and morphological characteristics. A 54

  6. Pancreatitis autoinmune asociada a fibrosis retroperitoneal: evolución tras dos años de seguimiento Autoimmune pancreatitis associated with retroperitoneal fibrosis: outcome after 24 months of follow-up

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    M. Romero

    2008-10-01

    Full Text Available Introducción: la pancreatitis autoinmune es un tipo de pancreatitis crónica caracterizado por un infiltrado linfoplasmocitario y una elevación de IgG e IgG4, que se ha descrito asociada a diversas manifestaciones extrapancreáticas y enfermedades autoinmunes, lo cual apoya la teoría de un mecanismo autoinmune fisiopatólogico de base. Caso clínico: presentamos el caso de un varón que debutó simultáneamente con una pancreatitis autoinmune asociada a fibrosis retroperitoneal y lesión de la vía biliar extrapancreática, con respuesta total tras tratamiento con corticoides durante 4 meses y ausencia de recurrencia tras 24 meses de seguimiento. Discusión: la pancreatitis autoinmune es un tipo de pancreatitis crónica que probablemente forme parte de un proceso sistémico autoinmune, cuyas manifestaciones extrapancreáticas más frecuentes son la fibrosis retroperitoneal y las lesiones de la vía biliar extrapancreática. Su correcto diagnóstico e inicio precoz del tratamiento puede favorecer la resolución completa de las lesiones, principalmente en los casos de bajo grado de actividad, con menor probabilidad de recurrencia.Introduction: autoimmune pancreatitis is a kind of chronic pancreatitis characterized by the presence of lymphoplasmacytic infiltration and severely elevated serum IgG and IgG4, which has been associated to many extrapancreatic lesions and other autoimmune disorders, leading to the theory of an autoimmune mechanism involved in the pathogenesis of this disease. Case report: we report the case of a man who simultaneously presented with autoimmune pancreatitis associated with retroperitonal fibrosis, and a lesion of the extrapancreatic bile duct, with total response to corticosteroid treatment for 4 moths and absence of recurrence after 24 months of follow-up. Discussion: autoimmune pancreatitis is a kind of chronic pancreatitis that is probably a part of a systemic autoinmune disease, with retroperitoneal fibrosis and

  7. Anticoagulante lúpico en enfermedades autoinmunes Lupus anticoagulant in autoimmune diseases

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    Dunia de la C Castillo González

    2004-08-01

    Full Text Available El tromboembolismo venoso es una complicación reconocida en diferentes enfermedades autoinmunes. Se ha establecido que la detección del anticoagulante lúpico (AL y posiblemente los anticuerpos anticardiolipina (AAC tipo Ig G en título alto y medio, ayuden a identificar pacientes con riesgo de trombosis. Estudiamos el AL en 81 pacientes con enfermedades autoinmunes: 25 pacientes con lupus eritematoso sistémico (LES, 28 pacientes con púrpura trombocitopénica idiopática (PTI, 15 con anemia hemolítica autoinmune (AHAI y 13 que se incluyeron en el grupo de otras enfermedades, que comprendían vasculitis cutánea de pequeños vasos, enfermedad mixta del tejido conectivo, artritis reumatoidea y esclerodermia. El AL se encontró en el 19,7 % del total de los estudiados: 16 % en pacientes con LES, 21,4 % en pacientes con PTI y 40 % en la AHAI. En el grupo de otras enfermedades no se halló ningún paciente con el AL positivo. El 56,3 % de los pacientes con AL positivo presentaron alguna manifestación atribuible al síndrome antifosfolípido (SAFVenous thromboembolism is a well-known complication in different autoimmune diseases. It has been established that detection of lupus anticoagulant (LA and possibly IgG type anticardiolipin antibodies (AAC in high and medium titers help to identify patients with thrombosis risk. We studied LA in 81 patients with autoimmune erythomatous lupus, 28 patients with idiopathic thrombocytopenic purpura, 15 with autoimmune hemolytic anemia and 13 patients who were included in the group covering other diseases such as small vessel skin vasculitis, combined disease of the connective tissue, rheumatoid arthritis and sclerodermia. LA was found in 19,7 % of the total number of cases, in 16% of patients with LES, 21,4 % of those with ITP and 40 % of cases with AIHA. In the group of other diseases, there was no patient with positive LA. 56,3 % of patients with positive AL showed some manifestations related to

  8. Síndrome Poliglandular Autoinmune Tipo II: Posible Asociación con HLA DRB1*-DQB1* Possible association of Type II Autoimmune Polyendrocrine Syndrome with HLA DRB1*-DQB1*

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    M.S. Mallea Gil; M.C. Ballarino; M.M. Aparicio; K. Bertini; M.C. Ridruejo; S. Gimenez; P. Galarza; A. Perusco; S. Roveto; D. Rimoldi

    2010-01-01

    Los síndromes poliendocrinos autoinmunes (APS) asocian enfermedades endocrinas autoinmunes con otros desórdenes autoinmunes no endocrinos. El APS tipo II se caracteriza por compromiso primario suprarrenal, tiroideo y/o DM tipo I. Presentamos un paciente masculino de 46 años que fue internado por astenia, adinamia, hiporexia, severa disminución de peso, mareos y vómitos. Antecedente de obesidad y diabetes diagnosticada 3 años antes. Presentaba hipotensión arterial, hiperpigmentación de mucosas...

  9. Casos estandarizados en reumatología. Enfermedades autoinmunes sistémicas

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    Nolla Solé, Joan Miquel

    2014-01-01

    Introducción. Las enfermedades autoinmunes sistémicas, denominadas también colagenosis o conectivopatías, constituyen una heterogéneo grupo de procesos que presentan en común: los fenómenos de autoinmunidad, que tienen valor patogénico y, en muchas ocasiones, diagnóstico y que posibilitan la definición de subgrupos pronósticos y terapéuticos, así como la afección simultánea de diversos órganos y sistemas corporales, circunstancia que confiere a las entidades un gran polimorfismo clínico ...

  10. Thyroid autoantibodies in autoimmune diseases Anticuerpos antitiroideos en enfermedades autoinmunes

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    Regina M. Innocencio

    2004-06-01

    Full Text Available Abnormalities in the thyroid function and thyroid autoantibodies have been frequently described in patients with autoimmune diseases but seldom in antiphospholipid syndrome patients. In order to determine the prevalence of thyroid function and autoimmune abnormalities, we compared serum thyrotropin (TSH, serum free thyroxine (T4 levels, thyroid antithyroglobulin (TgAb and antithyroperoxidase (TPOAb levels of 25 patients with systemic sclerosis, 25 patients with rheumatoid arthritis and 13 patients with antiphospholipid syndrome to a control group of 113 healthy individuals. Evaluation included a thorough clinical examination with particular attention to thyroid disease and a serologic immune profile including rheumatoid factor, antinuclear and anticardiolipin antibody measurements. Subclinical hypothyroidism (4.2Ciertas anormalidades en la función tiroidea y anticuerpos antitiroideos han sido frecuentemente descriptos en pacientes con enfermedades autoinmunes, y más raramente en pacientes con el síndrome antifosfolipídico. Para determinar la prevalencía de anormalidades en la función tiroidea y de autoinmunidad, comparamos los niveles séricos de tirotropina (TSH tiroxina libre en suero (T4 anticuerpos antitiroglobulina (TgAb y antitiroperoxidasa (TPOAb en 25 pacientes con esclerosis sistémica, 25 pacientes con artritis reumatoidea y 13 pacientes con el síndrome antifosfolipídico con un grupo control de 113 individuos aparentemente sanos. La evaluación incluyó un completo examen clínico con particular atención para las enfermedades de la tiroides y una evaluación inmunológica incluyendo dosaje del factor reumatoideo, anticuerpos antinucleares y anticardiolipina. Hipotiroidismo subclínico (4.2

  11. Seroprevalencia del Virus Linfotrópico Humano de células T tipo 1 (HTLV-1 en pacientes con tiroiditis autoinmune.

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    Ricardo Mori

    2010-10-01

    Full Text Available Objetivo: Describir la seroprevalencia de infección por HTLV-1 en pacientes con tiroiditis autoinmune. Material y Métodos: Estudio transversal realizado en pacientes con tiroiditis autoinmune que acudieron al consultorio de Endocrinología del Hospital Nacional Cayetano Heredia entre octubre del 2008 y enero del 2010. Se usó un cuestionario estructurado para obtener datos epidemiológicos y clínicos, paralelamente, se revisaron las historias clínicas para obtener datos de laboratorio. A los participantes se les tomó una muestra de sangre para el diagnóstico de HTLV-1 mediante prueba de ELISA y confirmación por Western Blot, previa firma de consentimiento informado. Resultados: Durante el período de estudio, se atendieron 285 pacientes con tiroiditis autoinmune. Se incluyeron 145 pacientes (50,9%; la edad media fue 48,1 ± 15 años y 135 (93,1% fueron de sexo femenino. Tres pacientes tuvieron infección por HTLV-1, con una prevalencia estimada de 2,1% (IC 95%: 0-4,4%. Los seropositivos fueron de sexo femenino y tuvieron el diagnóstico de Enfermedad de Graves hipertiroidea. La frecuencia de infección por HTLV-1 en este grupo fue de 5% (3/60; IC 95%: 0-11%. No se encontró diferencia significativa entre los pacientes HTLV-1 positivos y negativos en cuanto a características demográficas, clínicas y de laboratorio. Conclusión: La prevalencia de infección por HTLV-1 en los pacientes con tiroiditis autoinmune fue similar a la prevalencia estimada para la población peruana en general.(Rev Med Hered 2010;21:180-186.

  12. Enfermedades Autoinmunes, tratamiento con Trichuris suis y otros helmintos

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    Iñigo Pallardo Fernández

    2015-01-01

    Full Text Available Objetivos: La "Hipótesis de la Higiene" postula sobre los efectos inmunomoduladores inducidos por agentes infecciosos en los seres humanos. El objetivo principal de este trabajo es indagar sobre las evidencias de esa hipótesis y sobre sus aplicaciones en el campo del tratamiento de las enfermedades autoinmunes, haciendo especial hincapié tanto en los mecanismos de acción en los que se basan estas aplicaciones como en los resultados reales obtenidos. Además analizará la posible evolución de estas terapias, especialmente a la sombra de las controversias éticas que surgen de la aplicación de estos tratamientos en relación a si es lícito causar una infección para curar otra patología, como es el caso que nos ocupa. Resultados: Actualmente existen resultados prometedores de ensayos clínicos sobre terapias helmínticas aplicadas al tratamiento de enfermedades autoinmunes como son la enfermedad de Crohn y la colitis ulcerosa, resumidos en el apartado de resultados de este artículo. Igualmente prometedora es la gran variedad de ensayos clínicos que actualmente están en curso sobre la aplicación de la terapia helmíntica al tratamiento de diversas patologías en las que está involucrado el sistema inmunológico, como son: asma, rinitis alérgica, artritis reumatoide, esclerosis múltiple, diabetes Mellitus tipo I, encefalomielitis autoinmune, obesidad, autismo, etc que han llevado a identificar cuáles son los parásitos indicados en el tratamiento de este amplio espectro de enfermedades. Sin embargo es necesario indicar que no todos los helmintos son inmunorreguladores y, por lo tanto útiles en el tratamiento de estas enfermedades y que, los que lo son, no son útiles en el tratamiento de todas las enfermedades de origen inmunológico sino que presentan una marcada especificidad. Es más, la utilidad de éstos presenta una variabilidad importante, no sólo dependiente de la enfermedad de origen inmunológico a tratar, sino tambi

  13. Sindromes endocrinos autoinmunes: cuándo sospechar y estudiar un sindrome poliglandular (SPG)

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    B. María Carolina Letelier, Dra.

    2013-01-01

    Los síndromes poliglandulares autoinmunes comprenden un amplio espectro de trastornos endocrinos. Estos síndromes incluyen trastornos monogénicos como el síndrome poliglandular tipo 1 (tipo juvenil) y trastornos genéticos complejos como el síndrome poliglandular tipo 2 (tipo adulto). Estos trastornos se basan en la presencia de infiltración linfocitaria de la glándula afectada, anticuerpos órgano-específico en sangre, defectos en la inmunidad celular y asociación con los genes de los antígeno...

  14. Anemia hemolítica autoinmune postinfección por virus de la hepatitis A. Informe de caso; Autoimmune haemolytic anaemia associated to hepatitis A. Case report

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    Claudia Lucía Sossa Melo, MD

    2010-01-01

    Full Text Available La anemia hemolítica autoinmune se asocia con una variedad de virus hepatotrópicos, en particular citomegalovirus (CMV, virus del Epstein-Barr y de la hepatitis B. No es frecuente dentro de la historia natural de la hepatitis A, la aparición de anemia hemolítica, y cuando se presenta, generalmente se asocia a deficiencia de glucosa-6-fosfato deshidrogenasa. Presentamos el caso de un paciente de sexo masculino sin hemólisis previa, con astenia e ictericia de dos meses de evolución y hepatomegalia 14 cm por debajo del reborde costal derecho. Los hallazgos en los exámenes de laboratorios mostraron anemia hemolítica con Coombs directo positivo, anticuerpos tipo inmunoglobulina M contra el virus de la hepatitis A positivos, niveles de bilirrubinas 20 veces y aminotrasferasas cuatro veces por arriba del rango normal; con estos datos el paciente fue diagnosticado como hepatitis A complicada con anemia hemolítica y probable hepatitis autoinmune asociada, por lo que se inició manejo con corticoides, alcanzándose mejoría clínica. Resaltamos la importancia de descartar la infección por el virus de la hepatitis A como posible etiología de anemia hemolítica autoinmune.______________________________________________________________________ Acute auto inmune haemolytic anaemia is associated with a variety of hepatotropic viruses, in particular cytomegalovirus, Epstein Barr virus and hepatitis B. The typical course of hepatitis A is rarely complicated with glucose-6-phosphate dehydrogenase deficiency. Wepresent the case of a man without previous haemolysis, he had been unwell for two months with fatigue and jaundice, the liver edge was palpable and tender 14 cm below the costal margin. Clinical chemistry showed haemolytic anaemia with positive direct coombs test, immunoglobulin M antibodies to hepatitis A virus were detected, the total bilirrubin concentration 20 times the upper and transaminase 4 times upper limit for normal levels; with this

  15. Anticuerpos anti 21 hidroxilasa séricos en pacientes con anticuerpos antifracción microsomal: Síndrome poliendocrino autoinmune Seric 21- hydroxilase antibodies in patients with anti-microsomal fraction antibodies: Autoimmune polyendocrine syndrome

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    Silvia Botta

    2007-04-01

    Full Text Available El síndrome poliendocrino autoinmune (SPA es la asociación de enfermedades endocrinas autoinmunes con otros desórdenes autoinmunes no endocrinos. Los tipos 1, 2 y 4 presentan adrenalitis autoinmune, esto indica la presencia de autoanticuerpos, y su marcador serológico específico es el anti 21 hidroxilasa (a21-OH. El SPA tipo 2 es la asociación de adrenalitis, enfermedad tiroidea y/o diabetes mellitus inducidas por autoanticuerpos. Como componentes menores, pueden estar asociados entre otros, vitiligo, alopecia y miastenia. Nuestros objetivos fueron: establecer la prevalencia de a21-OH séricos en pacientes con anticuerpos anti fracción microsomal (AFM positivos, enfermedad tiroidea autoinmune y/o afecciones endocrinas y no endocrinas autoinmunes; diagnosticar formas incompletas de SPA y estudiar individuos con probable riesgo de progresión a un SPA completo. Estudiamos 72 pacientes AFM positivos y 60 sujetos tomados como grupo control, AFM negativos. Hallamos a21-OH elevados en dos pacientes: A= 47 U/ml, hipotiroidismo autoinmune y miastenia; y B= 8.75 U/ml, hipotiroidismo autoinmune y vitiligo; ambos con ausencia de insuficiencia adrenal. La prevalencia de a21-OH encontrada fue del 2.8%. Las pacientes A y B corresponden a un SPA tipo 2 incompleto y latente en relación al componente adrenal. Considerando a los a21-OH marcadores de enfermedad autoinmune latente, el eventual riesgo de evolución hacia la afección clínica sugiere la necesidad de estrechos controles clínicos y bioquímicos periódicos.Autoimmune polyendocrine syndrome (APS is the association of autoimmune endocrine diseases, with other autoimmune nonendocrine disorders. APS types 1, 2 and 4 include autoimmune adrenalitis; this suggests the presence of autoantibodies. A specific serological marker for these is the anti 21- hydroxilase autoantibody (a21-OH. APS type 2 is the association of autoimmune adrenalitis, to autoimmune thyroid disease and/or diabetes mellitus, all

  16. Manifestaciones clínicas y paraclínicas de la hepatitis autoinmune en 48 pacientes de la ciudad de Medellín, 1980-2004

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    Jorge Hernando Donado Gómez

    2005-02-01

    Full Text Available Objetivo: describir las características clínicas, bioquímicas, histológicas, sociodemográficas y de tratamiento de los pacientes con hepatitis autoinmune (HAI. Metodología: estudio descriptivo retrospectivo de una serie de casos con 48 pacientes de la ciudad de Medellín con diagnóstico de HAI según los criterios del Grupo Internacional de Hepatitis Autoinmune. Resultados: la edad promedio al momento del diagnóstico fue 34 años, 40 pacientes (83.3% eran mujeres. Los hallazgos clínicos más frecuentes fueron fatiga (89.6% e ictericia (81.3%. Las medianas de los hallazgos de laboratorio pretratamiento fueron: AST 626 U/L, ALT 547.5 U/L, bilirrubina total 5.64 mg/dL, bilirrubina directa 3.4 mg/dL. Las medianas de los valores de laboratorio postratamiento fueron: AST 40.5 U/L, ALT 44.4 U/L, bilirrubina total 1.1 mg/dL, bilirrubina directa 0.4 mg/dL (p <0.000. El valor promedio de las gamaglobulinas fue 2.2 g/dL; 81.3% de los pacientes tuvieron biopsia hepática y de ellos 97.4% ten ían hallazgos compatibles con HAI. Cuarenta pacientes tenían anticuerpos antinucleares positivos. Se hallaron enfermedades autoinmunes concurrentes en 19 pacientes, la más frecuente fue la tiroiditis. El tratamiento más frecuentemente administrado fue prednisona más azatioprina en 56.3% de los pacientes. Cuarenta y un pacientes (85.4% respondieron completamente y 12 (25% recayeron. Conclusiones: las características sociodemográficas de este grupo de pacientes no son comparables con las encontradas en otras series. Los hallazgos clínicos, histológicos y bioquímicos son similares a los reportados en la literatura, lo que no se observó con las enfermedades autoinmunes asociadas. La mayoría de los pacientes pertenecen al subtipo 1 de la enfermedad.

  17. Diagnóstico y tratamiento de los síndromes de sobreposición de hepatitis autoinmune

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    O. Aguilar-Nájera

    2015-04-01

    En la actualidad, aún existe controversia acerca de si los síndromes de sobreposición son entidades diferentes o la presencia de 2 enfermedades coexistentes. Deben ser buscados en los pacientes con hepatitis autoinmune que tienen datos de colestasis ya que sabemos que su comportamiento tiende a ser más agresivo con mayores tasas de cirrosis y necesidad de trasplante hepático así como pobre respuesta al tratamiento, el cual debe ser dirigido al fenotipo principal. Hacen falta definiciones estandarizadas que permitan su estudio en ensayos clínicos controlados.

  18. Trasplante de células progenitoras hematopoyéticas en enfermedades autoinmunes Hematopoietic stem cell transplantation in autoimmune diseases

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    Flavio Albarracín

    2008-04-01

    Full Text Available El trasplante de células progenitoras hematopoyéticas, células con capacidad de autorrenovación y reconstitución de todos los tipos de células sanguíneas, se utiliza en el tratamiento de numerosas enfermedades potencialmente letales incluyendo leucemias y linfomas. Hoy en día es posible además aplicarlo en el tratamiento de enfermedades autoinmunes graves, como esclerosis múltiple, lupus eritematoso sistémico o esclerosis sistémica, resistentes a la terapia convencional. Estudios en modelos animales nos demuestran que la transferencia de células progenitoras hematopoyéticas podría revertir el proceso de autoinmunidad, un fenómeno que puede explicarse mediante diferentes mecanismos. El resultado de los estudios clínicos que se están llevando a cabo, así como también estudios en pacientes y modelos animales, ayudarán a determinar el rol que el transplante de células progenitoras hematopoyéticas puede jugar en el tratamiento de enfermedades autoinmunes.Transplantation of hematopoietic stem cells, which are capable of self renewal and reconstitution of all types of blood cells, can be a treatment for numerous potential lethal diseases, including leukemias and lymphomas. It may now be applicable for the treatment of severe autoimmune diseases, such as therapy-resistant multiple sclerosis, lupus and systemic sclerosis. Studies in animal models show that the transfer of hematopoietic stem cells can reverse autoimmunity. The outcome of ongoing clinical trials, as well as of studies in patients and animal models, will help to determine the role that stem-cell transplantation can play in the treatment of autoimmune diseases.

  19. Diseño de un plan estratégico en el Instituto de Enfermedades Autoinmunes Renato Guzmán - IDEARG S.A.S.

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    Jiménez Serrano, Lorena; Ortegon Lancheros, Carolina

    2012-01-01

    IDEARG S.A.S es una Institución Prestadora de Servicios de Salud dedicada a la atención de pacientes con enfermedades autoinmunes. Dentro de su ordenación se encuentra una planta de personal organizada y comprometida con el progreso de la empresa. Sin embargo, existe una sentida necesidad de implementar estrategias que permitan el fortalecimiento interno de la institución y su posicionamiento en el mercado como una de las empresas de mayor prestigio en su campo de acción. Resulta oportuno...

  20. Hepatitis autoinmune en la edad pediátrica Autoimmune hepatitis in pediatric patients

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    R. García Romero

    2007-05-01

    Full Text Available Introducción: la hepatitis autoinmune es una enfermedad inflamatoria de origen desconocido responsable de una destrucción progresiva del hígado y evolución hacia la cirrosis. Objetivo: el objetivo es evaluar las características de las hepatitis autoinmunes en la población infantil. Material y métodos: estudio retrospectivo de pacientes diagnosticados en nuestro servicio en los últimos 10 años. Las variables analizadas son: edad, sexo, forma de presentación, función hepática, inmunoglobulinas, autoinmunidad, histología, tratamiento, necesidad de trasplante y evolución clínica. Según la positividad de los auto-anticuerpos se clasifican en tipo I (ANA y/o ASMA y tipo II (LKM-1. Resultados: se diagnostica a siete pacientes, 5 mujeres (71,5% y 2 varones (28,5%; tipo I 5 y tipo II dos pacientes. La edad al diagnóstico es 21 meses a 12 años. En el tipo I la presentación clínica es como hepatitis aguda en 3 casos y 2 pacientes con insuficiencia hepática progresiva. Las tipo II se diagnostican tras un hallazgo analítico siendo asintomáticas. La elevación de transaminasas (x10 su valor se observa en el 71,5% e hipergammaglobulinemia en el 85%. El tratamiento instaurado es azatioprina y corticosteroides con un tiempo medio de remisión de 14 meses. Dos pacientes recaen al retirar corticosteroides. Conclusión: las formas de presentación son variadas y puede ser indistinguible a una hepatitis viral. Se debe sospechar ante una elevación de las aminotransferasas y la presencia de hipergammaglobulinemia. Con buenos resultados el tratamiento recomendado sería azatioprina y corticosteroides. Existen altos porcentajes de recaídas al retirar la corticoterapia por lo que algunos pacientes precisarían de dosis mínimas para mantener la remisión.Background: autoimmune hepatitis (AIH is an inflammatory disease of unknown origin that is responsible for progressive liver necrosis and ultimately cirrhosis. Objective: our aim was to evaluate

  1. Síndrome autoinmune en la paraparesia tropical espástica/ mielopatía asociada a la infección por el virus linfotrópico humano tipo I de la costa pacífica colombiana

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    Felipe García

    2008-12-01

    Full Text Available Introducción. Trabajos previos han aportado evidencias de que en la paraparesia espástica tropical/mielopatía asociada con el virus linfotrópico humano tipo I, existe un componente autoinmune asociado a su patogénesis. Objetivo. Evaluar el estado autoinmune y la existencia de mimetismo molecular en pacientes con paraparesia espástica tropical del pacífico colombiano. Materiales y métodos. A partir de muestras de plasma de 37 pacientes con paraparesia espástica tropical/mielopatía asociada al HTLV-I, 10 con leucemia de células T del adulto, 22 individuos portadores asintomáticos y 20 seronegativos para el HTLV-I, se determinaron niveles plasmáticos de anticuerpos antinucleares y anticardiolipina-2 y de interferón-??e interleucina- 4. Se evaluó, por Western blot, la reactividad cruzada de plasmas contra proteínas obtenidas de varias fuentes celulares normales del sistema nervioso. Además, se estudió la reactividad cruzada de plasmas de seropositivos y del anticuerpo monoclonal LT4 anti-taxp40 en secciones de médula espinal de ratas Wistar no infectadas. Resultados. El 70,2% y el 83,8% de los pacientes con paraparesia espástica tropical fueron reactivos para anticuerpos ANA y ACL-2, respectivamente, en contraste con los de leucemia de células T del adulto y los seropositivos asintomáticos (P<0,001. Además, el 70,3% y el 43,2% de los pacientes con paraparesia espástica tropical tuvieron niveles detectables de IFN-?? e IL-4, respectivamente. El anticuerpo LT4 anti tax-p40 y los plasmas de paraparesia espástica tropical/mielopatía asociada al HTLV-I mostraron una reacción cruzada con una proteína de PMr 33-35 kDa, obtenida del núcleo de neuronas de la médula espinal de ratas Wistar no infectadas. Conclusión. Se obtuvieron evidencias que apoyan la existencia de un síndrome autoinmune mediado por mimetismo molecular como parte de la etiopatogénesis de la degeneración axonal observada en la paraparesia esp

  2. Frequency Of Pancreatic Beta-Cell Autoimmunity Markers In Patients With Autoimmune Thyroid Disease Frecuencia de marcadores de autoinmunidad beta pancreática en pacientes con enfermedad tiroidea autoinmune

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    María E. Primo

    2008-02-01

    Full Text Available A total of 305 ambulatory patients recruited at the Division of Endocrinology, Hospital de Clínicas, University of Buenos Aires, with autoimmune thyroid disease (AITD were studied to search for associations between autoimmune thyroid disease and presence of serum markers of autoimmune diabetes mellitus. Screening for markers of pancreatic beta-cell autoimmunity was performed by radioligand binding assays (RBA as follows: autoantibodies to glutamic acid decarboxylase (GADA and proinsulin (PAA were determined in all sera, whereas autoantibodies to protein tyrosine phosphatase (IA-2A and insulin (IAA were additionally measured in 200 sera randomly selected from the total collection. In addition, every GADA positive serum among the remaining 105 sera was systematically tested for the presence of IA-2A and IAA. In the cohort of 305 AITD patients 22 (7.2% were previously diagnosed as type 1, type 2 or insulin-requiring type 2 diabetics. Ten of these patients presented serum marker positivity specific for β-cell autoantigens and 12 were marker negative. On the other hand, considering the majority of non-diabetic AITD patients (n=283, β-cell marker positivity was detected in 17 individuals (6.0%. The prevalence of autoimmune diabetes markers was much higher in the studied population than in the general population utilized as a control group, and GADA was the most frequent marker.Se investigó la asociación entre enfermedad tiroidea autoinmune y la presencia de marcadores séricos de diabetes mellitus en 305 pacientes ambulatorios con enfermedad tiroidea autoinmune reclutados en la División Endocrinología. La búsqueda de marcadores de autoinmunidad contra las células beta pancreáticas se realizó por la técnica de unión de radioligandos (RBA como se detalla a continuación: se determinaron autoanticuerpos contra la decarboxilasa del ácido glutámico (GADA y proinsulina (PAA en todos los sueros, mientras que los anticuerpos contra la prote

  3. Parasitosis in the bile duct, report of 3 cases and literature review

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    J.A. Garcia-Espinoza

    2018-04-01

    Full Text Available Background: Roundworm has a worldwide incidence of 25% of the population and biliary ascariasis accounts for 10–17% of all cases of roundworm infestation, predominantly in developing countries in tropical and subtropical climates. In the bile duct, it causes pyogenic cholangitis (stenosis and pigmented stones, cholecystitis, pancreatitis and liver abscesses. Clinical cases: We present the cases of three patients who showed symptoms of biliary disease. Only one of the three cases had imaging data (ultrasound compatible with biliary ascariasis. However the other two cases had biliary disease mimicking cholecystitis and cholangitis and diagnosis was confirmed at the time of surgical exploration. Conclusions: The management of biliary ascariasis rests on three main pillars according to severity. It starts with medical management, followed by endoscopic if the conservative option fails, and finally surgical management in selected cases, with a favourable prognosis in the majority of patients. Resumen: Antecedentes: Áscaris tiene incidencia mundial del 25% de la población y la ascaridiasis biliar representa el 10 a 17% de todos los casos de infestación por áscaris, predomina en países en vías de desarrollo, climas tropicales y subtropicales. En vía biliar produce colangitis piógena (estenosis y cálculos pigmentados, colecistitis, pancreatitis y absceso hepático. Casos clínicos: se muestran casos de tres pacientes por presentar síntomas de patología biliar, solo uno de los tres casos presento datos imagenologicos (ultrasonido compatibles con ascaridiasis biliar sin embargo los dos casos restantes presentaron patología biliar simulando colecistitis y colangitis, llegando al diagnóstico de certeza en el momento de la exploración quirúrgica. Conclusiones: el manejo de la ascaridiasis biliar reside en tres pilares escalados, comenzando con el manejo médico, seguido del endoscópico en caso de fracaso con el anterior y por último el

  4. Celiac disease (CD, ulcerative colitis (UC, and primary sclerosing cholangitis (PSC in one patient: a family study Enfermedad celiaca (EC, colitis ulcerosa (CU y colangitis esclerosante primaria (CEP asociadas en el mismo paciente: estudio familiar

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    V. Cadahía

    2005-12-01

    Full Text Available We discuss the case of a 17-year-old male who at the age of 7 was diagnosed with celiac disease (CD together with ulcerative colitis (UC and primary sclerosing cholangitis (PSC. The patient was treated with gluten-free diet and immunosuppressive drugs (azathioprine, and currently remains asymptomatic. The patient's younger, 12-year-old sister was diagnosed with CD when she was 1.5 years old, and at 7 years she developed type-I diabetes mellitus, which was difficult to control. A family study was made, and both parents were found to be affected with silent CD. All were DQ2 (+. In relation to the case and family study, we provide a series of comments related to CD and its complications.Presentamos el caso de un varón de 17 años, que a la edad de 7 años fue diagnosticado de enfermedad celiaca (EC junto con una colitis ulcerosa (CU y una colangitis esclerosante primaria (CEP asociadas. Fue tratado con DSG e inmuno-supresores tipo azatioprina y se encuentra asintomático en la actualidad. Su hermana menor de 12 años, fue diagnosticada de EC cuando tenía 1,5 años y a los 7 años desarrolló una DM tipo 1 de difícil control. Se realizó un estudio familiar y ambos padres están afectos de una EC silente. Todos ellos son DQ2 (+. A propósito del caso y estudio familiar, se hacen una serie de consideraciones sobre la enfermedad celiaca y el desarrollo de complicaciones.

  5. VACUNACIÓN CONTRA EL VIRUS DEL PAPILOMA HUMANO Y AUTOINMUNIDAD

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    Juan-Manuel Anaya

    2014-10-01

    Full Text Available El desarrollo de enfermedades autoinmunes es un tema de suma importancia cuando de vacunas se trata, dado el riesgo que pueden tener éstas de favorecer fenómenos de autoinmunidad en individuos susceptibles. La relación riesgo/beneficio de desarrollar enfermedades autoinmunes luego de la vacunación contra el virus del papiloma humano (VPH aún no se ha resuelto. Los datos disponibles son limitados para ofrecer conclusiones definitivas. Dado el aumento reciente de reporte de efectos adversos, se espera que estudios con suficiente tamaño muestral, en diversas poblaciones, confirmen la seguridad de la vacunación contra el VPH en niñas con enfermedades autoinmunes. Un análisis personalizado de cada paciente, que incluya la evaluación de autoinmunidad personal y familiar, podría ser sugerido, aunque no hay estudios que demuestren que sea costo-efectivo. Por lo tanto, la farmacovigilancia permanente de esta vacuna sigue siendo de suma importancia.

  6. Síndrome de Turner y tiroiditis autoinmune Turner´s syndrome and autoimmune thyroiditis

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    Tamara Fernández Teruel

    2003-12-01

    Full Text Available Paciente de 13 años de edad, del sexo femenino, quien presenta los siguientes antecedentes patológicos familiares: madre que padece de hipertensión arterial, padre con úlcera péptica; sin lazos de consanguinidad entre los progenitores. Antecedentes prenatales: gestación a término de 38 semanas que corresponde al segundo embarazo, signo de menos y escaso incremento de la altura uterina. Motivo de consulta: baja talla. Al examen físico de la paciente se encuentra piel seca y áspera, panículo adiposo aumentado, cubitus valgus, teletelia, implantación baja del cabello y en tridente, así como acortamiento del cuarto metacarpiano. Glándula tiroides: aumentada de volumen ± 25 gramos, superficie lisa, no dolorosa, no se precisan nódulos. Maniobra de Chvostek negativa, no vello sexual, genitales externos de aspecto femenino y estadio I de desarrollo de mamas (Tanner I. Estudios complementarios realizados: TSH 32,6 mU/L, anticuerpos antimicrosomales positivo, anticuerpos antiislotes pancreáticos positivo, cromatina oral 12 %, FSH 68,8 UI/L (elevado, LH 12,5 UI/L (elevado, estrógenos 18 pmol/L. (disminuido, prolactina 72 mU/L (disminuido. En resumen, se trata de una paciente con diagnóstico de síndrome de Turner y enfermedad autoinmune del tiroides, que cursa con hipotiroidismo clínico.A 13-years-old female patient, who presents with the following family pathological history: mother with blood hypertension, father with peptic ulcer; no blood relationship between parents. Prenatal history: term pregnancy of 38 weeks of a second pregnancy, minus sign and little increase of uterine height. Reason for appointment: low height. On physical exam, the patient´s skin was dry and rough, augmented adipose pannicle, cubitus valgus, telethelia, low implantation of hair in trident position as well as shortening of fourth metacarpal. Thyroidal gland: increased volume of ± 25 grams, smooth surface, no pain, no nodules were detected. Negative Chvostek

  7. Nueva definición, prevalencia, caracterización y tratamiento de la diabetes autoinmune latente del adulto A new definition, prevalence, characterization, and treatment of the latent autoimmune diabetes of adult

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    Eduardo Cabrera Rode

    2008-12-01

    Full Text Available La diabetes autoinmune latente del adulto es una forma de diabetes autoinmune que está presente en algunos sujetos equívocamente clasificados como diabéticos tipo 2. La progresión del daño autoinmune de las células ß en esta entidad es más lenta que en los niños con diabetes tipo 1. Las personas que la padecen, al momento del diagnóstico, presentan una mayor preservación de la función de las células ß que aquellos con la diabetes tipo 1 clásica. Su diagnóstico actual está basado en 3 características: edad igual o superior a 30 años (aunque se pueda encontrar también en sujetos con edades inferiores a 30 años; la presencia de al menos 1 de los 5 autoanticuerpos contra los antígenos pancreáticos de las células de los islotes (autoanticuerpos antiislotes [ICA], antidescarboxilasa del ácido glutámico [AGAD], anticuerpos contra la tirosina fosfatasa [AIA2] y contra el transportador del catión zinc dentro las células de los islotes [AZnT8], y la necesidad de requerimientos de insulina, al menos 6 meses después del diagnóstico. Está presente en el 10 % de los individuos con diabetes tipo 2 con edades ³35 años y en el 25 % de los menores de 35. Se han descrito varios genes de susceptibilidad para ella, que incluyen los genes HLA DR3/DR4 y DQB1*0201/DQB1*0302, DQB1*0602, MHC clase I relacionados con la cadena A (MICA, así como del alelo VNTR clase I, entre otros, los que la asemejan o diferencian tanto de la diabetes tipo 1 clásica como de la tipo 2. Estudios prospectivos sobre la función de las células ß muestran que los sujetos que tienen múltiples autoanticuerpos asociados a diabetes tipo 1, desarrollan un fallo de la función de las células ß dentro de los primeros 5 años de duración de la diabetes, mientras que la mayoría de aquellos con solo AGAD ó ICA desarrollan el fallo de la función de estas células después de los 5 años. En estas personas puede ocurrir un fallo de la función de las células

  8. Diagnosis and treatment of autoimmune hepatitis Diagnóstico y tratamiento de la hepatitis autoinmune

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    Maycos Leandro Zapata Muñoz

    2006-01-01

    Full Text Available Autoimmune hepatitis is a chronic, progressive disease, more frequent in women than in men, and of unknown etiology. Histologically, it is characterized by mononuclear cell infiltration in the portal tract, and biochemically by elevation of transaminases, hypergammaglobulinemia, and the presence of liver specific autoantibodies. Response to immunosuppressive treatment is generally good and the resolution of inflammation, both biochemically and histologically, is achieved in 87% of patients in 3 years after immunosuppressive treatment is started. Several studies have shown that in the absence of treatment the disease progresses rapidly to fibrosis, and the mortality rate is higher than 80% in the 5 years following diagnosis in untreated patients. Nevertheless, even if the patient has liver fibrosis, treatment decreases the inflammatory response and the histological progression of fibrosis. Life expectancy of patients who respond to treatment exceeds 90% at 10 years, and is 80% at 20 years; however, 10-15% of patients do not have satisfactory response to medical treatment. Standard treatment and new therapeutic options are reviewed in this article. La hepatitis autoinmune (HAI es una enfermedad crónica, progresiva, más frecuente en mujeres y de etiología desconocida, caracterizada histológicamente por infiltrado de células mononucleares en el tracto portal y bioquímicamente por hipertransaminasemia e hipergamaglobulinemia y por la presencia de autoanticuerpos específicos para el hígado. La respuesta al tratamiento inmunosupresor es generalmente buena y la resolución tanto bioquímica como histológica de la inflamación se logra en el 87% de los pacientes en tres años después de haber iniciado dicho tratamiento. Diversos estudios han demostrado que, en ausencia de tratamiento, la enfermedad lleva rápidamente a fibrosis y la tasa de mortalidad es mayor del 80% a los cinco años del diagnóstico. Por el contrario, si el paciente ya

  9. Posible participación del sistema complemento en el desarrollo de manifestaciones autoinmunes en la leucemia linfocítica crónica Possible role of the complement system in the development of autoimmune manifestations in chronic lymphocytic leukemias

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    Rinaldo Villaescusa Blanco

    2002-04-01

    Full Text Available Se efectuó la medición de la actividad de la vía clásica, alternativa, factor B, factor D, así como la cuantificación de C1q, C3 y C4 del sistema complemento en 27 pacientes con leucemia linfocítica crónica de tipo B (LLC-B CD5+ estadificados en 2 grupos: 12 pacientes en fase poco avanzada de la enfermedad (estadios 0, I, II y 15 en fase avanzada (estadios III, IV. Se demostró una disminución de la actividad de la vía clásica y de la concentración de C1q y C4 en 10 pacientes en fase avanzada, 7 de los cuales tenían asociada una anemia hemolítica autoinmune (AHAI; en el grupo en fase poco avanzada de la enfermedad no se demostraron deficiencias de complemento ni manifestaciones autoinmunes. Los datos obtenidos sugieren la posible participación del sistema complemento en el mantenimiento de la tolerancia inmunológica, cuya ruptura pudiera provocar la síntesis de anticuerpos antieritrocitarios, y por lo tanto, la anemia hemolítica que se asocia en determinados pacientes en fase avanzada de la enfermedadThe measurement of the activity of the classical pathway, the alternative pathway, factor B, factor D, as well as the quantification of Clq, C3 and C4 of the complement system were made in 27 patients with type B chronic lymphocytic leukemia (CLL-B CD5+, classified into 2 groups: 12 patients at little advanced stage of the disease (stages 0, I, II and 15 patients at advanced stage (stages III, IV. It was proved that the activity of the classical pathway and the concentration of Clq and C4 lowered in 10 patients at advanced stage, 7 of them also had autoimmune hemolytic anemia. Neither complement deficiencies nor autoimmune manifestations were shown in the group of patients at little advanced stage of the disease. Collected data indicates the possible involvement of the complement system in keeping the immune tolerance, the rupture of which may cause the synthesis of anti-erythrocyte antibodies and thus, the hemolytic anemia that

  10. Bacteriemia por Ochrobactrum anthropi en paciente con obstrucción de la vía biliar Bacteraemia by Ochrobactrum anthropi in patient with biliary obstruction

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    Sigifredo Ospina

    2009-12-01

    Full Text Available Reporte de caso de bacteriemia por Ochrobactrum anthropi con probable hepatitis bacteriana asociada, en un paciente inmunocompetente, el cual ingresa por sospecha de colangitis y obstrucción biliar. O. anthropi es una bacteria emergente en infecciones intrahospitalarias con notable resistencia antimicrobiana, y es un patógeno inusual en humanos.A case report of bacteraemia by Ochrobactrum anthropi probably associated with bacterial hepatitis, in a inmuno competent patient, who was admitted to the hospital with the diagnostic impression of cholangitis and biliary obstruction. O. anthropi is an emerging bacteria in nosocomial infections with remarkable antimicrobial resistance, being an unusual pathogen in humans.

  11. Hyperammonemic encephalopathy after urinary diversion. Diet therapy. Encefalopatía hiperamoniémica tras cistectomía radical y derivación urinaria. Tratamiento nutricional

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    Moriana, Miriam; Martinez-Ibañez, Juncal; Civera, Miguel; Martínez-Valls, José Francisco; Ascaso Gimilio, Juan Francisco

    2016-01-01

    La diabetes tipo 1 se asocia a otras enfermedades autoinmunes,con más frecuencia a tiroiditis linfocitaria o a celiaquía. En la última década se ha descrito algunos casos de encefalitis límbica asociados a diabetes tipo 1, tiroiditis u otros procesos autoinmunes, incluso en edad pediátrica.

  12. Diabetes autoinmune del adulto en diabéticos tipo 2: frecuencia y características LADA in type 2 diabetics: frequency and characteristics

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    Eduardo Cabrera-Rode

    2001-04-01

    Full Text Available Se realizó este trabajo para conocer frecuencia, características clínico-bioquímicas, inmunológicas y genéticas de la diabetes autoinmune en adultos (LADA en 1 000 diabéticos tipo 2 con edades ³ 35 años con distintos tiempos de duración de la diabetes. Se les determinó glucemia, anticuerpos antiislotes pancreáticos (ICA, anti-GAD65, anti-ICA512bdc/IA2, antimicrosomales tiroideos (AMT, antigástricos parietales (AGP, antinucleares (AN, microalbuminuria y péptido C en ayunas. Se encuestaron y se registraron algunas características clínicas. Se dividieron en 2 grupos según la presencia de ICA. Todos los diabéticos tipo 2 + para autoanticuerpos antiislotes (ICA y/o anti-GAD65 fueron identificados como LADA. Se detectó el 3,4 % de diabético tipo 2 con ICA +, en los diabéticos tipo 2 ICA- el 22,0 % presentó anticuerpos anti-GAD65. Se encontró que los diabéticos tipo 2 ICA+ eran más jóvenes, la duración de su diabetes era menor, presentaron menor IMC, disminución de los niveles de péptido C en ayunas, menos antecedentes familiares (padres de DM2, valores menores en las tensiones arteriales diastólicas y sistólicas, mayor presencia de anticuerpos anti-GAD65, AMT y AGP en comparación con los diabéticos tipo 2 ICA-. Se observó que los diabéticos tipo 2 ICA+ (LADA tienen características específicas que los asemejan a los diabéticos tipo 1, esto implicaría variaciones importantes en su tratamiento y evolución con respecto a los diabéticos tipo 2 ICA-. Se observó una baja frecuencia de ICA y alta de GAD en los diabéticos tipo 2 cubanos, las cuales fueron diferentes a la encontrada en poblaciones caucasianas. Los anticuerpos anti-GAD65 fueron superiores a los ICA para detectar los LADA. Las características clínicas e inmunológicas de estos pacientes muestran la lenta progresión de la destrucción autoinmune de las células b con implicaciones terapéuticas.This paper was aimed at knowing the frequency, clinico

  13. Bucal considerations in the treatment of patients with scleroderma: Report of two cases

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    Hernández Arenas, Y; Montalvo Acosta, S; Díaz Caballero, A

    2017-01-01

    La esclerodermia pertenece a un grupo de enfermedades autoinmunes del tejido conectivo, que produce: inflamación, disfunción vascular y fibrosis excesiva del tejido conectivo de soporte de la piel y los órganos viscerales. A nivel bucal se evidencian afecciones como xerostomía, microstomía, caries y enfermedad periodontal. El tratamiento odontológico requiere un manejo integral por parte de los profesionales, que comprenda las patologías orales presentes y los síntomas permanentes característ...

  14. Mecanismos de la aterosclerosis y enfermedad cardiovascular en enfermedades autoimnunes sistémicas: integración de análisis inmunológicos, moleculares y epigenéticos

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    Pérez Sánchez, Carlos

    2017-01-01

    Las enfermedades autoinmunes son el resultado de una interacción entre factores genéticos predisponentes, una alteración del sistema inmune y factores ambientales desencadenantes. Numerosos estudios epidemiológicos han demostrado que patologías autoinmunes sistémicas como la Artritis Reumatoide (AR), el Síndrome Antifosfolípido (SAF), y el Lupus Eritematoso Sistémico (LES), presentan una elevada incidencia de eventos cardiovasculares y aterosclerosis y, como consecuencia, altos ratios de mort...

  15. Rol de las células T regulatorias en esclerosis múltiple Role of T-regulatory cells in multiple sclerosis

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    Juan Ignacio Rojas

    2010-02-01

    Full Text Available La esclerosis múltiple (EM es una enfermedad inflamatoria autoinmune desmielinizante del sistema nervioso central (SNC. La mayoría de las enfermedades autoinmunes se originan por la activación anormal de la respuesta inflamatoria contra auto-antígenos (la mayoría de ellos desconocidos a la fecha como consecuencia de la pérdida de la tolerancia periférica. Las células T-regulatorias constituyen un grupo esencial de linfocitos T encargados del mantenimiento de la tolerancia periférica, la prevención de enfermedades autoinmunes y la limitación de enfermedades inflamatorias crónicas. Teniendo en cuenta la importancia de la tolerancia periférica, las células T-regulatorias serían componentes cruciales en el escenario fisiopatológico de los procesos autoinmunes, incluyendo la EM. El presente trabajo recopila los conocimientos actuales sobre la función de las células T-regulatorias en la EM, la enfermedad autoinmune desmielinizante del SNC más prevalente en los seres humanos.Multiple sclerosis (MS is an autoimmune inflammatory demyelinating disease of the central nervous system (CNS. Most of autoimmune diseases arise by an abnormal activation of the inflammatory response against self-antigens (most of them unknown up to date as a consequence of dysfunction in peripheral tolerance. Regulatory T-cells are essential for maintaining peripheral tolerance, preventing autoimmune diseases and limiting chronic inflammatory conditions. Based on that knowledge, T-regulatory cells have emerged as a key component of the physiopathology of autoimmune diseases including MS. This review compiles the current knowledge on the role and function of T-regulatory cells in MS, the most prevalent CNS autoimmune disease in humans.

  16. Vacunas y autoinmunidad: una rara asociación bajo debate Vaccines and autoimmunity: a strange association under debate

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    Alexander Batista-Duharte

    2012-06-01

    Full Text Available La posible asociación entre vacunas y enfermedades autoinmunes es un tema controversial. Existen elementos a favor de esta relación basados en modelos teóricos, ensayos de laboratorio y varios casos clínicos publicados. En cambio, los estudios epidemiológicos no han confirmado esta asociación y, de ellos, puede inferirse que las vacunas no constituyen una causa demostrada de enfermedades autoinmunes. En este trabajo se analizan las evidencias a favor y en contra de esta controversial asociación, además, se aborda un nuevo síndrome asociado con la administración continuada de adyuvantes vacunales. Se concluye que debido al gran impacto en beneficio de la salud logrado con las vacunas, es necesario continuar desarrollando esta tecnología, pero también se debe seguir perfeccionando los diseños de las nuevas formulaciones y profundizando estudios básicos, preclínicos, ensayos clínicos y farmacovigilancia de los nuevos candidatos vacunales para establecer el riesgo real de desarrollo de un evento autoinmune posvacunación.The occurrence and significance of autoimmune manifestations after administration of vaccines remain controversial. Evidence for immunization triggered autoimmunity come from several sources including theoretical models, animal studies, single and multiple case reports. In contrast, several epidemiological studies don’t report this association, which is reassuring and at least indicates that vaccines are not a major cause of autoimmune diseases. We analyzed current scientific data concluded that vaccines bring a positive impact on public health, so it is necessary to continue developing this technology. Evaluation methods should be improved to avoid or anticipate the possible autoimmune side effects that can be presented.

  17. Genetic Epidemiology of Polyautoimmunity and Common Autoimmunity in Colombia — Proof of Principle

    OpenAIRE

    Castiblanco Quinche, John Enrique

    2016-01-01

    Introducción: Las enfermedades autoinmunes (EA) son responsables de una gran porción de discapacidad y morbilidad a nivel mundial. Generalmente, las investigaciones científicas se centran en una sola enfermedad, aunque los fenotipos autoinmunes podrían estar representados por efectos pleiotrópicos en genes no-específicos al presentar mecanismos inmunogenéticos similares. Múltiples casos de una sola enfermedad dentro de familia son evidentes, y aún más sorprendente son los individuos en aquell...

  18. Espectro clinicopatológico de las tiroiditis

    OpenAIRE

    Marsiglia, Italo

    2007-01-01

    El espectro clinicopatológico de las tiroiditis abarca, desde la rara tiroiditis aguda o supurativa hasta la más rara tiroiditis de Riedel. Las tiroiditis subaguda y silente (y su variante postpartum) también son enfermedades no comunes, mientras que la tiroiditis crónica autoinmune o enfermedad de Hashimoto resulta la tiroiditis y la enfermedad autoinmune órgano específica más frecuente, responsable de la mayor parte de los casos de hipotiroidismo. Efectivamente, en las áreas geográficas no ...

