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Sample records for consultorio medico plaza

  1. Intervención sobre ITS/VIH/sida en adolescentes pertenecientes a dos consultorios del policlínico "Plaza" Intervention on STI/HIV/AIDS in adolescents who belong to two medical practices of the polyclinic Plaza

    Directory of Open Access Journals (Sweden)

    Alejandro Luis Fadragas Fernández

    2012-09-01

    Full Text Available Introducción: se observa en el mundo una tendencia ascendente en el padecimiento de las infecciones de transmisión sexual, debido al comienzo de las relaciones sexuales a edades cada vez más tempranas. Objetivo: incrementar el nivel de información acerca de las enfermedades de transmisión sexual. Métodos: se realizó un estudio experimental de intervención, sobre ITS/VIH/sida en un grupo de adolescentes pertenecientes a dos consultorios. De un universo de 125 adolescentes se seleccionó una muestra de 70 de ellos. Se aplicó una encuesta previa al programa de intervención, luego se implementó el curso y después se aplicó nuevamente el cuestionario. Resultados: inicialmente 65 adolescentes (92,8 %, respondieron tener información sobre el tema tratado, y después de la intervención se elevó a un 100 %. Dentro de las fuentes de obtención de la información, la familia fue la más identificada por 47 encuestados (67,1 % y después de la intervención por 67 (95,7 %. Al analizar los grupos de edades a los que afectan las infecciones de transmisión sexual, 62 encuestados (88,5 %, identificaron que puede ser a todas las edades y después se elevó a 64 (91,4 %. Con respecto a la eficacia en el uso del condón para evitar las infecciones de transmisión sexual, al comienzo respondieron afirmativamente 41 (58,5 % y luego se elevó a un 100 %. Conclusiones: en primera instancia los adolescentes conocían muy poco sobre algunos de los aspectos estudiados, y después de impartido el curso, se observó un aumento del conocimiento sobre estas enfermedades en sentido general.Introduction: There is an upward trend in the world related to sexually transmitted infections, due to the onset of sexual intercourse at increasingly early ages. Objective: to increase the level of information about sexually transmitted diseases. Methods: An experimental study intervention was carried out on STI/HIV/AIDS in a group of teenagers from two medical practices

  2. Delta Plaza kohvik = Delta Plaza cafe

    Index Scriptorium Estoniae

    2010-01-01

    Tallinnas Pärnu mnt 141 asuva kohviku Delta Plaza sisekujundusest. Sisearhitektid Tiiu Truus ja Marja Viltrop (Stuudio Truus OÜ). Tiiu Truusi tähtsamate tööde loetelu. Büroohoone Delta Plaza arhitektid Marika Lõoke ja Jüri Okas (AB J. Okas & M. Lõoke)

  3. REBRANDING EKALOKASARI PLAZA “Pattern of Communication In Rebrandring Process Ekalokasari Plaza"

    Directory of Open Access Journals (Sweden)

    Arien Afriesta

    2016-03-01

    Full Text Available AbstrakPerkembangan pusat perbelanjaan yang semakin meningkat di Kota Bogormendorong Ekalokasari Plaza (sekarang menjadi LIPPO Plaza Bogor untukmelakukan perubahan agar dapat bersaing dengan berbagai pusat perbelanjaanmodern lainnya, khususnya yang berada di Kota Bogor.Ekalokasari Plaza yang sekarang sudah berubah menjadi LIPPO Plaza Bogormerupakan salah satu pusat perbelanjaan tertua di Kota Bogor, bahkan lebih tuadibandingkan Botani Square yang menjadi pesaing utama pusat perbelanjaan moderndi Kota Bogor. Berdasarkan sebuah situs blog yang bernama “Hello Bogor” terdapatinformasi tiga besar pusat perbelanjaan modern terbesar di Kota Bogor pada tahun2012, yaitu Botani Square, Ekalokasari Plaza (LIPPO Plaza Bogor, dan CibinongCity Mall.

  4. Plaza de toros en Toulouse

    Directory of Open Access Journals (Sweden)

    Jean Barets

    2017-06-01

    Full Text Available La plaza de toros de Toulouse ha sido construida en tres meses; tiene una capacidad para 12.500 espectadores; 49,26 m de diámetro interior; 90,05 m de diámetro exterior, y 18,50 m de altura. A excepción de los soportes principales, losas, antepechos nudos, el resto de la estructura se ha prefabricado en taller a pie de obra. En este trabajo se describe la obra, sus características más importantes y los métodos constructivos empleados en su ejecución.

  5. "Art Plaza" oli vaieldamatult parim projekt : EKA maja / Indrek Allmann

    Index Scriptorium Estoniae

    Allmann, Indrek, 1972-

    2008-01-01

    Eesti Kunstiakadeemia uue hoone rahvusvahelisel arhitektuurikonkursil I preemia saanud Taani arhitektuuribüroode Sea + Effekt projektis "Art Plaza" on arvestatud ajaloolist konteksti ja jätkusuutlikkust. "Art Plaza" taustaks näiteid arhitektuuriajaloost

  6. Medico-legal autopsies in Denmark

    DEFF Research Database (Denmark)

    Larsen, Sara Tangmose; Lynnerup, Niels

    2011-01-01

    At 2.7% in 1970, the Danish medico-legal autopsy frequency was lower than recent frequencies observed in the Nordic countries (4-24%). The aim of this study was to analyse trends in the number and frequency of Danish medico-legal autopsies.......At 2.7% in 1970, the Danish medico-legal autopsy frequency was lower than recent frequencies observed in the Nordic countries (4-24%). The aim of this study was to analyse trends in the number and frequency of Danish medico-legal autopsies....

  7. Delta Plaza kohvik = The Delta Plaza Café / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2010-01-01

    Tallinnas Pärnu mnt. 141 asuva kohviku Delta Plaza sisekujundusest. Sisearhitektid Tiiu Truus ja Marja Viltrop (Stuudio Truus OÜ). Hoone arhitektid Jüri Okas ja Marika Lõoke (AB J. Okas & M. Lõoke). Žürii liikme Mait Summataveti arvamus kohvikust

  8. Le nonne di Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Benedetta Calandra

    2006-11-01

    Full Text Available The article is focused on a specific case study of ‘motherist movement’ in Argentina during the last military rule (1976-1983: the Grandmothers of Plaza de Mayo. Blurring the boundaries between public and private realm, these old women, without a previous, soundly-based political conscience, were able to set up a transnational human rights movement, well known all over the world, while looking for their abducted grandchildren. A crucial issue, still, is: how far did this group go in terms of advocating womens’ rights? Could we really find a correspondence, as Jelin puts it, between ‘women for human rights’ and ‘women for women’s rights’? The answer, as the Argentinean case shows, seems to be not so straightforward.

  9. Ethical issues in medico-legal exposures

    International Nuclear Information System (INIS)

    O'Reilly, G.; Malone, J. F.

    2008-01-01

    The Medical Exposure Directive (MED) 97/43/Euratom defines medico-legal procedures as 'procedures performed for insurance or legal purposes without a medical indication'. The term 'medico-legal exposures' covers a wide range of possible types of exposures, very different in nature, for which the only feature in common is the fact that the main reason for performing them does not relate directly to the health of the individual being exposed to ionising radiation. The key issue in medico-legal exposures is justification. Balancing the advantages and disadvantages of such exposures is complex because not only can these be difficult to quantify and hence compare, but often the advantage may be to society whereas the disadvantage is usually to an individual. This adds an additional layer of ethical complexity to the problem and one, which requires input from a number of sources beyond the established radiation protection community. Because medico-legal exposures are considered to be medical exposures, they are not subject to dose limits. In medico-legal exposures where the benefit is not necessarily to the individual undergoing the exposure, the question must be asked as to whether or not this is an appropriate framework within which to conduct such exposures. This paper looks at the current situation in Europe, highlighting some of the particular problems that have arisen, and tries to identify the areas, which require further clarification and guidance. (authors)

  10. Historia clínica en el consultorio: Una necesidad

    Directory of Open Access Journals (Sweden)

    Leonardo A Cuesta Mejías

    1997-08-01

    Full Text Available Se analizan las ventajas y desventajas del modelo de historia clínica individual vigente para la atención primaria de salud en nuestro país. Se tuvieron en cuenta decenas de opiniones recogidas a todo lo largo del país y la experiencia de más de 11 años como médicos de la familia de los autores del trabajo. Se concluye que es improcedente la utilización de una historia clínica individual de tipo ambulatorio en la atención primaria de salud en nuestro medio. Como quiera que en la carpeta metodológica ministerial aparece como una indicación recoger estas historias en los consultorios que sea posible, y que ha sido algo no muy bien comprendido por un grupo importante de médicos de la familia, consideramos necesario el desarrollo de este trabajo, el cual puede servir de fundamentación teórica de esta indicación.The adventages an disadventages of the standing model of individual medical history for primary health care in our country are analyzed. Tens of opinions obtained troughout the country and the experience accumulated by the authors for more than 11 years working as family physicians were taken into account. It is concluded that it is not convenient the use of ambulatory individual medical histories at the primary health care level in our environment. As in the ministerial methodological instructions it is indicated to keep these histories at the physician's office whenever it is possible, and an important group of family physicians do not understand it very well, we consider as necessary the development of this paper, which may be used as a theoretical foundation of this indication.

  11. Un proyecto para prevención de accidentes desde el consultorio del pediatra

    OpenAIRE

    Waisman, Ingrid; Rodríguez, María Inés; Malamud, Benjamín; Zabala, Rubén; Echegaray, Liliana; Bornoroni, Gladys Elda

    2005-01-01

    Introducción. La intervención del pediatra en el consultorio es una de las estrategias que se recomiendan en la prevención de lesiones no intencionales. Pese a que la mayoría de los pediatras argentinos son conscientes de esta realidad, son pocas las medidas concretas que utilizan para revertir esta situación. Proponemos evaluar una metodología consistente en aplicar un programa educativo desde el consultorio pediátrico a madres de lactantes menores de 6 meses relacionado conceptualmente y te...

  12. OUTDOOR SPACE QUALITY: CASE STUDY OF A UNIVERSITY CAMPUS PLAZA

    Directory of Open Access Journals (Sweden)

    Dicle Aydin

    2008-11-01

    Full Text Available This article studied the concept of campus plaza, i.e. the outdoor space of the Selcuk University located in Konya, Turkey. The objective of the study in which the survey, observation and photographic methods were used, was to examine the plaza as an outdoor space providing individual and social benefits to campus people and to determine the principles regarding the establishment of this space. Two hundred forty-three students participating in the survey were asked about the outdoor spaces they use in the campus area, the qualities of the plaza, their purposes and the frequency of plaza use, and a descriptive analysis was performed to determine the plaza’s quality. Additionally, a correlation analysis was carried out to evaluate the relationship between the landscape accessory and the manner in which the users’ senses were affected by the experienced space (profiles of the space. At the end of this study, two main components determining the campus plaza’s quality were found: (i qualities of the physical environment (climatic features, location of plaza, its relation with the surrounding structuring, pedestrian / vehicle relation in terms of accessibility, fixed elements / equipment in the area, quality of open space area, quality of landscape accessory and area’s being in good repair (ii user characteristics. User characteristics also comprised two quality criteria: (i the behavioural and functional quality, (ii the visual quality.

  13. Heritage plaza parking lots improvement project- Solar PV installation

    Energy Technology Data Exchange (ETDEWEB)

    Hooks, Todd [Agua Caliente Indian Reservation, Palm Springs, CA (United States)

    2017-03-31

    The Agua Caliente Band of Cahuilla Indians (ACBCI or the “Tribe”) installed a 79.95 kW solar photovoltaic (PV) system to offset the energy usage costs of the Tribal Education and Family Services offices located at the Tribe's Heritage Plaza office building, 90I Tahquitz Way, Palm Springs, CA, 92262 (the "Project"). The installation of the Solar PV system was part of the larger Heritage Plaza Parking Lot Improvements Project and mounted on the two southern carport shade structures. The solar PV system will offset 99% of the approximately 115,000 kWh in electricity delivered annually by Southern California Edison (SCE) to the Tribal Education and Family Services offices at Heritage Plaza, reducing their annual energy costs from approximately $22,000 annually to approximately $200. The total cost of the proposed solar PV system is $240,000.

  14. City Plaza büroohoone edu üllatas asjatundjaid / Aivo Vahemets

    Index Scriptorium Estoniae

    Vahemets, Aivo

    2004-01-01

    Kuigi kinnisvaraspetsialistid olid City Plaza büroohoonesse äripindade rentnike leidmise suhtes skeptilised, on Tallinnas asuvas City Plaza kõrghoones 31 äripinnast rentimata veel vaid kaks. Vt. samas intervjuud Ain Kivisaarega. Lisa: City Plaza büroohoone

  15. A FORM ANALYSIS OF JAPANESE PEDESTRIAN DECKS AND EUROPEAN PLAZAS

    Directory of Open Access Journals (Sweden)

    ANDO Naomi

    2015-06-01

    Full Text Available This study compares Japanese pedestrian decks and European plazas as public pedestrian spaces. The characteristics of both types of spaces will be clarified through a schematic analysis. The connections of these spaces with their surroundings will also be analyzed. Further, the spatial image of these spaces are discussed. Pedestrian spaces in Romania will be discussed as well.

  16. Metro Plaza za fasadom Rotermanna / Viktoria Jürmann

    Index Scriptorium Estoniae

    Jürmann, Viktoria

    2008-01-01

    Pandi nurgakivi Tallinnas Viru väljaku äärde rajatavale büroohoonele Metro Plaza. Säilitatakse vana fassaad, mille tõttu kujuneb hoone Viru väljaku ja Mere puiestee poolsel küljel kaetud galerii jalakäijatele. Projekteerisid Raivo Kotov ja Kaur Stöör

  17. Radiographic investigations during medico-legal autopsies

    Energy Technology Data Exchange (ETDEWEB)

    Bratzke, H.; Schneider, V.; Dietz, W.

    1982-04-01

    During the last 13 years (1968-1980), 427 radiographic examinations were carried out during the course of medico-legal autopsies at the Institute of Forensic Medicine at the Free University of Berlin. Important problems were the demonstration of retained foreign bodies resulting from shooting, stabbing or blunt trauma, bone injuries, identification, and the question of life in neonates. An historical survey is given and 12 cases with special forensic problems are illustrated and discussed, and further means of investigations are described.

  18. Dynamically Determining the Toll Plaza Capacity by Monitoring Approaching Traffic Conditions in Real-Time

    Directory of Open Access Journals (Sweden)

    Cheolsun Kim

    2016-03-01

    Full Text Available This study presents an analytical method for dynamically adjusting toll plaza capacity to cope with a sudden shift in demand. The proposed method uses a proxy measure developed using discharge rate observed at toll plazas and segment travel times measured by probe vehicles. The effectiveness of the method has been evaluated by analyzing the empirical data obtained from toll plazas in the San Francisco Bay Area before and after toll plaza capacity changed. Findings indicate that the estimated number of vehicles stored near the upstream of toll plaza based on discharge rate and their travel times can be used as a proxy measure for predicting the effect of changes in toll plaza capacity. The proposed model can aid government agencies to dynamically adjust the toll plaza capacity in response to a sudden shift in demand due to various situations of failure.

  19. Control de la fecundidad: experiencia de 15 años de trabajo en un consultorio médico Fertility control: experience of 15 years of work in a family phsycian's office

    Directory of Open Access Journals (Sweden)

    Esperanza Martínez Uriarte

    2006-12-01

    Full Text Available El modelo de salud cubano ha propiciado un desarrollo en la esfera de la salud que se expresa en los cambios ocurridos en los perfiles demográficos envejecimiento de la población y descenso de la fecundidad. Se realizó un estudio observacional descriptivo y retrospectivo de la población del Consultorio Médico # 3 del Policlínico Universitario “Vedado”, en el municipio Plaza, en el período comprendido desde 1990 a 2005, con el propósito de evaluar el comportamiento de la fecundidad en un consultorio durante 15 años de trabajo. Se aplicó el método estadístico porcentual, tasas y razones. Se concluyó que ocurrieron 78 nacimientos, y los años 1993 y 1995 alcanzaron las mayores tasas de natalidad y fecundidad. Predominaron los nacimientos del sexo masculino, y la razón de masculinidad fue de 1,3 por cada un nacimiento del sexo femenino. El 60,2 % de las madres tienen nivel de preuniversitario y el 57,7 % son trabajadoras. La mayor frecuencia de la fecundidad se establece en los grupos de edad de 25 a 29 años, seguidos por el de 20 a 24.The Cuban health model has propitiated a development in the health sphere that is expressed through the changes occurred in demographic profiles, such as the population aging and the fertility decrease. An observational, descriptive and cross-sectional study of the population seen at the Family Physician Office # 3 of “Vedado” University Polyclinic, in Plaza municipality, was conducted from 1990 to 2005 aimed at evaluating the behavior of fertility in a family physician office during 15 years. The percentage statistical method, rates and ratios were applied. There were 78 births and the highest rates of natality an fertility were attained in 1993 and 1995. The births of males prevailed. The masculinity ratio was 1.3 per every birth of a female. 60.2 % of the mothers had a preuniversity educational level, and 57.7 % were workers. The greatest frequency of fertility was observed in the age group

  20. Manual de identidad corporativa del consultorio odontológico Miguel Ángel Nieto

    OpenAIRE

    Pachón Nieto, Mónica Johanna

    2013-01-01

    El proyecto de grado titulado MANUAL DE IDENTIDAD CORPORATIVA DEL MIGUEL ANGEL NIETO es el resultado de la investigación realizada al consultorio odontológico, de tal forma que la creación de la identidad corporativa y la realización de propuestas comunicativas permitan que la empresa genere recordación en el mercado en el que se encuentra.

  1. Conocimiento sobre salud buco-dental de las embarazadas. Consultorio La California. 2012

    OpenAIRE

    Yero Mier, Ileana María; García Rodríguez, Marisel; Reytor Saavedra, Eduardo; Nazco Barrios, Lidia Ester

    2013-01-01

    Fundamento: existe desconocimiento sobre salud bucal de las embarazadas, como consecuencia acuden con frecuencia a los servicios de estomatología. Objetivo: identificar el nivel de conocimiento sobre salud buco-dental en pacientes embarazadas del Consultorio La California. 2012. Metodología: se realizó estudio observacional descriptivo. La población y la muestra fueron 93 embarazadas que asistieron a la consulta estomatológica. Se analizaron diferentes afecciones e identificación de factores ...

  2. Tracking a "facer's" behavior in a public plaza

    DEFF Research Database (Denmark)

    2014-01-01

    The video shows the tracking of a "facer's" behavior in a public plaza using a thermal camera (non-privacy violating) and a visualization of the tracks in a space-time cube in a 3D GIS. The tracking data is used in my PhD project on Human Movement Patterns in Smart Cities. The recording and analy...... and analysis of the thermal video has been made in collaboration with Rikke Gade from the Visual Analytics of People Lab at Aalborg University.......The video shows the tracking of a "facer's" behavior in a public plaza using a thermal camera (non-privacy violating) and a visualization of the tracks in a space-time cube in a 3D GIS. The tracking data is used in my PhD project on Human Movement Patterns in Smart Cities. The recording...

  3. ANALISIS KENDALA POTENSIAL PENERAPAN TOTAL QUALITY MANAGEMENT HOTEL PLAZA SEMARANG

    Directory of Open Access Journals (Sweden)

    Hendrajaya -

    2010-03-01

    Full Text Available Penelitian ini bertujuan untuk menemukan faktor-faktor yang terbentuk dari kendala penerapan Total Quality Management (TQM, sebagai upaya untuk menganalisis masalah-masalah potensial dari penerapan TQM di Hotel Plaza, Semarang. Sampel dari penelitian ini sejumlah 65 karyawan Hotel Plaza, Semarang yang terdiri dari manajer dan staf. Teknik analisis menggunakan Faktor Analisis. Hasil penelitian menunjukkan, bahwa kendala potensial dari implementasi TQM dapat disimpulkan menjadi lima faktor, yaitu faktor inkonsistensi, visi-misi, transformasi budaya, manajerial dan manajemen kualitas. Penelitian ini memberikan rekomendasi bahwa peningkatan fungsi-fungsi korporat melalui optimalisasi kualitas sebagai strategi bisnis dan orientasi pada kepuasan konsumen dengan melibatkan seluruh anggota organisasi, akan menjadi dasar untuk memaksimalkan daya saing perusahaan dalam hal produk, layanan, SDM, lingkungan dan seluruh proses yang dapat mendukung upaya perbaikan produktivitas. This study aims to determine the constraint factors and to analyze the potential problems of TQM implementation of Plaza Semarang Hotel. The sample of 65 employees of TQM implementation of Plaza Semarang Hotel, consist of managers and staffs. Factor analysis is used to achieve the results of the potential constraint implementation of Total Quality Management which can be summarized into five factors, they are: the factor of inconsistencies, the factor of vision and mission, cultural transformation factors, managerial factors and the factors of quality management. In order to increase the corporate functions through the optimization of quality as a business strategy and to achieve customer satisfaction, this study suggests that all members of the organization should be involved by the company as on-going basis to maximize the competitiveness of the organization on products, services, human resources, environment and all processes that support productivity improvement.

  4. Part 1: Medico-legal documentation South African Police Services ...

    African Journals Online (AJOL)

    Valid medico-legal consent differs from medical consent. Knowledge of legislation pertaining to child pornography and the practical and ethical aspects of photography is also necessary. Inappropriate completion of medico-legal documentation may necessitate the practitioner having to explain the documentation to make it ...

  5. Medico-legal issues in breast imaging

    Energy Technology Data Exchange (ETDEWEB)

    Purushothaman, H.N., E-mail: hema.purushothaman@bartsandthelondon.nhs.uk [Department of Radiology, St Bartholomew' s Hospital, London (United Kingdom); Wilson, R. [Department of Radiology, The Royal Marsden Hospital, Sutton, Surrey (United Kingdom); Michell, M.J. [Department of Radiology, King' s College Hospital, London (United Kingdom)

    2012-07-15

    Aim: To identify medico-legal issues that occur in the diagnosis and radiological management of breast disease and to propose measures to reduce the risk of patient complaints and legal action in breast radiology and diagnosis. Materials and methods: Institutional review board approval was not applicable for this study. A retrospective study was undertaken and records of 120 medico-legal investigations over a 10 year period were examined. The reports were compiled by two consultant breast radiologists. Results: The mean age of the patients represented in this study was 48.3 years. The main complaint in this series was a delay in diagnosis (92%) followed by inappropriate or inadequate treatment (8%). 81% of cases were patients who had presented to the symptomatic clinic. The main presenting symptom was a palpable lump (65%). Substandard care was cited in 49/120 cases (41%). The mean average delay in diagnosis was 15.6 months. Of the cases cited as substandard care, 61% were considered the fault of the radiologist and 14% considered the fault of the breast surgeon. Of the cases where the radiologist was considered to be at fault, microcalcification was the most common mammographic sign to be missed or misinterpreted (12/26 cases, 46%). Conclusion: The most common complaint in this series was delay in diagnosis with microcalcification being the main mammographic sign that was either not seen or misinterpreted by the radiologist. Clear and precise written protocols are recommended for all breast imaging practice to ensure that medico-legal investigations will be greatly reduced.

  6. Medico-legal issues in breast imaging

    International Nuclear Information System (INIS)

    Purushothaman, H.N.; Wilson, R.; Michell, M.J.

    2012-01-01

    Aim: To identify medico-legal issues that occur in the diagnosis and radiological management of breast disease and to propose measures to reduce the risk of patient complaints and legal action in breast radiology and diagnosis. Materials and methods: Institutional review board approval was not applicable for this study. A retrospective study was undertaken and records of 120 medico-legal investigations over a 10 year period were examined. The reports were compiled by two consultant breast radiologists. Results: The mean age of the patients represented in this study was 48.3 years. The main complaint in this series was a delay in diagnosis (92%) followed by inappropriate or inadequate treatment (8%). 81% of cases were patients who had presented to the symptomatic clinic. The main presenting symptom was a palpable lump (65%). Substandard care was cited in 49/120 cases (41%). The mean average delay in diagnosis was 15.6 months. Of the cases cited as substandard care, 61% were considered the fault of the radiologist and 14% considered the fault of the breast surgeon. Of the cases where the radiologist was considered to be at fault, microcalcification was the most common mammographic sign to be missed or misinterpreted (12/26 cases, 46%). Conclusion: The most common complaint in this series was delay in diagnosis with microcalcification being the main mammographic sign that was either not seen or misinterpreted by the radiologist. Clear and precise written protocols are recommended for all breast imaging practice to ensure that medico-legal investigations will be greatly reduced.

  7. pico-PLAZA, a genome database of microbial photosynthetic eukaryotes.

    Science.gov (United States)

    Vandepoele, Klaas; Van Bel, Michiel; Richard, Guilhem; Van Landeghem, Sofie; Verhelst, Bram; Moreau, Hervé; Van de Peer, Yves; Grimsley, Nigel; Piganeau, Gwenael

    2013-08-01

    With the advent of next generation genome sequencing, the number of sequenced algal genomes and transcriptomes is rapidly growing. Although a few genome portals exist to browse individual genome sequences, exploring complete genome information from multiple species for the analysis of user-defined sequences or gene lists remains a major challenge. pico-PLAZA is a web-based resource (http://bioinformatics.psb.ugent.be/pico-plaza/) for algal genomics that combines different data types with intuitive tools to explore genomic diversity, perform integrative evolutionary sequence analysis and study gene functions. Apart from homologous gene families, multiple sequence alignments, phylogenetic trees, Gene Ontology, InterPro and text-mining functional annotations, different interactive viewers are available to study genome organization using gene collinearity and synteny information. Different search functions, documentation pages, export functions and an extensive glossary are available to guide non-expert scientists. To illustrate the versatility of the platform, different case studies are presented demonstrating how pico-PLAZA can be used to functionally characterize large-scale EST/RNA-Seq data sets and to perform environmental genomics. Functional enrichments analysis of 16 Phaeodactylum tricornutum transcriptome libraries offers a molecular view on diatom adaptation to different environments of ecological relevance. Furthermore, we show how complementary genomic data sources can easily be combined to identify marker genes to study the diversity and distribution of algal species, for example in metagenomes, or to quantify intraspecific diversity from environmental strains. © 2013 John Wiley & Sons Ltd and Society for Applied Microbiology.

  8. Radiographic investigations during medico-legal autopsies

    International Nuclear Information System (INIS)

    Bratzke, H.; Schneider, V.; Dietz, W.

    1982-01-01

    During the last 13 years (1968-1980), 427 radiographic examinations were carried out during the course of medico-legal autopsies at the Institute of Forensic Medicine at the Free University of Berlin. Important problems were the demonstration of retained foreign bodies resulting from shooting, stabbing or blunt trauma, bone injuries, identification, and the question of life in neonates. An historical survey is given and 12 cases with special forensic problems are illustrated and discussed, and further means of investigations are described. (orig.) [de

  9. A Guide to the PLAZA 3.0 Plant Comparative Genomic Database.

    Science.gov (United States)

    Vandepoele, Klaas

    2017-01-01

    PLAZA 3.0 is an online resource for comparative genomics and offers a versatile platform to study gene functions and gene families or to analyze genome organization and evolution in the green plant lineage. Starting from genome sequence information for over 35 plant species, precomputed comparative genomic data sets cover homologous gene families, multiple sequence alignments, phylogenetic trees, and genomic colinearity information within and between species. Complementary functional data sets, a Workbench, and interactive visualization tools are available through a user-friendly web interface, making PLAZA an excellent starting point to translate sequence or omics data sets into biological knowledge. PLAZA is available at http://bioinformatics.psb.ugent.be/plaza/ .

  10. Bioseguridad en el uso de los rayos x en el consultorio dental

    OpenAIRE

    Ballona Chambergo, Pedro

    1999-01-01

    Busca conocer si los rayos x en los consultorios dentales de la ciudad de Lima son utilizados con los debidos conocimientos y normas básicas de radioprotección que establece el reglamento de bioseguridad radiológica. Mide el grado de conocimiento y aplicación de los medios de protección radiológica, que posee el profesional ó personal asistente, que labora con equipos de rayos x dentales. Determina el grado de conocimiento acerca de los parámetros básicos, en el manejo del equipo de rayos x. ...

  11. Medico-legal documentation South African Police Services forms

    African Journals Online (AJOL)

    information to the court and to be an educator. S Afr Fam ... Keywords: forensic medicine, medico-legal, legal documentation, assault, sexual assault, under the influence. Abstract .... Documentation in the absence of a South African Police.

  12. Visualization of ground truth tracks for the video 'Tracking a "facer's" behavior in a public plaza'

    DEFF Research Database (Denmark)

    2015-01-01

    The video shows the ground truth tracks in GIS of all pedestrians in the video 'Tracking a 'facer's" behavior in a public plaza'. The visualization was made using QGIS TimeManager.......The video shows the ground truth tracks in GIS of all pedestrians in the video 'Tracking a 'facer's" behavior in a public plaza'. The visualization was made using QGIS TimeManager....

  13. Aspects of dento/medico-legal report writing.

    Science.gov (United States)

    Wood, Geoff D

    2014-03-01

    This paper offers some guidance on aspects of dento/medico-legal report writing, citing anonymized examples from the author's caseload for clarification of the points made, and also serves to illustrate that sometimes not everything is as straightforward as it may initially appear. It provides reference to the current Civil Procedure Rules in England and Wales and its relevance in report writing. To provide guidance on aspects of dento/medico-legal report writing.

  14. Espacios públicos recientemente remodelados en el casco antiguo de Madrid (2006-2011 : la Plaza de Las Cortes y la Plaza del Callao

    Directory of Open Access Journals (Sweden)

    Aurelio Nieto Codina

    2010-01-01

    Full Text Available La descripción de las obras de renovación de dos plazas singulares del Casco Antiguo de Madrid (Plaza de Las Cortes y Plaza del Callao sirve para ejemplificar los cambios recientes en las dinámicas de los espacios públicos urbanos, considerados como un patrimonio cultural vinculado a valores estéticos. Si tradicionalmente los valores cívicos y sociales definían a plazas, parques, jardines y calles, en esta nueva situación, se busca integrarlos en dinámicas empresariales, homogeneizando los diseños y entregándolos a intereses privados. El artículo comienza definiendo las claves que caracterizan a los espacios públicos urbanos y, tras revisar estudios recientes, presenta algunas alternativas metodológicas para analizarlos.The description of the renovation of two unique square in the Old Town of Madrid (Plaza de las Cortes and Plaza del Callao serves to illustrate the recent changes in the dynamics of urban public spaces, considered as a cultural heritage linked with aesthetic values. If traditionally the social and civic values define squares, parks, gardens and streets, in this new situation, it will seek to integrate them into business dynamics, standardizing designs and turning them over to private interests. At first, the article defines key characteristics of urban public spaces and, after reviewing recent studies, presents some methodological alternatives for analysis.

  15. Phytol in a pharma-medico-stance.

    Science.gov (United States)

    Islam, Md Torequl; de Alencar, Marcus Vinícius Oliveira Barros; da Conceição Machado, Katia; da Conceição Machado, Keylla; de Carvalho Melo-Cavalcante, Ana Amélia; de Sousa, Damiao Pergentino; de Freitas, Rivelilson Mendes

    2015-10-05

    This study aims to review phytol (PYT), through published articles, periodicals, magazines and patents, which were retrieved from the PM, SD, WS, SP; DII, WIPO, CIPO, USPTO and INPI databases. Among the 149 articles and 62 patents, 27.52% articles and 87.09% patients were found on the searched topic, PYT and its sources and synthesis and metabolism; then followed by 15.44% and 14.77% articles on PYT in cytotoxicity/cancer/mutagenicity/teratogenicity and PYT in neurological diseases, respectively. In the pharma-medico viewpoint, PYT and its derivatives have been evident to have antimicrobial, cytotoxic, antitumorous, antimutagenic, anti-teratogenic, antibiotic-chemotherapeutic, antidiabetic, lipid lowering, antispasmodic, anticonvulsant, antinociceptive, antioxidant, anti-inflammatory, anxiolytic, antidepressant, immunoadjuvancy, hair growth facilitator, hair fall defense and antidandruff activities. Otherwise, the important biometebolite of PYT is phytanic acid (PA). Evidence shows PA to have cytotoxic, anticancer, antidiabetic, lipid lowering and aniteratogenic activities. In addition, it may be considered as an important biomarker for some diseases such as Refsum's Disease (RD), Sjögren Larsson syndrome (SLS), rhizomelic chondrodysplasia punctata (RZCP), chronic polyneuropathy (CP), Zellweger's disease hyperpipecolic academia (ZDHA) and related diseases. Thus, phytol may be considered as a new drug candidate. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. Radiodermatitis. Etiological and medico-legal considerations

    International Nuclear Information System (INIS)

    Bredard-Usseglio, Catherine.

    1978-04-01

    This study covers 22 radiodermatitis cases recorded in and around Paris and in industry, from January 1st 1967 to mid-1977, by the health insurance treasury of te Paris region. Special attention was paid to the analysis of their frequency, seriousness and causes and of the medico-legal problems involved. According to our observations these accidents mainly affect radiometallographers, crystallographers, people studying materials by X-fluorescence and technicians responsible for maintenance of medical X-ray radiotherapy machines, the activities most prevalent in the industrial use of ionizing radiations. Three main accident factors are observed: imperfections in the protection system and in the maintenance of equipment; carelessness of personnel towards ionizing radiations owing to the apparent absence of immediate effects; lack of information on the danger of ionizing radiations and on the defensive measures necessary. Three means of protection must be developed as a result: wearing of an extra dosimeter on the wrist or finger; permanent information of staff; checks on equipment and constant improvement in the protection of particularly dangerous instruments (gammagraphs). Acute and chronic radiodermatitis are taken in charge as occupational diseases since they appear in table six of these illnesses with a coverage period of 60 days and 10 years. Radiodermatitis patients face the question of professional reclassification, a difficulty all the greater as their qualifications are high. The possibility of paid professional training for occupational disease victims is especially useful when the subjects are still young [fr

  17. La magia de Plaza Sésamo IV

    OpenAIRE

    Revista Chasqui

    2015-01-01

    Con el apoyo de UNICEF y de TELEVISA- México, se ha conformado un equipo, "Taller de televisión para niños" para diseñar la IV Etapa de Plaza Sésamo, serie de televisión educativa para niños de 3 a 6 años de la América Latina. Este programa ha sido diseñado y producido para estimular el desarrollo de destrezas fundamentales de los pequeños televidentes, preparándoles así para un buen desarrollo en la escuela y proveerlos de actitudes sanas y productivas para su vida futura.

  18. La magia de Plaza Sésamo IV

    Directory of Open Access Journals (Sweden)

    Revista Chasqui

    2015-01-01

    Full Text Available Con el apoyo de UNICEF y de TELEVISA- México, se ha conformado un equipo, "Taller de televisión para niños" para diseñar la IV Etapa de Plaza Sésamo, serie de televisión educativa para niños de 3 a 6 años de la América Latina. Este programa ha sido diseñado y producido para estimular el desarrollo de destrezas fundamentales de los pequeños televidentes, preparándoles así para un buen desarrollo en la escuela y proveerlos de actitudes sanas y productivas para su vida futura.

  19. El silencio abyecto en la plaza del diamante

    Directory of Open Access Journals (Sweden)

    Miaowei Weng

    2018-05-01

    Full Text Available El artículo examina los roles de género impuestos a las mujeres en España bajo el régimen franquista. Revisita la novela de La plaza del Diamante, escrita por Mercè Rodoreda en 1962, y descifra el silencio de la protagonista en el contexto de la posguerra española. A partir de la concepción de lo abyecto de Julia Kristeva, explora cómo el silencio se vuelve informativo sobre la resistencia mental de la protagonista contra la imposición patriarcal, la impotencia que una mujer común siente bajo el franquismo y el crecimiento gradual de la subjetividad femenina.

  20. [Medical data security in medico-legal opinioning].

    Science.gov (United States)

    Susło, Robert; Swiatek, Barbara

    2005-01-01

    Medical data security can be approached in medico-legal opinioning in three main situations: security of medical data, on which the opinion should be based, opinioning itself and whether the medical data security was properly ensured and ensuring medical data security during medico-legal opinion giving. The importance of medical data security, during collecting, processing and storing, as well in medical as in legal institutions, is of major importance for the possibility of providing a proper medico-legal opinion. Theoretically speeking, it is possible to give a proper medico-legal opinion using incorrect data, but the possibility is low. When the expert is given improper, unreadable, incomplete or even bogus in part or in the whole medical data it is extremely possible, that he fails in giving his opinion. The term "medical data" was defined and subsequently there was a brief review of medical data storing methods made and specific threats bound with them, based on modern literature. The authors also pointed out possible methods of preventing the threats. They listed Polish as well as international regulations and laws concerning the problem, accenting the importance of preserving medical data for the purposes of medico-legal opinioning.

  1. Medico-legal aspects of vertical root fractures in root filled teeth

    DEFF Research Database (Denmark)

    Rosen, E; Tsesis, I; Tamse, A

    2012-01-01

    To analyse the medico-legal aspects of vertical root fracture (VRF) following root canal treatment (RCT).......To analyse the medico-legal aspects of vertical root fracture (VRF) following root canal treatment (RCT)....

  2. Una plaza para una Catedral. Concurso de remodelación de la Plaza de la Reina. Valencia

    Directory of Open Access Journals (Sweden)

    Juan Francisco Noguera

    2000-12-01

    Full Text Available La restauración de un monumento y la adecuación de su entorno urbano no suelen ir, lamentablemente, acompañadas. La oportunidad de dotar de un espacio público apropiado a la restaurada puerta del Miguelete de la catedral de Valencia se ha presentado como consecuencia del concurso para la remodelación de la plaza de la Reina, promovido por el Colegio Oficial de Arquitectos de la Comunidad Valenciana con la colaboración del Ayuntamiento. Éste último tiene el poder de decisión de realizar el primer premio y acabar con una larga y controvertida historia.