  19. Tiroiditis autoinmune inducida por interferón en pacientes con infección por virus de la hepatitis C. Interferon-induced autoimmune thyroiditis in a patient with hepatitis C virus infection

    Directory of Open Access Journals (Sweden)

    José L. Pinto

    2011-06-01

    Full Text Available Se reporta el caso de un varón de 43 años de edad, sin antecedentes patológicos de importancia, que acudió por elevación asintomática de la alanino aminotransferasa (ALT. El paciente negó ser bebedor crónico de alcohol. Se hizo el diagnóstico serológico de infección activa por hepatitis C y la biopsia de hígado reveló inflamación crónica activa. Con estos resultados, se inició tratamiento con interferón-alfa y ribavirina. Durante el tratamiento de 48 semanas, el paciente presentó anticuerpos antitiroideos positivos con variaciones en sus niveles de tirotropina (TSH y hormonas tiroideas. En el seguimiento postratamiento, el paciente continuó con hipertiroidismo por enfermedad de Graves. La tiroiditis autoinmune es una complicación frecuente del uso de interferón en pacientes con hepatitis C. En algunos casos se presenta como hipertiroidismo por enfermedad de Graves. Se debe evaluar la función tiroidea y los anticuerpos antitiroideos antes y durante el tratamiento con interferón.A 43 year old man presented with asymptomatic elevation of alanine aminotransferase (ALT and no relevant past history. The patient denied being a chronic alcohol drinker. Work-up revealed an active hepatitis C, and liver biopsy showed active inflammation. Treatment was started with interferon-alfa and ribavirin. During the 48 weeks of treatment, the patient developed positive thyroid antibodies with varying level of thyrotropin (TSH and thyroid hormones. At follow-up after treatment, the patient continued with hyperthyroidism due to Graves’ disease. Autoimmune thyroiditis is a common complication of using interferon in patients with hepatitis C. In some cases, it is presented as hyperthyroidism because of Graves’ disease. Thyroid function and thyroid antibodies should be evaluated before and during treatment with interferon.

  20. Dermatomyositis as the first manifestation of small cell carcinoma: case report and literature review

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    Herman Ahumada Piña

    2016-11-01

    Full Text Available Resumen La dermatomiositis es una miopatía inflamatoria autoinmune, asociada a manifestaciones dermatológicas. Su vinculación con neoplasias está ampliamente reportada, siendo más común en el cáncer pulmonar, especialmente en carcinoma de células pequeñas probablemente por su origen en precursores de células neuroendocrinas, así como también en cáncer de mama y ovario. La baja frecuencia de dermatomiositis dificulta la sospecha de las lesiones subyacentes entre las posibilidades diagnósticas de las enfermedades sistémicas con manifestaciones cutáneas. Por ello siempre se debe considerar la alta probabilidad de una neoplasia, con reportes de hasta 75% en la población oriental y cerca de 40% en general. En este artículo se presenta un caso poco frecuente de dermatomiositis con lesiones de distribución en chal, como debut sintomático de un carcinoma pulmonar de células pequeñas.

  1. Daño hepático y enfermedad celíaca Liver damage and celiac disease

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    M. D. Cantarero Vallejo

    2007-11-01

    Full Text Available La enfermedad celiaca (EC es una causa importante de elevación de transaminasas: entre un 5 y un 10% de los pacientes con elevación crónica, criptogénica, de las transaminasas presentan EC y, al contrario, la EC puede estar asociada a diferentes enfermedades hepáticas. En efecto, un amplio abanico de patología hepática puede asociarse a EC, tanto en niños como en adultos, que pueden resumirse en: a daño hepático mínimo caracterizado por la ausencia de síntomas o signos clínicos asociables a una enfermedad hepática crónica y con cambios histológicos no específicos que desaparecen después de la introducción de una dieta sin gluten; b hepatopatías de etiología autoinmune, incluyendo la hepatitis autoinmune, la colangitis esclerosante primaria y la cirrosis biliar primaria, en las que la respectiva evolución no está influenciada por la introducción de dieta sin gluten; y c insuficiencia hepática grave y cirrosis hepática criptogénica descompensada, potencialmente tratables con la dieta sin gluten. Todas estas patologías están condicionadas por diferentes factores individuales y por una predisposición genética. La progresión y la reversibilidad del daño hepático en los diferentes cuadros patológicos, pueden estar condicionadas por la exposición al gluten y la edad, precoz o tardía, en la cual ha sido introducido en la dieta. Hay suficiente evidencia clínica para recomendar un atento cribado cruzado tanto para el diagnóstico del daño hepático asintomático en los pacientes con EC como para el diagnóstico de la EC en los pacientes con daño hepático criptogénico.Celiac disease (CD is an important cause of serum aminotransferase elevation: between 5 and 10% of patients with persistent and cryptogenetic transaminase elevation may have CD. In fact, a wide spectrum of liver injuries in children and adults may be related to CD, particularly: a mild parenchymal damage characterized by absence of any clinical signs

  2. Alopecia areata por uso de leflunomida en una paciente con artritis reumatoide: reporte de caso y revisión de literatura

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    María Ignacia Molina Molina

    2016-03-01

    Full Text Available La artritis reumatoide es una enfermedad de tipo autoinmune. Por su carácter altamente invalidante, requiere de manejo farmacológico agresivo. Para ello, habitualmente se hace necesario el uso de drogas inmunomoduladoras agrupadas bajo el nombre de fármacos antirreumáticos modificadores de la enfermedad. Uno de los utilizados con mayor frecuencia es la leflunomida, la cual por su mecanismo de acción es capaz de suprimir ejes fundamentales en el proceso de la enfermedad. Sin embargo, su uso no se encuentra exento de efectos secundarios. Si bien existen series que reportan que los efectos adversos más prevalentes son diarrea, náuseas, exantema y alopecia, existen escasos reportes de casos de alopecia areata universal secundaria al uso de leflunomida. A propósito de un caso en el Hospital Regional de Talca, se realizó una revisión de la literatura acerca del tema.

  3. LUPUS ERITEMATOSO CUTÁNEO: ANÁLISIS CLÍNICOS Y DE LABORATORIO

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    Priscila Maria da Silva Gomes

    2015-07-01

    Full Text Available El lupus eritematoso (LE se incluye entre las llamadas enfermedades del tejido conectivo y se divide en una forma sistémica lupus eritematoso sistémico (LES y una forma eritematoso piel lupus cutáneo (LEC. La LE es una enfermedad autoinmune heterogénea y multisistémica caracterizada por la producción de anticuerpos que combaten su propio cuerpo en lugar de antígenos que luchan. El lupus es una enfermedad con mayor frecuencia entre las edades de 20 a 50 años, que afecta a más mujeres que hombres que implican, en la mayoría de los casos, los pacientes con antecedentes familiares de lupus y otras enfermedades autoinmunes.

  4. Informes clínicos breves

    OpenAIRE

    Facultad de Medicina Revista

    1996-01-01

    Procedimientos mayores en cirugía general, Hospital San Juan de Dios. 511 casos / síndrome de pinzamiento de hombro: Tratamiento con acromioplastia de neer modificada  / Fascitis necrotizante / Colangitis aguda / Infusión continua de alfentanyl vs. anestesia general, inhalatoria convencional en varicosafenectomía / ecografía doppler en la evaluación de la hidronefrosis del niño / Analgesia epidural en el trabajo de parto: Comparación de dos técnicas: infusión continua vs. refuerzos / Manual d...

  5. Inmunopatogenia de la artritis reumatoidea: Conceptos actuales

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    Virginia Torres Lima

    1998-10-01

    Full Text Available Se informa que la artritis reumatoidea es una enfermedad autoinmune inflamatoria y sistémica, cuya causa aún no se ha precisado, pero es de suponer varios factores que son importantes en su patogenia, entre ellos, factores ambientales, genéticos (asociados con el complejo principal de histocompatibilidad y con los genes que codifican la síntesis de inmunoglobulina, del receptor de célula T, citocinas y moléculas de adhseión. Estos factores, al interactuar, median el daño articular propio de la enfermedad, con participación de los sucesos de la respuesta inmune. También se mencionan otros mecanismos de daño articular por activación de oncogenes, que regulan tanto la apoptosis, como la activación de enzimas proteolíticas que contribuyen a la formación del pannusIt is reported that rheumatoid arthritis is a systemic autoinmune inflammatory disease whose causes are yet unelear but several factors are supposed to be important in its pathogenesis such as environmental factors and genetic factors (linked to the main histocompatibility complex and to coding genes for the synthesis of inmunoglobulin, T-cell receptors, cytokines and adhesive molecules. When these factors interact, they mediate the articular damage inherent to the disease where inmune response events also participate. Additionally, other mechanisms of articular damage by oncogene priming are presented. They regulate both apoptosis and proteolytic enzime priming contributing to pannus formation

  6. Polimorfismo del TNF-alpha en autoinmunidad y tuberculosis.

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    Paula A. Correa

    2004-06-01

    Full Text Available El factor de necrosis tumoral alfa (TNF-a está incriminado tanto en enfermedades autoinmunes como en infecciosas. En el presente estudio se examinó el polimorfismo de la región promotora -308 del gen del TNF-a en enfermedades autoinmunes [lupus eritematoso sistémico (LES, artritis reumatoidea (AR, síndrome de Sjögren primario (SSp] y en tuberculosis. La genotipificación del polimorfismo -308 del TNF-a se realizó en ADN de pacientes con AR (N=165, LES (N=118, SSp (N=67, tuberculosis (N=138 y controles sanos (N=419, mediante reacción en cadena de la polimerasa con polimorfismos en los tamaños de los fragmentos de restricción (PCR-RFLP. El alelo TNF2 se asoció con la AR (OR=1,6; IC95% 1,2-2,3, p=0,008, el LES (OR=2,3; IC95% 1,6-3,3, p

  7. Síndrome de Felty: Presentación de un caso y revisión bibliográfica Felty's syndrome: A case report and literature review

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    M Domínguez

    Full Text Available El síndrome de Felty se caracteriza por reunir la tríada compuesta por: artritis reumatoide, neutropenia y esplenomegalia. Es una enfermedad autoinmune poco frecuente, con compromiso sistémico, articular y extra articular. Se desarrolla en personas de mediana edad, con historia de artritis reumatoide crónica deformante. El diagnóstico es eminentemente clínico y el tratamiento está enfocado a disminuir el dolor articular, las altas tasas de infecciones y evitar las deformidades óseas. Presentamos una paciente de 69 años de edad, diagnosticada en nuestro hospital, motivo por el que realizamos revisión bibliográfica de la entidad.Felty's syndrome has such as main feature the triad composed by: rheumatoid arthritis, neutropenia and splenomegaly. It is unusual autoimmune disease that compromises the nervous system as well as joint affectation and extra joint. This illness develops in middle aged subjects with arthritis rheumatoid chronic deform history. The diagnosis is clinical and the focus treatment is to diminish the articular pain, to reduce the infections high rates and to avoid the bony deformities. We report a clinical case of a patient who is 69 years-old, she was diagnosed in our hospital and we reviewed the bibliographic entity.

  8. Susac syndrome: the first case report in Peru

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    Carolina Rivadeneira-Sotelo

    2017-08-01

    Full Text Available Resumen El síndrome de Susac es una entidad rara, caracterizada por la triada clásica de encefalopatía subaguda, oclusión de la arteria retiniana e hipoacusia neurosensorial. Es más frecuente en mujeres, la edad de inicio fluctúa entre los nueve y los 58 años de edad. La patogénesis se plantea como un cuadro microangiopático a nivel cerebral, retiniano y coclear asociado a un mecanismo autoinmune. Presentamos el caso de una mujer de 31 años de edad que inició con cefalea holocraneana, conducta pueril, bradilalia y somnolencia. En la angiografía con fluoresceína de retina presentó en la evolución un déficit auditivo y obstrucción arterial de la rama temporal retiniana derecha. La resonancia magnética cerebral mostró lesiones redondeadas hiperintensas en el cuerpo calloso, región periventricular y cerebelo. Se reporta el primer caso de síndrome de Susac definido en Perú, el que se manifestó con la triada clásica, que es de presentación poco frecuente. Sin embargo, también los casos que muestran formas incompletas deben ser evaluados oportunamente para iniciar un tratamiento oportuno y evitar secuelas irreversibles.

  9. Esclerosis múltiple: aspectos generales y abordaje farmacológico Multiple sclerosis: general features and pharmacologic approach

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    Nielsen Lagumersindez Denis

    2009-08-01

    Full Text Available La esclerosis múltiple es una enfermedad autoinmune, inflamatoria y desmielinizante del sistema nervioso central, de etiología desconocida y evolución crónica. Existen diferentes hipótesis etiológicas que hablan de una estrecha interrelación entre factores genéticos predisponentes y factores ambientales disímiles, capaces de desencadenar la respuesta autoinmune a nivel del sistema nervioso central. La hipótesis de la patogenia autoinmune se basa en estudios en modelos experimentales y hallazgos en biopsias de pacientes afectados por la enfermedad. Datos acumulativos reportan que el estrés oxidativo desempeña una función fundamental en la patogénesis de la esclerosis múltiple. Las especies reactivas de oxígeno generadas por macrófagos han sido implicadas como mediadoras de la desmielinización y el daño axonal, tanto en la encefalomielitis autoinmune experimental, como en la esclerosis múltiple propiamente. El diagnóstico de la enfermedad es difícil porque no existe una única prueba confirmatoria. El tratamiento de la esclerosis múltiple abarca el tratamiento de los relapsos agudos y los síntomas, así como la modificación de la enfermedad. Estos aspectos requieren un enfoque individualizado, basado en la evolución de esta afección y la tolerabilidad de los tratamientos. Además de la dieta, entre los tratamientos no farmacológicos para la esclerosis múltiple se recomienda la terapia física. Por otra parte, se han realizado varios ensayos clínicos en los que se han empleado extractos naturales, suplementos nutricionales y otros agentes con resultados alentadores. La farmacología ha dotado a los neurólogos de un amplio arsenal de fármacos de probada eficacia; sin embargo, los resultados de los laboratorios de investigación en los últimos años hacen muy probable que las posibilidades terapéuticas aumenten considerablemente en el futuro.Multiple sclerosis is an autoimmune, inflammatory and desmyelinization

  10. Inmunodeficiencias en Lupus Eritematoso Sistémico

    OpenAIRE

    Alonso Beato, Rubén

    2016-01-01

    Cada vez hay más evidencias de que las enfermedades autoinmunes sistémicas como el lupus eritematoso sistémico (LES) y las inmunodeficiencias no son enfermedades separadas. El objetivo de este estudio es determinar si la inmunodeficiencia es una constante en el LES, así como determinar la relación con el tratamiento inmunosupresor, y el tipo y gravedad de las infecciones. Otro Grado en Medicina

  11. Autoantibody and environmental damage to the brain

    OpenAIRE

    Arango, María-Teresa

    2016-01-01

    Las anormalidades de comportamiento y disfunciones cognitivas pueden presentarse en pacientes con enfermedades autoinmunes. Estos síntomas pueden fluctuar de leves hasta eventos potencialmente mortales. En su gran mayoría los mecanismos responsables de estas manifestaciones neuropsiquiatricas siguen siendo desconocidas, sin embargo se han identificado varias vías patogénicas. Por ejemplo; neurotoxicidad mediada por anticuerpos, vasculopatía inducida por anticuerpos anti-fosfolípidos, neurotox...

  12. Revisión general de compromiso renal en enfermedades autoinmunes

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    G. Eduardo Wainstein, Dr.

    2010-07-01

    Se revisaran las manifestaciones clínicas y anatomapatologicas más comunes de algunas de las enfermedades autoimunes sistémicas. El tratamiento solo se esboza, ya que una discusión en detalles de este sobrepasa la intención de esta revisión.

  13. AUTOINMUNIDAD NEUROLÓGICA EN LOS TIEMPOS DEL ZIKA

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    Yeny Acosta-Ampudia

    2016-06-01

    Full Text Available

    Desde el año 2015 el mundo se vio enfrentado al renacer de una nueva epidemia por el virus del Zika (vZIKA, cuyas complicaciones neurológicas hicieron que en Febrero de 2016 la Organización Mundial de la Salud declarara la epidemia como una “emergencia de salud pública de importancia internacional”. En el presente artículo se revisan las características de este virus y su asociación con el síndrome de Guillain-Barré, a través de una posible respuesta autoinmune contra gangliósidos mediante mimetismo molecular, en el contexto de la ecología autoinmune.

    NEUROLOGICAL AUTOIMMUNITY IN THE TIME OF ZIKA

    ABSTRACT

    Since 2015 the world is facing a new outbreak of Zika virus (ZIKV. The sudden increase in neurological complications associated with ZIKV prompted the World Health Organization to declare this outbreak in February 2016 a “public health emergency of international concern”. This article reviews the main characteristics of ZIKV and its association with Guillain-Barre syndrome, in the context of autoimmune ecology, through a possible molecular mimicry against gangliosides.

  14. OTROS TIPOS ESPECÍFICOS DE DIABETES MELLITUS

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    DRA. M. Gabriela Sanzana G.

    2016-03-01

    En las “Diabetes Atípicas” (no incluidas en la clasificación ADA, se mencionan la DM tipo 2 en niños y adolescentes, favorecida por el aumento de la obesidad y del sedentarismo; la diabetes propensa a la cetosis, que debutan en cetoacidosis, con etiopatogenia y evolución de DM2; los Latent Autoinmune Diabetes of Adults (LADA, DM tipo 1 de lenta aparición y la diabetes postrasplante.

  15. Conexión entre inmunodeficiencia primaria y autoinmunidad

    OpenAIRE

    Lahera Sánchez, Tania

    2010-01-01

    Inmunodeficiencia y autoinmunidad constituyen 2 polos de la respuesta inmunitaria que pueden interrelacionarse con cierta frecuencia. En este artículo se exponen los síndromes autoinmunes que son causados por inmunodeficiencias primarias. También se describen otras inmunodeficiencias primarias como la inmunodeficiencia variable común, el síndrome de hiper Ig M, la deficiencia selectiva de Ig A, la hipogammaglobulinemia ligada al cromosoma X, el síndrome de Di George, la enfermedad granulomato...

  16. Isquemia microvascular miocárdica, un compromiso asintomático en esclerosis sistémica

    OpenAIRE

    Rausch, Gretel

    2011-01-01

    La Esclerosis Sistémica (ES) es una enfermedad autoinmune y multisistémica, cuya afectación básica es una lesión vascular generalizada, que produce isquemia y fibrosis secundaria del tejido comprometido. El compromiso miocárdico primario (sin compromiso pulmonar o renal), es frecuente, y un grave factor de riesgo de muerte. Junto con la fibrosis pulmonar y la hipertensión pulmonar, es una de las principales causas de mortalidad. Facultad de Ciencias Médicas

  17. Impacto de la resiliencia en pacientes con Artritis Reumatoide

    OpenAIRE

    Beltrán García, Jonathan Camilo; Zapata Gómez, Elizabeth

    2016-01-01

    Introducción: La artritis reumatoide (AR) es una enfermedad autoinmune-inflamatoria, que compromete las articulaciones diartrodiales. Tiene una importante repercusión sistémica que incluye la depresión; por lo tanto, tiene un severo impacto sobre la calidad de vida. Es posible que mecanismos de defensa, tales como la resiliencia, puedan amortiguar dicho impacto. Metodología: estudio de corte transversal, multicéntrico (análisis inicial dentro del grupo AR, con muestra no probabilística d...

  18. Tripanosomiasis transfusional en el paciente inmunocomprometido

    Directory of Open Access Journals (Sweden)

    José Félix Restrepo Suárez

    1995-07-01

    Full Text Available El lupus eritematoso sistémico (LES es una enfermedad autoinmune, de etiología desconocida, que puede afectar cualquier órgano incluyendo el tracto gastrointestinal. Se ha documentado, aunque raramente, la asociación con pancreatitis aguda y, recientemente, en dos casos, con pancreatitis crónica. Este sería, de acuerdo con nuestro conocimiento, el tercer caso descrito en la literatura médica que informa la asociación entre pancreatitis crónica y LES.

  19. Hábitos alimentarios en niños celiacos

    OpenAIRE

    Martín Arroyo, Sheila

    2016-01-01

    La Enfermedad Celiaca (EC) es una enfermedad de origen autoinmune provocada por la ingesta de gluten en individuos genéticamente susceptibles cuyo único tratamiento seguro y eficaz es la Dieta Sin Gluten (DSG). Estudiar los hábitos alimentarios de los pacientes en edad pediátrica diagnosticados de EC y compararlos con los de un grupo control pareado por edad y sexo. El objetivo secundario es observar si ambos grupos se adecuan a las recomendaciones nutricionales de la Asocia...

  20. Falla ovárica precoz

    OpenAIRE

    José Pacheco

    2010-01-01

    La falla ovárica precoz es una amenorrea secundaria que se presenta en una mujer antes de los 40 años, que conlleva a hipoestrogenismo, infertilidad y las consecuencias de la menopausia prematura, como osteoporosis, enfermedad cardiovascular, trastornos neurovegetativos, entre otros. Se presenta agotamiento folicular, por dotación insuficiente de folículos o destrucción acelerada de los ovocitos. Las causas son varias, pero predominan las genéticas, autoinmunes y las iatrogénicas. Entre las c...

  1. Hipotiroidismo en el embarazo

    OpenAIRE

    Macchia, Carla Lorena; Sánchez-Flórez, Javier Augusto

    2007-01-01

    Introducción: el hipotiroidismo se presenta entre el 0,5 y 2,5% de todos los embarazos. La frecuencia es mayor si se consideran poblaciones de riesgo, como pacientes portadoras de enfermedades autoinmunes. Durante la gestación temprana existe dependencia de hormonas tiroideas maternas, puesto que la tiroides fetal es incapaz de elaborar sus productos hasta después del primer trimestre. En este periodo, toda situación de carencia puede ejercer efectos indeseables. Objetivo: el objetivo del pre...

  2. "Curriculitis autoinmune": Una no tan nueva enfermedad del currículo

    OpenAIRE

    Salas,Sofía P; Sánchez D,Ignacio; Larios G,Guillermo; Jeria D,Álvaro; Pertuzé S,Cristóbal

    2009-01-01

    Thirty years ago, Abrahamson described the main curriculum problems in undergraduate medical education as "diseases of the curriculum". Based on our own experience and knowledge, we propose the inclusión of a new condition named "autoimmune curriculitis", which is produced by the students themselves. In this condition, the students are who decide to "swell" the curriculum, by excessively participating in múltiple intra and extramural activities, competing to markedly improve their academic pe...

  3. Anticuerpos antitiroperoxidasa y antitransglutaminasa en familiares de primer grado de personas con diabetes tipo 1 y su relación con algunas características clínicas, bioquímicas e inmunológicas Antithyroperoxidase and antitransglutaminase antibodies in first degree relatives of type 1 diabetes persons and its relation to some clinical, biochemical and immunological features

    OpenAIRE

    Levi González Rivero; Eduardo Cabrera Rode; Silvia Elena Turcios Tristá; José Armando Galván Cabrera; Julio César Rodríguez González; Tania Espinosa Reyes; Pedro González Fernández; Manuel Vera González; Celeste Arranz Calzado; Oscar Díaz Horta

    2010-01-01

    INTRODUCCIÓN: los anticuerpos antitiroperoxidasa (AcTPO) y antitransglutaminasa (ATGt) son útiles marcadores de enfermedad tiroidea autoinmune y enfermedad celíaca, respectivamente. Su presencia en familiares de primer grado de personas con diabetes tipo 1 no se ha descrito en Cuba. OBJETIVO: determinar las frecuencias de los AcTPO y ATGt en familiares de primer grado de personas con diabetes tipo 1 y su relación con algunas características clínicas, bioquímicas e inmunológicas. MÉTODOS: en u...

  4. Hepatitis inmune temprana en el curso del síndrome de Sjögren en pediatría

    OpenAIRE

    Baar Z., Alejandro; Harris D., Paul; Talesnik G., Eduardo; Duarte G. de C., Ignacio

    1999-01-01

    La hepatitis inmune corresponde a una enfermedad necroinflamatoria del hígado, de causa desconocida, asociada a la presencia de autoanticuerpos circulantes. Puede presentarse aisladamente, o en asociación a otras enfermedades autoinmunes. Entre estas, destaca el síndrome de Sjögren, que compromete preferentemente a las glándulas salivales, aunque puede afectar a cualquier segmento del tubo digestivo, especialmente el hígado. Reportamos el caso de una niña de 12 años de edad, portadora de Sínd...

  5. Educación para la salud en el niño que debuta con Diabetes mellitus tipo 1

    OpenAIRE

    Fernandez Ortiz, Jose Antonio

    2016-01-01

    La diabetes mellitus tipo 1 (DM1) es una enfermedad crónica producida en el páncreas por la ausencia de insulina debido a un origen autoinmune, suele debutar en la infancia y su incidencia sigue aumentando. Los cuidados derivados de información escasa o incorrecta suponen graves problemas de salud. La educación sanitaria en pacientes diabéticos debe proporcionar las herramientas necesarias y así alcanzar unos conocimientos adecuados para el autocuidado de esta enfermedad. Grado en Enfermer...

  6. Transferencia de grasa autóloga en esclerodermia localizada y multicéntrica

    OpenAIRE

    Lott-Caldeira, Alberto-Magno; Robles-Mejía, Martin-Bienvenido; Marrou-Pautrat, Walter

    2016-01-01

    La esclerodermia es una enfermedad autoinmune multisistémica caracterizada por una inflamación crónica del tejido conectivo. Intentando encontrar la técnica ideal para obtener el mejor resultado quirúrgico posible con un abordaje menos invasivo, proponemos la utilización de injertos autólogos de grasa para tratar las deformidades producidas por esta patología. Presentamos el caso de una paciente con diagnóstico de esclerodermia, difusa, multicéntrica, con compromiso extenso y severo de la car...

  7. Morfea o esclerodermia localizada juvenil: caso clínico

    OpenAIRE

    Strickler, Alexis; Gallo, Silvanna; Jaramillo, Pedro; de Toro, Gonzalo

    2016-01-01

    Introducción: La morfea o esclerodermia localizada juvenil (ELJ) es una enfermedad autoinmune, inflamatoria, crónica, lenta y progresiva del tejido conectivo, de causa desconocida, que afecta preferentemente la piel y los tejidos subyacentes. Objetivos: Comunicar un caso de esclerodermia localizada juvenil en una escolar, y contribuir a un diagnóstico y tratamiento oportuno de esta patología. Caso clínico: Niña de 8 años con placas induradas hipopigmentadas, de distribución lineal en la extre...

  8. Asociación entre el déficit de vitamina D y bienestar emocional en pacientes con Diabetes Mellitus tipo 1

    OpenAIRE

    Waselle Vallina, Rebeca

    2016-01-01

    Introducción: La deficiencia de vitamina D se asocia con un mayor riesgo de padecer enfermedades autoinmunes, como sería el caso de los pacientes con diabetes mellitus tipo 1. Esta enfermedad tiene un impacto, sobre la calidad de vida y el bienestar emocional de los pacientes, relacionado con el control glucémico, las complicaciones y algunas variables socioeconómicas. Objetivos: El objetivo principal fue evaluar el grado de asociación entre la vitamina D y el bienestar emocional de los ...

  9. Deficiencia de 25-hidoroxivitamina D, VDBP y péptidos antimicrobianos vitamina D dependientes en el paciente séptico

    OpenAIRE

    Pérez San Martín, Sonia

    2017-01-01

    Introducción: La vitamina D desempeña un papel importante en la regulación de la inflamación y protección frente a las infecciones, induciendo la síntesis de péptidos antimicrobianos. La deficiencia de vitamina D se ha asociado con un incremento de mortalidad en pacientes sépticos adultos. La proteína transportadora de vitamina D (VDBP) también tiene funciones antiinflamatorias y autoinmunes. Objetivo: Evaluar los niveles de 25-hidroxivitamina D (25(OH) D), 1,25-dihidroxi vitamina D (1,25(OH)...

  10. Lupus glomerulonephritis and other autoimmune glomerulonephritis

    OpenAIRE

    María Ruiz-Olivares; Guillermo Arturo Cañadas-De la Fuente; José Luis Gómez-Urquiza; Rafael Fernández Castillo

    2014-01-01

    La glomerulonefritis es un término empleado para expresar la proliferación e inflamación endocapilar del glomérulo renal, que clínicamente puede manifestarse de numerosas formas e incluso permanecer asintomática. En su etiología se encuentran múltiples mecanismos, como la participación de microorganismos y parásitos, aunque es destacable el mecanismo autoinmune en el que se identifican varios componentes del sistema inmune, entre ellos el sistema del complemento. Un ejemplo de este último mec...

  11. Estudio del virus JC, agente causal de la leucoencafalopatía multifocal progresiva, en pacientes de esclerosis múltiple recurrente-remitente tratados con Natalizumab

    OpenAIRE

    Domínguez Mozo, María Inmaculada

    2013-01-01

    La esclerosis múltiple (EM) es una enfermedad desmielinizante inflamatoria crónica que afecta al sistema nervioso central (SNC) y cuyo origen es presumiblemente autoinmune, siendo en los países desarrollados la segunda causa de discapacidad entre personas jóvenes después de los accidentes de tráfico. Durante los últimos años se han desarrollado, o actualmente están en ensayo clínico, una gran cantidad de fármacos para tratar esta patología. Entre todos ellos cabe destacar natalizumab, u...

  12. Estudio de nuevos marcadores de inflamación en enfermedades del intestino

    OpenAIRE

    Olmos Juste, Raquel

    2017-01-01

    La enfermedad celiaca (EC) se define como un proceso autoinmune multisistémico debido a una pérdida de tolerancia frente a proteínas de la dieta como al gluten de cereales. Las proteínas que causan esta enfermedad reciben el nombre de prolaminas y están presentes en el trigo (gliadinas), cebada (hordeínas), centeno (secalinas) y avena (aveínas). El único tratamiento que actualmente existe se basa en realizar una dieta libre de gluten (DSG), que da lugar a la desaparición de los...

  13. Síndrome de superposición en esclerodermia: a propósito de un caso

    OpenAIRE

    Valencia-Caballero, Víctor; Cornejo, Mijail; Caso-Pérez, Diana; Huamaní, Charles

    2009-01-01

    Introducción: Distintos rasgos de enfermedades pueden coexistir en la enfermedad mixta del tejido conectivo, a diferencia del síndrome de superposición u overlap, que es la presentación de varias enfermedades autoinmunes que cumplen con sus criterios diagnósticos en un paciente. Caso clínico: Nosotros presentamos el caso de una mujer de 32 años tratada por esclerodermia durante cuatro años, que en una nueva evaluación se le diagnosticó lupus y polimiositis, conocido como síndrome de superposi...

  14. Enfermedades del tejido conectivo: Importancia del diagnóstico precoz

    OpenAIRE

    G. Patricia Abumohor, Dra.

    2012-01-01

    Las Enfermedades del Tejido Conectivo (ETC) son entidades de baja prevalencia en la población general. Son de naturaleza inflamatoria y autoinmune, tienden a la cronicidad y al compromiso de muchos parénquimas, órganos y tejidos, dejando en ellos daño estructural y funcional. Dado lo anterior, amenazan la vida o disminuyen la expectativa y calidad de vida. El diagnóstico y tratamiento precoz de estas entidades, permite cambiar su curso y muchas veces lograr remisión. Es por lo tanto de suma i...

  15. La enfermedad de Graves, signos y síntomas

    OpenAIRE

    Young, P.; Finn, B. C.; Bruetman, J. E.

    2007-01-01

    La enfermedad de Graves es la causa más común de hipertiroidismo, es de patogenia autoinmune. Se distingue clínicamente de otras formas de hipertiroidismo por la presencia de bocio difuso, oftalmopatía y ocasionalmente mixedema pretibial. En este artículo describimos la vida y obra de Robert Graves, realizando posteriormente una revisión de los signos y síntomas de la enfermedad. En el mundo de la medicina actual, en donde la tecnología juega un rol preponderante, queremos recordar la importa...

  16. La tiroiditis bifásica: un patrón fisiopatológico en las tiroiditis

    OpenAIRE

    Marsiglia, Italo

    2008-01-01

    La disfunción tiroidea es una observación común en el curso evolutivo de las tiroiditis. En las fases avanzadas de la tiroiditis crónica autoinmune es muy frecuente el hallazgo de hipotiroidismo clínico o subclínico, como consecuencia del reemplazo glandular por la fibrosis y atrofia resultantes. El hipotiroidismo permanente también es una secuela común en la tiroiditis silente y poco frecuente en la tiroiditis subaguda. Por otra parte, se conoce como “tiroiditis destructiva”, al proceso infl...

  17. Papel de hemo oxigensa-1 en la artritis inducida por transferencia de suero K/BxN. Caracterización del modelo experimental

    OpenAIRE

    Brines Juan, Rita

    2017-01-01

    La Artritis Reumatoide (AR) es una enfermedad sistémica, crónica y de carácter autoinmune que produce daño articular en los pacientes. Cursa con la degradación del hueso subcondral y del cartílago articular causando un gran dolor; además de ser una enfermedad incapacitante, puede provocar síntomas extraarticulares que afecten a otros órganos. El estudio de la patogenia y del tratamiento de la AR se desarrolla en gran medida sobre modelos animales de artritis experimental. En la actualidad...

  18. Genetic manipulation of the pancreas cell and gene therapy approaches for type 1 diabetes /

    OpenAIRE

    Ayuso López, Eduard

    2007-01-01

    Consultable des del TDX La diabetes de tipo 1 resulta de la destrucción autoinmune de las células ß pancreáticas, que conduce a una falta en la producción de insulina y la consiguiente hiperglucemia. La terapia sustitutiva con inyecciones subcutáneas de insulina permite a los pacientes llevar un vida activa, sin embargo esta terapia es imperfecta y no evita la aparición de graves complicaciones secundarias. El transplante de páncreas o islotes pancreáticos se ha realizado con éxito en algu...

  19. Abordaje laparoscópico de la acalasia análisis clínico, de calidad de vida y funcional /

    OpenAIRE

    Marinello, Franco Guillermo

    2013-01-01

    INTRODUCCIÓN La Acalasia es un trastorno esofágico primario con etiología desconocida. Por posibles causas genéticas, virales o autoinmunes, existe una inflamación mioentérica que conlleva a una destrucción neuronal inhibitoria. Esta destrucción tiene como resultado final la falla de relajación del EEI y la aperistalsis esofágica. Existen diversos tratamientos para tratar la Acalasia, ninguno de ellos curativo. La miotomía de Heller demostró ser el tratamiento con mejores resultados a largo p...

  20. Enfermedad celiaca en niños del noroeste de México: características clínicas de 24 casos

    OpenAIRE

    N. Sotelo Cruz; A.M. Calderón de la Barca; J.G. Hurtado Valenzuela

    2013-01-01

    Antecedentes: La enfermedad celiaca (EC) es una enteropatía autoinmune inducida por el gluten del trigo dietético, con serias consecuencias si no se diagnostica y trata tempranamente. Hay además otras alteraciones asociadas a la ingestión de gluten, que es importante conocer, por su multiplicidad de presentaciones clínicas. Objetivos: Describir los patrones más comunes de presentación de EC y alteraciones asociadas al gluten en niños de la región noroeste de México, con incipiente conocimi...

  1. Prevalencia de enfermedad celiaca en Latinoamérica: revisión sistemática de la literatura y meta-análisis

    OpenAIRE

    Parra-Medina, Rafael; Molano-Gonzalez, Nicolas; Rojas-Villarraga, Adriana; Anaya, Juan-Manuel

    2014-01-01

    Introducción: La enfermedad celiaca (EC) es una enfermedad autoinmune (EA) intestinal desencadenada por la ingesta de gluten. Por la falta de información de la presencia de EC en Latinoamérica (LA), nosotros investigamos la prevalencia de la enfermedad en esta región utilizando una revisión sistemática de la literatura y un meta-análisis. Métodos y resultados: Este trabajo fue realizado en dos fases: La primera, fue un estudio de corte transversal de 300 individuos Colombianos. La segunda,...

  2. Varón de 48 años con diarrea y colestasis

    Directory of Open Access Journals (Sweden)

    A. Jímenez Jurado

    2015-09-01

    Full Text Available Presentamos el caso de un varón de 48 años derivado a la consulta por un cuadro clínico de diarrea crónica (> 6 semanas junto con alteración de las pruebas de función hepática consistente en un patrón de colestasis. La presencia de diarrea crónica y colestasis nos obligaron al diagnóstico diferencial entre las siguientes entidades: enfermedad celíaca, enferme-dad inflamatoria intestinal, enfermedades infecciosas crónicas (tuber-culosis intestinal, micobacterium avium en inmunodeprimidos, causas metabólicas como la amiloidosis, obstrucción de la vía biliar intrahepatica (ductopenia del adulto, colangitis esclerosante primaria o secundaria, toma de fármacos y finalmente causas tumorales (colangiocarcinoma, linfoma de Hodgkin, adenocarcinoma colon. En el caso que presentamos, la colangio resonancia magnética nuclear fue la herramienta diagnóstica fundamental para el diagnóstico de la entidad

  3. Especies reactivas del oxígeno y balance redox, parte I: aspectos básicos y principales especies reactivas del oxígeno Oxygen reactive species and redox balance, part I: basic aspects and main oxygen reactive species

    Directory of Open Access Journals (Sweden)

    Gregorio Martínez Sánchez

    2005-12-01

    Full Text Available El balance redox ha sido reconocido, de forma cada vez más creciente, como un componente crítico del proceso de envejecimiento; la iniciación y desarrollo de enfermedades de notable morbilidad y mortalidad (aterosclerosis, cáncer, enfermedades del sistema nervioso central, enfermedades autoinmunes, daño por isquemia-reperfusión, entre otras y respuestas celulares, inducidas por el estrés oxidativo. Estrechamente vinculado con el estrés oxidativo está la generación de especies reactivas de oxígeno las cuales provocan daño celular directo, además de actuar como segundos mensajeros intracelulares al modular las vías de transducción de señales. En el presente trabajo se recogen los principales antecedentes de las investigaciones relacionadas con este tema y se describen las más importantes características de las especies reactivas del oxígeno.The redox balance has been increasingly recognized as a critical component of the aging process; the onset and development of diseases causing dramatic morbidity and mortality (atherosclerosis, cancer, central nervous system diseases, autoinmune diseases, ischemia-reperfusion damage, among others and oxidative stress-induced cellular responses. Closely related to oxidative stress is the generation of oxygen reactive species, which cause direct cell damage in addition to acting as second intracellular messengers when modulating signal transduction pathways. The present paper presented the main antecedents of pieces of research related to this topic and described the most important characteristics of the oxygen reactive species.

  4. Inmunopatología de la esclerosis múltiple

    Directory of Open Access Journals (Sweden)

    Francisco J Quintana

    2014-10-01

    Full Text Available La esclerosis múltiple es una enfermedad inflamatoria desmielinizante que afecta el sistema nervioso central y que es considerada una de las principales causas de discapacidad en jóvenes adultos. Las causas de la esclerosis múltiple son aún desconocidas, aunque se cree que una combinación de factores genéticos y ambientales resulta en una respuesta autoinmune que promueve la degeneración neuronal/axonal. En esta revisión se analiza la asociación entre la respuesta inmune y la neurodegeneración en la esclerosis múltiple.

  5. Gradiente de riesgo genético HLA-DQ para diabetes tipo 1 y enfermedad celíaca en el noroeste de México

    OpenAIRE

    Mejía-León, M.E.; Ruiz-Dyck, K.M.; Calderón de la Barca, A.M.

    2015-01-01

    Antecedentes: La diabetes tipo 1 (DT1) y la enfermedad celíaca (EC) son 2 enfermedades autoinmunes frecuentes en la infancia y comparten su predisposición genética (HLA-DQ2 y DQ8). La prevalencia de ambas se ha incrementado en el mundo. En el estado de Sonora (15 habitantes/km2), se desconoce información sobre su riesgo genético o la distribución de los alelos asociados en la población general. Objetivo: Comparar la frecuencia alélica HLA-DQ de una muestra representativa de recién nacidos ...

  6. Lupus eritematoso sistémico en ratones MRL lpr/lpm y knockouts del receptor de quimioquina CCR2

    OpenAIRE

    Camarasa Lillo, Natalia

    2009-01-01

    INTRODUCCIÓN El lupus eritematoso sistémico es una enfermedad autoinmune cuya principal manifestación y debut de la enfermedad es la glomerulonefritis mediada por complejos inmunes. Los ratones MRL/MpJ-Fas lpr/J (MRL/lpr) llevan una mutación en el gen Fas de la apoptosis que da lugar a una proliferación de linfocitos autoreactivos y son considerados un modelo de ratón que reproduce muy bien la enfermedad lúpica en el humano, con linfadenopatía asociada a proliferación aberrante de células T,...

  7. Enfermedad pulmonar intersticial asociada a rituximab

    Directory of Open Access Journals (Sweden)

    Marcelo Fernández Casares

    2013-08-01

    Full Text Available La introducción en la práctica clínica del anticuerpo anti-CD20 rituximab ha mejorado sustancialmente el pronóstico de diversas enfermedades autoinmunes y hematológicas. Con el incremento de su uso ha aumentado el registro de efectos adversos, entre ellos la toxicidad pulmonar. Una de sus complicaciones más serias es la enfermedad pulmonar intersticial, entidad potencialmente fatal que debe ser considerada en pacientes que han recibido rituximab y presentan disnea, fiebre y tos sin clara evidencia de infección. Presentamos un caso de enfermedad pulmonar intersticial asociada a rituximab.

  8. Células Madre: Fuentes no embriónicas accesibles

    OpenAIRE

    Madriz de Haan, Pedro

    2010-01-01

    En los últimos años se ha variado en gran manera el tipo de enfoque que se le dio en algún momento a las células madre; estas han pasado de ser sólo una posibilidad lejana de tratamiento a convertirse en una alternativa real para el manejo de varias patologías dentro de las cuales destacan las de índole autoinmune. La obtención de las mismas no debe ser motivo de controversia en nuestro país ya que por métodos que no involucran embriones humanos es posible colectarlas de dos fuentes particula...

  9. [Orofacial clinical manifestations in adult patients with variable common immunodeficiency].

    Science.gov (United States)

    Chávez-García, Aurora Alejandra; Moreno-Alba, Miguel Ángel; Elizalde-Monroy, Martín; Segura-Méndez, Nora Hilda; Romero-Flores, Jovita; Cambray-Gutiérrez, Julio César; López-Pérez, Patricia; Del Rivero-Hernández, Leonel Gerardo

    2015-01-01

    Common variable immunodeficiency is the primary immunodeficiency (CVID) frequently found in adults. Its prevalence is estimated from 1:25,000 to 75,000 alive newborns; there are variations by ethnic groups, it is estimated about 50-70% in Caucasian patients. Oral cavity lesions are rarely found in adult patients with CVID, there are reports about lesions on pediatric patients mostly caused by infections. To describe the orofacial lesions (oral, maxillofacial and neck area) affecting adults with CVID. A transversal, prospective study was done in patients with CVID attended at Specialties Hospital, CMN SXXI, Mexico City. Patients where examined by the oral and maxillofacial surgeon and clinical findings were reported, then the descriptive analysis of the lesions was done. We evaluated 26 patients, 16 female and 10 males, average age of 38.6 years. In 18/26 patients we found oral lesions on 7 different types. The most frequent was minor salivary glands hiperplasia (19/26),petechiae (12/26) and herpetic ulcers (7/26). In head and neck, we found 4 different lesions, the most common was lymphadenopathy <2cm (4/26). The immunologic alterations associated to CVID favors the development of lesions mainly of infectious and probably autoinmune origin that affects the oral cavity and head and neck area.

  10. CARACTERIZACION MOLECULAR DE LOS HAPIOGRUPOS DE DNA MITOCONDRIAL EN LA ENFERMEDAD CELIACA

    OpenAIRE

    PARADA DAZA, ALEJANDRA CRISTINA

    2010-01-01

    La enfermedad celiaca (EC), es un desorden autoinmune intestinal crónico con un fuerte componente genético, asociado a genes HLA-002 o HLA-008. La prevalencia en Europa de la EC se estima en el 1%, sin embargo en América del Sur no hay una estimación de la prevalencia de EC y no se conoce si la étina se relaciona con la baja frecuencia de la enfermedad o simplemente es el reflejo del subdiagóstico en la zona. El análisis de la presencia de genes nativos se puede realizar a través de la búsque...

  11. Portal hypertensive polyps, a new entity?

    Directory of Open Access Journals (Sweden)

    Verónica Martín-Domínguez

    Full Text Available Presentamos el caso clínico de una mujer de 62 años de edad, con antecedentes de cirrosis hepática secundaria a hepatitis autoinmune, hipertensión portal y coagulopatía, quien presenta en gastroscopia, unas lesiones polipoideas, semipediculadas, polilobuladas en la región prepilórica, que se extirpan y cuya anatomía patológica se describe como pólipos hiperplásicos con edema, congestión vascular e hiperplasia del músculo liso, sin displasia ni cambios adenomatosos, correspondientes a "pólipos de la hipertensión portal" (PHP.

  12. Enfermedades del tejido conectivo: Importancia del diagnóstico precoz

    Directory of Open Access Journals (Sweden)

    G. Patricia Abumohor, Dra.

    2012-07-01

    Full Text Available Las Enfermedades del Tejido Conectivo (ETC son entidades de baja prevalencia en la población general. Son de naturaleza inflamatoria y autoinmune, tienden a la cronicidad y al compromiso de muchos parénquimas, órganos y tejidos, dejando en ellos daño estructural y funcional. Dado lo anterior, amenazan la vida o disminuyen la expectativa y calidad de vida. El diagnóstico y tratamiento precoz de estas entidades, permite cambiar su curso y muchas veces lograr remisión. Es por lo tanto de suma importancia tenerlas en mente y sospecharlas como entidades de enfermedad e iniciar un tratamiento oportuno.

  13. Déficit de antitrombina III como causa de isquemia mesentérica

    Directory of Open Access Journals (Sweden)

    Diego-Fernando Moreno-Sanchez

    2016-06-01

    Full Text Available La isquemia mesentérica es una patología poco frecuente, considerada una urgencia vascularcon una mortalidad elevada que requiere un tratamiento oportuno. Tiene una presentaciónclínica inespecífica, haciendo que la sospecha diagnóstica sea difícil, pero ayudas de imágenescomo la angiografía por tomografía computarizada confirman el diagnostico anteuna sospecha clínica. La etiología va desde enfermedades autoinmunes, medicamentos,arritmias cardiacas hasta trombofilias. Presentamos el caso de un paciente con déficit deantitrombina III (AT III quien debuta con una isquemia mesentérica.

  14. Síndrome de Evans en lactantes

    OpenAIRE

    Flores-Montes, Olivia Alejandra; Escobar-Orduño, Martha Cecilia; Lozano-Garcidueñas, Mónica; Valle-Leal, Jaime Guadalupe

    2017-01-01

    Introducción: El síndrome de Evans se caracteriza por la disminución de, al menos, dos líneas celulares en ausencia de otros diagnósticos. Anteriormente, se definía como el desarrollo simultáneo o secuencial de trombocitopenia inmune primaria y anemia hemolítica autoinmune sin etiología específica. Se ha reportado una incidencia del 37% y una mortalidad del 10% de este síndrome. Casos clínicos: Se presenta la información clínica y la evolución del síndrome de Evans en dos pacientes lactant...

  15. Diabetes autoinmune latente del adulto o diabetes tipo 1 de lenta progresión: definición, patogenia, clínica, diagnóstico y tratamiento Latent autoimmune diabetes of the adult or type 1 diabetes of slow progression: definition, pathogeny, clinic, diagnosis and treatment

    Directory of Open Access Journals (Sweden)

    Eduardo Cabrera Rode

    2002-04-01

    Full Text Available Se sabe que la diabetes mellitus es un síndrome heterogéneo que tiene como elemento común una hiperglucemia crónica, como consecuencia de una deficiencia de insulina o una insuficiente efectividad de su acción. Nos propusimos en este trabajo describir los aspectos más relevantes de la diabetes autoinmune del adulto (LADA y exponer el resultado de nuestra experiencia. Se considera que un sujeto la padece cuando es clasificado inicialmente como diabético tipo 2, el inicio es después de los 34 años, tiene generalmente peso corporal, normal o bajo y en un tiempo relativamente corto necesita tratamiento insulínico para lograr un buen control metabólico y presenta además una mayor asociación con la producción de anticuerpos antiislotes (ICA, antiglutámico descarboxilasa (AGAD65, microsomales tiroideos y antigástricos parietales, con una susceptibilidad genética por la presencia de haplotipos HLA-DR. Al momento del diagnóstico clínico puede presentar o no una insulinodeficiencia. Se ha demostrado que la insulinoterapia es el tratamiento ideal para los individuos con LADA, con el mismo se ha evidenciado una alta tasa de conversión negativa de los ICA con un incremento de los niveles de péptido C en el suero. Por el contrario, el tratamiento con sulfonilureas produce una persistencia de los ICA, los que probablemente sean responsables de una destrucción progresiva de las células b del páncreas. Por tanto, estas observaciones justifican la elección de la insulinoterapia desde el mismo momento del diagnóstico.It is known that diabetes mellitus is an heterogeneous syndrome that has as a common element a chronic hyperglycaemia resulting from an insulin deficiency or from an insufficient effectiveness of its action. It is our purpose to describe the most significant aspects of the autoimmune diabetes of the adult and to show the result of our experience. It is considered that subjects suffer from it when they are initially classified

  16. Trombocitopenia de difícil manejo en niño preescolar con LES: Reporte de un caso

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    Mario Nicolás Albani Pérez

    2010-08-01

    Full Text Available El lupus eritematoso sistémico (LES es una enfermedad autoinmune del tejido conectivo, infrecuente en el sexo masculino y durante la infancia. La trombocitopenia se presenta en 15% de los casos de LES, y como forma de inicio es poco común. Se reporta el caso de preescolar masculino de 3 años de edad con inicio de enfermedad a los 18 meses de edad que presentó diarrea, rash cutáneo, equimosis y trombocitopenia; ameritando transfusión de concentrado plaquetario obteniendo mejoría parcial y en control con hematólogo. A los  2 años de edad reaparece equimosis y se diagnostica Púrpura Trombocitopénica Idiopática, tratado con inmunoglobulinas y esteroides sin respuesta satisfactoria. Es referido a Inmunología donde solicitan estudios y los resultados son compatibles con LES, por lo cual recibió prednisona sin respuesta satisfactoria. En Febrero de 2009, presenta epistaxis requiriendo hospitalización y tratamiento con inmunoglobulinas. En Mayo de 2009, presenta otorragia derecha ameritando nuevamente hospitalización y tratamiento con inmunoglobulinas. Se emplea Danazol con buena respuesta. En caso que en el futuro no ofrezca mejoría, se plantea el uso alternativo de ciclosporinas o anticuerpos monoclonales Anti-CD20 (Rituximab dejando como último recurso la esplenectomía. Se presenta el caso clínico considerando la importancia con respecto a la edad de presentación y el manejo no convencional que se debió adoptar para tratar al paciente.

  17. Trombocitopenia de difícil manejo en niño preescolar con LES: Reporte de un caso

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    Mario Nicolás Albani Pérez

    2009-01-01

    Full Text Available El lupus eritematoso sistémico (LES es una enfermedad autoinmune del tejido conectivo, infrecuente en el sexo masculino y durante la infancia. La trombocitopenia se presenta en 15% de los casos de LES, y como forma de inicio es poco común. Se reporta el caso de preescolar masculino de 3 años de edad con inicio de enfermedad a los 18 meses de edad que presentó diarrea, rash cutáneo, equimosis y trombocitopenia, ameritando transfusión de concentrado plaquetario obteniendo mejoría parcial y en control con hematólogo. A los 2 años de edad reaparece equimosis y se diagnostica Púrpura Trombocitopénica Idiopática, tratado con inmunoglobulinas y esteroides sin respuesta satisfactoria. Es referido a Inmunología donde solicitan estudios y los resultados son compatibles con LES, por lo cual recibió prednisona sin respuesta satisfactoria. En Febrero de 2009, presenta epistaxis requiriendo hospitalización y tratamiento con inmunoglobulinas. En Mayo de 2009, presenta otorragia derecha ameritando nuevamente hospitalización y tratamiento con inmunoglobulinas. Se emplea Danazol con buena respuesta. En caso que en el futuro no ofrezca mejoría, se plantea el uso alternativo de ciclosporinas o anticuerpos monoclonales Anti- CD20 (Rituximab dejando como último recurso la esplenectomía. Se presenta el caso clínico considerando la importancia con respecto a la edad de presentación y el manejo no convencional que se debió adoptar para tratar al paciente.

  18. Vómito tirotóxico: A propósito de un caso

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    Miguel Pinto-Valdivia

    2015-01-01

    Full Text Available Náusea y vómitos persistentes, como síntoma principal de presentación de la enfermedad, es raro en hipertiroidismo. Se reporta el caso de una mujer de 76 años, que acudió por presentar náusea, vómitos persistentes y dolor abdominal. Al ingreso, se halló taquicardia, fiebre, edema de miembros inferiores, bocio difuso y abdomen doloroso a la palpación. Se realizó ecografía abdominal, endoscopía alta y tomografía abdominal que no mostraron alteraciones significativas. Inicialmente, se plantearon los diagnósticos de infección urinaria complicada y luego colangitis infecciosa; sin embargo, el uso de antibióticos y antieméticos no mejoraron el cuadro de vómitos. Finalmente, se determinaron hormonas tiroideas resultando TSH suprimido y T4 libre y T3 total elevados. Los vómitos cesaron con la administración de propanolol y tiamazol. La paciente fue dada de alta sin molestias. No se conoce el mecanismo fisiopatológico; sin embargo, el uso de beta-bloqueadores y tionamidas resuelve rápidamente el cuadro.

  19. Interleucina-6: ¿amiga o enemiga? Bases para comprender su utilidad como objetivo terapéutico = Interleukin-6: friend or foe? Basis to understand its utility as a therapeutic target

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    Saavedra Ramírez, Publio Giovanni

    2011-06-01

    Full Text Available Las citocinas son moléculas de comunicación intercelular. Exhiben una gran cantidad de funciones en diferentes sistemas y procesos orgánicos; en particular, ejercen una acción muy importante en los mecanismos que producen la inflamación. La interleucina-6 es una molécula pleiotrópica con acciones proinflamatorias y antinflamatorias. Diversas fuentes de evidencia la vinculan de modo importante y directo con la fisiopatología de diferentes enfermedades autoinmunes. Este artículo revisa las bases moleculares y los diversos efectos biológicos de esta citoquina, así como la experiencia clínica acumulada hasta la fecha con terapias dirigidas al bloqueo de sus acciones proinflamatorias en pacientes con artritis reumatoide.

  20. Noticias de la ciencia

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    Oscar F. Ramos M.

    1995-07-01

    Full Text Available Efectos anti-androgenicos del ddt : El DDT es un pesticida órganoclorado desarrollado durante la Segunda Guerra Mundial y actualmente de uso común para el control de la malaria. / Clonacion y caracterización de un tercer locus implicado en la enfermedad de Alzheimer: La enfermedad de Alzheimer es un trastorno degenerati vo del sistema nervioso central, el cual se manifiesta en el adulto por pérdida progresiva de la memoria hasta la demencia total. / caracterización molecular de un Autoantigeno involucrado en la Esclerosis múltiple:  La esclerosis múltiple es una enfermedad autoinmune que se caracteriza por una destrucción de la mielina mediada por los linfocitos T, B Y los macrófagos.

  1. Falla ovárica precoz

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    José Pacheco

    2010-07-01

    Full Text Available La falla ovárica precoz es una amenorrea secundaria que se presenta en una mujer antes de los 40 años, que conlleva a hipoestrogenismo, infertilidad y las consecuencias de la menopausia prematura, como osteoporosis, enfermedad cardiovascular, trastornos neurovegetativos, entre otros. Se presenta agotamiento folicular, por dotación insuficiente de folículos o destrucción acelerada de los ovocitos. Las causas son varias, pero predominan las genéticas, autoinmunes y las iatrogénicas. Entre las causas genéticas, son frecuentes las deleciones Xq y Xp, las translocaciones, aberraciones numéricas (47,XXX, 45,X0, premutaciones de X frágil, entre otros. Entre las enfermedades autoinmunes son de importancia la insuficiencia poliglandular tipo I y II. Las iatrogenias pueden ser quirúrgicas en ovarios o trompas y, con la presencia del cáncer de mama en mujeres jóvenes, el tratamiento oncológico puede destruir las células germinales, por lo que hoy se sugiere utilizar técnicas de preservación de la función ovárica y de la fertilidad. En el manejo de la falla ovárica precoz, una vez determinada la causa, se sugiere el uso de terapia estrogénica, aunque no se ha hecho investigación en el tipo de hormona a utilizar, dosis y consecuencias a largo plazo. Tener presente la prevención y manejo de la osteoporosis y la enfermedad cardiovascular. Con relación a la infertilidad, se está realizando criopreservación de embriones y ovocitos para autodonación, así como criopreservación de tejido ovárico cortical para autotrasplante posterior, con éxitos y limitaciones. Los agonistas de GnRH podrían actuar en proteger los ovarios en casos de quimioterapia. Se observa con atención la terapia génica experimental en casos de falla ovárica precoz.

  2. Escleritis posterior: a propósito de un caso

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    Isabel Ambou Frutos

    Full Text Available Las enfermedades inflamatorias de la esclera son infrecuentes. Involucran tanto la esclera como la epiesclera y se caracterizan por su cronicidad, dolor y por ser una causa potencial de ceguera. Su asociación con enfermedades sistémicas, frecuentemente de causa autoinmune, y la aparición de graves complicaciones oculares, conllevan una terapia sistémica agresiva con antinflamatorios no esteroideos, corticoesteroides y agentes inmunosupresores, los cuales se pueden utilizar solos o combinados. Presentamos el caso de un paciente masculino de 37 años de edad quien acudió al Cuerpo de Guardia por dolor ocular intenso, asociado a ojo rojo, disminución de la agudeza visual y cifras elevadas de tensión ocular del ojo derecho, a quien le fue diagnosticada una escleritis posterior.

  3. Dermatomiositis y síndrome de evans asociado a infección por HTLV-1

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    David Loja-Oropeza

    2016-01-01

    Full Text Available Paciente mujer de 55 años de edad, natural de Ayacucho, con antecedente de dermatomiositis desde hace 3 años, recibió tratamiento irregular con prednisona. Dos meses antes del ingreso presenta anemia hemolítica autoinmune y púrpura trombocitopénica idiopática, recibió pulsos de metilprednisolona y transfusión de paquetes globulares. Al ingreso, soporosa, mal estado general, marcada pérdida ponderal, deshidratada, livedo reticularis en miembros inferiores, onicodistrofia y onicolisis múltiple en los dedos de ambos pies. Western Blot positivo para HTLV-1. Evoluciona con hipoglicemia recurrente. Reportamos un caso de dermatomiositis y síndrome de Evans presentados en el contexto de una infección por virus linfotrópico humano tipo 1.

  4. Endocarditis trombótica no bacteriana (Libman-Sacks

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    Antonio García-Valentín

    2006-07-01

    Full Text Available Mujer de 47 años ingresada en 2002 por ictus. Se diagnosticó masa valvular aórtica. Se intervino realizándose exéresis de trombo no bacteriano (Fig 1a, b. Durante el estudio de trombofilia fue diagnosticada de síndrome antifosfolípido primario (SAP, inciándose anticoagulación. Hasta la fecha, ha padecido múltiples accidentes cerebrovasculares, isquémicos y hemorrágicos. Está en diálisis peritoneal con probable origen en SAP. SAP es un trastorno autoinmune caracterizado por fenómenos trombóticos iterativos y alargamiento de tiempos de coagulación. La cirugía cardiaca conlleva morbimortalidad por tromboembolias, suponiendo un reto en el manejo de la circulación extracorpórea. Las complicaciones tromboembólicas son frecuentes durante el seguimiento.

  5. SOME NEUROCHEMICAL DISTURBANCES IN MULTIPLE SCLEROSIS

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    Vladimir V. Markelov

    2006-04-01

    Full Text Available ABSTRACTThe data presented in this manuscript suggest a pivotal role of the central nervous system (CNS in the regulation of immune status. We describe here that some neurochemical disturbances may provoke development of various diseases including multiple sclerosis. Some theoretic and practical backgrounds, how to improve the multiple sclerosis sufferers and patients with other autoimmune disorders, are also given.RESUMENLos datos que presentamos en este manuscrito, sugieren un papel guia del sistema nervioso central (SNC en la regulación del estado inmune. Describimos aquí que varias alteraciones neuroquímicas pueden provocar el desarrollo de varias enfermedades, incluyendo esclerosis múltiple. También se comenta acerca del trasfondo teórico y práctico, y cómo mejorar a víctimas y pacientes con esclerosis múltiple y otras alteraciones autoinmunes.

  6. Características clínicas, perfil hormonal y marcadores de autoinmunidad de pacientes con enfermedad de Graves.

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    Deysy Cieza Diaz

    2008-10-01

    Full Text Available Objetivo: Describir las características clínicas, el perfil hormonal y los marcadores de autoinmunidad de pacientes con enfermedad de Graves (EG, atendidos en el servicio de endocrinología de un hospital general. Material y métodos: Estudio descriptivo, retrospectivo de pacientes con diagnóstico de EG atendidos en el servicio de endocrinología del Hospital Nacional Cayetano Heredia durante el año 2005. Los pacientes fueron identificados utilizando el Registro Diario de Atención y Otras Actividades del consultorio externo. Para el análisis estadístico se utilizó el programa SPSS versión 12,0. Resultados: Se revisaron 111 historias clínicas. La edad promedio fue de 40,6 ± 14 años. El 71,2% eran mujeres. El 20,7% tenía antecedente familiar de otra enfermedad autoinmune. El tiempo de enfermedad promedio antes de la consulta fue 18,9 ± 30,4 meses. Los síntomas más frecuentes fueron: tremor, piel delgada, palpitaciones y baja de peso. El peso promedio de la glándula tiroides estimado por palpación fue 69 ± 27,5 gr, 38,7% presentaba exoftalmos y 18,9% mixedema pretibial. El perfil hormonal mostró TSH suprimida, T4 libre y T3 total elevados. El 86,7% de los casos tenía autoanticuerpos anti-peroxidasa tiroidea (anti-TPO positivo. En 95,5% el tratamiento incluyó el uso de tionamidas. El análisis bivariado mostró que las mujeres tuvieron antecedente familiar de enfermedad tiroidea autoinmune en mayor frecuencia que los varones (27,8 vs. 9,4% (p=0,04. Conclusión: La población estudiada con EG fueron con mayor frecuencia mujeres entre la tercera y sexta década de la vida. El peso estimado de la glándula tiroides fue tres veces lo normal, con alta frecuencia de oftalmopatía y mixedema. La mayoría tiene marcadores humorales de autoinmunidad y el tratamiento inicial se basa en el uso de tionamidas. (Rev Med Hered 2008; 19:152-157.

  7. Diverticulosis del colon

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    Augusto Salazar Sánchez

    1949-07-01

    Full Text Available Historia Clínica. L. M. C. natural de Suaita, de 36 años de edad, comerciante de profesión, consulta por dolores abdominales y fenómenos dispépticos; narra entre sus antecedentes el haber sufrido durante 20 años de una litiasis biliar, cuyas manifestaciones cedieron al serle practicada la colecistectomía hace 6 años: fue apendicitomizaclo hace 10 años: los demás antecedentes carecen de importancia. Desde hace tres años presenta marcada anorexia, cólicos iguales él los que se presentaban antes de ser operado, vómitos, estados ictéricos pasajeros, agrieras y marcada costipación. Se trata de un enfermo brevilíneo, obeso, cuyo examen clínico revela la presencia de un marcado meteorismo abdominal, sin que haya puntos dolorosos, tumefacciones, vísceras palpables ni ninguna otra anomalía. Dados sus antecedentes quirúrgicos, se hace el diagnóstico de colangitis crónica, instituyéndose en consecuencia un régimen dietético adecuado y la terapéutica médica correspondiente (colagogos, desinfectantes biliares, metionina, colina, etc al mismo tiempo que se ordena un examen coprológico y uno radiológico de vías divestivas y biliares.

  8. Informes clínicos breves

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    Facultad de Medicina Revista

    1996-10-01

    Full Text Available Procedimientos mayores en cirugía general, Hospital San Juan de Dios. 511 casos / síndrome de pinzamiento de hombro: Tratamiento con acromioplastia de neer modificada  / Fascitis necrotizante / Colangitis aguda / Infusión continua de alfentanyl vs. anestesia general, inhalatoria convencional en varicosafenectomía / ecografía doppler en la evaluación de la hidronefrosis del niño / Analgesia epidural en el trabajo de parto: Comparación de dos técnicas: infusión continua vs. refuerzos / Manual de diagnóstico y manejo de la difunción eréctil / Hemorragia subaracnoidea / Trauma esplénico: Revisión de 100 casos en el Hospital San Juan de Dios 1993-1995: Actualización y propuesta de plan de manejo conservador del trauma cerrado / Complicaciones en sinusitis aguda, Hospital San Juan de Dios1993-1995 / Estudio comparativo entre laparotomía y la minilaparotomía asistida por  laparoscopia para la reanastomosis tubárica / Determinación de factores de riesgo para ACV en niños: Hospital de la misericordia, enero 1993 a diciembre 1995 / Evaluación de la miopatía inflamatoria en pacientes con  ollmiositls  / dermatomiositis mediante gammagrafía músculo esquelético con TC99m pirofosfatos

  9. Hepatitis autoinmune en niños: evolución de 20 casos del norte de México

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    J. Nares-Cisneros

    2014-10-01

    Conclusiones: Es necesario sospechar la HAI en pediatría para poder realizar un diagnóstico temprano y así establecer el tratamiento oportuno. Determinar el tipo de HAI nos permitirá establecer el diagnóstico adecuado y elaborar un mejor pronóstico respecto a tasas de recaídas y complicaciones.

  10. CYCLO-OXYGENASE 2 IS PRESENT IN THE MAJORITY OF LESIONAL SKIN FROM PATIENTS WITH AUTOINMUNE BLISTERING DISEASES

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    Ana Maria Abreu Velez

    2013-10-01

    Full Text Available Introduction: The in situ immune response within skin biopsies from patients affected by autoimmune skin blistering diseases (ABDs is not well characterized. Aim: Based on the fact that the ABD immune response is considered an adaptive immune response, both an innate immune response and inflammation would be expected in these diseases. Our investigation investigates the presence of cyclo-oxygenase-2 (COX-2, since this enzyme is commonly involved in innate immune responses. Methods: We utilized immunohistochemistry (IHC to evaluate the presence of COX-2 in lesional skin biopsies of patients affected by ABDs. We tested 30 patients with endemic pemphigus foliaceus (EPF, 15 controls from the endemic area, and 15 biopsies from healthy controls from the USA. We also tested archival biopsies from patients with selected ABDs, including 20 patients with bullous pemphigoid, 20 with pemphigus vulgaris, 8 with pemphigus foliaceus and 12 with dermatitis herpetiformis. Results: Most ABD biopsies stained positive for COX-2 in the lesional blister and/or the dermal inflammatory infiltrate, accentuated in the upper neurovascular plexus. In BP and EPF, the COX-2 staining was also seen in the sweat glands. All controls were negative. Conclusions: We document that COX-2 is expressed in lesional skin of patients with ABDs.

  11. Aspectos éticos en Pediatría, las inmunodeficiencias primarias

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    Martha Leonor Paradoa Pérez

    2012-12-01

    Full Text Available Las inmunodeficiencias primarias son enfermedades genéticas, caracterizadas por infecciones crónicas devastadoras que conllevan a la muerte, al desarrollo de tumores y a enfermedades autoinmunes, y la mayoría de estas enfermedades cursan en la edad pediátrica. Desde la última década del pasado siglo, el desarrollo de la tecnología, el surgimiento del Proyecto del Genoma Humano y la profundización en los aspectos bioéticos, han dado lugar a especificidades en la atención médica e investigativa del paciente pediátrico y del que desarrolla una enfermedad inmunológica. Este trabajo recoge los aspectos bioéticos más importantes y los dilemas éticos con los que se enfrenta el inmunólogo pediátrico en la atención al paciente con inmunodeficiencia primaria, el cual demanda la atención de, prácticamente, todas las especialidades pediátricas.

  12. Canakinumab: un anticuerpo monoclonal prometedor en el tratamiento de enfermedades cardiovasculares

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    Fernando Manzur, MD., FACC

    2013-01-01

    Full Text Available El canakinumab es un anticuerpo monoclonal anti-IL-1β totalmente humano desarrollado por Novartis, cuyo mecanismo de acción se basa en la neutralización de la señalización IL-1β, lo cual conduce a la supresión de la inflamación en pacientes con trastornos de origen autoinmune. La IL-1β actúa como un mediador de la respuesta inmune periférica durante la infección y la inflamación. Mediante la unión antígeno-anticuerpo el canakinumab inhibe la acción de la IL1-β evitando sus efectos pro-inflamatorios. En la actualidad, está en evaluación como un nuevo posible agente dirigido frente a la IL-1β, con el objetivo de reducir la tasa de eventos cardiovasculares y la diabetes de aparición reciente (estudio CANTOS.

  13. Miopatía inflamatoria con compromiso inicial de músculos respiratorios y artritis reumatoidea

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    Martín Hunter

    2014-10-01

    Full Text Available Las miopatías inflamatorias constituyen un grupo heterogéneo de enfermedades musculares adquiridas de presentación subaguda, crónica y a veces aguda. Las entidades clínicas más frecuentes son la dermatomiositis, la polimiositis, la miositis necrotizante autoinmune y la miositis por cuerpos de inclusión. Suelen presentarse con debilidad muscular con predominio proximal y simétrica, pero rara vez comprometen los músculos respiratorios. Presentamos el caso de una mujer de 39 años con miopatía inflamatoria inespecífica que presentó insuficiencia respiratoria secundaria a hipoventilación alveolar por debilidad muscular y requirió asistencia respiratoria mecánica. Respondió favorablemente y de forma rápida tras el tratamiento instaurado con inmunosupresores (corticoides y metotrexato e inmunoglobulina humana endovenosa. Se utilizó ventilación no invasiva como alternativa a la intubación orotraqueal con adecuada tolerancia.

  14. Miocarditis de células gigantes con bloqueo AV completo persistente: respuesta al tratamiento con resincronizador cardiaco Giant cell myocarditis with complete persistent A-V block: treatment response with cardiac resynchronization

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    Julián Aristizábal

    2009-08-01

    Full Text Available La miocarditis de células gigantes es una enfermedad grave y poco frecuente, cuya etiología, posiblemente autoinmune, se caracteriza por la presencia de células gigantes multinucleadas con infiltrado inflamatorio y necrosis extensa en la biopsia endomiocárdica. Es común su asociación con taquicardias ventriculares y con alteraciones de la conducción aurículo-ventricular, lo cual se resuelve algunas veces con tratamiento inmunosupresor. Dada la complejidad del pronóstico de esta entidad, el papel de los dispositivos de resincronización después de la estabilización de la falla cardíaca, no está claro. Aquí se reporta un caso en el cual el implante de uno de estos dispositivos fue parte fundamental de la terapia y recuperación del paciente.Giant cell myocarditis is an infrequent and serious illness, possibly of autoimmune etiology, characterized by the presence of multinucleated giant cells with inflammatory infiltrate and extensive necrosis in the endomyocardial biopsy. Its association with ventricular tachycardia is common and alterations in atrioventricular conduction are frequently solved through immunosuppressive treatment. Given the generally complex prognosis of this entity, the role of the resynchronization devices after the heart failure stabilization, is unclear. We reported a case in which the implant of one of these devices was a fundamental part of the therapy and patient recovery.

  15. Anestesia peridural torácica para cirurgia plástica de mama em paciente portadora de miastenia gravis: relato de caso Anestesia peridural torácica para cirugía plástica de mama en paciente portadora de miastenia gravis: relato de caso Thoracic epidural anesthesia for mammaplasty in myasthenia gravis patient: case report

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    Fabiano Timbó Barbosa

    2005-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A miastenia gravis é uma doença crônica, auto-imune, caracterizada pela fraqueza da musculatura esquelética em decorrência da diminuição dos receptores de acetilcolina na junção neuromuscular. O objetivo deste relato é mostrar um caso de paciente com miastenia gravis submetida a anestesia peridural torácica para cirurgia plástica de mama. RELATO DO CASO: Paciente com 51 anos, portadora de miastenia gravis foi submetida a anestesia peridural torácica com bupivacaína e fentanil. Não houve sinais de depressão respiratória. A paciente recebeu alta hospitalar após 36 horas. CONCLUSÕES: O presente caso sugere como conduta anestésica para o paciente portador de miastenia gravis a anestesia peridural como técnica única, sem a obrigatoriedade de intubação orotraqueal.JUSTIFICATIVA Y OBJETIVOS: La miastenia gravis es una enfermedad crónica, auto-inmune, caracterizada por la debilidad de la musculatura esquelética resultante de la disminución de los receptores de acetilcolina en la unión neuromuscular. El objetivo de este relato es mostrar el caso de una paciente con miastenia gravis sometida a anestesia peridural torácica para una cirugía plástica de mama. RELATO DEL CASO: Paciente del sexo femenino, 51 años, portadora de miastenia gravis fue sometida a anestesia peridural torácica con bupivacaína y fentanil. No hubo señales de depresión respiratoria. La paciente recibió alta hospitalaria después de 36 horas. CONCLUSIONES: Este actual caso sugiere como conducta anestésica para el paciente portador de miastenia gravis la anestesia peridural como única técnica, sin la obligatoriedad de intubación orotraqueal.BACKGROUND AND OBJECTIVES: Myasthenia gravis is a chronic autoimmune disease characterized by skeletal muscles weakness promoted by decreased acetylcholine receptors in the neuromuscular junction. This report aimed at describing a case of myasthenia gravis patient submitted to thoracic

  16. Fatores imunogenéticos associados ao diabetes mellitus do tipo 1 Factores inmunogenéticos asociados a la diabetes mellitus tipo 1 Immunogenetic factors associated with type 1 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Ana Paula Morais Fernandes

    2005-10-01

    Full Text Available O diabetes mellitus do tipo 1 tem sido considerado uma doença auto-imune órgão-específica, decorrente da destruição seletiva das células betapancreáticas. Apresenta patogenia complexa, envolvendo a participação de vários fatores, dentre esses a susceptibilidade imunogenética com forte associação aos genes de histocompatibilidade (HLA, eventos ambientais e resposta auto-imune com presença de auto-anticorpos e/ou linfócitos auto-reativos, culminando em anormalidades metabólicas. Neste estudo, a revisão da literatura descreve os mecanismos pelos quais determinados fatores conferem susceptibilidade para o seu desencadeamento e, adicionalmente, as inovações na predição dessa desordem que, certamente, contribuirão para a assistência de enfermagem aos pacientes portadores do diabetes tipo 1.La Diabetes Mellitus tipo 1 ha sido considerada una enfermedad autoinmune órgano-específica debido a la destrucción selectiva de las células beta pancreáticas. Presenta una patogenia compleja, involucrando la participación de varios factores, entre esos la susceptibilidad inmunogenética con fuerte asociación a los genes de histocompatibilidad (HLA, eventos ambientales y respuesta autoinmune con presencia de auto-anticuerpos y/o linfocitos auto-reactivos, culminando en anormalidades metabólicas. En este estudio, la revisión de la literatura describe los mecanismos por los cuales determinados factores resultan en susceptibilidad para su desarrollo y, adicionalmente, las innovaciones en la predicción de ese desorden que, por cierto, van a contribuir para la atención de enfermería a los pacientes portadores de la diabetes tipo 1.Type 1 diabetes mellitus has been considered an organ-specific autoimmune disease derived from the selective destruction of pancreatic beta cells. It presents a complex pathogenesis, involving the participation of several factors, including the immunogenetic susceptibility with strong association to

  17. Anticuerpos antitiroperoxidasa y antitransglutaminasa en familiares de primer grado de personas con diabetes tipo 1 y su relación con algunas características clínicas, bioquímicas e inmunológicas Antithyroperoxidase and antitransglutaminase antibodies in first degree relatives of type 1 diabetes persons and its relation to some clinical, biochemical and immunological features

    Directory of Open Access Journals (Sweden)

    Levi González Rivero

    2010-08-01

    Full Text Available INTRODUCCIÓN: los anticuerpos antitiroperoxidasa (AcTPO y antitransglutaminasa (ATGt son útiles marcadores de enfermedad tiroidea autoinmune y enfermedad celíaca, respectivamente. Su presencia en familiares de primer grado de personas con diabetes tipo 1 no se ha descrito en Cuba. OBJETIVO: determinar las frecuencias de los AcTPO y ATGt en familiares de primer grado de personas con diabetes tipo 1 y su relación con algunas características clínicas, bioquímicas e inmunológicas. MÉTODOS: en un grupo de 285 sujetos se realizó la medición del AcTPO y en 262 individuos la de ATGt. Se incluyeron casos entre los 2 y 65 años de edad. Se registraron datos sobre edad, sexo, color de la piel, antecedentes personales, historia familiar de obesidad, diabetes tipo 2, enfermedad tiroidea y enfermedad celíaca. Se interrogaron síntomas y exploraron signos clínicos de enfermedad celíaca y enfermedad tiroidea autoinmune. Se determinó glucemia, insulinemia, AcTPO, ATGt y autoanticuerpos asociados a diabetes tipo 1 (AGAD y AIA-2, así como la resistencia a la insulina mediante el índice HOMA-IR. RESULTADOS: las frecuencias de AcTPO y ATGt positivos fueron 5,3 y 1,9 %, respectivamente. La historia familiar de enfermedad tiroidea, el temblor muscular fino y el exoftalmos se relacionaron con la presencia de AcTPO. Malabsorción intestinal, diarrea persistente, dolor abdominal recurrente y antecedente personal de hepatopatía se asociaron con la presencia de ATGt. Se encontró asociación entre los ATGt y el AIA-2. La resistencia a la insulina no se asoció con la presencia de AcTPO ni de ATGt. CONCLUSIONES: en los familiares de primer grado de personas con diabetes tipo 1 las frecuencias de AcTPO y ATGt son bajas. Algunos antecedentes, síntomas y signos vinculados con enfermedad celíaca y enfermedad tiroidea autoinmune pueden ser indicadores prácticos previos a la indicación de estos autoanticuerpos.INTRODUCTION: the antithyroperoxidase (TPOAb and

  18. Policondritis recidivante y compromiso neurológico Neurologic involvement in relapsing polychondritis

    Directory of Open Access Journals (Sweden)

    María A. Requena

    2007-04-01

    Full Text Available La policondritis recidivante (PR es un trastorno autoinmune multisistémico, de etiología desconocida, que se caracteriza por episodios recurrentes de inflamación y destrucción progresiva de las estructuras cartilaginosas y el tejido conectivo, pero que también puede afectar las estructuras con proteinglicanos como ojos, corazón, riñón y vasos sanguíneos produciendo vasculitis. Se presenta el caso de un paciente con criterios clínicos de policondritis recidivante con convulsiones, y una resonancia nuclear magnética de cerebro con imágenes hiperintensas en T2 y FLAIR, multifocales tanto en la sustancia gris como blanca, sugerentes de lesiones isquémicas, que mejoró con dosis altas de glucocorticoides. Se señala en esta enfermedad de muy baja prevalencia la presentación inusual de manifestaciones neurológicas reversibles con tratamiento.Relapsing polychondritis is a multysistemic inflammatory disease, of unknown etiology. It is characterized by recurrent episodes of inflammation with progressive destruction of cartilaginous structures and connective tissue. It may also affect tissues that contain proteoglycans like eyes, heart, kidney, and blood vessels causing a picture of vasculitis. We report here the case of a patient with relapsing polychondritis and seizures. The magnetic resonance imaging of the brain showed multiple hyperintense signals in the T2 weighted images and fluid-attenuated inversion recovery (flair, suggesting ischemic injuries, that improved with high doses of glucocorticoids. We remark the unusual presentation with neurological involvement in this uncommon disease that has improved with treatment.

  19. PHENIX reports. Final report

    International Nuclear Information System (INIS)

    1998-01-01

    The various tasks outlined in the Statement of Work for the PHENIX Program have been accomplished. Reports were generated which cover the work done. This report is a compilation of the following reports: Progress Report for May 1998; Progress Report for April 1998; PHENIX FEA Mount/Electron Shield Structural Analysis report; Progress Report for February 1998; Progress Report for March 1998; and Progress Report for December 1997 and January 1998

  20. Anticuerpos anti LKM-1 y crioglobulinemia en hepatitis crónica autoinmune y por virus C de la hepatitis

    OpenAIRE

    Jirón V,M. Isabel; Ardiles S,Adriana; Parra B,M Adriana; Orellana V,Juana

    2000-01-01

    Background: Anti liver kidney microsome antibodies (LKM-1) have been recently incorporated to the study and classification of chronic autoimmune hepatitis (HC-A1). The presence of anti LKM-1 antibodies and essential cryoglobulinemia is frequent in virus C associated chronic hepatitis (HC-VC). Aim: To study the frequency of anti LKM-1 antibodies and cryoglobulin levels in patients with HC-AI, HC-VC and cryptogenic cirrhosis. Patients and methods: Forty two patients were studied. Nineteen adult...

  1. PENFIGOIDE DE MEMBRANAS MUCOSAS: A PROPÓSITO DE DOS CASOS CLÍNICOS

    Directory of Open Access Journals (Sweden)

    Beatriz E Casnati Guberna

    Full Text Available El penfigoide de membranas mucosas representa un heterogéneo grupo de enfermedades ampollares, autoinmunes y crónicas, que afecta las mucosas y /o la piel. Es una patología que origina como secuelas, cicatrices que motivan importantes incapacidades funcionales en las mucosas involucradas, provocando ceguera, dificultades en la masticación, la deglución o en la respiración. Su diagnóstico, tratamiento y control deben ser realizados por un equipo multidisciplinario. Se presentan dos casos clínicos de penfigoide de membranas mucosas de localización oral, por considerarlos de interés, dadas sus manifestaciones clínicas y la diferente evolución en cada uno de ellos. Se describen los métodos de diagnóstico y tratamientos durante 4 años de seguimiento y control, realizados en la Cátedra de Semiología y Patología BMF, Clínica de Estomatología de la Facultad de Odontología. Universidad de la República

  2. Transferencia de grasa autóloga en esclerodermia localizada y multicéntrica

    Directory of Open Access Journals (Sweden)

    Alberto-Magno Lott-Caldeira

    Full Text Available La esclerodermia es una enfermedad autoinmune multisistémica caracterizada por una inflamación crónica del tejido conectivo. Intentando encontrar la técnica ideal para obtener el mejor resultado quirúrgico posible con un abordaje menos invasivo, proponemos la utilización de injertos autólogos de grasa para tratar las deformidades producidas por esta patología. Presentamos el caso de una paciente con diagnóstico de esclerodermia, difusa, multicéntrica, con compromiso extenso y severo de la cara y de varios segmentos corporales, con lesiones múltiples en placa (morfea y lineales (golpe de sable en cara, mamas y abdomen. Formulamos un plan de tratamiento quirúrgico basado en las posibilidades de remodelación y reestructuración facial y corporal con transferencia de tejido graso en 4 tiempos quirúrgicos consecutivos realizados en un período de 8 años. Consideramos que la transferencia de grasa es útil para la reversión de las alteraciones anatómicas y clínicas de la esclerodermia.

  3. Aspergilosis invasiva en unidad de cuidado intensivo

    Directory of Open Access Journals (Sweden)

    Mónica M. Toro-Lezcano

    Full Text Available La aspergilosis invasiva (AI es causada por la inhalación de conidias del moho Aspergillus spp. , el cual tiene como hábitat el suelo. Ha sido descrita en pacientes con trasplante de médula ósea y neutropenia grave (<500 neutrófilos/mm 3 . Los pacientes que ingresan a la unidad de cuidado intensivo (UCI también pueden ser susceptibles a la AI, con otros factores de riesgo tales como: enfermedad pulmonar obstructiva crónica (EPOC, cirrosis hepática, enfermedades autoinmunes en manejo inmunosupresor y trasplante de órgano sólido, en donde la mortalidad puede llegar al 80%. Se describe el caso de un hombre de 56 años con antecedente de tabaquismo, sin confirmación espirométrica de EPOC, que presentó AI pulmonar durante su estancia en UCI. El diagnóstico fue confirmado por histopatología de úlcera en carina, cultivo de aspirado traqueal y galactomanan en lavado broncoalveolar. Voriconazol fue su tratamiento, con buena respuesta clínica.

  4. Research reports (Annual reports)

    International Nuclear Information System (INIS)

    1975-05-01

    This compilation of research reports is the third one to be published once a year in the frame of a comprehensive reporting on current investigations with regard to reactor safety. There are three types of reports: RS Research Reports, LRA Research Reports, GFK Research Reports. The RS Research Reports and the LRA Research Reports give information on the investigations sponsored by the Bundesminister fuer Forschung und Technologie (BMFT) and partly by the Bundesminister des Innern (BMI [SR 100, At T 85 a]) as individual reactor safety research projects. The GFK Research Reports inform about theoretical and experimental investigations on reactor safety conducted by the Gesellschaft fuer Kernforschung mbH (GFK), Karlsruhe. The Laboratorium fuer Reaktorregelung und Anlagensicherung (LRA), Muenchen-Garching, executes nine individual research projects comprehended under number At T 85 a. The work carried out by the GFK is included in the main project 'Nuclear Safety' (PNS). The single reports are attached to the main parts and focal points of the Research Program Reactor Safety. Therefore, at the head of the reports, under 'Project Number', not only the RS-, LRA- or GFK-Number but also the number of the main part of the Research Program which the reported investigation contributes to is noted. (orig.) [de

  5. Mecanismos moleculares de acción de algunas drogas inmunosupresoras Molecular mechanisms of action of some immunosuppresive drugs

    Directory of Open Access Journals (Sweden)

    Ana C. Liberman

    2008-12-01

    Full Text Available Los tratamientos utilizados para desordenes inmunológicos son de origen empírico, utilizando drogas inmunosupresoras identificadas a través de la selección de un gran número de compuestos naturales y sintéticos. Las drogas inmunosupresoras son ampliamente utilizadas en tratamientos clínicos de desordenes autoinmunes, en la prevención de rechazo a transplantes así como también en desordenes de carácter no autoinmune tales como las alergias. El diseño de las terapias inmunosupresoras está basado en controlar una respuesta inmune exacerbada. La base fisiopatológica de este concepto es en modular la acción de células mononucleares, siendo el principal punto de control las células T. Estas drogas inhiben la función normal de protección del sistema inmune llevando a la aparición de complicaciones en las terapias de inmunosupresión. Las drogas inmunosupresoras tienen diferentes blancos en el proceso de inmunidad celular. Según su modo de acción pueden clasificarse en cuatro categorías: drogas antinflamatorias de la familia de los corticosteroides, inmunosupresoras específicas inhibidoras de la calcineurina, citotóxicas o antiproliferativas y anticuerpos específicos. En este trabajo describimos el mecanismo de acción molecular de agentes inmunosupresores tales como, esteroides, ciclosporina, tacrolimo, azatioprina, ciclofosfamida, sirolimus, mofetil mecofenolato, leflunomida y anticuerpos específicos, para contribuir a la comprensión de cómo utilizar y mejorar estos agentes.A number of natural and synthetic substances are used in the treatment of immunological disorders. The immunosuppressive drugs are widely utilized in clinical treatments of autoimmune disorders, in the prevention of transplant rejection as well as in non-autoimmune diseases such as allergy. The design of immunosuppressive therapies is based on the control of the exacerbated immune response. The pathophysiologic mean of this concept is to modulate the

  6. Medicinal use of wild fauna by mestizo communities living near San Guillermo Biosphere Reserve (San Juan, Argentina).

    Science.gov (United States)

    Hernandez, Jorge; Campos, Claudia M; Borghi, Carlos E

    2015-01-21

    Wild and domestic animals and their by-products are important ingredients in the preparation of curative, protective and preventive medicines. Despite the medicinal use of animals worldwide, this topic has received less attention than the use of medicinal plants. This study assessed the medicinal use of animals by mestizo communities living near San Guillermo MaB Reserve by addressing the following questions: What animal species and body parts are used? What ailments or diseases are treated with remedies from these species? To what extent do mestizo people use animals as a source of medicine? Is the use related to people's age? We conducted semi-structured interviews with 171 inhabitants (15-93 years old) of four villages close to the Reserve: Tudcúm, Angualasto, Malimán and Colangüil. We calculated the informant consensus factor and fidelity level to test homogeneity of knowledge and to know the importance of different medicinal uses for a given species. The medicinal use of animals was reported by 57% of the surveyed people. Seven species were mentioned: Rhea pennata, Lama guanicoe, Puma concolor, Pseudalopex sp., Lama vicugna, Lepus europaeus and Conepatus chinga. Several body parts were used: fat, leg, bezoar-stone, stomach, feather, meat, blood, feces, wool, and liver. The fat of R. pennata was the most frequently used animal part, followed by the bezoar stone and the leg of L. guanicoe. Animals were used to treat 22 ailments, with respiratory and nervous system disorders being the most frequently treated diseases with a high degree of consensus. Old people used animals as remedies more frequently than young residents, showing some differences among villages. A low number of animal species was mentioned as used for medicinal purposes, which could be explained by the perception of strong control related the legislation that bans hunting and the erosion of traditional knowledge produced by mestizaje. However, the presence of a traditional medicine is deeply

  7. Artritis reumatoide como forma de presentación de un timoma

    Directory of Open Access Journals (Sweden)

    Juan Antonio Velasco Franco

    2016-12-01

    Full Text Available El timo juega un importante papel en la maduración de los linfocitos T y en la tolerancia inmune, una alteración a dicho nivel podría desencadenar una reacción de linfocitos contra antígenos propios, dando lugar a reacciones autoinmunes . Presentamos el caso de un paciente de 65 años diagnosticado hacía 4 años de artritis reumatoide seropositiva controlada con prednisona 2.5 mg al día que ingresa por cuadro síncopal situacional (defecatorio con recuperación espontánea. En las exploraciones complementarias destaca la presencia en la radiografia de torax de una masa mediastínica confirmada en TAC y con biopsia compatible con timoma. Tras el hallazgo casual del timoma y 2 años después de extirpación del mismo el paciente se encuentra asintomático sin tratamiento corticoideo en en lo que respecta a artritis y con negativización en controles posteriores a la cirugía de factor reumatoide y anticuerpos anticitrulinados en descenso.

  8. Bloqueo aurículo-ventricular de primer grado en tirotoxicosis aguda First degree atrio-ventricular block in acute thyrotoxicosis

    Directory of Open Access Journals (Sweden)

    Antonio R. Vilches

    2004-02-01

    Full Text Available El cuadro clínico de la tirotoxicosis incluye síntomas cardiovasculares variados. La taquicardia sinusal es el trastorno electrocardiográfico más frecuente y los trastornos de conducción son extremadamente raros como modo de presentación. Comunicamos un caso de bloqueo aurículo-ventricular de primer grado en una paciente con hipertiroidismo recién diagnosticado y que comenzó días antes de la consulta con un cuadro general inespecífico. Su evaluación ulterior demostró que se trataba de una tirotoxicosis aguda autoinmune, y su tratamiento con metimazol corrigió el trastorno totalmente. Se discuten los mecanismos fisiopatológicos involucrados y las implicancias clínicas desde el punto de vista del internista.Thyrotoxicosis may present with a variety of cardiovascular symptoms. Sinus tachycardia is the most frequently encountered electrocardiographic abnormality and conduction disturbances are extremely uncommon. We present a case of first degree atrio-ventricular block in a patient with newly diagnosed hyperthyroidism and discuss the underlying pathophysiological mechanisms and the clinical implications from the internist’s standpoint.

  9. Repercusión perinatal de los trastornos inmunológicos del embarazo Perintal effect of immunological disorders during pregnancy

    Directory of Open Access Journals (Sweden)

    Rafael J. Manotas Cabarcas

    1993-03-01

    Full Text Available

    En esta revisión se analizan varios trastornos de índole inmunológica, comprobada o supuesta, que ocurren durante el embarazo, a saber: hipertensión, diabetes mellitus, hipertiroidismo, hipotiroidismo, trombocitopenia aloinmune y autoinmune, lupus eritematoso sistémico y miastenia gravis. En cada caso se describen la patogénesis y los efectos perinatales y se hacen consideraciones diagnósticas y terapéuticas para la orientación del obstetra y del pediatra.

    Several disorders of proven or supposed immunological nature, that occur during pregnancy are described, namely: arterial hypertension, diabetes mellitus, hyperthyroidism, hypothyroidism, alloimmune and autoimmune thrombocytopenia, erythematous systemic lupus and myastenia gravis. The pathogenesis and perinatal effects of each one are described and diagnostic and therapeutic considerations are made for orientation of obstetricians and pediatricians.

  10. La artritis idiopática juvenil y su relevancia dentro de las enfermedades reumatologicas de la infancia

    Directory of Open Access Journals (Sweden)

    Dr. González M. Benito

    2012-07-01

    Full Text Available El dolor y la inflamación que afecta a las articulaciones o tejidos periarticulares son motivo frecuente de consulta a nivel pediátrico. Dentro de los diagnósticos diferenciales se encuentran las enfermedades reumatológicas. En los últimos años ha cambiado el pronóstico y visión que se tenía de estas enfermedades gracias a los nuevos conocimientos sobre la patogenia y a la incorporación de nuevas terapias con agentes biológicos, basados en anticuerpos monoclonales y que se ha traducido en un cambio en los tratamientos convencionales de estas enfermedades. La Artritis Reumatoidea Juvenil, actualmente denominada Artritis Idiopática Juvenil (AIJ, constituye la enfermedad más frecuente dentro del espectro de estos cuadros autoinmunes. El objetivo de esta presentación es dar a conocer las diversas formas de AIJ y los principales hallazgos clínicos y de laboratorio que pueden orientar al clínico acerca de estas enfermedades y así iniciar un tratamiento oportuno que asegure un buen pronóstico de la enfermedad.

  11. Síndrome hemofagocítico secundario a infecciones graves en un quemado

    Directory of Open Access Journals (Sweden)

    Carolina V. Mahuad

    2013-06-01

    Full Text Available El síndrome hemofagocítico constituye una entidad infrecuente, heterogénea, subdiagnosticada, y muchas veces fatal. En los casos secundarios, los desencadenantes pueden ser numerosos, tales como infecciones, fármacos, enfermedades autoinmunes y neoplasias. El mecanismo fisiopatogénico se explica por la presencia de una función disminuida o defectuosa de células NK y linfocitos T citotóxicos, que resulta en una activación inmune inefectiva y descontrolada, conduciendo al daño celular, falla multiorgánica y proliferación macrofágica con hemofagocitosis. Existen diferentes opciones terapéuticas, mayormente combinaciones de citostáticos y esteroides, cuyo objetivo es la supresión de la respuesta inmune descontrolada. Ocasionalmente, la condición clínica de algunos pacientes con síndrome hemofagocítico impide la utilización de esquemas terapéuticos intensivos. Comunicamos el caso de un paciente quemado grave, que reúne los criterios diagnósticos de síndrome hemofagocítico, quien presentó una evolución favorable con el tratamiento combinado de esteroides e inmunoglobulinas endovenosas.

  12. Reporting with Visual Studio and Crystal Reports

    CERN Document Server

    Elkoush, Mahmoud

    2013-01-01

    A fast-paced, example-based guide to learn how to create a reporting application using Visual Studio and Crystal Reports.""Reporting with Visual Studio and Crystal Reports"" is for developers new to Crystal Reports. It will also prove useful to intermediate users who wish to explore some new techniques in Crystal Reports using Microsoft Visual Studio. Readers are expected to have basic knowledge of C#, Microsoft Visual Studio, and Structured Query Language (SQL).

  13. Síndrome de opsoclonus-mioclonus Opsoclonus-myoclonus syndrome

    Directory of Open Access Journals (Sweden)

    Hugo A. Arroyo

    2009-01-01

    Full Text Available El síndrome opsoclonus- mioclonus es una rara entidad, que en niños se caracteriza por: irritabilidad, movimientos oculares caóticos con componentes verticales, horizontales, rotatorios (opsoclonus, mioclonus y ataxia. Se asocia en un alto porcentaje de casos con neuroblastoma aunque otras etiologías son también reconocidas (infecciosa-parainfecciosa, tóxicos. Un mecanismo autoinmune se considera responsable de la disfunción de estructuras en el tronco cerebral y cerebelo, que explicarían algunos de los síntomas cardinales (opsoclonus-mioclonus, ataxia. Sin embargo los signos de compromiso encefalopáticos y el elevado porcentaje de pacientes con secuelas neurocognitivas y psiquiátricas hablarían a favor de una disfunción más amplia. El tratamiento con esteroides, ACTH y drogas inmunomoduladoras e inmunosupresoras es actualmente utilizado, sin embargo es necesario realizar estudios prospectivos con protocolos terapéuticos uniformes para definir si el uso prolongado de estas drogas influencian favorablemente la evolución en este grupo de pacientes.The opsoclonus-myoclonus syndrome in children is a rare entity which is characterized by irritability, chaotic ocular movements with vertical, horizontal, rotatory components (opsoclonus along with myoclonus and ataxia. In a high proportion of cases, it is associated with neuroblastoma although other etiologies involving infectious or toxic agents have been reported. An autoimmune mechanism would be responsible for the dysfunction of structures in brain stem and cerebellum thus explaining some of the cardinal symptoms such as opsoclonus, myoclonus and ataxia. However, encephalopathic symptoms and the high percentage of patients with neurocognitive and psychiatric sequels are in favor of a wider dysfunction. Treatment with steroids, ACTH, immunomodulatory or immunosuppressive drugs is being used although prospective studies are needed to determine whether the prolonged use of these drugs

  14. Annual report on reactor safety research projects. Reporting period 2011. Progress report

    International Nuclear Information System (INIS)

    2011-01-01

    Within its competence for energy research the Federal Ministry of Economics and Technology (BMWi) sponsors research projects on the safety of nuclear power plants currently in operation. The objective of these projects is to provide fundamental knowledge, procedures and methods to contribute to realistic safety assessments of nuclear installations, to the further development of safety technology and to make use of the potential of innovative safety-related approaches. The Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS)mbH, by order of the BMWi, continuously issues information on the status of such research projects by publishing semi-annual and annual progress reports within the series of GRSF- Fortschrittsberichte (GRS-F-Progress Reports). Each progress report represents a compilation of individual reports about the objectives, work performed, results achieved, next steps of the work etc. The individual reports are prepared in a standard form by the research organisations themselves as documentation of their progress in work. The progress reports are published by the Project Management Agency/Authority Support Division of GRS. The reports as of the year 2000 are available in the Internet-based information system on results and data of reactor safety research (http://www.grs-fbw.de). The compilation of the reports is classified according to the classification system ''Joint Safety Research Index (JSRI)''. The reports are arranged in sequence of their project numbers. It has to be pointed out that the authors of the reports are responsible for the contents of this compilation. The BMWi does not take any responsibility for the correctness, exactness and completeness of the information nor for the observance of private claims of third parties. (orig.)

  15. Annual report on reactor safety research projects. Reporting period 2014. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2014-07-01

    Within its competence for energy research the Federal Ministry for Economic Affairs and Energy (BMWi) sponsors research projects on the safety of nuclear power plants currently in operation. The objective of these projects is to provide fundamental knowledge, procedures and methods to contribute to realistic safety assessments of nuclear installations, to the further development of safety technology and to make use of the potential of innovative safety-related approaches. The Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) gGmbH, by order of the BMWi, continuously issues information on the status of such research projects by publishing semi-annual and annual progress reports within the series of GRS-F-Fortschrittsberichte (GRS-F-Progress Reports). Each progress report represents a compilation of individual reports about the objectives, work performed, results achieved, next steps of the work etc. The individual reports are prepared in a standard form by the research organisations themselves as documentation of their progress in work. The progress reports are published by the Project Management Agency/Authority Support Division of GRS. The reports as of the year 2000 are available in the lnternet-based information system on results and data of reactor safety research (http://www.grs-fbw.de). The compilation of the reports is classified according to the classification system ''Joint Safety Research Index (JSRI)''. The reports are arranged in sequence of their project numbers. lt has to be pointed out that the authors of the reports are responsible for the contents of this compilation. The BMWi does not take any responsibility for the correctness, exactness and completeness of the information nor for the observance of private claims of third parties.

  16. Annual report on reactor safety research projects. Reporting period 2013. Progress report

    International Nuclear Information System (INIS)

    2013-01-01

    Within its competence for energy research the Federal Ministry of Economics and Technology (BMWi) sponsors research projects on the safety of nuclear power plants currently in operation. The objective of these projects is to provide fundamental knowledge, procedures and methods to contribute to realistic safety assessments of nuclear installations, to the further development of safety technology and to make use of the potential of innovative safety-related approaches. The Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS)mbH, by order of the BMWi, continuously issues information on the status of such research projects by publishing semi-annual and annual progress reports within the series of GRSF- Fortschrittsberichte (GRS-F-Progress Reports). Each progress report represents a compilation of individual reports about the objectives, work performed, results achieved, next steps of the work etc. The individual reports are prepared in a standard form by the research organisations themselves as documentation of their progress in work. The progress reports are published by the Project Management Agency/Authority Support Division of GRS. The reports as of the year 2000 are available in the Internet-based information system on results and data of reactor safety research (http://www.grs-fbw.de). The compilation of the reports is classified according to the classification system ''Joint Safety Research Index (JSRI)''. The reports are arranged in sequence of their project numbers. It has to be pointed out that the authors of the reports are responsible for the contents of this compilation. The BMWi does not take any responsibility for the correctness, exactness and completeness of the information nor for the observance of private claims of third parties. (orig.)