  3. Comportamiento de los factores de riesgo de la enfermedad aterosclerótica en un consultorio médico Performance of risk factors in atherosclerotic disease in a physician´s office

    Directory of Open Access Journals (Sweden)

    Luis Ernesto Arocha Yieng

    2004-04-01

    Full Text Available Se realizó un estudio descriptivo transversal, en el que se exploró la presencia de factores de riesgo de aterosclerosis en la población mayor de 20 años del Consultorio No. 6 perteneciente al Policlínico Plaza de la Revolución, en el período 2001-2002. La información se recopiló mediante el método de encuestas a través de las entrevistas médicas, y la revisión de las historias clínicas individuales y familiares. A cada factor de riesgo se le otorgó un valor acorde con su intensidad, siendo el valor resultante la suma de los factores de riesgo. Se procesaron los datos de las variables objeto de estudio por el sistema SPSS/ PC - 08 mediante el cual se realizó análisis estadístico que se resumió en tablas. Se obtuvo que casi 1/3 de la población está en el grupo de mayores de 60 años con predominio del sexo femenino; y los factores de riesgo presentes con mayor frecuencia fueron el sedentarismo, la hipertensión arterial y el hábito de fumar, relacionados con la edad, no así con el sexo. El riesgo total de aterosclerosis aumentó proporcionalmente con la edad.A cross-sectional descriptive study was made in whcih the presence of risk factors in atherosclerosis in a population aged over 20 years from the doctor´s office no. 6 in Plaza de la Revolution municipality from 2001 to 2002. Data was collected through medical surveys and revision of individual and family clinical histories. Each risk factor was given a value in line with its intensity, being the resulting value the addition of all the risk factors. Data about the variables under study were processed by SPSS system PT-06 by which the statistical analysis was made and later summarized in tables. Almost one third of population is in the over 60 years-old group, being females the predominant group, and the most frequent risk factors were lack of exercising, blood hypertension and smoking, all related to age but not to sex. The overall risk of atherosclerosis rose

  4. Riesgo reproductivo preconcepcional: análisis de su comportamiento en tres consultorios médicos Preconceptional reproductive risk: analysis of its behavior in three family physician’s offices

    Directory of Open Access Journals (Sweden)

    Yanet Cabrera Cao

    2005-08-01

    Full Text Available Se realizó un estudio descriptivo, de corte transversal en el que se analizó el comportamiento del riesgo reproductivo preconcepcional en 412 mujeres en edad fértil de 3 consultorios del Grupo Básico de Trabajo C, del Policlínico "Plaza de la Revolución", en el período comprendido de enero de 2002 a enero de 2004. Se valoraron diferentes variables como: la edad, los principales factores de riesgo, los métodos anticonceptivos utilizados, y como resultado de las acciones integrales de salud, el riesgo obstétrico y la morbimortalidad maternoinfantil. Se encontró un subregistro del riesgo preconcepcional, y el factor de riesgo de mayor prevalencia fue la edad menor de 18 años. Los dispositivos intrauterinos y las píldoras predominaron dentro de los contraceptivos, pero no se vio un enfoque epidemiológico de riesgo individual e integral en la elección del método anticonceptivo según factor de riesgo. En los casos con riesgo preconcepcional, independientemente de su previa dispensarización o no, se apreció relación directa con el riesgo obstétrico y perinatal, siendo el peso de riesgo al nacer, los partos distócicos, la toxemia, el distress respiratorio y el sufrimiento fetal agudo los más frecuentes.A descriptive cross-sectional study was undertaken to analyze the behavior of the preconceptional reproductive risk in 412 women at fertile age from 3 family physician’s offices of the Basic Working Group C of “Plaza de la Revolución” Polyclinic from January 2002 to January 2004. Different variables such as age, main risk factors, contraceptive methods used, and as a result of the comprehensive health actions, the obstetric risk and the maternal and children’s morbimortality. A subregistry of preconceptional risk was found and the risk factor of higher prevalence was the age under 18. The intrauterine devices and the pills predominated within the contraceptive methods, but there was not an epidemiological approach of

  5. City Plaza - intervjuu konstruktor Tiit Massoga / Tiit Masso ; interv. Martin Jänes

    Index Scriptorium Estoniae

    Masso, Tiit, 1935-

    2005-01-01

    Konkursil "Aasta betoonehitis 2004" pälvis City Plaza eriauhinna insenertehnilise lahenduse eest. Arhitektuur: OÜ Alver Trummal Arhitektid, projekteerija: IB Pike OÜ, Tiit Masso, ehitaja: Estconde-E OÜ. Ill.:4 välisvaadet, sisevaade

  6. Medical simulation-based education improves medicos' clinical skills.

    Science.gov (United States)

    Wang, Zhaoming; Liu, Qiaoyu; Wang, Hai

    2013-03-01

    Clinical skill is an essential part of clinical medicine and plays quite an important role in bridging medicos and physicians. Due to the realities in China, traditional medical education is facing many challenges. There are few opportunities for students to practice their clinical skills and their dexterities are generally at a low level. Medical simulation-based education is a new teaching modality and helps to improve medicos' clinical skills to a large degree. Medical simulation-based education has many significant advantages and will be further developed and applied.

  7. Pengaruh Bauran Pemasaran terhadap Kepuasan Pelanggan Restoran D€™cost Plaza Andalas Padang

    OpenAIRE

    Sumarni, Sumarni; Dewita Hia, Yulna; Monica, Stella

    2014-01-01

    ABSTRAK 1 Issues that are examined in this study is the influence of marketing mix on customer satisfaction cost d restaurant Andalas Padang plaza. The purpose of this study was to analyze the effect of marketing mix on customer satisfaction cost d restaurant plaza andalas Padang . The methodology used in this study is the method of multiple linear regression analysis. The technique of collecting data using questionnaires , such as statements regarding the marketing mix consists of product , ...

  8. FLOW PATTERNS OF VEHICULAR TRAFFIC ALONG HIGHWAY TOLL PLAZA IN OGUN STATE

    Directory of Open Access Journals (Sweden)

    Bashiru A. Raji

    2009-06-01

    Full Text Available Congestion on our highways, freeways and arterials are increasing at an alarming rate. This occurs because there is an increase in vehicular growth without a corresponding increase in road size, and this has made free flow of traffic a preponderant problem in our highways. Toll plaza causes delay on our highways and results are formation of queue. This paper examined how simple queuing model can be used to determine traffic intensity and the flow pattern of car traffic at a toll plaza. The study was carried out with twelve field assistants at Ogere toll plaza in Ogun State. Findings show a significant variation in the degree of hourly traffic intensities at the four pay points for cars at the toll plaza. However, variation in the daily traffic intensities at the four pay points for cars showed no significant variation. The study also revealed that bumps constructed to check vehicles speed, hawker’s trading activities are among other factors that constitute hindrance to free flow of traffic other than service time and inter-arrival time of cars at the toll plaza. It is therefore recommended that appropriate authority should look into these factors and take necessary steps towards ensuring free flow of traffic at the plaza.

  9. [Relevant factors in medico-legal prognosis of whiplash injury].

    Science.gov (United States)

    Pujol, Amadeo; Puig, Luisa; Mansilla, Joaquina; Idiaquez, Itziar

    2003-07-12

    Whiplash injury (WI) is commonly evaluated in medico-legal practice. With the aim of knowing the determining factors of WI's medico-legal prognosis, a prospective and observational study was carried out. One hundred and twenty consecutive patients who were clinically observed and evaluated in the Medico-Legal Clinic of Barcelona were studied. Socio-demographic, clinical, radiographic and evolutive factors were analyzed. We included 120 patients with a mean age of 35.6 (14) years (range, 4-74), with a homogeneous male/female distribution. An earlier cervical pathology was detected in 10% of patients; none of them had previous psychiatric pathology. 95% corresponded to road-traffic accident cases and there were 5 aggression cases. Over 50% of cases involved a rear-end collision. All patients had neck pain, almost 25% had headache and 13% had paresthesia. According to the Whiplash Association Disorders clinical classification, distribution in grades (G) was: G I 51%, G II 32% and G III 17%. Patients reported recovery within a mean time of 71.6 (46) days (range, 4-244), with 51,2 (45) no working days (range, 0-180 days). The 52% of the patients rest with complains. According to the recovery time, the following medico-legal prognostic factors were identified: age (p legal prognostic factors were age, being females, severity of initial clinical symptoms, previous cervical pathology and abnormal cervical MRI/CT.

  10. Medico Legal Autopsies In Aba, Nigeria | Offiah | Abia State ...

    African Journals Online (AJOL)

    To determine the pattern of medico legal autopsies performed between January 2001 to December 2005 so as to highlight any differences or similarities to the observation of workers in other parts of the country and/or world. A hospital based retrospective analysis of coroner's autopsies in Abia State University Teaching ...

  11. Medico-legal documentation of rape or sexual assault: are ...

    African Journals Online (AJOL)

    L Fouché

    Background: Following upon two-year internship, community-service doctors make mistakes when they deal with evidence of medico-legal examinations in various settings. These mistakes .... the participants were doing/had done their community service were obtained. Age and gender distribution. The average age of the ...

  12. Medico-legal litigation: Balancing spiralling costs with fair ...

    African Journals Online (AJOL)

    2015-05-02

    May 2, 2015 ... 8, No. 1 SAJBL. Ames Dhai. Editor amaboo.dhai@wits.ac.za. A Medico Legal Summit was convened by the National. Minister of Health, Dr Aaron Motsoaledi, on 9 and 10 ... of preventable harm at healthcare facilities when managing patients there. Patient safety is a component of good quality healthcare.

  13. Ethical and medico-legal aspects of dementia | Potocnik ...

    African Journals Online (AJOL)

    Ethical and medico-legal aspects of dementia. FCV Potocnik. Abstract. No Abstract. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL ...

  14. Diagnóstico del abdomen agudo en el consultorio del Médico de Familia

    Directory of Open Access Journals (Sweden)

    Caridad Soler Morejón1

    2001-08-01

    Full Text Available El diagnóstico de afecciones abdominales agudas es a menudo complejo y difícil para el médico práctico, pero más aún si contamos con los recursos diagnósticos limitados de un consultorio médico en el nivel de atención primaria. Es por ello que resulta de utilidad poder disponer de métodos simples y eficaces que permitan mejorar la certeza del diagnóstico y que puedan ser implementados con facilidad en este medio. Tal es el caso de la medición transuretral de la presión intraabdominal.Summary The diagnosis of acute abdominal affections is complex and difficult for practitioners, but it is even more complicated when the diagnostic tools are limited, as it is the case of the family physician’s office at the primary health care level. That’s why, it is useful to have simple and effective methods that allow to improve the accuracy of diagnosis and that may be applied in this setting. That’s what happens with the transurethral measurement of intraabdominal pressure

  15. BRICKS, BRANDING, AND THE EVERYDAY: DEFINING GREATNESS AT THE UNITED NATIONS PLAZA IN SAN FRANCISCO

    Directory of Open Access Journals (Sweden)

    Georgia Lindsay

    2017-07-01

    Full Text Available After over a decade of reports, designs, and public outreach, the United Nations Plaza in San Francisco was dedicated in 1976. Using historical documents such as government reports, design guidelines, letters, meeting minutes, and newspaper articles from archives, I argue that while the construction of the UN Plaza has failed to completely transform the social and economic life of the area, it succeeds in creating a genuinely public space. The history of the UN Plaza can serve both as a cautionary tale for those interested in changing property values purely through changing design, and as a standard of success in making a space used by a true cross-section of urban society.

  16. El único hotel asociado con summit hotels & resorts en Colombia - Hotel Bogotá Plaza

    Directory of Open Access Journals (Sweden)

    Diana Carolina Rojas

    2008-11-01

    Full Text Available Es importante conocer acerca de la historia del Hotel Bogotá Plaza. Este es el primer hotel del norte de Bogotá. La misión del hotel es permanecer en el corazón de los huéspedes y visitantes, al satisfacer sus deseos con amor, calidez, amabilidad, seguridad y servicio de excelente calidad. Desde 1996 el Bogotá Plaza Hotel ha pertenecido a Summit Hotels & Resorts. Esta es una firma que proporciona al hotel un sistema de reservas por Internet, esta alianza ha generado que el hotel sea reconocido en muchos países del mundo. Summit además se ha establecido como una organización líder en ventas, mercadeo y reservas hoteleras del mundo. Es importante asociarse con compañías destacadas así como lo hizo el Hotel Bogotá Plaza.

  17. ARBORIZACIÓN DE PLAZA Y PERCEPCIÓN HUMANA EN CAMPOS DOS GOYTACAZES, RJ

    OpenAIRE

    Cláudio Luiz Melo de Souza; Verônica de Morais; Paulo Roberto Corrêa Landgraf

    2011-01-01

    Cuando aumenta la percepción ambiental de las personas, tambien se reduce el grado del vandalismo contralos bienes públicos, jardines y plazas, entonces la creencia popular es una inportante estrategia para losplaneamentos y mantenimientos de la arborización urbana. Este estudio tiene como objetivo diagnosticar laopinión de la población de Campos dos Goytacazes (RJ), sobre la forestación de la Plaza Barón del RioBranco. Se hizo un levantamiento cuantitativo de los arboles y se realizó una enc...

  18. Imaging of body packing: errors and medico-legal issues.

    Science.gov (United States)

    Reginelli, Alfonso; Russo, Anna; Urraro, Fabrizio; Maresca, Duilia; Martiniello, Ciro; D'Andrea, Alfredo; Brunese, Luca; Pinto, Antonio

    2015-10-01

    Body packing is the ingestion or insertion in the human body of packed illicit substances. Over the last 20 years, drug smuggling has increased global and new means of transport of narcotics have emerged. Among these, the most frequent one is the gastrointestinal tract: from mouth to anus, vagina, and ears. Cocaine is one of the most traded drugs, followed by heroin. Condoms, latex gloves, and balloons are typically used as drug packets for retention in the body. There are different radiologic modalities to detect illicit drugs in body packing: Plain radiography, computed tomography (CT), ultrasound, and magnetic resonance. Current protocols recommend the use of radiography to confirm packet retention and, in case of doubt, the use of abdominal CT scan with reduced mAs. In case of packet rupture, catastrophic effects can occur. Management of patients carrying packets of drugs is a recurrent medico-legal problem. To improve diagnostic accuracy and prevent hazardous complications, radiologists and emergency physicians should be familiar with radiologic features of body packing. The radiologist plays both a social and a medico-legal role in their assessment, and it should not be limited only to the identification of the packages but must also provide accurate information about their number and their exact location. In this review, we focus on diagnostic errors and medico-legal issues related to the radiological assessment of body packers.

  19. Manejo de la angina de pecho en el consultorio del Médico de Familia

    Directory of Open Access Journals (Sweden)

    Héctor Conde Cerdeira

    2000-12-01

    Full Text Available Se realiza una revisión sobre los aspectos clínicos de la angina de pecho haciendo énfasis en el dolor típico que se presenta con los esfuerzos y estrés, con características de ser opresivo, retroesternal, difuso, con irradiación al cuello, mandíbula, hombros y brazo izquierdo, y que se alivia con el reposo y/o la nitroglicerina. Se enuncian los resultados más relevantes del electrocardiograma, el ecocardiograma, la prueba ergométrica y se menciona la utilidad de la angiografía coronaria en estos casos. Por último se brinda la conducta a seguir desde el consultorio del Médico de Familia, referente al tratamiento general y farmacológico, empleando los nitratos, bloqueadores beta, los anticálcicos y los nuevos medicamentos utilizadosA review is made on the clinical aspect of angina pectoris, making emphasis on the typical pain that occurs on effort and stress. This pain is oppressive, retrosternal, diffuse and radiates into the neck, jaw, shoulders and left arm. It relieves by rest and/or nitroglycerine. The most significant results of the electrocardiogram, the echocardiogram and the ergometric test are shown. The usefulness of coronary angiography in these cases is also mentioned. Finally, it is explained the conduct to be followed from the family physician's office in relation to the general and pharmacological treatment by using nitrates, beta blockers, calcium antagonists and new drugs

  20. Calidad de la atención al adulto mayor en el consultorio del Médico de la Familia

    Directory of Open Access Journals (Sweden)

    Maria Esther Alvarez Lauzarique

    Full Text Available servicios y la satisfacción de la población y sus prestadores. Cuba posee el 18,3 % de su población con 60 años y más, y tendencia al aumento en los años futuros. De ahí que se vaticine un incremento en los servicios de salud, situación que afecta su calidad, por lo que evaluar la atención que se presta en el nivel primario constituye una necesidad. Objetivo: evaluar la calidad del proceso de atención que se brinda a los ancianos en consultorios del médico de la familia. Métodos: investigación evaluativa, descriptiva y transversal en el municipio 10 de Octubre. Como fuente de información se empleó la historia clínica de los 100 pacientes seleccionadas en 10 consultorios de los policlínicos Luis Pasteur y Luis de la Puente Uceda, cuya información se obtuvo mediante un formulario validado. Resultados : el 31,2 % de las variables fueron evaluadas en la categoría de bueno, las restantes no alcanzaron el estándar. Conclusiones: la calidad del proceso de atención en el consultorio mostró insuficiencias de acuerdo con los estándares establecidos, lo que debe tenerse en cuenta para la mejora continua de la atención a este segmento de la población.

  1. De symbolische constructie van straatkinderen : Jongens en meisjes van Plaza Garibaldi (Mexico-Stad)

    NARCIS (Netherlands)

    Gigengack, R.A.

    1997-01-01

    This article takes the reader to Plaza Garibaldi, a famous square in Mexico City, where many poor and street poor dwell. The ethnographic material was gathered by extensive field work conducted from 1989 through 1996. It focuses on, and provides a contextfor, banda or street poor youngsters

  2. Kawe Plaza. Pärnu mnt. 15/Tatari 2, Tallinn / Piret Lindpere

    Index Scriptorium Estoniae

    Lindpere, Piret, 1963-

    1998-01-01

    Kawe Plaza arhitektist Henno Sillastest. Sisekujundus: H. Sillaste, Kristiina Voolaid, ARS Interjöörprojekt. Peatöövõtt: AS EMV. Projekt 1993-1997, valmis 1998. Lainja klaasfasaadiga pika ja kitsa ärihoone lahenduse tingis krundi kolmnurkne kuju. Maja on sobitatud teiste väljakut moodustavate hoonetega. Tagafassaad on graniidist.

  3. Microbial health risks associated with exposure to stormwater in a water plaza.

    Science.gov (United States)

    Sales-Ortells, Helena; Medema, Gertjan

    2015-05-01

    Climate change scenarios predict an increase of intense rainfall events in summer in Western Europe. Current urban drainage systems cannot cope with such intense precipitation events. Cities are constructing stormwater storage facilities to prevent pluvial flooding. Combining storage with other functions, such as recreation, may lead to exposure to contaminants. This study assessed the microbial quality of rainwater collected in a water plaza and the health risks associated with recreational exposure. The water plaza collects street run-off, diverges first flush to the sewer system and stores the rest of the run-off in the plaza as open water. Campylobacter, Cryptosporidium and Legionella pneumophila were the pathogens investigated. Microbial source tracking tools were used to determine the origin (human, animal) of the intestinal pathogens. Cryptosporidium was not found in any sample. Campylobacter was found in all samples, with higher concentrations in samples containing human Bacteroides than in samples with zoonotic contamination (15 vs 3.7 gc (genomic copies)/100 mL). In both cases, the estimated disease risk associated with Campylobacter and recreational exposure was higher than the Dutch national incidence. This indicates that the health risk associated with recreational exposure to the water plaza is significant. L. pneumophila was found only in two out of ten pond samples. Legionnaire's disease risks were lower than the Dutch national incidence. Presence of human Bacteroides indicates possible cross-connections with the CSS that should be identified and removed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Contaminación fecal canina en plazas y veredas de Buenos Aires, 1991-2006

    Directory of Open Access Journals (Sweden)

    Diana Rubel

    2010-08-01

    Full Text Available El objetivo del trabajo fue presentar y analizar los datos de contaminación fecal canina y parasitaria en plazas y veredas de Buenos Aires obtenidos entre 1991 y 2006 por la Cátedra Parasitología General (Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires. Se censaron las heces en varias plazas cada año en un único día entre 1991-2006. A partir del año 2000 se censaron heces en veredas circundantes. En cada plaza se seleccionaron al azar 30 heces frescas que se conservaron en formol 5% para su análisis parasitológico por el método de flotación de Willis con solución saturada de ClNa. Los 51 censos presentaron una mediana de heces de 288; un 82% de las heces se observaron en los canteros de tierra o pasto. La contaminación fecal en las plazas fue mayor en el período 2000-06 que en el anterior (p = 0.0000. La contaminación fecal de las plazas aumentó con la densidad humana en las manzanas lindantes (p = 0.0076. Las veredas mostraron un patrón inverso, ya que la contaminación fecal fue mayor en las áreas menos densamente pobladas (p = 0.0000. Se detectaron parásitos en un número variable de las heces colectadas en todas las plazas. Los géneros más frecuentes fueron Ancylostoma (20.47%, Trichuris (2.59% y Toxocara (1.70%. Nuestros resultados indican un aumento en la contaminación fecal de las plazas, posiblemente asociado con el aumento del número de perros en la ciudad combinado con las deficiencias en la implementación y el seguimiento de las medidas de control.

  5. Ethics and medico legal aspects of "Not for Resuscitation"

    Directory of Open Access Journals (Sweden)

    Naveen Sulakshan Salins

    2010-01-01

    Full Text Available Not for resuscitation in India still remains an abstract concept with no clear guidelines or legal frame work. Cardiopulmonary resuscitation is a complex medical intervention which is often used inappropriately in hospitalized patients and usually guided by medical decision making rather than patient-directed choices. Patient autonomy still remains a weak concept and relatives are expected to make this big decision in a short time and at a time of great emotional distress. This article outlines concepts around ethics and medico legal aspects of not for resuscitation, especially in Indian setting.

  6. Microbial Health Risks Associated with Exposure to Stormwater in a Water Plaza

    Science.gov (United States)

    Sales-Ortells, Helena; Medema, Gertjan

    2015-04-01

    Climate change scenarios predict an increase of intense rainfall events in summer in Western Europe. Current urban drainage systems cannot cope with such intense precipitation events. Cities are constructing local stormwater storage facilities to prevent pluvial flooding. Combining storage with other functions, such as recreation, may lead to exposure to contaminants. This study assessed the microbial quality of rainwater collected in a water plaza in Rotterdam (The Netherlands) and the health risks associated with recreational exposure. The water plaza collects street run-off, diverges first flush to the sewer system and stores the rest of the run-off in the plaza as open water. A rain simulation experiment was conducted using drinking water from fire hydrants. The water flowed over the street pavement into the street gutters and into the square. Samples were collected from the first flush diverted water and from two different levels of the water plaza at different points in time. Campylobacter spp., Cryptosporidium, and Legionella pneumophila were the pathogens investigated, using quantitative PCR. Escherichia coli was quantified with culture methods to obtain information on faecal contamination. Microbial source tracking tools (human Bacteroides, avian Helicobacter and canine mitochondrial DNA, all analysed with quantitative PCR) were used to determine the origin (human, animal) of the intestinal pathogens. To estimate the health risks for children playing in the water plaza after a rain event, a quantitative microbial risk assessment model was built. The volume of water ingested was obtained from literature on similar locations (flooded streets). Published dose-response models were used to calculate the risk per event. Exposure frequency was estimated using weather data (precipitation events). E. coli concentrations were below the level for excellent bathing water in the EU Bathing Water Directive. Cryptosporidium was not found in any sample. Campylobacter spp

  7. Secuencia constructiva de las plazas en el Grupo Principal de El Palmar, Campeche, México Constructive Sequence of Plazas in the Main Group of El Palmar, Campeche, México

    Directory of Open Access Journals (Sweden)

    Kenichiro Tsukamoto

    2012-01-01

    Full Text Available La ubicación y dimensión de los espacios abiertos fueron aspectos considerados al planificar las ciudades de las Tierras Bajas Mayas en el periodo prehispánico. Las plazas eran los espacios políticos donde las élites gobernantes legitimaban a sus autoridades y manifestaban a otros participantes sus capacidades para comunicarse con los ancestros o deidades. Este trabajo se centra en la secuencia constructiva de ocho plazas en el Grupo Principal del sitio arqueológico de El Palmar, Campeche, México. Los resultados obtenidos durante las temporadas de campo en el 2007 y el 2009 indican que las grandes plazas fueron construidas durante la segunda mitad del Clásico Temprano (400-600 d.C. y que en ellas se celebraron ceremonias públicas inscritas en los monumentos conmemorativos.The location and dimension of open spaces were important aspects involved in Maya Lowlands planning during the prehispanic period. Plazas were political spaces in which ruling elites legitimated their authorities and manifested to other participants their capacities of communication with ancestors or deities. This paper focuses on the construction sequence of eight plazas at the Main Group of El Palmar, Campeche, Mexico. The results recovered from the 2007 and 2009 fieldwork seasons indicate that large plazas were build during the second part of the Early Classic period (400-600 AD, with the erection of commemorative monuments narrating public ceremonies.

  8. PERANCANGAN SISTEM PENGUKURAN KINERJA DENGAN METODE PERFORMANCE PRISM (Studi Kasus di Plaza Hotel Semarang

    Directory of Open Access Journals (Sweden)

    Hery Suliantoro

    2012-03-01

    Full Text Available Selama ini Plaza hotel belum pernah melakukan pengukuran kinerja yang terintegrasi yang terdiri dari aspek finansial dan non finansial. Dilihat dari prosentase tingkat hunian yang tidak memenuhi target yang ditetapkan, maka pengukuran kinerja yang terintegrasi diharapkan mampu memberikan perbaikan kinerja yang diharapkan. Dengan menggunakan performance prism, dilakukan identifikasi kebutuhan dan kontribusi stakeholder secara keseluruhan sehingga didapat indikator kinerja dari kriteria strategi, proses dan kapabilitas yang dijadikan tolok ukur perbaikan kinerja.. tahap pengumpulan data dengan menyebarkan matriks perbandingan berpasangan sebagai dasar penyusunan bobot kepentingan pada AHP dan kuesioner target pencapaian kinerja sebagai dasar penetapan skor aktual pada OMAX. Dari analisis yang dilakukan setelah bobot kepentingan diperoleh dan perhitungan nilai performansi, dilakukan simulasi perbaikan satu-satuan nilai performansi agar didapat kriteria dan elemen apa saja yang mendapat prioritas perbaikan dan rekomendasi perbaikan yang perlu dilakukan untuk meningkatkan kinerja Plaza Hotel Semarang. Kata kunci : Performance Prism, AHP, OMAX, skor aktual

  9. A decision support system for the promotion of Employee in Plaza Asia Method Using Weighted Product

    Directory of Open Access Journals (Sweden)

    Egi Badar Sambani

    2016-06-01

    Full Text Available Decision-making in a company is important because decisions taken by managers is the result of a final thought to be carried out by employees. Asia is the largest mall Plaza sepriangan east, where the assessment process includes the promotion employee attendance, productivity (work, integrity (nature, skill (ability and loyalty (faithfulness. Method Using Weighted Product (WP can help in decision-making to determine the promotion of employees in the company, as well as the appraisal process more efficient so the store manager can determine employee promotions quickly. By using decision support system that has a database, employee data can be stored in the database. So that in case of errors in inputting can be corrected without having to re-enter the data. With the Decision Support System will address the issues raised in the Plaza Asia, so the promotion process will be faster.

  10. Cherry Creek North Improvements and Fillmore Plaza Landscape Performance Benefits Assessment

    OpenAIRE

    Yang, Bo; Zhang, Yue

    2012-01-01

    The 16-block Cherry Creek North retail district was designed to be Denver's premier outdoor shopping area. Yet deteriorating infrastructure, tired aesthetics and competition from an adjacent indoor mall had led to steady decline. Fillmore Plaza in the heart of the district was no longer a desirable public space since being closed to vehicular traffic in 1987. The new streetscape strengthens the retail environment, preserves the district's history and character, improves identity, beautifies t...

  11. Analisi Pengaruh Store Name, Brand Name, Dan Price Discounts Terhadap Purchase Intentions Konsumen Infinite Tunjungan Plaza

    OpenAIRE

    Gunawan, Andy

    2013-01-01

    Andy Gunawan:SkripsiAnalisis pengaruh store name, brand name dan price discounts terhadap purchase intention konsumen infnite tunjungan plaza Di era globalisasi ini, persaingan dagang antara Perusahaan – Perusahaan baik lokal maupun global menjadi semakin ketat, oleh karena itu Perusahaan selalu berusaha untuk meningkatkan ketertarikan minat beli konsumen. Beberapa variabel yang menjadi fokus Perusahaan adalah store name, brand name, dan price discount. Tujuan penelitian ini adalah untuk meng...

  12. Evidence of ritual entombment and architectural renovation in a plaza at Huaca Pucllana

    OpenAIRE

    Ríos Palomino, Nilton

    2017-01-01

    Archaeological excavations in the northeast sector of the archaeological site of Pucllana exposed an accumulation of cultural debris lying on the surface of a door. The context of these findings and the analysis of the building sequencedemonstrate that these materials came from the upper part of a sunken plaza. The analysis of the artifacts shows that they were remnants of large-scale food consumption and the result of a complex sequence of ritual performances.According to this evidence, we p...

  13. La imprescriptibilidad del delito de desaparición forzada: El caso Plazas Vega

    Directory of Open Access Journals (Sweden)

    Omar Huertas Díaz

    2013-09-01

    Full Text Available One of the most controversial topics in Colombian Criminal Law nowadays is based on the sentence regarding retired Colonel Plazas Vega in terms of the Statute of Limitations for crimes against humanity. This paper is a summary of this sentence seen from diverse legalistic, guarantistic and argumentative stances in order to guide readers, and open a debate concerning the decisions adopted in this case

  14. Near-surface Imaging of a Maya Plaza Complex using Ground-Penetrating Radar

    Science.gov (United States)

    Aitken, J. A.; Stewart, R. R.

    2005-05-01

    The University of Calgary has conducted a number of ground-penetrating radar surveys at a Maya archaeological site. The purpose of the study is to discern the near-surface structure and stratigraphy of the plaza, and to assist the archaeologists in focusing their excavation efforts. The area of study is located in Belize, Central America at the ancient Maya site of Maax Na. Flanked by structures believed to be temples to the north and west, the archaeologists were interested in determining how many levels of plaza were built and if there was any discernable slope to the plaza. Over the last three years, both 2-D lines and 3-D grids were acquired at the plaza using a Sensors and Software Inc. Noggin Plus system at an antenna frequency of 250 MHz. The processing flow consisted of the application of gain, various filtering techniques and a diffraction stack migration using Reflexw. Interpolation of the gridded data was investigated using simple averaging, F-K migration, pre-stack migration and inversion techniques. As this study has evolved over different field seasons, measured velocities appear to change with the saturation level of the shallow section. Velocity measurements ranged from 0.058 - .106 m/ns during the wet conditions encountered in 2002 and 2004, while velocities of 1.22 - 1.40 m/ns were measured in the drought of 2003. The GPR images to date indicate continuous and interpretable images of the subsurface, showing evidence of structure, discontinuities and amplitude variations. A number of interesting anomalies have been identified, and prioritized for excavation.

  15. PLAZA 3.0: an access point for plant comparative genomics

    Science.gov (United States)

    Proost, Sebastian; Van Bel, Michiel; Vaneechoutte, Dries; Van de Peer, Yves; Inzé, Dirk; Mueller-Roeber, Bernd; Vandepoele, Klaas

    2015-01-01

    Comparative sequence analysis has significantly altered our view on the complexity of genome organization and gene functions in different kingdoms. PLAZA 3.0 is designed to make comparative genomics data for plants available through a user-friendly web interface. Structural and functional annotation, gene families, protein domains, phylogenetic trees and detailed information about genome organization can easily be queried and visualized. Compared with the first version released in 2009, which featured nine organisms, the number of integrated genomes is more than four times higher, and now covers 37 plant species. The new species provide a wider phylogenetic range as well as a more in-depth sampling of specific clades, and genomes of additional crop species are present. The functional annotation has been expanded and now comprises data from Gene Ontology, MapMan, UniProtKB/Swiss-Prot, PlnTFDB and PlantTFDB. Furthermore, we improved the algorithms to transfer functional annotation from well-characterized plant genomes to other species. The additional data and new features make PLAZA 3.0 (http://bioinformatics.psb.ugent.be/plaza/) a versatile and comprehensible resource for users wanting to explore genome information to study different aspects of plant biology, both in model and non-model organisms. PMID:25324309

  16. PLAZA 3.0: an access point for plant comparative genomics.

    Science.gov (United States)

    Proost, Sebastian; Van Bel, Michiel; Vaneechoutte, Dries; Van de Peer, Yves; Inzé, Dirk; Mueller-Roeber, Bernd; Vandepoele, Klaas

    2015-01-01

    Comparative sequence analysis has significantly altered our view on the complexity of genome organization and gene functions in different kingdoms. PLAZA 3.0 is designed to make comparative genomics data for plants available through a user-friendly web interface. Structural and functional annotation, gene families, protein domains, phylogenetic trees and detailed information about genome organization can easily be queried and visualized. Compared with the first version released in 2009, which featured nine organisms, the number of integrated genomes is more than four times higher, and now covers 37 plant species. The new species provide a wider phylogenetic range as well as a more in-depth sampling of specific clades, and genomes of additional crop species are present. The functional annotation has been expanded and now comprises data from Gene Ontology, MapMan, UniProtKB/Swiss-Prot, PlnTFDB and PlantTFDB. Furthermore, we improved the algorithms to transfer functional annotation from well-characterized plant genomes to other species. The additional data and new features make PLAZA 3.0 (http://bioinformatics.psb.ugent.be/plaza/) a versatile and comprehensible resource for users wanting to explore genome information to study different aspects of plant biology, both in model and non-model organisms. © The Author(s) 2014. Published by Oxford University Press on behalf of Nucleic Acids Research.

  17. El Control Policial-Medico-Securitario Brasileño

    Directory of Open Access Journals (Sweden)

    Thayara Silva Castelo Branco

    2016-10-01

    Full Text Available El artículo trata de los contornos del nuevo modelo de gobierno medico-policial, introducido en Brasil a finales del siglo XIX , en los cuales tenía como objetivo promover la salud básica a través de la vía policialesca conectada al control y normalización de los peligrosos e indeseables. Así, cuestiona la medicalización y policialización de las acciones del gobierno que empiezó a conectar el concepto de "enfermedad" a la lógica de la anticipación del peligro, la delincuencia, el control, la exclusión e inocuização, cumpliendo así, la política de seguridad que allí sobresalía y que dejó graves consecuencias en el Brasil.

  18. Medico legal investigations into sudden sniffing deaths linked with trichloroethylene.

    Science.gov (United States)

    Da Broi, Ugo; Colatutto, Antonio; Sala, Pierguido; Desinan, Lorenzo

    2015-08-01

    Sudden deaths attributed to sniffing trichloroethylene are caused by the abuse of this solvent which produces pleasant inebriating effects with rapid dissipation. In the event of repeated cycles of inhalation, a dangerous and uncontrolled systemic accumulation of trichloroethylene may occur, followed by central nervous system depression, coma and lethal cardiorespiratory arrest. Sometimes death occurs outside the hospital environment, without medical intervention or witnesses and without specific necroscopic signs. Medico legal investigations into sudden sniffing deaths associated with trichloroethylene demand careful analysis of the death scene and related circumstances, a detailed understanding of the deceased's medical history and background of substance abuse and an accurate evaluation of all autopsy and laboratory data, with close cooperation between the judiciary, coroners and toxicologists. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  19. Ethno – Medico – Botany of Chenchus of Mahaboobnagar District, Andhra Pradesh

    Science.gov (United States)

    Kumar, T. Dharmachandra; Pullaiah, T.

    1999-01-01

    The present paper deals with the ethno-medico-botany of Chenchus of Mahaboobnagar district, Andhra Pradesh. About fourty four plants are enumerated with knowledge of the tribals for their medicinal uses in curing different diseases and ailments. PMID:22556915

  20. Necessity of including medico-legal autopsy data in epidemiological surveys of individuals with major trauma.

    Science.gov (United States)

    Bagher, A; Wingren, C J; Ottosson, A; Andersson, L; Wangefjord, S; Acosta, S

    2015-08-01

    It is rare that epidemiological surveys of patients with major trauma include both those admitted to the emergency department and those sent for medico-legal autopsy. The main aim of the present population-based study of major trauma was to examine the importance of medico-legal autopsy data. A new injury severity score (NISS)>15 or lethal outcome was used as criteria for major trauma and to identify patients at the emergency, anaesthesiology and forensic departments and/or being within the jurisdiction of the Malmö police authority and subjected to a medico-legal autopsy between 2011 and 2013. According to Swedish legislation all trauma related deaths should be reported to the police who refer these cases for medico-legal autopsy. Among the 174 individuals included, 92 (53%) died and 81 (47%) underwent medico-legal autopsy. One hundred twenty-six patients were primarily admitted to hospital and 48 died before admission to hospital and were sent directly for medico-legal autopsy. Forty-four in-hospital deaths occurred, of whom 33 (75%) were sent to medico-legal autopsy. In those sent directly to the department of forensic medicine the proportion of accidents was lower (pautopsies among trauma-related deaths at hospital were high age (pautopsy according to legislation, but did not. The high proportion of positive toxicological findings among fatalities examined at medico-legal autopsy implies that toxicology screening should be routine in major trauma patients, in order to improve treatment and prevention. Copyright © 2015 Elsevier Ltd. All rights reserved.

  1. Medico-legal aspects of altered sensation following endodontic treatment: a retrospective case series

    DEFF Research Database (Denmark)

    Givol, Navot; Rosen, Eyal; Bjørndal, Lars

    2011-01-01

    The objective of this study was to analyze cases of liability claims related to persistent altered sensation following endodontic treatments so as to characterize the medico-legal aspects of this complication.......The objective of this study was to analyze cases of liability claims related to persistent altered sensation following endodontic treatments so as to characterize the medico-legal aspects of this complication....

  2. Epidemiología del uso de drogas ilícitas en el municipio Plaza Epidemiology of the use of street drugs in Plaza municipality

    Directory of Open Access Journals (Sweden)

    Yohandra Milián Gerardo

    2006-02-01

    Full Text Available La drogodependencia constituye un fenómeno que provoca trastornos en el ámbito biológico, psicológico y social. Con el objetivo de caracterizar el comportamiento del uso indebido de drogas en personas vinculadas al consumo de estas sustancias, en el municipio Plaza, se realizó un estudio prospectivo, cuantitativo y transversal, cuya muestra incluyó 89 casos reportados por tarjeta de Enfermedad de Declaración Obligatoria y por el Departamento Técnico de Investigaciones en este territorio, de los años 2000 al 2003, a quienes se les aplicó un cuestionario anónimo. Se pudo determinar que predominó el grupo de 20 a 29 años (41,57 %, el sexo masculino (92,13 %, los solteros (41,57 %, el nivel medio de escolaridad (71,91 %, los desvinculados laboralmente (62,92 %, y con una edad de inicio en el consumo entre los 10 y los 15 años (50,88 %.Drug dependence is a phenomenon that causes disorders in the biological, psychological and social spheres. In order to characterize the behavior of the inadequate use of drugs in persons linked to the consumption of these substances in Plaza municipality, a prospective, quantitative and cross-sectional study was conducted in a sample of 89 cases reported in the Compulsory Disease Declaration Card and by the Technical Department of Research in this territory, from 2000 to 2003. An anonimous questionnaire was applied. It was observed the predominance of the age group 20-29 (41.57 %, of males (92.13 %, of single individuals (41.57 %, of subjects with middle educational level (71.91 %, of unemployed (62.92 %, and of subjects aged 10-15 years old at the beginning of consumption (50.88 %.