  17. Annual report on reactor safety research projects. Reporting period 2015. Progress report

    International Nuclear Information System (INIS)

    2015-01-01

    Within its competence for energy research the Federal Ministry for Economic Affairs and Energy (BMWi) sponsors research projects on the safety of nuclear power plants currently in operation. The objective of these projects is to provide fundamental knowledge, procedures and methods to contribute to realistic safety assessments of nuclear installations, to the further development of safety technology and to make use of the potential of innovative safety-related approaches. The Gesellschaft tor Anlagen- und Reaktorsicherheit (GRS) gGmbH, by order of the BMWi, continuously issues information on the status of such research projects by publishing semi-annual and annual progress reports within the series of GRS-F-Fortschrittsberichte (GRS-F-Progress Reports). Each progress report represents a compilation of individual reports about the objectives, work performed, results achieved, next steps of the work etc. The individual reports are ·' prepared in a standard form by the research organisations themselves as documentation of their progress in work. The progress reports are published by the Project Management Agency/Authority Support Division of GRS. The reports as of the year 2000 are available in the lnternet-based information system on results and data of reactor safety research (http://www.grs-fbw.de). The compilation of the reports is classified according to the classification system ''Joint Safety Research Index (JSRI)''. The reports are arranged in sequence of their project numbers. it has to be pointed out that the authors of the reports are responsible for the contents of this compilation. The BMWi does not take any responsibility for the correctness, exactness and completeness of the information nor for the observance of private claims of third parties.

  18. The readability of expert reports for non-scientist report-users: reports of DNA analysis.

    Science.gov (United States)

    Howes, Loene M; Julian, Roberta; Kelty, Sally F; Kemp, Nenagh; Kirkbride, K Paul

    2014-04-01

    DNA evidence can be extremely compelling. With ongoing scientific advances and applications of DNA evidence in the criminal justice system, it is increasingly important that police, lawyers, and judges recognise both the limitations of DNA evidence and the strength of the evidence in particular cases. Because most forensic sciences are formally communicated via expert reports, we analysed the readability of 68 such reports of DNA evidence from 6 of 8 Australian jurisdictions. We conducted content analyses using three categories: content and sequence, language, and format. Categories contained qualitative and quantitative items drawn from theory and past research. Report styles differed by jurisdiction and by main audience - police and the courts. Reports for police were brief and few links were made between sections in these reports. Reports for courts were less brief and used either legal or scientific styles. Common sections in reports for courts included: the scientist's specialised knowledge; laboratory accreditation information; item list; results; and notes on interpretation. Sections were often not in a logical sequence, due to the use of appendices. According to Flesch Reading Ease scores, reports for police had language that was fairly difficult, and reports for courts, difficult. Difficulty was compounded by the use of specialist terms. Reports for police and the appendices of reports for court often used very small font and single line spacing. Many reports for court contained tables that spanned several pages. Suggestions based on theory and past research are provided to assist scientists to enhance the readability of reports for non-scientists. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  19. Rosetta/VIRTIS-M spectral data: Comet 67P/CG compared to other primitive small bodies.

    Science.gov (United States)

    De Sanctis, M. C.; Capaccioni, F.; Filacchione, G.; Erard, S.; Tosi, F.; Ciarniello, M.; Raponi, A.; Piccioni, G.; Leyrat, C.; Bockelée-Morvan, D.; Drossart, P.; Fornasier, S.

    2014-12-01

    VIRTIS-M, the Visible InfraRed Thermal Imaging Spectrometer, onboard the Rosetta Mission orbiter (Coradini et al., 2007) acquired data of the comet 67P/Churyumov-Gerasimenko in the 0.25-5.1 µm spectral range. The initial data, obtained during the first mission phases to the comet, allow us to derive albedo and global spectral properties of the comet nucleus as well as spectra of different areas on the nucleus. The characterization of cometary nuclei surfaces and their comparison with those of related populations such as extinct comet candidates, Centaurs, near-Earth asteroids (NEAs), trans-Neptunian objects (TNOs), and primitive asteroids is critical to understanding the origin and evolution of small solar system bodies. The acquired VIRTIS data are used to compare the global spectral properties of comet 67P/CG to published spectra of other cometary nuclei observed from ground or visited by space mission. Moreover, the spectra of 67P/Churyumov-Gerasimenko are also compared to those of primitive asteroids and centaurs. The comparison can give us clues on the possible common formation and evolutionary environment for primitive asteroids, centaurs and Jupiter-family comets. Authors acknowledge the funding from Italian and French Space Agencies. References: Coradini, A., Capaccioni, F., Drossart, P., Arnold, G., Ammannito, E., Angrilli, F., Barucci, A., Bellucci, G., Benkhoff, J., Bianchini, G., Bibring, J. P., Blecka, M., Bockelee-Morvan, D., Capria, M. T., Carlson, R., Carsenty, U., Cerroni, P., Colangeli, L., Combes, M., Combi, M., Crovisier, J., De Sanctis, M. C., Encrenaz, E. T., Erard, S., Federico, C., Filacchione, G., Fink, U., Fonti, S., Formisano, V., Ip, W. H., Jaumann, R., Kuehrt, E., Langevin, Y., Magni, G., McCord, T., Mennella, V., Mottola, S., Neukum, G., Palumbo, P., Piccioni, G., Rauer, H., Saggin, B., Schmitt, B., Tiphene, D., Tozzi, G., Space Science Reviews, Volume 128, Issue 1-4, 529-559, 2007.

  20. Crecimiento y desarrollo de niños y jóvenes con diabetes mellitus tipo 1

    Directory of Open Access Journals (Sweden)

    Enrique Rotemberg Wilf

    Full Text Available Resumen La diabetes mellitus es un síndrome metabólico que se caracteriza por hiperglucemia con alteración en el metabolismo de los carbohidratos, proteínas y grasas, causada por deficiencias en la producción o en la utilización de la insulina. Es la enfermedad endocrinometabólica más frecuente de la infancia y adolescencia. La diabetes tipo 1 es una condición crónica debido a la destrucción de las células beta de los islotes de Langerhans del páncreas por enfermedad autoinmune o sin causa conocida. El crecimiento y desarrollo general y cráneo facial del individuo van a estar influenciados por distintos factores que actúan interrelacionados. Los profesionales de la salud deben controlar la evolución del niño con diabetes 1 especialmente durante la pubertad. Es probable encontrar diferencias de crecimiento y desarrollo entre jóvenes con eficaz o con pobre control glucémico, en especial si la enfermedad es de inicio prepuberal y si es o no diagnosticada en forma precoz. La diabetes mellitus tipo 1 puede afectar la salud buco-dental de niños y adolescentes, con posibles consecuencias en la vida adulta

  1. Manifestaciones reumáticas de la infección por el virus de inmunodeficiencia humana (VIH

    Directory of Open Access Journals (Sweden)

    Gloria María Vásquez Duque

    2005-02-01

    Full Text Available Con la aparición del VIH/SIDA se ha puesto de manifiesto un espectro de manifestaciones clínicas reumáticas. El compromiso articular incluye las artralgias, la artritis por VIH, el síndrome de Reiter, la artritis psoriásica y la espondiloartropatía indiferenciada. También se ha documentado una miopatía inducida por el VIH en cuyo diagnóstico diferencial se deben tener en cuenta la miopatía inducida por zidovudina y la debida a toxoplasmosis, cuya presentación clínica es más parecida a la miopatía inducida por el VIH que a otras afecciones musculares. El síndrome de linfocitosis con infiltración difusa es una entidad parecida al síndrome de Sjögren, que es exclusiva de los pacientes VIH positivos, con algunas diferencias en la presentación clínica e inmunológica. Por último, es frecuente la presencia de fenómenos autoinmunes el más común de los cuales es la hipergamaglobulinemia policlonal. También se han descrito diferentes tipos de vasculitis como parte de esta enfermedad.

  2. Valoración médico-laboral del trabajador con Síndrome de Sjögren

    Directory of Open Access Journals (Sweden)

    Maider Usarbarrena Ekiza

    2014-03-01

    Full Text Available El Síndrome de Sjögren (SS es una patología inflamatoria crónica, infradiagnosticada y de etiología desconocida, que se caracteriza por la infiltración linfocitaria de las glándulas exocrinas. La sintomatología puede ser muy variada. Inicialmente, lo más común es que se presente sequedad de mucosas (principalmente oculares y bucales; también se puede asociar a otras enfermedades autoinmunes, y hasta en el 65% de los casos, se pueden presentar manifestaciones extraglandulares, pudiéndose afectar cualquier parte del organismo. En muchos casos, la sintomatología inicial es leve, achacándose habitualmente a un posible disconfort en el puesto de trabajo. A esto hay que añadir que a nivel laboral no existe literatura específica en la que poder basarse para realizar una adecuada valoración médico-laboral. El objetivo de este trabajo ha sido crear una herramienta que englobe, por una parte, la vigilancia de la salud específica, y por otra, definir (aunque sea de forma orientativa, los criterios para poder realizar una correcta valoración de la capacidad laboral en los trabajadores con Síndrome de Sjögren.

  3. Histoplasmosis diseminada, linfopenia, y síndrome de Sjögren

    Directory of Open Access Journals (Sweden)

    Horacio F. Rodrigo

    2012-10-01

    Full Text Available El síndrome de Sjögren es una enfermedad autoinmune caracterizada por disminución de las secreciones de las glándulas exocrinas; puede presentar también diversas alteraciones hemáticas, entre ellas linfopenia. Presentamos el caso de un varón de 28 años que consultó por cefalea de un mes de evolución a la que se agregaron en las últimas 48 horas vómitos y fiebre. Presentaba lesiones en piel de tronco y cara; no tenía rigidez de nuca. Se demostró infección por Histoplasma capsulatum var. capsulatum en piel y líquido cefalorraquídeo, linfopenia, anticuerpos anti Ro-SSA positivos, baja concentración del trazador en centellograma de glándulas salivales e infiltración linfocitaria en glándulas salivales, lo que permitió confirmar al diagnóstico de síndrome de Sjögren. El tratamiento con anfotericina liposomal e itraconazol mejoró el cuadro clínico. Comunicamos este caso para referir que una infección oportunista, como la histoplasmosis diseminada, puede ser una forma poco común de presentación del síndrome de Sjögren.

  4. International Financial Reporting Standards and differential reporting

    OpenAIRE

    Jarvis, Robin; Collis, Jill

    2003-01-01

    This paper examines the international development of financial reporting standards for smaller entities from a UK perspective. It examines the three elements of differential reporting: abbreviated accounts, the Financial Reporting Standard for Smaller Entities and exemption from the statutory audit.

  5. Reporter Concerns in 300 Mode-Related Incident Reports from NASA's Aviation Safety Reporting System

    Science.gov (United States)

    McGreevy, Michael W.

    1996-01-01

    A model has been developed which represents prominent reporter concerns expressed in the narratives of 300 mode-related incident reports from NASA's Aviation Safety Reporting System (ASRS). The model objectively quantifies the structure of concerns which persist across situations and reporters. These concerns are described and illustrated using verbatim sentences from the original narratives. Report accession numbers are included with each sentence so that concerns can be traced back to the original reports. The results also include an inventory of mode names mentioned in the narratives, and a comparison of individual and joint concerns. The method is based on a proximity-weighted co-occurrence metric and object-oriented complexity reduction.

  6. The Report Card on BMI Report Cards.

    Science.gov (United States)

    Thompson, Hannah R; Madsen, Kristine A

    2017-06-01

    Half of states in the USA have legislation requiring that schools conduct body mass index (BMI) screening among students; just under half of these states report results to parents. The effectiveness of school-based BMI screening and reporting in reducing childhood obesity is not established and the practice has raised concerns about the potential for increased weight-based stigmatization. Recent experimental studies of BMI screening and reporting have not demonstrated a positive impact on students' weight status. However, the language and formatting of BMI reports used in studies to date have been suboptimal and have likely limited the potential effectiveness of the practice. This article reviews the recent literature on school-based BMI screening and reporting and highlights important areas for future inquiry. The present review suggests that evidence to date is not sufficient to support definitive conclusions about the value of school-based BMI screening and reporting as a childhood obesity prevention tool.

  7. Medication incidents reported to an online incident reporting system.

    LENUS (Irish Health Repository)

    Alrwisan, Adel

    2011-01-15

    AIMS: Approximately 20% of deaths from adverse events are related to medication incidents, costing the NHS an additional £500 million annually. Less than 5% of adverse events are reported. This study aims to assess the reporting rate of medication incidents in NHS facilities in the north east of Scotland, and to describe the types and outcomes of reported incidents among different services. Furthermore, we wished to quantify the proportion of reported incidents according to the reporters\\' profession. METHODS: A retrospective description was made of medication incidents reported to an online reporting system (DATIX) over a 46-month-period (July 2005 to April 2009). Reports originated from acute and community hospitals, mental health, and primary care facilities. RESULTS: Over the study period there were 2,666 incidents reported with a mean monthly reporting rate of 78.2\\/month (SD±16.9). 6.1% of all incidents resulted in harm, with insulin being the most commonly implicated medication. Nearly three-quarters (74.2%, n=1,978) of total incidents originated from acute hospitals. Administration incidents were implicated in the majority of the reported medication incidents (59%), followed by prescribing (10.8%) and dispensing (9.9%), while the nondescript "other medication incidents" accounted for 20.3% of total incidents. The majority of reports were made by nursing and midwifery staff (80%), with medical and dental professionals reporting the lowest number of incidents (n=56, 2%). CONCLUSIONS: The majority of medication incidents in this study were reported by nursing and midwifery staff, and were due to administration incidents. There is a clear need to elucidate the reasons for the limited contribution of the medical and dental professionals to reporting medication incidents.

  8. Final report

    DEFF Research Database (Denmark)

    Badger, Merete; Monaco, Lucio; Fransson, Torsten

    2013-01-01

    This report represents the deliverable D1.2 of project Virtual Campus Hub. The project runs from October 2011 to September 2013. The report is the core of the project’s 2nd periodic report, which was submitted to the European Commission on November 4th, 2013.......This report represents the deliverable D1.2 of project Virtual Campus Hub. The project runs from October 2011 to September 2013. The report is the core of the project’s 2nd periodic report, which was submitted to the European Commission on November 4th, 2013....

  9. Report Template

    DEFF Research Database (Denmark)

    Bjørn, Anders; Laurent, Alexis; Owsianiak, Mikołaj

    2018-01-01

    To ensure consistent reporting of life cycle assessment (LCA), we provide a report template. The report includes elements of an LCA study as recommended but the ILCD Handbook. Illustrative case study reported according to this template is presented in Chap. 39 ....

  10. Packaging- and transportation-related occurrence reports: 1993 annual report

    International Nuclear Information System (INIS)

    Welch, M.J.; Dickerson, L.S.; Jennings, S.D.

    1994-06-01

    The US Department of Energy (DOE) Occurrence Reporting and Processing System (ORPS) is an interactive computer system designed to support DOE-owned or -operated facilities in reporting and processing of information concerning occurrences related to facility operations. The requirements for reporting and the extent of the occurrences to be reported are defined in DOE Order 5000.3B, Occurrence Reporting and Processing of Operations Information (hereafter referred to as DOE 5000.3B). The centralized data base, which is managed by the Idaho National Engineering Laboratory (INEL), provides computerized support for the collection, distribution, updating, analysis, and sign-off of information in the occurrence reports (ORs). The Oak Ridge National Laboratory (ORNL) Packaging and Transportation Safety (PATS) Program has been made responsible for retrieving reports and information pertaining to transportation and packaging incidents/accidents from the centralized ORPS data base. This annual report details the methodology that PATS uses to conduct searches of the ORPS for pertinent information, the form of the reporting to EH-332, review and examination of trends observed in ORs related to transportation and packaging safety, a presentation and discussion of the root-cause codes of ORPS and the nature of occurrence codes of PATS, timely processing of notification reports to final stage, and analysis of 10% of the reported ORs that were finalized to determine whether the actions taken to close out the occurrences were sufficient to ensure remediation of the incident and to prevent a recurrence. Data in the report are presented by calendar years

  11. 75 FR 17946 - Family Report, MTW Family Report

    Science.gov (United States)

    2010-04-08

    ... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5376-N-25] Family Report, MTW Family... comments on the subject proposal. Tenant data is collected to understand demographic, family profile.... This Notice Also Lists the Following Information Title of Proposal: Family Report, MTW Family Report...

  12. 49 CFR 396.11 - Driver vehicle inspection report(s).

    Science.gov (United States)

    2010-10-01

    ... INSPECTION, REPAIR, AND MAINTENANCE § 396.11 Driver vehicle inspection report(s). (a) Report required—(1... shall repair any defect or deficiency listed on the driver vehicle inspection report which would be... defect or deficiency has been repaired or that repair is unnecessary before the vehicle is operated again...

  13. NEUROMIELITIS ÓPTICA (ENFERMEDAD DE DEVIC

    Directory of Open Access Journals (Sweden)

    Tomás Omar Zamora Bastidas

    2015-12-01

    Full Text Available

    Presentamos el caso de una mujer de 53 años, diagnosticada y tratada inicialmente para esclerosis múltiple, quien presentó varias recaídas y serias secuelas motoras, visuales y de la sensibilidad. Se llevaron a cabo estudios paraclínicos donde se informó anticuerpos antiacuaporina 4 positivos, anticuerpos antinucleares 1/80, anticardiolipinas y virus linfotrópico humano I y II negativos. Se presenta en reunión de casos clínicos del Departamento de Medicina Interna de la augusta Universidad del Cauca, se hace un replanteamiento del diagnóstico y se concluye un síndrome de Devic. El síndrome de Devic, actualmente denominado Desórdenes del Espectro de la neuromielitis óptica, es un desorden autoinmune, inflamatorio y desmielinizante del sistema nervioso central, que afecta principalmente al nervio óptico bilateral, el quiasma óptico y la médula espinal. Puede coexistir, además, con manifestaciones de vasculitis tipo lupus eritematoso sistémico o síndrome de anticuerpos antifosfolípidos. Su principal diagnóstico diferencial es justamente la esclerosis múltiple.

    DEVIC’S DISEASE (OPTIC NEUROMYELITIS

    ABSTRACT

    We report the case of a woman of 53 years, initially diagnosed and treated for multiple sclerosis, who presented several relapses and serious motor, visual and sensitivity sequels. Paraclinical studies were performed, they reported antibodies acuaporine 4 positive, antinuclear antibodies 1/80, anti-cardiolipin antibodies and human T-lymphotropic virus I and II negative. It comes in clinical cases meeting developed in the Department of Internal Medicine of the august Univesity of Cauca, a rethinking of the diagnosis, which it concludes Devic’s syndrome. The Devic’s syndrome, currently known as Optic neuromyelitis Spectrum Disorders, is an autoimmune disorder, inflammatory and demyelinating central nervous system that primarily affects the bilateral optic

  14. 7 CFR 1773.20 - CPA's submission of the auditor's report, report on compliance, report on compliance and on...

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false CPA's submission of the auditor's report, report on... for the Submission and Review of the Auditor's Report, Report on Compliance and on Internal Control Over Financial Reporting, and Management Letter § 1773.20 CPA's submission of the auditor's report...

  15. Investigation of Integrated Reporting As a New Approach of Corporate Reporting

    Directory of Open Access Journals (Sweden)

    Ibrahim Erol

    2016-11-01

    Full Text Available When the recent history of financial, social, environmental and ethical reporting is examined, the idea that increasing expectations of shareholders and stakeholders on transparency and accountability can be met by a single report has great importance. Therefore, the integrated reporting issue after the sustainability reports is on the agenda. When we look at the development of integrated reporting and Corporate Reporting (CR, since integrated reporting has complicated theoretical background, organizations have difficulties to understand whether their report is an integrated one. So in this study we try to reveal basic principles, theoretical background and development process of integrated reporting. We look at globally the development of integrated reporting between the years 1999-2015 on Global Reporting Initiative (GRI database and prepared visual tables showing the development of Integrated Reporting (IR aiming to create positive contribute to CR literature.  In the present study; we determine that in 2012 integrated reporting is made the most, large businesses prefer integrated reporting the most, integrated reporting is made in European region the most, and financial services sector is the sector publishing integrated report the most.

  16. The readability of expert reports for non-scientist report-users: reports of forensic comparison of glass.

    Science.gov (United States)

    Howes, Loene M; Kirkbride, K Paul; Kelty, Sally F; Julian, Roberta; Kemp, Nenagh

    2014-03-01

    Scientific language contains features that may impede understanding for non-scientists. Forensic scientists' written reports are read by police, lawyers, and judges, and thus assessment of readability is warranted. Past studies of readability differed in background theory and approach, but analysed one or more of: content and sequence; language; and format. Using a holistic approach, we assessed the readability of expert reports (n=78) of forensic glass comparison from 7 Australian jurisdictions. Two main audiences for reports were relevant: police and the courts. Reports for police were presented either as a completed form or as a brief legal-style report. Reports for court were less brief and used either legal or scientific styles, with content and formatting features supporting these distinctions. Some jurisdictions prepared a single report to satisfy both the courts and police. In general, item list, analytical techniques, results, notes on interpretation, and conclusions were included in reports of all types. However, some reports omitted analytical techniques, and results and conclusions were sometimes combined. According to Flesch Reading Ease, language was difficult, with a Flesch-Kincaid grade level of university undergraduate. Sentences were long and contained undefined specialist terms. Information content per clause (lexical density), was typically high, as for other scientific texts. Uncertainty was expressed differently by jurisdiction. Reports from most jurisdictions were cluttered in appearance, with single-line spacing, narrow margins, and gridlines in tables. Simple suggestions, based on theory and past research, are provided to assist scientists to enhance the readability of expert reports for non-scientists. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  17. Report Cyberbullying

    Science.gov (United States)

    ... Tips for Teachers Report Cyberbullying Print Share Report Cyberbullying When cyberbullying happens, it is important to document ... providers. Block the person who is cyberbullying. Report Cyberbullying to Online Service Providers Cyberbullying often violates the ...

  18. [Legitimizing and responsibilities of public health reports: public health reports or social court reports?].

    Science.gov (United States)

    Borgers, D; Streich, W

    1996-11-01

    Since 1970 various initiatives have been taken to improve the information bases of health reporting. However, the efforts made up to now by the Länder, the Federal Government and its corporate bodies are characterised by a lack of experience and shortage of resources; moreover, they are viewed with a critical eye by the public and in the political area. In this contribution the authors describe various topics and delimitations of a health reporting system which go far beyond health statistics and health programmes altogether. The chances of a national health reporting system are based on the assumption that an objective judgement based on expert knowledge and science will be possible and that beyond all particularistic interests, expert knowledge can be organised in a democratic process. Public health reporting varies between two extremes: On the one hand, the current reporting in the media on health-related subjects which is characterised by disagreement among experts, particularistic interests and emotions, and on the other hand the national health reporting, which, on the platform of policy marketing and political image shaping, is suspected of degenerating to a kind of "royal court reporting". A health reporting system based on expert knowledge and characterised by topics with relevance to health policy, expert quality of its information and neutrality to particularistic interests, should go beyond these two extremes. Given the political conditions of budgeting and distribution conflicts, health reporting has to deal with two main aspects: effectiveness and efficiency of employed resources and with the problems of a fair distribution of these resources to provide equal chances in the health sector. What cannot be solved, by questions of procedure, however, is the problem of truth and objective knowledge as well as the problem of confidence. If the general public lacks confidence in national expert knowledge, a society discourse will not lead to political

  19. NEW CORPORATE REPORTING TRENDS. ANALYSIS ON THE EVOLUTION OF INTEGRATED REPORTING

    Directory of Open Access Journals (Sweden)

    Dragu Ioana

    2013-07-01

    Full Text Available The objective of this paper is to present the new corporate reporting trends of the 21st century. Integrated reporting has been launched through a common initiative of the International Integrated Reporting Committee and global accounting organizations. However, the history of integrated reports starts before the initiative of the IIRC, and goes back in time when large corporations begun to disclose sustainability and corporate social responsibility information. Further on, we claim that the initial sustainability and CSR reports that were issued separate along with the financial annual report represent the predecessors of the current integrated reports. The paper consists of a literature review analysis on the evolution of integrated reporting, from the first stage of international non-financial initiatives, up to the current state of a single integrated annual report. In order to understand the background of integrated reporting we analyze the most relevant research papers on corporate reporting, focusing on the international organizations’ perspective on non-financial reporting, in general, and integrated reporting, in particular. Based on the literature overview, we subtracted the essential information for setting the framework of the integrated reporting evolution. The findings suggest that we can delimitate three main stages in the evolution of integrated reports, namely: the non-financial reporting initiatives, the sustainability era, and the revolution of integrated reporting. We illustrate these results by presenting each relevant point in the history of integrated reporting on a time scale axis, developed with the purpose of defining the road to integrated reporting at theoretical, empirical, and practical levels. We consider the current investigation as relevant for future studies concerning integrated reports, as this is a new area of research still in its infancy. The originality of the research derives from the novelty of

  20. 7 CFR 1780.55 - Preliminary engineering reports and Environmental Reports.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Preliminary engineering reports and Environmental..., Designing, Bidding, Contracting, Constructing and Inspections § 1780.55 Preliminary engineering reports and Environmental Reports. Preliminary engineering reports (PERs) must conform to customary professional standards...

  1. Final Report

    DEFF Research Database (Denmark)

    Heiselberg, Per; Brohus, Henrik; Nielsen, Peter V.

    This final report for the Hybrid Ventilation Centre at Aalborg University describes the activities and research achievement in the project period from August 2001 to August 2006. The report summarises the work performed and the results achieved with reference to articles and reports published...

  2. The effect of reporting speed on plain film reporting errors

    International Nuclear Information System (INIS)

    Edwards, A.J.; Ricketts, C.; Dubbins, P.A.; Roobottom, C.A.; Wells, I.P.

    2003-01-01

    AIM: To determine whether reporting plain films at faster rates lead to a deterioration in accuracy. METHODS: Fourteen consultant radiologists were asked to report a total of 90 radiographs in three sets of 30. They reported the first set at the rate they would report normally and the subsequent two sets in two thirds and one half of the original time. The 90 radiographs were the same for each radiologist, however, the order was randomly generated for each. RESULTS: There was no significant difference in overall accuracy for each of the three film sets (p=0.74). Additionally no significant difference in the total number of false-negatives for each film set was detected (p=0.14). However, there was a significant decrease in the number of false-positive reports when the radiologists were asked to report at higher speeds (p=0.003). CONCLUSIONS: When reporting accident and emergency radiographs increasing reporting speed has no overall effect upon accuracy, however, it does lead to less false-positive reports

  3. 17 CFR 210.2-02T - Accountants' reports and attestation reports on internal control over financial reporting.

    Science.gov (United States)

    2010-04-01

    ... attestation reports on internal control over financial reporting. 210.2-02T Section 210.2-02T Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION FORM AND CONTENT OF AND REQUIREMENTS FOR FINANCIAL... attestation reports on internal control over financial reporting. (a) The requirements of § 210.2-02(f) shall...

  4. Report number codes

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, R.N. (ed.)

    1985-05-01

    This publication lists all report number codes processed by the Office of Scientific and Technical Information. The report codes are substantially based on the American National Standards Institute, Standard Technical Report Number (STRN)-Format and Creation Z39.23-1983. The Standard Technical Report Number (STRN) provides one of the primary methods of identifying a specific technical report. The STRN consists of two parts: The report code and the sequential number. The report code identifies the issuing organization, a specific program, or a type of document. The sequential number, which is assigned in sequence by each report issuing entity, is not included in this publication. Part I of this compilation is alphabetized by report codes followed by issuing installations. Part II lists the issuing organization followed by the assigned report code(s). In both Parts I and II, the names of issuing organizations appear for the most part in the form used at the time the reports were issued. However, for some of the more prolific installations which have had name changes, all entries have been merged under the current name.

  5. Report number codes

    International Nuclear Information System (INIS)

    Nelson, R.N.

    1985-05-01

    This publication lists all report number codes processed by the Office of Scientific and Technical Information. The report codes are substantially based on the American National Standards Institute, Standard Technical Report Number (STRN)-Format and Creation Z39.23-1983. The Standard Technical Report Number (STRN) provides one of the primary methods of identifying a specific technical report. The STRN consists of two parts: The report code and the sequential number. The report code identifies the issuing organization, a specific program, or a type of document. The sequential number, which is assigned in sequence by each report issuing entity, is not included in this publication. Part I of this compilation is alphabetized by report codes followed by issuing installations. Part II lists the issuing organization followed by the assigned report code(s). In both Parts I and II, the names of issuing organizations appear for the most part in the form used at the time the reports were issued. However, for some of the more prolific installations which have had name changes, all entries have been merged under the current name

  6. Engineering Research Division report on reports calendar year 1978

    International Nuclear Information System (INIS)

    Lorton, M.E.

    1979-01-01

    Each year the Engineering Research Division of the Electronics Engineering Department has issued an internal report listing of all formal publications produced by the division during the calendar year. The report for 1978 is being issued in two sections (the second section has been expanded from the former format due to a change in collection of information implemented during the calendar year 1978). The first section (covering January 1978 through June 1978) lists the titles, report numbers, authors, dates, an author index, and, when applicable, conferences or journals to which the paper was submitted. The second section (covering July 1978 through December 1978) provides, in addition to the above information, abstracts for each paper, and an appendix with keywords. Future publication reports will include abstracts and a keyword appendix for all reports. It is expected that the new format will make the publication report a more useful document

  7. [The effectiveness of error reporting promoting strategy on nurse's attitude, patient safety culture, intention to report and reporting rate].

    Science.gov (United States)

    Kim, Myoungsoo

    2010-04-01

    The purpose of this study was to examine the impact of strategies to promote reporting of errors on nurses' attitude to reporting errors, organizational culture related to patient safety, intention to report and reporting rate in hospital nurses. A nonequivalent control group non-synchronized design was used for this study. The program was developed and then administered to the experimental group for 12 weeks. Data were analyzed using descriptive analysis, X(2)-test, t-test, and ANCOVA with the SPSS 12.0 program. After the intervention, the experimental group showed significantly higher scores for nurses' attitude to reporting errors (experimental: 20.73 vs control: 20.52, F=5.483, p=.021) and reporting rate (experimental: 3.40 vs control: 1.33, F=1998.083, porganizational culture and intention to report. The study findings indicate that strategies that promote reporting of errors play an important role in producing positive attitudes to reporting errors and improving behavior of reporting. Further advanced strategies for reporting errors that can lead to improved patient safety should be developed and applied in a broad range of hospitals.

  8. Safety analysis reports. Current status (third key report)

    International Nuclear Information System (INIS)

    1999-01-01

    A review of Ukrainian regulations and laws concerned with Nuclear power and radiation safety is presented with an overview of the requirements for the Safety Analysis Report Contents. Status of Safety Analysis Reports (SAR) is listed for each particular Ukrainian NPP including SAR development schedules. Organisational scheme of SAR development works includes: general technical co-ordination on Safety Analysis Report development; list of leading organisations and utilization of technical support within international projects

  9. Activity report

    International Nuclear Information System (INIS)

    1990-11-01

    The Department of Physics and Measurement Technology, Biology and Chemistry (IFM) presents every year a progress report containing a brief description of activities in research and education within the department. The report is intended as an information for colleagues and institutions. The present report contains activities for the academic year July 1989 to June 1990

  10. Characterization of the radon source in North-Central Florida. Final report part 1 -- Final project report; Final report part 2 -- Technical report

    International Nuclear Information System (INIS)

    1997-01-01

    This report contains two separate parts: Characterization of the Radon Source in North-Central Florida (final report part 1 -- final project report); and Characterization of the Radon Source in North-Central Florida (technical report). The objectives were to characterize the radon 222 source in a region having a demonstrated elevated indoor radon potential and having geology, lithology, and climate that are different from those in other regions of the U.S. where radon is being studied. Radon availability and transport in this region were described. Approaches for predicting the radon potential of lands in this region were developed

  11. ISBE continuous technology forecasting reportsreport 2.

    OpenAIRE

    Ettrich, Rüdiger; Thanos, Dimitris; Butcher, Sarah; Kotrcova, Marcela; Stanford, Natalie; Goble, Carole; Oberthuer, Angela; Hoefer, Thomas

    2014-01-01

    This second continuous technology report is the outcome of the joint effort of the WP9 members and the Technology and Science Watch committee appointed by the steering committee appointed in April 2014. While the first report was designed to serve as a guide for building up the infrastructure, this second report takes into account the recommendations of the SAB that sees the possible role of the future infrastructure in fostering systems biology research by using existing experimental facilit...

  12. Embarazo y lupus eritematoso sistémico

    Directory of Open Access Journals (Sweden)

    Rita Campillo Motilva

    2001-12-01

    Full Text Available El lupus eritematoso sistémico es una enfermedad autoinmune y sistémica, que se presenta con frecuencia en mujeres jóvenes y por tanto en su etapa reproductiva; se asocia a un alto riesgo de morbilidad y mortalidad perinatal. Las complicaciones más frecuentes son los abortos, la muerte fetal, la prematurez, el retardo del crecimiento intrauterino y el lupus neonatal. Los anticuerpos potencialmente perjudiciales sobre la gestación son los antifosfolípidos (anticoagulante lúpico y anticardiolipinas y anti-Ro y anti-La. Con un correcto asesoramiento preconcepcional y un adecuado seguimiento durante el embarazo y el puerperio, se puede encarar con una gran probabilidad de éxito la maternidad en estas pacientes.Systemic lupus erythematosus is an autoimmune and systemic disease that appears frequently in young women and, therefore, during the reproductive stage. It is associated with a high risk of morbidity and perinatal mortality. The most common complications are abortions, fetal death, prematurity, retarded intrauterine growth and neonatal lupus.The potentially harmful antibodies for gestation are the antiphospholipids (lupus anticoagulant and anticardiolipins and anti-Ro and anti-La. With a correct preconceptional counselling and an adequate follow-up during pregnancy and puerperium, maternity may be faced with great probabilities of success in these patients.

  13. Maculopatía tóxica por cloroquina y rehabilitación visual mediante microperímetro MP1

    Directory of Open Access Journals (Sweden)

    Mayrelis Quintero Busutil

    Full Text Available La cloroquina es un fármaco que puede producir disfunciones visuales, baja visión e incluso ceguera según la dosis. Una dosis acumulativa menor a 100 g de cloroquina, o una duración de tratamiento de menos de un año raramente se asocia con lesión retiniana. El riesgo de toxicidad aumenta cuando la dosis acumulativa excede los 300 g (250mg/día durante 3 años. Este medicamento es utilizado en el tratamiento de enfermedades autoinmunes. Se presenta una paciente de 44 años de edad, con antecedentes de artritis reumatoide hace 14 años para lo cual se indicó tratamiento con cloroquina (1 tableta 250 mg/diaria desde el diagnóstico inicial, y presenta un diagnóstico de maculopatía por cloroquina hace 5 años, a consulta por presentar baja visión y solicitando una posibilidad de rehabilitación visual. Se realizó examen oftalmológico, estudios complementarios y se rehabilitó mediante el microperímetro MP1. Se concluye que la maculopatía por cloroquina es una de las causas de discapacidad visual y que la rehabilitación visual con microperimetría proporciona mejoría en varios parámetros visuales, mejorando la calidad visual del paciente.

  14. El sistema inmunológico de las mucosas

    Directory of Open Access Journals (Sweden)

    Miriam Zaldívar Ochoa

    2002-10-01

    Full Text Available El sistema inmunológico es muy importante porque protege al organismo de agentes microbianos patógenos, toxinas, partículas extrañas, células tumorales y procesos autoinmunes. Para mantener el equilibrio biológico se necesita que este sistema funcione normalmente, de manera que constituya una fuerte barrera defensiva contra la invasión de agentes nocivos; de no suceder esto, se presentará una inmunodeficiencia de expresión clínica variable. La esencia de la función del sistema inmune es su gran capacidad para la discriminación a escala molecular entre lo propio y lo ajeno, o sea, lo que pertenece al organismo y lo que no, conservando así su individualidad.The immunological system is very important because it protects the organism from pathogenic microbial agents, toxins, foreign particles, tumoral cells and autoimmune processes. To maintain the biological balance, this system should work normally, acting as a strong defensive barrier against the invasion of harmful agents. Otherwise, there will be an immunodeficiency of variable clinical expression. The essence of the function of the immune system is its great capacity for distinguishing its own from the strange at the molecular level, that is, to recognize a difference between what belongs or not to the organism, keeping this way its individuality.

  15. Hipotiroidismo congénito secundario a hipoplasia tiroidea detectado en edad adulta

    Directory of Open Access Journals (Sweden)

    Paula Monti

    2013-04-01

    Full Text Available La ubicación anatómica de la glándula tiroidea y su biosíntesis hormonal están reguladas por la expresión de ciertos genes, cuya alteración puede conducir a las denominadas disgenesias tiroideas: agenesia, ectopía e hipoplasia, así como a las variantes dishormonogenéticas. Se presenta el caso de una paciente con retraso mental y diagnóstico de hipotiroidismo realizado en la edad adulta. Las determinaciones bioquímicas confirmaron el diagnóstico de hipotiroidismo no autoinmune. Este caso representa la evolución prolongada de una hipofunción tiroidea, que cursó en forma solapada y no diagnosticada durante 53 años de vida, con secuelas relevantes de esta deficiencia al momento del diagnóstico. La terapia exógena logró mejorías evidentes en la signo sintomatología, pero no revirtió el presunto daño neurológico atribuible a la falta de hormona tiroidea necesaria durante el desarrollo fetal. En la necropsia realizada se encontró escaso tejido tiroideo cervical correspondiente a hipoplasia tiroidea eutópica. El hallazgo de un remanente tiroideo menor a 1 cm permite explicar la supervivencia de la paciente hasta una edad avanzada.

  16. Mielitis transversa relacionada con vacunación anti-influenza A(H1N1

    Directory of Open Access Journals (Sweden)

    María Florencia Arcondo

    2011-04-01

    Full Text Available La mielitis transversa es una enfermedad inflamatoria que se caracteriza por disfunción de la médula espinal. Las causas reconocidas de mielitis transversa son autoinmunes, enfermedades desmielinizantes, post infecciosas y post vacunales, aunque hasta el 50% de los casos son idiopáticas. Las vacunas contra la rubéola, paperas, rabia y gripe estacional han sido asociadas a diversos trastornos neurológicos, como el Síndrome de Guillain Barré, la encefalomielitis diseminada aguda (ADEM y la mielitis transversa. Como mecanismo preventivo luego de la pandemia de 2009, en febrero del año 2010 se inició en nuestro país la campaña de vacunación contra la Influenza A (H1N1. Se presenta el caso de una paciente con hipoestesias que aparecieron cuatro días después de haber recibido la vacuna monovalente anti-influenza A (H1N1 y progresaron con evidente nivel sensitivo. La paciente cumplía criterios diagnósticos de mielitis transversa, según el Transverse Myelitis Consortium Working Group. Tuvo remisión de las imágenes de la resonancia magnética y estabilidad clínica sin tratamiento con corticoides. Se discuten aspectos diagnósticos, pronósticos y terapéuticos de esta entidad clínica.

  17. Autismo y vacunas pediátricas

    Directory of Open Access Journals (Sweden)

    Alejandro Roque Valdés

    2004-04-01

    Full Text Available El presente trabajo es un artículo de revisión que pretende abordar un tema tan controvertido como actual: la posible asociación causal que se ha querido establecer entre el autismo y las vacunas infantiles. A partir de la última década del siglo XX se producen una serie de cambios en la clasificación, nomenclatura y criterios diagnósticos del autismo. Los hallazgos de estudios epidemiológicos llevados a cabo bajo estos nuevos ponderados han revelado que las tasas de prevalencia del autismo son en la actualidad muy superiores a las de hace 15 años. Entre los factores que se esgrimen para explicar este fenómeno están las vacunas, y entre los mecanismos que se invocan para tratar de inculpar a las vacunas en la etiología del autismo están el exceso de mercurio derivado del tiomersal que se emplea como conservante de las mismas y procesos autoinmunes que de forma directa o indirectamente actúan sobre el SNC, induciendo lesiones a nivel de la mucosa intestinal, lo cual favorecerá la absorción de macromoléculas, antígenos y toxinas que una vez en el torrente sanguíneo llegarían al SNC produciendo allí las lesiones responsables de la génesis del autismo.

  18. Reporting of adverse drug reactions: predictors of under-reporting in Malaysia.

    Science.gov (United States)

    Aziz, Zoriah; Siang, Tan Ching; Badarudin, Nurul Suhaida

    2007-02-01

    Malaysia like many other countries worldwide uses spontaneous reporting systems as a mean of collecting data on suspected adverse drug reaction (ADR). However, compared to other countries, which use the system, the reporting rate in Malaysia is very low. Why some physicians do not report ADRs is not well understood. To identify factors, which would predict physicians' failure to send ADR reports. Face-to-face interview using a structured questionnaire involving physicians working at the University of Malaya Medical Centre, Malaysia. About a third of the physicians in the Centre participated. Sixty-five of the 415 approached refused to participate. A high proportion of the respondents (81.4%) indicated that they had suspected an ADR but did not report it, while about 40% of the respondents were not aware of the existence of the national reporting system in Malaysia. Logistic regression modelling identified the variable 'ADR considered to be too trivial or too well known to report' as the strongest predictor of not reporting, followed by physicians' category and uncertainty that the reaction had been definitely caused by a drug. Important predictor variables, which limit physicians from reporting ADR in Malaysia, were related to uncertainty of types of reaction to report, lack of awareness about the existence, function and purpose of national ADR reporting. The findings could be useful for planning strategies to improve the reporting rate.

  19. Safe reading of chemical pathology reports: the RCPAQAP Report Assessment Survey.

    Science.gov (United States)

    Koetsier, Sabrina; Jones, Graham Ross Dallas; Badrick, Tony

    2016-06-01

    Pathology reports are a vital component of the request-test-report cycle communicating pathology results to doctors to support clinical decision making. This should be done in a comprehensive, safe and time-efficient manner. As doctors may receive reports from different laboratories these goals can be achieved more readily if reports are formatted in the same way. This study evaluates the formatting of paper reports produced by Australian laboratories for numerical biochemistry results. As part of the RCPAQAP Liquid Serum Chemistry program in 2015, laboratories were invited to supply a routine paper report displaying the results. A total of 37 reports were received for analysis. These reports were assessed for variation in a range of components and, where possible, against relevant Australian standards and guidelines. In summary, there was a wide variation in most of the report components assessed including test names, result alignment, result flagging, sequence of data elements on the page, date formatting and patient name formatting. In most components there was also variation from the Standards. In order to ensure safe result transmission by printed reports there is a need to promote the adoption of current reporting standards and monitor compliance with similar external quality assurance programs. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

  20. Reports issued by the Risoe National Laboratory in the series: RISO-R reports and RISO-M reports

    International Nuclear Information System (INIS)

    1982-08-01

    This list includes all scientific and technical reports issued from 1957 - May 1982 by Risoe National Laboratory, former Research Establishment Risoe. The list covers Riso-R and Risoe-M reports, and is arranged according to report numbers. (author)

  1. Case Report Case Report

    African Journals Online (AJOL)

    User

    2013-03-26

    Mar 26, 2013 ... c Medicine and Palliative Cancer Care: A Case Report. Sanjoy Kumar Pal ... us complementary and alternative therapies for treatment about the .... controlled trials that homeopathy may be effective for the treatment of ...

  2. Annual report 1973

    International Nuclear Information System (INIS)

    1973-01-01

    The GKSS scientific annual report summarizes the problems and results of the research and development projects of 1973. In contrast to earlier annual reports, a comprehensive description of the research facilities is not included. The annual report was extended by the paragraph 'Financial Report 1973' in the chapter 'Development of Geesthacht Research Centre'. The financial report gives a survey of the financial transactions and the major operations of the year under review. (orig./AK) [de

  3. ICRU report, 1976--1980

    International Nuclear Information System (INIS)

    Anon.

    1987-01-01

    This collection of reports from the International Commission on Radiation Units and Measurements (ICRU) covers the period from 1976-1980. Report 24: Determination of absorbed doses in a patient by beams of X or gamma rays in radiotherapy procedures. Report 25: Conceptual basis for the determination of dose equivalent. Report 26: Neutron dosimetry for biology and medicine. Report 27: An International Neutron Dosimetry Intercomparison. Report 28: Basic aspects of high energy particle interactions and radiation dosimetry. Report 29: Dose specification for reporting external beam therapy with photons and electrons. Report 30: Quantitative concepts and dosimetry in radiobiology. Report 31: Average energy required to produce an ion pair. Report 32: Methods of assessment of absorbed dose in clinical use of radionuclides. Report 33: Radiation quantities and units

  4. Mid-term Report

    DEFF Research Database (Denmark)

    Badger, Merete; Monaco, Lucio; Farinetti, Laura

    2012-01-01

    This report represents the deliverable D1.1 of project Virtual Campus Hub. The project runs from October 2011 to September 2013. The report is the core of the project’s 1st periodic report, which was submitted to the European Commission on November 26, 2012. In addition, this report contains...

  5. A new dimension of the entities’ financial reporting: Integrated Reporting

    Directory of Open Access Journals (Sweden)

    LAPTES Ramona

    2017-01-01

    Full Text Available Nowadays, the development strategy of big corporations is based on the principle of sustainable development, which includes both protecting the interests of all involved economic actors and minimizing the aggression on natural resources. In this context, the financial communication process in large companies has acquired new meanings, being reconsidered and taking the form of Integrated Reporting. The objective of this paper is to develop a study regarding the theory of Integrated Reporting, based on a documentary research on the reports published by the International Integrated Reporting Council and organizations such as KPMG, E&Y or ACCA. Integrated Reporting is a new practice, still under development and in expansion at international level. An integrated report tells the story of a company’s journey towards achieving its vision and provides information about its historical performance, but also about the expected one.

  6. Socioeconomic inequalities in parent-reported and teacher-reported psychological well-being.

    Science.gov (United States)

    Lewis, Hannah; Hope, Steven; Pearce, Anna

    2015-01-01

    To determine whether there are differences in the social gradient of parent-reported and teacher-reported child psychological well-being. Secondary data analysis comparing ratings of child psychological well-being (Strengths and Difficulties Questionnaire, SDQ) in the UK Millennium Cohort Study at 7 years by socioeconomic circumstances (SEC). A number of measures of SEC were tested; results are reported for maternal education. From a sample of 13,168 singletons who participated at the age of 7 years, complete data were available for 8207 children. There was a social gradient in SDQ scores reported by parents and teachers, with 'borderline/abnormal' scores more prevalent in children with lower-educated mothers. However, the gradient was more marked in parent report compared with teacher report, and discrepancies between parent and teacher reports were greatest for children from higher SECs. The social gradient in child psychological well-being, although present, was weaker in teacher report compared with parent report. This may be because children behave differently in school and home settings, or parents and teachers demonstrate reporting bias. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Reportable Creation: value, performance and risk measurement in financial reporting

    NARCIS (Netherlands)

    N.G. de Jager

    2006-01-01

    textabstractReporting on value or reporting value-relevant information unavoidably implies that estimates of future cash flows should be made. Consequently, uncertainty becomes an important factor in (external) financial reporting. For a long time, uncertainty was dealt with by substituting relevant

  8. Chronic primary intestinal pseudo-obstruction from visceral myopathy Pseudo-osbtrucción intestinal crónica primaria debida a miopatía visceral

    Directory of Open Access Journals (Sweden)

    M. T. Muñoz-Yagüe

    2006-04-01

    Full Text Available Chronic intestinal pseudo-obstruction is an uncommon syndrome characterized by relapsing episodes suggesting intestinal obstruction during which no mechanical causes are identified to account for symptoms. Etiologic factors may be manifold. Among them a number of neurologic conditions, gastrointestinal smooth muscle myopathies, endocrino-metabolic and autoimmune diseases, and the use of selected drugs stand out. We report a case of chronic intestinal pseudo-obstruction originating in a sporadic, primary intestinal myopathy that corresponds to no type thus far described. A histological study of the intestinal wall showed disrupted muscle bundles and the presence of interstitial edema. Myocytes had severe degenerative changes, and no alterations were seen in submucosal and myenteric plexus neurons. The activity of enzyme complexes in the mitochondrial respiratory chain, and of thymidine phosphorylase was normal. No mitochondrial DNA changes were seen.La pseudo-obstrucción intestinal crónica es un síndrome infrecuente caracterizado por episodios recidivantes, sugestivos de obstrucción intestinal, durante los cuales no se detectan causas mecánicas que justifiquen la sintomatología. Los factores etiológicos pueden ser múltiples. Entre ellos destacan diversas enfermedades neurológicas, miopatías de la musculatura lisa gastrointestinal, enfermedades endocrino-metabólicas y autoinmunes y el uso de determinados fármacos. Presentamos un caso de pseudo-obstrucción intestinal crónica originada por una miopatía intestinal primaria y esporádica que no corresponde a ningún tipo descrito hasta el momento. El estudio histológico de la pared intestinal mostró que los haces musculares estaban desestructurados y que existía edema intersticial. Los miocitos presentaban marcados cambios degenerativos y no existían alteraciones en las neuronas de los plexos submucoso y mientérico. La actividad de los complejos enzimáticos de la cadena

  9. LANSCE Activity Report

    Energy Technology Data Exchange (ETDEWEB)

    Amy Robinson; Audrey Archuleta; Barbara Maes; Dan Strottman; Earl Hoffman; Garth Tietjen; Gene Farnum; Geoff Greene; Joyce Roberts; Ken Johnson; Paul Lewis; Roger Pynn; Stan Schriber; Steve Sterbenz; Steve Wender; Sue Harper

    1999-02-01

    The Los Alamos Neutron Science Center Activity Report describes scientific and technological progress and achievements in LANSCE Division during the period of 1995 to 1998. This report includes a message from the Division Director, an overview of LANSCE, sponsor overviews, research highlights, advanced projects and facility upgrades achievements, experimental and user program accomplishments, news and events, and a list of publications. The research highlights cover the areas of condensed-matter science and engineering, accelerator science, nuclear science, and radiography. This report also contains a compact disk that includes an overview, the Activity Report itself, LANSCE operations progress reports for 1996 and 1997, experiment reports from LANSCE users, as well as a search capability.

  10. 29 CFR 403.3 - Form of annual financial report-detailed report.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Form of annual financial report-detailed report. 403.3... LABOR LABOR-MANAGEMENT STANDARDS LABOR ORGANIZATION ANNUAL FINANCIAL REPORTS § 403.3 Form of annual financial report—detailed report. Every labor organization shall, except as expressly provided otherwise in...

  11. Reporting and Reacting: Concurrent Responses to Reported Speech.

    Science.gov (United States)

    Holt, Elizabeth

    2000-01-01

    Uses conversation analysis to investigate reported speech in talk-in-interaction. Beginning with an examination of direct and indirect reported speech, the article highlights some of the design features of the former, and the sequential environments in which it occurs. (Author/VWL)

  12. Differences between food group reports of low energy reporters and non-low energy reporters on a food frequency questionnaire

    Science.gov (United States)

    Millen, Amy E.; Tooze, Janet A.; Subar, Amy F.; Kahle, Lisa L.; Schatzkin, Arthur; Krebs-Smith, Susan M.

    2013-01-01

    Background Low-energy reporters (LERs) and non-LERs differ with respect to a number of characteristics, including self-reported intake of foods. Limited data exists investigating food intake differences with LERs identified using doubly labeled water (DLW). Objective In the Observing Protein and Energy Nutrition Study (September, 1999-March, 2000), differences were examined between food group reports of LERs and non-LERs on a food frequency questionnaire (FFQ) (n=440). Design LERs were identified using DLW. LERs' (n=220) and non-LERs' (n=220) reports of 43 food groups on the FFQ were examined in three ways: whether they reported consuming a food group (yes/no), how frequently they reported consuming it (times/day), and the reported portion size (small, medium, or large). Analyses were adjusted for total energy expenditure from DLW. Results LERs compared to non-LERs were less likely to report consumption for one food group among women (soft drinks/regular) and no food groups among men. Reported mean daily frequency of consumption was lower in LERs compared to non-LERs for 23 food groups among women and 24 food groups among men (18 food groups were similar in men and women). Additionally, reported mean portion sizes were smaller for LERs compared to non-LERs for 6 food groups among women and 5 food groups among men (3 food groups were similar in men and women). Results varied minimally by sex and body mass index (BMI). Conclusions LERs as compared to non-LERs were more likely to differ regarding their reported frequency of consumption of food groups than their reported consumption (yes/no) of the food groups or the food groups' reported portion sizes. Results did not vary greatly by sex or BMI. It still remains to be known whether improvement in questionnaire design or additional tools or methods would lead to a decrease in differential reporting due to LER status on an FFQ. PMID:19559136

  13. ARRA NEPA Quarterly Report- First Report: USDA USFS Report

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  14. Reporting dream experience: Why (not) to be skeptical about dream reports

    Science.gov (United States)

    Windt, Jennifer M.

    2013-01-01

    Are dreams subjective experiences during sleep? Is it like something to dream, or is it only like something to remember dreams after awakening? Specifically, can dream reports be trusted to reveal what it is like to dream, and should they count as evidence for saying that dreams are conscious experiences at all? The goal of this article is to investigate the relationship between dreaming, dream reporting and subjective experience during sleep. I discuss different variants of philosophical skepticism about dream reporting and argue that they all fail. Consequently, skeptical doubts about the trustworthiness of dream reports are misguided, and for systematic reasons. I suggest an alternative, anti-skeptical account of the trustworthiness of dream reports. On this view, dream reports, when gathered under ideal reporting conditions and according to the principle of temporal proximity, are trustworthy (or transparent) with respect to conscious experience during sleep. The transparency assumption has the status of a methodologically necessary default assumption and is theoretically justified because it provides the best explanation of dream reporting. At the same time, it inherits important insights from the discussed variants of skepticism about dream reporting, suggesting that the careful consideration of these skeptical arguments ultimately leads to a positive account of why and under which conditions dream reports can and should be trusted. In this way, moderate distrust can be fruitfully combined with anti-skepticism about dream reporting. Several perspectives for future dream research and for the comparative study of dreaming and waking experience are suggested. PMID:24223542

  15. Reporting dream experience: Why (not) to be skeptical about dream reports.

    Science.gov (United States)

    Windt, Jennifer M

    2013-01-01

    Are dreams subjective experiences during sleep? Is it like something to dream, or is it only like something to remember dreams after awakening? Specifically, can dream reports be trusted to reveal what it is like to dream, and should they count as evidence for saying that dreams are conscious experiences at all? The goal of this article is to investigate the relationship between dreaming, dream reporting and subjective experience during sleep. I discuss different variants of philosophical skepticism about dream reporting and argue that they all fail. Consequently, skeptical doubts about the trustworthiness of dream reports are misguided, and for systematic reasons. I suggest an alternative, anti-skeptical account of the trustworthiness of dream reports. On this view, dream reports, when gathered under ideal reporting conditions and according to the principle of temporal proximity, are trustworthy (or transparent) with respect to conscious experience during sleep. The transparency assumption has the status of a methodologically necessary default assumption and is theoretically justified because it provides the best explanation of dream reporting. At the same time, it inherits important insights from the discussed variants of skepticism about dream reporting, suggesting that the careful consideration of these skeptical arguments ultimately leads to a positive account of why and under which conditions dream reports can and should be trusted. In this way, moderate distrust can be fruitfully combined with anti-skepticism about dream reporting. Several perspectives for future dream research and for the comparative study of dreaming and waking experience are suggested.

  16. Reporting dream experience:Why (not to be skeptical about dream reports

    Directory of Open Access Journals (Sweden)

    Jennifer Michelle Windt

    2013-11-01

    Full Text Available Are dreams subjective experiences during sleep? Is it like something to dream, or is it only like something to remember dreams after awakening? Specifically, can dream reports be trusted to reveal what it is like to dream, and should they count as evidence for saying that dreams are conscious experiences at all? The goal of this article is to investigate the relationship between dreaming, dream reporting and subjective experience during sleep. I discuss different variants of philosophical skepticism about dream reporting and argue that they all fail. Consequently, skeptical doubts about the trustworthiness of dream reports are misguided, and for systematic reasons. I suggest an alternative, anti-skeptical account of the trustworthiness of dream reports. On this view, dream reports, when gathered under ideal reporting conditions and according to the principle of temporal proximity, are trustworthy (or transparent with respect to conscious experience during sleep. The transparency assumption has the status of a methodologically necessary default assumption and is theoretically justified because it provides the best explanation of dream reporting. At the same time, it inherits important insights from the discussed variants of skepticism about dream reporting, suggesting that the careful consideration of these skeptical arguments ultimately leads to a positive account of why and under which conditions dream reports can and should be trusted. In this way, moderate distrust can be fruitfully combined with anti-skepticism about dream reporting. Several perspectives for future dream research and for the comparative study of dreaming and waking experience are suggested.

  17. Annual Report 1997

    Energy Technology Data Exchange (ETDEWEB)

    Golnik, N.; Mika, J.R.; Wieteska, K. [eds.

    1998-12-31

    This Annual Report of the Institute of Atomic Energy describes the results of the research works carried out at the Institute at 1997. As in the preceding years the authors of the individual scientific reports published in this Annual Report are fully responsible for their content and layout. The Report contains the information on other activities of the Institute as well. (author)

  18. Annual Report 2001

    International Nuclear Information System (INIS)

    Swiboda, G.

    2002-01-01

    This Annual Report of the Institute of Atomic Energy describes the results of the research works carried out at the Institute at 2001. As in the preceding years the authors of the individual scientific reports published in this Annual Report are fully responsible for their content and layout. The Report contains the information on other activities of the Institute as well. (author)

  19. Annual Report 1997

    International Nuclear Information System (INIS)

    Golnik, N.; Mika, J.R.; Wieteska, K.

    1998-01-01

    This Annual Report of the Institute of Atomic Energy describes the results of the research works carried out at the Institute at 1997. As in the preceding years the authors of the individual scientific reports published in this Annual Report are fully responsible for their content and layout. The Report contains the information on other activities of the Institute as well. (author)

  20. Annual Report 1997

    Energy Technology Data Exchange (ETDEWEB)

    Golnik, N; Mika, J R; Wieteska, K [eds.

    1999-12-31

    This Annual Report of the Institute of Atomic Energy describes the results of the research works carried out at the Institute at 1997. As in the preceding years the authors of the individual scientific reports published in this Annual Report are fully responsible for their content and layout. The Report contains the information on other activities of the Institute as well. (author)

  1. Adolescent Self-Reported and Peer-Reported Self-Esteem.

    Science.gov (United States)

    O'Donnell, William James

    1979-01-01

    The study is an examination of the relationship between adolescents' self-reported and peer-reported self-esteem and how this relationship is affected by sex, race, and age variables. Significant sex and race variations interacted with age. Explanatory hypotheses for these findings are given. (Author/KC)

  2. Regulatory and technical reports

    International Nuclear Information System (INIS)

    1983-02-01

    The report listings in this compilation are arranged by report number, where NUREG-XXXX is an NRC staff originated report, NUREG/CP-XXXX is an NRC sponsored conference report, and NUREG/CR-XXXX is an NRC contractor-prepared report. The bibliographic information is followed by a brief abstract of the report

  3. Environmental Report 2007

    International Nuclear Information System (INIS)

    Mathews, S.; Gallegos, G.; Berg, L.L.; Bertoldo, N.A; Campbell, C.G.; Cerruti, S.; Doman, J.L; Ferry, L.S.; Grayson, A.R; Jones, H.E.; Kumamoto, G.; Larson, J.; MacQueen, D.H; Paterson, L.; Revelli, M.A.; Ridley, M.; Rueppel, D.; Wegrecki, A.M.; Wilson, K.; Woollett, J.

    2008-01-01

    The purposes of the 'Lawrence Livermore National Laboratory Environmental Report 2007' are to record Lawrence Livermore National Laboratory's (LLNL's) compliance with environmental standards and requirements, describe LLNL's environmental protection and remediation programs, and present the results of environmental monitoring at the two LLNL sites--the Livermore site and Site 300. The report is prepared for the U.S. Department of Energy (DOE) by LLNL's Environmental Protection Department. Submittal of the report satisfies requirements under DOE Order 231.1A, Environmental Safety and Health Reporting, and DOE Order 5400.5, Radiation Protection of the Public and Environment. The report is distributed electronically and is available at https://saer.lln.gov/, the website for the LLNL annual environmental report. Previous LLNL annual environmental reports beginning in 1994 are also on the website. Some references in the electronic report text are underlined, which indicates that they are clickable links. Clicking on one of these links will open the related document, data workbook, or website that it refers to. The report begins with an executive summary, which provides the purpose of the report and an overview of LLNL's compliance and monitoring results. The first three chapters provide background information: Chapter 1 is an overview of the location, meteorology, and hydrogeology of the two LLNL sites; Chapter 2 is a summary of LLNL's compliance with environmental regulations; and Chapter 3 is a description of LLNL's environmental programs with an emphasis on the Environmental Management System including pollution prevention. The majority of the report covers LLNL's environmental monitoring programs and monitoring data for 2007: effluent and ambient air (Chapter 4); waters, including wastewater, storm water runoff, surface water, rain, and groundwater (Chapter 5); and terrestrial, including soil, sediment, vegetation, foodstuff, ambient radiation, and special status

  4. Nurses' shift reports

    DEFF Research Database (Denmark)

    Buus, Niels; Hoeck, Bente; Hamilton, Bridget Elizabeth

    2017-01-01

    AIMS AND OBJECTIVES: To identify reporting practices that feature in studies of nurses' shift reports across diverse nursing specialities. The objectives were to perform an exhaustive systematic literature search and to critically review the quality and findings of qualitative field studies...... of nurses' shift reports. BACKGROUND: Nurses' shift reports are routine occurrences in healthcare organisations that are viewed as crucial for patient outcomes, patient safety and continuity of care. Studies of communication between nurses attend primarily to 1:1 communication and analyse the adequacy...... and accuracy of patient information and feature handovers at the bedside. Still, verbal reports between groups of nurses about patients are commonplace. Shift reports are obvious sites for studying the situated accomplishment of professional nursing at the group level. This review is focused exclusively...

  5. Report to Congress on abnormal occurrences, October-December 1981. Quarterly report

    International Nuclear Information System (INIS)

    1982-05-01

    During the report period, there were two abnormal occurrences at the nuclear power plants licensed to operate. One involved a generic concern pertaining to blockage of coolant flow to safety-related systems. The other involved seismic design errors at Diablo Canyon Nuclear Power Plant with subsequent suspension of the fuel load and low power operating license for Unit 1. There were no abnormal occurrences for the other NRC licensees during the report period; the Agreement States reported no abnormal occurrences to the NRC. The report also contains information updating a previously reported abnormal occurrence

  6. Storm water monitoring report for the 1995 reporting period

    International Nuclear Information System (INIS)

    Braun, D.R.; Brock, T.A.

    1995-10-01

    This report includes sampling results and other relevant information gathered in the past year by LITCO's Environmental Monitoring and Water Resources Unit. This report presents analytical data collected from storm water discharges as a part of the Environmental Monitoring Storm Water Monitoring Program for 1994--1995 for facilities located on the Idaho National Engineering Laboratory (INEL). The 1995 reporting period is October 1, 1994 through September 30, 1995. The storm water monitoring program tracks information about types and amounts of pollutants present. Data are required for the Environmental Protection Agency and are transmitted via Discharge Monitoring Reports. Additional information resulting from the program contributes to Best Management Practice to control pollution in runoff as well as Storm Water Pollution Prevention Plans

  7. Southern Appalachian assessment. Summary report, Report 1 of 5

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

    This final report for the Southern Appalachian Man and the Biosphere Program is comprised of two documents: (1) a brief summary of programs and projects, and (2) a more extensive summary report included as an attachment. The purpose of the program is to promote a sustainable balance between the conservation of biological diversity, compatible economic uses, and cultural values across the Southern Appalachians. Program and project areas addressing regional issues include environmental monitoring and assessment, sustainable development/sustainable technologies, conservation biology, ecosystem management, environmental education and training, cultural and historical resources, and public information and education. The attached summary report is one of five that documents the results of the Southern Appalachian Assessment; it includes atmospheric, social/cultural/economic, terrestrial, and aquatic reports.

  8. Topical report review status

    International Nuclear Information System (INIS)

    1997-08-01

    This report provides industry with procedures for submitting topical reports, guidance on how the U.S. Nuclear Regulatory Commission (NRC) processes and responds to topical report submittals, and an accounting, with review schedules, of all topical reports currently accepted for review schedules, of all topical reports currently accepted for review by the NRC. This report will be published annually. Each sponsoring organization with one or more topical reports accepted for review copies

  9. Autoinmunidad tiroidea: Recuerdos personales (1957-1959

    Directory of Open Access Journals (Sweden)

    Efraim Otero Ruiz

    2011-07-01

    de la enfermedad autoinmune. Ambos conceptos venían rompiendo dogmas establecidos por casi más de un siglo y que había definido Ehrlich, el padre de la inmunología humoral, con el término latino de horror autotoxicus.

    Efectivamente, desde 1951, J. MacFarlane Burnet y Peter Brian Medawar habían lanzado el concepto de la tolerancia inmunológica; las brillantes disquisiciones teóricas de Burnet sobre selección clonal de linfocitos habían sido seguidas de los elegantes experimentos de Medawar y Billingham, primero con trasplantes de piel y luego de otros órganos. A partir de 1955 ambos habían sido invitados a dar conferencias en el Columbia-Presbyterian sobre los primeros esbozos de la enfermedad autoinmune y la tolerancia inmunológica, conceptos que les valdrían el Premio Nobel de 1960.

  10. Review of NASA's Evidence Reports on Human Health Risks. 2015 Letter Report

    Science.gov (United States)

    Scott-Conner, Carol E. H.; Masys, Daniel R.; Liverman, Catharyn T.

    2016-01-01

    NASA has requested a study from the Institute of Medicine (IOM) to provide an independent review of more than 30 evidence reports on human health risks for long duration and exploration spaceflight. The evidence reports, which are publicly available, are categorized into five broad categories: (1) behavioral health and performance; (2) human health countermeasures (with a focus on bone metabolism and orthopedics, nutrition, immunology, and cardiac and pulmonary physiology); (3) radiation; (4) human factors issues; and (5) exploration medical capabilities. The reports are revised on an ongoing basis to incorporate new scientific information. In conducting this study, an IOM ad hoc committee will build on the 2008 IOM report Review of NASA's Human Research Program Evidence Books. That report provided an assessment of the process used for developing the evidence reports and provided an initial review of the evidence reports that had been completed at that time. Each year, NASA staff will identify a set of evidence reports for committee review. Over the course of the study all evidence reports will be reviewed. The committee will hold an annual scientific workshop to receive input on the evidence reports it is reviewing that year and an update on the recent literature. The committee will issue an annual letter report that addresses the following questions relevant to each evidence report: 1. Does the evidence report provide sufficient evidence, as well as sufficient risk context, that the risk is of concern for long-term space missions? 2. Does the evidence report make the case for the research gaps presented? 3. Are there any additional gaps in knowledge or areas of fundamental research that should be considered to enhance the basic understanding of this specific risk? 4. Does the evidence report address relevant interactions among risks? 5. Is input from additional disciplines needed? 6. Is the breadth of the cited literature sufficient? 7. What is the overall

  11. Data report for the integrity assessment report HNF-4589

    International Nuclear Information System (INIS)

    MCSHANE, D.S.

    1999-01-01

    Supporting data for the Integrity Assessment Report of Tanks TK-101 and TK-102. The purpose of this document is to compile supporting documentation for the Integrity Assessment Report (HNF 4589) for Tanks 101 and 102 in the 2194 Facility. This approach minimizes the size of the Integrity Assessment Report (IAR) (HNF-4589) and still provide a path to detailed information. This IAR addresses the evaluation of Tanks 101 and 102 and other existing components located in the 219-5 Waste Handling Facility

  12. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Glasser, Alan H. [Fusion Theory and Computation Inc., Kingston, WA (United States)

    2018-02-02

    Final technical report on DE-SC0016106. This is the final technical report for a portion of the multi-institutional CEMM project. This report is centered around 3 publications and a seminar presentation, which have been submitted to E-Link.

  13. Environmental Report 2008

    Energy Technology Data Exchange (ETDEWEB)

    Gallegos, G; Bertoldo, N A; Campbell, C G; Cerruti, S; Dibley, V; Doman, J L; Grayson, A R; Jones, H E; Kumamoto, G; MacQueen, D H; Nelson, J C; Paterson, L; Revelli, M A; Wegrecki, A M; Wilson, K; Woollett, J

    2009-09-16

    The purposes of the Lawrence Livermore National Laboratory Environmental Report 2008 are to record Lawrence Livermore National Laboratory's (LLNL's) compliance with environmental standards and requirements, describe LLNL's environmental protection and remediation programs, and present the results of environmental monitoring at the two LLNL sites - the Livermore site and Site 300. The report is prepared for the U.S. Department of Energy (DOE) by LLNL's Environmental Protection Department. Submittal of the report satisfies requirements under DOE Order 231.1A, Environmental Safety and Health Reporting, and DOE Order 5400.5, Radiation Protection of the Public and Environment. The report is distributed electronically and is available at https://saer.lln.gov/, the website for the LLNL annual environmental report. Previous LLNL annual environmental reports beginning in 1994 are also on the website. Some references in the electronic report text are underlined, which indicates that they are clickable links. Clicking on one of these links will open the related document, data workbook, or website that it refers to. The report begins with an executive summary, which provides the purpose of the report and an overview of LLNL's compliance and monitoring results. The first three chapters provide background information: Chapter 1 is an overview of the location, meteorology, and hydrogeology of the two LLNL sites; Chapter 2 is a summary of LLNL's compliance with environmental regulations; and Chapter 3 is a description of LLNL's environmental programs with an emphasis on the Environmental Management System including pollution prevention. The majority of the report covers LLNL's environmental monitoring programs and monitoring data for 2008: effluent and ambient air (Chapter 4); waters, including wastewater, storm water runoff, surface water, rain, and groundwater (Chapter 5); and terrestrial, including soil, sediment, vegetation, foodstuff

  14. Environmental Report 2008

    International Nuclear Information System (INIS)

    Gallegos, G.; Bertoldo, N.A.; Campbell, C.G.; Cerruti, S.; Dibley, V.; Doman, J.L.; Grayson, A.R.; Jones, H.E.; Kumamoto, G.; MacQueen, D.H.; Nelson, J.C.; Paterson, L.; Revelli, M.A.; Wegrecki, A.M.; Wilson, K.; Woollett, J.

    2009-01-01

    The purposes of the Lawrence Livermore National Laboratory Environmental Report 2008 are to record Lawrence Livermore National Laboratory's (LLNL's) compliance with environmental standards and requirements, describe LLNL's environmental protection and remediation programs, and present the results of environmental monitoring at the two LLNL sites - the Livermore site and Site 300. The report is prepared for the U.S. Department of Energy (DOE) by LLNL's Environmental Protection Department. Submittal of the report satisfies requirements under DOE Order 231.1A, Environmental Safety and Health Reporting, and DOE Order 5400.5, Radiation Protection of the Public and Environment. The report is distributed electronically and is available at https://saer.lln.gov/, the website for the LLNL annual environmental report. Previous LLNL annual environmental reports beginning in 1994 are also on the website. Some references in the electronic report text are underlined, which indicates that they are clickable links. Clicking on one of these links will open the related document, data workbook, or website that it refers to. The report begins with an executive summary, which provides the purpose of the report and an overview of LLNL's compliance and monitoring results. The first three chapters provide background information: Chapter 1 is an overview of the location, meteorology, and hydrogeology of the two LLNL sites; Chapter 2 is a summary of LLNL's compliance with environmental regulations; and Chapter 3 is a description of LLNL's environmental programs with an emphasis on the Environmental Management System including pollution prevention. The majority of the report covers LLNL's environmental monitoring programs and monitoring data for 2008: effluent and ambient air (Chapter 4); waters, including wastewater, storm water runoff, surface water, rain, and groundwater (Chapter 5); and terrestrial, including soil, sediment, vegetation, foodstuff, ambient radiation, and special status

  15. Environmental Report 2007

    Energy Technology Data Exchange (ETDEWEB)

    Mathews, S; Gallegos, G; Berg, L L; Bertoldo, N A; Campbell, C G; Cerruti, S; Doman, J L; Ferry, L S; Grayson, A R; Jones, H E; Kumamoto, G; Larson, J; MacQueen, D H; Paterson, L; Revelli, M A; Ridley, M; Rueppel, D; Wegrecki, A M; Wilson, K; Woollett, J

    2008-09-24

    The purposes of the 'Lawrence Livermore National Laboratory Environmental Report 2007' are to record Lawrence Livermore National Laboratory's (LLNL's) compliance with environmental standards and requirements, describe LLNL's environmental protection and remediation programs, and present the results of environmental monitoring at the two LLNL sites--the Livermore site and Site 300. The report is prepared for the U.S. Department of Energy (DOE) by LLNL's Environmental Protection Department. Submittal of the report satisfies requirements under DOE Order 231.1A, Environmental Safety and Health Reporting, and DOE Order 5400.5, Radiation Protection of the Public and Environment. The report is distributed electronically and is available at https://saer.lln.gov/, the website for the LLNL annual environmental report. Previous LLNL annual environmental reports beginning in 1994 are also on the website. Some references in the electronic report text are underlined, which indicates that they are clickable links. Clicking on one of these links will open the related document, data workbook, or website that it refers to. The report begins with an executive summary, which provides the purpose of the report and an overview of LLNL's compliance and monitoring results. The first three chapters provide background information: Chapter 1 is an overview of the location, meteorology, and hydrogeology of the two LLNL sites; Chapter 2 is a summary of LLNL's compliance with environmental regulations; and Chapter 3 is a description of LLNL's environmental programs with an emphasis on the Environmental Management System including pollution prevention. The majority of the report covers LLNL's environmental monitoring programs and monitoring data for 2007: effluent and ambient air (Chapter 4); waters, including wastewater, storm water runoff, surface water, rain, and groundwater (Chapter 5); and terrestrial, including soil, sediment, vegetation

  16. Self-reported and reported injury patterns in contemporary dance students.

    Science.gov (United States)

    Baker, Jo; Scott, Daniel; Watkins, Katherine; Keegan-Turcotte, Sheramy; Wyon, Matthew

    2010-03-01

    Injury is a major concern among dancers, as currently rates are reported as being high. The purpose of the present study was to assess the incidence and details of injuries across an academic year at a full-time contemporary dance school. A questionnaire was distributed to 57 dancers at the end of their first academic year. Reported injury information was also retrieved from a database as collected from a physiotherapist over the same period. Differences were found between the reported and self-reported information, particularly with reference to shin injuries. The majority of injuries occurred in November and May, noted to be close to assessment periods. Injury rates in contemporary dance are high; notably, 89% of dancers reported one or more injuries. This problem is particularly evident in the lower limb. Med Probl Perform Art 2010; 25:10-15.

  17. Sustainability reporting

    NARCIS (Netherlands)

    Kolk, A.

    2005-01-01

    This article gives an overview of developments in sustainability (also sometimes labelled corporate social responsibility) reporting. The article will first briefly indicate how accountability on social and environmental issues started, already in the 1970s when social reports were published.

  18. Case report

    African Journals Online (AJOL)

    abp

    2015-08-31

    Aug 31, 2015 ... Dual intersection syndrome of the forearm: a case report. Bouchra Zhari1,& ... We reported a case of a 60-year-old man presented to our formation with painful swelling on .... With a fiddling clinical observation and diagnosis.

  19. Environmental Report 2009

    Energy Technology Data Exchange (ETDEWEB)

    Gallegos, Gretchen M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Bertoldo, Nicholas A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Campbell, Christopher G. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Cerruti, Steven [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Coty, Jessie [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Dibley, Valerie [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Domain, Jennifer L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Grayson, Allen R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jones, Henry E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kumamoto, Gene [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); MacQueen, Donald H. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Nelson, Jennifer C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Paterson, Lisa [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Revelli, Michael A. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wegrecki, Anthony M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wilson, Kent [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Woollett, Jim [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2010-09-22

    The purposes of the Lawrence Livermore National Laboratory Environmental Report 2009 are to record Lawrence Livermore National Laboratory’s (LLNL’s) compliance with environmental standards and requirements, describe LLNL’s environmental protection and remediation programs, and present the results of environmental monitoring at the two LLNL sites—the Livermore site and Site 300. The report is prepared for the U.S. Department of Energy (DOE) by LLNL’s Environmental Protection Department. Submittal of the report satisfies requirements under DOE Order 231.1A, Environmental Safety and Health Reporting, and DOE Order 5400.5, Radiation Protection of the Public and Environment. The report is distributed electronically and is available at https://saer.lln.gov/, the website for the LLNL annual environmental report. Previous LLNL annual environmental reports beginning in 1994 are also on the website. Some references in the electronic report text are underlined, which indicates that they are clickable links. Clicking on one of these links will open the related document, data workbook, or website that it refers to. The report begins with an executive summary, which provides the purpose of the report and an overview of LLNL’s compliance and monitoring results. The first three chapters provide background information: Chapter 1 is an overview of the location, meteorology, and hydrogeology of the two LLNL sites; Chapter 2 is a summary of LLNL’s compliance with environmental regulations; and Chapter 3 is a description of LLNL’s environmental programs with an emphasis on the Environmental Management System including pollution prevention. The majority of the report covers LLNL’s environmental monitoring programs and monitoring data for 2009: effluent and ambient air (Chapter 4); waters, including wastewater, storm water runoff, surface water, rain, and groundwater (Chapter 5); and terrestrial, including soil, sediment, vegetation, foodstuff, ambient radiation, and

  20. Annual report 1994

    International Nuclear Information System (INIS)

    Dorner, B.

    1995-01-01

    This yearbook describes the organization of ILL, the experimental facilities, visits and events, director's report, and the ILL-ESRF-EMBL cooperation. There were 10 colleges in ILL during 1994, a report of each is presented. Reports of ILL's departments are given: Directorate Service, Science Division (four groups + small projects), Projects and Techniques Division, Reactor Division and Administration Division. Finally, communication, including conference contributions, seminars and workshops, and publications (ILL Report 1994) are listed. (R.P.) 174 figs.; 9 tabs

  1. IRSN annual report 2012 - including Financial report 2012

    International Nuclear Information System (INIS)

    Schuler, Matthieu; Marchal, Valerie; Albert, Marc-Gerard; Baudry, Michel; Bigot, Marie-Pierre; Charron, Sylvie; Clavelle, Stephanie; Cousinou, Patrick; Deschamps, Patrice; Delattre, Aleth; Demeillers, Didier; Dumas, Agnes; Franquard, Dominique; Goudal, Bernard; Jalouneix, Jean; Laloi, Patrick; Monti, Pascale; Richer, Gerard; Rollinger, Francois; Rouyer, Veronique; Rutschkovsky, Nathalie; Scott De Martinville, Edouard; Tharaud, Christine; Verpeaux, Jean-luc; Jaunet, Camille; Hedouin, Jean-Christophe

    2013-01-01

    This annual report for the French nuclear safety and radiation protection Institute (IRSN) addresses its organizational aspects (highlights, figures illustrating the activity, organizational chart, councils and committees), proposes a summary of activities and presentation of the strategy (transparency and communication policy, promotion of a safety and radiation protection culture). The main part addresses the activities regarding safety, nuclear security and non-proliferation, radiation protection of the environment and in terms of human health, and emergency and post-accidental situations. The last part addresses issues of efficiency (property, health, safety, environmental protection and quality, and human resources). A financial report is also proposed and contains a management report, financial statements, and an appendix to annual accounts

  2. Endogenous Locus Reporter Assays.

    Science.gov (United States)

    Liu, Yaping; Hermes, Jeffrey; Li, Jing; Tudor, Matthew

    2018-01-01

    Reporter gene assays are widely used in high-throughput screening (HTS) to identify compounds that modulate gene expression. Traditionally a reporter gene assay is built by cloning an endogenous promoter sequence or synthetic response elements in the regulatory region of a reporter gene to monitor transcriptional activity of a specific biological process (exogenous reporter assay). In contrast, an endogenous locus reporter has a reporter gene inserted in the endogenous gene locus that allows the reporter gene to be expressed under the control of the same regulatory elements as the endogenous gene, thus more accurately reflecting the changes seen in the regulation of the actual gene. In this chapter, we introduce some of the considerations behind building a reporter gene assay for high-throughput compound screening and describe the methods we have utilized to establish 1536-well format endogenous locus reporter and exogenous reporter assays for the screening of compounds that modulate Myc pathway activity.

  3. Report to Congress on abnormal occurrences: [Quarterly report], January-March 1987

    International Nuclear Information System (INIS)

    1987-10-01

    The Energy Reorganization Act of 1974 identifies an abnormal occurrence as an unscheduled incident or event which the Nuclear Regulatory Commission determines to be significant from the standpoint of public health or safety and requires a quarterly report of such events to be made to Congress. This report covers the period from January 1 to March 31, 1987. The report states that for this reporting period, there was one abnormal occurrence at the nuclear power plants licensed to operate. The item involved the NRC suspension of power operations of the Peach Bottom Facility due to inattentiveness of the control room staff. There were seven abnormal occurrences at the other NRC licensees. Four involved diagnostic medical misadministrations; the other three involved breakdowns in management controls at three separate industrial radiography licensees. There were two abnormal occurrences reported by the Agreement States. Both involved breakdowns in management controls at industrial radiography licensees. The report also contains information updating some previously reported abnormal occurrences. Appendix A contains the criteria used to define an abnormal occurrence. 13 refs

  4. The social-financial responsible reporting – the key for integrated reporting

    Directory of Open Access Journals (Sweden)

    Iulia Jianu

    2012-08-01

    Full Text Available General purpose of financial statements is to satisfy the needs of users who are not in the position to require of the entity to prepare reports tailored to their particular information needs. Because the public is one of these users interested of social information and because the financial statement do not provide sufficient social information to satisfy these needs, the study demonstrate the need to integrate the responsible social reporting into financial reporting. In order to support this reason, taking into account the data supplied by the entities listed on the Global Reporting Initiative regarding the corporate social responsibility. The results of the study show that social indicators can be disclosed in a monetary form which reinforces the need for their integration into financial reporting and the need to define a new concept: the social – financial responsible reporting.

  5. Course documentation report

    DEFF Research Database (Denmark)

    Buus, Lillian; Bygholm, Ann; Walther, Tina Dyngby Lyng

    A documentation report on the three pedagogical courses developed during the MVU project period. The report describes the three processes taking departure in the structure and material avaiable at the virtual learning environment. Also the report describes the way the two of the courses developed...

  6. NEW CORPORATE REPORTING TRENDS. ANALYSIS ON THE EVOLUTION OF INTEGRATED REPORTING

    OpenAIRE

    Dragu Ioana; Tiron-Tudor Adriana

    2013-01-01

    The objective of this paper is to present the new corporate reporting trends of the 21st century. Integrated reporting has been launched through a common initiative of the International Integrated Reporting Committee and global accounting organizations. However, the history of integrated reports starts before the initiative of the IIRC, and goes back in time when large corporations begun to disclose sustainability and corporate social responsibility information. Further on, we claim that the ...

  7. Savannah River Plant environmental report. Annual report for 1984

    International Nuclear Information System (INIS)

    1985-01-01

    Ensuring the radiation safety of the public in the vicinity of the Savannah River Plant (SRP) was a foremost consideration in the design of the plant and has continued to be a primary objective during 31 years of SRP operations. An extensive surveillance program has been continuously maintained since 1951 (before SRP startup) to determine the conecntrations of radionuclides in the environment of the plant and the radiation exposure to the offsite population resulting from SRP operations. The results of this comprehensive monitoring program have been reported to the public since 1959. The scope of the environmental protection program at SRP has increased significantly since the first report was issued. Prior to the mid-1970's the reports contained primarily radiological monitoring data. Beginning in the mid-1970's the reports started including more and more nonradiological monitoring data as those programs increased. The nonradiological monitoring program now approaches the size and extensiveness of the radiological monitoring program. The report name was changed this year to more accurately reflect the many environmental programs that have become an intergral part of the operation of SRP

  8. Annual report 1976

    International Nuclear Information System (INIS)

    Nilsson, A.

    1976-01-01

    This annual report contains research reports from the various groups of the Research Institute of Physics, Stockholm. Reports are made by workers in the Atomic and Molecular Physics group, the Surface Physics group, the Nuclear Physics group, the group researching into High Energy Physics and related topics and the Instrumentation and Methods group. The report also contains a list of the papers published by members of the Institute during the year and a list of the theses which were presented. (B.D.)

  9. Topical report review status

    International Nuclear Information System (INIS)

    1982-08-01

    A Topical Report Review Status is scheduled to be published semi-annually. The primary purpose of this document is to provide periodic progress reports of on-going topical report reviews, to identify those topical reports for which the Nuclear Regulatory Commission (NRC) staff review has been completed and, to the extent practicable, to provide NRC management with sufficient information regarding the conduct of the topical report program to permit taking whatever actions deemed necessary or appropriate. This document is also intended to be a source of information to NRC Licensing Project Managers and other NRC personnel regarding the status of topical reports which may be referenced in applications for which they have responsibility. This status report is published primarily for internal NRC use in managing the topical report program, but is also used by NRC to advise the industry of report review status

  10. Topical report review status

    International Nuclear Information System (INIS)

    1983-01-01

    A Topical Report Review Status is scheduled to be published semi-annually. The primary purpose of this document is to provide periodic progress reports of on-going topical report reviews, to identify those topical reports for which the Nuclear Regulatory Commission (NRC) staff review has been completed and, to the extent practicable, to provide NRC management with sufficient information regarding the conduct of the topical report program to permit taking whatever actions deemed necessary or appropriate. This document is also intended to be a source of information to NRC Licensing Project Managers and other NRC personnel regarding the status of topical reports which may be referenced in applications for which they have responsibility. This status report is published primarily for internal NRC use in managing the topical report program, but is also used by NRC to advise the industry of report review status

  11. EU stresstest national report of Germany. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-09-15

    The European Council concluded in March that the safety of all EU nuclear plants should be reviewed on the basis of a comprehensive and transparent risk assessment (''stress test''). The German Bundestag (Federal Parliament) called upon the German Federal Government on 17{sup th} March 2011 to conduct a comprehensive review of the safety requirements for the German nuclear power plants. The competent Federal Ministry asked its advisory body, the RSK, to perform this review. The findings of the RSK safety review were presented to the public on 17{sup th} May 2011. ENSREG published the scope and modalities for comprehensive risk and safety assessments of EU nuclear power plants on 13{sup th} May 2011. This ''Declaration of ENSREG'' determines the concept, methodology and time schedule of the EU stress test. The BMU as the federal regulator in Germany asked the Laender authorities to initiate the EU stress tests according to the ENSREG Declaration. The ''stress tests'' were started by all German licensees with the self-commitment to deliver the progress report by 15{sup th} August 2011 and the final report by 31{sup st} October 2011. The structure of the German national report follows mainly the chapters according to the ENSREG Declaration. In addition detailed insights from the broader scope and specific methodology of the RSK safety review are also included in the chapters. In chapter 6 are in particular insights from the RSK safety review related to initiating events caused by man-made hazards, such as an aircraft crash, terrorist attack or cyber attacks. The licensee progress reports and the certificates by the competent federal state regulators reflect an interim state. Further work is planned and should take additional guidance to be given by ENSREG into account. The Federal State authorities have so far reviewed the licensee reports in terms of completeness, the adequate application of the ENSREG

  12. Standardization of reliability reporting for cochlear implants: an interim report.

    Science.gov (United States)

    Backous, Douglas D; Watson, Stacey D

    2007-04-01

    To propose a standard definition of "out of specification" for cochlear implants and a paradigm for inclusion of category C of the ISO standard 5841-2:2000 for reporting in cumulative survival statistics. A standard definition of "out of specification" and consistent reporting by manufacturers of cochlear implants will create a fair and consistent representation of cumulative survival. This will allow discernment of differences between manufacturers for reliability and for detection of trends in reliability between model types from the same manufacturer. Three separate meetings with representatives of the three manufacturers of cochlear implants marketed in the United States were staged over a 13-mo period. Standard questions, created by the authors, were addressed by each representative to determine the current state of device reliability reporting. Results were presented to clinicians at the William House Cochlear Implant study Group and the Implantable devices sub-committee of the American Academy of Otolaryngology (2004, 2005) and at the 8th International Cochlear Implant Conference (2004) for feedback. After assimilation of feedback by all parties, the standard was written and reviewed by representatives from each manufacturer for accuracy of data. A complaint-driven standard was developed. A "cochlear implant" as an internal device placed and skin closed in surgery. An internal device is "out of specification" when one or more technical characteristics is outside the limits of normal function and results in explantation or non-use by the patient." Children will be reported separately from adults, each model of device will be reported on annually, a minimum of 200 devices must be in each model group for Cumulative Survival Reporting (CSR). Confidence limits are set at 95%. Explants will be determined to be "biological" or "technical." Technical explants are included in CSR reports. Devices failing to meet specifications set by the manufacturer, not in use but

  13. Application of Global Reporting Initiative (GRI) in the sustainability reporting of financial services

    OpenAIRE

    MONTE, TOMAS

    2009-01-01

    Sustainability reporting refers to the process in which an organization gives an account of issues related to corporate sustainability over a particular reporting period. The report is meant for both internal and external use. Sustainability reporting gives information about the organization’s interactions with its social and ecological environment. The Global Reporting Initiative (GRI) has pioneered the development of the world’s most widely used sustainability reporting framework. GRI Repor...

  14. Progress Report

    DEFF Research Database (Denmark)

    Duer, Karsten

    1999-01-01

    Progress report describing the work carried out by the Danish participant in the ALTSET project in the period January 1999 to July 1999.......Progress report describing the work carried out by the Danish participant in the ALTSET project in the period January 1999 to July 1999....

  15. Progress Report

    Science.gov (United States)

    2018-05-16

    This report summarizes the annual progress of EPA’s Clean Air Markets Programs such as the Acid Rain Program (ARP) and the Cross-State Air Pollution Rule (CSAPR). EPA systematically collects data on emissions, compliance, and environmental effects, these data are highlighted in our Progress Reports.

  16. CASE REPORT

    African Journals Online (AJOL)

    We report on the rare entity of transvaginal small bowel herniation following a transvaginal hysterectomy. ... surgical intervention. This report serves to highlight awareness of the condition, and how knowledge of the various methods of addressing an ischaemic bowel and a ruptured ... mesh after resection and anastomosis.

  17. Prostitution Policy Report

    DEFF Research Database (Denmark)

    Faber, Stine Thidemann; Emerek, Ruth

    2013-01-01

    The Child and Woman Abuse Studies Unit at London Metropolitan University is working with the European Commission and the European Network on Gender Equality (ENEGE) to produce a report on prostitution policy in member states. In this report the data from Denmark are presented.......The Child and Woman Abuse Studies Unit at London Metropolitan University is working with the European Commission and the European Network on Gender Equality (ENEGE) to produce a report on prostitution policy in member states. In this report the data from Denmark are presented....

  18. Healthcare. State Report

    Science.gov (United States)

    Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem; Beach, Bennett H.

    2012-01-01

    This report projects education requirements linked to forecasted job growth in healthcare by state and the District of Columbia from 2010 through 2020. It complements a larger national report which projects educational demand for healthcare for the same time period. The national report shows that with or without Obamacare, the United States will…

  19. Use and misuse of the Beir Report and NCRP Report No. 43

    International Nuclear Information System (INIS)

    Hilberg, A.W.

    1975-01-01

    The BEIR report on the effects on populations of exposure to low levels of ionizing radiation is being used as a radiation protection guide and to establish radiation standards. This was not the intent of the document. Several statements most often used in the misinterpretation of the BEIR report are quoted and discussed. Report 43 of the NCRP substantiates the value of the BEIR report and brings to attention the necessary understanding of the warnings and restrictions of the use of the BEIR report

  20. Enhancing nuclear safety. Annual report 2015. Financial report 2015

    International Nuclear Information System (INIS)

    Le Guludec, Dominique; Niel, Jean-Christophe; Mouton, Georges-Henri; Repussard, Jacques; Schuler, Matthieu; Marchal, Valerie; Albert, Marc-Gerard; Bigot, Marie-Pierre; Brisset, Yves; Bruna, Giovanni; Charron, Sylvie; Clavelle, Stephanie; Deschamps, Patrice; Delattre, Aleth; Demeillers, Didier; Laloi, Patrick; Lorthioir, Stephane; Monti, Pascale; Rollinger, Francois; Rouyer, Veronique; Tharaud, Christine; Jaunet, Camille; Pascal-Heuze, Charlotte

    2016-01-01

    After some introductory texts proposed by several IRSN head managers, and a brief presentation of some key data illustrating the activity, the annual report presents the main strategic orientations, notably in the field of knowledge management, and of information and communication. After some images illustrating the past year, activities are presented. They first deal with safety: safety of civil nuclear facilities, from decommissioning old reactors to designing those of the future, reactor ageing, severe accidents, fuel, criticality and neutronics, fire and containment, safety and radiation protection of defence-related facilities and activities, geological disposal of radioactive wastes. They secondly deal with security and non-proliferation (nuclear security, nuclear non-proliferation, chemical weapon ban), thirdly with radiation protection for human and environment health (environment monitoring, radionuclide transfer in the environment, radon and polluted sites, human exposure, radiation protection in the workplace, effects of chronic exposures, protection in health care), and fourthly with emergency and post-accident situations (emergency and post-accident preparedness and response). The next part of the activity report addresses issues related to efficiency: improved economic and financial management, property, computer security, quality and corporate social responsibility, human resources, organisation chart. The financial report proposes a management report, financial statements with an appendix to annual accounts, and an auditor's report

  1. Semiannual report to Congress on Inspector General audit reports, April 1--September 30, 1994

    International Nuclear Information System (INIS)

    1994-11-01

    This is the Secretary of Energy's eleventh Semiannual Report to Congress submitted under the Inspector General Act of 1978, as amended. Pursuant to the Inspector General Act Amendments of 1988 (Public Law 100-504), agency heads are to report to Congress on the status of final action taken on audit report recommendations. This report complements a report prepared by the Department's Office of Inspector General that provides information on audit reports issued during the period and on the status of management decisions made on Inspector General audit reports. During the period covered by this report, April 1, through September 30, 1994, the Department took final action on 40 operational, financial, and preaward audit reports. At the end of the period 77 reports awaited final action. No final action was taken on contract and financial assistance audits, leaving six reports requiring final action at the end of the period. This report has three sections. The first outlines significant audit resolution and followup accomplishment achieved by the Department during the reporting period. The second section contains the statistical tables that illustrate the status of final action on Inspector General audit reports. The third lists the audit reports that are one year or more past management decision and have not completed final action. This section also provides the status of corrective actions on each of these reports

  2. Semiannual report to Congress on Inspector General audit reports: April 1--September 30, 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    This is the Secretary of Energy`s seventeenth Semiannual Report to Congress submitted under the Inspector General Act of 1978, as amended. Pursuant to the Inspector General Act Amendments of 1988 (Public Law 100-504), agency heads are to report to Congress on the status of final action taken on audit report recommendations. This report complements a report prepared by the Department`s Office of Inspector General that provides information on audit reports issued during the period and on the status of management decisions made on Inspector General audit reports. During the period covered by this report, April 1 through September 30, 1997, the Department took final action on 29 operational, financial, and preaward audit reports. At the end of the period 72 reports awaited final action. Final action was taken on five contract and financial assistance audits, leaving two reports requiring final action at the end of the period. This report has three sections. The first section outlines significant audit resolution and followup accomplishments achieved by the Department during the reporting period. The second section contains the statistical tables that illustrate the status of final action on Inspector General audit reports. The third lists the audit reports that are one year or more past management decision and have not completed final action. This section also provides the status of corrective actions on each of those reports.

  3. An initial look at sibling reports on children's behavior: comparisons with children's self-reports and relations with siblings' self-reports and sibling relationships.

    Science.gov (United States)

    Epkins, C C; Dedmon, A M

    1999-10-01

    The authors examined siblings' reports of children's depression, anxiety, and aggression, and their reports of the sibling relationship, and compared them with children's self-reports. In two samples, including 169 sibling pairs (age M = 9.98 years, SD = 1.51), no significant differences emerged in the levels of depression and anxiety found in siblings' reports of children's behavior and children's self-reports, although siblings reported children to have significantly higher levels of aggression than the children self-reported. Age, the difference in ages between siblings, sex, and sibling sex were not related to siblings' reports of children's behavior. The relations between children's and siblings' reports of children's behavior were significant, yet moderate (average r = .22). Both siblings' self-reports of internalizing behavior and their perceptions of aspects of the sibling relationship (affection, rivalry, hostility, and satisfaction with the sibling relationship) explained significant, and unique, variance in siblings' reports of children's internalizing behavior. The findings for aggressive behavior were similar, although siblings' perceptions of affection in the sibling relationship were not significantly related to their reports of children's aggression. The potential uses and benefits of sibling reports of children's behavior, and sibling and family relationships, are discussed.

  4. 20 CFR 422.305 - Report of overdue program overpayment debts to consumer reporting agencies.

    Science.gov (United States)

    2010-04-01

    ... debts to consumer reporting agencies. (a) Debts we will report. We will report to consumer reporting... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Report of overdue program overpayment debts to consumer reporting agencies. 422.305 Section 422.305 Employees' Benefits SOCIAL SECURITY...

  5. 1977 annual report

    International Nuclear Information System (INIS)

    1978-01-01

    As part of the complex HMI report and information network this report informs the public of the work done in the year under report. Scientific subjects treated are radiochemistry, radiophysics, nuclear in-pile chemistry, data processing, and dectronics. The cooperation with other research institutions and the transfer of research findings during industrial fairs and exhibitions are described. (GL) [de

  6. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Schuur, Edward [Northern Arizona Univ., Flagstaff, AZ (United States); Luo, Yiqi [Univ. of Oklahoma, Norman, OK (United States)

    2016-12-01

    This final grant report is a continuation of the final grant report submitted for DE-SC0006982 as the Principle Investigator (Schuur) relocated from the University of Florida to Northern Arizona University. This report summarizes the original project goals, as well as includes new project activities that were completed in the final period of the project.

  7. Research report 1972

    International Nuclear Information System (INIS)

    A report is given in 28 contributions on the scientific progress achieved in 1972. The main problems are: a) plasma heating and waves in the plasma, b) plasma focus c) short-time technique and d) laser applications. The report furthermore contains an index of the scientific reports, publications, lectures and dissertations in the period under review. (GG/LH) [de

  8. Genesee River Basin Study; Reconnaissance Report. Volume 1. Main Report.

    Science.gov (United States)

    1986-01-01

    River in the Towns of Chili and Riga, Monroe County, New York" was prepared in September 1969. The report gives a history of flooding and outlines...a benefit - cost ratio of less than unity. 9 A report entitled "Flood Recovery Planning Program - Preliminary Evaluation of Stony Brook and Mill Creek...Creek, Town ot (a Chili , and Ogden, Monroe County, New York," was prepared in August 1915. Ttl- report presents a brief history of flooding and

  9. Corporate responsibility reporting according to Global Reporting Initiative: an international comparison

    Directory of Open Access Journals (Sweden)

    Ionela-Corina CHERSAN

    2016-04-01

    Full Text Available The Global Reporting Initiative (GRI is an organization that has managed to impose its reporting practices on corporate responsibility among large transnational companies. The model proposed by GRI is based on the supposed convergence between the economic, social and environmental dimensions of sustainable development. This convergence can be presumed at macroeconomic level, but at the level of enterprises, the three dimensions are often divergent. By analyzing the structure of reports included in the GRI database, our article aims to identify the factors that impact on company’s behavior in the corporate responsibility reporting process. In addition, our research invites to answer the following question: is it not possible that these reports attempt to exaggerate company environmental and social performance, rather than to cause a change in their conduct?

  10. Case report

    African Journals Online (AJOL)

    ebutamanya

    2015-01-21

    Jan 21, 2015 ... Published in partnership with the African Field Epidemiology Network (AFENET). (www.afenet.net). Case report. Open Access ... La quantité de tissu neural immature permet d'établir une classification .... Wu X, Han LY, Xu X, Li Z. Recurrent immature teratoma of the ovary: a case report of radical secondary ...

  11. Case report

    African Journals Online (AJOL)

    2012-09-11

    Sep 11, 2012 ... Abstract. Solid pseudopapillary tumor (SPN) of the pancreas is a rare tumor, but has favorable prognosis. It is typically observed in young women. Only few cases have been reported in young men. We report the observation of a 73-year-old man presented with a palpable mass in the left upper abdomen.

  12. Organizational aspects of integrated reporting preparation according to international standard «Integrated reporting»

    Directory of Open Access Journals (Sweden)

    M.O. Maksymchuk

    2016-12-01

    Full Text Available Integrated Reporting is an innovative reporting for business entities, therefore the issue of the organization the preparation of this reporting is an actual. The absence of legislative regulation of integrated reporting at national level of legal documents has greatly affected the issue, because the only document, that specifies the requirements for integrated reporting is the international standard «integrated reporting». The article considers the organizational principles of integrated reporting preparation. Taking into account the requirements of the international standard «integrated reporting», the authors make the attempts to define the basic organizational stages of such reporting, that allows to introduce the integrated reporting in a structured way and logically. It is proposed on the enterprises preparing the integrated reporting to constitute the schedule of the formation of the integrated reporting. In addition, the important thing is to develop the internal policy for determining materiality by the use of the professional judgment. The appropriate internal policy is assigned to disclose the materiality process in an integrated reporting for decision-making on the inclusion or exclusion issues to be understandable for users.

  13. The D-SDA Reporting System: Reporting and User Access at DLR-EOC

    OpenAIRE

    Senft, Johanna; Chereji, Cristian; Mario, Winkler; Katrin, Molch; Eberhard, Mikusch

    2015-01-01

    In recent years, Earth observation missions and projects have put ever-increasing emphasis on reporting. Detailed reports are being requested on system performance, user behaviour and processing workload. At the same time reporting is gaining significance for data centres’ internal purposes as well – for identifying bottlenecks and optimizing system performance and reliability. For future planning, Earth Observation data centres increasingly need information-based forecasts. Reliable reports ...