  3. Thermal Adaptation Methods of Urban Plaza Users in Asia's Hot-Humid Regions: A Taiwan Case Study.

    Science.gov (United States)

    Wu, Chen-Fa; Hsieh, Yen-Fen; Ou, Sheng-Jung

    2015-10-27

    Thermal adaptation studies provide researchers great insight to help understand how people respond to thermal discomfort. This research aims to assess outdoor urban plaza conditions in hot and humid regions of Asia by conducting an evaluation of thermal adaptation. We also propose that questionnaire items are appropriate for determining thermal adaptation strategies adopted by urban plaza users. A literature review was conducted and first hand data collected by field observations and interviews used to collect information on thermal adaptation strategies. Item analysis--Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA)--were applied to refine the questionnaire items and determine the reliability of the questionnaire evaluation procedure. The reliability and validity of items and constructing process were also analyzed. Then, researchers facilitated an evaluation procedure for assessing the thermal adaptation strategies of urban plaza users in hot and humid regions of Asia and formulated a questionnaire survey that was distributed in Taichung's Municipal Plaza in Taiwan. Results showed that most users responded with behavioral adaptation when experiencing thermal discomfort. However, if the thermal discomfort could not be alleviated, they then adopted psychological strategies. In conclusion, the evaluation procedure for assessing thermal adaptation strategies and the questionnaire developed in this study can be applied to future research on thermal adaptation strategies adopted by urban plaza users in hot and humid regions of Asia.

  4. Occupational Noise Exposure among Toll Tellers at Toll Plaza in Malaysia

    Science.gov (United States)

    Azmi, Sharifah Nadya Syed; Dawal, Siti Zawiah Md; Ya, Tuan Mohammad Yusoff Shah Tuan; Saidin, Hamidi

    2010-10-01

    Toll tellers working at toll plaza have potential of exposure to high noise from the vehicles especially for the peak level of sound emitted by the heavy vehicles. However, occupational exposures in this workplace have not been adequately characterized and identified. Occupational noise exposure among toll tellers at toll plaza was assessed using Sound Level Meter, Noise Dosimeter and through questionnaire survey. These data were combined to estimate the work shift exposure level and health impacts to the toll tellers by using statistical analysis. Noise Dosimeter microphone was located at the hearing zone of the toll teller which working inside the toll booth and full-period measurements were collected for each work shift. The measurements were taken at 20 toll booths from 6.00 am to 2.00 pm for 5 days. 71 respondents participated in the survey to identify the symptoms of noise induced hearing loss and other health related problems among toll tellers. Results of this study indicated that occupational noise exposure among toll tellers for Mean Continuous Equivalent Level, Leq was 79.2±1.4 dB(A), Mean Maximum Level, Lmax was 107.8±3.6 dB(A) and Mean Peak Level, Lpeak was 136.6±9.9 dB. The Peak Level reported statistically significantly at 140 dB, the level of TLV recommended by ACGIH. The research findings indicated that the primary risk exposure to toll tellers comes from noise that emitted from heavy vehicles. Most of the toll tellers show symptoms of noise induced hearing loss and annoyed by the sources of noise at the toll plaza.

  5. Relación de tipo y ciclo vital familiar con la presencia de problemas psicosomáticos en un consultorio docente de medicina familiar

    Directory of Open Access Journals (Sweden)

    Maria Cuba-Fuentes

    2014-04-01

    Full Text Available Objetivos: Determinar la relación entre el tipo de familia y el ciclo vital familiar con el desarrollo de problemas psicosomáticos en pacientes que acudieron al consultorio de medicina familiar. Material y métodos: Estudio observacional de corte transversal, en el que se revisaron las historias clínicas de un consultorio docente de medicina familiar y se buscó asociación entre el tipo de familia y ciclo vital familiar con el desarrollo de problemas psicosomáticos. Resultados: Se encontró un mayor porcentaje de familias nucleares según el tipo familiar y en plataforma de despegue según el ciclo vital familiar, se encontró en un 41% del total de la muestra con al menos un problema psicosomático en la historia clínica. No se encontró asociación entre el tipo de familia y el ciclo vital familiar con el desarrollo de problemas psicosomáticos. Conclusiones: El desarrollo de problemas psicosomáticos en un consultorio docente de medicina familiar no está asociado con el tipo de familia ni con el ciclo vital familiar.

  6. Consultorios adyacentes a farmacias privadas en México: infraestructura y características del personal médico y su remuneración

    Directory of Open Access Journals (Sweden)

    Veronika J Wirtz

    2015-07-01

    Full Text Available Objetivo. Analizar las características del personal médico y su remuneración, así como la infraestructura, apego a la regulación y servicios ofrecidos en consultorios adyacentes a farmacias (CAF, y compararlos con consultorios médicos independientes (CMI. Material y métodos. Cuestionario aplicado a 239 médicos generales en 18 entidades federativas, incluido el Distrito Federal, en México en 2012. Resultados. Los médicos en CAF tenían menor experiencia profesional (5 vs 12 años, menos estudios de posgrado (61.2% vs 81.8% y menor salario base promedio mensual (MXN 5 500 vs MXN 8 500 que en CMI. En CAF hubo menor cumplimiento de la regulación en relación con la historia clínica y la receta médica. Conclusiones. Los aspectos laborales explorados de médicos en CAF son más precarios que en CMI. Es necesario fortalecer la aplicación de la regulación vigente para consultorios y generar políticas a partir del monitoreo de su funcionamiento, particularmente, pero no de forma exclusiva, en CAF.

  7. Pengaruh Penerapan Sistem Informasi Manajemen Terhadap Pelayanan Karyawan Di Hotel Garuda Plaza Medan

    OpenAIRE

    Trias, Prilyanti

    2010-01-01

    Development of hotel service owned or managed privately now shows a sufficiently high growth so that competitive level to recruit customers more difficult. Therefore, it will become a challenge for hotel service industry. One of the strategies made by Garuda Plaza Hotel Medan to maintain or increase the number of customers is to deliver the service that is most adjusted to as expected by the users of service. It is a mandatory to do by follow the advance in technology and develop a management...

  8. Preventing medico-legal issues in clinical practice

    Directory of Open Access Journals (Sweden)

    Bevinahalli N Raveesh

    2016-01-01

    Full Text Available The medical profession is considered to be one of the noblest professions in the world. The practice of medicine is capable of rendering noble service to humanity provided due care, sincerity, efficiency, and professional skill is observed by the doctors. However, today, the patient–doctor relationship has almost diminished its fiduciary character and has become more formal and structured. Doctors are no longer regarded as infallible and beyond questioning. Corporatization of health care has made it like any other business, and the medical profession is increasingly being guided by the profit motive rather than that of service. On the other hand, a well-publicized malpractice case can ruin the doctor's career and practice. The law, like medicine, is an inexact science. One cannot predict with certainty an outcome of cases many a time. It depends on the particular facts and circumstances of the case, and also the personal notions of the judge concerned who is hearing the case. The axiom “you learn from your mistakes” is too little honored in healthcare. The best way to handle medico-legal issues is by preventing them, and this article tries to enumerate the preventive measures in safeguarding the doctor against negligence suit.

  9. Bajo peso al nacer y embarazo en la adolescencia en cinco consultorios del médico de la familia

    Directory of Open Access Journals (Sweden)

    Ramón Pérez Queda

    1995-06-01

    Full Text Available Se realizó un estudio de 120 embarazadas en un área de 5 consultorios del médico de la familia en un período que comprendió de enero de 1987 a enero de 1990; de ellas, 56 eran menores de 20 años para el 46,6 %. Se realizó un estudio comparativo entre éstas y las gestantes de más de 20 años de edad, y se observó que las adolescentes presentaron mayor número de recién nacidos con bajo peso (88 % y partos pretérminos. El consumo del tabaco y la desnutrición materna fueron factores importantes que se añadieron a la adolescencia en el resultado del bajo peso al nacer.A study was performed on 120 pregnant women in an area of 5 medical offices of the Family Doctor plan from January 1987 to January 1990. Of them 56 were under 20 years of age accounting for 46,6 %. A comparative study was carried out between this group and pregnant women over 20 years, and it was observed that teenagers had a greater number of low birth weight infants (88 % and preterm deliveries. Smoking and maternal malnutrition were considered as very important factors in addition to adolescence for low birth weight.

  10. Estrategia para mejorar la práctica jurídica desarrollada en el Consultorio Jurídico

    Directory of Open Access Journals (Sweden)

    Claudia Elena Escobar Soto

    2017-10-01

    Full Text Available Las facultades de Derecho y Ciencias Jurídicas en Colombia, han concentrado su atención en la enseñanza-aprendizaje de esta ciencia, a partir de habilidades netamente cognitivas e interpretativas, no obstante, la sociedad actual exige un profesional integral, capaz de aplicar sus conocimientos jurídicos y la norma a un caso concreto y por ende plantear posibles soluciones a esa situación fáctica propuesta. De allí, surge la necesidad de fortalecer, a través de una estrategia, el desarrollo de competencias cognitiva, interpretativa, argumentativa y propositiva, en los estudiantes de séptimo semestre de la Universidad Católica de Colombia, que les permita enfrentarse a la realidad política y económica del país, cada vez más cambiante y exigente. La estrategia que se plantea, está basada en el análisis de casos, con la cual se logró que los estudiantes pongan en práctica los conocimientos teóricos adquiridos antes de enfrentarse al consultorio Jurídico de la Universidad Católica de Colombia, apropiándose de esta manera, de las competencias necesarias para el ejercicio profesional.

  11. SISTEM INFORMASI PENJUALAN VOUCHER BELANJA PADA PT. PLAZA INDONESIA REALITY Tbk. JAKARTA

    Directory of Open Access Journals (Sweden)

    Baginda Oloan Lubis

    2016-05-01

      ABSTRAK - PT. Plaza Indonesia Realty Tbk. Jakarta dalam penjualan voucher yang transaksinya dimulai dari pencatatan voucher yang masuk, pencatatan data pelanggan, pembuatan faktur penjualan voucher, pencatatan serah terima voucher dengan pelanggan  sampai pembuatan laporan  masih dilakukan secara manual, sehingga memungkinkan pada saat proses berlangsung sering terjadi kesalahan dalam pencatatan, kurang akuratnya laporan yang dibuat dan keterlambatan dalam pencarian data pada saat dibutuhkan. Untuk itu dibutuhkan adanya suatu rancangan program yang akan menunjang kegiatan sistem penjualan voucher yang memudahkan user dan mempercepat transakasi dengan pelanggan dan pembuatan laporan. Model pengembangan sistem yang digunakan dalam pembuatan sistem informasi ini adalah SDCL (System Development Life Cycle air terjun (Waterfall atau alur hidup klasik atau classic life. Tahapan-tahapan yang dilalui dalam proses analisis dan perancangan sistem antara lain: analisa kebutuhan sistem, desain, kode generator, testing dan pendukung. Dari hasil penelitian ini diharapkan dengan adanya sistem informasi penjualan voucher ini dapat membantu user dalam hal ini disebut concierge pada PT. Plaza Indonesia Realty Tbk. Jakarta dalam melakukan transaksi penjualan sampai dengan pembuatan laporan terakomodasi Kata kunci: Sistem Informasi, Penjualan Voucher, SDLC

  12. Plaza Roosevelt: la sociabilidad y el conflicto en unun espacio patinador de São Paulo

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    Giancarlo Marques Carraro Machado

    2014-06-01

    Full Text Available El objetivo de este trabajo es analizar la práctica del skate en la Plaza Roosevelt, el espacio público ubicado en la región central de São Paulo (Brasil. Los patinadores ocupan el mismo sitio desde finales de 1980, sin embargo, con su revitalización en 2012, esta ocupación se ha intensificado y hecho tornasseum pieza para la ciudad desde todos los puntos de la ciudad. A pesar de ser un espacio de sociabilidad especialmente reconocido la pieza de patinadores ha mantenido bajo constante sospecha. Como resultado, tenemos la intención de discutir no sólo la apropiación de la plaza, sino también los conflictos de las mismas corrientes. Al tomar en cuenta las acciones de múltiples actores e instituciones, a la vista, de hecho, no tratar a la pieza de patinadores como un territorio consolidado en el paisaje urbano, sino poner de relieve las negociaciones y las dinámicas relacionales que mantienen provisionalmente como tales.

  13. Awareness of medico-legal issues among medical and dental college health professionals

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    S Senthilkumar

    2013-01-01

    Full Text Available Introduction: The changing doctor-patient relationship and commercialization of modem medical practice has affected the practice of medicine. The fundamental values of medicine insist that the doctors should be aware about the various medico-legal issues which help in proper recording of medical management details. Aim: To evaluate the knowledge on Medico-legal Issues among Medical and Dental College Health Professionals of Meenakshi University (MAHER, Tamilnadu. Materials & Method: A cross-sectional survey was conducted among health professionals of Meenakshi University (MAHER, Tamilnadu. A total o f320 health professionals (163 medical and 157 dental participated in the study. A structured, closed ended, self-administered questionnaire was used for collection of data. Chi-square test was used to compare the awareness of medico-legal issues between medical and dental health professionals. Results: Among the 320 health professionals, 87.4% of medical and 76.1% of dental professionals were aware about the informed consent, 18.8% of medical and 5.7% of dental professionals had awareness about COPRA and only 14.3% of medical and 7.6% of dental professionals had awareness regarding the Medico-legal programs/courses. Conclusions: The results illustrated that the participants had little awareness on medico-legal issues. Hence there is an urgent need to update the understanding of these issues to be on a legally safer side.

  14. Medico legal and de ontological features of breast diagnosis

    International Nuclear Information System (INIS)

    Lopez, J. A.; Lopez, M. C.

    2001-01-01

    A medical and legal review of the literature in regards to the medico legal and de ontological features involved in Imaging Diagnosis of the breast was performed in order to elaborate a series of preventive measures to prevent or reduce the demands on the radiologist. Basically, the contents of the Spanish Medical De ontology Code as well the rules and laws in force in our country have been considered, both from the medical professional point of view as well as from that of the law professional. As a result of the review carried out, a series of preventive measures aimed at reducing the incidence of possible lawsuits against the radiologist who works in breast imaging diagnosis are proposed. The radiologist is regularly involved in lawsuits, especially related with the delay in the diagnosis of breast cancer. In the United States of America and Italy. he(she is the professional who receives the greatest number of lawsuits, being ahead of the gynecologist. The radiologist occupies and important place in the diagnosis of breast cancer, which converts him/her into the object of possible lawsuits. Within these, deadly in the diagnosis of cancer caused by several situations are included: these being, principally, non-detection by mammography, not using the complementary studies and not carrying out an integrated reading of the triad or binomial diagnosis. In some cases, these situations are favored by lack of experience (incompetence) of the radiologists as well as by lack of information from the patient. In order to avoid possible lawsuits, the most important preventive measures are: a) inform the patient; b) be competent in the material: c) follow an action Protocol according to the l ex artis: d) in the case of being staff, comply with the guidelines of Quality Control: e) elaborate clear and concise written reports, maintaining, if relevant, the limitations of the procedures used and suggestions for the professional clinician. (Author) 27 refs

  15. The medico-legal investigation of the El Aqsah Intifada.

    Science.gov (United States)

    Hiss, Jehuda; Freund, Maya; Motro, Uzi; Kahana, Tzipi

    2002-07-01

    The majority (n = 445) of the Israeli and Palestinian fatal victims of the El Aqsah Intifada was examined at the National Center of Forensic Medicine in Tel Aviv. Analysis of the trauma sustained and the anthropologic profile of both the victims and the perpetrators elucidates the trends and contrasts them with the phenomenon in the past. The purpose of the forensic investigation of mass casualty incidents is manifold: establishing the minimal number of individuals involved, identifying the victims and perpetrators, collecting material evidence, and determining the modus operandi. The postmortem examination includes external description of the bodies and their injuries, photo-documentation, and sampling of tissues. Radiography, dental examination, and a ten-print card of each cadaver are also recorded. The modus operandi of the current Intifada is somewhat different from that of the previous wave of terrorism and includes more road shootings and vehicular terrorism. In addition, three suicide bombers who detonated explosive devices within crowded areas were young women, and the age of the perpetrators has increased from up to 35 years to individuals as old as 47, thus greatly enlarging the potential number of suicide terrorists. Virologic and biologic tests have been introduced to examine the tissues of the suicide bombers since they are possible sources of contagion to the wounded victims. The results of the medico-legal investigation of victims and perpetrators of terrorism enable us to establish the modus operandi and the profile of potential perpetrators, which can help in the prevention of similar attacks. Documentation of the different types of injuries in fatal victims of explosion and shooting contributes to improving the awareness of the medical staff treating the wounded of similar attacks. Further investigation into the reliability of virologic and biologic tests conducted on postmortem tissue is recommended.

  16. Forensic medicine experts' opinion on medico-legal autopsies in hospital deaths: a questionnaire survey.

    Science.gov (United States)

    D'Souza, Deepak Herald; Pant, Sadip; Menezes, Ritesh George

    2013-10-01

    Medico-legal autopsy is conducted routinely in some countries and selectively in others in hospital deaths. This study was conducted to evaluate the views of the forensic medicine experts regarding this matter. A questionnaire pro forma was sent to sixty-five forensic medicine experts practicing in different medical institutions all around India. Designations and experiences of the participants were noted by requests in the same questionnaire. Their specific experience in conducting medico-legal autopsy in hospital deaths was also requested for. Responses were charted in frequency distribution tables and analyzed using SPSS, version 17.0. One-third of the participants felt that a medico-legal autopsy was necessary in all the hospital death cases as defined in the present study. Ten percent of the participants opined that a medico-legal autopsy was unnecessary in hospital deaths. The majority of the experts mentioned finding the cause of death, followed by finding the manner of death and collecting the evidentiary materials, as the reasons for medico-legal autopsy in hospital deaths. Twenty percent of the participants felt that internal findings at autopsy poorly matched with the case records. All the experts agreed that external autopsy findings matched with the hospital case records. Nearly two-third of the participants felt that it was difficult in some cases to interpret the autopsy findings without case records from the hospital where the deceased was treated. Our findings suggest that the exercise of carrying out medico-legal autopsy routinely in every hospital death as evident in the Indian framework is often unnecessary as per the experts' opinion. Autopsy findings in hospital deaths often correlate with hospital case records.

  17. A guide to medico-legal photography for personal injury claims.

    Science.gov (United States)

    Bryson, D

    1994-01-01

    Clinical photographs are in essence medico-legal records but when instructions are given to take photographs for litigation the requirement is for a more specialized approach than when producing a clinical record for the notes. There are special considerations when providing a medico-legal photographic service, from clients' instructions, preparations before photography, and the photography itself to presenting the photographs and handling the administration. As photographs are taken in support of claims for compensation for personal injury many of them can have far greater impact, financially and psychologically, on the client than clinical photographs. Inadequate coverage could be construed as professional negligence.

  18. Patrones de consumo de alcohol en la población masculina de cuatro consultorios médicos

    Directory of Open Access Journals (Sweden)

    Juan E. Sandoval Ferrer

    1998-06-01

    Full Text Available Se realizó un estudio epidemiológico descriptivo, directo y de corte transversal de la población masculina adulta perteneciente a 4 consultorios médicos de Ciudad de La Habana para realizar una caracterización de ésta según sus patrones de consumo de alcohol. Se encuestó el universo de 910 personas a quienes se aplicaron los cuestionarios CAGE y CID y a un familiar; también se tuvo en cuenta el criterio de la comunidad y la valoración psiquiátrica según la CIE-10. Se detectó el 21,8 % de consumidores de riesgo y el 6,6 % de alcohólicos con un predominio de edades en los grupos de 20 a 29 y de 30 a 39 años de edad respectivamente. Fue alta la ausencia de vínculo laboral en esos grupos. Resultaron significativas las asociaciones entre consumo de alcohol y otros hábitos tóxicos, la repercusión laboral y en las relaciones de parejaA cross-sectional, direct, descriptive and epidemiological study of the adult male population from 4 family physician’s offices in Havana City was conducted to characterize it according to its alcohol drinking patterns. 910 persons and a relative of each of them were surveyed by using the CAGE and CID questionnaries. The community’s criterion as well as the psychiatric evaluation according to CIE-10 were taken into account. 21.8 % of risk drinkers and 6.6 % of alcoholics were detected. A predominance was observed in the age groups 20-29 and 30-39, respectively. Most of these persons did not work. The associations between alcohol drinking and other toxic habits, working repercussion and couple’s relations were significant

  19. Evaluación medicosocial de los ancianos de dos consultorios pertenecientes al Policlínico "California"

    Directory of Open Access Journals (Sweden)

    Regla Ledia González Sánchez

    1998-06-01

    Full Text Available Se realizó la evaluación medicosocial de los ancianos de los Consultorios 29.1 y 29.2 del Policlínico "California", municipio San Miguel del Padrón, en 1996. Se aplicó una encuesta en todos los pacientes a los familiares, si el estado mental del anciano no lo permitía. Se encontró una mayor prevalencia del estado mental normal y el requerimiento de atención médica periódica frecuente, y fueron capaces de conocer sus medicamentos y tomarlos sin ayuda, los encuestados, en su mayoría, eran capaces de realizar actividades dentro y fuera de la casa, se encontraban parcialmente integrados a la comunidad, cubrían sus necesidades básicas y la mayoría convivía con familiaresThe medicosocial evaluation of the elderly from the family physician’s offices 29.1 and 29.2 of the "California" Polyclinic, municipality of San Miguel del Padrón, was made in 1996. All the patients or their relatives were surveyed when the mental health of the former was not good. A higher prevalence of the normal mental status was found. The requirement of periodical medical attention was frequent. Most of the patients lived with their relatives, were partially integrated to community, and were able to take their medicines without any help, to carry out activities inside and outside the house, and to meet their basic needs

  20. The newly expanded KSC Visitors Complex features a new ticket plaza, information center, exhibits an

    Science.gov (United States)

    1999-01-01

    The newly added Robot Scouts exhibit at the KSC Visitor Complex is situated next to the Rocket Garden. Part of the $13 million expansion to the Visitor Complex, the exhibit helps describe for visitors the accomplishments of unsung space heroes - space probes - and their role in space exploration. It also includes a display of how data from robotic probes might be used to build a human habitat for Mars. Visitors can witness a simulated Martian sunset. Other additions include a new foyer, films, and an International Space Station-themed ticket plaza, featuring a structure of overhanging solar panels and astronauts performing assembly tasks. The KSC Visitor Complex was inaugurated three decades ago and is now one of the top five tourist attractions in Florida. It is located on S.R. 407, east of I-95, within the Merritt Island National Wildlife Refuge.

  1. DAM-LAKEFRONT PLAZA: Revitalization of an Agriculture Reservoir Dam in Kashar-Tirana/Albania

    Directory of Open Access Journals (Sweden)

    Valbona Koçi

    2014-12-01

    Full Text Available The Dam-Lakefront Plaza in Kashar-Tirana/Albania is a research project that proposes not only the re-consideration and reinforcement of the artificial Reservoirs Dams built during Socialism in Albania, but envisions the maintenance of dams and revitalization of the lakeside area promoting the public-private collaboration. In addition, it envisions the generation of qualitative and lively public spaces in sub-urban areas as well. Admitting the artificial lakes as specific nodes of man-made infrastructure in the landscape, and consequently the dams (together with the drainage channels as important hydrotechnic elements of the flood protection infrastructure, this research intends to elaborate on one type of landscape infrastructure - the vertical screens, offering a mediation between the natural and built landscape.

  2. Frutos y semillas medicinales vendidas en plazas de mercado de Bogotá, Colombia

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    Natalia María Valderrama-Rincón

    2006-01-01

    nombres comunes. Se registraron 33 especies de frutos, 20 de semillas y solo una especie fue comercializada como fruto y semilla. Se establecieron dos tipos de plazas de mercado y se crearon cuatro grupos de frutos y semillas medicinales de acuerdo a los índices utilizados. Tanto con los frutos y semillas como con el resto de plantas medicinales utilizadas en Bogotá, es necesario hacer una revisión exhaustiva taxonómica, etnobotánica, de las propiedades terapéuticas y de los posibles efectos adversos que sustenten o restrinjan el uso de una planta con el fin de mejorar la calidad de vida de los usuarios y vendedores de este recurso.

  3. Fracciones de plantas medicinales vendidas en las plazas de mercado de Bogotá, Colombia

    Directory of Open Access Journals (Sweden)

    Laura Isabel Mesa Castellanos

    2006-01-01

    que procure su correcto empleo y efectividad, y lo más importante, a evitar riesgos en la salud de los consumidores. Para comenzar se realizaron entrevistas semiestructuradas en siete plazas de la ciudad, en las que se logro establecer: usos tradicionales, origen, demanda, vía de administración y preparación de las plantas medicinales. Se determinaron 26 especies pertenecientes a 22 familias botánicas, para las que se hallaron índices que informan acerca de su valor cultural. Solo tres especies se encuentran aprobadas por el INVIMA, y para algunas de las otras especies no existe referencia acerca de su valor medicinal. El 78,57% de las especies es de origen silvestre, por lo que es prioritario establecer estrategias para su conservación.

  4. Workplace safety in Bangladesh ready-made garment sector: 3 years after the Rana Plaza collapse.

    Science.gov (United States)

    Barua, Uttama; Ansary, Mehedi Ahmed

    2017-12-01

    Workplace safety is one of the most important issues in industries worldwide, and is endangered by industrial accidents. Different industrial disasters have resulted in several initiatives worldwide to protect human life and reduce material damage, both nationally and internationally. In Bangladesh, the ready-made garment (RMG) industry is one of the most important export-oriented business sectors, which is facing challenges to ensure workplace safety. The Rana Plaza collapse in Bangladesh is the consequence of such non-compliance. The accident resulted in different local and global initiatives to address the challenges. This article reviews progress and achievement of the initiatives to reduce vulnerability in the Bangladesh RMG industry within 3 years after the deadly accident. In the long run, the challenge is to maintain momentum already created for achieving sustainability in the RMG sector in Bangladesh and maintaining compliance even after the end of support from external partners.

  5. Lima: espacio público en transición. La plaza de la democracia 2006

    Directory of Open Access Journals (Sweden)

    Johanna Hamann

    2012-03-01

    Full Text Available La estructura urbana de una ciudad es una realidad viva en constante transformación habitada, compartida y apropiada por ciudadanos y ciudadanas. En particular, los espacios públicos, como espacios de todos, son escenarios sensibles en que la ciudadanía manifiesta “visiblemente” esta apropiación. La Marcha de los Cuatro Suyos del año 2000 y los posteriores hechos violentos que desembocaron en la destrucción e incendio del Banco de la Nación fueron el escalón inicial en un proceso político en que la ciudadanía limeña buscó un cambio hacia la democracia, ante la intencionalidad del presidente Alberto Fujimori de perpetuarse en el poder. A raíz de estos hechos, se creó la Plaza de la Democracia en el espacio vacío que quedó después del incendio. Sin embargo, aunque esta plaza nació a la luz de una protesta social, la falta de voluntad política del gobierno de Alejandro Toledo de relacionar y coordinar arte público, paisaje, ciudad y patrimonio no tuvo eco en las primeras respuestas de reconstrucción del espacio. Proponemos la realización del proyecto “Urin Kancha”2 para visibilizar la viabilidad de intervenir este espacio público, aludiendo a la memoria de la configuración misma del territorio donde se asienta Lima, la capital del Perú, mediante una intervención tipo huaca, que a la vez de remitirnos a los ocupantes nativos de Lima, rememora también al espacio como un sepulcro, rindiendo así homenaje a los seis guardianes del Banco de la Nación, que murieron trágicamente.

  6. Joint medico-psychological consultation for patients suffering from tinnitus.

    Science.gov (United States)

    Degive, Colette; Kos, Maria-Izabel

    2006-01-01

    Because no effective treatment against tinnitus is available, all sorts of approaches have been developed. We believe the care of tinnitus patients concerns mainly ENT medical doctors. In order to take care of such patients, we started in 1993 a joint medico-psychological consultation (JMPC) to dispense adequate care for patients and training to the ENT residents. Every patient visiting our clinic for a tinnitus consultation benefits first from a comprehensive audiological examination. Once all objective causes of tinnitus are excluded, those patients who were not able to accept their auditory disorder or who insist on focusing on the annoyance caused by the perception of their tinnitus are invited by the doctor to the JMPC. The intolerance caused by tinnitus is enhanced by psychological and social aspects. These aspects are considered and discussed during the JMPC. The patients talk about their tinnitus bringing additional information on professional, familial and relational issues. In the JMPC, the therapists try to help the patients to void the affective irritation and the internal tension they clearly demonstrate. When the patients notice that the therapists accept their distress, they usually talk more calmly about their hearing irritation and even consider it tolerable. The medical and psychological information given during the JMPC helps the patients to understand the links between tinnitus and the disturbing elements of their current life. During the JMPC, the medical residents have been able to observe how somatic complaints can lead to complaints of another nature, to distress, to aggressive or angered behaviors. They have acknowledged the way the psychologist deals with the attitudes of these patients. This learning process became mandatory to all our residents specializing in ENT. At the end of their training they should have learned how to help the patient accept the tinnitus and the irritation it causes. They should be able to help tinnitus patients

  7. Documentation of torture victims, assessment of the start procedure for medico-legal documentation.

    Science.gov (United States)

    Mandel, Lene; Worm, Lise

    2007-01-01

    A Pilot Study was performed at the Rehabilitation and Research Centre for Torture Victims (RCT) in Copenhagen in order to explore the possibilities for adding a medico-legal documentation component to the rehabilitation of torture victims already taking place. It describes the process and results on implementing medico-legal documentation in a rehabilitative setting. A modified version of the Guidelines in the Istanbul Protocol was developed on the basis of the review of literature and current practices described in "Documentation of torture victims, implementation of medico-legal protocols". The modified guidelines were tested on five clients. The aim was twofold: 1) To assess the client's attitude towards the idea of adding a documentation component to the rehabilitation process and: 2) To assess the practical circumstances of implementing the Istanbul Protocol in the everyday life of a rehabilitation centre. Results show that all five clients were positive towards the project and found comfort in being able to contribute to the fight against impunity. Also, the Pilot Study demonstrated that a large part of the medico-legal documentation was already obtained in the rehabilitation process. It was however not accessible due to lack of systematization and a data registering system. There are thus important synergies in collecting data for rehabilitation and documentation but a joint database system is necessary to realize these synergies.

  8. Medico-social problems of teenage hawkers in Sabon-Gari Local ...

    African Journals Online (AJOL)

    Medico-social problems of teenage hawkers in Sabon-Gari Local Government Area, Kaduna, North-West Nigeria. ... Two hundred and seven (207) respondents were interviewed through interviewer-administered questionnaires and data was analysed using the Statistical Package for Social Sciences (SPSS) software.

  9. HIV/AIDS and mental illness: ethical and medico-legal issues for ...

    African Journals Online (AJOL)

    QuickSilver

    Keywords: HIV/AIDS, Mental health, Ethical, Medico - legal. S Afr Psychiatry Rev 2003 ... Implementation of the Mental Health Care Act of 2002will entail a shift in attitudes .... (Act 17 of 2002). 13 Gauteng Health Department; Environmental and Occupational. Health and Safety Directorate: Memorandum: 7 April 2000. Guide-.

  10. Mob justice as an emerging medico-legal, social and public health ...

    African Journals Online (AJOL)

    Background: Mob-justice poses a medico-legal, social and public health problem in most developing countries including Tanzania and has shown to have negative effects on social and health of the country, communities, and families. This study was conducted to analyze the mob-justice situation in north-western Tanzania ...

  11. Conocimientos sobre toxoplasmosis de las mujeres en edad fértil de un consultorio médico en Trinidad

    Directory of Open Access Journals (Sweden)

    Nicel Rusindo Hernández

    Full Text Available Introducción: la toxoplasmosis es una enfermedad de etiología parasitaria causada por el protozoo Toxoplasma gondii, esta entidad resulta de interés para la salud pública debido al riesgo de transmisión del parásito de la madre al feto durante el embarazo. Objetivo: explorar el nivel de conocimientos sobre la toxoplasmosis que poseen las mujeres en edad fértil del Consultorio Médico de la Familia N 0 21 del Policlínico II en Trinidad. Sancti Spíritus. Métodos: se realizó un estudio descriptivo de corte transversal que consistió en la aplicación de un cuestionario sobre el tema a las 119 mujeres en edad fértil del Consultorio antes mencionado, de ellas 15 eran gestantes (12,61 % y 104 no gestantes (87,39 %. Resultados: se determinó un alto porcentaje de mujeres evaluadas de no satisfactorio. Una cifra considerable de encuestadas relacionó a los gatos con la enfermedad. Conclusiones: El conocimiento de las mujeres encuestadas sobre la toxoplasmosis es insuficiente, lo cual dicta la necesidad de una intervención educativa sobre el tema con vista a prevenir los efectos negativos de la misma.

  12. LA EXTENSIÓN DE LA JURISPRUDENCIA UNIFICADA DEL CONSEJO DE ESTADO: NUEVA COMPETENCIA DE LOS CONSULTORIOS JURÍDICOS EN MATERIA CONTENCIOSO ADMINISTRATIVA

    Directory of Open Access Journals (Sweden)

    Luz Ángela Portilla Villamizar

    2015-07-01

    Full Text Available La ley 1437 de 2011 implementó un procedimiento administrativo y contencioso ajustado a la protección de las garantías constitucionales de los administrados en sede administrativa y judicial, un ajuste del sistema procesal en concordancia con la Carta Política. Entre tantas novedades y cambios está la creación de una figura jurídica denominada Extensión de las Sentencias de Unificación Jurisprudencial del Consejo de Estado a terceros (Artículo 102 del Código de Procedimiento Administrativo y Contencioso Administrativo, ley 1437 de 2011, procedimiento que genera la posibilidad real de práctica desde los consultorios jurídicos de las universidades del país, puesto que sus presupuestos normativos y procesales permiten, desde las competencias contempladas en la ley y lo reiterado por la jurisprudencia constitucional, llevarlo a cabo por los estudiantes adscritos a los sultorios jurídicos. Se plantea un análisis que aborda los aspectos y características jurídicas del trámite de extensión de la jurisprudencia, en relación con las reglas de competencia de los consultorios jurídicos universitarios, generando una nueva competencia en materia de derecho administrativo.

  13. Características clínicas y epidemiológicas de la escabiosis en tres consultorios del médico de la familia

    Directory of Open Access Journals (Sweden)

    Ana I. Chacón Cabrera

    1998-08-01

    Full Text Available Se estudiaron 67 pacientes con escabiosis de los consultorios 12,21 y 26 del Policlínico «Héroes del Corinthya» y se encontró una incidencia del 5,13 % con una frecuencia esperada de 22 casos anuales por consultorio. La enfermedad fue más frecuente entre las mujeres de 45 a 54 años y entre los obreros de nivel medio de escolaridad. Se identificaron lesiones elementales poco comunes y localizaciones no habituales de las lesiones para esta dermatosis. El mayor número de casos mejoró entre los 8 y los 14 días de implantadas las medidas de control para la enfermedad67 patients affected by scabies who were cared for by family physicians’ consulting rooms No. 12, 21 and 26 of «Héroes del Corinthia» polyclinics were examined where 5.13 % of incidence and an expected frequency of 22 cases per year per consulting room were found. This disease was more frequently suffered by women aged 45 to 54 years and by medium educational level workers. Uncommon basic lesions and rare lesion locations for this kind of dermatosis were detected. The majority of cases recovered 8 to 14 days after adequate disease control measures being implemented

  14. The lime renderings from plaza de la Corredera, Córdoba

    Directory of Open Access Journals (Sweden)

    González, T.

    2002-09-01

    Full Text Available The causes of the pathologies found on the lime renderings from Plaza de la Corredera façades are analysed in this study. For this purpose, the mineralogical and chemical analyses of the building materials -brickwork and rendering mortar- has been carried out, as well as their physical, hydric and mechanical properties have been determined. The obtained results from both unaltered and altered materials, and the analysis of the rendering's raw materials, have allowed us to establish that rendering deterioration is connected to the presence of saline compounds (gypsum, halite, which existing in the brickwork substratum, have been removed due to the water saturation of such brickwork. The main cause responsible of the alteration forms - efflorescence, crusts, grain-disintegration, bulging, flaking found on the renderings, has been the salts precipitation (halite, hexahydrite, epsomite in their way towards the external surface.

    En este estudio se analizan las causas de las patologías de los revocos de cal de las fachadas de la Plaza de la Corredera. Para ello se ha realizado el análisis mineralógico y químico de los materiales de construcción - fábrica de ladrillo y mortero de revestimiento- y se han determinado sus propiedades físicas, hídricas y mecánicas. Mediante la comparación de los resultados obtenidos en los materiales inalterados y en los alterados, así como una vez analizadas las materias primas utilizadas en la realización del revoco, se ha podido establecer que la alteración de este último está relacionada con la existencia de compuestos salinos (yeso, halita que, presentes en el substrato de fábrica de ladrillo, se han exudado por saturación de agua de la misma. La precipitación de las sales (halita, hexahidrita, epsomita en su migración hacia el exterior ha sido la principal responsable de las formas de alteración -eflorescencias, costras, arenización, abombamientos, descamaciones- que aparecen sobre los

  15. EFEKTIFITAS WORD OF MOUTH TERHADAP MINAT BELI KONSUMEN PRODUK JIGAR FRUIT SALAD DI PLAZA SEMANGGI

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    Suhendra Suhendra

    2015-05-01

    Full Text Available There are many ways to convey the message to promote, so that the target market right on target. To promote the growing consumer interest in buying that nominal required no small amount of good to advertise in print media, TV, internet, radio. This probably would not have happened if it can maximize the promotion by using the Word Of Mouth. It is applied by Jigar Fruit Salad which is a culinary business. Varian products include Mayo Fruit Salad, Yogurt Fruit Salad, Pickled Fruit Salad, Fruit Salad Rojak Caramel, honey Dazzling Fruit Salad, Fruit Rojak Serut Salad, Fruit Salad and Mango Fruit Toast. Jigar Fruit Salad has a target market aged 19-40 years, male and female students and employees, SES B, a healthy lifestyle. Jigar Fruit Salad is located in Plaza Semanggi Mall foodcourt with minimal skills possessed to start the promotion, Fruit Salad Jigar select Word of Mouth as a way to intensify the promotion, establish a commercially viable product and consumption with positioning as a healthy food and fresh as the most basis for intensifying Word of Mouth to reach consumers to buy the product Jigar fruit salad.   Ada banyak cara untuk menyampaikan pesan untuk berpromosi, agar target market tepat sasaran. Untuk berpromosi sehingga minat beli konsumen tumbuh dibutuhkan nominal yang tidak sedikit untuk mengiklankan baik di media cetak, TV, internet, radio. Hal ini mungkin tidak akan terjadi jika dapat memaksimalkan promosi dengan menggunakan Word Of Mouth. Hal tersebut diaplikasikan oleh Jigar Fruit Salad yang merupakan satu bisnis kuline. Varian produknya antara lain Fruit Salad Mayo, Fruit Salad Yogurt, Fruit Salad Asinan, Fruit Salad Rujak Caramel, Fruit Salad honey Dazzling, Fruit Salad Rujak Serut, Fruit Manggo Salad dan Roti Panggang Buah.Jigar Fruit Salad mempunyai target market umur 19 – 40 tahun, laki- laki dan perempuan mahasiswa dan karyawan, SES B , bergaya hidup sehat. Jigar Fruit Salad terletak di Foodcourt Mall Plaza Semanggi

  16. Pengaruh Motivasi, Persepsi, Pembelajaran, Kepercayaan Dan Sikap Konsumen Terhadap Keputusan Pembelian Produk Laptop Merek Asus Pada Pengunjung Plaza Medan Fair

    OpenAIRE

    Sufatma, Ayu

    2015-01-01

    The purpose of this research is to identify and analyze the influence of motivation (X1), Perception (X2), Learning (X3), Belief and Attitude (X4) consumers on product purchasing decisions on brand laptop Asus visitors Plaza Medan Fair Medan.This study is a quantitative descriptive research. Where the variable measured with Likert.scale, analytical method used is descriptive and statistical analysis method that uses multiple linear regression analysis, significant testing simultaneous partial...