  14. Research report 1973

    International Nuclear Information System (INIS)

    The scientific progress achieved in 1973 is reported in 29 contributions. The main problems are: a) plasma heating and waves, b) plasma focus and shock wave investigations, c) short-time technique and d) laser applications in plasma diagnostics. Furthermore, the report contains an index of the scientific reports, publications, lectures and dissertations in the period under review. (GG/LH) [de

  15. Annual Report 2008

    Energy Technology Data Exchange (ETDEWEB)

    Keeley, N; Skalski, J [The Andrzej Soltan Institute for Nuclear Studies, Swierk-Otwock (Poland)

    2009-07-01

    The ''Annual Report 2008'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2008. Report consists of two parts. First one consists of general information about location, management, scientific council, personnel, financial support and conferences while the second one describes the scientific activity of Institute. A Foreword to all report written by Director of the Institute prof. Grzegorz Wrochna is also given.

  16. Gartner Group reports

    CERN Document Server

    Gartner Group. Stamford, CT

    Gartner Group is the one of the leading independent providers of research and analysis material for IT professionals. Their reports provide in-depth analysis of dominant trends, companies and products. CERN has obtained a licence making these reports available online to anyone within CERN. The database contains not only current reports, updated monthly, but also some going back over a year.

  17. Annual Report 2008

    International Nuclear Information System (INIS)

    Keeley, N.; Skalski, J.

    2009-01-01

    The ''Annual Report 2008'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2008. Report consists of two parts. First one consists of general information about location, management, scientific council, personnel, financial support and conferences while the second one describes the scientific activity of Institute. A Foreword to all report written by Director of the Institute prof. Grzegorz Wrochna is also given

  18. Technical co-operation report for 2000. Report by the Director General

    International Nuclear Information System (INIS)

    2001-01-01

    This report covers three separate topics. Part one fulfills the Agency's obligation under the General Conference resolution GC(44)/RES/18 to report on the Strengthening of Technical Co-operation. It covers the period from 1 April 2000 to 31 March 2001. The report examines the finalization of the 2001-2002 technical co-operation programme and several key concepts of the Technical Co-operation Strategy such as Partners in Development, Technical Co-operation among Developing Countries, and the continuing evolution of Regional Resource Centres. Reflecting an important trend in the technical co-operation programme, which was mandated by the General Conference, the report describes the results achieved in several programmes in least developed countries. Part two reports on the major achievements of the technical co-operation programme in 2000 in the different regions of the world. Part three presents a summary of the financial and non-financial parameters of the technical co-operation programme. The supplement to the report provides a more detailed review of resources and contributions, disbursements and non-financial indicators

  19. Technical co-operation report for 2000. Report by the Director General

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    This report covers three separate topics. Part one fulfills the Agency's obligation under the General Conference resolution GC(44)/RES/18 to report on the Strengthening of Technical Co-operation. It covers the period from 1 April 2000 to 31 March 2001. The report examines the finalization of the 2001-2002 technical co-operation programme and several key concepts of the Technical Co-operation Strategy such as Partners in Development, Technical Co-operation among Developing Countries, and the continuing evolution of Regional Resource Centres. Reflecting an important trend in the technical co-operation programme, which was mandated by the General Conference, the report describes the results achieved in several programmes in least developed countries. Part two reports on the major achievements of the technical co-operation programme in 2000 in the different regions of the world. Part three presents a summary of the financial and non-financial parameters of the technical co-operation programme. The supplement to the report provides a more detailed review of resources and contributions, disbursements and non-financial indicators.

  20. Integrated Sustainability Reporting at HNE Eberswalde--A Practice Report

    Science.gov (United States)

    Kräusche, Kerstin; Pilz, Stefanie

    2018-01-01

    Purpose: The purpose of this paper is to present the development of an integrated sustainability reporting. In this paper success criteria are named and empirical values when dealingwith specific challenges are formulated. The focus is on the development of criteria for reporting, the involvement of university members and quality assurance.…

  1. Case report

    African Journals Online (AJOL)

    raoul

    2011-06-10

    Jun 10, 2011 ... The authors report the case of a patient admitted with right ... secondary locations of kidney cancers are lung, bone, liver and brain. ... thrombus (left) or inferior vena cava (right), promote the spin-cell ... They reported a median survival of 13.6 months for nephrectomy plus interferon group vs 7.8 months for ...

  2. Annual Partnership Report, 2016

    Science.gov (United States)

    Wyoming Community College Commission, 2016

    2016-01-01

    The "Annual Partnership Report" catalogs partnerships that Wyoming community colleges established and maintained for each fiscal year. This partnership report fulfills statutory reporting requirement W.S. 21-18-202(e)(iv) which mandates the development of annual reports to the legislature on the outcomes of partnerships between colleges…

  3. ERDA Headquarters reports: March 1977

    International Nuclear Information System (INIS)

    1977-03-01

    ERDA headquarters reports (ERDA 77-41) provides a cumulative record, through various lists and an index, of the reports issued from ERDA Headquarters (''ERDA Reports''). The four sections of this publication are New ERDA Reports, a list of Headquarters reports received in the ERDA Library during the past month; Cumulative List of ERDA Reports, all ERDA Headquarters reports already issued or scheduled to be issued; Reports by Program Division, separate lists of ERDA reports arranged by the division or office at ERDA Headquarters responsible for their preparation and/or issuance; and Index to Keywords in Report Titles

  4. Report: Fiscal Year 2009 Federal Information Security Management Act Report

    Science.gov (United States)

    Report #10-P-0030, November 18, 2009. We believe the evidence obtained provides a reasonable basis for our findings and conclusions, and in all material respects meets the FISMA reporting requirements prescribed by OMB.

  5. Technical progress report

    International Nuclear Information System (INIS)

    1982-01-01

    This report summarizes the work carried out by personnel at the Nuclear Physics Laboratory of the University of Colorado from about August 1, 1981 to October 1, 1982, under contract with the Department of Energy. The intermediate energy studies summarized in this report were carried out at the meson physics facilities at Los Alamos (LAMPF), the cyclotron at Indiana University (IUCF), and the meson physics facilities at Vancouver (TRIUMF). This year, for the first time, intermediate energy experimental studies are being reported in separate documents from the low energy and theoretical nuclear physics efforts. Experimental studies are reported on pion-nucleus interactions, charge exchange reactions, nucleon transfer reactions, and apparatus development

  6. Annual report 1985

    International Nuclear Information System (INIS)

    1985-01-01

    The Philippine Atomic Energy Commission (PAEC) continues its mandated functions and responsibilities to exploit the beneficial peaceful application of nuclear energy for national development and to protect the public from the hazards posed by radiation. This report summarizes the major accomplishments of PAEC for 1985. Details of studies conducted are not included in the report but are produced as technical reports of the commission. (ELC)

  7. Can skeletal image reporting be taught online: Perspectives of experienced reporting radiographers?

    International Nuclear Information System (INIS)

    Leishman, Lesley

    2013-01-01

    Background: Image interpretation relies upon expert clinical skill and comprehensive knowledge and understanding of the theories and concepts that underpin clinical practices. Traditionally, radiographer reporting education has been delivered using a blend of classroom based learning combined with workplace clinical practice. The direct and indirect costs of staff development and maintenance of the service has seen the incorporation of e-learning into courses in other health professions. Yet, despite its proven success, in the UK radiography has been resistant to progression into e-learning for reporting. This study aims to explore the perceptions of reporting radiographers to interactive online delivery of skeletal image reporting education. Method: Invitations to participate in the study were sent to 80 radiology departments in the UK. Reporting radiographers were asked to complete an online questionnaire to detail their reporting education experiences and to consider whether online delivery was a viable option. Results: A total of 86 radiographers participated in the study. They could see potential benefits of online delivery but agreed it would only be suitable for delivery of theoretical subjects, and that development of practical/clinical skills required interaction with experts in the field to enhance learning. Conclusion: Image reporting education is not suitable for entirely online delivery, and a blended learning solution, where online classroom based learning is combined with work based learning is more appropriate as it allows for interaction with experts in the field of reporting to facilitate the development of reporting skills enhance the overall learning experience

  8. Custom Report | Cancer Trends Progress Report

    Science.gov (United States)

    The Cancer Trends Progress Report, first issued in 2001, summarizes our nation's advances against cancer in relation to Healthy People targets set forth by the Department of Health and Human Services.

  9. Denmark's National Inventory Report

    DEFF Research Database (Denmark)

    Illerup, J. B.; Lyck, E.; Winther, M.

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2001. The report contains information on Denmark's inventories for all years' from 1990 to 1999 for CO2, CH4, N2O, CO...

  10. Limitations and obstacles of the spontaneous adverse drugs reactions reporting: Two "challenging" case reports.

    Science.gov (United States)

    Palleria, Caterina; Leporini, Christian; Chimirri, Serafina; Marrazzo, Giuseppina; Sacchetta, Sabrina; Bruno, Lucrezia; Lista, Rosaria M; Staltari, Orietta; Scuteri, Antonio; Scicchitano, Francesca; Russo, Emilio

    2013-12-01

    Nowadays, based on several epidemiological data, iatrogenic disease is an emerging public health problem, especially in industrialized countries. Adverse drugs reactions (ADRs) are extremely common and, therefore, clinically, socially, and economically worthy of attention. Spontaneous reporting system for suspected ADRs represents the cornerstone of the pharmacovigilance, because it allows rapid detection of potential alarm signals related to drugs use. However, spontaneous reporting system shows several limitations, which are mainly related to under-reporting. In this paper, we describe two particular case reports, which emphasize some reasons of under-reporting and other common criticisms of spontaneous reporting systems. We performed a computer-aided search of Medline, PubMed, Embase, Cochrane library databases, national and international databases of suspected ADRs reports in order to identify previous published case reports and spontaneous reports about the ADRs reviewed in this paper, and to examine the role of suspected drugs in the pathogenesis of the described adverse reactions. First, we reported a case of tizanidine-induced hemorrhagic cystitis. In the second case report, we presented an episode of asthma exacerbation after taking bimatoprost. Through the review of these two cases, we highlighted some common criticisms of spontaneous reporting systems: under-reporting and false causality attribution. Healthcare workers sometimes do not report ADRs because it is challenging to establish with certainty the causal relationship between drug and adverse reaction; however, according to a key principle of pharmacovigilance, it is always better to report even a suspicion to generate an alarm in the interest of protecting public health.

  11. A new safety event reporting system improves physician reporting in the surgical intensive care unit.

    Science.gov (United States)

    Schuerer, Douglas J E; Nast, Patricia A; Harris, Carolyn B; Krauss, Melissa J; Jones, Rebecca M; Boyle, Walter A; Buchman, Timothy G; Coopersmith, Craig M; Dunagan, W Claiborne; Fraser, Victoria J

    2006-06-01

    Medical errors are common, and physicians have notably been poor medical error reporters. In the SICU, reporting was generally poor and reporting by physicians was virtually nonexistent. This study was designed to observe changes in error reporting in an SICU when a new card-based system (SAFE) was introduced. Before implementation of the SAFE reporting system, education was given to all SICU healthcare providers. The SAFE system was introduced into the SICU for a 9-month period from March 2003 through November 2003, to replace an underused online system. Data were collected from the SAFE card reports and the online reporting systems during introduction, removal, and reimplementation of these cards. Reporting rates were calculated as number of reported events per 1,000 patient days. Reporting rates increased from 19 to 51 reports per 1,000 patient days after the SAFE cards were introduced into the ICU (preporting increased most, rising from 0.3 to 5.8 reports per 1,000 patient days; nursing reporting also increased from 18 to 39 reports per 1,000 patient days (both preporting declined to 0 reports per 1,000 patient days (p=0.01) and rose to 8.1 (p=0.001) when the cards were returned, similar to nursing results. A higher proportion of physician reports were events that caused harm compared with no effect (p reporting system, combined with appropriate education, improved overall reporting in the SICU, especially among physician providers. Nurses were more likely to use reporting systems than were physicians. Physician reports were more likely to be of events that caused harm.

  12. Prototype road weather performance management tool : project report : draft report.

    Science.gov (United States)

    2016-09-30

    This report is the Project Report for the Road Weather Performance Management (RW-PM) Tool developed for the project on Development and Demonstration of a Prototype Road Weather Performance Management Application that Uses Connected Vehicle Data (RW-...

  13. 2008 stewardship report

    International Nuclear Information System (INIS)

    2009-03-01

    The Canadian Association of Petroleum Producers prepares an annual stewardship report as part of the industry's commitment to stewardship through the open and transparent reporting of progress on environmental, health and safety, and social issues. These reports also serve to provide annual benchmarking targets for the industry to surpass. This report presented the eighth annual stewardship report for 2008 and discussed indicators relating to several areas. The first involved air quality as it relates to climate change and greenhouse gases and technological solutions such as toe-to-heel air injection; geothermal energy; and carbon capture and sequestration. The issues of releasing greenhouse gases through flaring and venting were also examined along with other issues such as returning the land to a sustainable landscape; using water to produce oil and gas; ensuring the workplace is safe; and maintaining positive relationships. It was concluded that while greenhouse gas intensity has dropped, overall emissions have increase. Surface water use has also slightly increased. figs

  14. 78 FR 48632 - Releasing Information; General Provisions; Accounting and Reporting Requirements; Reports of...

    Science.gov (United States)

    2013-08-09

    ... and other examination and non-public information,\\4\\ including data from reports of System accounts... Reporting Entity that the information provided in the report of accounts and exposures is a true and... to the FCA that the information provided in the report of all banks' and associations' accounts and...

  15. ISIS annual report

    International Nuclear Information System (INIS)

    Biggin, Sue

    1986-07-01

    The paper is the first 1985/6 report of the ISIS experimental facility for neutron scattering studies, which commenced operations June 1985, at the Rutherford Laboratory, United Kingdom. The report is divided into eight chapters, including: 1) accelerator, target station and moderators, 2) instruments and related science, 3) techniques, 4) future developments, 5) condensed matter theory research, 6) ISIS organisation and user interaction, 7) publications, and 8) experimental reports. (UK)

  16. Marketing reporting system

    OpenAIRE

    Hanić Hasan M.

    2004-01-01

    The main components of a developed and good organized marketing information system are: internal reporting system, marketing reporting system, market research system and analytical marketing system. Marketing reporting system provides data and information about changes in business and micro marketing environment. This component of MIS ensures that marketing managers are up-to-date with what is going on, and to be informed about changes in company marketing environment.

  17. Marketing reporting system

    Directory of Open Access Journals (Sweden)

    Hanić Hasan M.

    2004-01-01

    Full Text Available The main components of a developed and good organized marketing information system are: internal reporting system, marketing reporting system, market research system and analytical marketing system. Marketing reporting system provides data and information about changes in business and micro marketing environment. This component of MIS ensures that marketing managers are up-to-date with what is going on, and to be informed about changes in company marketing environment.

  18. 1995 annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    This report presents the activities and accomplishments of Philippine Nuclear Research Institute (PNRI) for the fiscal year 1995. The highlights of the report are about the technology transfer, nuclear services, nuclear safety and research and development. Also, the special S and T events, list of 1995 IAEA contracts, experts missions, foreign travels of PNRI and non-PNRI personnel and the lists of technical papers are also included in this report.

  19. 1995 annual report

    International Nuclear Information System (INIS)

    1996-01-01

    This report presents the activities and accomplishments of Philippine Nuclear Research Institute (PNRI) for the fiscal year 1995. The highlights of the report are about the technology transfer, nuclear services, nuclear safety and research and development. Also, the special S and T events, list of 1995 IAEA contracts, experts missions, foreign travels of PNRI and non-PNRI personnel and the lists of technical papers are also included in this report

  20. Brief report.

    Science.gov (United States)

    Colnerud, Gunnel

    2013-10-01

    Most accounts of the ethical problems facing researchers across a broad spectrum of research fields come from ethicists, ethics committees, and specialists committed to the study of ethics in human research. In contrast, this study reports on the ethical questions that researchers, themselves, report facing in their everyday practice. Fifty-five Swedish researchers contributed 109 examples of ethical dilemmas, conflicts, and problems in research. They were all researchers at the postdoctoral level in the fields of medicine, the humanities, education, and the social sciences, who devoted at least 50 percent of their working hours to research. They reported issues they face before, during, and after gathering data. Their range of issues is broader than generally discussed and points to the importance of researchers' ethical sensitivity.

  1. Structured reporting of MRI of the shoulder - improvement of report quality?

    Energy Technology Data Exchange (ETDEWEB)

    Gassenmaier, Sebastian; Armbruster, Marco; Sommer, Wieland H.; Sommer, Nora N. [Ludwig-Maximilians-University (LMU), Department of Clinical Radiology, Munich (Germany); Haasters, Florian [Schoen Klinik Muenchen Harlaching, Department of Knee, Hip and Shoulder Surgery, Munich (Germany); Ludwig-Maximilians-University (LMU), Department of General, Trauma and Reconstructive Surgery, Munich (Germany); Helfen, Tobias [Ludwig-Maximilians-University (LMU), Department of General, Trauma and Reconstructive Surgery, Munich (Germany); Henzler, Thomas [University Medical Center Mannheim, Medical Faculty Mannheim - Heidelberg University, Institute of Clinical Radiology and Nuclear Medicine, Heidelberg (Germany); Alibek, Sedat [Ambulatory Health Care Center Radiology and Nuclear Medicine, Fuerth (Germany); Friedrich-Alexander University, Department of Diagnostic Radiology, Erlangen-Nuremberg (Germany); Pfoerringer, Dominik [Klinikum rechts der Isar, Technical University of Munich, Department of Trauma Surgery, Munich (Germany)

    2017-10-15

    To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons' satisfaction. Thirty patients after trauma or with suspected degenerative changes of the shoulder were included in this study (2012-2015). All patients underwent shoulder MRI for further assessment and possible surgical planning. NRs were generated during clinical routine. Corresponding SRs were created using a dedicated template. All 60 reports were evaluated by two experienced orthopaedic shoulder surgeons using a questionnaire that included eight questions. Eighty per cent of the SRs were fully complete without any missing key features whereas only 45% of the NRs were fully complete (p < 0.001). The extraction of information was regarded to be easy in 92% of the SRs and 63% of the NRs. The overall quality of the SRs was rated better than that of the NRs (p < 0.001). Structured reporting of shoulder MRI improves the readability as well as the linguistic quality of radiological reports, and potentially leads to a higher satisfaction of referring physicians. (orig.)

  2. Structured reporting of MRI of the shoulder - improvement of report quality?

    International Nuclear Information System (INIS)

    Gassenmaier, Sebastian; Armbruster, Marco; Sommer, Wieland H.; Sommer, Nora N.; Haasters, Florian; Helfen, Tobias; Henzler, Thomas; Alibek, Sedat; Pfoerringer, Dominik

    2017-01-01

    To evaluate the effect of structured reports (SRs) in comparison to non-structured narrative free text (NRs) shoulder MRI reports and potential effects of both types of reporting on completeness, readability, linguistic quality and referring surgeons' satisfaction. Thirty patients after trauma or with suspected degenerative changes of the shoulder were included in this study (2012-2015). All patients underwent shoulder MRI for further assessment and possible surgical planning. NRs were generated during clinical routine. Corresponding SRs were created using a dedicated template. All 60 reports were evaluated by two experienced orthopaedic shoulder surgeons using a questionnaire that included eight questions. Eighty per cent of the SRs were fully complete without any missing key features whereas only 45% of the NRs were fully complete (p < 0.001). The extraction of information was regarded to be easy in 92% of the SRs and 63% of the NRs. The overall quality of the SRs was rated better than that of the NRs (p < 0.001). Structured reporting of shoulder MRI improves the readability as well as the linguistic quality of radiological reports, and potentially leads to a higher satisfaction of referring physicians. (orig.)

  3. Report: Fiscal Year 2010 Federal Information Security Management Act Report

    Science.gov (United States)

    Report #11-P-0017, November 16, 2010. Attached is the Office of Inspector General’s (OIG’s) Fiscal Year 2010 Federal Information Security Management Act (FISMA) Reporting Template, as prescribed by the Office of Management and Budget (OMB).

  4. Denmark's National Inventory Report

    DEFF Research Database (Denmark)

    Illerup, J. B.; Lyck, E.; Winther, M.

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by 15 April 2001. The report contains information on Denmark's inventories for all years' from 1990 to 1999 for CO2, CH4, N2O, ......, NMVOC, SO2, HFCs, PFCs and SF6....

  5. Uncovering the problem-solving process: cued retrospective reporting versus concurrent and retrospective reporting.

    Science.gov (United States)

    van Gog, Tamara; Paas, Fred; van Merriënboer, Jeroen J G; Witte, Puk

    2005-12-01

    This study investigated the amounts of problem-solving process information ("action," "why," "how," and "metacognitive") elicited by means of concurrent, retrospective, and cued retrospective reporting. In a within-participants design, 26 participants completed electrical circuit troubleshooting tasks under different reporting conditions. The method of cued retrospective reporting used the original computer-based task and a superimposed record of the participant's eye fixations and mouse-keyboard operations as a cue for retrospection. Cued retrospective reporting (with the exception of why information) and concurrent reporting (with the exception of metacognitive information) resulted in a higher number of codes on the different types of information than did retrospective reporting.

  6. Seguimiento multidisciplinario en el control del penfigoide de membranas mucosas

    Directory of Open Access Journals (Sweden)

    Fabiano Jeremias

    2011-06-01

    Full Text Available El término penfigoide de membranas mucosas designa un grupo de enfermedades vesículo-bulosas autoinmunes crónicas, que afectan predominantemente mucosas. El presente artículo describe dos casos clínicos de penfigoide de membranas mucosas con compromiso gingival y tuvo como objetivo resaltar la importancia de un correcto diagnóstico de la lesión y discutir la conducta terapéutica. Fueron realizados diversos exámenes complementares como, examen de Nikolsky, biopsia incisional, investigación de células LE y de anticuerpos antinucleares, además de la evaluación de médicos especializados en dermatología y oftalmología. Fue fundamental la substitución de dentífricos, la orientación nutricional y psicológica, el cuidado con la higiene, además del uso de corticoides tópicos. Hubo periodos de remisión y exacerbación del cuadro clínico durante el seguimiento, fue necesario el ajuste en la terapéutica y refuerzo en los cuidados con la higiene bucal. Es muy importante la interacción multidisciplinaria en la atención de estos casos para el control del tratamiento y seguimiento, además de reforzar todas las orientaciones y cuidados en lo que se refiere a la salud bucal y cautela en el uso de corticoides.

  7. Osteoporosis grave con aplastamientos vertebrales en dermatomiositis juvenil: Efecto del tratamiento con alendronato oral Severe osteoporosis with vertebral crushes in juvenile dermatomyositis: Effect of oral alendronate therapy

    Directory of Open Access Journals (Sweden)

    Cristina Tau

    2007-02-01

    Full Text Available Los glucocorticoides son usados comúnmente para el tratamiento de enfermedades inflamatorias, autoinmunes, enfermedades malignas, y en la prevención de rechazo de órganos trasplantados. Un efecto secundario frecuente del tratamiento prolongado es la pérdida de masa ósea que se produce por varios mecanismos y es causa de osteoporosis y fracturas vertebrales. El tratamiento con disfosfonatos ha sido propuesto para esta situación. Presentamos un caso clínico de osteoporosis grave en una niña con dermatomiositis juvenil, que respondió favorablemente al tratamiento con disfosfonatos orales.Glucocorticoids are used for the treatment of inflammatory and autoimmune diseases, cancer, and in prevention of organ rejects. A frequent secondary effect of longterm treatment with corticoids is the loss of bone mass, caused by several mechanisms: decrease in the intestinal calcium absorption, increase of the renal calcium excretion at the distal renal tubule, suppressive effect on the osteoblast and also in apoptosis of osteoclasts, inhibition in local production of IGF I (Insulin-like growth factor and IGFBPs (binding IGF I proteins necessary for bone metabolism, and decrease on osteocalcin production. Longterm treatment with corticoids is associated with osteoporosis and vertebral fractures. To improve this condition, treatment with bisphosphonates has been proposed. We present here a clinical case of a girl with dermatomyositis and severe osteoporosis with vertebral crushes, who responded well to oral bisphophonate treatment.

  8. Neumonía intersticial linfoidea asociada a inmunodeficiencia común variable

    Directory of Open Access Journals (Sweden)

    Gonzalo Peralta

    2011-10-01

    Full Text Available La neumonía intersticial linfoidea (NIL es una rara entidad, descripta como hiperplasia no neoplásica del tejido linfoide pulmonar y clasificada dentro de las enfermedades intersticiales idiopáticas. Se la ha descripto asociada a infección por HIV, fenómenos autoinmunes, hipergamaglobulinemia policlonal o menos frecuentemente a hipogammaglobulinemia. Presentamos una paciente de 66 años de edad con diabetes mellitus, síndrome de Sjögren e hipertensión arterial, derivada a nuestro centro por tos seca y disnea clase funcional II-III. En el examen físico presentaba rales tipo “velcro” bibasales y esplenomegalia. Los estudios de laboratorio evidenciaron plaquetopenia (50 000/mm³ e hipogammaglobulinemia; la tomografía axial computarizada (TAC de tórax mostró compromiso intersticial bibasal, con nódulos peribroncovasculares menores a un centímetro. Se realizó una videotoracoscopia con biopsia pulmonar, la anatomía patológica mostró hallazgos compatibles con neumonía intersticial linfoidea. Se inició tratamiento con metilprednisona 40 mg/día vía oral e infusión endovenosa de gammaglobulina 500 mg/kg, mensual, evolucionando con mejoría clínico-radiológica. Por persistencia de plaquetopenia, asociada a hiperesplenismo, se realizó esplenectomía con buena respuesta. En la anatomía patológica no se observo clonalidad linfoide.

  9. Esclerodermia localizada: Diagnósticos diferenciales Localized scleroderma: Differential diagnosis

    Directory of Open Access Journals (Sweden)

    MB Leroux

    2011-09-01

    Full Text Available La esclerodermia localizada constituye un desorden autoinmune órgano específico, que compromete sobre todo la piel. Se caracteriza por inflamación seguida de esclerosis e incluye distintas formas clínicas. La etiología de la esclerodermia localizada no ha sido establecida. El diagnóstico diferencial incluye cuadros esclerodermiformes, desencadenados por factores intrínsecos y extrínsecos que están siendo estudiados. Entre ellos se incluyen: exposición a radiaciones o tóxicos, consumo de medicamentos, infecciones y enfermedades de origen endocrino-metabólico, genético e inflamatorio. En primer lugar, se debe descartar la esclerodermia sistémica. En segundo lugar, se clasifican las entidades con predominio de esclerosis o atrofia. Por último, se incluyen algunas enfermedades en un cuadro comparativo.Localized scleroderma is an autoimmune organ specific disorder with an important skin compromise. It is an inflammatory process with several distinct clinical characteristics. The etiology of localized scleroderma has not been established yet. Differential diagnosis includes sclerodermiform onset unchained by intrinsic and extrinsic factors that are presently studied. Among them must be taking into account: exposure to radiation or toxic agents, therapeutic drugs, infections and diseases of endocrine, metabolic, genetic or inflammatory etiology. Firstly, it must be point out that systemic scleroderma must be ruled out. Secondly, disorders predominantly with sclerosis and atrophy must be classified and lastly, some other diseases are included in a comparative table.

  10. Packaging- and transportation-related occurrence reports. Fiscal year 1996 annual report

    International Nuclear Information System (INIS)

    Dickerson, L.S.; Welch, M.J.

    1997-02-01

    The Oak Ridge National Laboratory (ORNL), through its support to the US Department of Energy's (DOE's) Office of Transportation, Emergency Management, and Analytical Services (EM-76), retrieves reports and information pertaining to transportation and packaging occurrences from the centralized Occurrence Reporting and Processing System (ORPS) database. These selected reports are analyzed for trends, impact on packaging and transportation operations and safety concerns, and lessons learned (LL) in transportation and packaging safety. Some selected reports are reviewed to evaluate the corrective actions being conducted. This report contains an analysis of 246 occurrences identified as packaging- or transportation-related during fiscal year (FY) 1996, with supporting data from calendar year (CY) 1991 through 1995 which provide the basis for trending. The overall number of packaging- and transportation-related occurrences remains a small percentage of the total occurrences in the DOE system, through it is relatively higher this year (∼6%) than previous years when transportation occurrences were approximately 3% of the total. The decrease in the total number of occurrences may be the result of the rollup provisions of the new DOE Order 232.1, and the comparative increase in packaging- and transportation-related occurrence reports (ORs) is only a reflection of the decrease in the overall total. There does not appear to be a correlation between the total number of offsite hazardous materials shipments and the number of reported occurrences. The offsite occurrences, while few in number, are consistent for the major shippers and contractors

  11. Federal Fleet Report

    Data.gov (United States)

    General Services Administration — Annual report of Federal agencies' motor vehicle fleet data collected in the Federal Automotive Statistical Tool (FAST), a web-based reporting tool cosponsored by...

  12. Annual Report 2005

    International Nuclear Information System (INIS)

    Kirejczyk, M.K.

    2006-01-01

    The Annual Report of the Nuclear Physics Division, Institute of Experimental Physics, Warsaw University describes the results of the research activities carried out in 2005. The document consist of three parts: ''Research Reports on Reaction Mechanism and Nuclear Structure'', ''Research Reports on Experimental Methods and Instrumentation'' and ''Seminars, Personnel and Publications''. The short description of the whole NPD activity is also given in ''Preface'' written by director of the Department prof. K. Siwek-Wilczynska

  13. Annual report 1992

    International Nuclear Information System (INIS)

    1993-01-01

    The 1992 progress report of the Institut Laue-Langevin (ILL) is presented. ILL is a service institute created so that solid state physics, fundamental and nuclear physics, biochemistry, chemistry and metallurgy specialists can use the unique power of neutron techniques on their investigations. This report includes the reactor refurbishment and operation, the research programs and the obtained results and international cooperation. The activities of the ILL departments, publications and internal reports are given

  14. Business Reporting and Communications: Reaching the $20 Trillion Target--a Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Bray, M.

    2007-07-01

    Without immediate reporting and communications reform in the energy sector, business may fail to achieve the US$20 trillion investment required to meet the world's energy demand by 2030. This KPMG paper argues that a new business-reporting and communications framework is urgently required that enables investors to award capital to competing energy projects according to merit. The current reporting and communications framework does not paint a clear picture of strategy, performance, value and prospects. A new strategy would ensure improved stakeholder understanding of business strategies and better decision-making insights into performance drivers, risks and outlook. These should be conveyed through a portfolio of communications, including a flagship business performance report and special purpose reports tailored to meet stakeholders' needs. The paper also analyzes the roles and responsibilities of key players in changing the investment climate. The time for reform is ripe: the accounting profession is calling for reform, and many leading energy-sector businesses are already implementing new approaches to business reporting. By implementing a reporting and communications framework that helps investors differentiate competing energy propositions, the sector will meet one precondition to raising the $20 trillion investment. (auth)

  15. Business Reporting and Communications: Reaching the $20 Trillion Target--a Progress Report

    Energy Technology Data Exchange (ETDEWEB)

    Bray, M

    2007-07-01

    Without immediate reporting and communications reform in the energy sector, business may fail to achieve the US$20 trillion investment required to meet the world's energy demand by 2030. This KPMG paper argues that a new business-reporting and communications framework is urgently required that enables investors to award capital to competing energy projects according to merit. The current reporting and communications framework does not paint a clear picture of strategy, performance, value and prospects. A new strategy would ensure improved stakeholder understanding of business strategies and better decision-making insights into performance drivers, risks and outlook. These should be conveyed through a portfolio of communications, including a flagship business performance report and special purpose reports tailored to meet stakeholders' needs. The paper also analyzes the roles and responsibilities of key players in changing the investment climate. The time for reform is ripe: the accounting profession is calling for reform, and many leading energy-sector businesses are already implementing new approaches to business reporting. By implementing a reporting and communications framework that helps investors differentiate competing energy propositions, the sector will meet one precondition to raising the $20 trillion investment. (auth)

  16. UPDATES REGARDING AUDIT REPORTING

    Directory of Open Access Journals (Sweden)

    Daniel Botez

    2017-07-01

    Full Text Available In 2009, the International Federation of Professional Accountants - IFAC initiated a process of reviewing reporting standards. The purpose of this process is to improve the auditor's way of communicating and to increase the relevance of the audit globally, meaning that the auditor's report is more informative by presenting more information about the entity and about the audit of the financial statements. Thus, reporting standards have been amended, a new standard has been published, and the impact of these changes on other standards used by the auditor has been reported. The most relevant aspects concern the introduction of new paragraphs in the auditor's report regarding key aspects of the audit and the assumption of business continuity. Also, the structure of the report has been modified.

  17. Resident Characteristics Report

    Data.gov (United States)

    Department of Housing and Urban Development — The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. The report...

  18. Minority Veteran Report

    Data.gov (United States)

    Department of Veterans Affairs — This report is the first comprehensive report that chronicles the history of racial and ethnic minorities in the military and as Veterans, profiles characteristics...

  19. Big Game Reporting Stations

    Data.gov (United States)

    Vermont Center for Geographic Information — Point locations of big game reporting stations. Big game reporting stations are places where hunters can legally report harvested deer, bear, or turkey. These are...

  20. KBS Annual Report 1982. Summaries of technical reports issued during 1982

    International Nuclear Information System (INIS)

    1983-07-01

    The purpose of the KBS Annual Report is to inform interested organizations and individuals of the research and development work perfomed by the division KBS within the Swedish Nuclear Fuel Supply Co. (SKBF) on the handling, treatment and final storage of nuclear wastes in Sweden. In the Annual Report for 1982 the summaries of 27 technical reports and other publications issued during the year are listed. (K.A.E.)

  1. Semiannual report to Congress on Inspector General audit reports, October 1, 1996--March 31, 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-05-01

    This is the Secretary of Energy`s sixteenth Semiannual Report to Congress submitted under the Inspector General Act of 1978, as amended. Pursuant to the Inspector General Act Amendments of 1988 (Public law 100-504), agency heads are to report to Congress on the status of final action taken on audit report recommendations. This report complements a report prepared by the Department`s Office of Inspector General that provides information on audit reports issued during the period and on the status of management decisions made on Inspector General audit reports. During the period covered by this report, October 1, 1996, through March 31, 1997, the Department took final action on 31 operational, financial, and preaward audit reports. At the end of the period 74 reports awaited final action. Final action was taken on 11 contract and financial assistance audits, leaving no reports requiring final action at the end of the period. This report has three sections. The first section outlines significant audit resolution and followup accomplishments achieved by the Department during the reporting period. The second section contains the statistical tables that illustrate the status of final action on Inspector General audit reports. The third lists the audit reports that are one year or more past management decision and have not completed final action. This section also provides the status of corrective actions on each of those reports.

  2. Semiannual report to Congress on Inspector General audit reports, October 1, 1997--March 31, 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-05-01

    This is the Secretary of Energy`s eighteenth Semiannual Report to Congress submitted under the Inspector General Act of 1978, as amended. Pursuant to the Inspector General Act Amendments of 1988 (Public Law 100-504), agency heads are to report to Congress on the status of final action taken on audit report recommendations. This report complements a report prepared by the Department`s Office of Inspector General that provides information on audit reports issued during the period and on the status of management decisions made on Inspector General audit reports. During the period covered by this report, October 1, 1997, through March 31, 1998, the Department took final action on 20 operational, financial, and preaward audit reports. At the end of the period 80 reports awaited final action. Final action was taken on one contract and financial assistance audit, leaving two reports requiring final action at the end of the period. This report has three sections. The first section outlines significant audit resolution and followup accomplishments achieved by the Department during the reporting period. The second section contains the statistical tables that illustrate the status of final action on Inspector General audit reports. The third lists the audit reports that are one year or more past management decision and have not completed final action. This section also provides the status of corrective actions on each of those reports.

  3. Semiannual report to Congress on Inspector General audit reports, April 1, 1995--September 30, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    This is the Secretary of Energy`s thirteenth Semiannual Report to Congress submitted under the Inspector General Act of 1978, as amended. Pursuant to the Inspector General Act Amendments of 1988 (Public Law 100-504), agency heads are to report to Congress on the status of final action taken on audit report recommendations. This report complements a report prepared by the Department`s Office of Inspector General that provides information on audit reports issued during the period and on the status of management decisions made on Inspector General audit reports. During the period covered by this report, April 1, 1995, through September 30, 1995, the Department took final action on 33 operational, financial, and preaward audit reports. At the end of the period 96 reports awaited final action. Final action was taken on 2 contract and financial assistance audits, leaving 2 reports requiring final action at the end of the period. This report has three sections. The first section outlines significant audit resolution and followup accomplishments achieved by the Department during the reporting period. The second section contains the statistical tables that illustrate the status of final action on Inspector General audit reports. The third lists the audit reports that are one year or more past management decision and have not completed final action. This section also provides the status of corrective actions on each of these reports.

  4. Medicare Cost Reports

    Data.gov (United States)

    U.S. Department of Health & Human Services — Medicare certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor. The cost report contains provider...

  5. Rock mechanics models evaluation report: Draft report

    International Nuclear Information System (INIS)

    1985-10-01

    This report documents the evaluation of the thermal and thermomechanical models and codes for repository subsurface design and for design constraint analysis. The evaluation was based on a survey of the thermal and thermomechanical codes and models that are applicable to subsurface design, followed by a Kepner-Tregoe (KT) structured decision analysis of the codes and models. The end result of the KT analysis is a balanced, documented recommendation of the codes and models which are best suited to conceptual subsurface design for the salt repository. The various laws for modeling the creep of rock salt are also reviewed in this report. 37 refs., 1 fig., 7 tabs

  6. CSIR Annual report 1993

    CSIR Research Space (South Africa)

    CSIR

    1993-01-01

    Full Text Available This report provides highlights on the activities and achievements of CSIR in the year 1993. An outline of the CSIR structure and financial reports are also presented in the report....

  7. CSIR Annual report 1984

    CSIR Research Space (South Africa)

    CSIR

    1984-01-01

    Full Text Available This report provides highlights on the activities and achievements of CSIR in the year 1984. An outline of the CSIR structure and financial reports are also presented in the report....

  8. CSIR Annual report 1995

    CSIR Research Space (South Africa)

    CSIR

    1995-01-01

    Full Text Available This report provides highlights on the activities and achievements of CSIR in the year 1995. An outline of the CSIR structure and financial reports are also presented in the report....

  9. CSIR Annual report 1994

    CSIR Research Space (South Africa)

    CSIR

    1994-01-01

    Full Text Available This report provides highlights on the activities and achievements of CSIR in the year 1994. An outline of the CSIR structure and financial reports are also presented in the report....

  10. Revised licensee event report system

    International Nuclear Information System (INIS)

    Mays, G.T.; Poore, W.P.

    1985-01-01

    Licensee Event Reports (LERs) provide the basis for evaluating and assessing operating experience information from nuclear power plants. The reporting requirements for submitting LERs to the Nuclear Regulatory Commission have been revised. Effective Jan. 1, 1984, all events were to be submitted in accordance with 10 CFR 50.73 of the Code of Federal Regulations. Report NUREG-1022, Licensee Event Report System-Description of System and Guidelines for Reporting, describes the guidelines on reportability of events. This article summarizes the reporting requirements as presented in NUREG-1022, high-lights differences in data reported between the revised and previous LER systems, and presents results from a preliminary assessment of LERs submitted under the revised LER reporting system

  11. Annual Report 2006

    International Nuclear Information System (INIS)

    Chmielewska, D.; Infeld, E.; Zupranski, P.

    2007-06-01

    The ''Annual Report 2006'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2006. Report consists in general two parts. First consists of general information about location, management, scientific council, personnel, financial support and conferences while the second one the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to report written by Director of the Institute Grzegorz Wrochna is also given

  12. Annual Report 2006

    Energy Technology Data Exchange (ETDEWEB)

    Chmielewska, D; Infeld, E; Zupranski, P [The Andrzej Soltan Institute for Nuclear Studies, Swierk-Otwock (Poland)

    2007-06-15

    The ''Annual Report 2006'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2006. Report consists in general two parts. First consists of general information about location, management, scientific council, personnel, financial support and conferences while the second one the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to report written by Director of the Institute Grzegorz Wrochna is also given.

  13. Annual Report 2005

    Energy Technology Data Exchange (ETDEWEB)

    Chmielewska, D; Infeld, E; Zupranski, P [The Andrzej Soltan Institute for Nuclear Studies, Swierk-Otwock (Poland)

    2006-06-15

    The ''Annual Report 2005'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2005. Report consists in general two parts. First consists of general information about location, management, scientific council, personnel financial support and conferences while the second one the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to report written by Director of the Institute prof. Ziemowit Sujkowski is also given.

  14. Annual Report 2005

    International Nuclear Information System (INIS)

    Chmielewska, D.; Infeld, E.; Zupranski, P.

    2006-06-01

    The ''Annual Report 2005'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2005. Report consists in general two parts. First consists of general information about location, management, scientific council, personnel financial support and conferences while the second one the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to report written by Director of the Institute prof. Ziemowit Sujkowski is also given

  15. Annual report 1980

    International Nuclear Information System (INIS)

    1981-01-01

    This annual report contains a description of the named institute, the research programm, reports from the scientific establishments, a description of different cooperations, and a list of scientific publications. (HSI) [de

  16. PHENIX REPORTS

    International Nuclear Information System (INIS)

    Thompson, Timothy C.

    1998-01-01

    This report contains individual progress reports for the months of December 1997 through May 1998 on the Phenix program at Hytec. Topics include the Phenix muon detector chamber flow analysis; the Phenix Muon detector deformation and motion/tolerance study of Stations 1, 2, and 3; finite element mount/electron shield structural analysis; South Station 3 muon detector deformation analysis; and Station 1 muon detector panel assembly and fabrication sequences

  17. PHENIX REPORTS

    Energy Technology Data Exchange (ETDEWEB)

    TIMOTHY C. THOMPSON - HYTEC, INC.

    1998-12-10

    This report contains individual progress reports for the months of December 1997 through May 1998 on the Phenix program at Hytec. Topics include the Phenix muon detector chamber flow analysis; the Phenix Muon detector deformation and motion/tolerance study of Stations 1, 2, and 3; finite element mount/electron shield structural analysis; South Station 3 muon detector deformation analysis; and Station 1 muon detector panel assembly and fabrication sequences.

  18. Evaluation of the Illinois High School to College Success Report: Technical Report

    Science.gov (United States)

    Klostermann, Brenda; Cameron, Sean; Hamel, Rachel; Newberry, Melissa

    2013-01-01

    This report provides findings from an evaluation of the newly designed Illinois High School to College Success Report (HS2CSR). The evaluation study examined the dissemination, usefulness, and impact on collaborative efforts of the new HS2CSR. Education stakeholders' suggestions for improving the report are also included. Recommendations to…

  19. Panel summary report

    International Nuclear Information System (INIS)

    Gutjahr, A.L.; Kincaid, C.T.; Mercer, J.W.; Murarka, I.P.; Siegel, M.D.; Wierenga, P.J.

    1987-01-01

    The objective of this report is to summarize the various modeling approaches that were used to simulate solute transport in a variably saturated emission. In particular, the technical strengths and weaknesses of each approach are discussed, and conclusions and recommendations for future studies are made. Five models are considered: (1) one-dimensional analytical and semianalytical solutions of the classical deterministic convection-dispersion equation (van Genuchten, Parker, and Kool, this report ); (2) one-dimensional simulation using a continuous-time Markov process (Knighton and Wagenet, this report); (3) one-dimensional simulation using the time domain method and the frequency domain method (Duffy and Al-Hassan, this report); (4) one-dimensional numerical approach that combines a solution of the classical deterministic convection-dispersion equation with a chemical equilibrium speciation model (Cederberg, this report); and (5) three-dimensional numerical solution of the classical deterministic convection-dispersion equation (Huyakorn, Jones, Parker, Wadsworth, and White, this report). As part of the discussion, the input data and modeling results are summarized. The models were used in a data analysis mode, as opposed to a predictive mode. Thus, the following discussion will concentrate on the data analysis aspects of model use. Also, all the approaches were similar in that they were based on a convection-dispersion model of solute transport. Each discussion addresses the modeling approaches in the order listed above

  20. Climate report 1997

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Lars; Axelsson, Pernilla; Fegler, C. [and others

    1998-11-01

    The Swedish Environmental Protection Agency, NV, the National Board for Industrial and Technical Development, NUTEK, and the Swedish Institute for Transport and Communications Analysis, SIKA, have been commissioned by the Government to furnish background material for Sweden`s second national report on climate change. The national report is a commitment vis-a-vis the UN Framework Convention on Climate Change (FCCC). Sweden`s first national report was presented in 1994, and the second was completed and adopted by the Government on 3 April 1997. This study is a more detailed account based on NUTEK`s background material for the national report. NUTEK has been Sweden`s central authority within the energy field. The authority`s work with the background material for the national report has primarily been concentrated on projections of the future development of the energy system. However, the forecasts for energy use in the transport sector are mainly based on forecasts of transport activity prepared by SIKA. Furthermore NUTEK has been responsible for the calculations of the effects of policy instruments on the carbon dioxide emissions. The Swedish Environmental Protection Agency is responsible for the calculations of emissions of climate gases in the background material for the national report. These calculations of the energy system`s emissions of carbon dioxide and other climate gases are based on NUTEK`s energy forecasts 13 figs, 38 tabs

  1. Regulatory and technical reports, compilation for 1979. Volume 4. Bibliographical report Jan-Dec 79

    International Nuclear Information System (INIS)

    Oliu, W.E.; McKenzie, L.; Aragon, R.

    1980-07-01

    The compilation lists formal regulatory and technical reports issued in 1979 by the U.S. Nuclear Regulatory Commission (NRC) staff and by NRC contractors. The compilation is divided into three major sections. The first major section consists of a sequential listing of all NRC reports in report-number order. The first portion of this sequential section lists staff reports, the second portion lists NRC-sponsored conference proceedings, and the third lists contractor reports. Each report citation in the sequential section contains full bibliographic information

  2. Technical report writing

    Science.gov (United States)

    Vidoli, Carol A.

    1992-01-01

    This manual covers the fundamentals of organizing, writing, and reviewing NASA technical reports. It was written to improve the writing skills of LeRC technical authors and the overall quality of their reports.

  3. Radiation protection philosophy and risk estimates. NCRP Report 43 (1975), NAS-Beir Committee Report (1972, UNSCEAR Report (1972)

    International Nuclear Information System (INIS)

    Casarett, G.W.

    1975-01-01

    The purpose of the NCRP report no. 43 was to determine what influence the epidemiological and experimental radiobiological reports of the past several years should have on current NCRP radiation exposure standards. The position of the NCRP is that the lowest practicable radiation level below the recommended dose limits is the fundamental basis for establishing radiation protection standards, and on the assumption that the most important health hazards do not have a dose threshold. The BEIR report states that societal needs can be met with far lower average exposures and risks than permitted by the current Radiation Protection Guide of 170 millirems per yr, and that the current Guide is unnecessarily high. A review is given of the recent history of radiation protection standards and a discussion is given of similarities and differences between the BEIR and UNSCEAR reports

  4. Annual Report 2007

    Energy Technology Data Exchange (ETDEWEB)

    Chmielewska, D; Infeld, E; Zupranski, P [The Andrzej Soltan Institute for Nuclear Studies, Swierk-Otwock (Poland)

    2008-07-01

    The ''Annual Report 2007'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2007. Report consists of two parts. First one consist of of general information about location, management, scientific council, personnel, financial support and conferences while the second one describes the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to all report written by Director of the Institute prof. Grzegorz Wrochna is also given.

  5. Annual Report 2007

    International Nuclear Information System (INIS)

    Chmielewska, D.; Infeld, E.; Zupranski, P.

    2008-01-01

    The ''Annual Report 2007'' describes activities of Andrzej Soltan Institute for Nuclear Studies in 2007. Report consists of two parts. First one consist of of general information about location, management, scientific council, personnel, financial support and conferences while the second one describes the scientific activity of Institute. This part is divided into subsections which present progress in research of the Institut Departments and Establishments. A Foreword to all report written by Director of the Institute prof. Grzegorz Wrochna is also given

  6. Ethical Culture and Financial Reporting: Understanding Financial Reporting Practice within Javanese Perspective

    Directory of Open Access Journals (Sweden)

    Anis Chariri

    2009-06-01

    Full Text Available This study is a case study conducted in an Indonesian insurance company. The aim of the study is to understand the dynamics of financial reporting in the company. Ontologically, this study is built on a belief that financial reporting practice is a socially constructed reality. As a socially constructed reality, such a practice involves an interaction among social actors, and between organisational actors and the institutional and cultural environment in which the company operates. The main research question of this study is how organisational culture shapes the company on the construction of its financial reporting practice. This study reveals that the company is committed to quality financial reporting because such reporting can be used to gain legitimacy and to maintain social harmony. The company conducts itself in this way is because it reflects Javanese culture, a dominant culture in Indonesia. Furthermore, this study concludes that the way the actors in the company construct financial reporting practice is influenced by its organisational culture. The organisational culture of the company, which reflects Javanese culture, is able to shape the behaviour of its actors from the top level to lower levels to conduct ethical and transparent business practice. Thus, as Hines (1988 claims, this paper concludes that financial reporting practice is a socially constucted reality.

  7. Summary of the Supplemental Model Reports Supporting the Disposal Criticality Analysis Methodology Topical Report

    International Nuclear Information System (INIS)

    Brownson, D. A.

    2002-01-01

    The Department of Energy (DOE) Office of Civilian Radioactive Waste Management (OCRWM) has committed to a series of model reports documenting the methodology to be utilized in the Disposal Criticality Analysis Methodology Topical Report (YMP 2000). These model reports detail and provide validation of the methodology to be utilized for criticality analyses related to: (1) Waste form/waste package degradation; (2) Waste package isotopic inventory; (3) Criticality potential of degraded waste form/waste package configurations (effective neutron multiplication factor); (4) Probability of criticality (for each potential critical configuration as well as total event); and (5) Criticality consequences. This purpose of this summary report is to provide a status of the model reports and a schedule for their completion. This report also provides information relative to the model report content and validation. The model reports and their revisions are being generated as a result of: (1) Commitments made in the Disposal Criticality Analysis Methodology Topical Report (YMP 2000); (2) Open Items from the Safety Evaluation Report (Reamer 2000); (3) Key Technical Issue agreements made during DOE/U.S. Nuclear Regulatory Commission (NRC) Technical Exchange Meeting (Reamer and Williams 2000); and (4) NRC requests for additional information (Schlueter 2002)

  8. NSP Production Reports

    Data.gov (United States)

    Department of Housing and Urban Development — NSP Production Reports contain cumulative data on units assisted with NSP funds. An NSP grantee reports on the accomplishment of an activity when it meets an End...