  17. Pengaruh Bauran Pemasaran (Marketing Mix) Dan Kualitas Pelayanan Terhadap Kepuasan Pelanggan di A&W Restaurants di Sun Plaza Medan

    OpenAIRE

    Purba, Aurora Tianisari

    2012-01-01

    A&W Restaurants Sun Plaza Medan is one of the company engaged in the fast food (fast food), which the company must implement appropriate marketing strategies to achieve corporate objectives and service are also very necessary to provide and create customer satisfaction at the A&W Restaurants well across Indonesia especially in Medan, North Sumatra. Competition experienced by the fast food company A&W Restaurants in Indonesia is quite tight, given the many fast food company such as Kentucky Fr...

  18. Pengaruh Customer Experience Quality Terhadap Customer Satisfaction & Customer Loyalty Di Kafe Excelso Tunjungan Plaza Surabaya: Perspektif B2C

    OpenAIRE

    Senjaya, Vivie

    2013-01-01

    This study discusses about the quality of the customer experience, which is thought to affect customer satisfaction at Cafe Excelso Tunjungan Plaza Surabaya. In this study, the variable of the customer experience quality is measured through the dimensions of accessibility, competence, customer recognition, helpfulness, personalization, problem solving, promise fulfillment, and value for time. Each of these dimensions will be partially tested how it affects customer satisfaction and customer l...

  19. Deterioro cognitivo en la población mayor de 65 años de dos consultorios del Policlínico “La Rampa” Cognitive deterioration in the population over 65 at two family physicians' offices of "La Rampa" Polyclinic

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    Justo Luis González Fabián

    2006-09-01

    Full Text Available Se realizó un estudio descriptivo prospectivo en 297 pacientes mayores de 65 años de los Consultorios No. 19 y 21, pertenecientes al Policlínico “La Rampa”, Plaza de la Revolución, Ciudad de La Habana, en el período comprendido entre el 1º de enero y el 31 de diciembre del año 2003, con el objetivo de identificar los pacientes con deterioro cognitivo y conocer algunas de sus características clínico epidemiológicas. Se aplicó una encuesta con las variables de interés. Se utilizó como instrumento de medición del deterioro cognitivo el Minimental State de Folstein y se evaluaron además, el grado de severidad del déficit cognitivo y el grado de incapacidad funcional de los pacientes afectados. Para el análisis de los datos se efectuó el cálculo de porcentajes y los resultados se presentaron en tablas y una figura. Presentaron deterioro cognitivo 41 pacientes (13,8 %, correspondiendo la mayoría de ellos (24,4% al grupo de edad de 85-89 años. El sexo femenino fue el más afectado (68,3 % y el 56,1 % de los pacientes mostraron un bajo nivel escolar. La hipertensión arterial (51,2 %, la cardiopatía isquémica (34,1 % y el hábito de fumar (24,4 % fueron los factores de riesgo más frecuentes en los enfermos con déficit cognitivo. El deterioro cognitivo fue leve en 27 pacientes (65,8 %, moderado en 8 (19,6 % y severo en 6 (14,6 %. El 12,1 % de los que presentaron deterioro cognitivo tuvieron incapacidad funcional severa, un 9,7 % moderada y el 34,4 % ligera. La función cognitiva más afectada fue la memoria mediata, seguida por la atención-cálculo y el lenguaje.A descriptive prospective study of 297 patients over 65 that receive attention at the family physicians' offices no 19 and 21, corresponding to "La Rampa" Polyclinic, Plaza de la Revolución, Havana City, was conducted from January 1st trough December 31st, 2003, aimed at identifying the patients with cognitive deterioration and at knowing some of their

  20. Acondicionamiento de la plaza del viejo mercado en Rouen – Francia

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    Arretche, L.

    1980-06-01

    Full Text Available The aim sought in conditioning the Old Market square of Rouen has been to integrate three elements of very different functions in a harmonious unit. These are: — the church — the covered market, and — the Joan of Arc national monument. The various frameworks are based on the traditional naval construction and are made up of tuned surfaces: hyperbolic paraboloids made in wood. The thirteen XVI century stained glass windows miraculously saved from the destruction of Saint Vincent's Church are an outstanding feature.

    Con el acondicionamiento de la plaza del Viejo Mercado de Rouen se ha pretendido integrar en un conjunto armonioso tres elementos de tan distintas funciones como son: — la iglesia, — el mercado cubierto, y — el monumento nacional a Juana de Arco. Los diversos entramados se basan en la construcción naval tradicional y están constituidos por superficies regladas: paraboloides hiperbólicos hechos de madera. Destacan en el conjunto las trece vidrieras del siglo XVI, salvadas milagrosamente de la destrucción de la iglesia de San Vicente.

  1. Tendencia de los costos por grupos básicos de trabajo y consultorios en un área de salud

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    Lourdes de la Caridad Borges Oquendo

    2000-12-01

    Full Text Available Se presenta la experiencia de la implantación de un sistema de costos por área de responsabilidad y su uso como herramienta de dirección en 54 consultorios de población agrupados en 3 GBT del Policlínico "Luis Pasteur" de Ciudad de La Habana. Se constata una franca tendencia a la disminución de los costos por consulta, tanto en consultorios como en GBT, alcanzando 20 de ellos un costo unitario menor de $ 2. 00, así como 2 de los 3 GBT. El costo por consulta del consultorio ($1.93 es inferior al del policlínico ($3.16, debido esto último a las áreas de consulta especializada e interconsulta, donde el aprovechamiento del recurso médico no es el óptimo. Los datos obtenidos permiten ir creando series históricas, a la vez que las experiencias comentadas del trabajo realizado, en favor de la reducción de costo y mejorar positivamente la eficiencia médica y social. Es factible que de forma mediata las consultas en Plan Familia sean inferiores a $2.00 demostrando fehacientemente su viabilidad económicaThe experience obtained with the implementation of a cost system by area of responsibility and its use as a management tool in 54 family physician's offices grouped in 3 Basic Working Groups (WBGs at "Luis Pasteur" Polyclinic, in Havana City, is presented. An open trend toward the decrease of the costs by consultation, both in family physician's offices and in WBGs is observed. 20 of them as well as 2 of the 3 WBGs reached a unitary cost under $2.00. The cost by consultation of the family physician's office (1.93 is lower than that of the polyclinic (3.16, due to the existance of areas of specialized consultation and interconsultation, where the utilization of the medical resource is not optimal. The data obtained allow to create historical series in conjunction with the commented experiences of the work carried out in favor of the reduction of costs and to improve positively the medical and social efficiency. In a near future it will be

  2. The clinical management of diabetic foot in the elderly and medico-legal implications.

    Science.gov (United States)

    Terranova, Claudio; Bruttocao, Andrea

    2013-10-01

    Diabetic foot is a complex and challenging pathological state, characterized by high complexity of management, morbidity and mortality. The elderly present peculiar problems which interfere on one hand with the patient's compliance and on the other with their diagnostic-therapeutic management. Difficult clinical management may result in medico-legal problems, with criminal and civil consequences. In this context, the authors present a review of the literature, analysing aspects concerning the diagnosis and treatment of diabetic foot in the elderly which may turn out to be a source of professional responsibility. Analysis of these aspects provides an opportunity to discuss elements important not only for clinicians and medical workers but also experts (judges, lawyers, medico-legal experts) who must evaluate hypotheses of professional responsibility concerning diabetic foot in the elderly.

  3. MEDICO-DEMOGRAPHIC SITUATION IN THE REPUBLICS OF CHECHNYA AND INGUSHETIA IN 2005-2010

    OpenAIRE

    P. M. Evloeva

    2012-01-01

    Political and socio-economical destabilization, military conflicts, lack of infrastructure and massive migratory movements formed a current medico-demographic situation in the Republics of Chechnya and Ingushetia: the fertility and birth rates here are very high and exceeds twice the same figures all over the Russian Federation. At the same time the infant mortality and feto-infantile losses rates are also very high. The high fertility leads to overpopulation, low per capita income, worsening...

  4. Awareness about medico legal aspects and Consumer Protection Act among dentists.

    Science.gov (United States)

    Radhika, T; Nadeem, J; Arthi, R; Nithya, S

    2017-07-01

    The practice of medicine in India has undergone considerable change affecting delivery of health in both positive and negative directions. As a result, there was a growing feeling that medical treatment should be made accountable and this led to doctors and dentists becoming subject to the process of law. Patients have become more aware of their right to compensation and as a consequence doctors and dentists should be knowledgeable about the laws that govern them. To assess the awareness about Medico legal aspects and Consumer Protection Act [CPA] among Dental professionals. A self-structured validated questionnaire comprising of 20 questions related to medico legal aspects and CPA was designed. A total of 450 dental professionals were surveyed from 4 prime dental institutions in Chennai, India. Of the 450 professionals that were surveyed 150 were MDS faculty, 150 were BDS faculty and 150 were PG students. The data was subjected to SPSS, version 16 and statistically analysed using Chi square test and Fisher's exact test. A- p value less than 0.05 was considered to be statistically significant. BDS faculty, MDS faculty and PG students were found to possess similar level of understanding and there was no significant difference between the groups. Knowledge was found to be equal between male and female dentists. The young practitioners were found to be more informed about CPA than the senior practitioners. It was found that most of the participants were aware of relevant Medico legal aspects, but were less aware of CPA. This study emphasises the need for education relevant to Medico legal aspects and CPA for dental professionals.

  5. Medico-biological factors of speech and language development in young children (part 1

    Directory of Open Access Journals (Sweden)

    Chernov D.N.

    2015-03-01

    Full Text Available The article analyzed the main results of medico-biological directions in the study of the factors of children's speech and language. It shows that a variety of pre-, peri-and neonatal developmental factors (teratogenic effects, prematurity, low birth weight, maternal diseases during pregnancy, and chronic diseases of the child had a negative impact on the child-parent relationship that has a lasting influence on child speech and language development.

  6. Traumatic spinal cord injuries – epidemiologic and medico-legal issues

    OpenAIRE

    Hanganu Bianca; Velnic Andreea Alexandra; Petre-Ciudin Valentin; Manoilescu Irina; Ioan Beatrice Gabriela

    2017-01-01

    Spinal cord injuries represent a special category of injuries in traumatic pathology, with high morbidity and mortality, which justify their analysis with the aim to identify useful aspects in order to prevent and treat them. We therefore performed a retrospective study on 426 cases in order to analyze epidemiology and medico-legal issues related to spinal cord injuries. The studied items regarded socio-demographic aspects (gender, age, home region), type of lesions (vertebral, spinal cord, a...

  7. Dear depression, why do you even exist in the budding medicos?

    OpenAIRE

    Mehta, Varshil; Rajawat, Monali

    2017-01-01

    MEDICAL SYSTEM INDUCED DEPRESSION IN BUDDING MEDICOS It is a matter of fact, that the high demands and pressure of medical school and pre-residency entrance tests pose a tremendous challenge to the personal wellbeing of the physicians in training which leads to high rates of anxiety, burnout, decreased attention, increased incidence of errors, negligence and depression [1,2]. Furthermore, stress and depression can also result in illnesses like headaches, coronary heart disease, Gastro-In...

  8. Diagnóstico del funcionamiento familiar en un consultorio del médico y la enfermera de la familia

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    Anagalys Ortega Alvelay

    2003-04-01

    Full Text Available Se realizó un estudio descriptivo y transversal con el objetivo de diagnosticar el funcionamiento en las familias pertenecientes a un consultorio médico. Predominaron los grupos generacionales juventud y adulto, además las familias nucleares. Observamos un elevado porcentaje de familias disfuncionales, lo cual predominó en todos los tipos de estructura familiar. No se hallaron diferencias estadísticamente significativas entre la clasificación estructural de la familia y el tipo de funcionamiento familiar.A cross-sectional descriptive study was conducted to diagnose the functioning of families seen by a family doctor's office. Generational groups youth and adulthood in addition to nuclear families prevailed. We noted a high percentage of dysfunctional families that prevailed in all types of familiar structures. No statistically significant differences were found between the structural classification of the family and the type of familiar functioning.

  9. Hábitos bucales deformantes en un consultorio del médico de la familia en Camagüey, Cuba

    OpenAIRE

    Lima Álvarez, Magda; Romero Zaldívar, Esperanza; Pérez Cederrón, Ricardo Alberto

    2004-01-01

    Se realizó un estudio de intervención en la población de 5 a 18 años del Consultorio 18 del área Oeste de Camagüey desde noviembre de 1998 hasta enero de 2001, con el objetivo de evaluar la disminución de los hábitos bucales deformantes, determinar el tipo de oclusión según grupos de edades, identificar los hábitos bucales deformantes presentes y relacionar los mismos con el tipo de oclusión. El universo estuvo formado por 96 pacientes, de los cuales 84 fueron encuestados, interconsultados y ...

  10. Results of medico-sociologic investigation of miners of Donbass mines

    Energy Technology Data Exchange (ETDEWEB)

    Zinger, F Kh; Gadzhiev, G P; Sorokin, E S; Mukhina, K Sh; Vinarik, Eh M; Kal' yanov, A V

    1987-08-01

    To optimize conditions of work, mode of life, medico-prophylactic service and hygienic education, a medico-sociologic survey was conducted of miners of deep coal mines to obtain information in order to work up measures to improve health of miners. Results of interrogations of 1000 miners, tunellers and stopers led to the following conclusions: (1) Majority of workers of deep mines of the Donbass notes a warming microclimate at deep horizons, inefficient ventilation, flooding and tediousness of work combined with a nervous-emotional burden. (2) Few miners use respirators, visit inhalators, and follow a rational regime of eating due to shift work. (3) Survey showed negative aspects of life of miners: poor use of holidays, insufficient attention to physical culture and sport, excessive smoking and unwise drinking especially among men of about 30 years of age. Above results of survey demonstrate need for reorganization of an improvement of health education of miners and for organization of more polyclinics for miners. To improve life-style and working conditions, it is necessary to normalize microclimate and reduce dustiness of air, ensure that miners improve their nutrition, improve medico-sanitary service and increase health education propaganda.

  11. Sexual violence legislation in sub-Saharan Africa: the need for strengthened medico-legal linkages.

    Science.gov (United States)

    Kilonzo, Nduku; Ndung'u, Njoki; Nthamburi, Nerida; Ajema, Caroline; Taegtmeyer, Miriam; Theobald, Sally; Tolhurst, Rachel

    2009-11-01

    Six sub-Saharan African countries currently have laws on sexual violence, including Kenya, and eight others have provisions on sexual violence in other legislation. Effective legislation requires functioning medico-legal linkages to enable both justice to be done in cases of sexual violence and the provision of health services for survivors of sexual violence. The health sector also needs to provide post-rape care services and collect and deliver evidence to the criminal justice system. This paper reviews existing data on sexual violence in sub-Saharan Africa, and summarises the content of sexual violence legislation in the region and the strengths and weaknesses of existing medico-legal linkages, using Kenya as a case study. Many sub-Saharan African countries do not yet have comprehensive post-rape care services, nor substantial co-ordination between HIV and sexual and reproductive health services, the legal and judicial systems, and sexual violence legislation. These need to be integrated by cross-referrals, using standardised referral guidelines and pathways, treatment protocols, and medico-legal procedures. Common training approaches and harmonised information across sectors, and common indicators, would facilitate government accountability. Joint and collaborative planning and working at country level, through sharing of information and data between the different systems remain key to achieving this.

  12. Iatrogenic splenic injury: review of the literature and medico-legal issues

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    Feola Alessandro

    2016-01-01

    Full Text Available Iatrogenic splenic injury is a recognized complication in abdominal surgery. The aim of this paper is to understand the medico-legal issues of iatrogenic splenic injuries. We performed a literature review on PubMed and Scopus using iatrogenic splenic or spleen injury and iatrogenic splenic rupture as keywords. Iatrogenic splenic injury cases were identified. Most cases were related to colonoscopy, but we also identified cases related to upper gastrointestinal procedures, colonic surgery, ERCP, left nephrectomy and/or adrenalectomy, percutaneous nephrolithotomy, vascular operations involving the abdominal aorta, gynecological operation, left lung biopsy, chest drain, very rarely spinal surgery and even cardiopulmonary resuscitation. There are several surgical procedures that can lead to a splenic injury. However, from a medico-legal point of view, it is important to assess whether the cause can be attributed to a technical error of the operator rather than being an unpredictable and unpreventable complication. It is important for the medico-legal expert to have great knowledge on iatrogenic splenic injuries because it is important to evaluate every step of the first procedure performed, how a splenic injury is produced, and whether the correct treatment for the splenic injury was administered in a judgment.

  13. Medico-legal perspectives on sudden cardiac death in young athletes.

    Science.gov (United States)

    Oliva, Antonio; Grassi, Vincenzo M; Campuzano, Oscar; Brion, Maria; Arena, Vincenzo; Partemi, Sara; Coll, Monica; Pascali, Vincenzo L; Brugada, Josep; Carracedo, Angel; Brugada, Ramon

    2017-03-01

    Sudden cardiac death (SCD) in a young athlete represents a dramatic event, and an increasing number of medico-legal cases have addressed this topic. In addition to representing an ethical and medico-legal responsibility, prevention of SCD is directly correlated with accurate eligibility/disqualification decisions, with an inappropriate pronouncement in either direction potentially leading to legal controversy. This review summarizes the common causes of SCD in young athletes, divided into structural (hypertrophic cardiomyopathy, arrhythmogenic cardiomyopathy, congenital coronary artery anomalies, etc.), electrical (Brugada, congenital LQT, Wolf-Parkinson-White syndrome, etc.), and acquired cardiac abnormalities (myocarditis, etc.). In addition, the roles of hereditary cardiac anomalies in SCD in athletes and the effects of a positive result on them and their families are discussed. The medico-legal relevance of pre-participation screening is analyzed, and recommendations from the American Heart Association and European Society of Cardiology are compared. Finally, the main issues concerning the differentiation between physiologic cardiac adaptation in athletes and pathologic findings and, thereby, definition of the so-called gray zone, which is based on exact knowledge of the mechanism of cardiac remodeling including structural or functional adaptions, will be addressed.

  14. The Radon Gas in Underground Buildings in Clay Soils. The Plaza Balmis Shelter as a Paradigm.

    Science.gov (United States)

    Rizo Maestre, Carlos; Echarri Iribarren, Víctor

    2018-05-17

    In healthy buildings, it is considered essential to quantify air quality. One of the most fashionable indicators is radon gas. To determine the presence of this element, which is harmful to health, in the environment, the composition of the soil is studied. The presence of radon gas within a building depends both on the terrain in which it is located and on the composition of the materials of which it is composed, and not as was previously believed, only by the composition of the soil (whether granitic or not). Many countries are currently studying this phenomenon, including Spain where the building regulations regarding the accumulation of radon gas, do not list in their technical codes, the maximum dose that can a building can hold so that it is not harmful to people and the measures to correct excessive accumulation. Therefore, once the possible existence of radon in any underground building has been verified, regardless of the characteristics of the soil, the importance of defining and unifying the regulations on different levels of radon in all architectural constructions is evident. Medical and health science agencies, including the World Health Organization, consider that radon gas is a very harmful element for people. This element, in its gaseous state, is radioactive and it is present in almost soils in which buildings are implanted. Granitic type soils present higher levels of radon gas. Non-granitic soils have traditionally been considered to have very low radon levels. However, this paper demonstrates the relevant presence of radon in non-granitic soils, specifically in clayey soils, by providing the results of research carried out in the underground air raid shelter at Balmis Square in Alicante (Spain). The results of the measurements of radon accumulation in the Plaza Balmis shelter are five times higher than those obtained in a similar ungrounded building. This research addresses the constructive typology of an under-ground building and the radon

  15. Plazaz, plaza, Occupy anthropology! Sobre activismos (Ankulegi, 19, de AA.VV.

    Directory of Open Access Journals (Sweden)

    Carlos Diz

    2017-09-01

    Full Text Available Durante décadas, ensayando formas alternativas de relación y convivencia, el movimiento okupa ha enfrentado la crisis residencial y la especulación inmobiliaria ocupando fincas y solares abandonados, viejas fabricas, casas vacias, bloques de viviendas, etc. Con cada una de estas ocupaciones decian «liberar» y «recuperar» el espacio, retirandolo del circuito especulativo, priorizando el valor de uso sobre el valor de cambio y abriéndolo para la sociedad, organizando encuentros y actividades.En mayo de 2011, de una manera jovial, rebelde e imaginativa, decenas de acampadas se instalaron de pronto por todo el Estado espanol. Al inicio, en algunas, se veian banderas de Tunez y Egipto, en un gesto de solidaridad con el que se hacia explicita la influencia que la llamada «Primavera Arabe» —iniciada a finales de 2010 en un contexto muy distinto— habia tenido en la puesta en escena de las acampadas espanolas. Durante semanas, los centros urbanos fueron también, a su manera, ocupados. Conocedores de la deriva neoliberal de la urbe contemporanea, los jóvenes en las plazas sabian que la ciudad entera se hallaba ahora sujeta a procesos de especulación y empresarialización, y que ocupar su centro era una forma de reapropiarsela y reimaginarsela. En los meses siguientes, este gesto siguió viajando por distintos paises, llegando al otro lado del Atlantico; tras ocupar Wall Street —o mas bien el Zuccotti Park de Lower Manhattan—, la ola de indignación se extendió por el continente norteamericano con el movimiento Occupy.

  16. Evaluation of performance of materials used in the ceramic materials restoration of the Plaza de España (Sevilla

    Directory of Open Access Journals (Sweden)

    Alejandre Sánchez, F. J.

    2005-06-01

    Full Text Available Different commercial mortars and stuecos used to cold restore the glazing on deteriorated tile in Seville s Plaza de España were tested for performance and durability. Five types of samples were applied to ceramic bisques and subsequently coloured and protected with resins. The samples were subjected to accelerated weathering consisting in salt crystallization, temperature and relative humidity cycles and ultraviolet radiation. Durability was assessed by visually comparing the effect of salt crystallization, determining the colour parameters with colourimetry and measuring adherence and capillary water absorption. The results obtained were used to differentiate the materials tested in two respects: stucco and protective resin performance under the environmental conditions prevailing in the Plaza de España on the one hand and colour stability on the other.

    En el presente trabajo se estudia el comportamiento y la durabilidad de diferentes morteros y estucos comerciales que se han utilizado para restituir enfrío las pérdidas de vidriado en azulejos deteriorados de la Plaza de España (Sevilla. Para ello se han preparado 5 tipos de muestras que se han aplicado sobre bizcochos cerámicos y que posteriormente se han coloreado y protegido con resinas. Las muestras se han sometido a ensayos de alteración acelerada: cristalización de sales, ciclos de temperatura y humedad relativa, y radiación ultravioleta. La evaluación de la durabilidad se ha llevado a cabo mediante la comparación visual del efecto de cristalización de las sales, la determinación de los parámetros de color mediante colorimetría, de la adherencia y de la absorción de agua por capilaridad. Los resultados obtenidos, permiten realizar una diferenciación en dos aspectos, por un lado, el comportamiento del estuco y su protección para soportar las condiciones medioambientales de la Plaza de España, y, por otro, la estabilidad de los diferentes colores.

  17. Reconstrucción de la memoria Colectiva: Madres y Abuelas de Plaza de Mayo : Relatos del Futuro

    OpenAIRE

    Coria, Carla

    2013-01-01

    El Proyecto de Extensión Universitaria "Madres y Abuelas de Plaza de Mayo" fue realizado por el Taller de Producción Audiovisual I de la Facultad de Periodismo y Comunicación Social de la Universidad Nacional de La Plata. Su objetivo fue relevar y compilar relatos audiovisuales de las madres y abuelas víctimas del terrorismo de Estado en la Argentina para socializar sus experiencias de vida, fomentar la participación política y el compromiso de la comunidad universitaria. El present...

  18. Las madres de Plaza de Mayo: à memória do sangue, o legado ao revés

    OpenAIRE

    Maria Fernanda Garbero de Aragão Ponzio

    2009-01-01

    O contexto da Argentina da década de setenta é o cenário de personagens e narrativas que emergem do medo e permanecem, até os dias atuais, em posições de resistência e enfrentamento. Nessa paisagem marcada pela opressão do Estado militar, nascem as Madres de Plaza de Mayo, originadas pela tragédia do desaparecimento forçado de seus filhos. Investidas pela maternidade, elas rompem com a esfera privada para desestabilizar a esfera pública e questionar a memória de um país maculad...

  19. Management of diabetes mellitus in three settings in Jamaica Conducta clínica ante la diabetes sacarina en tres consultorios de Jamaica

    Directory of Open Access Journals (Sweden)

    Rainford J. Wilks

    2001-02-01

    Full Text Available Objectives. To evaluate the quality of diabetic care in three clinics (one of them private and the other two public in Jamaica, which is a middle-income country with a high prevalence (13% of diabetes. Methods. During a six-week census in 1995 at the three clinics we collected data retrospectively on a total of 437 diabetic patients. One of the clinics was a specialist public-hospital clinic ("SPMC", one was a private group general practice ("PRMC", and one was a public polyclinic ("PUBMC". The patients' median age ranged from 56 years at SPMC and PRMC to 63 years at PUBMC. Median follow-up had been 6.0 years at SPMC, 9.2 years at PRMC, and 6.3 years at PUBMC. Results. Fewer than 10% of the patients were controlled with diet alone. Insulin was the most commonly prescribed agent at SPMC (46%, compared to 7% each at the two other clinics. Sulfonylurea drugs alone or in combination with metformin were the most common agents at PUBMC and PRMC. Overall, 40% of the patients had satisfactory blood glucose control (Objetivos. Evaluar la calidad de la atención a los pacientes diabéticos en tres consultorios (uno privado y dos públicos de Jamaica, un país con ingresos medios y una alta prevalencia de diabetes (13%. Métodos. Durante un censo de 6 semanas realizado en 1995 se recogieron retrospectivamente datos sobre 437 pacientes diabéticos en estos tres consultorios: un ambulatorio de especialidades de un hospital público (AEP, una clínica privada (CP y una policlínica pública (PP. Resultados. La mediana de edad de los pacientes osciló entre 56 años en el AEP y la CP y 63 años en la PP. La duración mediana del período de observación fue de 6,0 años en el AEP, 9,2 en la CP y 6,3 en la PP. Menos de 10% de los pacientes fueron controlados únicamente con dieta. El tratamiento prescrito con más frecuencia en el AEP fue la insulina (46%, frente a 7% en cada uno de los otros dos consultorios. Las sulfonilureas, solas o combinadas con

  20. O DISCURSO CARISMÁTICO E A ROTINIZAÇÃO DO CARISMA NA SKATE PLAZA DO COMPLEXO AMBIENTAL GOVERNADOR MANOEL RIBAS -PONTA GROSSA - PR

    OpenAIRE

    ADRIANO ALBUQUERQUE BARRETO

    2012-01-01

    As Skate Plazas surgem no início dos anos 2000 como um modelo possível na construção de pistas de skate. Este modelo surgiu na perspectiva de uma construção cada vez mais semelhante dos lugares que se encontram nas ruas das cidades. Até então além dos obstáculos mais comuns encontrados nas ruas, como os caixotes, os trilhos e as escadas, as rampas faziam parte das pistas que vinham sendo construídas. Nos modelos mais recentes de Skate Plaza vemos com menor intensidade a este tipo de obs...

  1. PENGARUH ATMOSFER GERAI DAN PELAYANAN RITEL TERHADAP NILAI HEDONIK DAN PEMBELIAN IMPULSIF PELANGGAN MATAHARI DEPARTMENT STOREDUTA PLAZA DI DENPASAR

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    Ni Nyoman Manik Yistiani

    2012-11-01

    Full Text Available The purpose of this research to determine the effect of atmospheric outlet and retail services toward impulsive buying through hedonic value. In this research examined four variables, namely atmospheric outlet, retail services, hedonic value as well as impulsive buying. The location of this research is at Matahari Departement Store Duta Plaza, in Denpasar with the target of population who purchase more than two times. The sample is taken by purposive sampling method.Based on Slovin formula, the number of sample about 168 consumer.Statistical Analysis was used to the test the hypothesis is Equation Model Structure (SEM. The main finding showed that the better atmospheric outlet will increase hedonic value and impulsive buying.  Similarly,the better retail service will increase hedonic value and impulsive buying, but hedonic value not able to act as pemediasi of the relationship between atmospheric outlet and retail services toward impulsive buying. Therefore from the side of Matahari Departement Store Duta Plaza, Denpasar is expected to pay more attention to its atmospheric outlet and retail service in order to increase hedonic value and impulsivebuying

  2. [Delegation of medico-administrative tasks : what do medical interns and secretaries think?

    Science.gov (United States)

    Castioni, Julien; Hagenbuch, Angélique; Tâche, Johann; Cappai, Milva; Jovanovic, Milica; Sartori, Claudio

    2017-11-22

    The hospital activity of physicians in training mainly consists in direct contacts with patients, tasks indirectly linked to patients such as administration, as well as clinical and theoretical training. In our era of digitalization, an important administrative work load without any added medical value fills their daily chores. In parallel activities of medical secretaries are getting more partitioned, with their desks situated far from physicians' and tasks often limited to finalizing discharge letters. Added to multiple overtime, this reduces physicians' and secretaries' work satisfaction. This article describes the context and development of delegating medico-administrative tasks to secretaries in our department of internal medicine.

  3. Medico-demographic criteria in estimating the consequences of the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Linge, I I; Melikhova, I A; Pavlovski, O [Nuclear Safety Inst., Academy of Sciences, Moscow (Russian Federation)

    1997-09-01

    Correct comparison of population statistics in affected and unaffected areas prior to and after the accident allows to detect any noticeable deviations in basic medico-demographic parameters in contaminated territories from common trends. In view of that when in 1990 in Nuclear Safety Institute a start has been made on construction of an information support system for government and regional executives to overcome the consequences of the Chernobyl disaster a specialized data bank on demography and medical statistics (MDBD) was created. 12 refs, 7 figs, 8 tabs.

  4. Medico-demographic criteria in estimating the consequences of the Chernobyl accident

    International Nuclear Information System (INIS)

    Linge, I.I.; Melikhova, I.A.; Pavlovski, O.

    1997-01-01

    Correct comparison of population statistics in affected and unaffected areas prior to and after the accident allows to detect any noticeable deviations in basic medico-demographic parameters in contaminated territories from common trends. In view of that when in 1990 in Nuclear Safety Institute a start has been made on construction of an information support system for government and regional executives to overcome the consequences of the Chernobyl disaster a specialized data bank on demography and medical statistics (MDBD) was created. 12 refs, 7 figs, 8 tabs

  5. Estudio de las fracciones lipídicas de colesterol y triglicéridos en pacientes de dos consultorios médicos de la familia

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    José Luis Cusidó Carralero

    2014-11-01

    Full Text Available La segunda causa de muerte en la provincia de Las Tunas son las enfermedades del corazón, estas se asocian a múltiples factores de riesgo, como, por ejemplo, los niveles elevados de colesterol y triglicéridos. La alta frecuencia de valores patológicos de colesterol y triglicéridos en pacientes de los Consultorios Médicos de la Familia (CMF 19-01 y 20-01 en el Policlínico Docente “Manuel Fajardo Rivero” motivó a la realización de este trabajo, que tiene como objetivo evaluar el comportamiento de las fracciones lipídicas de colesterol y triglicéridos en pacientes de estos CMF, durante el período comprendido entre enero y junio de 2014. Las variables analizadas fueron: rango de valores de colesterol y triglicéridos, edad, sexo, antecedentes patológicos personales, diagnóstico clínico y tratamiento médico. Se incluyeron los pacientes mayores de 20 años de ambos consultorios, los diabéticos, hipertensos, cardiópatas; se excluyeron de la investigación las gestantes, enfermos hospitalizados o con ingreso domiciliario. Se obtuvo como resultado que casi la mitad de los pacientes presentó valores elevados en las fracciones lipídicas de colesterol y triglicéridos, las edades más afectadas fueron los adultos de 41 a 60 años, con predominio del sexo masculino. En la revisión de historias clínicas se tabularon como principales antecedentes patológicos personales que más de la mitad de los pacientes con alteraciones lipídicas son fumadores y un cuarto de ellos consumen alcohol. En el diagnóstico clínico y tratamiento médico registrado en la historia clínica de los pacientes afectados se constató que dos tercios de ellos son hipertensos y utilizan el captopril, enalapril y atenolol y casi un tercio son diabéticos, que se medican con los hipoglucemiantes, insulina y glibenclamida

  6. Construcción de un anfiteatro subterráneo de mil plazas

    Directory of Open Access Journals (Sweden)

    Hereng, J. M.

    1963-02-01

    Full Text Available The Arts and Crafts School of Paris was in need of an auditorium, with accommodation for one thousand persons, suitable for lessons and lectures. Owing to lack of space, it was decided to build it underground, below one of the courtyards. The choice of roof shape was an ellipsoid of revolution, whose major axis is inclined to the horizontal. The maximum diameter is 32 ms and maximum height is 10 ms. The thickness of the roof structure is 50 cms along the lower part, and 20 cms near the crown. This solution was of special interest as it overcame simultaneously two difficulties; namely, the foundation, when this has to be based on fill soil, and the non-interference with the illumination of nearby buildings. In this case the loading on the soil is always less than 380 grams per cm-, even assuming a local settlement of the soil over any area of 20 ms in diameter. Concrete has been transported to the required sites by means of compressed air chutes, with the result that the rate of concreting has not been interfered with. Formwork has been carefully thought out, especially over the zones where the floor surface changes into the auditorium vault. The tubular structure supporting the formwork of the vault has been erected with columns which are normal to the inclined diametral plane of the surface of revolution. Owing to this unusual arrangement, the staff working at the site have often lost their sense of balance.El Conservatorio de Artes y Oficios de París necesitaba un anfiteatro capaz para mil plazas, utilizable para clases y conferencias. Por falta de espacio se decidió construirlo subterráneo en uno de los patios. La solución adoptada fue la de un elipsoide de revolución de eje mayor inclinado respecto de la horizontal con 32 m de diámetro y 10 de altura máxima; el espesor en la parte inferior es de 50 cm y en la superior de 20 centímetros. Esta solución es de particular interés, ya que solventaba de una vez dos problemas: el de

  7. Voices of Mayan Women in Plaza Comunitaria: Poética y Educación Desde Yucatán

    Science.gov (United States)

    Ceballos Zapata, Abraham

    2017-01-01

    This study took place in a village in Yucatan, Mexico in the context of two adult education programs in Yucatan [Plaza Comunitaria and Preparatoria Abierta]. I interacted in "convivencia" with bilingual (Mayan-Spanish) Yucatec Mayan women who took on the challenge of completing their formal schooling through those adult education…

  8. "Art Plaza" vastab XXI sajandi kunstikõrgkooli nõuetele : EKA maja / Signe Kivi ; interv. R[eet] V[arblane

    Index Scriptorium Estoniae

    Kivi, Signe, 1957-

    2008-01-01

    Eesti Kunstiakadeemia rektor ja arhitektuurivõistluse žürii esimees Signe Kivi kunstiakadeemia uue hoone rahvusvahelise arhitektuurikonkursi võidutööst "Art Plaza" ( Taani AB Sea + Effekt). Hoone ehitus peaks algama 2009. a. sügistalvel, hoone valmima 2011. aastaks

  9. Forensic Odontology: A Boon to Community in Medico-legal Affairs

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    Ramasamy Chidambaram

    2016-03-01

    Full Text Available Forensic odontology is a sub-discipline of dental science which involves the relationship between dentistry and the law. The specialty of forensic odontology is applied in radiographic investigation, human bite marks analysis, anthropologic examination and during mass disasters. Besides the fact that radiographs require pretentious laboratory, it is still claimed to be a facile, rapid, non-invasive method of age identification in the deceased. The budding DNA technology has conquered the traditional procedures and currently being contemplated as chief investigating tool in revealing the hidden mysteries of victims and suspects, especially in hopeless circumstances. Forensic odontology has played a chief role in solving cold cases and proved to be strong evidence in the court of law. Systematic collection of dental records and preservation of the same would marshal the legal officials in identification of the deceased. To serve the forensic operation and legal authorities, dental professionals need to be familiar with the basics of forensic odontology, which would create a consciousness to preserve the dental data. The aim of this paper is to emphasize the vital applications of forensic odontology in medico-legal issues. Conjointly the recent advancements applied in forensic human identification have been updated. Keywords: bite marks; dental records; forensic identification; mass disaster; medico-legal issues. | PubMed

  10. MEDICO-LABORATORY SERVICES IN OUTPATIENT CARE IN NORTHEASTERN BULGARIA – STATE AND PROSPECTS

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    Emilia P. Georgieva

    2017-11-01

    Full Text Available Aim: The aim of this article is to study the satisfaction of patients with laboratory services in outpatient care in Northeastern Bulgaria regarding access and quality of service. Study design: Prospective cohort study Material and methods: The survey was carried out on the territory of Northeastern Bulgaria and covered the districts of Varna, Dobrich and Shumen and thirty municipalities. The following methods were applied in the study: sociological method by applied direct anonymous questionnaire, documentary method and statistical methods for analysis and interpretation of the data in order to reveal the nature of the observed phenomena and their interrelations. Results: The research data show that 24,4% of the respondents live at a distance of more than ten kilometres from the nearest medico-diagnostic laboratory. The larger share of these patients are residents of small settlements in Northeastern Bulgaria. More than half (55% of the respondents are not satisfied with their provision of laboratory services, but the majority of patients claim that the location of the selected laboratory is accessible (69,4% and the quality of the laboratory service is high (83,7%. Conclusion: The main problems in outpatient care are related to the poor provision of medico-laboratory services and specialized outpatient care in the smaller settlements in Northeastern Bulgaria.

  11. Comportamiento de variables clínico-epidemiológicas en pacientes asmáticos. Consultorio Médico de Familia 14, Puerto Padre

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    José Ramón Martínez Pérez

    2015-12-01

    Full Text Available Se realizó un estudio descriptivo de corte transversal en 40 pacientes asmáticos de todas las edades, pertenecientes al Consultorio 14 del área de salud de Puerto Padre, provincia de Las Tunas, durante los meses de enero a junio de 2008; con el objetivo de determinar el comportamiento de variables clínico-epidemiológicas en dichos pacientes. Para cumplimentar los objetivos se diseñó una encuesta que recogió las variables de interés. El análisis se hizo a través del sistema Statistix, permitiendo  obtener  la distribución de frecuencia y los porcientos. El test de Chi-Cuadrado se empleó en la comparación de variables cualitativas. Los resultados fueron descritos, interpretados y comparados con otros estudios. Se concluye que los pacientes grado I según Kraeppelin son los mas representados en nuestra población de pacientes asmáticos;  los broncodilatadores son los medicamentos mas utilizados por la población asmática estudiada; el incumplimiento del tratamiento medicamentoso no se relacionó con la severidad de la enfermedad en la población estudiada;  las malas condiciones de la vivienda y  el tabaquismo influyeron de forma negativa en la evolución del paciente asmático.

  12. COMUNIDADES DE CONVERSACIÓN: la construcción de los casos jurídico y personal en un consultorio jurídico rural

    Directory of Open Access Journals (Sweden)

    SILVIA MONROY ÁLVAREZ

    2005-01-01

    Full Text Available ESTE ARTÍCULO PRESENTA UN EXPERIMENTO ETNOGRÁFICO EN EL CONSULTORIO JURÍDICO rural del municipio de Fredonia (departamento de Antioquia. Analiza cómo abogado y consultante crean su caso, jurídico y personal. Se trabajan la construcción del caso por parte del abogado y su creación por parte de los usuarios. En la elaboración de la historia personal se destacan tres características: se construye a la par de la traducción del practicante; se da especial importancia a la narración cronológica de los hechos; y está ligada a un performance. En suma, se hará evidente el choque de dos formas de representación: la de los practicantes, basada en un saber especializado, y la de los usuarios, fundamentada en estrategias que derivan de lógicas locales.

  13. Caracterización de la población geriátrica hipertensa de un consultorio médico de la familia

    Directory of Open Access Journals (Sweden)

    Rafaela Yamilet Lora Martínez

    2015-02-01

    Full Text Available En los últimos años se ha incrementado la aparición de la hipertensión arterial en el adulto mayor, por lo que se realiza una investigación descriptiva transversal, para caracterizar clínica y epidemiológicamente esta entidad en los adultos mayores, atendidos en el consultorio médico de la familia (CMF No 8, perteneciente al Policlínico “Romárico Oro” de Puerto Padre, en el año 2012. La población de estudio estuvo constituida por todos los gerontes dispensarizados como hipertensos. Se analizaron las variables: factores de riesgo asociados, manifestaciones clínicas, hallazgos en exámenes complementarios y electrocardiográficos y daño en órganos diana. Dentro de los factores de riesgo asociados predominaron los antecedentes familiares de hipertensión arterial, sedentarismo y estrés. La manifestación clínica más abundante fue la cefalea. El hallazgo en exámenes complementarios y electrocardiográficos más frecuente fue la hipertrofia ventricular izquierda, siendo el corazón el órgano diana más afectado

  14. Estudio de la incidencia de hipertensión arterial en los adultos de 20 consultorios del Policlínico Lawton en 1992

    Directory of Open Access Journals (Sweden)

    Betsy M Coro García

    1996-08-01

    Full Text Available Se realizó un estudio sobre la incidencia de hipertensión arterial en los adultos del Policlínico Lawton durante 1992. Se seleccionó al azar el 40 % de los consultorios del Policlínico y se revisaron las historias clínicas de los adultos diagnosticados como hipertensos para obtener datos y corroborar el diagnóstico. Se encontró una incidencia de la enfermedad de 9 por 1000 y ésta aumentaba con la edad; la mayoría de los hipertensos eran ligeros y el 48 % no estaban clasificados en estados. El 95 % de los hipertensos tenía al menos algún factor de riesgo de la enfermedad y los factores de riesgo se asociaron también con las complicaciones. Se recomienda la pesquisa activa de la enfermedad en todos los pacientes atendidos por el médico de la familia.

  15. Orientación sexual en adolescentes del consultorio médico de familia número 16 de Jesús Menéndez, 2012

    Directory of Open Access Journals (Sweden)

    Blas Manuel Cruz Peña

    2015-12-01

    Full Text Available Se realizó un estudio descriptivo transversal en estudiantes adolescentes, pertenecientes al Consultorio del médico de familia número 16 del municipio de Jesús Menéndez durante el año 2012, con el objetivo de explorar su orientación sexual y edad de inicio de las relaciones sexuales, para en un segundo tiempo trazar estrategias de prevención de enfermedades de trasmisión sexual (ETS-VIH/SIDA en esta población vulnerable y expuesta. El instrumento de recogida de la información lo constituyó una entrevista, estructurada y elaborada para estos fines. Previamente se adiestró al personal especializado y se efectuó un pilotaje que permitió realizar algunos ajustes. Se encontró asociación significativa entre el sexo y la conducta sexual en los estudiantes del politécnico y existieron mayores porcentajes de la conducta heterosexual. Se aprecia un predominio de homosexualidad y bisexuales en el sexo femenino. La media de edad de inicio de las relaciones sexuales fue de 12,5 años en el grupo de estudiantes del sexo masculino de secundaria básica.

  16. Exploración del peso corporal en un consultorio médico Screening of body weight at a family physician's office

    Directory of Open Access Journals (Sweden)

    Leonor Hernández Piñero

    2005-08-01

    Full Text Available Se describió el comportamiento del peso corporal en la población del consultorio 60-2 del Policlínico California. Se realizó un estudio descriptivo transversal, en el que se incluyeron los pacientes mayores de 15 años que asistieron a la consulta en la semana del 21 al 27 de abril de 2004. Se aplicó una encuesta que exploró la edad, el sexo, el peso, la talla, el motivo de consulta, los antecedentes patológicos personales y los criterios sobre su imagen corporal, y se calculó el índice de masa corporal. El 58,33 % de la población estudiada tenía exceso de peso corporal. La mayoría de los pacientes se encontraban en el grupo de edad de 60 a 74 años y de 30 a 44. La hipertensión arterial es el antecedente patológico que predominó en estos pacientes, y el seguimiento de sus enfermedades crónicas fue el principal motivo de consulta. A medida que aumentó el peso para la talla, aparecieron signos de rechazo a su imagen corporal.

  17. Epidemiología de la ulcera péptica en siete consultorios del médico de la familia

    Directory of Open Access Journals (Sweden)

    Roberto Alvarez Sintes

    1995-06-01

    Full Text Available Se realiza un estudio en 7 consultorios médicos del Policlínico Docente "Tomás Romay", del municipio Artemisa, para analizar algunos aspectos epidemiológicos de la úlcera péptica en pacientes dispensarizados en las historias clínicas familiares por esta enfermedad. Se encontró una prevalencia del 1%. La úlcera gástrica fue más frecuente después de los 40 años de edad. Se investiga, además, su relación con los hábitos tóxicos, el régimen de alimentación previo, el grupo sanguíneo, los antecedentes familiares y el estrés. Las manifestaciones clínicas más frecuentes fueron: el dolor, la acidez y la pirosisA study was conducted in 7 medical offices from "Tomás Romay" Teaching Polyclin cs, Artemisa municipality in order to analyze certain epidemiologic aspects of peptic ulcer in dispenzarized patients. A prevalence of 1 % was observed. Gastric ulcer was found to be more frequent after 40 years of age. The relation of peptic ulcer to toxic habits, previous feeding practices, blood group, familial history and stress, is also under research. The most frequent clinical manifestations were: pain, acidity, and pyrosis.

  18. In search of the lost art of living in the city. A childhood aesthetic experience in Tlalpan Plaza En busca del arte perdido de vivir la ciudad. Experiencia estética infantil en la plaza de Tlalpan

    Directory of Open Access Journals (Sweden)

    Vicente Guzmán Ríos

    2012-11-01

    Full Text Available

    Life in the city is a polysemic performance with actors of different nature and multiple stories, scenarios and forums. Following Kenneth Burke (Joseph, 1999: 29 and Erving Goffman (1997 regarding the stagy metaphor and the notion of good manners as the parameter of interactions, we appeal to the notion of anagnorisis in terms of recognition within the theatrical theory, and the concept of aesthetic experience to support the analysis of the expressed experiences (verbal and graphically of a group of kids in the Plaza de Tlalpan. We incorporate the notion of delight and pleasure as a feasible result of experiencing aesthetically the city and the appropriation of urban areas from the public space.

    La vida en la ciudad es una puesta en escena polisémica con actores de distinta naturaleza y múltiples historias, escenarios y foros. Siguiendo a Kennet Burke (en Joseph, 1999:29 y Erving Goffman (1997 respecto a la metáfora teatral y la noción de las buenas maneras como parámetro de las interacciones retomamos la idea de anagnórisis en tanto reconocimiento dramático dentro de la teoría actoral, así como el concepto de experiencia estética como soporte del análisis de las vivencias expresadas verbal y gráficamente por un grupo de niñas/os en la plaza de Tlalpan. Incorporamos la noción de goce y placer como resultado viable de experimentar estéticamente la ciudad y apropiarse de los ámbitos urbanos a partir del espacio público.

  19. Clinical photography in dermatology: ethical and medico-legal considerations in the age of digital and smartphone technology.

    Science.gov (United States)

    Kunde, Lauren; McMeniman, Erin; Parker, Malcolm

    2013-08-01

    Clinical photography has long been an important aspect in the management of dermatological pathology and has many applications in contemporary dermatology practice. With the continuous evolution of digital and smartphone technology, clinicians must maintain ethical and medico-legal standards. This article reviews how dermatology trainees are utilising this technology in their clinical practice and what procedures they follow when taking photos of patients. We review the ethical and legal considerations of clinical photography in dermatology and present a hypothetical medico-legal scenario. Dermatology registrars were surveyed on their use of personal smartphones and digital equipment for photographing patients in their clinical practice. Numerous medico-legal providers were approached to provide medico-legal advice about a hypothetical scenario. We found that the use of these technologies is prevalent among dermatology registrars and all respondents reported regular use. Clinicians should routinely obtain and document adequate patient consent in relation to clinical photography, utilise strict privacy settings on smartphones and other digital devices and ensure that the images are stored on these devices for minimal periods. Express consent documentation in the clinical file puts the clinician in a more defensible position if a complaint is made to the medical board or privacy commissioner. © 2013 The Authors. Australasian Journal of Dermatology © 2013 The Australasian College of Dermatologists.

  20. Back to the Future - Part 1. The medico-legal autopsy from ancient civilization to the post-genomic era.

    Science.gov (United States)

    Cecchetto, Giovanni; Bajanowski, Thomas; Cecchi, Rossana; Favretto, Donata; Grabherr, Silke; Ishikawa, Takaki; Kondo, Toshikazu; Montisci, Massimo; Pfeiffer, Heidi; Bonati, Maurizio Rippa; Shokry, Dina; Vennemann, Marielle; Ferrara, Santo Davide

    2017-07-01

    Part 1 of the review "Back to the Future" examines the historical evolution of the medico-legal autopsy and microscopy techniques, from Ancient Civilization to the Post-Genomic Era. In the section focusing on "The Past", the study of historical sources concerning the origins and development of the medico-legal autopsy, from the Bronze Age until the Middle Ages, shows how, as early as 2000 BC, the performance of autopsies for medico-legal purposes was a known and widespread practice in some ancient civilizations in Egypt, the Far East and later in Europe. In the section focusing on "The Present", the improvement of autopsy techniques by Friedrich Albert Zenker and Rudolf Virchow and the contemporary development of optical microscopy techniques for forensic purposes during the 19th and 20th centuries are reported, emphasizing, the regulation of medico-legal autopsies in diverse nations around the world and the publication of international guidelines or best practices elaborated by International Scientific Societies. Finally, in "The Future" section, innovative robotized and advanced microscopy systems and techniques, including their possible use in the bio-medicolegal field, are reported, which should lead to the improvement and standardization of the autopsy methodology, thereby achieving a more precise identification of natural and traumatic pathologies.

  1. Emilio Duhart, la arquitectura como estructura del espacio público: Plaza Foro Abierto - Universidad de Concepción

    Directory of Open Access Journals (Sweden)

    Cristián Berríos

    2017-06-01

    Full Text Available En el año 1957, Emilio Duhart Harosteguy recibe el encargo de planificar el crecimiento físico de la Universidad de Concepción para los siguientes 25 años. Lo que en un principio sería el desarrollo de un Plan Director del conjunto universitario, se transformó en una elaborada planificación urbano-arquitectónica, desde que al requerimiento se incorpora también la redacción de los proyectos de arquitectura. Aquello supone una doble oportunidad para Duhart: la de dotar de una estructura coherente a la totalidad de la organización urbana de la ciudad universitaria y la de dar forma al espacio público del conjunto mediante la precisa configuración definida por la nueva arquitectura. Este escrito intenta develar los criterios de proyecto convocados por el arquitecto para la conformación de la Plaza del Foro Abierto, espacio público que puede ser considerado como la síntesis de los argumentos elaborados por Duhart para la planificación general. Dicha plaza, que el mismo arquitecto señalaba como el centro de gravedad o corazón de la universidad, se ha transformado, a sesenta años de su génesis, en uno de los lugares públicos con mayor sentido de pertenencia e identidad para la ciudad de Concepción; premisa a partir de la cual se desarrolla este artículo.

  2. Las prácticas culturales de los ropavejeros de la plaza España de Bogotá

    Directory of Open Access Journals (Sweden)

    Julia Beatriz Bedoya-Ramírez

    2015-12-01

    Full Text Available El presente artículo surge a partir de un proceso de asesoramiento a una investigación de práctica socio-cultural que se llevó acabo en la plaza España de Bogotá con el apoyo de la alcaldía local de los Mártires y el grupo de investigación ALEPH integrado por Luis Ernesto Corredor Portilla; Katherine Alvarado Contreras; Luís Carlos Montenegro Almeida y Ángela María Botero Sierra. Se obtuvo una visión de ciudadanía amplia y plural, por medio de la participación y el análisis al buscar soluciones pedagógicas desde procesos culturales. La Comunidad de Los Ropavejeros en la Plaza España tienen una tradición en la historia de la capital colombiana de más de 60 años, la cual se nutre no solamente de los edificios emblemáticos, los acontecimientos que se desarrollaron en este lugar, o los registros fílmicos y documentales sobre estos, sino que se alimenta de la experiencia y las vivencias que son narradas por sus mismos protagonistas, quienes con sus vidas y desde la cotidianidad construyen historia, el objetivo principal es conocer y evidenciar las prácticas culturales que realizan los ropavejeros para mantener en el tiempo una actividad comercial para la población más vulnerable, como es la venta de ropa usada en buena calidad.

  3. Plan de ordenamiento territorial. Plan estratégico de desarrollo urbano territorial, Presidencia De La Plaza, Chaco, Argentina

    Directory of Open Access Journals (Sweden)

    Alberto Patricio Mahave

    2017-11-01

    Full Text Available El Plan Estratégico Territorial para la Municipalidad de Presidencia de la Plaza pone de manifiesto varios puntos claves, esenciales para el desarrollo equilibrado de las potencialidades y oportunidades dentro del entorno tanto local como externo. La dimensión ambiental incluye temas como la calidad del aire y el agua, la adaptación al cambio climático, la reducción de la vulnerabilidad a las amenazas naturales y la cabertura de los servicios públicos; la dimensión del desarrollo urbano considera los aspectos físicos, económicos y sociales; y la dimensión legal aborda las características de una buena gobernabilidad, entre ellas la transparencia, participación pública y gestión pública moderna. Al mismo tiempo, examina los instrumentos normativos ya que son necesarios para el normal deselvonviemiento de la institución municipal y el desarrollo y crecimiento económico, social, urbano y territorial del municipio. Por ello, se pretende atender cuestiones que hacen al ordenamiento urbano, al espacio público y al medio natural, elementos estructurantes para el buen desarrollo del municipio tanto en lo social como en lo económico, con el objeto de producir acciones tendientes al funcionamiento óptimo del territorio y a la vez sustentable, garantizando a la población un ambiente saludable e integral. El éxito del Plan Estratégico Territorial para la Municipalidad de Presidencia de la Plaza depende de la voluntad política de las autoridades locales como de la ciudadanía, ya que resulta de vital importancia la sostenibilidad de las propuestas e intervenciones en corto, mediano y largo plazo que contribuirán a una modificación adecuada al territorio.

  4. Book review. Rapporto Nomisma 2014: La professione medico veterinaria - Prospettive future. FNOVI, Autori Vari

    Directory of Open Access Journals (Sweden)

    Manuel Graziani

    2014-09-01

    Full Text Available Il presidente della Federazione Nazionale degli Ordini Veterinari Italiani (FNOVI, Gaetano Penocchio, si pone alcune domande: "Chi siamo per il "mondo del lavoro"? Quanto ha bisogno di noi? Siamo preparati a rispondere o a stimolare la domanda di professionalità veterinarie? Come restare competitivi e come garantire nuovi sbocchi occupazionali?". Il nuovo Rapporto sulla professione medico veterinaria, che esce a 4 anni di distanza dal precedente ed è ancora curato da Nomisma, nasce proprio per dare risposta agli interrogativi di cui sopra, proponendosi come strumento informativo aggiornato per il mondo veterinario e per le Istituzioni, nonché come strumento di approfondimento su cui fondare ulteriori riflessioni. Il volume si focalizza soprattutto sui diversi ambiti occupazionali del medico veterinario e sulla dimensione prospettica al 2030 dei possibili scenari evolutivi della professione. Lo "sguardo demoscopico" del Rapporto non prescinde da un dato che deve far riflettere, ovvero che in Italia il rapporto fra popolazione e medici veterinari è (ancora il più alto d'Europa. In vent'anni i veterinari sono raddoppiati fino agli attuali 30.415 di cui il 77% liberi professionisti, quindi esposti al rischio di non avere una continuità lavorativa. Tutto questo, peraltro, nel pieno di spinte recessive che ciclicamente colpiscono il Paese e nel quadro di una crisi globale che si protrae dal 2007. Eppure il Rapporto mette in luce che il 27% delle esportazioni italiane è rappresentato da prodotti alimentari di origine animale e che il comparto della filiera agroalimentare, strettamente connesso alla professione medico veterinaria, ha tenuto contenendo il calo dei consumi alimentari. Una chiave per rilanciare la professione potrebbe essere, ad esempio, quella della specializzazione nell'ambito della sicurezza alimentare: un settore poco curato soprattutto in ambito universitario, come afferma il presidente della FNOVI che chiosa così: "La

  5. [The medico-psychological rehabilitation of participants in combat actions in a general hospital].

    Science.gov (United States)

    Belinskiĭ, A V; Liamin, M V

    2000-01-01

    There were investigated 453 servicemen--participants of fighting actions in Chechnya [correction of Chechenskaya] Republic in whom the incidence of psychologic stress reactions nearly twice exceeded disorders of other types of psychic dysfunction. 5 groups of combatants were selected and severity of psychic disorders depending on duration of participation in fighting actions was determined. Posttraumatic stress disorders were revealed in 14.5% of servicemen, no signs of psychologic desadaptation were detected in 16.6%, 16.9% had pathologic psychogenic reactions, 18.6% showed pathologic level of psychic disorders, and psychologic stress reactions were noted in 33.4%. The developed individual programs of medico-psychologic rehabilitation depending on type and severity of psychic disorders will allow to reduce the period of restorative treatment and significantly decrease servicemen discharge from the Armed Forces because of psychic disorders.

  6. Theories About Blood Coagulation in the Writings of Ancient Greek Medico-philosophers.

    Science.gov (United States)

    Tsoucalas, Gregory; Karamanou, Marianna; Papaioannou, Theodoros G; Sgantzos, Markos

    2017-01-01

    Anaxagoras and Empedocles both established during the Presocratic era a pioneering theory for the creation of everything in the universe. Macrocosmos' impact through the "Four Elements Theory" explained the conglomeration of the blood inside the vessels. Hippocrates, who instituted the "Four Humours theory", clearly understood blood's coagulation and introduced the term "thrombus". Plato, Aristotle and Galen, all engaged with the clotting phenomenon trying to interpret it. After eons of inquiry, it was the innovative thinking of the ancient Greek medico philosophers that set the scientific bases towards the understanding of a process that had been analyzing until our era. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  7. Ireland and medical research with minors: some medico-legal aspects.

    Science.gov (United States)

    Sheikh, Asim A

    2008-07-01

    The practice of medical research with minors in Ireland consist of practices pertaining to therapeutic and non-therapeutic medical research. Clinical trials (a category of therapeutic research), is governed by legislation. However, any other therapeutic research (non-clinical trials research) and non-therapeutic research, e.g. observational medical research such as a longitudinal study of children or non-therapeutic research such as blood sample collection for analysis of cause of disease, are unregulated by legislation. This, article will outline and describe some of the medico-legal issues involved in both types of research and will comment on matters such as what national law exists, how the directive on good clinical practice has been implemented, what guidelines, if any, exist.

  8. El consultorio médico escolar como centro de referencia en un proyecto integral en salud reproductiva de base comunitaria

    Directory of Open Access Journals (Sweden)

    Félix Rodríguez Jústiz

    1999-01-01

    Full Text Available El trabajo presenta la sinopsis de un proyecto iniciado con el consultorio médico escolar de la ESBU "José Martí" del municipio Centro Habana. Se trata de una investigación- acción participativa (IAP que tiene como objetivo general ganar en calidad en la promoción integral de la salud reproductiva y como objetivos específicos los siguientes: influir en el mejoramiento del comportamiento sexual de esta población escolar, prepararlos en la prevención de la infección por el VIH/SIDA y las enfermedades de trasmisión sexual (ETS, instruirlos sobre la planificación familiar buscando la prevención de los embarazos no deseados en las jóvenes parejas. Como método se propone realizar una investigación preliminar para indagar sobre los conocimientos, intereses, necesidades, actitudes, comportamientos de estos jóvenes y programar intervenciones educativas específicas para que estos estudiantes se conviertan en Promotores de Salud y proyecten actividades sobre su familia, otros colectivos estudiantiles, juveniles y la comunidad en general. Se pretende que con el médico y enfermera de la escuela, autoridades locales de salud, los profesores y alumnos participantes y con la asesoría de instituciones nacionales especializadas, dejar establecido a este consultorio médico como centro de referencia y multiplicador de experiencia de este estilo preventivo de trabajo multidisciplinario e intersectorial en esta esfera de la salud.This paper presents the synopsis of a project that was put into practice at the physician office of the "José Martí" Basic Secondary School, in "Centro Habana" municipality. Its is a participative- action- research that has as a general objective to increase the quality of the comprehensive promotion of reproductive health and as specific objectives the following: to influence on the improvement of the sexual behavior of this school population, to prepare them for the prevention of the infection caused by HIV/AIDS and

  9. Incidencia de las plazas urbanas sobre el comportamiento térmico del entorno en alta densidad edilicia. El caso de la ciudad de Mendoza, Argentina.

    Directory of Open Access Journals (Sweden)

    susana Stocco

    2018-05-01

    Full Text Available Las plazas concebidas bajo el concepto de “plaza jardín” -modelo dominante en las ciudades de Latinoamérica- generan efectos microclimáticos a escala urbana y edilicia dado que actúan como fuente de enfriamiento nocturno. En contextos de baja y media densidad, dicho efecto está asociado fundamentalmente al diseño de la plaza: núcleo central predominantemente semi-sellado alrededor del cual se distribuyen áreas verdes a modo de bosques y prados. Sin embargo, en el caso de la ciudad de Mendoza-Argentina, la tendencia a la redensificación del tejido urbano, como estrategia de control del crecimiento urbano, limita los beneficios que proporcionan las configuraciones actuales de plazas. Es por ello que este trabajo evalúa el impacto de incrementar la dimensión de la plaza en el comportamiento térmico de la misma y su influencia sobre el microclima del entorno mediato, como alternativa para potenciar sus beneficios en áreas urbanas de alta densidad. Con tal fin, se seleccionaron tres casos de estudio, dos de ellos de una superficie equivalente a una manzana urbana –10000m2–, emplazados en entornos de media y alta densidad, y un caso de mayor superficie -40000m2-, inserto en un contexto de alta densidad. Tales casos fueron monitoreados térmicamente en la estación verano, durante un periodo de 21 días, mediante el uso de microadquisidores de datos del tipo HOBO H08-003-02. Se caracterizaron las condiciones radiativas a partir de la determinación del factor de visión de cielo (SVF. Los resultados obtenidos muestran que, al incrementar las dimensiones de la “plaza jardín”, sus diferentes estructuras -núcleo central, bosque, prado- presentan menores temperaturas respecto a su entorno durante todo el día. En consecuencia, constituye una estrategia eficiente para mejorar las prestaciones del espacio abierto respecto a sus efectos microclimáticos en entornos urbanos de alta densidad. Si bien dicha

  10. Alteraciones fondoscópicas en pacientes hipertensos en un Consultorio del Médico de la Familia Funduscopic alterations in hypertensive patients at a family physician's office

    Directory of Open Access Journals (Sweden)

    Lisi Osorio Illas

    2003-06-01

    Full Text Available Con vistas a estudiar más profundamente el papel de la hipertensión arterial en el desarrollo de alteraciones retinianas, se realizó un estudio de 69 pacientes dispensarizados como hipertensos del Consultorio del Médico de la Familia no. 23 del policlínico "Elpidio Berovides"del municipio La Lisa desde enero a junio del año 2002. Todos los pacientes fueron evaluados desde el punto de vista general y fondoscópico donde se encontró un predominio del sexo femenino, con una mayor incidencia en mayores de 60 años. El mayor porcentaje de afecciones fondoscópicas se observó en los pacientes hipertensos moderados con más de 10 años de evolución. En el control de la hipertensión arterial influyó el tipo de tratamiento indicado y su cumplimiento; se demostró que la actividad preventiva es fundamental para modificar en gran medida la evolución de la enfermedad y la aparición de las alteraciones retinianas.In order to go deep into the role of arterial hypertension in the development of retinal alterations, a study was conducted among 69 patients classified as hypertensive at the Family Physician's Office no. 23 of "Elpidio Berovides" Polyclinic, in La Lisa municipality, from January to June, 2002. All the patients were evaluated from the general and fundoscopic point of view. It was found a predominance of females with a higher incidence in those over 60. The greatest percentage of fundoscopic affections was found in moderate hypertensive patients with more than 10 years of evolution. The type of treatment indicated and its fulfillment influenced the control of arterial hypertension. It was proved that the preventive activity is fundamental to modify considerably the evolution of the disease and the appearance of retinal alterations.

  11. [Prevention of the post-surgical insatisfactions and possible medico-legal complications].

    Science.gov (United States)

    Flageul, G; Pessis, R

    2017-10-01

    The purpose of this work is to better understand the reasons for post-surgical instability and what makes up the bed of medico-legal complications. Beyond technical competence, it is essential to observe a very high degree of rigor in listening to the real motivations in order to give the most accurate possible surgical indications and in particular to know to detect and never to operate certain patients who, whatever we do, will always be dissatisfied. The quality of information is one of the essential elements of prevention: information is part of the care and there is no therapeutic success without a successful relationship between a caregiver and a carereceiver. Before the surgery, it is essential to pre-establish written proof of the proper delivery of the information by signing a receipt and an informed consent document. However, the information does not stop at the time of the operative gesture and it is necessary to be able to provide complete and timely information about any post-surgical complications. Furthermore, aesthetic medicine is well understood and rigorously implemented, contributes to the prevention of surgical and medico-legal complications, reducing the heaviness of certain surgical gestures. The question of e-reputation should in no way be neglected. From this point of view, prevention consists in controlling as much as possible the Internet environment. Indeed, where, in the past, in the presence of a dissatisfied patient awaited us, the fear of word-of-mouth or trial is added to the risk of harm E-reputation whose implications can be very damaging. At a time when the intensive use of the Internet allows anyone to get out of anonymity, we must also control these tools at the risk of sacrificing our expertise at the coronation of amateurs. Copyright © 2017. Published by Elsevier Masson SAS.

  12. Nivel de Conocimientos sobre Infecciones de Transmisión Sexual en usuarios que Acuden al Consultorio de Control de Infecciones de Transmisión Sexual. Hospital Goyeneche. Arequipa, 2008

    OpenAIRE

    Chancolla Mamani Mery Concepción

    2010-01-01

    Las infecciones de transmisión sexual (ITS) o clásicamente como enfermedades venéreas, en la actualidad presentan un elevado número de pacientes y más aún en los países tercer mundista, es por eso que se ha elaborado la presente investigación titulada: NIVEL DE CONOCIMIENTOS SOBRE INFECCIONES DE TRANSMISIÓN SEXUAL EN USUARIOS QUE ACUDEN AL CONSULTORIO DE CONTROL DE INFECCIONES DE TRANSMISIÓN SEXUAL. HOSPITAL GOYENECHE. AREQUIPA, 2008, se realizó un estudio de tipo descriptiv...

  13. The effectiveness of clinical problem-based learning model of medico-jurisprudence education on general law knowledge for Obstetrics/Gynecological interns.

    Science.gov (United States)

    Chang, Hui-Chin; Wang, Ning-Yen; Ko, Wen-Ru; Yu, You-Tsz; Lin, Long-Yau; Tsai, Hui-Fang

    2017-06-01

    The effective education method of medico-jurisprudence for medical students is unclear. The study was designed to evaluate the effectiveness of problem-based learning (PBL) model teaching medico-jurisprudence in clinical setting on General Law Knowledge (GLK) for medical students. Senior medical students attending either campus-based law curriculum or Obstetrics/Gynecology (Ob/Gyn) clinical setting morning meeting from February to July in 2015 were enrolled. A validated questionnaire comprising 45 questions were completed before and after the law education. The interns attending clinical setting small group improvisation medico-jurisprudence problem-based learning education had significantly better GLK scores than the GLK of students attending campus-based medical law education course after the period studied. PBL teaching model of medico-jurisprudence is an ideal alternative pedagogy model in medical law education curriculum. Copyright © 2017. Published by Elsevier B.V.

  14. Edificio de ocio y espectáculos. Plaza de toros en Móstoles, Madrid/España

    Directory of Open Access Journals (Sweden)

    Casado, J.

    1997-02-01

    Full Text Available The traditional image of the buildings for the 'Fiesta" must be seen as a point in a long process of definition in which important changes and innovations have been assimilated. Nowadays, things that should derive in some of these changes are happening. The "Plazas" are being used for purposes so different to those which motivated their construction as being the site for concerts or different kinds of shows. What most defines the traditional building is the centrally focused definition of the seats that allows a clear vision from any point of the ”ruedo”. Introducing a scene box meant extracting this focus from the "ruedo", so the optimal location should be found. Traditionally, the public has taken an active role in the "corrida". Each one of the seats is a place to look from, but it becomes too a place to be seen. So this seemed like the natural location for the scene, that will remark this peculiar relationship between the two main parts of the building, the rows of seats and the "ruedo". Obviously, the total amount of seats should be kept, so those to be invaded by the scene were displaced to the diametrically opposite point. What we, finally, have, is a traditional "ruedo" surrounded by a crown of seats with a varying width, where a scene box is placed. This compromise between Tradition and Evolution is what we propose as a way to explore in the future evolution of the "Plazas".

    Los edificios taurinos, tal como los hemos conocido, son el resultado de un largo proceso evolutivo, en el cual han existido momentos concretos de innovación y cambio. En España vivimos ahora el que, probablemente, deba ser uno de estos momentos. Las plazas de toros llevan ya tiempo intentando abrirse a otros usos, lúdicos o culturales, en busca de una mayor rentabilidad de sus instalaciones. Hasta el momento, este proceso no ha generado modificaciones que permitan el desarrollo de las distintas funciones en las mejores condiciones posibles, sino

  15. Evaluation of the Successfulness of A Green Program through Customer Perceived Quality, Brand Image, and Customer Satisfaction: A Case Study at Surabaya Plaza Hotel

    OpenAIRE

    Marsella Yeanette Hatane; Adinda Yosari; Felicia Christiana Hendautomo

    2012-01-01

    Every company try to build the brand image of their businesses by doing a green program as one of their strategies. This research aims to see the impacts of the implementation of a green program at Surabaya Plaza Hotel, Surabaya. 230 hotel customers were randomly chosen as the respondents. Through descriptive and Structural Equation Modelling (SEM) analysis, can be seen that technical quality brings insignificant negative impacts towards customer satisfaction. Meanwhile, functional quality an...

  16. Tallinn. Ärihoone Rävala 4. City Plaza Tartu mnt. 2 / Andres Alver, Tiit Trummal, Tarmo Laht...[jt.

    Index Scriptorium Estoniae

    2007-01-01

    Lõige, põhiplaan, 3 värv. välis- ja 5 sisevaadet; arhitektuur: Alver Trummal Arhitektid; ärihoone Rävala pst. 4 - autorid: A. Alver, T. Trummal, T. Laht, I. Rünkla, U. Mets, S. Koppel; City Plaza Tartu mnt. 2. - autorid: A. Alver, T. Trummal, T. Laht, I. Rünkla, M. Melioranski, U. Mets, sisekujundus (fuajeed, restoran): P. Lausmäe

  17. Peran ILO (International Labour Organization) dalam Menangani Kecelakaan Kerja pada Industri Garmen di Bangladesh Studi Kasus Tragedi Rana Plaza Tahun 2013

    OpenAIRE

    Pakpahan, Saiman; Tambun, Harry Panduari

    2015-01-01

    This research aims to determine the role of International Labour Organization (ILO) in dealing with industrial workplace accidents in Bangladesh by focusing on Rana Plaza tragedy in 2013. ILO plays an active role to promote decent work for every man and woman all over the world. Workplace accident is one of many problems usually found in garment industry in Bangladesh. Unsafe structural integrity and fire safety are the factors that cause workplace accidents.This research uses Pluralism Persp...

  18. Proyecto de Plaza-Embarcadero en Caleta Tortel, Región de Aysén, Patagonia de Chile / Embarcadero Plaza-Project in Tortel, Region of Aysen Patagonia, Chile.

    Directory of Open Access Journals (Sweden)

    Medel Santibáñez, Paulina Andrea

    2007-06-01

    Full Text Available El proyecto de Título de Arquitectura, 2007, que se presenta tiene como objetivo central dar respuesta a necesidades reales, preservando y cuidando del medio local, tanto natural como sociocultural, dentro de la dinámica actual de cambios y apertura. Se reconoce los atributos y potencialidades propios de Caleta Tortel para preservar su identidad cultural y patrimonial a través de la consideración de la relación con su entorno, específicamente, reconociendo el vínculo entre la localidad y el mar como medio elemental que le da origen y permite su desarrollo. La “Plaza-Embarcadero" en Caleta Tortel es un conjunto de carácter público, de escala comunal y con un programa comunitario integrador y abierto para la interacción diaria y directa de los habitantes y visitantes.This work leading to the professional degree in architecture is an answer to certain needs of Caleta Tortel in the Chilean Patagonia, adapting itself to the local environment –social and natural- and to the changes of globalization. The core idea of this project is to preserve the spatial and economic link between the town and the sea. The proposed wharf is a meeting point for the neighbours and tourists.

  19. Historia reproductiva de madres e hijas residentes en el municipio Plaza de la Revolución, La Habana. Reproductive history of mothers and daughters residents in the municipality of Plaza de la Revolución, Havana

    Directory of Open Access Journals (Sweden)

    Vanessa Vázquez Sánchez

    2015-12-01

    Full Text Available Plaza de la Revolución es el municipio de menor fecundidad del país. Por ello, el trabajo tiene como objetivo comparar la historia reproductiva de dos generaciones de mujeres residentes en dicha localidad. La generación uno (madres está formada por 62 mujeres nacidas entre 1942 y 1950, con edades entre 57 y 64 años, que fueron entrevistadas entre marzo de 2007 y octubre de 2008, en una investigación precedente. La generación dos (hijas la integran 74 mujeres, nacidas en el período 1957-1968, con edades entre 45 y 56 años, entrevistadas entre octubre de 2013 y febrero de 2014. El muestreo utilizado para seleccionar a las mujeres de la generación uno fue intencional. Los criterios de selección fueron: escoger a aquellas de la investigación previa que tuvieran hijas que residieran en Plaza de la Revolución, con 45 años o más, para que estuvieran próximas al fin del período fértil. Posteriormente se entrevistaron a sus hijas aplicando la misma guía de entrevista, que incluyó variables sociodemográficas, de historia reproductiva y matrimonial, así como relacionadas con cada embarazo, producto de la concepción y nacidos vivos. La historia reproductiva de ambas generaciones se caracterizó por una edad temprana de menarquia, de inicio de las relaciones sexuales y de contraer primeras nupcias. Las hijas pospusieron el nacimiento de su primer descendiente respecto a sus madres. Se destaca que la generación dos tuvo como promedio 1,2 hijos menos que sus progenitoras. En este hecho influye que con mayor frecuencia acudieron al aborto provocado y a la anticoncepción, para regular el tamaño de su descendencia. La fecundidad en la adolescencia fue mayor en las madres, pues a diferencia de las hijas, no usaron anticoncepción antes de la primera gestación, ni interrumpieron voluntariamente ese embarazo. Ninguna madre tuvo su primer hijo con 30 años o más y el 15 % de las hijas sí, evidenciándose cambios generacionales en el

  20. Los movimientos sociales en la transición democrática. El caso de las Madres de Plaza de Mayo: sentimiento y discurso

    Directory of Open Access Journals (Sweden)

    Martín D'ALESSANDRO

    2009-11-01

    Full Text Available RESUMEN: El presente artículo hace un repaso por el surgimiento y consolidación de Madres de Plaza de Mayo como movimiento social que inició sus actividades cuestionando la lucha antisubversiva emprendida por la dictadura militar argentina. Plantea además como este movimiento ha sufrido una radicalización de su discurso en la época de la transición a la democracia, cuando se desarrolla el enjuiciamiento de las Juntas Militares, y a partir de ese momento deciden enfrentarse al "sistema burgués". El discurso de Madres de Plaza de Mayo es inicialmente ético y moral para posteriormente adquirir matices de izquierda.ABSTRACT: This article analyzes the emergence and consolidation of the "Madres de Plaza de Mayo" as a social movement which initiated its action questioning the repressive policies led by the Argentine military dictatorship. It shows how the "Madres" undertook a radicalization of its discourse during the democratic transition, as the military "Juntas" were tried by Argentine courts. At this moment, the "Madres" dcided to struggle against the "bourgeois system." The discourse of the Madres was initially ethical and moral, and it became later left wing oriented.