  9. Research Reports: Heroin

    Science.gov (United States)

    ... D. Director National Institute on Drug Abuse Research Report Series HEROIN What is heroin and how is ... and Human Services | National Institutes of Health Research Report Series drug abuse and its consequences to identify ...

  10. Report to Congress on abnormal occurrences, July--September 1977. Quarterly report

    International Nuclear Information System (INIS)

    1977-11-01

    Section 208 of the Energy Reorganization Act of 1974 identifies an abnormal occurrence as an unscheduled incident or event which the Nuclear Regulatory Commission determines to be significant from the standpoint of public health or safety and requires a quarterly report of such events to be made to Congress. This report, the tenth in the series, covers the period July 1 to September 30, 1977. The NRC has determined that during this period there were no abnormal occurrences at the 65 nuclear power plants licensed to operate nor at fuel cycle facilities. There was one abnormal occurrence at other licensee facilities, which involved the loss and recovery of a radioactive source and probable overexposure. This report also contains information updating previously reported abnormal occurrences

  11. Reporting Intellectual Capital in Annual Reports: Evidence from Indonesia

    Directory of Open Access Journals (Sweden)

    Parulian Sihotang

    2014-08-01

    Full Text Available This  exploratory  study  which  replicates  the  content  analysis  methodology  of  Guthrie et  all  (1999,  2004  towards  Intellectual  Capital  (IC  disclosures  in  the  annual  report  has set  several  objectives.  Primarily,  the  empirical  investigation  assesses  the  extent  to  which Indonesian  listed  companies  are  publicly  reporting  their  IC  both  the  amount  and  type  of information  being  reported.  Secondly,  the  investigation  also  examines  the  extent  to  which the various categories of IC are represented in the annual reports of the sample companies. Finally, the study explores the extent to which the level of IC disclosures could be related to companies' characteristics such as industry category, age, ownership structure and market capitalization.  The sample was Indonesia's 23 largest companies listed in the Jakarta Stock Exchange.    In  light  of  research  limitations,  the  preliminary  and  tentative  indings  of  this study  indicate  that  irst  of  all,  similar  to  indings  worldwide,  Indonesian  companies  have substantial intellectual capital and they do aware and disclose their intellectual capital in the annual reports. Secondly, IC that tends to be most often reported is relational capital, followed by human capital and organizational capital. Thirdly, even though the trend in IC disclosure as a whole is generally increasing, there is no conclusive and predictable pattern found.  Fourthly,  the  IC  identiied  and  reported  is  inconsistent  as  no  framework  available in  helping  the  companies  discloses  intellectual  capital.  Fifthly,  most  of  the  intellectual capital  components  identiied  are  in  qualitative  format.  Sixthly,  even  though  the  study  did not ind a conclusive evidence regarding the relationship between the level of  IC

  12. Topical report review status. Bi-annual report 15 July 1980-15 July 1981

    International Nuclear Information System (INIS)

    1981-07-01

    The primary purpose of this document is to provide periodic progress reports of on-going topical report reviews, to identify those topical reports for which the Nuclear Regulatory Commission (NRC) staff review has been completed and, to the extent practicable, to provide NRC management with sufficient information regarding the conduct of the topical report program to permit taking whatever actions deemed necessary or appropriate

  13. Self-reported versus informant-reported depressive symptoms in adults with mild intellectual disability.

    Science.gov (United States)

    Mileviciute, I; Hartley, S L

    2015-02-01

    Virtually nothing is known about potential differences in the types of depression symptoms reported by adults with mild intellectual disability (ID) on self-reported questionnaires as compared with the types of symptoms reported by caregivers on informant questionnaires. Moreover, little is known about how the presentation of depression among adults with mild ID varies based on socio-demographic characteristics. We compared findings from two self-reported questionnaires, the Self-Reported Depression Questionnaire (SRDQ) and the Glasgow Depression Scale for People with a Learning Disability (GDS), to that of an informant questionnaire of depressive symptoms, the Glasgow Depression Scale--Caregiver Supplement (CGDS), in 80 adults with mild ID. We also examined the association between age, sex, IQ and the presence of a co-occurring psychiatric disorder and frequency of affective, cognitive and somatic depressive symptoms in our sample of adults with mild ID. Adults with mild ID self-reported a higher frequency of affective and cognitive depressive symptoms than staff reported on the informant measure. Staff reported a higher frequency of somatic symptoms than adults with mild ID on one of the self-reported questionnaires (GDS) and a similar frequency on the other self-reported questionnaire (SRDQ). Important differences were found in the types of depressive symptoms based on their IQ, age and presence of a co-occurring psychiatric disorder. Informant questionnaires offer valuable information, but assessment should include self-reported questionnaires as these questionnaires add unique information about internalised experiences (affective and cognitive symptoms) of adults with mild ID that may not be apparent to caregivers. Health care providers should be made aware of the important differences in the presentation of depressive based on their IQ, age and presence of a co-occurring psychiatric disorder. © 2013 John Wiley & Sons Ltd, MENCAP & IASSID.

  14. Do newspaper reports of suicides comply with standard suicide reporting guidelines? A study from Bangalore, India.

    Science.gov (United States)

    Chandra, Prabha S; Doraiswamy, Padmavathy; Padmanabh, Anuroopa; Philip, Mariamma

    2014-11-01

    Several countries have prescribed standard guidelines for media professionals on suicide reporting. However, the implementation of these guidelines has been varied. Suicide rates in South Asia are one of the highest in the world, and it is known that media guidelines for suicide reporting are not followed adequately. However, there are no published reports available from this region. This study aimed at assessing newspaper reports of suicide for quality of reporting based on standard reporting guidelines and to study differences between English and vernacular (Kannada) newspapers in Bangalore, South India. A total of 341 newspaper reports of suicide from 550 newspapers (3 English and 3 Kannada) over 3 months were systematically assessed for compliance with reporting guidelines. Each report was evaluated on 2 domains and 36 parameters. Data were analyzed for frequency of inappropriate reporting and patterns compared between vernacular and English newspapers. In all, 87% of the reports were those of completed suicide. Non-compliant reporting - method of suicide was reported in 89% and 32% of reports were in prominent pages of the newspaper, 95% mentioned gender, 90% reported the name, 80% reported age and suicide location, 75% reported life events related to suicide, 70% reported occupation, 69% had headline explicity on suicide and 61% reported monocausality. Only 16% reported mental disorder related to suicide, and less than 3% included information on suicide prevention and helplines. Vernacular papers showed significantly better compliance in 16 of the 20 areas. However, protective characteristics were better reported in English newspapers. Majority of reports on suicides in newspapers from Bangalore did not comply with standard guidelines of reporting. There is a strong need to evolve local guidelines and mechanisms for ensuring responsible reporting which have important implications in prevention of suicide. © The Author(s) 2013.

  15. Uranium purchases report 1993

    International Nuclear Information System (INIS)

    1994-01-01

    Data reported by domestic nuclear utility companies in their responses to the 1991 through 1993 ''Uranium Industry Annual Survey,'' Form EIA-858, Schedule B,'' Uranium Marketing Activities,'' are provided in response to the requirements in the Energy Policy Act 1992. Appendix A contains an explanation of Form EIA-858 survey methodologies with emphasis on the processing of Schedule B data. Additional information published in this report not included in Uranium Purchases Report 1992, includes a new data table. Presented in Table 1 are US utility purchases of uranium and enrichment services by origin country. Also, this report contains additional purchase information covering average price and contract duration. Table 2 is an update of Table 1 and Table 3 is an update of Table 2 from the previous year's report. The report contains a glossary of terms

  16. ERAWATCH Country Reports 2012

    DEFF Research Database (Denmark)

    Grimpe, Christoph

    between the national priorities and the structural challenges, highlighting the latest developments, their dynamics and impact in the overall national context. They further analyse and assess the ability of the policy mix in place to consistently and efficiently tackle these challenges. These reports were......This analytical country report is one of a series of annual ERAWATCH reports produced for EU Member States and Countries Associated to the Seventh Framework Programme for Research of the European Union (FP7). The main objective of the ERAWATCH Annual Country Reports is to characterise and assess...... the performance of national research systems and related policies in a structured manner that is comparable across countries. The Country Report 2012 builds on and updates the 2011 edition. The report identifies the structural challenges of the national research and innovation system and assesses the match...

  17. Mandated reporters' experiences with reporting child maltreatment: a meta-synthesis of qualitative studies.

    Science.gov (United States)

    McTavish, Jill R; Kimber, Melissa; Devries, Karen; Colombini, Manuela; MacGregor, Jennifer C D; Wathen, C Nadine; Agarwal, Arnav; MacMillan, Harriet L

    2017-10-16

    To systematically search for research about the effectiveness of mandatory reporting of child maltreatment and to synthesise qualitative research that explores mandated reporters' (MRs) experiences with reporting. As no studies assessing the effectiveness of mandatory reporting were retrieved from our systematic search, we conducted a meta-synthesis of retrieved qualitative research. Searches in Medline (Ovid), Embase, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Sociological Abstracts, Education Resources Information Center, Criminal Justice Abstracts and Cochrane Library yielded over 6000 citations, which were deduplicated and then screened by two independent reviewers. English-language, primary qualitative studies that investigated MRs' experiences with reporting of child maltreatment were included. Critical appraisal involved a modified checklist from the Critical Appraisal Skills Programme and qualitative meta-synthesis was used to combine results from the primary studies. All healthcare and social-service settings implicated by mandatory reporting laws were included. Included studies crossed nine high-income countries (USA, Australia, Sweden, Taiwan, Canada, Norway, Finland, Israel and Cyprus) and three middle-income countries (South Africa, Brazil and El Salvador). The studies represent the views of 1088 MRs. Factors that influence MRs' decision to report and MRs' views towards and experiences with mandatory reporting of child maltreatment. Forty-four articles reporting 42 studies were included. Findings indicate that MRs struggle to identify and respond to less overt forms of child maltreatment. While some articles (14%) described positive experiences MRs had with the reporting process, negative experiences were reported in 73% of articles and included accounts of harm to therapeutic relationships and child death following removal from their family of origin. The findings of this meta-synthesis suggest that there are many potentially

  18. The Social-Financial Responsible Reporting – The Key for Integrated Reporting

    OpenAIRE

    Iulia Jianu

    2012-01-01

    General purpose of financial statements is to satisfy the needs of users who are not in the position to require of the entity to prepare reports tailored to their particular information needs. Because the public is one of these users interested of social information and because the financial statement do not provide sufficient social information to satisfy these needs, the study demonstrate the need to integrate the responsible social reporting into financial reporting. In order to support th...

  19. Effect of electronic report writing on the quality of nursing report recording

    Science.gov (United States)

    Heidarizadeh, Khadijeh; Rassouli, Maryam; Manoochehri, Houman; Tafreshi, Mansoureh Zagheri; Ghorbanpour, Reza Kashef

    2017-01-01

    Background and Aim Recording performed nursery actions is one of the main chores of nurses. The findings have shown that recorded reports are not qualitatively valid. Since electronic reports can be regarded as a base to write reports, this study aims at determining the effect of utilizing electronic nursing reports on the quality of the records. Methods This quasi-experimental study was conducted with the aim of applying an electronic system of nursing recording in the heart department of Shahid Rahimi Medical Center, Lorestan University of Medical Science. The samples were nursing reports on the hospitalized patients in the heart department, the basis of complete enumeration (census) during the fall of 2014. The subjects were sixteen employed nurses. To do the study, the software of nursing records was set based on the Clinical Care Classification system (CCC). The research’s tool was the checklist of the Standards of Nursing Documentation. Results The findings indicated that before and after the intervention, the amount of reports’ adaption with the written standards, respectively, was (21.8%) and (71.3%), and the most complete recording was medicine status (58%) and (100%). The worst complete recording before the intervention, acute changes was (99.1%) and nursing processes was (78%) and after, the medicine status, intake and output status and patient’s education (100%); while the nursing report structure was regarded in all cases (100%). The results showed that there is a significant difference in the quality of reporting before and after using CCC (pnurses are reminded to record the necessary parts and from the other point, the system does not allow the user to shut it down unless the necessary parameters are recorded. For this reason, the quality of recorded reports with electronic reporting improves. PMID:29238481

  20. Incentives for reporting disease outbreaks.

    Directory of Open Access Journals (Sweden)

    Ramanan Laxminarayan

    Full Text Available BACKGROUND: Countries face conflicting incentives to report infectious disease outbreaks. Reports of outbreaks can prompt other countries to impose trade and travel restrictions, which has the potential to discourage reporting. However, reports can also bring medical assistance to contain the outbreak, including access to vaccines. METHODS: We compiled data on reports of meningococcal meningitis to the World Health Organization (WHO from 54 African countries between 1966 and 2002, a period is marked by two events: first, a large outbreak reported from many countries in 1987 associated with the Hajj that resulted in more stringent requirements for meningitis vaccination among pilgrims; and second, another large outbreak in Sub-Saharan Africa in 1996 that led to a new international mechanism to supply vaccines to countries reporting a meningitis outbreak. We used fixed-effects regression modeling to statistically estimate the effect of external forcing events on the number of countries reporting cases of meningitis to WHO. FINDINGS: We find that the Hajj vaccination requirements started in 1988 were associated with reduced reporting, especially among countries with relatively fewer cases reported between 1966 and 1979. After the vaccine provision mechanism was in place in 1996, reporting among countries that had previously not reported meningitis outbreaks increased. INTERPRETATION: These results indicate that countries may respond to changing incentives to report outbreaks when they can do so. In the long term, these incentives are likely to be more important than surveillance assistance in prompt reporting of outbreaks.

  1. Photovoltaic Programme, Edition 2006. Summary report. Project list. Annual project reports 2005 (abstracts)

    Energy Technology Data Exchange (ETDEWEB)

    Nowak, S.

    2006-07-01

    This comprehensive, illustrated report for the Swiss Federal Office of Energy (SFOE) presents an overview of the work done as part of the 2005 research programme, along with the abstracts of the annual reports of the project leaders on research projects. It presents the programme's main points of focus, discusses the work done and the results obtained. Areas covered include cell technology (13 reports), solar modules and building integration (3 reports) , system technology (4 reports) as well as various further projects (5) that are connected with photovoltaics. Four further reports concern international co-operation. Further, several pilot and demonstration (P+D) projects are discussed. Lists of all research and development projects and pilot and demonstration projects are supplied. Work done at several institutions in Switzerland and at leading commercial companies is described.

  2. Home Activities Reports

    Data.gov (United States)

    Department of Housing and Urban Development — This monthly report is an Excel spreadsheet, broken up by state. PJs can use this report to view activities with the 2012 or 2013 program year in IDIS, including;...

  3. Annual report 2002

    International Nuclear Information System (INIS)

    Toncik, M.

    2003-04-01

    In this Annual report the operating of the Slovak Environmental Agency in 2002 is reported. Structure of the Agency, mission, personnel structure, financing, monitoring of the environment, international cooperation and coordination of research programmes are reviewed

  4. 7 CFR 1773.32 - Report on compliance and on internal control over financial reporting.

    Science.gov (United States)

    2010-01-01

    ... financial reporting. 1773.32 Section 1773.32 Agriculture Regulations of the Department of Agriculture... RUS Reporting Requirements § 1773.32 Report on compliance and on internal control over financial... control over financial reporting including whether or not the tests performed provided sufficient evidence...

  5. Integrated reporting and board features

    Directory of Open Access Journals (Sweden)

    Rares HURGHIS

    2017-02-01

    Full Text Available In the last two decades the concept of sustainability reporting gained more importance in the companies’ annual reports, a trend which is embedded also in integrated reporting. Issuing an integrated report became a necessity, because the report explains to the investors how the organization creates value over time. The governance structure, more exactly the board of directors, decides whether or not the company will issue an integrated report. Thus, are there certain features of the board that might influence the issue of an integrated report? Do the companies which issue an integrated report have certain features of the governance structure? Looking for an answer to these questions, we seek for any possible correlations between a disclosure index and the corporate governance structure characteristics, on a sample from the companies participating at the International Integrated Reporting Council Examples Database. The results highlight that only the size of the board influences the extent to which the issued integrated report is in accordance with the International Framework.

  6. Annual report 1979

    International Nuclear Information System (INIS)

    1979-01-01

    The departments of IPP Garching: High-Beta-Plasma, Tokamak, Computer Science, Acceleration, Stellarators, Theory, Surface Physics, and Technology, present their R + D activities in 1979. Also reported are the activities of the Central Technical Services, the organisational structure of IPP, the managing board, administration, general services, and public relations activities. The report is supplemented by a list of publications and conference reports and a description of projects carried out at the Universities of Stuttgart, Muenchen and Frankfurt/Main on behalf of the IPP. (GG) [de

  7. Supplementary Analysis for "Measuring Up 2000": An Exploratory Report. National Center Report.

    Science.gov (United States)

    Martinez, Mario

    This report was created to generate ideas about the kinds of data that might be used to produce follow-up analyses of "Measuring Up 2000," the state-by-state report card for higher education. The analysis attempts to present report card data and related information graphically and mathematically in ways that might be useful to policymakers and…

  8. Drivers of corporate social responsibility reporting; Case studies from three reporting companies

    Directory of Open Access Journals (Sweden)

    Daniel Tschopp PhD, MBA, CPA

    2013-07-01

    Past research cited several reasons companies issued reports, but it does not tell the whole story. These three individual case studies demonstrate the importance of the primary determinant behind an organization’s decision to issue a CSR report. This finding can provide valuable information for further studies that deal with the promotion, diffusion, and harmonization of CSR reporting.

  9. Data report for the integrity assessment report HNF-4589

    Energy Technology Data Exchange (ETDEWEB)

    MCSHANE, D.S.

    1999-10-27

    The purpose of this document is to compile supporting documentation for the Integrity Assessment Report (HNF 4589) for Tanks 101 and 102 in the 2194 Facility. This approach minimizes the size of the Integrity Assessment Report (IAR) (HNF-4589) and still provide a path to detailed information. This IAR addresses the evaluation of Tanks 101 and 102 and other existing components located in the 219-5 Waste Handling Facility.

  10. 23 CFR 230.121 - Reports.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Reports. 230.121 Section 230.121 Highways FEDERAL... Reports. (a) Employment reports on Federal-aid highway construction contracts not subject to “Hometown” or... reporting requirements. FHWA Form PR-1391, Federal-Aid Highway Construction Contractors Annual EEO Report...

  11. 7 CFR 1250.529 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Reports. 1250.529 Section 1250.529 Agriculture... Regulations Registration, Certification and Reports § 1250.529 Reports. (a) Collecting handler reports. (1) Each collecting handler shall make reports on forms made available or approved by the Egg Board. Each...

  12. Homebuyer Activities Report

    Data.gov (United States)

    Department of Housing and Urban Development — This monthly report is an Excel spreadsheet. PJs can use this report to view homebuyer activities with the 2012 or 2013 program year in IDIS that are in final draw,...

  13. Annual report 2005

    International Nuclear Information System (INIS)

    Toncik, M.

    2006-04-01

    In this Annual report the operating of the Slovak Environmental Agency in 2005 is reported. The structure of the Agency, mission, personnel structure, financing, monitoring of the environment, international cooperation and coordination of research programmes are reviewed

  14. Annual report 2004

    International Nuclear Information System (INIS)

    Toncik, M.

    2005-04-01

    In this Annual report the operating of the Slovak Environmental Agency in 2004 is reported. The structure of the Agency, mission, personnel structure, financing, monitoring of the environment, international cooperation and coordination of research programmes are reviewed

  15. Annual report 2003

    International Nuclear Information System (INIS)

    Toncik, M.

    2004-04-01

    In this Annual report the operating of the Slovak Environmental Agency in 2003 is reported. The structure of the Agency, mission, personnel structure, financing, monitoring of the environment, international cooperation and coordination of research programmes are reviewed

  16. Annual report 2006

    International Nuclear Information System (INIS)

    Anon

    2007-04-01

    In this Annual report the operating of the Slovak Environmental Agency in 2006 is reported. The structure of the Agency, mission, personnel structure, financing, monitoring of the environment, international cooperation and coordination of research programmes are reviewed

  17. CSR and CSR Reporting: Reporting as a way to create Socially Responsible Business

    Directory of Open Access Journals (Sweden)

    Fabio Andrés Bonilla Sanabria

    2011-12-01

    In this scenario the Reporting of Non-Financial Information is studied as a way to create socially responsible businesses. In addressing the reporting of non-financial information, the article provides a state of affairs regarding reporting and considers specific examples of disclosure of corporate information. The CSR battle has been transferred to the reporting of non-financial information but in this field there are many difficulties unresolved and challenges ahead.

  18. CSIR Annual report 1963

    CSIR Research Space (South Africa)

    CSIR

    1963-01-01

    Full Text Available This report presents the nineteenth annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1963, to the 31st December 1963. Balance sheets and statements of income and expenditure...

  19. ATLAS accelerator laboratory report

    International Nuclear Information System (INIS)

    Den Hartog, P.

    1986-01-01

    The operation of the ATLAS Accelerator is reported. Modifications are reported, including the installation of conductive tires for the Pelletron chain pulleys, installation of a new high frequency sweeper system at the entrance to the linac, and improvements to the rf drive ports of eight resonators to correct failures in the thermally conductive ceramic insulators. Progress is reported on the positive-ion injector upgrade for ATLAS. Also reported are building modifications and possible new uses for the tandem injector

  20. 21 CFR 812.150 - Reports.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Reports. 812.150 Section 812.150 Food and Drugs... INVESTIGATIONAL DEVICE EXEMPTIONS Records and Reports § 812.150 Reports. (a) Investigator reports. An investigator shall prepare and submit the following complete, accurate, and timely reports: (1) Unanticipated adverse...

  1. DIMEC - Final Report

    DEFF Research Database (Denmark)

    Conrad, Finn

    1997-01-01

    Final report of the research project DIMEC - Danish InfoMechatronic Control supported by the Danish Technical Research Council, STVF.......Final report of the research project DIMEC - Danish InfoMechatronic Control supported by the Danish Technical Research Council, STVF....

  2. Annual report 1997

    International Nuclear Information System (INIS)

    1998-01-01

    Atomic Energy Licensing Board is a Malaysian regulatory body directly involved in controlling the radiation safety and activities concerning atomic energy. Operating and financial performance report is presented. The details of all revenues and expenditures are also reported

  3. Annual report '80

    International Nuclear Information System (INIS)

    1981-01-01

    This document is an annual report from the Foundation for Fundamental Research on Matter (FOM) and the Foundation Institute for Nuclear Physics Research (IKO). The FOM stimulates research in new fields of physics, by the co-ordination of existing research projects and by calling in the help of its institutes and working groups. Furthermore it supports the IKO which has as its task the promotion of fundamental and applied scientific research in the field of nuclear physics and related fields in the Netherlands. The report contains organisational and financial reports and information concerning the personnel. The following FOM institutes/working-communities have submitted separate reports: Nuclear physics, Institute for atomic and molecular physics, Atomic physics, Metals FOM-TNO, Molecular physics, Solid State, Thermonuclear Research and Plasma Physics and High energy physics. Reports are also included from the Special Committee for Theoretical physics, The Special Committee for Technical physics and the Contact Group for technical semi-conductor physics and electronics. Four ''trend articles'' are also included with the following titles: 'Atomic hydrogen as a gas at low temperatures', 'Negative ion beams', 'Turbulence in plasmas' and 'Nuclear structure described by interacting bosons'. (C.F.)

  4. Limitations and obstacles of the spontaneous adverse drugs reactions reporting: Two “challenging” case reports

    Science.gov (United States)

    Palleria, Caterina; Leporini, Christian; Chimirri, Serafina; Marrazzo, Giuseppina; Sacchetta, Sabrina; Bruno, Lucrezia; Lista, Rosaria M.; Staltari, Orietta; Scuteri, Antonio; Scicchitano, Francesca; Russo, Emilio

    2013-01-01

    Introduction: Nowadays, based on several epidemiological data, iatrogenic disease is an emerging public health problem, especially in industrialized countries. Adverse drugs reactions (ADRs) are extremely common and, therefore, clinically, socially, and economically worthy of attention. Spontaneous reporting system for suspected ADRs represents the cornerstone of the pharmacovigilance, because it allows rapid detection of potential alarm signals related to drugs use. However, spontaneous reporting system shows several limitations, which are mainly related to under-reporting. In this paper, we describe two particular case reports, which emphasize some reasons of under-reporting and other common criticisms of spontaneous reporting systems. Materials and Methods: We performed a computer-aided search of Medline, PubMed, Embase, Cochrane library databases, national and international databases of suspected ADRs reports in order to identify previous published case reports and spontaneous reports about the ADRs reviewed in this paper, and to examine the role of suspected drugs in the pathogenesis of the described adverse reactions. Results: First, we reported a case of tizanidine-induced hemorrhagic cystitis. In the second case report, we presented an episode of asthma exacerbation after taking bimatoprost. Through the review of these two cases, we highlighted some common criticisms of spontaneous reporting systems: under-reporting and false causality attribution. Discussion and Conclusion: Healthcare workers sometimes do not report ADRs because it is challenging to establish with certainty the causal relationship between drug and adverse reaction; however, according to a key principle of pharmacovigilance, it is always better to report even a suspicion to generate an alarm in the interest of protecting public health. PMID:24347986

  5. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events.

    Science.gov (United States)

    Blanchfield, Bonnie B; Acharya, Bijay; Mort, Elizabeth

    2018-04-01

    More than half of the 50 states (27) and the District of Columbia require reporting of Serous Reportable Events (SREs). The goal is to hold providers accountable and improve patient safety, but there is little information about the administrative cost of this reporting requirement. This study was conducted to identify costs associated with investigating and reporting SREs. This qualitative study used case study methods that included interviewing staff and review of data and documents to investigate each SRE occurring at one academic medical center during fiscal year 2013. A framework of tasks and a model to categorize costs was created. Time was summarized and costs were estimated for each SRE. The administrative cost to process 44 SREs was estimated at $353,291, an average cost of $8,029 per SRE, ranging $6,653 for an environmental-related SRE to $21,276 for a device-related SRE. Care management SREs occurred most frequently, costing an average $7,201 per SRE. Surgical SREs, the most expensive on average, cost $9,123 per SRE. Investigation of events accounted for 64.5% of total cost; public reporting, 17.2%; internal reporting, 10.2%; finance and administration, 6.0%; and 2.1%, other. Even with 26 states mandating reporting, the 17.2% incremental cost of public reporting is substantial. Policy makers should consider the opportunity costs of these resources, averaging $8,029 per SRE, when mandating reporting. The benefits of public reporting should be collectively reviewed to ensure that the incremental costs in this resource-constrained environment continue to improve patient safety and that trade-offs are acknowledged. Copyright © 2017 The Joint Commission. Published by Elsevier Inc. All rights reserved.

  6. 2007 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    Ratel,K.

    2008-10-01

    Brookhaven National Laboratory (BNL) prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1A, Environment, Safety and Health Reporting of the U.S. Department of Energy. The report is written to inform the public, regulators, employees, and other stakeholders of the Laboratory's environmental performance during the calendar year in review. Volume I of the SER summarizes environmental data; environmental management performance; compliance with applicable DOE, federal, state, and local regulations; and performance in restoration and surveillance monitoring programs. BNL has prepared annual SERs since 1971 and has documented nearly all of its environmental history since the Laboratory's inception in 1947. Volume II of the SER, the Groundwater Status Report, also is prepared annually to report on the status of and evaluate the performance of groundwater treatment systems at the Laboratory. Volume II includes detailed technical summaries of groundwater data and its interpretation, and is intended for internal BNL users, regulators, and other technically oriented stakeholders. A brief summary of the information contained in Volume II is included in this volume in Chapter 7, Groundwater Protection. Both reports are available in print and as downloadable files on the BNL web page at http://www.bnl.gov/ewms/ser/. An electronic version on compact disc is distributed with each printed report. In addition, a summary of Volume I is prepared each year to provide a general overview of the report, and is distributed with a compact disc containing the-length report.

  7. Enhancing nuclear safety. Annual report 2014. Financial report 2014

    International Nuclear Information System (INIS)

    2015-01-01

    After some introductory texts proposed by several IRSN head managers, and a brief presentation of some key data illustrating the activity, the annual report presents the main strategic orientations, notably in the field of knowledge management, and of information and communication. After some images illustrating the past year, activities are presented. They first deal with safety: Reactor safety (operating experience feedback), From decommissioning old reactors to designing those of the future, Safety of laboratories and plants, Safety regarding risks due to infrastructure near nuclear facilities, Reactor aging, Fuel: research on corrosion and deformation, Research and assessments for improved understanding of accident situations, Earthquakes: research and assessments, About defense, Geological disposal of radioactive waste. They secondly deal with security and non-proliferation (nuclear security, nuclear non-proliferation, chemical weapon ban), thirdly with radiation protection for human and environment health (environment monitoring, radionuclide transfer in the environment, radon and polluted sites, human exposure, radiation protection in the workplace, effects of low-dose chronic exposures, Organization of radiation protection at the European level, protection in health care), and fourthly with emergency and post-accident situations (emergency and post-accident preparedness and response, Emergency response tools). The next part of the activity report addresses issues related to efficiency: Real estate program (construction projects get started), Hygiene, safety, social responsibility, Human resources, Organization chart, Board of directors, Steering committee for the nuclear defense expertise Division - CODEND, Scientific council, Ethics commission composition, Nuclear safety and radiation protection Research policy committee - COR. The financial report proposes a management report, financial statements with an appendix to annual accounts, and an auditor

  8. Annual report 1975

    International Nuclear Information System (INIS)

    1976-01-01

    A survey is presented of: a) Research activities carried out during 1975 within the framework of the scientific sections of the Institute, b) the central technical seπtions and their services, and c) the organizational structure. Enclosed are: 1) Report on the activities of the administrative management, the administration, and general services, 2) a list of all publications and conference reports issued by IPP Garching during 1975, and an annual report by the Institut fuer Plasmaphysik of the University of Stuttgart, an institute financed by IPP Garching. (GG) [de

  9. Annual Report 1981

    International Nuclear Information System (INIS)

    1982-01-01

    This Annual Report covers the activities at the Kernfysisch Versneller Instituut (KVI) during the year 1981. It contains 74 short reports grouped under the headings: inelastic scattering studies, transfer and charge-exchange reactions, breakup reactions and fission studies, heavy-ion reactions, gamma, electron and X-ray spectroscopy, hyperfine interactions and nuclear orientation, weak interactions, IBA related studies, other theoretical studies, cyclotron and beam lines, data acquisition and data analysis, instrumentation and electronics and medical physics. Details are also presented of the personnel, scientific publications, internal reports, and attended and internal conferences and seminars. (C.F.)

  10. CSIR Annual report 1966

    CSIR Research Space (South Africa)

    CSIR

    1966-01-01

    Full Text Available This report presents the twenty second annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1966, to the 31st December 1966. Balance sheets and statements of income and expenditure...

  11. CSIR Annual report 1968

    CSIR Research Space (South Africa)

    CSIR

    1968-01-01

    Full Text Available This report presents the twenty fourth annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1968, to the 31st December 1968. Balance sheets and statements of income and expenditure...

  12. CSIR Annual report 1971

    CSIR Research Space (South Africa)

    CSIR

    1971-01-01

    Full Text Available This report presents the twenty seventh annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1971, to the 31st December 1971. Balance sheets and statements of income and expenditure...

  13. CSIR Annual report 1970

    CSIR Research Space (South Africa)

    CSIR

    1970-01-01

    Full Text Available This report presents the twenty sixth annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1970, to the 31st December 1970. Balance sheets and statements of income and expenditure...

  14. CSIR Annual report 1969

    CSIR Research Space (South Africa)

    CSIR

    1969-01-01

    Full Text Available This report presents the twenty fifth annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1969, to the 31st December 1969. Balance sheets and statements of income and expenditure...

  15. CSIR Annual report 1967

    CSIR Research Space (South Africa)

    CSIR

    1967-01-01

    Full Text Available This report presents the twenty third annual report of the Council for Scientific and Industrial Research. The report covers the period from the 1st January, 1967, to the 31st December 1967. Balance sheets and statements of income and expenditure...

  16. CSIR Annual report 1980

    CSIR Research Space (South Africa)

    CSIR

    1980-01-01

    Full Text Available This report presents the thirty-sixth annual report of the CSIR. The report covers the period 1 January, 1980 to 31 December 1980. A balance sheet and statements of income and expenditure for the financial year ended 31st March 1980, certified...

  17. CSIR Annual report 1962

    CSIR Research Space (South Africa)

    CSIR

    1962-01-01

    Full Text Available This report presents the eighteenth annual report of the CSIR. The report covers the period 1 January, 1962 to 31 December 1962. A balance sheet and statements of income and expenditure for the financial year ended 31st March 1962, certified...

  18. CSIR Annual report 1983

    CSIR Research Space (South Africa)

    CSIR

    1983-01-01

    Full Text Available This report presents the thirty ninth annual report of the CSIR. The report covers the period 1 January, 1983 to 31 December 1983. A balance sheet and statements of income and expenditure for the financial year ended 31st March 1983, certified...

  19. CSIR Annual report 1981

    CSIR Research Space (South Africa)

    CSIR

    1981-01-01

    Full Text Available This report presents the thirty seventh annual report of the CSIR. The report covers the period 1 January, 1981 to 31 December 1981. A balance sheet and statements of income and expenditure for the financial year ended 31st March 1981, certified...

  20. CSIR Annual report 1982

    CSIR Research Space (South Africa)

    CSIR

    1982-01-01

    Full Text Available This report presents the thirty eighth annual report of the CSIR. The report covers the period 1 January, 1982 to 31 December 1982. A balance sheet and statements of income and expenditure for the financial year ended 31st March 1982, certified...

  1. 12 CFR 630.5 - Accuracy of reports and assessment of internal control over financial reporting.

    Science.gov (United States)

    2010-01-01

    ... control over financial reporting. 630.5 Section 630.5 Banks and Banking FARM CREDIT ADMINISTRATION FARM... assessment of internal control over financial reporting. (1) Annual reports must include a report by the... disclose any material change(s) in the internal control over financial reporting occurring during the...

  2. IAEA progress report. Highlights of report to ECOSOC

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1959-07-15

    The report notes that the application of radioisotope techniques to the general industrial economy is already well established in a number of the more developed countries, but because of rapid scientific and technical advance and the prospect of entirely new fields of utilization being opened up, the picture is continually changing with an increasing number of applications. The report states: 'The applications of radiation and radioisotopes in medicine and agriculture are most promising for the economic and social progress of the less developed countries, and the Agency, in consultation with WHO and FAO, is assisting in their promotion'. As for the medical uses of radioisotopes, the report describes diagnosis as 'a particularly important example of a complete change in the methods now being employed as a result of the use of radioisotope techniques'. It draws attention to the seminar on medical radioisotope scanning held in February under the joint auspices of IAEA and WHO, and to the award of contracts by IAEA for research on the medical applications of radioisotopes. Referring to the work being done in a number of advanced countries on the possibility of preserving food by irradiation, the report discloses that a survey of this work is being made by the Agency in consultation with FAO, in order to determine whether such applications would be economically feasible in the less developed areas of the world. The report says: 'it is expected that in the long run, the development of nuclear power will be the most important peaceful application of atomic energy, and that the Agency's assistance to Member States in this field will become its leading or at least one of its major activities'. It explains that the Agency's initial work is concerned with both the technical and economic aspects of the matter, with particular reference to the needs of the less developed countries. The report notes the importance of the Agency's work in the field of technical assistance and

  3. Task leaders reports

    International Nuclear Information System (INIS)

    Loriaux, E.F.; Jehee, J.N.T.

    1995-01-01

    Report on CRP-OSS Task 4.1.1. ''Survey of existing documentation relevant to this programme's goals'' and report on CRP-OSS Task 4.1.2. ''Survey of existing Operator Support Systems and the experience with them'' are presented. 2 tabs

  4. Annual report 1987

    International Nuclear Information System (INIS)

    1988-01-01

    In this annual report of the Dutch Interfacultary Reactor Institute, summary and detailed reports are presented of current research during 1987 of the departments radiochemistry, radiation chemistry, radiation physics and reactor physics. (H.W.). 61 refs.; 13 figs.; 14 tabs

  5. 2014 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    Paquette, Douglas [Brookhaven National Lab. (BNL), Upton, NY (United States); Remien, Jason [Brookhaven National Lab. (BNL), Upton, NY (United States); Foley, Brian [Brookhaven National Lab. (BNL), Upton, NY (United States); Burke, John [Brookhaven National Lab. (BNL), Upton, NY (United States); Dorsch, William [Brookhaven National Lab. (BNL), Upton, NY (United States); Ratel, Karen [Brookhaven National Lab. (BNL), Upton, NY (United States); Howe, Robert [Brookhaven National Lab. (BNL), Upton, NY (United States); Welty, Tim [Brookhaven National Lab. (BNL), Upton, NY (United States); Williams, Jeffrey [Brookhaven National Lab. (BNL), Upton, NY (United States); Pohlpt, Peter [Brookhaven National Lab. (BNL), Upton, NY (United States); Lagattolla, Richard [Brookhaven National Lab. (BNL), Upton, NY (United States); Metz, Robert [Brookhaven National Lab. (BNL), Upton, NY (United States); Milligan, James [Brookhaven National Lab. (BNL), Upton, NY (United States); Lettieri, Lawrence [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2015-10-01

    BNL prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1B, Environment, Safety and Health Reporting. The report is written to inform the public, regulators, employees, and other stakeholders of the Laboratory’s environmental performance during the calendar year in review.

  6. 2002 Turkey Energy Report

    International Nuclear Information System (INIS)

    2003-01-01

    This Report includes developments and variations in energy sector of Turkey in 2002. In addition This report also includes activities and statistics in all the energy sector of our country in 2002. Energy Report hadn't been published in last two years due to some technique reasons

  7. Systematic Review of Radiation Therapy Toxicity Reporting in Randomized Controlled Trials of Rectal Cancer: A Comparison of Patient-Reported Outcomes and Clinician Toxicity Reporting

    Energy Technology Data Exchange (ETDEWEB)

    Gilbert, Alexandra, E-mail: a.gilbert@leeds.ac.uk [Leeds Institute of Cancer & Pathology, University of Leeds, Leeds (United Kingdom); Ziegler, Lucy; Martland, Maisie [Leeds Institute of Cancer & Pathology, University of Leeds, Leeds (United Kingdom); Davidson, Susan [The Christie Hospital, Manchester (United Kingdom); Efficace, Fabio [Italian Group for Adult Hematologic Diseases, Rome (Italy); Sebag-Montefiore, David; Velikova, Galina [Leeds Institute of Cancer & Pathology, University of Leeds, Leeds (United Kingdom)

    2015-07-01

    The use of multimodal treatments for rectal cancer has improved cancer-related outcomes but makes monitoring toxicity challenging. Optimizing future radiation therapy regimens requires collection and publication of detailed toxicity data. This review evaluated the quality of toxicity information provided in randomized controlled trials (RCTs) of radiation therapy in rectal cancer and focused on the difference between clinician-reported and patient-reported toxicity. Medline, EMBASE, and the Cochrane Library were searched (January 1995-July 2013) for RCTs reporting late toxicity in patients treated with regimens including preoperative (chemo)radiation therapy. Data on toxicity measures and information on toxicity reported were extracted using Quantitative Analyses of Normal Tissue Effects in the Clinic recommendations. International Society for Quality of Life Research standards on patient-reported outcomes (PROs) were used to evaluate the quality of patient-reported toxicity. Twenty-one RCT publications met inclusion criteria out of 4144 articles screened. All PRO studies reported higher rates of toxicity symptoms than clinician-reported studies and reported on a wider range and milder symptoms. No clinician-reported study published data on sexual dysfunction. Of the clinician-reported studies, 55% grouped toxicity data related to an organ system together (eg “Bowel”), and 45% presented data only on more-severe (grade ≥3) toxicity. In comparison, all toxicity grades were reported in 79% of PRO publications, and all studies (100%) presented individual symptom toxicity data (eg bowel urgency). However, PRO reporting quality was variable. Only 43% of PRO studies presented baseline data, 28% did not use any psychometrically validated instruments, and only 29% of studies described statistical methods for managing missing data. Analysis of these trials highlights the lack of reporting standards for adverse events and reveals the differences between clinician and

  8. A compilation of reports of the Advisory Committee on reactor safeguards. 1996 Annual report

    International Nuclear Information System (INIS)

    1997-04-01

    This compilation contains 47 ACRS reports submitted to the Commission, or to the Executive Director for Operations, during calendar year 1996. It also includes a report to the Congress on the NRC Safety Research Program. All reports have been made available to the public through the NRC Public Document Room, the U.S. Library of Congress, and the Internet at http://www.nrc.gov/ACRSACNW. The reports are divided into two groups: Part 1 contains ACRS reports by project name and by chronological order within project name. Part 2 categorizes the reports by the most appropriate generic subject area and by chronological order within subject area

  9. 2009 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    Ratel, K.M.; Brookhaven National Laboratory

    2010-09-30

    Each year, Brookhaven National Laboratory (BNL) prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1A, Environment, Safety and Health Reporting of the U.S. Department of Energy. The report is written to inform the public, regulators, employees, and other stakeholders of BNL's environmental performance during the calendar year in review. The SER summarizes environmental data; environmental management performance; compliance with applicable DOE, federal, state, and local regulations; and compliance, restoration, and surveillance monitoring program performance. BNL has prepared annual SERs since 1971 and has documented nearly all of its environmental history since the Laboratory's inception in 1947. The report is available in print and as a downloadable file on the BNL web page at http://www.bnl.gov/ewms/ser/. A summary of the SER is also prepared each year to provide a general overview of the report, and is distributed with a CD of the full report.

  10. 2006 SITE ENVIRONMENTAL REPORT

    Energy Technology Data Exchange (ETDEWEB)

    BROOKHAVEN NATIONAL LABORATORY; RATEL,K.

    2007-10-01

    Each year, Brookhaven National Laboratory (BNL) prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1A, Environment, Safety and Health Reporting of the U.S. Department of Energy. The report is written to inform the public, regulators, employees, and other stakeholders of BNL's environmental performance during the calendar year in review. The SER summarizes environmental data; environmental management performance; compliance with applicable DOE, federal, state, and local regulations; and compliance, restoration, and surveillance monitoring program performance. BNL has prepared annual SERs since 1971 and has documented nearly all of its environmental history since the Laboratory's inception in 1947. The report is available in print and as a downloadable file on the BNL web page at http://www.bnl.gov/ewms/ser/. A summary of the SER is also prepared each year to provide a general overview of the report, and is distributed with a CD of the full report.

  11. 2005 SITE ENVIRONMENTAL REPORT

    Energy Technology Data Exchange (ETDEWEB)

    BROOKHAVEN NATIONAL LABORATORY

    2006-08-29

    Each year, Brookhaven National Laboratory (BNL) prepares an annual Site Environmental Report (SER) in accordance with DOE Order 231.1A, Environment, Safety and Health Reporting of the U.S. Department of Energy (DOE). The report is written to inform the public, regulators, employees, and other stakeholders of BNL's environmental performance during the calendar year in review. The SER summarizes environmental data; environmental management performance; compliance with applicable DOE, federal, state, and local regulations; and compliance, restoration, and surveillance monitoring program performance. BNL has prepared annual SERs since 1971 and has documented nearly all of its environmental history since the Laboratory's inception in 1947. The report is available in print and as a downloadable file on the BNL web page at http://www.bnl.gov/ewms/ser/. A summary of the SER is also prepared each year to provide a general overview of the report, and is distributed with a CD of the full report.

  12. 49 CFR 40.97 - What do laboratories report and how do they report it?

    Science.gov (United States)

    2010-10-01

    ... it? 40.97 Section 40.97 Transportation Office of the Secretary of Transportation PROCEDURES FOR... report and how do they report it? (a) As a laboratory, you must report the results for each primary... release the laboratory results report only after review and approval by the certifying scientist. It must...

  13. Grant Closeout Requirements and Reports

    Science.gov (United States)

    Requirements and reports to comply with grant closeout, including Final Federal Financial Report (FFR, SF425); Final Research Performance Progress Report (FRPPR); Interim Research Performance Progress Report (IRPPR); Final Invention Statement (FIS, HHS

  14. Environmental Radiation Data: Report 47, July-September 1986. Final report

    International Nuclear Information System (INIS)

    1987-06-01

    This report is compiled and distributed quarterly by the Office of Radiation Programs' Eastern Environmental Radiation Facility (EERF), Montgomery, Alabama, and contains data from the Enviromental Radiation Ambient Monitoring System (ERAMS). Data from similar networks operated by contributing States, Canada, Mexico, and the Pan American Health Organization are reported in the ERD when available

  15. Denmark's National Inventory Report 2010

    DEFF Research Database (Denmark)

    Nielsen, Ole-Kenneth; Lyck, Erik; Mikkelsen, Mette Hjorth

    2010-01-01

    This report is Denmark's National Inventory Report 2010. The report contains information on Denmark's emission inventories for all years' from 1990 to 2008 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2.......This report is Denmark's National Inventory Report 2010. The report contains information on Denmark's emission inventories for all years' from 1990 to 2008 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2....

  16. Annual report 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    This annual report presents an evaluation of activities of the Entomology Unit of the FAO/IAEA Agriculture and Biotechnology Laboratory, Seibersdorf. The major themes of the report include mass rearing and quality control in Tsetse fly and research on Medfly genetic sexing strains.

  17. Annual report 1996

    International Nuclear Information System (INIS)

    1996-01-01

    This annual report presents an evaluation of activities of the Entomology Unit of the FAO/IAEA Agriculture and Biotechnology Laboratory, Seibersdorf. The major themes of the report include mass rearing and quality control in Tsetse fly and research on Medfly genetic sexing strains

  18. Annual report 1999

    International Nuclear Information System (INIS)

    1999-01-01

    This annual report presents an evaluation of activities of the Entomology Unit of the FAO/IAEA Agriculture and Biotechnology Laboratory, Seibersdorf. The major themes of the report include mass rearing and quality control in Tsetse fly and research on Medfly genetic sexing strains

  19. Annual report 1997

    International Nuclear Information System (INIS)

    1997-01-01

    This annual report presents an evaluation of activities of the Entomology Unit of the FAO/IAEA Agriculture and Biotechnology Laboratory, Seibersdorf. The major themes of the report include mass rearing and quality control in Tsetse fly and research on Medfly genetic sexing strains

  20. The Internship Report.

    Science.gov (United States)

    Corey, Jim; Killingsworth, M. Jimmie

    1987-01-01

    Recommends a four-part structure for retrospective internship reports: (1) introduction, (2) narrative, (3) analysis and evaluation, and (4) appendix. Advises teachers to present the report form to the student before the internship begins to add structure to the internship experience. (SKC)

  1. Annual Report 2010-2011

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... 2013-2014 Annual Report 2013-2014 Rapport annuel 2013-2014 Annual Report 2014-2015 Annual Report 2014-2015 Rapport annuel 2014-2015 Investing in Solutions Strategic Plan 2015-2020 Investing in Solutions Strategic Plan 2015-2020 Investir dans des solutions Plan stratégique 2015-2020 Financial statements ...

  2. Teachers and Psychological Reports.

    Science.gov (United States)

    Rogers, George W., Jr.

    The importance of the written psychological report is explored, and, in particular, its relationship to teachers' needs and requirements is discussed. Additionally, the characteristics of a "good" psychological report are listed, and teachers are advised to use these criteria in evaluating the psychological reports they are receiving. (Author)

  3. The Case for Case Reports

    Directory of Open Access Journals (Sweden)

    George R. Saade

    2011-09-01

    Full Text Available If you are reading a hard copy of this editorial, then you are holding in hand the first issue of the American Journal of Perinatology Reports, or AJP Reports as we like to refer to it. Welcome to AJP Reports and thank you for taking the time to peruse it. I hope you find many of the reports interesting and helpful. The editorial team and publisher are very pleased to be able to bring this journal to our readers. Judging by the journal title, the editorial team, and the layout you may have already guessed that this is a companion to the American Journal of Perinatology. We will continue to publish original articles and topical reviews in the American Journal of Perinatology, but all case reports or case series will be referred to AJP Reports. Some may question the need for more case reports. Our decision to start AJP Reports obviously indicates that we think that case reports can be useful. I can refer to several diseases, treatment complications, and procedures that were first brought to the attention of healthcare providers through case reports. The best example of the usefulness of case reports is probably in infectious diseases. In the early phases of an emerging infectious disease, the case report or case series are usually the first clues of a problem. HIV was first brought to the attention of the medical community by case reports.[1] [2] [3] In our own field, the first attempts at treatment of twin-to-twin transfusion syndrome (TTTS using laser coagulation were reported in a case series.[4] After additional reports about the use of laser in TTTS, a randomized trial was performed that cemented laser photocoagulation as a therapeutic modality for TTTS.[5] While case reports or series are not considered the highest form of evidence, they are frequently the first form of evidence and the nudge that starts the cascade of investigation that ultimately leads to high-level evidence. Therefore, their impact on clinical practice may be easily

  4. Field Report - Consumer Survey

    DEFF Research Database (Denmark)

    Nielsen, Kristian S.; Gwozdz, Wencke

    The present report outlines the purpose, scope, and methodology of a recently conducted four-country consumer survey that explored sustainable clothing consumption. The report also presents a sample of the descriptive findings from the survey (see Gwozdz, Nielsen & Müller, 2017 for further results...... foundation for upcoming deliverables relating to quality of life, acceptance of new business models, and consumer policy recommendations. The results presented in the report relate, specifically, to consumers’ general clothing consumption patterns, acceptance of new business models, and environmental...... purchasing outlets, and acceptance of new business models. Polish and American consumers purchased the most clothing items. Polish consumers also reported the lowest expenditures on clothing, whereas German consumers reported the highest expenditures. Only a limited proportion of consumers had previously...

  5. Radiation monitor reporting requirements

    International Nuclear Information System (INIS)

    Bates, W.F.

    1993-01-01

    Within High-Level Waste Management (HLWM), CAMs and VAMPs are currently considered Class B equipment, therefore, alarm conditions associated with the CAMs and VAMPs result in an Unusual Occurrence or Off-Normal notification and subsequent occurrence reporting. Recent equipment difficulties associated with Continuous Air Monitors (CAMs) and Victoreen Area Radiation Monitors (VAMPs) have resulted in a significant number of notification reports. These notification have the potential to decrease operator sensitivity to the significance of specific CAM and VAMP failures. Additionally, the reports are extremely costly and are not appropriate as a means for tracking and trending equipment performance. This report provides a technical basis for a change in Waste Management occurrence reporting categorization for specific CAM and VAMP failure modes

  6. Environmental Performance Report 2015

    Energy Technology Data Exchange (ETDEWEB)

    2016-07-01

    The National Renewable Energy Laboratory's (NREL's) Environmental Performance Report provides a description of the laboratory's environmental management activities for 2015, including information on environmental and sustainability performance, environmental compliance activities and status, and environmental protection programs, highlights, and successes. The purpose of this report is to ensure that U.S. Department of Energy (DOE) and the public receive timely, accurate information about events that have affected or could adversely affect the health, safety, and security of the public or workers; the environment; or the operations of DOE facilities. This report meets the requirements of the Annual Site Environmental Report and is prepared in accordance with the DOE Order 231.1B, Environment, Safety and Health Reporting.