  1. Places of Faith: A Reflection on Landscape of Manila Cathedral Plaza de Roma and Istiqlal Mosque Sacred Grounds of Jakarta

    Science.gov (United States)

    Pujalte, MM; Navarra, N.

    2017-10-01

    Crossing boundaries of faith from Manila to Jakarta, this study is to classify the open spaces in their sacred grounds according to its characteristics, elements, use of space and hierarchy of importance in landscape design approach. The reflection of their religious landscape in preserving the traditional, and exploring the non-traditional aspect of their landscape design in global setting is carried out thru a spatial analysis for Plaza de Roma of Manila Cathedral and the sacred grounds of Istiqlal Mosque. The design framework would tackle: concepts, planning approach, functional symbolic values, and aesthetics used. The data and information are all examined based on observation, historical background, analyses, and literature content in determining spatial functions. Finally, when results are completed, this will give a better understanding on the importance of open areas in Manila and Jakarta’s sacred spaces; paving way for a better sense of comfort in spiritual contemplation. This will also help reveal the commonalities in spiritual practices between Islam and Christianity, and the role of landscape in their religion and faith.

  2. Multivariate Thermo-Hygrometric Characterisation of the Archaeological Site of Plaza de l’Almoina (Valencia, Spain) for Preventive Conservation

    Science.gov (United States)

    Fernández-Navajas, Ángel; Merello, Paloma; Beltrán, Pedro; García-Diego, Fernando-Juan

    2013-01-01

    Preventive conservation requires monitoring and control of the parameters involved in the deterioration process, mainly temperature and relative humidity. It is important to characterise an archaeological site prior to carrying out comparative studies in the future for preventive conservation, either by regular studies to verify whether the conditions are constant, or occasional ones when the boundary conditions are altered. There are numerous covered archaeological sites, but few preventive conservation works that give special attention to the type of cover installed. In particular, there is no background of microclimatic studies in sites that are in the ground and, as in the Plaza de l’Almoina (Valencia, Spain), are buried and partially covered by a transparent roof. A large effect of the transparent cover was found by the sensors located below this area, with substantial increases in temperature and a decrease in the relative humidity during the day. Surrounding zones also have values above the recommended temperature values. On the other hand, the influence of a buried water drainage line near the site is notable, causing an increase in relative humidity levels in the surrounding areas. Multivariate statistical analyses enabled us to characterise the microclimate of the archaeological site, allowing future testing to determine whether the conservation conditions have been altered. PMID:23899937

  3. Essays on Art in Venezuela (Ramón de la Plaza, 1883: an Ethnohistorical Musical Perspective

    Directory of Open Access Journals (Sweden)

    José Ángel Viña Bolívar

    2016-02-01

    Full Text Available General Ramon Plaza Manrique (1831-1886, distinguished character of the Caracas elite, published in 1883 a collection of essays which offered a wide panorama of the art in Venezuela, including music. One of the most interesting sections is about the indigenous world, abounding in details regarding the unequivocal origin of pre-Hispanic music. The treatment of topics, the references to old sound systems, the comparison as study method and, in general terms, the background of the ideas reveal a world of shades that can be approached from new perspectives. Interdisciplinarity enables the exchange of glances adapted to the times, allowing extensive understanding of objects of study such as music; in the case of ethno-history, whose objectives are achieved thanks to the parallel deployment of the methodology of ethnography and history sciences. In this paper a canonical text of the Venezuelan and Latin American musical historiography is analyzed in order to update its approaches through an ethno-historical musical bias.

  4. ARQUEOLOGÍA EN UNA PLAZA METROPOLITANA: RECOLETA, BUENOS AIRES (Archaeology in a metropolitan place: Recoleta, Buenos Aires

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    Mónica Carminati

    2009-09-01

    Full Text Available Una de las plazas más elegantes de Buenos Aires, ubicada en el barrio de mayores ingresos económicos y símbolo de un sector social elevado, demostró al ser excavada e historiada un origen totalmente diferente: zona marginal de pobres casas de barro y madera, una vivienda con tierras de cultivo en las afueras de la ciudad que fue pasando de mano en mano entre familias inglesas, hasta que el crecimiento de la ciudad tras la epidemia de la fiebre amarilla lleva a la concentración de la riqueza en ese lugar. Un hallazgo casual, un pozo que se hundió por casualidad, abrió la puerta para redescubrir el origen de la zona. ENGLISH: We dug one of the most fancy parks of Buenos Aires, in the middle of the most healthy area of the city. The opportunity came when the inner wall of a pit covered by asphalt was demolished by an old tree. And the kind of history we found was of poverty, rural population and settlement of marginalized people. The review of its history and material culture opened our minds to a completely different kind of neighborhood that what it is now.

  5. CARACTERÍSTICAS DE LA PRESCRIPCIÓN ANTIBIÓTICA EN LOS CONSULTORIOS DE MEDICINA DEL HOSPITAL CAYETANO HEREDIA DE LIMA, PERÚ

    Directory of Open Access Journals (Sweden)

    Fernando Llanos Zavalaga

    2002-01-01

    Full Text Available Fundamento: La prescripción adecuada de medicamentos incluye, entre otros aspectos, la elección de determinado medicamento en dosis y tiempo requeridos, considerando además su eficacia y conveniencia. El presente estudio transversal descriptivo, tiene como objetivo evaluar la prescripción antibiótica: proporción de prescripción y calidad de la misma, en la consulta ambulatoria del servicio de medicina del Hospital Cayetano Heredia. Métodos: La población estuvo formada por las 1.449 personas que acudieron a la consulta del 8 de enero al 2 de febrero del 2001. Para determinar la calidad se calculó una muestra de 120 personas a partir de las que formaban la población de estudio. La información fue revisada y calificada por tres médicos especialistas, teniendo como patrón referencial la United States Pharmacopeial Drug Information. Resultados: La proporción de prescripción fue del 13,53% (IC 95%: 11,77%-15,29%, sin diferencias estadísticamente significativas según edad, sexo, y consultorios. Los diagnósticos más frecuentes con prescripción antibiótica fueron: infección urinaria y faringoamigdalitis; los antibióticos más prescritos fueron: ciprofloxacina y cotrimoxazol. 70,00% de antibióticos indicados fueron prescritos con nombre genérico y 70,83% se encuentran en el Petitorio Nacional de Medicamentos Esenciales. En relación a la calidad, encontramos 81,67% (IC 95%: 79,68%-83,66% de prescripciones inadecuadas, en cuanto a duración (59,20% y dosis (20,00% del antibiótico. Conclusiones: La proporción de prescripción de antibióticos encontrada fue baja e inferior a la reportada en la literatura, mientras que la calidad inadecuada fue elevada, con valores semejantes a otros estudios. Las investigaciones en este campo son todavía escasas, siendo importante realizar más estudios que permitan documentar las características de la prescripción. Es necesario contar con una política de antibióticos que establezca

  6. Seroprevalencia de infección por Leptospira spp. en auxiliares y veterinarios de consultorios de pequeños animales de Villavicencio (Colombia

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    Helena Quitián

    2009-01-01

    Full Text Available Objetivo: Determinar seroprevalencia por la prueba de MAT a seis serovares de Leptospira spp. en el grupo de riesgo: auxiliares y veterinarios de consultorios de pequeños animales de Villavicencio, Meta, Colombia, que previamente había sido serorreactor por Elisa-Pambio. Materiales y métodos: Se tomaron 72 muestras de sueros de individuos pertenecientes al subgrupo de auxiliares y veterinarios, de una población mayor que incluía otros 7 grupos humanos a riesgo a Leptospira spp. y que había presentado reactividad serológica considerada como ¿positiva¿ (17 % a la prueba de Elisa para Leptospira spp. con un kit de Pambio. Los sueros, que se habían conservado a -70°C en el Laboratorio de Reproducción y Genética Animal de la Universidad de los Llanos, fueron evaluados para reactividad serológica a la prueba de microaglutinación-lisis (MAT con los serovares L. hardjoprajitno, L. copenhageni, L. canícola, L. icterohaemorrhagiae, L. autumnalis, L. bratislava, L. australis y L. pomona. Se utilizó el protocolo de laboratorio del Programa Nacional de Investigación en Salud Animal de corpoica-ceisa. Resultados: La seropositidad a MAT fue 26.4%. En los auxiliares 21% y los veterinarios 29%. La seropositidad por serovar fue L. bratislava 24%, L. australis 8%, L. copenhageni 6%, L. canícola 3%, L. autumnalis y L. hardjoprajitno 1%. No se encontraron reactores a icterohaemorrhagiae y pomona. Los títulos serológicos estuvieron en un rango entre 1:25 y 1:400. La copositividad entre MAT y ELISA IgM fue 42% y la conegatividad 77%. Conclusiones: La seropositidad en el grupo estudiado es alta y preocupante, por lo tanto, exige extremar las medidas de bioseguridad durante la práctica médico veterinaria.

  7. Características de la prescripción antibiótica en los consultorios de medicina del Hospital Cayetano Heredia de Lima, Perú

    Directory of Open Access Journals (Sweden)

    Llanos-Zavalaga Fernando

    2002-01-01

    Full Text Available Fundamento: La prescripción adecuada de medicamentos incluye, entre otros aspectos, la elección de determinado medicamento en dosis y tiempo requeridos, considerando además su eficacia y conveniencia. El presente estudio transversal descriptivo, tiene como objetivo evaluar la prescripción antibiótica: proporción de prescripción y calidad de la misma, en la consulta ambulatoria del servicio de medicina del Hospital Cayetano Heredia. Métodos: La población estuvo formada por las 1.449 personas que acudieron a la consulta del 8 de enero al 2 de febrero del 2001. Para determinar la calidad se calculó una muestra de 120 personas a partir de las que formaban la población de estudio. La información fue revisada y calificada por tres médicos especialistas, teniendo como patrón referencial la United States Pharmacopeial Drug Information. Resultados: La proporción de prescripción fue del 13,53% (IC 95%: 11,77%-15,29%, sin diferencias estadísticamente significativas según edad, sexo, y consultorios. Los diagnósticos más frecuentes con prescripción antibiótica fueron: infección urinaria y faringoamigdalitis; los antibióticos más prescritos fueron: ciprofloxacina y cotrimoxazol. 70,00% de antibióticos indicados fueron prescritos con nombre genérico y 70,83% se encuentran en el Petitorio Nacional de Medicamentos Esenciales. En relación a la calidad, encontramos 81,67% (IC 95%: 79,68%-83,66% de prescripciones inadecuadas, en cuanto a duración (59,20% y dosis (20,00% del antibiótico. Conclusiones: La proporción de prescripción de antibióticos encontrada fue baja e inferior a la reportada en la literatura, mientras que la calidad inadecuada fue elevada, con valores semejantes a otros estudios. Las investigaciones en este campo son todavía escasas, siendo importante realizar más estudios que permitan documentar las características de la prescripción. Es necesario contar con una política de antibióticos que establezca

  8. Caracterización del consumo de bebidas alcohólicas en adolescentes de un consultorio médico

    Directory of Open Access Journals (Sweden)

    Rita Campillo Motilva

    2003-06-01

    Full Text Available Se realizó un estudio descriptivo y transversal sobre la ingestión de bebidas alcohólicas en adolescentes. Se tomaron como muestras 104 adolescentes de un consultorio médico perteneciente al Policlínico Docente "Mario Escalona Reguera" del municipio Habana del Este, a los cuales se les realizó una encuesta que incluyó la clasificación de alcoholismo del doctor González Menéndez para determinar la prevalencia de ingestión de bebidas alcohólicas, además de otros parámetros relacionados con el tema como la edad de inicio de la ingestión, las motivaciones psicosociales, los eventos relacionados con la ingestión, los tipos de bebidas alcohólicas más consumidas y otros. Para analizar los datos se utilizó el método estadístico Chi cuadrado para asociar variables y el método porcentual. Se encontró que la prevalencia fue de 75 % de consumidores, con predominio del bebedor social, la edad de inicio más frecuente fue a los 15 años, con un inicio más temprano en el sexo masculino. La bebida alcohólica más consumida fue la cerveza, y la motivación psicosocial más frecuente fue la diversión en tiempo libre.A descriptive cross-sectional study was made on the alcohol consumption by teenagers. One-hundred and four teenagers from a physician’s office subordinated to "Mario Escalona Regueira" teaching polyclinics located in Habana del Este municipality were taken as samples. They were administered a survey that included the classification of alcoholism by Doctor González Menéndez to determine the prevalence of alcohol drinking in addition to other parameters related to the topic such as age at the first alcohol drinking, psychosocial motivations, events associated with consumption, the most consumed types of alcohol beverages and others. For data analysis, Chi square statistical method was used to associate variables and also the percentage method. It was found that 75 % of the sample were alcohol drinkers, with predominance of

  9. El espacio público como destino turístico: un análisis comparativo entre las plazas de Madrid y Atenas

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    María Datseri

    2015-01-01

    Full Text Available ResumenEl espacio público de una ciudad se considera como elemento principal, la imagen sustancial de la ciudad tanto para los ciudadanos como para los visitantes. La plaza urbana desde su principio hasta hoy desempeña un papel importante en el sistema del turismo urbano. Bajo estas condiciones se hace necesario un reconocimiento de los factores que influyen y que dan el carácter turístico a una plaza. Por ello analizar los distintos ámbitos tanto de condicionantes intrínsecos cómo de condicionantes extrínsecos de las plazas turistas de dos ciudades (Atenas y Madrid, puede  contribuir  en este proceso. Al mismo tiempo se hace necesario identificar los elementos de las plazas de mayor interés turístico, a través de un estudio más directo como es el basado en el análisis de las fotos que los propios turistas toman.Palabras clave  Atenas/ Carácter turístico/ Condicionantes extrínsecos/ Condicionantes intrínsecos/ Espacio público/ Madrid/ Plazas. AbstractThe public space of the city is considered to be the principal element, the substantial image of the city not only for the habitants but also for the visitors. from the beginning until today the urban square ay plays an important role in the system of urban tourism. In such conditions is necessary to identify the factors that influence and attribute the touristic character of the square. In order to contribute this process might be helpful to analyze different fields of intrinsic as well as extrinsic constraints on the touristic squares on two different cities Athens and Madrid. At the same time , it is necessary to identify the elements of squares which are the most interesting for the tourists via a more direct like the analysis of the taken photos.KeywordsAthens/ Touristic Character/ Constraints extrinsic/ Constraints intrinsic/ Public Space/ Madrid/ Squares.  

  10. Humans in Space: Summarizing the Medico-Biological Results of the Space Shuttle Program

    Science.gov (United States)

    Risin, Diana; Stepaniak, P. C.; Grounds, D. J.

    2011-01-01

    As we celebrate the 50th anniversary of Gagarin's flight that opened the era of Humans in Space we also commemorate the 30th anniversary of the Space Shuttle Program (SSP) which was triumphantly completed by the flight of STS-135 on July 21, 2011. These were great milestones in the history of Human Space Exploration. Many important questions regarding the ability of humans to adapt and function in space were answered for the past 50 years and many lessons have been learned. Significant contribution to answering these questions was made by the SSP. To ensure the availability of the Shuttle Program experiences to the international space community NASA has made a decision to summarize the medico-biological results of the SSP in a fundamental edition that is scheduled to be completed by the end of 2011 beginning 2012. The goal of this edition is to define the normal responses of the major physiological systems to short-duration space flights and provide a comprehensive source of information for planning, ensuring successful operational activities and for management of potential medical problems that might arise during future long-term space missions. The book includes the following sections: 1. History of Shuttle Biomedical Research and Operations; 2. Medical Operations Overview Systems, Monitoring, and Care; 3. Biomedical Research Overview; 4. System-specific Adaptations/Responses, Issues, and Countermeasures; 5. Multisystem Issues and Countermeasures. In addition, selected operational documents will be presented in the appendices. The chapters are written by well-recognized experts in appropriate fields, peer reviewed, and edited by physicians and scientists with extensive expertise in space medical operations and space-related biomedical research. As Space Exploration continues the major question whether humans are capable of adapting to long term presence and adequate functioning in space habitats remains to be answered We expect that the comprehensive review of

  11. Frecuencia de diagnósticos de la especialidad de otorrinolaringología en el consultorio de medicina general en un centro de salud

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    Lizeth Diaz Ledesma

    2003-10-01

    Full Text Available Objetivos: Determinar la frecuencia de los diagnósticos por especialidad en consulta externa de medicina general y describir los diagnósticos más frecuentemente realizados dentro de la especialidad de otorrinolaringología. Material y Métodos: Estudio descriptivo transversal. Se determinó la frecuencia de diagnósticos por especialidad y dentro de la especialidad de otorrinolaringología realizados en un consultorio de medicina general entre los meses de junio y setiembre del 2002. Los diagnósticos fueron consignados según la codificación internacional (CIE-10. Resultados: Durante este período se realizaron 2,116 consultas con 2,499 diagnósticos. La edad promedio fue 29.85 + 17.11 años. 852 consultas (40% se realizaron en varones y 1,264 (60% en mujeres. Del total de diagnósticos realizados, 1,226 (49% correspondieron a afecciones otorrinolaringológicas, 219 (8.8% a problemas gastrointestinales, 189 (7.6% a problemas neumológicos, 170 (6.8% reumatológicos y 163 (6.5% infecciones generales. Los diagnósticos dentro de la especialidad de otorrinolaringología fueron en orden de frecuencia 405 (33% casos de rinofaringitis aguda, 361 (29.4% de faringitis aguda y 358 (29.2% de amigdalitis aguda. Conclusiones: Las afecciones otorrinolaringológicas correspondieron a la primera causa de consulta para el médico general en un centro de salud de la Sanidad de la Fuerza Aérea del Perú. Esto puede ser extrapolado a los demás centros de salud. Es por ello que la formación médica debería estar más orientada a este tipo de patología. : Determinar la frecuencia de los diagnósticos por especialidad en consulta externa de medicina general y describir los diagnósticos más frecuentemente realizados dentro de la especialidad de otorrinolaringología. Material y Métodos: Estudio descriptivo transversal. Se determinó la frecuencia de diagnósticos por especialidad y dentro de la especialidad de otorrinolaringología realizados en un

  12. MEDICO-DEMOGRAPHIC SITUATION IN THE REPUBLICS OF CHECHNYA AND INGUSHETIA IN 2005-2010

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    P. M. Evloeva

    2012-01-01

    Full Text Available Political and socio-economical destabilization, military conflicts, lack of infrastructure and massive migratory movements formed a current medico-demographic situation in the Republics of Chechnya and Ingushetia: the fertility and birth rates here are very high and exceeds twice the same figures all over the Russian Federation. At the same time the infant mortality and feto-infantile losses rates are also very high. The high fertility leads to overpopulation, low per capita income, worsening of somatic and reproductive women’s and children’s health and consistent increase of reproductive losses. The aging of fertility (in the Republic of Ingushetia and the low level of education (which is typical of the Republic of Chechnya due to the “children of war” achievement of childbearing age and inobservance of optimal intergenetic interval contribute to the aforesaid phenomena. The analysis of pregnant women, women in labour and newborn children state of health shows that according to many characteristics it is worse than at the average in Russia. Feto-infantile losses in the Republics of Chechnya and Ingushetia are more than twice as high as in all over the Russian Federation. One of the most important conditions for the improvement of child-bearing age women and their children is increase of the efficacy of obstetrics and pediatric services in both Republics and family planning.

  13. Medico-ecological study and health impact assessment of hydro-electric projects in Malaysia

    Energy Technology Data Exchange (ETDEWEB)

    Lai, Karen [Institute for Medical Research, Kuala Lumpur (Malaysia)

    1997-12-31

    The objectives of this studies were to determine i) if there was any potential health risks in terms of spread of vector-borne and other communicable diseases resulting from the changes in the environment due to creation of large bodies of water as consequence of the construction of dams, ii) diseases of public health importance in populations affected by such projects. Nine pre-impoundment studies had been carried out and potential impact of the change in environment on discases and health of the affected populations in each areas was evaluated. Risk of infections to the dam construction workers also assessed. Recommendations on mitigation measures were made for each situation so that adequate provisions could be made to improve the health conditions of these populations especially those who would be resettled as a result of impoundment . Prevention and control measures on transmission of infection, including vector control were proposed. The potential medico-ecological hazards encountered by immigrants and visitors to the area on completion of the hydro project were also envisaged.

  14. [Medico-economic analysis of a neurosurgery department at a university hospital].

    Science.gov (United States)

    Lemaire, J-J; Delom, C; Coste, A; Khalil, T; Jourdy, J-C; Pontier, B; Gabrillargues, J; Sinardet, D; Chabanne, A; Achim, V; Sakka, L; Coste, J; Chazal, J; Salagnac, A; Coll, G; Irthum, B

    2015-02-01

    Economic and societal constraints require to take into account the economic dimension and medical performance of hospital departments. We carried out a self-assessment study, which we thought could be useful to share with the neurosurgical community. Care and research activities were assessed from 2009 to 2013. We used institutional and assessment-body parameters in order to describe activities and perform a financial evaluation. It was a retrospective descriptive study based on the guidelines of the DHOS/O4 circular No. 2007/390 of October 29, 2007. The average annual, analytic income statement was +1.39 millions euros, for 63 beds with a 92% occupancy rate, including 6.7 full-time equivalent neurosurgeons (and assistants), for 2553 patients and 1975 surgeries. The average mortality rate was 2.74%. The annual mean length of stay was 6.82 days. Per year, on average 15.6% of patients were admitted in emergency and 76.9% returned home. The annual, act-related-pricing and publication-related incomes represented 77% and 0.6%, respectively of the total funding. Difficulties to find downstream beds for the most severe patients induced 1401 "waiting days" in 2012. Medico-economic analysis of a neurosurgery department at a university hospital was useful in order to take into account the care, teaching and research activities, as well as its related financial value. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  15. Application of X-rays to dental age estimation in medico-legal practice

    Directory of Open Access Journals (Sweden)

    Dorota Lorkiewicz-Muszyńska

    2015-05-01

    Full Text Available Aim of the study: The paper addresses the use of dental age assessment methods based on radiographs in medico-legal practice. Different cases of practical application of the methods are presented including identification of human remains, dental age assessment in a living person and one archaeological case. Material and methods : The study material consisted of cases involving dental age assessment performed in the Department of Forensic Medicine, Poznan University of Medical Sciences in Poznan. Depending on the preliminary assessment of age, the Liversidge or the Kvaal et al. methods were applied. Dental age was estimated on the basis of available pantomograms. In the case of the living person, it was a radiograph supplied for expert evaluation. In the other cases, dental computed tomography was performed. Results : Dental age was successfully estimated in all of the cases. Various methods based on the analysis of X-ray images were applied. Dental age was shown to be correlated with skeletal age. Conclusions : The methods based on radiographs were demonstrated to be useful, and the results they yield are fully correlated with results of anthropological analyses.

  16. Accidents on board merchant ships. Suggestions based on Centro Internazionale Radio Medico (CIRM) experience.

    Science.gov (United States)

    Napoleone, Paolo

    2016-01-01

    This statistical study was performed to find out the occurrence of accidents on board ships assisted by Centro Internazionale Radio Medico (CIRM) during the years 2010-2015, with the aim of providing suggestions in accident prevention, based on such a wide experience. The case histories of CIRM in the years 2010-2015 were examined. The total number of accidents per year was calculated and compared as a percentage with the total number of cases assisted by CIRM per year. The incidence of accidents on board in these years ranged between 14.4% and 18.4% of total cases assisted per year, which is constantly increasing. The most common injuries on board among cases treated by CIRM were contusions and wounds. Also burns and eye injuries were significantly represented. Multiple injuries and head injuries were found to be the most frequent cause of death on board due to an accident. More information on the occurrence and type of accidents and on the body injured areas should represent the basis for developing strategies and campaigns for their prevention.

  17. Traumatic spinal cord injuries – epidemiologic and medico-legal issues

    Directory of Open Access Journals (Sweden)

    Hanganu Bianca

    2017-12-01

    Full Text Available Spinal cord injuries represent a special category of injuries in traumatic pathology, with high morbidity and mortality, which justify their analysis with the aim to identify useful aspects in order to prevent and treat them. We therefore performed a retrospective study on 426 cases in order to analyze epidemiology and medico-legal issues related to spinal cord injuries. The studied items regarded socio-demographic aspects (gender, age, home region, type of lesions (vertebral, spinal cord, association with other trauma, circumstances leading to trauma (cause of the injury, season, data regarding hospitalization (medical condition at the hospital admission, number of days of hospitalization, clinical diagnosis, imaging exploration level and data resulting from autopsy (diagnosis, toxicological examination. Most of our results are consistent with literature data, except for some epidemiological items, which might be explained with cultural differences, life style and inhomogeneous population. Based on our results, the general conclusion is the need for prevention campaigns, focusing on road traffic accidents and falls (especially in elderly as the main causes of spinal cord injuries.

  18. Diptera of Medico-Legal Importance Associated With Pig Carrion in a Tropical Dry Forest.

    Science.gov (United States)

    Vasconcelos, S D; Salgado, R L; Barbosa, T M; Souza, J R B

    2016-06-20

    The diversity of necrophagous Diptera is largely unknown in seasonally dry tropical forests, despite their medical, veterinary, and forensic relevance. We performed a study in the dry Caatinga forest exclusive to Brazil in order to assess the diversity and temporal pattern of Diptera species using pig carcasses as substrates. Adults were collected daily until complete skeletonization. We collected 17,142 adults from 18 families, 10 of which comprise species with known necrophagous habits. The most abundant families were Calliphoridae (47.3% of specimens), Sarcophagidae (20.8%), and Muscidae (15.5%), whereas Sarcophagidae stood out in terms of richness with 21 species. The native Cochliomyia macellaria (F.) (Diptera: Calliphoridae) and the invasive Chrysomya albiceps (Wiedmann) (Calliphoridae) were the dominant species. A total of 18 species reached the carcass during the first 48 h postdeath. The bloated and active decay stages had the highest richness and abundance of dipterans. From a forensic standpoint, C. macellaria and C. albiceps are likely to aid in establishing postmortem interval due to their early arrival and high abundance on the carcass. Despite harsh environmental conditions, the Caatinga harbors a rich assemblage of dipterans that play a key role in carrion decomposition. Their medico-veterinary importance is strengthened by the poor local sanitary conditions. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  19. The transplantation donation process in the Centro de Investigaciones Medico Quirurgicas of Cuba: 1999-2002.

    Science.gov (United States)

    Abdo, A; Ugarte, J C; Castellanos, R; González, L; López, O; Hernández, J C; Valdivia, J; Almora, E; Suárez, O; Diaz, J; Collera, S; Enamorado, A; Vázquez, A; Beníte, P; Dominguez, J; Wilford, M; Falcon, J

    2003-08-01

    In 1998 in the Centro de Investigaciones Medico Quirurgicas the Transplant Coordination Office (TCO) was created, with the aim to organize a system to support a hepatic transplantation program. This organization, which changed the transplantation-donation process not only in our center but in the whole country, is described in this article. The files of donors generated in our hospital were studied together with the transplant coordination records, from 1999 till the first half of 2002. In the period studied, 21 potential donors were diagnosed with brain death, yielding a donation rate of 71.4%. Brain death was most frequently caused by vascular brain disease; however, in the realized donor group, the cranioencephalic trauma predominated. The typical donor was a man of average age 39.2 years (range, 18-86 years). Among the potential donors, 24% were excluded based on medical criteria, and 5% due to family objections. Forty liver transplantation were performed in 36 patients including 1 liver-kidney simultaneous procedure. The principal etiologies for transplant included hepatitis C virus cirrhosis, 22%; alcoholic, 19%; and acute hepatic failure, 13%. Kidney transplantations were performed in 70 patients, including 41 from cadaveric donors (53.6%) and 29 from living related donors (41.4%). In 2001, a pancreas-kidney transplantation program was started. The creation of the TCO has been of paramount importance to optimize transplantation program functions.

  20. Medico-ecological study and health impact assessment of hydro-electric projects in Malaysia

    International Nuclear Information System (INIS)

    Karen Lai

    1996-01-01

    The objectives of this studies were to determine i) if there was any potential health risks in terms of spread of vector-borne and other communicable diseases resulting from the changes in the environment due to creation of large bodies of water as consequence of the construction of dams, ii) diseases of public health importance in populations affected by such projects. Nine pre-impoundment studies had been carried out and potential impact of the change in environment on discases and health of the affected populations in each areas was evaluated. Risk of infections to the dam construction workers also assessed. Recommendations on mitigation measures were made for each situation so that adequate provisions could be made to improve the health conditions of these populations especially those who would be resettled as a result of impoundment . Prevention and control measures on transmission of infection, including vector control were proposed. The potential medico-ecological hazards encountered by immigrants and visitors to the area on completion of the hydro project were also envisaged

  1. Comportamiento del riesgo preconcepcional en el consultorio médico El Turagual de Venezuela Pre-conceptional risk behaviour in Turagual medical practice Venezuela

    Directory of Open Access Journals (Sweden)

    Gilberto Quevedo Freites

    2012-06-01

    Full Text Available Introducción: el riesgo preconcepcional está condicionado por una serie de factores, enfermedades o circunstancias únicas o asociadas, que pueden repercutir desfavorablemente en el binomio madre-hijo, durante el embarazo, parto o puerperio. Objetivo: describir el riesgo preconcepcional en mujeres de 12 a 49 años de edad, atendidas en el consultorio El Turagual, municipio Motatán, en el estado Trujillo, Venezuela, durante el periodo de enero a julio de 2009. Métodos: se realizó un estudio descriptivo y retrospectivo. El universo estuvo constituido por las 134 pacientes registradas como riesgo reproductivo en el periodo mencionado y se trabajó con una muestra de 65 pacientes, seleccionada por el método aleatorio simple. Para la recogida de los datos se revisaron las historias clínicas individuales y familiares, se estudiaron las variables: edad, estado civil, factores de riesgo asociados y los métodos anticonceptivos utilizados. Se trabajó con números absolutos y porcentajes, como medida para cada variable utilizada. Resultados: predominó el grupo de edades entre los 35 a 49 años de edad, y el estado civil soltero. Los factores de riesgo más frecuentes fueron: la inestabilidad sexual, la hipertensión arterial y la diabetes mellitus, respectivamente. Los métodos anticonceptivos más usados fueron los dispositivos intrauterinos, seguido de las píldoras anticonceptivas. Conclusiones: el riesgo reproductivo se encuentra asociado a la vulnerabilidad, que presentan algunos grupos de personas en la comunidad, por lo que es importante conocer este aspecto para el trabajo preventivo del médico.Introduction: preconceptional risk is conditioned by several factors, diseases and single or associated circumstances which can have unfavorable repercussions on the on mother-child binomial during pregnancy, childbirth or puerperium. Objective: describe pre-conceptional risks in women between 12-49 years old, who are assisted in the Turagual

  2. Incidencia de estrés en odontólogos de diferentes especialidades ocasionado por ruido en el consultorio dental

    Directory of Open Access Journals (Sweden)

    Corina Flores Hernández

    2009-01-01

    Full Text Available Introducción: El estrés es la condición que resulta cuando las personas y el medio ambiente interaccionan y lleva a la persona a una percepción alterada, real o imaginaria, entre las exigencias de una situación por un lado y sus consecuencias sociales, biológicas, psicológicas o de recursos. Los estímulos estresantes pueden ser mentales, fisiológicos, o físico-anatómicos1. En el caso particular de los odontólogos, no existe suficiente información en la literatura internacional en relación a los efectos que tiene en ellos la exposición al ruido producido por el instrumental necesario para llevar acabo los tratamientos. Método: Se realizó un estudio descriptivo y comparativo, con la finalidad de evaluar el nivel de percepción de estrés resultado de la exposición al ruido de un grupo de 45 estomatólogos. Todos los sujetos, contestaron una encuesta auto-aplicada sobre percepción de ruido originado por el uso de equipos que ocasionan estímulos detonadores de estrés. Este instrumento también incluyó preguntas sobre características y ambiente laboral. Los estomatólogos se clasificaron según su nivel de percepción de ruido en aquellos con bajo (90 dB de exposición. Estos grupos también se compararon en relación a la percepción de estrés. Resultados: El promedio de la edad y la antigüedad laboral de los sujetos estudiados fue de 41±8.4 y 15.9 ± 8.7 años, respectivamente. El 58%, mencionaron trabajar solo un turno y 42% trabajaban en los turnos matutino y vespertino. El 44% de los encuestados manifestaron percibir la intensidad del ruido al interior del consultorio como medio, el 40%, manifestó percibirlo como bajo, y el 13.3% dijo que éste era alto. Los valores promedio del nivel del ruido en decibelios, fueron significativamente mayores en los odontólogos generales al compararlos con los especialistas en odontología (t=-4.9, p 90dB/8 horas y los que refieren percibir el ruido como más intenso al compararlos

  3. Medico-legal findings, legal case progression, and outcomes in South African rape cases: retrospective review.

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    Rachel Jewkes

    2009-10-01

    Full Text Available BACKGROUND: Health services for victims of rape are recognised as a particularly neglected area of the health sector internationally. Efforts to strengthen these services need to be guided by clinical research. Expert medical evidence is widely used in rape cases, but its contribution to the progress of legal cases is unclear. Only three studies have found an association between documented bodily injuries and convictions in rape cases. This article aims to describe the processing of rape cases by South African police and courts, and the association between documented injuries and DNA and case progression through the criminal justice system. METHODS AND FINDINGS: We analysed a provincially representative sample of 2,068 attempted and completed rape cases reported to 70 randomly selected Gauteng province police stations in 2003. Data sheets were completed from the police dockets and available medical examination forms were copied. 1,547 cases of rape had medical examinations and available forms and were analysed, which was at least 85% of the proportion of the sample having a medical examination. We present logistic regression models of the association between whether a trial started and whether the accused was found guilty and the medico-legal findings for adult and child rapes. Half the suspects were arrested (n = 771, 14% (209 of cases went to trial, and in 3% (31 of adults and 7% (44 of children there was a conviction. A report on DNA was available in 1.4% (22 of cases, but the presence or absence of injuries were documented in all cases. Documented injuries were not associated with arrest, but they were associated with children's cases (but not adult's going to trial (adjusted odds ratio [AOR] for having genital and nongenital injuries 5.83, 95% confidence interval [CI] 1.87-18.13, p = 0.003. In adult cases a conviction was more likely if there were documented injuries, whether nongenital injuries alone AOR 6.25 (95% CI 1.14-34.3, p = 0

  4. Evaluation of the Successfulness of A Green Program through Customer Perceived Quality, Brand Image, and Customer Satisfaction: A Case Study at Surabaya Plaza Hotel

    Directory of Open Access Journals (Sweden)

    Marsella Yeanette Hatane

    2012-01-01

    Full Text Available Every company try to build the brand image of their businesses by doing a green program as one of their strategies. This research aims to see the impacts of the implementation of a green program at Surabaya Plaza Hotel, Surabaya. 230 hotel customers were randomly chosen as the respondents. Through descriptive and Structural Equation Modelling (SEM analysis, can be seen that technical quality brings insignificant negative impacts towards customer satisfaction. Meanwhile, functional quality and brand image bring a significant positive impact toward customer satisfaction. Besides that, technical quality and functional quality bring a significant positive effect indirectly toward customer satisfaction through brand image as mediating.

  5. Hacer Mercado en una Lógica de Mercado. Las Dimensiones Culturales del Mercado en la Plaza de Mercado de Mesitas del Colegio.

    OpenAIRE

    Hurtado Suaréz, Christian Camilo

    2013-01-01

    Esta investigación desnaturaliza el mercado como concepto económico al abordarlo como fenómeno social. Para ello indagamos ¿Cuáles son las dimensiones culturales del mercado en la plaza de mercado de Mesitas del colegio?; dicha pregunta lleva implícita una postura: lo que entendemos como mercado, el concepto de la ciencia económica, ¿es susceptible de ser analizado en tanto fenómeno social y no solo como fenómeno económico? ¿Qué alcances explicativos tiene introducir otras d...

  6. Resins and Gums in Historical Iatrosophia Texts from Cyprus - A Botanical and Medico-pharmacological Approach.

    Science.gov (United States)

    Lardos, Andreas; Prieto-Garcia, José; Heinrich, Michael

    2011-01-01

    This study explores historical iatrosophia texts from Cyprus from a botanical and medico-pharmacological point of view focusing on remedies containing resins and gums. The iatrosophia are a genre of Greek medical literature of Byzantine origin and can be described as medicine handbooks which serve as therapeutic repositories containing recipes or advice. To extract and analyze information on plant usage in such sources - which are largely unedited texts and so far have not been translated - we investigate (i) the relationship of the iatrosophia to Dioscorides' De Materia Medica as well as historic pharmaceutical books or standard texts on modern phytotherapy and (ii) the validity of the remedies by comparing them to modern scientific data on reported biological activities. In the six texts investigated 27 substances incorporating plant exudates are mentioned. They are obtained from over 43 taxa of higher plants and in particular are used to treat dermatological, gastrointestinal, and respiratory tract conditions. The comparison to historic pharmaceutical books and phytotherapy texts reflects the gradual decline of the use of plant exudates in Western medicine. While remarkable parallels to Dioscorides' text exist, the non-Dioscoridean influence suggests a complex pattern of knowledge exchange. Overall, this resulted in an integration of knowledge from so far poorly understood sources. The comparison with bioscientific data reveals a fragmentary picture and highlights the potential of these unexplored substances and their uses. Where relevant bioscientific data are available, we generally found a confirmation. This points to a largely rational use of the associated remedies. Taken together, the iatrosophia are a valuable resource for ethnopharmacological and natural product research. Most importantly they contribute to the understanding of the development of herbal medicines in the (Eastern) Mediterranean and Europe.

  7. MANAGEMENT OF NUTRITION FOR INFANTS WITHIN THE LIMITS OF MEDICO-SOCIAL PEDIATRIC SERVICE

    Directory of Open Access Journals (Sweden)

    A. Z. Farrakhov

    2013-01-01

    Full Text Available The questions of support of infants with complete and high-quality nutrition as a measure of national medico-social service when switching to artificial or mixed feeding are discussed in the article. The data on the main approaches to support of the infants of the first 3 years of life with specialized nutrition in the Russian Federation is represented. The authors describe such causes of inefficiency of activity of municipal «milk kitchens» as lack of standards for children food products, out of date production technologies, risk of contamination and of breaking the sanitary regulations, irrational usage of resources and low consumer qualities of the service. Necessity of development of new approaches to provide infants with free milk products is demonstrated. Branch target program «Bәlәkәch — Malysh» on free provision of infants of the first 3 years of life with special milk products and milk formulas on pediatrician prescriptions in order to improve the quality of life and health condition, patronized by the President of the Republic of Tatarstan, is characterized, as well as its first results are assessed in the article. The main directions of this program are listed. The comparative characteristic of certain indices of the new scheme of management of free milk nutrition for infants during the period of 2011–2013 are shown. The measures of this program aimed at widening of amount of children receiving free nutrition, increase of quantity of consumed milk products, ensuring of regularity of service, significant decrease of federal resources expenses and providing of precise compliance of standard expanses and improvement of the quality of milk nutrition for children through provision them with appropriate and high-quality products are proved to be very effective.

  8. Considerations on the medico-legal compensation for stochastic effects induced by the exposure to ionizing radiations in working environment

    International Nuclear Information System (INIS)

    Lafontaine, M.

    1988-01-01

    A better detection of stochastic diseases induced by the exposure to ionizing radiations and the establishment of causative correlation are presently reasons to justify new medico-legal approaches. The right to reparation for workers suffering from diseases which may have been caused by occupational exposure to ionizing radiations in Belgium, is covered by the law on occupational diseases and by the legislation on industrial accidents. However, some difficulties persist, concerning the right for compensation, consisting in the very short delay for prescription, the existence of an administrative list of diseases eligible for compensation and in the burden of proof to establish an obvious etiological relation. (Author)

  9. Some medical and biological reasons of drunkenness and alcoholism and feature of their medico-legal establishment

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    Г. А. Білецька

    2014-12-01

    Full Text Available The article is sanctified to some вiomedical questions of reasons of drunkenness and alcoholism, and also features of their establishment in practice of medico-legal expert in the process of examining and dead body of living man. Study of constitutional and individual features of organism of man, terms of stay and reception of алкогоя help more exactly to diagnose the state of alcoholic intoxication, that is reflected in the conclusion of expert and can be proof on criminal and civil cases.

  10. Propuesta de acciones que incrementen la incorporación de los adultos mayores al Club de Abuelos del Consultorio Médico161 del Policlínico Raúl Sánchez

    Directory of Open Access Journals (Sweden)

    Daniel Labrador Labrador

    2009-12-01

    Full Text Available La realización de este trabajo tiene como propósito lograr un acercamiento a un grupo poblacional que en estos momentos constituye uno de los más numerosos en nuestro país, el adulto mayor. En el trabajo se analizó la situación de salud de la población del consultorio médico161 perteneciente al área de salud del Policlínico Docente Comunitario Raúl Sánchez en Pinar Del Río..Nos posibilitó acercarnos a la realidad social de nuestro entorno, aportando un enriquecimiento espiritual al profundizar en el estudio de las conductas y de poder cooperar para erradicarlas y así modificar estilos de vida y hacer de nuestro medio social un espacio seguro. A través de métodos empíricos se realizó el acercamiento a la población, identificando las causas de uno de los principales problemas de la comunidad (la falta de incorporación de los adultos mayores al círculo de abuelos a través de lluvia de ideas se elaboró un plan de acción con participación intersectorial y comunitaria con el objetivo de que este problema dejara de ser uno de los principales de esta comunidad en el no solo se realizarán actividades físicas también otras donde estarán involucrados en su desarrollo médico, enfermera, representantes comunitarios apoyando al técnico de cultura física que se desempeña en ese consultorio.

  11. Informe Ana Libertad Baratti de la Cuadra : Informe de Radio Universidad Nacional de La Plata sobre la recuperación de la nieta número 115, por Abuelas de Plaza de Mayo

    OpenAIRE

    Pigeau, Nora; Barnes de Carlotto, Estela; Lovazzano, Eduardo; Velazco, Luis; Cuadra, Estela de la; Cardoso, Miriam

    2014-01-01

    Informe de Radio Universidad Nacional de La Plata sobre el hallazgo de la nieta número 115, recuperada por Abuelas de Plaza de Mayo: Ana Libertad Baratti de la Cuadra. El 22 de agosto de 2014 la ciudad de La Plata y el país entero celebró el encuentro de la nieta de la co-fundadora y primera presidenta de la Asociación Abuelas de Plaza de Mayo, Alicia “Licha” Zubasnabar de De la Cuadra: apareció Ana Libertad Baratti de la Cuadra. Héctor Carlos Baratti y de Elena de la Cuadra fueron se...

  12. Paisaje y espacio público urbano. El deterioro de las plazas del centro histórico madrileño (1945-2015

    Directory of Open Access Journals (Sweden)

    Dolores Brandis

    2016-01-01

    Full Text Available Desde hace años, los espacios públicos de los centros urbanos son objeto de atención de profesionales de la arquitectura, del urbanismo, de la sociología, de la antropología, de la geografía y, también, de los usuarios que los frecuentan. Las plazas ocupan un lugar principal en el sistema de espacios públicos del centro de la ciudad y ofrecen un paisaje único que se define por la relación entre la planta y los edificios que la perfilan. Pero este paisaje se deteriora con la renovación de los edificios históricos del marco edificado y con actuaciones agresivas de la planta. El análisis del nivel de deterioro del marco edificado y de la planta de las 79 plazas del centro histórico de Madrid muestra la intensidad del fenómeno, selecciona los factores explicativos y ayuda a diagnosticar la calidad actual de su paisaje. Los resultados del estudio empírico intentan contribuir al conocimiento de la denunciada crisis actual de los espacios públicos.

  13. Plazas and Barrios

    DEFF Research Database (Denmark)

    Scarpaci, Joseph L.

    and today may serve institutional, commercial, or residential needs. Now economic forces from outside the region have created a demand for the preservation of historically "authentic" districts. This book explores how heritage tourism and globalization are reshaping the Latin American centro histórico...... with the advantage of a downtown location, have raised the potential of redeveloping these inner city areas but have also created the dilemma of how to restore and conserve them while responding to new economic imperatives. In an eclectic and interdisciplinary study, Joseph Scarpaci documents changes in far......-flung corners of the Latin American metropolis using a broad palette of tools: urban morphology profiles, an original land-use survey of 30,000 doorways in nine historic districts, numerous photographs, and a review of the political, economic, and globalizing forces at work in historic districts. He examines...

  14. Using medico-legal data to investigate fatal older road user crash circumstances and risk factors.

    Science.gov (United States)

    Koppel, Sjaan; Bugeja, Lyndal; Smith, Daisy; Lamb, Ashne; Dwyer, Jeremy; Fitzharris, Michael; Newstead, Stuart; D'Elia, Angelo; Charlton, Judith

    2018-02-17

    This study used medico-legal data to investigate fatal older road user (ORU, aged 65 years and older) crash circumstances and risk factors relating to 4 key components of the Safe System approach (e.g., roads and roadsides, vehicles, road users, and speeds) to identify areas of priority for targeted prevention activity. The Coroners' Court of Victoria's (CCOV) Surveillance Database was searched to identify and describe the frequency and rate per 100,000 population of fatal ORU crashes in the Australian state of Victoria for 2013-2014. Information relating to the deceased ORU, crash characteristics and circumstances, and risk factors was extracted and analyzed. One hundred and thirty-eight unintentional fatal ORU crashes were identified in the CCOV Surveillance Database. Of these fatal ORU crashes, most involved older drivers (44%), followed by older pedestrians (32%), older passengers (17%), older pedal cyclists (4%), older motorcyclists (1%), and older mobility scooter users (1%). The average annual rate of fatal ORU crashes per 100,000 population was 8.1 (95% confidence interval [CI], 6.0-10.2). In terms of the crash characteristics and circumstances, most fatal ORU crashes involved a counterpart (98%), of which the majority were passenger cars (50%) or fixed/stationary objects (25%), including trees (46%) or embankments (23%). In addition, most fatal ORU crashes occurred close to home (73%), on-road (87%), on roads that were paved (94%), on roads with light traffic volume (37%), and during low-risk conditions: between 12 p.m. and 6 p.m. (44%), on weekdays (80%), during daylight (75%), and under dry/clear conditions (81%). Road user (RU) error was identified by the police and/or the coroner for the majority of fatal crashes (55%), with a significant proportion of deceased ORUs deemed to have failed to yield (54%) or misjudged (41%). RU error was the most significant factor identified in fatal ORU crashes, which suggests that there is a limited capacity of the

  15. Medico-economic evaluation of health products in the context of the Social Security Financing Act for 2012.

    Science.gov (United States)

    Dervaux, Benoît; Baseilhac, Eric; Fagon, Jean-Yves; Ameye, Véronique; Angot, Pierre; Audry, Antoine; Becquemont, Laurent; Borel, Thomas; Cazeneuve, Béatrice; Courtois, Jocelyn; Detournay, Bruno; Favre, Pascal; Granger, Muriel; Josseran, Anne; Lassale, Catherine; Louvet, Olivier; Pinson, Jean; de Pouvourville, Gérard; Rochaix, Lise; Rumeau-Pichon, Catherine; de Saab, Rima; Schwarzinger, Mickaël; Sun, Aristide

    2013-01-01

    The participants in round table 6 of the Giens Workshops 2012 drafted recommendations based on the collective interpretation of important elements of the decree concerning the medico-economic evaluation of health products published a few days earlier (02 October 2012). The medico-economic evaluation (MEE), becomes an additional determinant for fixing the prices of health products by the Health products economic committee (Comité économique des produits de santé, CEPS) via the hierarchisation of treatment strategies, and thus modifies the market access conditions. Limiting the analysis to medicinal products and medical devices for which a major, important or moderate improvement in the medical service rendered (ASMR) or of the expected service (ASA) has been requested and presenting a significant budget impact on the Social Security expenses, excludes health products with ASMR or ASA with a lower level requested which often create complex price fixing problems and often have a major budget impact. This latter concept remains to be defined in detail. The MEE envisaged for the first registration must include the need to confirm or refute the initial hypotheses especially concerning the actual position in the therapeutic strategy at the time of renewal of the registration. For the first registration, the conventional reference to European prices guaranteeing a minimum price to innovative medicinal products, the medico-economic models submitted by the industry to the French Drug Authority (Haute autorité de santé, HAS) must be used to guide the compilation of new data to be requested at the time of the registration renewal and to negotiate the level of the discounts in the framework of a price-volume agreement, if applicable. The MEE will allow comparing the result of the analysis to the model hypothesis at the time of the renewal of the registration, which may contribute to the renegotiation (either up or down) of the price of health goods. The costs related to

  16. Art_Plaza. Конкурсный проект нового корпуса Эстонской Академии Художеств, Таллинн. 1-я премия = Art_Plaza. Competition project of the new wing of the Estonian Academy of Arts, Talli

    Index Scriptorium Estoniae

    Юсупов, Данияр

    2008-01-01

    Eesti Kunstiakadeemia uue õppehoone arhitektuurikonkursi võidutööst Art Plaza. Projekti autoriteks on taani arhitektid Uffe Leth ja Karsten Gori büroost SEA ning Tue Hesselberg Foged ja Sinus Lynge büroost EFFECT

  17. La gestión del proceso de convocatoria de plazas de formación médica especializada

    Directory of Open Access Journals (Sweden)

    Alonso M.I.

    2003-01-01

    Full Text Available Objetivo: Dado el actual desajuste existente entre oferta y demanda de médicos especialistas en el sistema sanitario español, el objetivo de este trabajo es mostrar el impacto que puede tener sobre el sistema las actuales políticas de convocatoria de plazas de formación médica especializada -plazas MIR-, así como diversas medidas y políticas alternativas de control. Métodos: Con esta finalidad se procedió a elaborar un modelo de simulación del proceso de convocatoria de plazas empleando como metodología la dinámica de sistemas. A partir del modelo elaborado y validado, se procede a simular la posible evolución del sistema a lo largo del tiempo ante diversas políticas de convocatoria. En concreto, se observa la evolución de la bolsa histórica de licenciados sin especialidad, la bolsa de médicos especialistas y el gap, o desajuste, entre oferta y demanda, existente en el período de simulación considerado. Resultados: De los resultados obtenidos de la simulación se observa que una política de convocatoria como la actual tiende a reducir la bolsa histórica de licenciados sin especialidad, debido a la propia filosofía que caracteriza a la actual convocatoria, pero incrementa considerablemente la bolsa de médicos especialistas y agudiza el desequilibrio existente. Esta tendencia se mantiene a pesar de que se adopten en la simulación medidas más restrictivas en numerus clausus y edad de jubilación forzosa. Se observa igualmente cómo una política consciente de las necesidades sociales y de los retrasos formativos existentes en el proceso mejora de modo sustancial la evolución, eliminando con el tiempo la bolsa de médicos especialistas y el desequilibrio. Si a su vez se combina dicha política con las medidas anteriormente citadas, los resultados obtenidos son aún superiores, eliminando ambas bolsas y el desajuste existente con mayor rapidez. Conclusiones: Si la Administración Sanitaria continúa convocando plazas de

  18. Los bienes de interés cultural de Gáldar (Canarias y el conjunto histórico “Plaza de Santiago” (1981-2006

    Directory of Open Access Journals (Sweden)

    Juan Sebastián López García

    2013-10-01

    Full Text Available En 1981, hace veinticinco años, la zona central de Gáldar fue declarada “Conjunto Histórico Artístico” con la denominación de Plaza de Santiago. Sin embargo no era el primer bien cultural que obtenía una distinción de este tipo, ya que Gáldar había sido pionera en 1949 con el yacimiento de El Agujero y La Guancha, primero de los de carácter arqueológico declarado en Canarias, al que seguiría en 1972 la Cueva Pintada. Hasta la década de los setenta prevalecieron los bienes arqueológicos, situación que se modificó en las dos últimas décadas del siglo XX después del reconocimiento de la Plaza de Santiago y su entorno. Junto con edificaciones religiosas también se incluyeron ejemplos de arquitectura doméstica, completándose con algunos yacimientos prehispánicos. Una particular circunstancia fue la declaración en 1993 del pago de Barranco Hondo de Abajo, lo que convertía a Gáldar en el primer municipio de Canarias que contaba con dos conjuntos históricos, siendo éste a la vez el primero de la comunidad autonóma con características rurales. De la relación de los declarados, si exceptuamos la mayoría de los de carácter arqueológico, buena parte son urbanos. Una característica es que se incluyen categorías variadas, incluyendo la existencia de una zona arqueológica junto a un conjunto histórico y varios monumentos (de arquitectura religiosa y doméstica. Este hecho es lógico si se tiene en cuenta la particularidad de Gáldar y su condición de núcleo histórico de superposición.Twenty five years ago, in 1981, the central zone of Galdar was declared an "Historic Artistic Site" with the name of Plaza de Santiago. But this was not the first cultural asset to obtain a distinction of this kind, as Galdar pioneered protection of this kind with the El Agujero and La Guancha site, the first archaeological site declared in the Canary Islands, followed by La Cueva Pintada, in 1972. Archaeological assets prevailed up

  19. Evaluación de la calidad de registro de historias clínicas en consultorios externos del servicio de medicina interna de la Clínica Centenario Peruano Japonesa, 2010-2011

    Directory of Open Access Journals (Sweden)

    Juan P. Matzumura Kasano

    2014-07-01

    Full Text Available El eje de la auditoria médica es una historia clínica adecuadamente confeccionada. La historia clínica es la constancia escrita de todos los exámenes médicos, estudios realizados y tratamientos aplicados durante el transcurso de la enfermedad. Objetivo: Evaluar la calidad de registro de las historias clínicas de Consultorios Externos del Servicio de Medicina Interna en la Clínica Centenario Peruano Japonesa. Diseño: Descriptivo de corte transversal. Lugar: Consultorios externos del Servicio de Medicina Interna de la Clínica Centenario Peruano Japonesa. Material: Historias clínicas de pacientes atendidos en la consulta externa del Servicio de Medicina Interna. Métodos: Se evaluó 323 historias clínicas mediante un muestreo aleatorio simple, las cuales fueron sometidas a una ficha de auditoría que comprendía 10 ítems, cada uno calificado con 10 puntos, para un total de 100 puntos: fecha y hora de atención, pulcritud y legibilidad, anamnesis adecuada, signos vitales, examen físico, diagnóstico, plan de trabajo, exámenes auxiliares, tratamiento completo y firma y sello del médico. Las historias que obtenían un puntaje total mayor o igual de 80 fueron calificadas como ‘aceptables’; las restantes como ‘falta mejorar’. Principales medidas de resultados: Historias auditadas aceptables o falta mejorar. Resultados: El 63,8% (206 de las historias tenía una calidad de registro ‘aceptable’, mientras que en 36,2% (117 de historias, la calidad de registro ‘falta mejorar’. Los ítems diagnóstico y tratamiento completo fueron los que presentaron un registro deficiente con mayor frecuencia, tanto en aquellas historias que cumplían un registro aceptable (64,6% y 62,6% llenadas de modo completo, respectivamente como en aquellas con registro falta mejorar (20,5% y 23,1%, respectivamente. La firma y sello del médico tratante fue el ítem que en ambas categorías era el mejor registrado (99,5% y 93,2%, respectivamente

  20. Estado de salud bucal en 5 consultorios del municipio Palma Soriano, Santiago de Cuba, 2006 Oral health state in 5 family physicians' offices in Palma Soriano municipality, Santiago de Cuba, 2006

    Directory of Open Access Journals (Sweden)

    Yanisette Mónica Calleja Martínez

    2006-12-01

    Full Text Available Se realizó un estudio descriptivo y transversal sobre el estado de salud bucal en los consultorios del municipio Palma Soriano durante el período comprendido entre enero-abril del 2006, cuyo universo estuvo constituido por todos los habitantes de estos consultorios. Se seleccionó una muestra de 475 personas, estratificadas por grupos de edades, con 25 de ellas en cada estrato. Se utilizó la encuesta de salud bucodental de la Organización Mundial de la Salud modificada del 2003. En la población estudiada predominó el sexo femenino. Las alteraciones de la articulación témporo-mandibular no constituyeron un problema de salud. Entre las afecciones más frecuentes figuraron las caries dentales con un COP-D favorable hasta los 18 años, que no se comportó así en los grupos de 35-44 y 60-74, donde el valor fue de 11,9 y 25,8, y las periodontopatías, con un total de 72 pacientes con alguno de los signos o síntomas de la enfermedad. Las alteraciones de la estética están presentes en 34 de los pacientes examinados, por lo que se hace necesario el tratamiento obligatorio u optativo.A descriptive cross-sectional study on the oral health state in the family physicians' offices of Palma Soriano municipality was conducted from January to April, 2006. The universe was composed of all the inhabitants receiving attention at these offices. A sample of 475 persons stratified by age groups was selected. 25 individuals were included in each stratum. The bucco-dental health survey of the World Health Organization, modified in 2003, was used. A prevalence of females was observed. The alterations of the temporomandibular articulation were not a health problem. Among the most frequent affections were the dental caries with a favorable DMFT index up to 18 years old, which was not so in the 35-44 and 60-74 age groups, where the values were 11.9 and 25.8, respectively, and the periodontopathies with a total of 72 patients with some of the signs or symptoms of

  1. Drug-related deaths with evidences of body packing: Two case reports and medico-legal issues.

    Science.gov (United States)

    Cappelletti, Simone; Aromatario, Mariarosaria; Bottoni, Edoardo; Fiore, Paola Antonella; Straccamore, Marco; Umani Ronchi, Federica; De Mari, Guido Maria; Ciallella, Costantino

    2016-05-01

    Body packing is a general term used to indicate the internal transportation of drug packages, mainly cocaine, heroin, amphetamines, and methamphetamine, within the gastrointestinal tract. We described two cases of accidental drug intoxication, observed over the last year period, with evidence of intracorporeal drug concealment. The first case concerned a body packer transporting 69 drug packages of heroin adulterated with piracetam. The second body packer transported 16 drug packages of cocaine adulterated with levamisole. For both cases, forensic examination and toxicological analysis of drug packages and biological samples were carried out. Authors also wants to highlight the main medico-legal issues that commonly arise in cases of suspected or ascertained body packers. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. An audit of the toxicology findings in 555 medico-legal autopsies finds manner of death changed in 5 cases.

    Science.gov (United States)

    Langlois, Neil E I; Gilbert, John D; Heath, Karen J; Winskog, Calle; Kostakis, Chris

    2013-03-01

    An audit of toxicological analysis in Coronial autopsies performed at Forensic Science South Australia was conducted on the cases of three pathologists. Toxicological analysis had been performed in 555 (68 %) from a total of 815 autopsies. It was found that the proffered manner of death was changed from the provisional report (provided immediately after the post-mortem examination) in five cases (just under 1 %) as a consequence of the toxicological findings. This is a limited study as it is retrospective, not all cases had toxicological analysis and the findings are constrained by the range of the substances that could be detected. Nonetheless, the audit supports the application of toxicological analysis in medico-legal death investigation and suggests that an inclusive policy should be adopted.

  3. Guidelines examination of victims of sexual assault harmonization of forensic and medico-legal examination of persons.

    Science.gov (United States)

    Ludes, B; Geraut, A; Väli, M; Cusack, D; Ferrara, D; Keller, E; Mangin, P; Vieira, D N

    2018-02-21

    Sexual assault is a complex situation with medical, psychological, and legal aspects. Forensic experts play a major role in terms of forensic and gynecological medical examination and evidence collection in order to maintain the chain of custody. Victims should be examined by a specially trained medico-legal examiner in order to avoid multiple examinations in the surroundings that do not meet minimum health standards. The evolution and treatment of sexual assault victims are time-intensive and should optimally be provided by a team that includes a forensic medical doctor. These guidelines will be of interest to forensic medical doctors who will have responsibility for the examination and assessment of victims of sexual violence and can be used as a day-to-day service document and/or a guide to develop health service for victims of sexual violence.

  4. Unión del Canal del Atazar con la Red de distribución de agua de Madrid (Plaza de Castilla (II

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    López de Berges y de los Santos, Emilio

    1967-05-01

    Full Text Available This paper describes the connecting conduit between the Atazar Canal, which finishes at the El Goloso reservoir, and the water distribution network of Madrid, whose reservoir is at the Plaza de Castilla. The main features of this conduit are: the initial stage of the conduit, the pipe itself, the valves and the final stage of the conduit. Work has been done quickly, and the use of one of the pipes saved Madrid from undergoing strong water restrictions during the summer months. The project was adjudicated by auction, and the price estimate was about 500 million pesetas, which gives some idea of the magnitude of the enterprise.En el presente artículo se describe el conducto de unión del Canal del Atazar —que finaliza en los depósitos de El Goloso— con la red de distribución de Madrid y los depósitos de la Plaza de Castilla. Los elementos más destacados de la conducción son: dispositivo de origen, conducción propiamente dicha, cámaras de válvulas y dispositivo final. Las obras se han llevado a buen ritmo, y la puesta en funcionamiento de una de sus tuberías evitó imponer severas restricciones al abastecimiento de la capital. Los trabajos se adjudicaron por el sistema de subasta con un presupuesto de ejecución material de unos 500 millones de pesetas, lo que da idea de su gran importancia.

  5. Caracterización de la violencia intrafamiliar hacia la mujer. Consultorio No 1. Policlínico "René Ávila Reyes. Holguín. 2008

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    Eisy Mercedes Infantes Pérez

    2009-01-01

    Full Text Available Aborda un estudio descriptivo y transversal sobre el comportamiento de la violencia intrafamiliar hacia la mujer, en el consultorio 1 del Policlínico "René Ávila Reyes", en Holguín en el año 2008. La muestra quedó conformada por 101 mujeres, que luego de aplicarle una entrevista refirieron haber sido sometida a algún acto de violencia por parte de su pareja. Existió un mayor comportamiento de la violencia intrafamiliar en mujeres en edades comprendidas de 25 a 44 años, con escolaridad de preuniversitario o técnico medio y en las trabajadoras. El tipo de violencia que predominó correspondió al psicológico y con un tiempo de relación de pareja 6 a 10 años. Los factores que incidieron en la aparición del maltrato estuvieron dados por la mala comunicación en el hogar y la ingestión de bebidas alcohólicas. Se recomendó la realización de una intervención educativa comunitaria para lograr la reducción de esta problemática.

  6. Gestión investigativo laboral para estudiantes de la carrera de medicina en el consultorio. Estudio preliminar Working investigative management for medical students at the medical office: a preliminary study

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    Lázara Mayra Díaz Álvarez

    2009-09-01

    Full Text Available RESUMEN Con el objetivo de identificar las tendencias existentes acerca de cómo se dirige el PDE de los estudiantes de la Carrera de Medicina de todos los años, a nivel del Consultorio Médico en su componente investigativo laboral, se realizó el presente trabajo utilizando métodos teóricos y empíricos de la investigación, donde empleando el análisis de 2 preguntas en un grupo focal organizado, al respecto, se muestran un número de limitaciones que hacen que la gestión de este proceso sea insuficiente a este nivel, no lográndose la necesaria planificación, organización, regulación y control del proceso, lo cual repercute en la adquisición de las habilidades necesarias por los educandosABSTRACT The present work is aimed at identifying the present trends about how to manage the PDE in medical students at medical office using theoretical and empirical methods for the research using the analysis of 2 questions in a group designed for this purpose . Some limitations as planning, organizations and the control of the process are shown which obstruct the management of this process with some grade of repercussion on the necessary skills for the students

  7. The implementation of medical monitoring programs following potentially hazardous exposures: a medico-legal perspective.

    Science.gov (United States)

    Vearrier, David; Greenberg, Michael I

    2017-11-01

    approach is inconsistent with the targeted approach advocated by the Agency for Toxic Substances and Disease Registry and the United States Preventive Services Task Force and the bulk of the peer-reviewed medical literature. Medical monitoring in legal contexts: Numerous medical monitoring actions have been litigated. Legal rationales for allowing medical monitoring claims often incorporate some of the scientific criteria for the appropriateness of monitoring programs. In the majority of cases in which plaintiffs were awarded medical monitoring relief, plaintiffs were required to demonstrate both that the condition for which medical monitoring was sought could be detected early, and that early detection and treatment will improve morbidity and mortality. However, the treatment of medical monitoring claims varies significantly depending upon jurisdiction. Examples of large-scale, comprehensive medical monitoring programs: Large-scale, comprehensive medical monitoring programs have been implemented, such as the Fernald Medical Monitoring Program and the World Trade Center Health Program, both of which exceeded the scope of medical monitoring typically recommended in the peer-reviewed medical literature and the courts. The Fernald program sought to prevent death and disability due to non-exposure-related conditions in a manner similar to general preventive medicine. The World Trade Center Health Program provides comprehensive medical care for World Trade Center responders and may be viewed as a large-scale, federally--funded research effort, which distinguishes it from medical monitoring in a medico-legal context. Synthesis of public health approaches to medical monitoring: Medical monitoring may be indicated following a hazardous exposure in limited circumstances. General causation for a specific adverse health effect must be either established by scientific consensus through a formal causal analysis using a framework such as the Bradford-Hill criteria. The exposure must be

  8. Padova Charter on personal injury and damage under civil-tort law : Medico-legal guidelines on methods of ascertainment and criteria of evaluation.

    Science.gov (United States)

    Ferrara, Santo Davide; Baccino, Eric; Boscolo-Berto, Rafael; Comandè, Giovanni; Domenici, Ranieri; Hernandez-Cueto, Claudio; Gulmen, Mete Korkut; Mendelson, George; Montisci, Massimo; Norelli, Gian Aristide; Pinchi, Vilma; Ranavaya, Mohammed; Shokry, Dina A; Sterzik, Vera; Vermylen, Yvo; Vieira, Duarte Nuno; Viel, Guido; Zoja, Riccardo

    2016-01-01

    Compensation for personal damage, defined as any pecuniary or non-pecuniary loss causally related to a personal injury under civil-tort law, is strictly based on the local jurisdiction and therefore varies significantly across the world. This manuscript presents the first "International Guidelines on Medico-Legal Methods of Ascertainment and Criteria of Evaluation of Personal Injury and Damage under Civil-Tort Law". This consensus document, which includes a step-by-step illustrated explanation of flow charts articulated in eight sequential steps and a comprehensive description of the ascertainment methodology and the criteria of evaluation, has been developed by an International Working Group composed of juridical and medico-legal experts and adopted as Guidelines by the International Academy of Legal Medicine (IALM).

  9. A clinical analysis of 500 medico-legal claims evaluating the causes and assessing the potential benefit of alternative dispute resolution.

    Science.gov (United States)

    B-Lynch, C; Coker, A; Dua, J A

    1996-12-01

    1. To evaluate the common causes of medico-legal dispute in obstetrics and gynaecology. 2. To assess the potential benefit of early alternative dispute resolution. A prospective analysis of over 500 cases submitted from over 100 solicitors between 1984 and 1994 for medical expert opinion on potential medico-legal claims. Five hundred consecutive cases that met the inclusion criteria: 488 from the United Kingdom and 12 from abroad (Hong Kong, Republic of Ireland). The main principles underlining medico-legal disputes and causes of such claims. Analysis of 500 claims show 46% were misguided allegations, 19% incompetent care, 12% error of judgement, 9% lack of expertise, 7% failure of communication, 6% poor supervision and 1% inadequate staffing. Of the misguided allegations 119/225 cases (59%) were obstetric and 111/275 (40%) cases were gynaecological. The most common cause of obstetric dispute was "cerebral palsy' (22%), while the commonest cause of gynaecological dispute was failed sterilisation (19%). Settled claims were under-reported by solicitors. Because of the high percentage (46%) of misguided allegations, an alternative course of dispute resolution must be a realistic way forward. This course of action, combined with improved communication, could result in a major reduction in the costs of potential medical litigation. Early alternative dispute resolution should be considered in an attempt to reduce the escalating quantum of damages and costs. We recommend recruiting independent, experienced and unbiased consultants in active practice within the appropriate specialty to review such cases at the level of hospital complaints management as an in house review procedure, particularly for small and moderate-sized claims, as a means whereby doctors can retain control of medico-legal disputes, in contrast to control by the legal profession.

  10. Una aproximación a la obra El cielo bajo los pies de Elsa Plaza y a la construcción del arquetipo de “la vampira del carrer Ponent”

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    Laia Manonelles Moner

    2015-10-01

    Full Text Available A partir de la novela El cielo bajo los pies (2009 de la historiadora y novelista Elsa Plaza, se revisará la construcción del mito de un personaje que deviene un chivo expiatorio de la tensión social que se vivía en Barcelona a principios del siglo XX. Se analizará cómo la obra de Elsa Plaza se aproxima al caso de Enriqueta Martí Ripoll, conocida por la prensa sensacionalista como la "vampira del Raval", con el objetivo de perfilar el contexto social, económico, político y cultural de una época ávida de crear figuras arquetípicas que canalizaran el creciente malestar.

  11. Comportamiento de la violencia doméstica en mujeres pertenecientes al consultorio "Altos de Milagro" Behavior of the home violence in women from "Altos de Milagro" consulting room

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    Madeline Espinosa Morales

    2011-06-01

    Full Text Available Introducción: la violencia doméstica, específicamente contra la mujer latinoamericana, se ha convertido en los últimos años en un serio problema médico, social y cultural, que exige una urgente atención integral de salud, lo que motivó a las autoras a desarrollar la investigación. Objetivo: determinar el comportamiento de la violencia doméstica en mujeres mayores de 15 años atendidas en el consultorio Altos de Milagro, en Maracaibo, Estado Zulia, Venezuela, entre diciembre de 2008 y diciembre 2009. Métodos: se realizó un estudio descriptivo, retrospectivo para caracterizar el comportamiento de la violencia doméstica en el consultorio popular antes mencionado utilizando una encuesta elaborada por las autoras. Resultados: fueron atendidas 51 pacientes víctimas de violencia doméstica, con predominio de las edades entre 35 y 44 años (39,21 %. Resultaron ser acompañadas el 58,82 % y la totalidad de las pacientes sufrió violencia psicológica (100 %. La escolaridad primaria representó el 39,21 %, y 30 de las pacientes estudiadas pertenecen a familias grandes y extensas, con gran consumo de alcohol, para un 58,82 %. Se encontró, además, que más del 50 % de las estudiadas sufrió violencia doméstica, perteneciendo a la tercera-cuarta década de la vida, con bajo nivel intelectual. Conclusiones: predominó la violencia psicológica, las familias extensas y grandes, y en la mayor parte de estas el factor de riesgo más frecuente fue la ingesta de bebidas alcohólicas.Introduction: home violence specifically against the Latin American woman became in past years in a serious medical, social and cultural problem requiring an urgent integral health care, encouraging authors to develop present research. Objective: to determine the behavior of home violence in women aged over 15 seen in the "Altos de Milagro" consulting room in Maracaibo, Zulia State from December, 2008 to December, 2009. Methods: a retrospective and descriptive study

  12. Riesgo cardiovascular en pacientes de un consultorio médico del policlínico "Ana Betancourt" Cardiovascular risk found in patients from a doctor's office in "Ana Betancourt" polyclinics

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    Luis Manuel Hernández Vázquez

    2012-12-01

    Full Text Available Introducción: la capacidad predictiva del riesgo coronario es superior a la que se establece por la consideración aislada de los factores de riesgo cardiovasculares. Objetivo: determinar la magnitud del riesgo coronario y las prioridades de prevención cardiovascular en pacientes pertenecientes al consultorio médico de la familia No.5, del policlínico "Ana Betancourt", en el municipio Playa. Métodos: investigación descriptiva, de corte transversal realizada entre 2009-2010. El universo de estudio estuvo constituido por las 856 personas mayores de 20 años perteneciente a dicho consultorio. Después de aplicados los criterios de selección, la muestra quedó conformada por 242 pacientes. Se utilizaron los criterios de las Tablas de Predicción del Riesgo Coronario de Framingham, que permiten estimar dicho riesgo a diez años, en las personas con factores de riesgo cardiovascular que aún no han tenido enfermedad coronaria establecida y que requieren intervenciones de cambio de su estilo de vida. Resultados: predominaron los pacientes en la categoría de riesgo coronario moderado, 97 (40,1 %, seguido por los de alto riesgo, 82 (33, 8 % y finalmente, los de bajo riesgo, 63 (26 %. Ninguno de los pacientes estudiados estaba exento de riesgo coronario. Conclusiones: es muy probable, que más de la mitad de la muestra sufra un episodio coronario, mortal o no, durante los próximos diez años. Es urgente aplicar una estrategia de intervención comunitaria, basada en la modificación de los factores de riesgo asociados al estilo de vida, que permita disminuir la actual expresión del riesgo coronario en la población estudiada.Introduction: the predictive capacity of the coronary risk is greater than the prediction set by the individual consideration of the cardiovascular risk factors. Objective: to determine the coronary risk and the cardiovascular prevention priorities in patients from the family doctor's office no.5 in "Ana Betancourt

  13. Estado de salud bucal de 5 consultorios del municipio “Mella”, Santiago de Cuba, 2006 Oral health status at 5 family physician's offices of “Mella” municipality, Santiago de Cuba

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    Yanisette Mónica Calleja Martínez

    2006-09-01

    Full Text Available Se realizó un estudio descriptivo y transversal sobre el estado de salud bucal en 5 consultorios del municipio “Mella” durante el período comprendido entre enero y abril del 2006, cuyo universo estuvo constituido por todos los habitantes de estos consultorios. Se seleccionó una muestra de 475 pacientes estratificados por grupos de edades. Para la recolección de información se utilizó la encuesta de salud bucodental de la Organización Mundial de la Salud modificada del 2003. Se realizó un examen físico extraoral e intraoral para determinar el estado de salud bucal de cada individuo. Predominó el sexo masculino con el 59,3 % y las enfermedades sistémicas que mayor incidencia presentaron fueron las respiratorias y la hipertensión arterial. Las maloclusiones mostraron un comportamiento similar en todos los grupos, con predominio de las formas ligeras. Se utilizó el índice periodontal de Russell para evaluar la prevalencia relativa de la enfermedad, y se obtuvo que el 9,5 % y 11,8 % presentaban gingivitis leves o severas, respectivamente. El índice de COP-D mostró un valor favorable hasta los 18 años, pero no ocurrió así en los grupos de 35-44 y de 60-74, donde el valor fue de 11,2 y 25,0, respectivamente.A descriptive and cross-sectional study on the oral health status at 5 family physicians' offices of “Mella” municipality was undertaken from January through April, 2006. The universe was composed of all the inhabitants of the area corresponding to these offices. A sample of 475 patients stratified by age groups was selected. To collect the information, it was used a modified buccodental health survey of the World Health Organization of 2003. An intraoral and extraoral physical examination was made to determine the oral health status of each individual. Males predominated with 59.3 % and the systemic diseases with the highest incidence were the respiratory diseases and arterial hypertension. The malocclusions showed a

  14. Caracterización clinicoepidemiológica de pacientes con asma bronquial en un consultorio rural de Chivirico Clinical and epidemiological characterization of patients with bronchial asthma in a rural doctor's office in Chivirico

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    Carlos Luis Milán Lemus

    2010-09-01

    Full Text Available Se hizo un estudio descriptivo y transversal de 45 pacientes asmáticos, mayores de 15 años, pertenecientes al consultorio médico de la familia "El Mazo" en Chivirico, municipio de Guamá, desde enero hasta diciembre de 2006, ambos meses inclusive, con vista a caracterizarles para conocer cómo se manifestaba el asma bronquial en esta zona rural y se obtuvo una mayor incidencia de la enfermedad en las personas de 15 a 24 años y del sexo masculino. La generalidad de los encuestados tenían un bajo nivel de escolaridad y el mayor porcentaje de ellos presentó un estadio ligero intermitente del cuadro clínico. También se observó que el hábito de fumar, el género de vida regular y la ausencia del tratamiento intercrisis fueron los factores de riesgo más frecuentes en la casuística.A descriptive and cross-sectional study was carried out in 45 asthmatic patients over age15, belonging to "El Mazo" family doctor's office in Chivirico, Guamá municipality, from January to December, 2006, including both months, with the purpose of characterizing them to know how evident bronchial asthma is in this rural area. A higher incidence of the disease was obtained in male patients between15 and 24 years. Most of the respondents had a low educational status and the highest percentage of them presented with an intermittent mild stage of the clinical pattern. It was also noted that smoking, a regular mode of life and the absence of intercrisis treatment were the most frequent risk factors in the case material.