  7. BESSY annual report 1991

    International Nuclear Information System (INIS)

    1992-01-01

    The annual report 1991 is drawn up as in the previous years, with general information on the organisational structure of the institution and its general purposes being given ahead of the research-specific reports. The achievements and developments in the fields of machines and experiments are reported, including contributions from the Litography laboratory of the Fraunhofer Institute for Microstructural Studies and Techniques, and from the Radiometry Laboratory of the Physikalisch-Technische Bundesanstalt, followed by reports on basic research work. The machine developments are reported in varions contributions, and a list of publications shows all available and known scientific publications resulting from research work done at the BESSY installations by the various users. Diploma, doctoral and habilitation theses are listed separately. (orig.) [de

  8. Environmental Performance Report 2016

    Energy Technology Data Exchange (ETDEWEB)

    Braus, Genevieve [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-06

    The National Renewable Energy Laboratory's (NREL's) Environmental Performance Report provides a description of the laboratory's environmental management activities for 2016, including information on environmental and sustainability performance, environmental compliance activities and status, and environmental protection programs, highlights, and successes. The purpose of this report is to ensure that U.S. Department of Energy (DOE) and the public receive timely, accurate information about events that have affected or could adversely affect the health, safety, and security of the public or workers; the environment; or the operations of DOE facilities. This report meets the requirements of the Annual Site Environmental Report and is prepared in accordance with the DOE Order 231.1B, Environment, Safety and Health Reporting.

  9. Interim Report on ISO TC 163 Working Group 3. Annual progress report

    Energy Technology Data Exchange (ETDEWEB)

    Fairey, Philip [Florida Solar Energy Center, Cocoa, FL (United States)

    2009-04-02

    This reports cover the initial year efforts of the International Standards Organization (ISO) to develop international standards for rating the energy performance of buildings. The author of this report is a participant in this effort. This report summarizes the activities of the ISO Working Group charged with development of these standards and makes recommendations to the sponsors for future U.S. involvement in this ISO effort.

  10. Accurate assessment of adherence: self-report and clinician report vs electronic monitoring of nebulizers.

    Science.gov (United States)

    Daniels, Tracey; Goodacre, Lynne; Sutton, Chris; Pollard, Kim; Conway, Steven; Peckham, Daniel

    2011-08-01

    People with cystic fibrosis have a high treatment burden. While uncertainty remains about individual patient level of adherence to medication, treatment regimens are difficult to tailor, and interventions are difficult to evaluate. Self- and clinician-reported measures are routinely used despite criticism that they overestimate adherence. This study assessed agreement between rates of adherence to prescribed nebulizer treatments when measured by self-report, clinician report, and electronic monitoring suitable for long-term use. Seventy-eight adults with cystic fibrosis were questioned about their adherence to prescribed nebulizer treatments over the previous 3 months. Self-report was compared with clinician report and stored adherence data downloaded from the I-Neb nebulizer system. Adherence measures were expressed as a percentage of the prescribed regimen, bias was estimated by the paired difference in mean (95% CI) patient and clinician reported and actual adherence. Agreement between adherence measures was calculated using intraclass correlation coefficients (95% CI), and disagreements for individuals were displayed using Bland-Altman plots. Patient-identified prescriptions matched the medical record prescription. Median self-reported adherence was 80% (interquartile range, 60%-95%), whereas median adherence measured by nebulizer download was 36% (interquartile range, 5%-84.5%). Nine participants overmedicated and underreported adherence. Median clinician report ranged from 50% to 60%, depending on profession. Extensive discrepancies between self-report and clinician report compared with nebulizer download were identified for individuals. Self- and clinician-reporting of adherence does not provide accurate measurement of adherence when compared with electronic monitoring. Using inaccurate measures has implications for treatment burden, clinician prescribing practices, cost, and accuracy of trial data.

  11. Technical co-operation report for 1999. Report by the Director General

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-08-01

    This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report.

  12. Technical co-operation report for 1999. Report by the Director General

    International Nuclear Information System (INIS)

    2000-08-01

    This report presents the IAEA Technical Co-operation (TC) activities in 1999 and covers three separate topics. Part I reports on the Strengthening of TC and looks at the elements of the TC Strategy and how they contributed to the TC Programme. Part II reports on the major achievements of the TC Programme in 1999 in different regions of the world. In addition to reviewing some of the results of national and regional activities in each region - including activities under Regional Co-operation Agreements - this section looks at three interregional projects, and provides highlights of selected projects that were closed in 1999. Part III presents a technical discussion of the financial parameters of the TC Programme. A more detailed review of resources and contributions, disbursements, and non-financial indicators is provided in a Supplement to this report

  13. Child Abuse and Mandated Reporting

    Science.gov (United States)

    Woika, Shirley; Bowersox, Carissa

    2013-01-01

    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  14. Denmark's National Inventory Report 2014

    DEFF Research Database (Denmark)

    Nielsen, Ole-Kenneth; Plejdrup, Marlene Schmidt; Winther, Morten

    This report is Denmark’s National Inventory Report 2014. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2012 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2......This report is Denmark’s National Inventory Report 2014. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2012 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2...

  15. Denmark's National Inventory Report 2013

    DEFF Research Database (Denmark)

    Nielsen, Ole-Kenneth; Plejdrup, Marlene Schmidt; Winther, Morten

    This report is Denmark’s National Inventory Report 2013. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2011 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2.......This report is Denmark’s National Inventory Report 2013. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2011 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2....

  16. Denmark's National Inventory Report 2017

    DEFF Research Database (Denmark)

    Nielsen, Ole-Kenneth; Plejdrup, Marlene Schmidt; Winther, Morten

    This report is Denmark’s National Inventory Report 2017. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2015 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2......This report is Denmark’s National Inventory Report 2017. The report contains information on Denmark’s emission inventories for all years’ from 1990 to 2015 for CO2, CH4, N2O, HFCs, PFCs and SF6, NOx, CO, NMVOC, SO2...

  17. Technical co-operation report for 1998. Report by the Director General

    International Nuclear Information System (INIS)

    1999-01-01

    This report presents the IAEA Technical Co-operation (TC) activities during 1998 and highlights most significant accomplishments. Part I of this report reviews the strengthening of TC, both in financial aspects and through implementation of the TC strategy. Part II reviews extensively the actual output of the TC programme; it looks at each geographic region, and reports on the results of national, regional and, where applicable, interregional activities in those regions. Part III presents a technical discussion of the financial parameters of the TC programme and ends with financial implementation summaries

  18. Technical co-operation report for 1998. Report by the Director General

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    This report presents the IAEA Technical Co-operation (TC) activities during 1998 and highlights most significant accomplishments. Part I of this report reviews the strengthening of TC, both in financial aspects and through implementation of the TC strategy. Part II reviews extensively the actual output of the TC programme; it looks at each geographic region, and reports on the results of national, regional and, where applicable, interregional activities in those regions. Part III presents a technical discussion of the financial parameters of the TC programme and ends with financial implementation summaries.

  19. Differences between pediatric and adult celiac disease Diferencias entre la enfermedad celiaca infantil y del adulto

    Directory of Open Access Journals (Sweden)

    Luis Rodrigo Sáez

    2011-05-01

    Full Text Available Introduction: celiac disease (CD is a common autoimmune condition (involves 1-2% of the general population that develops at any age in life but manifests differently in children and adults. Objectives: to analyze clinical differences in disease expression between both groups, as well as findings at the time of diagnosis. Methods: a retrospective study of a series of patients diagnosed with CD during childhood ( 14 years. Results: a total of 187 patients were included, of which 43 were children and 144 were adults. Among clinical manifestations in children classic presentation forms predominated -34 patients (79% versus 20 adult patients (14% (p Introducción: la enfermedad celiaca (EC es un proceso frecuente (afecta al 1-2% en población general, de naturaleza autoimmune, que aparece a cualquier edad de la vida, pero que se presenta de forma diferente en el niño que en el adulto. Objetivos: analizar las diferencias clínicas en las formas de expresión de la enfermedad entre ambos grupos, así como los hallazgos al momento del diagnóstico. Métodos: estudio retrospectivo de una serie de pacientes diagnosticados, en la infancia ( 14 años. Resultados: se incluyeron un total de 187 pacientes, de los cuales 43 eran niños y 144 adultos. En las manifestaciones clínicas de los niños, predominaron las formas de presentación clásicas, 34 casos (79% frente a los adultos 20 casos (14% (p < 0,001 (OR = 23,4; IC-95%: 9,8-56,1. Por el contrario, en estos predominaron las formas atípicas, siendo la anemia el hallazgo más frecuente en 61 casos (42% frente a 8 casos (19% en los niños (p < 0,01. En los adultos existía un mayor retraso diagnóstico con una media de 10 ± 9 años, frente a los niños, que es de 1 ± 2 años (p < 0,001. Encontramos en los adultos una mayor frecuencia de enfermedades autoinmunes asociadas (24,3%, frente al 9,3% en niños (p < 0,05. Respecto a los marcadores serológicos, la TGt-2 fue más frecuentemente positiva en los ni

  20. Annual report 2000

    International Nuclear Information System (INIS)

    2001-07-01

    Article VI.J of the Agency's Statute requires the Board of Governors to submit 'an annual report to the General Conference concerning the affairs of the Agency and any projects approved by the Agency'. This report covers the period 1 January to 31 December 2000

  1. Annual Report 1990

    International Nuclear Information System (INIS)

    1991-01-01

    The report presents the achievements of the European Commission's Joint Research Centre for 1990: Specific programmes, exploratory research, support for Community Policies, work for Third Parties, participation in Eureka. The report is completed by human resources, finances and a brief presentation of large installation

  2. Reporting nuclear cardiology

    DEFF Research Database (Denmark)

    Trägårdh, Elin; Hesse, Birger; Knuuti, Juhani

    2015-01-01

    The report of an imaging procedure is a critical component of an examination, being the final and often the only communication from the interpreting physician to the referring or treating physician. Very limited evidence and few recommendations or guidelines on reporting imaging studies are avail...

  3. Audit Report on the Sacramento Army Depot Internal Review and Audit Compliance Office's "Audits of Warranties, Quality Deficiency Reports, and Reports of Discrepancies"

    National Research Council Canada - National Science Library

    1992-01-01

    The Sacramento Army Depot (SAAD) Internal Review and Audit Compliance Office (Internal Review) issued an audit report, "Audit of Warranties, Quality Deficiency Reports, and Reports of Discrepancies," on July 20, 1990...

  4. Annual report

    International Nuclear Information System (INIS)

    1986-01-01

    This is the thirty-ninth annual report of the Atomic Energy Control Board. The period covered by this report is the year ending March 31, 1986. The Atomic Energy Control Board (AECB) was established in 1946, by the Atomic Energy Control Act (AEC Act), (Revised Statues of Canada (R.S.C.) 1970 cA19). It is a departmental corporation (Schedule B) within the meaning and purpose of the Financial Administration Act. The AECB controls the development, application and use of atomic energy in Canada, and participates on behalf of Canada in international measures of control. The AECB is also repsonsible for the administration of the Nuclear Liability Act, (R.S.C. 1970 c29 1st Supp) as amended, including the designation of nuclear installations and the prescription of basic insurance to be carried by the operators of such nuclear installations. The AECB reports to Parliament through a designated Minister, currently the Minister of Energy, Mines and Resources

  5. Internal evaluation report

    DEFF Research Database (Denmark)

    Sørensen, Birgitte Holm; Meyer, Bente Tobiesen; Levinsen, Karin

    2006-01-01

    It is the aim of this report to assess and evaluate the internal communication and management of the Lancelot project during the first year of the project's life (October 2005- October 2006). The report focuses on these issues through the perspective of a SWOT analysis carried out by the project...... members at the interim meeting in Manchester October 6-8. The SWOT analysis was chosen for its ability to identify problem areas within an organisation or group as well as focusing on and facilitating future actions and strategies. The report contains a summary of the issues raised by the SWOT as well...

  6. Internal evaluation report

    DEFF Research Database (Denmark)

    Sørensen, Birgitte Holm; Meyer, Bente; Levinsen, Karin

    It is the aim of this report to assess and evaluate the internal communication and management of the Lancelot project during the first year of the project's life (October 2005- October 2006). The report focuses on these issues through the perspective of a SWOT analysis carried out by the project...... members at the interim meeting in Manchester October 6-8. The SWOT analysis was chosen for its ability to identify problem areas within an organisation or group as well as focusing on and facilitating future actions and strategies. The report contains a summary of the issues raised by the SWOT as well...

  7. Advanced corporate sustainability reporting - XBRL taxonomy for sustainability reports based on the G3-guidelines of the gobal reporting initiative

    OpenAIRE

    Isenmann, R.; Gomez, J.M.

    2009-01-01

    Sustainability reporting describes a development path towards a concept of balanced corporate reporting, usually communicating the three pillars of environmental, social, and economic performance and its mutual interrelations, what in business terms is often called the triple bottom line approach.While early sustainability reports merely have been available on print media, today most are accessible on the WWW as HTML files or as PDFs. Such a layout oriented data format however, does not seem ...

  8. Technical progress report

    International Nuclear Information System (INIS)

    1996-01-01

    This report summarizes experimental and theoretical work in basic nuclear physics carried out between October 1, 1995, the closing of our last Progress Report, and September 30, 1996 at the Nuclear Physics Laboratory of the University of Colorado, Boulder, under contracts DE-FG03-93ER-40774 and DE-FG03-95ER-40913 with the United States Department of Energy. The experimental contract supports broadly-based experimental research in intermediate energy nuclear physics. This report includes results from studies of Elementary Systems involving the study of the structure of the nucleon via polarized high-energy positron scattering (the HERMES experiment) and lower energy pion scattering from both polarized and unpolarized nucleon targets. Results from pion- and kaon-induced reactions in a variety of nuclear systems are reported under the section heading Meson Reactions; the impact of these and other results on understanding the nucleus is presented in the Nuclear Structure section. In addition, new results from scattering of high-energy electrons (from CEBAF/TJNAF) and pions (from KEK) from a broad range of nuclei are reported in the section on Incoherent Reactions. Finally, the development and performance of detectors produced by the laboratory are described in the section titled Instrumentation

  9. 1994 Site Environmental Report

    International Nuclear Information System (INIS)

    1995-05-01

    The 1994 Site Environmental Report summarizes environmental activities at Lawrence Berkeley Laboratory (LBL) for the calendar year (CY) 1994. The report strives to present environmental data in a manner that characterizes the performance and compliance status of the Laboratory's environmental management programs when measured against regulatory standards and DOE requirements. The report also discusses significant highlight and planning efforts of these programs. The format and content of the report are consistent with the requirements of the US Department of Energy (DOE) Order 5400.1, General Environmental Protection Program

  10. Excel dashboards and reports

    CERN Document Server

    Alexander, Michael

    2013-01-01

    Learn to use Excel dashboards and reports to better conceptualize data Updated for all the?latest features and capabilities of Excel 2013, this go-to resource provides you with in-depth coverage of the individual functions and tools that can be used to create?compelling Excel reports. Veteran author Michael Alexander walks you through the most effective ways to present and report data. Featuring a comprehensive review of a wide array of technical and analytical concepts, this essential guide helps you go from reporting data with simple tables full of dull numbers to presenting

  11. 1994 Site Environmental Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-05-01

    The 1994 Site Environmental Report summarizes environmental activities at Lawrence Berkeley Laboratory (LBL) for the calendar year (CY) 1994. The report strives to present environmental data in a manner that characterizes the performance and compliance status of the Laboratory`s environmental management programs when measured against regulatory standards and DOE requirements. The report also discusses significant highlight and planning efforts of these programs. The format and content of the report are consistent with the requirements of the US Department of Energy (DOE) Order 5400.1, General Environmental Protection Program.

  12. 78 FR 77557 - Releasing Information; General Provisions; Accounting and Reporting Requirements; Reports of...

    Science.gov (United States)

    2013-12-24

    ... must certify ``that the information provided in the report of each bank's and association's accounts... reports of accounts and exposures or any other information received pursuant to Sec. 621.15(a)(1... examination and non-public information, including data from reports of System accounts and exposures received...

  13. Large block test status report

    International Nuclear Information System (INIS)

    Wilder, D.G.; Lin, W.; Blair, S.C.

    1997-01-01

    This report is intended to serve as a status report, which essentially transmits the data that have been collected to date on the Large Block Test (LBT). The analyses of data will be performed during FY98, and then a complete report will be prepared. This status report includes introductory material that is not needed merely to transmit data but is available at this time and therefore included. As such, this status report will serve as the template for the future report, and the information is thus preserved

  14. Unusual event report from Oskarshamn

    International Nuclear Information System (INIS)

    1996-01-01

    The title of the report was intended to reflect the cause of the shutdown and the report to be regarded as a summary of the deficiencies that had been revealed and remedied. No single deficiency was regarded as reportable as an unusual event, but taken together the identified deficiencies deviated from the assumed safety level to the extent that it should be reported. The unusual event report refers to two main documents presenting measures taken to return to reported safety level, one concerning technical and one organizational measures

  15. 44 CFR 401.3 - Reports.

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Reports. 401.3 Section 401.3... RESTRICTIONS (T-1) § 401.3 Reports. Persons subject to this order shall submit such reports to the Assistant... Reports Act. ...

  16. Reliability of self-reported childhood physical abuse by adults and factors predictive of inconsistent reporting.

    Science.gov (United States)

    McKinney, Christy M; Harris, T Robert; Caetano, Raul

    2009-01-01

    Little is known about the reliability of self-reported child physical abuse (CPA) or CPA reporting practices. We estimated reliability and prevalence of self-reported CPA and identified factors predictive of inconsistent CPA reporting among 2,256 participants using surveys administered in 1995 and 2000. Reliability of CPA was fair to moderate (kappa = 0.41). Using a positive report from either survey, the prevalence of moderate (61.8%) and severe (12.0%) CPA was higher than at either survey alone. Compared to consistent reporters of having experienced CPA, inconsistent reporters were less likely to be > or = 30 years old (vs. 18-29) or Black (vs. White) and more likely to have report one type (vs. > or = 2) of CPA. These findings may assist researchers conducting and interpreting studies of CPA.

  17. Annual report 1998-1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-07-01

    This is the Annual Report of the Atomic Energy of Canada Limited for the year ending March 31, 1999 and summarizes the activities of AECL during the period 1998-1999. The Activities covered in this Report include the CANDU Reactor Business, with excellent progress reported on the construction of two 700 MWe-class CANDU reactors in Qinshan, China. In the Republic of Korea, Wolsong Unit entered into commercial operation and Wolsong Unit 4 achieved sustained nuclear reaction. The Report also covers AECL's R and D and Waste Management programs. In the R and D section, the report outlines the development of the CANFLEX fuel bundle, Fuel Channels, Reactor Safety, Code Validation, Fuels and Fuel Cycles as well as Heavy Water production. Progress in the Waste Management program is also discussed.

  18. Annual report 1998-1999

    International Nuclear Information System (INIS)

    1999-01-01

    This is the Annual Report of the Atomic Energy of Canada Limited for the year ending March 31, 1999 and summarizes the activities of AECL during the period 1998-1999. The Activities covered in this Report include the CANDU Reactor Business, with excellent progress reported on the construction of two 700 MWe-class CANDU reactors in Qinshan, China. In the Republic of Korea, Wolsong Unit entered into commercial operation and Wolsong Unit 4 achieved sustained nuclear reaction. The Report also covers AECL's R and D and Waste Management programs. In the R and D section, the report outlines the development of the CANFLEX fuel bundle, Fuel Channels, Reactor Safety, Code Validation, Fuels and Fuel Cycles as well as Heavy Water production. Progress in the Waste Management program is also discussed

  19. 2000 Scientific Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-04-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 2000. The report is structured along four main fields of activity: Radioactive Waste and Clean-up, Reactor Safety, the BR2 Reactor and Radiation Protection.

  20. 2000 Scientific Report

    International Nuclear Information System (INIS)

    2001-04-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 2000. The report is structured along four main fields of activity: Radioactive Waste and Clean-up, Reactor Safety, the BR2 Reactor and Radiation Protection

  1. Case Report

    DEFF Research Database (Denmark)

    Bilgin-Freiert, Arzu; Fugleholm, Kåre; Poulsgaard, Lars

    2015-01-01

    We report a case of an intraneural ganglion cyst of the hypoglossal canal. The patient presented with unilateral hypoglossal nerve palsy, and magnetic resonance imaging showed a small lesion in the hypoglossal canal with no contrast enhancement and high signal on T2-weighted imaging. The lesion...... irradiation as an option. This case illustrates a very rare location of an intraneural ganglion cyst in the hypoglossal nerve. To our knowledge there are no previous reports of an intraneural ganglion cyst confined to the hypoglossal canal....

  2. Report Writing

    DEFF Research Database (Denmark)

    Behnke, Eric

    In a short and precise way this compendium guides how to write an Engineering Report. The compendium is primarily targeting Engineering Students in thier first and second semester but it might as well be used by students at other technical bachelor educations......In a short and precise way this compendium guides how to write an Engineering Report. The compendium is primarily targeting Engineering Students in thier first and second semester but it might as well be used by students at other technical bachelor educations...

  3. KBS Annual Report 1983. Including summaries of technical reports issued during 1983

    International Nuclear Information System (INIS)

    1984-06-01

    The purpose of the KBS Annual Report is to inform interested organizations and individuals of the research and development work performed by the division KBS within the Swedish Nuclear Fuel Supply Co (SKBF) on the handling, treatment and final storage of nuclear wastes in Sweden. The Annual Report normally contains a presentation of the legal and organizational situation followed by an account of the progress within different areas of the R and D-work. This account also includes indications of the activities planned for the future. At the end of the report the summaries of 76 technical reports and other publications issued during the year are listed in special appendices. (K.A.E.)

  4. NIKHEF Annual Report 1982

    International Nuclear Information System (INIS)

    1983-01-01

    In this annual report 1982, the NIKHEF research programs of high-energy physics, nuclear physics and radiochemistry is described in a wide context. Next, the reports of the individual projects of section-H and section-K are described in detail. Finally, the report gives some statistical information of publications, colloquia and co-workers. (Auth.)

  5. RTE - Activity and sustainable development report 2016 + Business report - Consolidated accounts

    International Nuclear Information System (INIS)

    2017-01-01

    This document gathers several reports. The first one is an activity report which proposes an overview of RTE activities by outlining the contribution to the improvement of territory, customer, and electric power system performance, the contribution to innovation in terms of energy and digital transition (for example, development of smart grids), and development perspectives in terms of use of open data, of development of partnerships, and of work organisation. The next report is a business report which gives and comments financial and legal information (discussion of various accounting aspects and elements), social information (employment, work organisation, social relationships, safety, health, life quality, training, equal opportunities), environmental information (general policy, circular economy, struggle against climate change and adaptation, protection and development of biodiversity), and societal information. The last part contains a table of consolidated accounts followed by a detailed discussion and comment of its content

  6. Energy 2010-2020. Final report of the 'international context' report

    International Nuclear Information System (INIS)

    1998-02-01

    The report of international workshop about Energy 2010-2020 takes stock of the situation on the needs growth, the risks, the world-wide market and technological innovation. Uncertainties on the place of nuclear power and natural gas in 2020, the difficulties to respect the commitments about the greenhouse effect, the energy dependence towards Middle East, are some teaching of this report. (N.C.)

  7. Denmark's national inventory report 2006

    DEFF Research Database (Denmark)

    Illerup, Jytte Boll; Lyck, Erik; Nielsen, Ole-Kenneth

    This report is Denmark's National Inventory Report reported to the Conference of the Parties under the United Nations Framework Convention on Climate Change (UNFCCC) due by April 2006. The report contains information on Denmark's inventories for all years' from 1990 to 2004 for CO....

  8. Scientific Report 2001

    International Nuclear Information System (INIS)

    2002-04-01

    The annual scientific report gives an overview of the R and D activities at the Belgian Nuclear Research Centre SCK-CEN in 2001. The report discusses progress and main achievements in four principal areas: Radiation Protection, Radioactive Waste and Clean-up, Reactor Safety and the BR2 Reactor

  9. Scientific Report 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-04-01

    The annual scientific report gives an overview of the R and D activities at the Belgian Nuclear Research Centre SCK-CEN in 2001. The report discusses progress and main achievements in four principal areas: Radiation Protection, Radioactive Waste and Clean-up, Reactor Safety and the BR2 Reactor.

  10. Progress report 1971/72

    International Nuclear Information System (INIS)

    1972-01-01

    The progress report comprises reports from interdisciplinary task groups on radiation protection, isotope application and radiation measurement technique, microscopy, linear accelerators, process computers, biophysics and nuclear physics. The last task group reports on work with the electron linear accelerator, nuclear spectroscopy, neutron physics, work with polarized particles, and experiments with the GSI heavy ion accelerator. (orig./AK) [de

  11. Organic solvent topical report

    International Nuclear Information System (INIS)

    Cowley, W.L.

    1998-01-01

    This report is the technical basis for the accident and consequence analyses used in the Hanford Tank Farms Basis for Interim Operation. The report also contains the scientific and engineering information and reference material needed to understand the organic solvent safety issue. This report includes comments received from the Chemical Reactions Subcommittee of the Tank Advisory Panel

  12. Ethics. 1983 APME Report.

    Science.gov (United States)

    Associated Press Managing Editors.

    Dealing with a variety of issues related to media ethics and press responsibility, this report presents 12 essays on editorial policy and reporters' responsibility. The essays discuss the following: (1) a reporter who posed as a jail officer to gain entry into a prison to interview an inmate, (2) a journalism professor's opinion as to the ethics…

  13. Organic solvent topical report

    Energy Technology Data Exchange (ETDEWEB)

    Cowley, W.L.

    1998-04-30

    This report is the technical basis for the accident and consequence analyses used in the Hanford Tank Farms Basis for Interim Operation. The report also contains the scientific and engineering information and reference material needed to understand the organic solvent safety issue. This report includes comments received from the Chemical Reactions Subcommittee of the Tank Advisory Panel.

  14. ARRA NEPA Quarterly Report- Second Report: DOL

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  15. ARRA NEPA Quarterly Report- First Report: USAID

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  16. ARRA NEPA Quarterly Report- First Report: DOD

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  17. ARRA NEPA Quarterly Report- First Report: DOC

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  18. ARRA NEPA Quarterly Report- First Report: HUD

    Data.gov (United States)

    Council on Environmental Quality, Executive Office of the President — Reports prepared by the Departments and Agencies on status of NEPA progress for activities and projects funded under Division A of the American Recovery and...

  19. Electricity Generation Baseline Report

    Energy Technology Data Exchange (ETDEWEB)

    Logan, Jeffrey [National Renewable Energy Lab. (NREL), Golden, CO (United States); Marcy, Cara [National Renewable Energy Lab. (NREL), Golden, CO (United States); McCall, James [National Renewable Energy Lab. (NREL), Golden, CO (United States); Flores-Espino, Francisco [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bloom, Aaron [National Renewable Energy Lab. (NREL), Golden, CO (United States); Aabakken, Jorn [National Renewable Energy Lab. (NREL), Golden, CO (United States); Cole, Wesley [National Renewable Energy Lab. (NREL), Golden, CO (United States); Jenkin, Thomas [National Renewable Energy Lab. (NREL), Golden, CO (United States); Porro, Gian [National Renewable Energy Lab. (NREL), Golden, CO (United States); Liu, Chang [National Renewable Energy Lab. (NREL), Golden, CO (United States); Ganda, Francesco [Argonne National Lab. (ANL), Argonne, IL (United States); Boardman, Richard [Idaho National Lab. (INL), Idaho Falls, ID (United States); Tarka, Thomas [National Energy Technology Lab. (NETL), Albany, OR (United States); Brewer, John [National Energy Technology Lab. (NETL), Albany, OR (United States); Schultz, Travis [National Energy Technology Lab. (NETL), Albany, OR (United States)

    2017-01-01

    This report was developed by a team of national laboratory analysts over the period October 2015 to May 2016 and is part of a series of studies that provide background material to inform development of the second installment of the Quadrennial Energy Review (QER 1.2). The report focuses specifically on U.S. power sector generation. The report limits itself to the generation sector and does not address in detail parallel issues in electricity end use, transmission and distribution, markets and policy design, and other important segments. The report lists 15 key findings about energy system needs of the future.

  20. Black report up-date

    International Nuclear Information System (INIS)

    1988-12-01

    In 1984, the Black Report published its results on the incidence of cancer and leukaemia in under 25-year olds in the village of Seascale and the surrounding area near the Sellafield nuclear reprocessing plant. Since then the pressure group core, as a result of their own independent research, has discovered ten additional cases of childhood cancer which should have been included in the Black Report and a Further two cases since the Black Report was written. This represents an additional 31% over the initial numbers considered and a review of the Black Report is sought. (UK)

  1. IPP annual report 1981

    International Nuclear Information System (INIS)

    1982-01-01

    In part A of this annual report the tokamak and stellarator projects at the IPP are reported: ASDEX, ASDEX upgrade, JET collaboration, NET collaboration, Wendelstein VII-7, Wendelstein VII-AS, Wendelstein VII-X and stellarator reactor system studies. In part B the departments and research groups give a brief, but detailed report of the results in the field of research and development. In part C a review is presented of the IPP organisation. Part D includes the papers and conference reports published in 1981. Finally a brief description of the IPP projects at German universities is presented. (GG) [de

  2. Environmental report 1993-94

    International Nuclear Information System (INIS)

    1993-01-01

    This environmental report for 1993-1994, sets out Nuclear Electric plc's environmental policy relating to its nuclear-powered power stations in England and Wales, and to its various other sites. The report looks at the environmental benefits of nuclear power in a world increasingly concerned about global warming as well as addressing areas of public concern relating to radioactive waste management, reactor decommissioning and environmental contamination. Nuclear Electric claims high safety standards and a commitment to open and honest reporting of failures and successes relating to these standards. The report also documents continuing improvements to the company's environmental protection performance. (UK)

  3. 7 CFR 1220.241 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Reports. 1220.241 Section 1220.241 Agriculture... CONSUMER INFORMATION Soybean Promotion and Research Order Reports, Books, and Records § 1220.241 Reports... to report to the Board periodically such information as may be required by the regulations...

  4. 10 CFR 420.5 - Reports.

    Science.gov (United States)

    2010-01-01

    ... § 420.5 Reports. (a) Each State receiving financial assistance under this part shall submit to the cognizant Regional Office Director a quarterly program performance report and a quarterly financial status report. (b) Reports under this section shall contain such information as the Secretary may prescribe in...

  5. Thermal Testing Measurements Report

    Energy Technology Data Exchange (ETDEWEB)

    R. Wagner

    2002-09-26

    The purpose of the Thermal Testing Measurements Report (Scientific Analysis Report) is to document, in one report, the comprehensive set of measurements taken within the Yucca Mountain Project Thermal Testing Program since its inception in 1996. Currently, the testing performed and measurements collected are either scattered in many level 3 and level 4 milestone reports or, in the case of the ongoing Drift Scale Test, mostly documented in eight informal progress reports. Documentation in existing reports is uneven in level of detail and quality. Furthermore, while all the data collected within the Yucca Mountain Site Characterization Project (YMP) Thermal Testing Program have been submitted periodically to the Technical Data Management System (TDMS), the data structure--several incremental submittals, and documentation formats--are such that the data are often not user-friendly except to those who acquired and processed the data. The documentation in this report is intended to make data collected within the YMP Thermal Testing Program readily usable to end users, such as those representing the Performance Assessment Project, Repository Design Project, and Engineered Systems Sub-Project. Since either detailed level 3 and level 4 reports exist or the measurements are straightforward, only brief discussions are provided for each data set. These brief discussions for different data sets are intended to impart a clear sense of applicability of data, so that they will be used properly within the context of measurement uncertainty. This approach also keeps this report to a manageable size, an important consideration because the report encompasses nearly all measurements for three long-term thermal tests. As appropriate, thermal testing data currently residing in the TDMS have been reorganized and reformatted from cumbersome, user-unfriendly Input-Data Tracking Numbers (DTNs) into a new set of Output-DTNs. These Output-DTNs provide a readily usable data structure

  6. Heat Capacity Analysis Report

    International Nuclear Information System (INIS)

    Findikakis, A.

    2004-01-01

    The purpose of this report is to provide heat capacity values for the host and surrounding rock layers for the waste repository at Yucca Mountain. The heat capacity representations provided by this analysis are used in unsaturated zone (UZ) flow, transport, and coupled processes numerical modeling activities, and in thermal analyses as part of the design of the repository to support the license application. Among the reports that use the heat capacity values estimated in this report are the ''Multiscale Thermohydrologic Model'' report, the ''Drift Degradation Analysis'' report, the ''Ventilation Model and Analysis Report, the Igneous Intrusion Impacts on Waste Packages and Waste Forms'' report, the ''Dike/Drift Interactions report, the Drift-Scale Coupled Processes (DST and TH Seepage) Models'' report, and the ''In-Drift Natural Convection and Condensation'' report. The specific objective of this study is to determine the rock-grain and rock-mass heat capacities for the geologic stratigraphy identified in the ''Mineralogic Model (MM3.0) Report'' (BSC 2004 [DIRS 170031], Table 1-1). This report provides estimates of the heat capacity for all stratigraphic layers except the Paleozoic, for which the mineralogic abundance data required to estimate the heat capacity are not available. The temperature range of interest in this analysis is 25 C to 325 C. This interval is broken into three separate temperature sub-intervals: 25 C to 95 C, 95 C to 114 C, and 114 C to 325 C, which correspond to the preboiling, trans-boiling, and postboiling regimes. Heat capacity is defined as the amount of energy required to raise the temperature of a unit mass of material by one degree (Nimick and Connolly 1991 [DIRS 100690], p. 5). The rock-grain heat capacity is defined as the heat capacity of the rock solids (minerals), and does not include the effect of water that exists in the rock pores. By comparison, the rock-mass heat capacity considers the heat capacity of both solids and pore

  7. FutureGen Project Report

    Energy Technology Data Exchange (ETDEWEB)

    Cabe, Jim; Elliott, Mike

    2010-09-30

    This report summarizes the comprehensive siting, permitting, engineering, design, and costing activities completed by the FutureGen Industrial Alliance, the Department of Energy, and associated supporting subcontractors to develop a first of a kind near zero emissions integrated gasification combined cycle power plant and carbon capture and storage project (IGCC-CCS). With the goal to design, build, and reliably operate the first IGCC-CCS facility, FutureGen would have been the lowest emitting pulverized coal power plant in the world, while providing a timely and relevant basis for coal combustion power plants deploying carbon capture in the future. The content of this report summarizes key findings and results of applicable project evaluations; modeling, design, and engineering assessments; cost estimate reports; and schedule and risk mitigation from initiation of the FutureGen project through final flow sheet analyses including capital and operating reports completed under DOE award DE-FE0000587. This project report necessarily builds upon previously completed siting, design, and development work executed under DOE award DE-FC26- 06NT4207 which included the siting process; environmental permitting, compliance, and mitigation under the National Environmental Policy Act; and development of conceptual and design basis documentation for the FutureGen plant. For completeness, the report includes as attachments the siting and design basis documents, as well as the source documentation for the following: • Site evaluation and selection process and environmental characterization • Underground Injection Control (UIC) Permit Application including well design and subsurface modeling • FutureGen IGCC-CCS Design Basis Document • Process evaluations and technology selection via Illinois Clean Coal Review Board Technical Report • Process flow diagrams and heat/material balance for slurry-fed gasifier configuration • Process flow diagrams and heat/material balance

  8. 1994 annual report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    This report presents the activities and accomplishments of the Philippine Nuclear Research Institute (PNRI) for fiscal year 1994. The highlights of the report are the following: (a) technology transfer and commercialization; (b) nuclear services; (c) research and development focusing S and T efforts towards Philippines 2000; (d) special S and T events; (e) nuclear safety and regulations on ensuring safety of the public and the environment; (f) manpower development on expanding nuclear capability; (g) enhancing local and foreign linkages; (h) and administrative services. List of 1994 IAEA research contracts, experts/missions, foreign travel of PNRI and non-PNRI personnel, and technical papers are also included in this report.

  9. 1994 annual report

    International Nuclear Information System (INIS)

    1995-01-01

    This report presents the activities and accomplishments of the Philippine Nuclear Research Institute (PNRI) for fiscal year 1994. The highlights of the report are the following: a) technology transfer and commercialization; b) nuclear services; c) research and development focusing S and T efforts towards Philippines 2000; d) special S and T events; e) nuclear safety and regulations on ensuring safety of the public and the environment; f) manpower development on expanding nuclear capability; g) enhancing local and foreign linkages; h) and administrative services. List of 1994 IAEA research contracts, experts/missions, foreign travel of PNRI and non-PNRI personnel, and technical papers are also included in this report

  10. Uranium price reporting systems

    International Nuclear Information System (INIS)

    1987-09-01

    This report describes the systems for uranium price reporting currently available to the uranium industry. The report restricts itself to prices for U 3 O 8 natural uranium concentrates. Most purchases of natural uranium by utilities, and sales by producers, are conducted in this form. The bulk of uranium in electricity generation is enriched before use, and is converted to uranium hexafluoride, UF 6 , prior to enrichment. Some uranium is traded as UF 6 or as enriched uranium, particularly in the 'secondary' market. Prices for UF 6 and enriched uranium are not considered directly in this report. However, where transactions in UF 6 influence the reported price of U 3 O 8 this influence is taken into account. Unless otherwise indicated, the terms uranium and natural uranium used here refer exclusively to U 3 O 8 . (author)

  11. Environmental impact assessment report

    Energy Technology Data Exchange (ETDEWEB)

    Jung, K. J.; Paik, S. T.; Chung, U. S.; Jung, K. H.; Park, S. K.; Lee, D. G.; Kim, H. R.; Kim, J. K.; Yang, S. H.; Lee, B. J.; Kim, E. H.; Choi, K. S

    2000-10-01

    This report is the revised Environmental Impact Assessment Report which was made and submitted as one of the license documents for TRIGA Research Reactor D and D Project. The Environmental Impact Assessment Report includes introduction of decommissioning plan, status of reactors and environmental impact of surroundings. Also it was assessed and analyzed on radioactivity for environment, and the plan was established to minimize radioactive material release. Finally environmental monitoring plan was established to confirm whether contaminated or not from radioactivity during decommissioning period. According to the assessment results, the risk of excess exposure will be not on environment and public. The first Environmental Impact Assessment Report was submitted to the government for the license and reviewed by Korea Institute of Nuclear Safety. The first Report was revised including answers for the questions arising from review process.

  12. Report 1984

    International Nuclear Information System (INIS)

    Schwach, G.W.

    1985-05-01

    The report gives a detailed survey of the work carried out by the Austrian Research Center Seibersdorf in 1984. The working program comprises five main areas: energy and safety, materials research, isotope and radiation techniques, measuring techniques and information processing, environmental protection, health and food, industrial consulting. A special chapter describes the activities of the scientific-technical services. The report further contains lists of lectures held at universities by members of the Research Center, of students working for their theses or diplomas and of publications and patents issued. (Author)

  13. Russia report

    Science.gov (United States)

    Along with cementing the joint Shuttle-Mir Program in late June with a $400 million contract, the U.S. and Russia signed a deal to team up on global environmental issues. Under the agreement, U.S. and Russian scientists will establish modern facilities for petroleum research, including advanced geographic systems technology, petroleum geochemistry, and seismic processing to help Russia transition to a “market” economy, Interior Secreary Bruce Babbitt reports. The program, to be funded by the U.S. Agency for International Development, will produce maps, technical reports, and other data for investment decisions.

  14. 1997 Scientific Report

    International Nuclear Information System (INIS)

    1998-01-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 1997. The report contains five major sections: (1) radiation protection; (2) reactor safety; (3) radioactive waste and clean-up; (4) BR2 operation and (5) exploratory R and D

  15. Annual report 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This reports presents the activities and accomplishments of the Philippine Nuclear Research Institute (PNRI) for the calendar year 2002. The accomplishments of PNRI cited in this report are the nuclear research and development projects that focused on the safe and peaceful uses of nuclear techniques and to help improve industrial processes.

  16. Annual report 2002

    International Nuclear Information System (INIS)

    2003-01-01

    This reports presents the activities and accomplishments of the Philippine Nuclear Research Institute (PNRI) for the calendar year 2002. The accomplishments of PNRI cited in this report are the nuclear research and development projects that focused on the safe and peaceful uses of nuclear techniques and to help improve industrial processes

  17. Progress report 1979

    International Nuclear Information System (INIS)

    1980-12-01

    This progress report deals with technical and research work done at the AAEC Research Establishment in the twelve month period ending September 30, 1979. Work done in the following research divisions is reported: Applied Maths and Computing, Chemical Technology, Engineering Research, Environmental Science, Instrumentation and Control, Isotope, Materials and Physics

  18. 1999 Scientific Report

    International Nuclear Information System (INIS)

    2000-01-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 1999. The report contains five major sections: (1) nuclear research and society; (2) radiation protection; (3) reactor safety; (4) radioactive waste and clean-up; (5) reactor BR2

  19. 1997 Scientific Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 1997. The report contains five major sections: (1) radiation protection; (2) reactor safety; (3) radioactive waste and clean-up; (4) BR2 operation and (5) exploratory R and D.

  20. 1999 Scientific Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-07-01

    The report summarises the status and main achievements of various programmes at the Belgian Nuclear Research Centre SCK-CEN in the year 1999. The report contains five major sections: (1) nuclear research and society; (2) radiation protection; (3) reactor safety; (4) radioactive waste and clean-up; (5) reactor BR2.

  1. Komunikace CSR aktivit: CSR reporting

    Directory of Open Access Journals (Sweden)

    Jiří Kutlák

    2017-06-01

    Full Text Available This paper focuse on CSR reporting. The aim of this paper is to discuss several aspects influencing the CSR reporting in details and get more precisely information regarding CSR reporting topic in general. Firstly, there is a theoretical part aimed at general explanation of CSR issues such as definition, arguments for and against CSR and CSR reporting. In the next part, particular aspects which influence CSR reporting are discussed. The analysis is conducted on basis of important research papers, studies and standards available in the discussed research area. The results of the analysis indicate not only past and current level of knowledge in CSR reporting, but also the future trends. The paper contributes to research stream in the CSR communication, more precisely reporting, and indicate future steps for authors ‘further research.

  2. 12 CFR 620.3 - Accuracy of reports and assessment of internal control over financial reporting.

    Science.gov (United States)

    2010-01-01

    ... control over financial reporting. 620.3 Section 620.3 Banks and Banking FARM CREDIT ADMINISTRATION FARM... control over financial reporting. (a) Prohibition against incomplete, inaccurate, or misleading... assessment of internal control over financial reporting. Annual reports of those institutions with over $1...

  3. 19 CFR 202.6 - Reports.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 3 2010-04-01 2010-04-01 false Reports. 202.6 Section 202.6 Customs Duties UNITED... PRODUCTION § 202.6 Reports. After the completion of its investigation, the Commission will incorporate its findings in a report, and the report will be transmitted to the President. ...

  4. 14 CFR 171.275 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Reports. 171.275 Section 171.275... Reports. The owner of the ISMLS facility or his maintenance representative must make the following reports... the need for periodic maintenance visits to the facility, monthly reports from the remote monitoring...

  5. 34 CFR 361.40 - Reports.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Reports. 361.40 Section 361.40 Education Regulations of... Requirements for Vocational Rehabilitation Services Administration § 361.40 Reports. (a) The State plan must assure that the designated State agency will submit reports, including reports required under sections 13...

  6. 9 CFR 116.5 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Reports. 116.5 Section 116.5 Animals..., SERUMS, TOXINS, AND ANALOGOUS PRODUCTS; ORGANISMS AND VECTORS RECORDS AND REPORTS § 116.5 Reports. (a) When required by the Administrator, reports containing accurate and complete information concerning...

  7. 40 CFR 63.1516 - Reports.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 12 2010-07-01 2010-07-01 true Reports. 63.1516 Section 63.1516... Hazardous Air Pollutants for Secondary Aluminum Production Notifications, Reports, and Records § 63.1516 Reports. (a) Startup, shutdown, and malfunction plan/reports. The owner or operator must develop a written...

  8. 40 CFR 224.2 - Reports.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Reports. 224.2 Section 224.2 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING RECORDS AND REPORTS REQUIRED OF OCEAN DUMPING PERMITTEES UNDER SECTION 102 OF THE ACT § 224.2 Reports. (a) Periodic reports...

  9. 18 CFR 4.11 - Reports.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Reports. 4.11 Section 4... Reports. Representatives of the Commission will inspect the project works, engineering reports, and other... report of their findings with respect to the inventory, appraisal, original cost, accrued depreciation...

  10. 10 CFR 40.64 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Reports. 40.64 Section 40.64 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Records, Reports, and Inspections § 40.64 Reports. (a... in the fabrication of mixed-oxide fuels, shall complete a Nuclear Material Transaction Report in...

  11. Identifying Inconsistencies and Reporting Deficits in Therapeutic Massage and Bodywork (TMB) Case Reports Authored by TMB Practitioners: a TMB-Adapted CAse REport (CARE) Guidelines Audit Through 2014.

    Science.gov (United States)

    Munk, Niki; Shue, Sarah; Freeland, Emilee; Ralston, Rick; Boulanger, Karen T

    2016-09-01

    Case reports are a fundamental tool through which therapeutic massage and bodywork (TMB) practitioners can inform research and impact their field by detailing the presentation, treatment, and follow-up of a single individual encountered in practice. Inconsistencies in case reporting limit their impact as fundamental sources of clinical evidence. Using the TMB-adapted CAse REport (CARE) guidelines, the current study sought to provide a rich description regarding the reporting quality of TMB practitioner authored TMB case reports in the literature. 1) Systematic identification of published, peer-reviewed TMB case reports authored by TMB practitioners following PRISMA recommendations; 2) audit development based on TMB-adapted CARE guidelines; 3) audit implementation; and 4) descriptive analysis of audit scores. Our search identified 977 articles and 35 met study inclusion criteria. On average, TMB case reports included approximately 58% of the total items identified as necessary by the TMB-adapted CARE guidelines. Introduction sections of case reports had the best item reporting (80% on average), while Case Presentation (54%) and Results (52%) sections scored moderately overall, with only 20% of necessary Practitioner Description items included on average. Audit scores revealed inconsistent abstract reporting and few audited case reports including client race (20%), perspective (26%), and occupation/activities (40%); practitioner practice setting (12%), training (12%), scope-of-practice (29%), and credentialing (20%); adverse events or lack thereof (17%); and some aspect of informed consent (34%). Treatment descriptor item reporting varied from high to low. Various implications of concern are discussed. The current audit and descriptive analysis highlight several reporting inconsistencies in TMB case reports prior to 2015. Reporting guidelines for case reports are important if standards for, and impact of, TMB case reports are desired. Adherence to reporting

  12. Learning SQL Server Reporting Services 2012

    CERN Document Server

    Krishnaswamy, Jayaram

    2013-01-01

    The book is packed with clear instructions and plenty of screenshots, providing all the support and guidance you will need as you begin to generate reports with SQL Server 2012 Reporting Services.This book is for those who are new to SQL Server Reporting Services 2012 and aspiring to create and deploy cutting edge reports. This book is for report developers, report authors, ad-hoc report authors and model developers, and Report Server and SharePoint Server Integrated Report Server administrators. Minimal knowledge of SQL Server is assumed and SharePoint experience would be helpful.

  13. Sustainable NREL Biennial Report, FY 2012 - 2013 (Management Report)

    Energy Technology Data Exchange (ETDEWEB)

    Slovensky, Michelle [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-03-01

    NREL's Sustainability Program plays a vital role bridging research and operations - integrating energy efficiency, water and material resource conservation and cultural change - adding depth in the fulfillment of NREL's mission. The report, per the GRI reporting format, elaborates on multi-year goals relative to executive orders, achievements, and challenges; and success stories provide specific examples. A section called "The Voice of NREL" gives an inside perspective of how to become more sustainable while at the same time addressing climate change.

  14. Komunikace CSR aktivit: CSR reporting

    OpenAIRE

    Jiří Kutlák; Petra Taušl Procházková

    2017-01-01

    This paper focuse on CSR reporting. The aim of this paper is to discuss several aspects influencing the CSR reporting in details and get more precisely information regarding CSR reporting topic in general. Firstly, there is a theoretical part aimed at general explanation of CSR issues such as definition, arguments for and against CSR and CSR reporting. In the next part, particular aspects which influence CSR reporting are discussed. The analysis is conducted on basis of important research pap...

  15. Environment-effect reporting. Chapter 6

    International Nuclear Information System (INIS)

    Hermens, P.A.H.

    1989-01-01

    Environment-effect reporting is a tool in the resolution of one or more government bodies about activities which may have important disadvantageous impacts upon the environment. This chapter gives a treatment of environment-effect reporting as a process consisting of the preparation, draw-up, judgement and use of an environment-effect report (MER), followed by an evaluation. The contentsof an environment-effect report are indicated. The role of environment-effect reporting in relation with other procedures is discussed. Some experience with the application of environment-effect reporting is presented and a number of experiences in the application are discussed. (H.W.). 5 refs.; 3 figs.; 3 tabs

  16. 17 CFR 420.3 - Reporting.

    Science.gov (United States)

    2010-04-01

    ... SECURITIES EXCHANGE ACT OF 1934 LARGE POSITION REPORTING § 420.3 Reporting. (a) A reporting entity is subject... large position threshold specified by the Department for a specific Treasury security issue. The... or dates (as of close of business) for which the large position information must be reported; and the...

  17. 7 CFR 1216.60 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Reports. 1216.60 Section 1216.60 Agriculture... INFORMATION ORDER Peanut Promotion, Research, and Information Order Reports, Books, and Records § 1216.60 Reports. (a) Each producer and first handler subject to this part shall be required to report to the...

  18. 47 CFR 3.60 - Reports.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Reports. 3.60 Section 3.60 Telecommunication... MARITIME AND MARITIME MOBILE-SATELLITE RADIO SERVICES Reporting Requirements § 3.60 Reports. (a) Initial... authority is required to submit to the FCC a report on additions, modifications or deletions to its list of...

  19. 10 CFR 36.83 - Reports.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Reports. 36.83 Section 36.83 Energy NUCLEAR REGULATORY COMMISSION LICENSES AND RADIATION SAFETY REQUIREMENTS FOR IRRADIATORS Records § 36.83 Reports. (a) In addition to the reporting requirements in other parts of NRC regulations, the licensee shall report the...

  20. 18 CFR 4.21 - Reports.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Reports. 4.21 Section 4... Reports. Representatives of the Commission will inspect the project works, engineering reports, and other..., records, and accounts of the licensee relating to the property under license, and prepare a report of...