  15. Estrategia educativa sobre hipertensión arterial para adultos mayores de un consultorio del Policlínico Previsora Educational strategy on hypertension for elderly patients from Previsora Polyclinic

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    Magalys Álvarez Reyes

    2011-12-01

    Full Text Available Se realizó un estudio de intervención educativa cuasi-experimental para incrementar el nivel de conocimiento sobre hipertensión arterial de adultos mayores de un consultorio del Policlínico Universitario Previsora, Camagüey, de febrero de 2009 a febrero de 2010. El universo fue de 82 pacientes y la muestra quedó conformada por 38 personas a las que se aplicó una encuesta para identificar las necesidades de aprendizaje sobre la enfermedad. Posteriormente se empleó un programa instructivo a partir de técnicas participativas. Transcurridos 90 días se aplicó una segunda encuesta para verificar la eficacia de la intervención y se constató un aumento de las respuestas correctas en los factores de riesgos y tratamiento. Al final del estudio la mayor parte de los participantes fueron evaluados de bien, lo que ratifica la utilidad y eficacia de la intervención.From February 2009 to February 2010, a quasi-experimental educational intervention was carried out at Camagüey’s Previsora University Polyclinic to increase elderly patients’ knowledge about hypertension. Out of a universe of 82, the sample comprised 38 patients who were surveyed to identify their learning needs concerning the illness. After receiving an educational program, patients answered a second survey to confirm effectiveness. Results showed an increase of correct answers about risk factors and treatment of the illness. At the end of the study, most of he patients were graded as good. The latter validated the usefulness of the intervention.

  16. [Alcohol and work: ethical-deontological and medico-legal remark upon the recent set of rules].

    Science.gov (United States)

    Chiaravalli, M; Guzzetti, Laura; Tavani, M

    2007-01-01

    The Disposition of the Permanent Conference for the relation among the State, the Regions and the Autonomous Provinces of Trento and Bolzano, published in Gazzetta Ufficiale n. 75 on the 30th March 2006 the list of high-risk occupations under the influence of alcohol, activating de facto a previous law (Legge n. 125, 3017 march 2001, "Legge quadro in materia di alcol e di problemi alcolcorrelati"). We here present some ethical-deontological and medical-juridical profiles on the contents of this law and some consideration about its application. Particular attention is dedicated to deontological aspects about industrial safety rules and to medico-legal aspects about occupation under the influence of alcohol, with references to complex relations among worker's discretion right, employer's right to the protection of his own interests and qualified doctor's (or someone to him comparable) right to the respect for the deontological code, with regard to benefit recipient information before the medical treatment. Authors'purpose is to evidence critical points and interpretative ambiguities of a regulation lacking in its practical applications, to provide further proposals of consideration, available to revalue a thematic rich in questions and with a significant social impact.

  17. [Logico-semantic modeling of the structure of the hardware and software of medico-biological measurements].

    Science.gov (United States)

    Ostapiuk, S F; Grum-Grzhimaĭlo, Iu V; Ionov, B V

    1989-01-01

    An optimal correlation between the development tendencies, the popular use of reliable, practically checked technical novelties, the creation and mastering of principally new types of technique and technology is of great value in the development of science and technology programme. This task is solved by logico-semantic modelling. The prospects of the stated approach are conditioned by the possibilities of automatization of the purpose-supposing approach, that during the elaboration of medical scientific and technical programmes leads to reduction of expenditures for carrying out this function, allows to raise the demands for structure and order of program realisation, removes the duplication of search operations and information transmission in the preparatory period, that finally reduces the elaboration time and increases the quality of scientific and technical programme, provides complex approach to medical information problems. The possibilities of the method of logico-semantic modelling are described on the example of structure of the branch scientific and technical programme formation, directed to elaboration of technical and program methods of the system of automatization of medico-biological measuring.

  18. The necessity of repeated assessment of imaging studies contained in medical records in medico-legal opinions

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    Aleksandra Borowska-Solonynko

    2014-12-01

    Full Text Available The paper presents two case reports of living victims, in which imaging studies of the chest conducted at a medical facility were an essential part of the medico-legal opinion. The first case was that of a young male hospitalized due to CT evidence of bilateral rib fractions, who claimed to have been assaulted by police officers. The other case was that of a six week old baby hospitalized due to chest X-ray evidence of right hand side rib fractions. The chest X-ray was performed due to one bruise found on the baby’s forehead and two small bruises on the back, which gave rise to suspicions of child abuse. In both cases, expert witnesses in radiology definitively excluded the presence of any fractures. These cases indicate that a new assessment of imaging studies contained in medical records is needed. Expert opinions based solely on the description of imaging studies may result in grave consequences.

  19. Remaking the medico-legal scene: a social history of the late-Victorian coroner in Oxford.

    Science.gov (United States)

    Hurren, Elizabeth T

    2010-04-01

    There have been wide-ranging debates about medicine and the law encapsulated in the figure of the coroner in Victorian England. Recently the historical literature on coroners has been enriched by macro-studies. Despite this important research, the social lives of coroners and their daily interactions remain relatively neglected in standard historical accounts. This article redresses that issue by examining the working life of the coroner for Oxford during the late-Victorian era. Edward Law Hussey kept very detailed records of his time in office as coroner. New research material makes it feasible to trace his professional background, from doctor of the sick poor, to hospital house surgeon and then busy coroner. His career trajectory, personal interactions, and professional disputes, provide an important historical prism illuminating contemporary debates that occupied coroners in their working lives. Hussey tried to improve his medico-legal reach and the public image of his coroner's office by reducing infanticide rates, converting a public mortuary, and acquiring a proper coroner's court. His campaigns had limited success because the social scene in which he worked was complicated by the dominance of health and welfare agencies that resented his role as an expanding arm of the Victorian information state.

  20. European Council of Legal Medicine (ECLM) principles for on-site forensic and medico-legal scene and corpse investigation.

    Science.gov (United States)

    Cusack, D; Ferrara, S D; Keller, E; Ludes, B; Mangin, P; Väli, M; Vieira, N

    2017-07-01

    Forensic medical practitioners need to define the general principles governing procedures to be used for the on-site examination of a body where the death has occurred in unnatural, violent or suspicious circumstances. These principles should be followed whenever a medical expert is required to perform an on-site corpse inspection and should be utilised as a set of general guidelines to be adapted to the specific situation in hand and interpreted using common sense and scientific knowledge of the relevant procedures and facts of the case. The aim of these principles is to ensure that forensic evidence at the scene of a death is properly observed and assessed and all necessary relevant evidence gathered in order to ensure that a comprehensive report is available to the judicial authority (investigating judge or coroner) in the justice system. The on-site corpse inspection by a forensic practitioner is a mandatory and essential stage of the forensic and medico-legal autopsy, as it may provide important information for subsequent investigation stages.

  1. A Preliminary Analysis of Insects of Medico-legal Importance in Curitiba, State of Paraná

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    Mauricio Osvaldo Moura

    1997-03-01

    Full Text Available A survey of the carrion fauna was made at two sites in Curitiba, State of Paraná, with the objective of describing the insects associated with carrion and setting up a preliminary data-base for medico-legal purposes in south Brazil. Vertebrate exclusion experiments were carried out in each season between 1994 and 1995 with a 250 g laboratory-bred rat (Rattus norvegicus. Five stages of decomposition were identified: fresh, bloated, decaying, dry and adipocere-like. Some species showed seasonal and site preference and so could be used to identify the probable place and season where death took place. Sarconesia chlorogaster (Diptera, Calliphoridae was restricted to an open field site and to cooler months. Hemilucilia semidiaphana (Diptera, Calliphoridae and Pattonella resona (Diptera, Sarcophagidae were restricted to the forest site and warmer months. Phaenicia eximia (Diptera, Calliphoridae and Oxyletrum discicolle (Coleoptera, Silphidae were present at both sites throughout the year and could be useful for population level analysis. Dissochaetus murray (Coleoptera, Cholevidae was present throughout the year at the forest site and was associated with the adipocere-like stage. Ants played an important role producing post-mortem injuries to the carcasses. Insects of 32 species are reported as being useful in community level approaches

  2. [Algorithms based on medico-administrative data in the field of endocrine, nutritional and metabolic diseases, especially diabetes].

    Science.gov (United States)

    Fosse-Edorh, S; Rigou, A; Morin, S; Fezeu, L; Mandereau-Bruno, L; Fagot-Campagna, A

    2017-10-01

    Medico-administrative databases represent a very interesting source of information in the field of endocrine, nutritional and metabolic diseases. The objective of this article is to describe the early works of the Redsiam working group in this field. Algorithms developed in France in the field of diabetes, the treatment of dyslipidemia, precocious puberty, and bariatric surgery based on the National Inter-schema Information System on Health Insurance (SNIIRAM) data were identified and described. Three algorithms for identifying people with diabetes are available in France. These algorithms are based either on full insurance coverage for diabetes or on claims of diabetes treatments, or on the combination of these two methods associated with hospitalizations related to diabetes. Each of these algorithms has a different purpose, and the choice should depend on the goal of the study. Algorithms for identifying people treated for dyslipidemia or precocious puberty or who underwent bariatric surgery are also available. Early work from the Redsiam working group in the field of endocrine, nutritional and metabolic diseases produced an inventory of existing algorithms in France, linked with their goals, together with a presentation of their limitations and advantages, providing useful information for the scientific community. This work will continue with discussions about algorithms on the incidence of diabetes in children, thyroidectomy for thyroid nodules, hypothyroidism, hypoparathyroidism, and amyloidosis. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  3. [Giving medico-legal opinions in cases with suspicion of medical mistake.part 1. between medicine and justice.

    Science.gov (United States)

    Chowaniec, Czesław; Chowaniec, Małgorzata; Wilk, Mateusz

    2017-01-01

    Creating medico-legal opinion is a sophisticated investigative, analytical, decision-making and creative process. Forensic medicine specialist in cooperation with clinical medicine consultants, on the basis of evidence analysis, which was gathered during procedures and contained in the acts has to create an objective and essential opinion. This opinion is a vital, very important and irreplaceable proof in every case. Judicial body consults with forensic medicine specialist or specialists if there are circumstances for settlement of which there is a need of classified informations - art. 193 of Penalty Code. Forensic medicine specialists face many difficulties which may have effect on quality, positiveness of opinion, compliance with the deadline, increasing expectancy of judicial body or sides. It is very difficult to find clinical specialists which except their clinical knowledge have basic knowledge about law, the role and duties of an court expert. In this article we discuss creating-opinion problems, role and position of court expert in confrontation with expectations of judicial body and the Justice with particular emphasis on medical mistakes and assessment of medical proceedings. We show the complexity of creating of medical opinions, especially these institutional.

  4. Tres veces en la plaza: Escenificación de una ceremonia estatal de perdón público por actos de violencia paramilitar en Colombia

    Directory of Open Access Journals (Sweden)

    Gabriel Ruiz Romero

    2017-01-01

    Full Text Available Los actos de violencia armada tienen la capacidad de resignificar los espacios alrededor de los cuales una comunidad ha construido su identidad social. En el pequeño poblado palafito de Nueva Venecia (Magdalena-Colombia, tres distintos actores armados (la guerrilla, los paramilitares de extrema derecha y la fuerza pública colombiana convocaron a la población, en tres distintos momentos, en el mismo espacio social: la plaza principal del pueblo. En la primera reunión, el primer grupo advirtió sobre la posibilidad de una masacre; en la segunda, los pobladores fueron víctimas y testigos de la forma en que el segundo grupo la ejecutaba; y en la tercera reunión, el tercer grupo ofrecía excusas por lo sucedido. El artículo analiza la forma en que estos tres actos determinaron tres marcas del continuum de la violencia sobre ese espacio nodal de memoria. El texto está organizado narrativamente alrededor del último de estos actos, cuando representantes del ejército y la policía colombianas ofician una ceremonia pública de perdón por la masacre paramilitar. El análisis de dicha ceremonia la revela más como un escenario donde los agentes de memorias enfrentadas despliegan dispositivos discursivos para legitimarse socialmente como un verdadero acto de reparación simbólica.

  5. The prevalence and risk factors of Post-Traumatic Stress Disorder among workers injured in Rana Plaza building collapse in Bangladesh.

    Science.gov (United States)

    Fitch, Taylor; Villanueva, Gabriela; Quadir, Mohammad M; Sagiraju, Hari K R; Alamgir, Hasanat

    2015-07-01

    Prevalence and risk factors of PTSD among injured garment workers who survived a major factory collapse. Survivors receiving treatment or rehabilitation care at one year post event were surveyed, which included Post Traumatic Stress Disorder Checklist Specific version. The respondents consisted of 181 people with a mean age of 27.8 years and a majority had less than high school education (91.2%). Multivariable logistic regression found that the odds of having PTSD was higher among married (OR: 3.2 [95% CI: 1.3-8.0]), those who used to work more than 70 hr/week (OR: 2.4 [1.1-5.3]), workers who used to hold higher job positions (OR: 2.6 [1.2-5.6]) or who had a concussion injury (OR: 3.7 [1.4-9.8]). Among the respondents, 83.4% remained unemployed, and only 57.3% (63 people) reported receiving a quarter or less of what they were promised as compensation. Probable PTSD was prevalent among surviving workers of the Rana Plaza building collapse in Bangladesh. © 2015 Wiley Periodicals, Inc.

  6. MIGRANTES PERUANOS EN LA PROA DE LA PLAZA DE ARMAS DE SANTIAGO DE CHILE: DE UMBRALES A INDICIOS DE HIBRIDEZ CULTURAL

    Directory of Open Access Journals (Sweden)

    Ximena Andrea Póo Figueroa

    2008-01-01

    Full Text Available Los inmigrantes peruanos en Santiago de Chile que han hecho suyo el entorno de la Plaza de Armas, específicamente de uno de sus vértices desde donde surge la calle Catedral, plantean varias preguntas sobre la resignificación de los espacios en el casco histórico y sobre la articulación de discursos y prácticas culturales que emergen entre los migrantes y entre ellos y los “otros”, considerando esa alteridad en un espacio reconstituido, tanto por la memoria histórica como por los flujos de una ciudad que (desaparece en la inflexión modernidad/posmodernidad/sobremodernidad. En este documento se realiza una exploración por esas rutas liminales, intentado teorizar sobre los niveles de hibridez a los que pueden llegar los flujos, los movimientos y los anclajes que se dan entre los dos mundos (in between de los migrantes y entre ellos y el lugar que “acoge y discrimina” y que es resignificado como un espacio público con nuevos sentidos, y el “no lugar” de movimiento perpetuo y fugaz que los desplaza entre las máscaras intercambiables de lo global y lo local. En ese escenario la comunicación intercultural es clave.

  7. Un caso práctico para el análisis del neuromarketing visual en el Centro Comercial Ventura Plaza (Cúcuta, Colombia

    Directory of Open Access Journals (Sweden)

    William R. Avendaño Castro

    2013-06-01

    Full Text Available Los avances en las áreas de la psicología, la neurociencia, el ámbito cognitivo y la comprensión sobre el funcionamiento del cerebro humano han posibilitado que otras disciplinas y áreas del conocimiento formulen nuevas teorías. Este es el caso del marketing, que haciendo uso de los últimos descubrimientos a nivel cerebral, ha incorporado estrategias para la captación de clientes. Se hace una revisión de las prácticas visuales de neuromarketing de 124 establecimientos del Centro Comercial Ventura Plaza, el más importante de la ciudad de Cúcuta (Norte de Santander, Colombia. La muestra estuvo representada por 71 establecimientos de textiles, 25 de comidas, 12 de electrodomésticos, 11 de diversión y entretenimiento y 5 de libros. Se aplicó una matriz que recopiló la información sobre la imagen externa e interna de los establecimientos atendiendo al uso del color, la luz y la imagen fotográfica. Los resultados muestran que un buen porcentaje de los establecimientos aplican los principios del neuromarketing asociados con la percepción sobre el color, la luz y la imagen fotográfica

  8. La gestión municipal: ¿cómo administrar las plazas y los mercados de la ciudad de México? 1824-1840

    Directory of Open Access Journals (Sweden)

    Gisela Moncada González

    2016-05-01

    Full Text Available El texto analiza la gestión de los servicios públicos en la ciudad de México, y en particular, la administración de las plazas y los mercados a través de contratas a particulares. La problemática se centra en las dificultades que enfrentó la administración municipal para regular el comercio urbano. La fuente documental empleada es la Ordenanza Municipal de 1840 y el estudio detallado de las comisiones que integraban al Ayuntamiento de México entre 1810 y 1840. La investigación concluye que la falta de un orden jurídico que regulara la gestión municipal provocó una mala organización y planeación en los servicios públicos de la ciudad. Por ello, las contratas, que parecían una salida eficiente en la administración municipal, terminaron por convertirse en negocios entre particulares, debido a la incapacidad del gobierno para vigilarlos y regularlos, así como por la falta de recursos económicos para sostenerlas.

  9. O Brazil-Medico e as contribuições do pensamento médico-higienista para as bases científicas da educação física brasileira Brazil-Medico and the contributions of medical-hygienist thought to the scientific bases of Brazilian physical education

    Directory of Open Access Journals (Sweden)

    Maria Isabel Brandão de Souza Mendes

    2008-03-01

    Full Text Available O final do século XIX e o início do XX foram emblemáticos para a 'cientificização' da educação física no Brasil. A presente investigação se direcionou para o Brazil-Medico no período de 1887-1923, com o objetivo de identificar as compreensões de corpo e saúde, buscando-se contribuições para as bases científicas da educação física brasileira.The end of the nineteenth century and beginning of the twentieth were emblematic in the 'scientifization' of physical education in Brazil. This examination of the journal Brazil-Medico during 1887-1923 seeks to identify views of the body and health as well as contributions to the scientific bases of physical education in Brazil.

  10. Toward a standardized investigation protocol in sudden unexpected deaths in infancy in South Africa: a multicenter study of medico-legal investigation procedures and outcomes.

    Science.gov (United States)

    du Toit-Prinsloo, Lorraine; Dempers, Johan; Verster, Janette; Hattingh, Christa; Nel, Hestelle; Brandt, V D; Jordaan, Joyce; Saayman, Gert

    2013-09-01

    South Africa manifests a socio-economic dichotomy that shows features of both a developed and developing country. As a result of this, areas exist where a lack of resources and expertise prevents the implementation of a highly standardized protocol for the investigation of sudden and unexpected deaths in infants (SUDI). Although the medico-legal mortuaries attached to academic centers have the capacity to implement standardized protocols, a previous study conducted at two large medico-legal mortuaries indicated otherwise. This study also revealed that the exact number and incidence of sudden infant death syndrome (SIDS) cases was unknown. These findings prompted a multicenter study of the medico-legal investigation procedures and outcomes in five academic centers in South Africa. A retrospective case audit was conducted for a 5-year period (2005-2009) at medico-legal laboratories attached to universities in Bloemfontein, Cape Town-Tygerberg, Durban, Johannesburg, and Pretoria. The total case load as well as the total number of infants younger than 1 year of age admitted to these mortuaries was documented. The case files on all infants younger than 1 year of age who were admitted as sudden and unexpected or unexplained deaths were included in the study population. Data collected on the target population included demographic details, the nature and scope of the post-mortem examinations, as well as the final outcome (cause of death). A total case load of 80,399 cases were admitted to the mortuaries over the 5 year period with a total of 3,295 (6.5 %) infants. In the infant group, 591 (0.7 %) died from non-natural causes and 2,704 (3.3 %) cases of sudden, unexpected and/or unexplained deaths in infants were admitted and included in the detailed case analysis study. One hundred and ninety-nine babies were between 0 and 7 days of age and 210 babies between 8 and 30 days. The remaining 2,295 infants were between 1 month and 12 months of age. Death scene investigation was

  11. Inside the Body: Medical Imaging and the Visual Arts Dentro al Corpo: Imaging Medico e Arti Visive

    Directory of Open Access Journals (Sweden)

    Silvia Di Marco

    2012-01-01

    Full Text Available

    The show of the display of the inner body has been charming the West for more than five hundred years, but it was only by the end of the 19th century that the invention of radiography allowed a radically new phenomenological experience: peering inside a living body. In the 20th century, medical imaging evolved in a spectacular manner, re-defining the way we see our bodies, literally and metaphorically (think about the new identity of the foetus, promoted by ultrasound imaging, and that of the mind, fostered by functional imaging. In this article, I try to explore some of these transformations, analyzing the work of artists who elaborate very different representations and discourses about the body, but who share the choice of using medical images and technologies.

    Lo spettacolo della messa a vista del corpo interno affascina l’Occidente da oltre cinquecento anni, ma è stato solo sul finire del XIX secolo che l’invenzione della radiografia ha permesso un’esperienza radicale sul piano fenomenologico: guardare dentro a un corpo vivo. Nel XX secolo l’imaging medico si è sviluppato in maniera vertiginosa, ridefinendo il nostro modo di vedere il corpo, letteralmente e metaforicamente (si pensi alla rinnovata identità del feto, promossa dall’ecografia, e a quella della mente, determinata dall’imaging funzionale. In questo articolo cerco di esplorare alcune di queste trasformazioni, analizzando il lavoro di artisti che ci offrono rappresentazioni e discorsi sul corpo profondamente diversi, ma che sono accomunati dalla scelta di usare nelle loro opere immagini e tecnologie mediche.

     

  12. Regional Resilience of the Ural Federal District in Economic Shocks and Crises: Medico-Demographic and Environmental Aspects

    Directory of Open Access Journals (Sweden)

    Boris Alengordovich Korobitsyn

    2016-09-01

    Full Text Available Health, demographic and environmental consequences of 1998 and 2008 economic crises for the Ural Federal District are considered in the paper. Regional resilience is defined as the ability of a regional socio-economic system to withstand, absorb or overcome an internal or external economic shock. The quantitative analysis of regional resilience of the subject entities of the Ural Federal District is based on two interrelated dimensions: resistance, those are the vulnerability or sensitivity of a regional socio-economic system to disturbances and disruptions; and the speed and extend of recovery from such a disruption. Because resilience as a concept captures resistance to the shock and recovery from it, resistance indexes and recovery indexes are used for assessing the impact of regions to recessionary shocks. Three sets of resilience indicators were used: economic, environmental and medico-demographic ones. The main criteria for selecting resilience indicators were their robustness as a measure of the territorial impact of the economic crisis and availability of long time series. Special attention is paid to the question identification of the qualitative and quantitative factors, which form the territorial characteristics enabling some regions to resist, or move out of, economic downturn more effectively than others. Unfortunately, a valid answer to the question why some regions are more able to withstand an economic downturn than others, or are able to recover faster, cannot be given at present. Resilience to an economic shock does not necessarily imply that the economy is otherwise strong and performing well over the longer-term. Regions that experience strong economic growth prior to a shock may appear to be less resilient. Such components of the regional socio-economic system as reserves of natural resources, sectoral structure of regional economy, skills of population, diversified economy and quality of governance do not define uniquely

  13. Sudden and unexpected childhood deaths investigated at the Pretoria Medico-Legal Laboratory, South Africa, 2007 - 2011.

    Science.gov (United States)

    Van Deventer, B S; Rossouw, S H; Du Toit-Prinsloo, L

    2016-09-06

     Sudden and unexpected death is well known to occur in infants, and although sudden deaths are less frequent after the first birthday, they still account for a significant proportion of childhood deaths. In 2009, 1.9% of the total deaths in the USA were childhood deaths. In South Africa (SA) this proportion was much higher at 11.85%. According to the law, sudden and unexpected deaths are generally investigated as unnatural deaths. Establishing an exact underlying anatomical cause of death will depend on available resources and can be difficult in a substantial proportion of cases.  A retrospective descriptive case audit was conducted at the Pretoria Medico-Legal Laboratory (PMLL), SA, from 1 January 2007 through to 31 December 2011. All children aged 1 - 18 years who died suddenly and unexpectedly were included.  Ninety-eight cases were identified, which constituted nearly 1% of total admissions to the PMLL. The majority of the deaths were of children aged 1 - 5 years, and the male/female ratio was 1.04:1. In the largest proportion of cases (n=28, 28.6%), the medicolegal investigation, including autopsy and ancillary investigations, did not establish an underlying anatomical cause of death. In the cases where a cause of death was established, pneumonia was the most common diagnosis (n=22, 22.4%).  The fact that the cause of the largest proportion of deaths could not be ascertained emphasises the need for consideration of additional investigative techniques, such as molecular/genetic screening, which have provided an underlying cause of death in a significant number of cases in other countries. There is a lack of published research on the causes and incidence of sudden unexpected deaths in children in SA, and further research in this area is needed.

  14. Estimates of thyroid cancer incidence at district level using cancer registries data and linkage of two sources of medico-administrative data, France, 2007-2011

    International Nuclear Information System (INIS)

    Chatignoux, Edouard; Decool, Elsa; Maria, Florence de; Uhry, Zoe; Remontet, Laurent; Grosclaude, Pascale; Guizard, Anne-Valerie; Delafosse, Patricia; Colonna, Marc

    2016-01-01

    Objectives - In France, cancer registries cover 20% of the population. The objective of this study was to provide estimations of thyroid cancer incidence at the administrative district level ( 'departements') over the 2007-2011 period in metropolitan France, using registries data and medico-administrative data. Methods - A medico-administrative indicator 'HUL' [Hospital union LLD] combining Hospital discharge data and health insurance data on Long Duration Diseases (LDD) was constructed. It counts the number of people with a new LDD or hospitalized for thyroid cancer. The principle of the estimation consists in adjusting HUL data at the district level by the Incidence/HUL ratio of the registry area. The accuracy of the estimations was first evaluated in the districts covered by registries by comparing estimated to observed incidence. Results - The preliminary phase of the assessment confirmed that the HUL/Incidence ratio were sufficiently accurate to provide district level estimates of thyroid cancer incidence over the whole territory. The district variability of the estimations for the 2007-2011 period was important: the 5. and 95. percentiles of the distribution of standardized incidence rates across districts were 2.8 and 7.1 for 100,000 in men, and 8.3 and 21.2 for 100,000 in women. Areas with significant over-incidence were observed in the South-East, and on the South-West coast of France compared to the national level. Conclusion - This study confirms the magnitude of geographical variability of thyroid cancer incidence between French administrative districts. It also confirms the value of cross-referencing medico-administrative data to estimate the incidence at an administrative district level. (authors)

  15. Biodistance analysis of the Moche sacrificial victims from Huaca de la Luna plaza 3C: Matrix method test of their origins.

    Science.gov (United States)

    Sutter, Richard C; Verano, John W

    2007-02-01

    The purpose of this study is to test two competing models regarding the origins of Early Intermediate Period (AD 200-750) sacrificial victims from the Huacas de Moche site using the matrix correlation method. The first model posits the sacrificial victims represent local elites who lost competitions in ritual battles with one another, while the other model suggests the victims were nonlocal warriors captured during warfare with nearby polities. We estimate biodistances for sacrificial victims from Huaca de la Luna Plaza 3C (AD 300-550) with eight previously reported samples from the north coast of Peru using both the mean measure of divergence (MMD) and Mahalanobis' distance (d2). Hypothetical matrices are developed based upon the assumptions of each of the two competing models regarding the origins of Moche sacrificial victims. When the MMD matrix is compared to the two hypothetical matrices using a partial-Mantel test (Smouse et al.: Syst Zool 35 (1986) 627-632), the ritual combat model (i.e. local origins) has a low and nonsignificant correlation (r = 0.134, P = 0.163), while the nonlocal origins model is highly correlated and significant (r = 0.688, P = 0.001). Comparisons of the d2 results and the two hypothetical matrices also produced low and nonsignificant correlation for the ritual combat model (r = 0.210, P = 0.212), while producing a higher and statistically significant result with the nonlocal origins model (r = 0.676, P = 0.002). We suggest that the Moche sacrificial victims represent nonlocal warriors captured in territorial combat with nearby competing polities. Copyright 2006 Wiley-Liss, Inc.

  16. El patrimonio en la experiencia estética de lo cotidiano: Un estudio empírico a través de 60 plazas de Madrid.

    Directory of Open Access Journals (Sweden)

    Sara González Moratiel

    2017-11-01

    Full Text Available Desde la Carta de Venecia de 1964 sobre la Conservación y la Restauración de los Monumentos y los Sitios , el estudio y la preservación del patrimonio histórico han adquirido una importancia vital en las políticas urbanas. Sesenta años más tarde, queda totalmente consolidado, en la sociedad real, el culto por el patrimonio -histórico, arquitectónico, urbano o cultural- a través, principalmente, de su relación con la memoria y con el tiempo. Sin embargo, en ocasiones, debido a la industria del ocio o a políticas enfocadas al turismo que tienden a la “museificación” de los centros históricos, el patrimonio urbano corre el riesgo de ser excluido para la sociedad que lo habita en su cotidianidad, banalizando así “toda la riqueza de su autenticidad”. El presente trabajo trata de indagar, mediante un estudio empírico, sobre la relación entre la presencia de patrimonio edificado y la percepción de “lo bello” y “lo agradable” en 60 plazas públicas del centro histórico de Madrid. Los resultados experimentales abren el debate sobre tres cuestiones: la experiencia estética, como adelantó Dewey, no puede separarse de la experiencia ordinaria; el patrimonio edificado deviene pieza clave en dicha experiencia; la experiencia estética responde a una suerte de verdad que necesita de un patrimonio vivo.  

  17. The Impact of the Danish Medico-Legal Council on the Choice Between Treatment and Punishment for Non-psychotic Offenders

    DEFF Research Database (Denmark)

    Gottlieb, Peter; Gabrielsen, Gorm; Kørner, Alex

    2014-01-01

    punishment and treatment in cases of offenders falling under §69 of the Penal Code, i.e. mentally disordered, although not psychotic offenders. Methods. In 298 cases of defendants who according to the Medico-Legal Council might fall under §69 the recommendations of the assessment reports, the recommendations...... some measure of treatment was about 50% for adult males, and higher for adolescents and for females. In court, however, the two genders as well as adolescents and adults alike all had the same probability, approximately 50%, of being sentenced with treatment instead of punishment. When measured...

  18. Comportamiento de las enfermedades bucales y necesidades de tratamiento en un consultorio médico del Vedado Behavior of oral diseases and needs of treatment at a family physician's office in Vedado

    Directory of Open Access Journals (Sweden)

    Leticia Espinosa González

    2004-12-01

    Full Text Available Se realizó un estudio descriptivo tranversal del Consultorio 103-1 del Policlínico "Moncada" desde enero de 1999 a agosto del 2001 con el objetivo de evaluar el estado de salud bucal de la población. El conocimiento del estado de salud bucal de la población resulta indispensable para la correcta planificación, organización y control de la atención estomatológica. Se seleccionó una muestra de 441 personas estratificadas por grupos de edades a las que se les realizó el examen clínico; para la recolección de los datos se utilizó una adaptación de la encuesta básica de la OMS. En la población estudiada las maloclusiones que predominan son las ligeras y la enfermedad parodontal es más frecuente en el grupo de 35-59 años. En relación con las necesidades de tratamiento, se observó que hay un comportamiento similar en la atención primaria y secundaria desde el punto de vista ortodóncico y periodontal. En las necesidades de tratamiento protésico, el grupo más necesitado es de 35-59 años y el tipo de prótesis, la parcial removible.The knowledge of the oral health status of the population is indispensable for a correct planning, organization and control of dental care. A cross-sectional descriptive study was conducted at the family physician's office 103-1 of "Moncada" Polyclinic from January, 1999 to August, 2001, to evaluate the oral health status of the population. To this end, it was selected a sample of 441 individuals stratified by age group that underwent clinical examination. An adaptation of the WHO basic survey was used to collect data. It was observed a predominance of mild malocclusions in the studied population. The periodontal disease was the most common in the group aged 35-39. As regards the treatment needs it was found that there is a similar behavior of primary and secondary attention from the periodontal and orthodontic point of view. In relation to prosthetic treatment, the group aged 35-39 needed the most

  19. Alternativa terapéutica para el tratamiento de la escoliosis en pacientes de 12-14 años del consultorio 49 del reparto Hermanos Cruz en Pinar del Río

    Directory of Open Access Journals (Sweden)

    Yudersy Izquierdo Pérez

    2009-06-01

    Full Text Available Para la realización de este trabajo partimos de las  observaciones realizadas a las hojas de cargo del consultorio 49 del reparto Hermanos Cruz en Pinar del  Río donde  se pudo constatar un grupo de pacientes con edades comprendidas entre 12-14 años que sufren de esa afección en la columna vertebral. Seleccionamos estas edades por ser este un período de crecimiento y de desarrollo en el organismo, el cual tiende a deformar la columna vertebral por las posturas inadecuadas al sentarse, al levantarse, para dormir, tomar objetos de piso, cargar objetos pesados; además en esta etapa los estudiantes cambian de enseñanza escolar (primaria a la secundaria básica donde se incrementan las asignaturas y con ellas los textos a cargar a diario en las mochilas. En la mayoría de los casos presentados pudimos detectar que las escoliosis son causa  de  una  mala  postura  cotidiana, la que  lleva a la  incomodidad  de  las personas por dolores en la espalda. El 100% de los casos encuestados  para este trabajo sufren de la deformidad a más de 2 años, la mayor parte de su tiempo permanecen sentados, no han podido dar continuidad a un tratamiento porque tienen actividades para todo el día en la escuela como clases, televisión educativa, etc., están interesados en realizar ejercicios para la deformidad y el único tiempo que tienen libre es después de la escuela; 8 pacientes para un 80 % tienen conciencia de las características de su enfermedad, 7 para un 70% presentan escoliosis dorsal y 3 para un 30% escoliosis dorso lumbar (ambas de grado 1emitido por un especialista y 8 para un 80% no realizan ejercicios en casa por desinterés.

  20. [Changes of medico-pharmaceutical profession and private practice from the late 19th century to the early 20th century: ebb and flow of western pharmacies and clinics attached to pharmacy].

    Science.gov (United States)

    Lee, Heung-Ki

    2010-12-31

    This article examined i) how traditional medico-pharmaceutical custom from the late 19th century influenced such changes, ii) how medical laws of Daehan Empire and early colonial period influenced the differentiation of medico-pharmaceutical profession, and iii) what the responses of medico-pharmaceutical professionals were like, and arrived at following conclusions. First, in late Chosun, there was a nationwide spread of pharmacies (medicine room, medicine store) as general medical institutions in charge of prescription and medication as well as diagnosis. Therefore, Koreans' perception of Western medicine was not very different from that of traditional pharmacy. Second, Western pharmacies were established by various entities including oriental doctors, Western doctors and drug manufacturers.Their business ranged from medical consultation, prescription, medication and drug manufacture. This was in a way the extension of traditional medico-pharmaceutical custom, which did not draw a sharp line between medical and pharmaceutical practices. Also, regulations on medical and pharmaceutical business of Daehan Empire did not distinguish oriental and Western medicine. Third, clinics attached to pharmacy began to emerge after 1908, as some Western pharmacies that had grown their business based on selling medicine began to hire doctors trained in Western medicine. This trend resulted from Government General's control over medico-pharmaceutical business that began in 1908, following a large-scale dismissal of army surgeons trained in medical schools in 1907. Fourth, as specialization increased within medico-pharmaceutical business following the colonial medical law in early 1910s, such comprehensive business practices as Western pharmacy disappeared and existing businesses were differentiated into dealers of medical ingredients, drug manufacturer, patent medicine businessmen and herbalists. And private practice gradually became the general trend by establishment of medical

  1. Memoria, restitución y prácticas de la transmisión: El Archivo Biográfico Familiar de Abuelas de Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Horacio Medina

    2013-06-01

    Full Text Available In this paper we will place testimonial voices, as survivor narrative, in the frame of "identity" ruin caused by the practices of appropriation of children during the last military dictatorship in Argentina. We analyze an ethnographic corpus of the tasks performed by the “Familiar Biographical Archives” of “Abuelas de  Plaza de Mayo” Association. We discuss the conflict of the "identity" narrated by "others" that leads to the threshold of an autobiographical enunciation. This work of memory and transmission gives a "subjective", but also ethical and political, sense to the process of "restitution".

  2. Evaluación del comportamiento de materiales empleados en la reintegración de materiales cerámicos de la Plaza de España (Sevilla)

    OpenAIRE

    Alejandre Sánchez, F. J.; Villegas Sánchez, R.; Jurado Pérez, M.

    2005-01-01

    En el presente trabajo se estudia el comportamiento y la durabilidad de diferentes morteros y estucos comerciales que se han utilizado para restituir enfrío las pérdidas de vidriado en azulejos deteriorados de la Plaza de España (Sevilla). Para ello se han preparado 5 tipos de muestras que se han aplicado sobre bizcochos cerámicos y que posteriormente se han coloreado y protegido con resinas. Las muestras se han sometido a ensayos de alteración acelerada: cristalización de sales, ciclos de te...

  3. Diseño de estrategias de marketing viral a partir de una herramienta de gestión CRM para centros comerciales : caso centro comercial Cable Plaza en la ciudad de Manizales

    OpenAIRE

    Rodríguez López, Laura María

    2010-01-01

    Este documento es una investigación que combina dos teorías de gran relevancia y novedad del mercadeo y el marketing, como son el CRM y el amrketing viral, diseñando estrategias que buscan fidelizar, evangelizar y aumentar los clientes del centro comercial Cable Plaza, ubicado en la ciudad de Manizales / Abstract: This document is an investigation that combines two theories of great importance market novelty and marketing, such as CRM and buzz marketing, designing strategies seeking loyalty, ...

  4. Organ retention and communication of research use following medico-legal autopsy: a pilot survey of university forensic medicine departments in Japan.

    Science.gov (United States)

    Tsujimura-Ito, Takako; Inoue, Yusuke; Yoshida, Ken-ichi

    2014-09-01

    This study investigated the circumstances and problems that departments of forensic medicine encounter with bereaved families regarding samples obtained from medico-legal autopsies. A questionnaire was posted to all 76 departments of forensic medicine performing medico-legal autopsies in Japan, and responses were received from 48 (63.2%). Of the respondents, 12.8% had approached and communicated with bereaved families about collecting samples from the deceased person during an autopsy and the storage of the samples. In addition, 23.4% of these had informed families that samples might be used in research. Eighteen departments had received enquiries and requests from families about the samples, with most requests concerning their return. The response to such requests varied according to the department. Few departments interacted with the bereaved families regarding the procedure for obtaining autopsy samples, and their methods for handling family concerns differed depending on the person within the department authorised to contact the family. Moreover, the procedures for engaging in such communication have long been unclear, and no legal or ethical consensus or agreement with the general public has been established. It is important for researchers to further discuss the correct way for forensic medicine departments to communicate with bereaved families. 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.

  5. Normas de Bioseguridad en el consultorio Odontologico

    OpenAIRE

    Del Valle A., Sol Cristina

    2002-01-01

    El Odontólogo como miembro del grupo de profesionales de la salud está en constante riesgo de adquirir enfermedades virales y bacterianas altamente contagiosas, que en muchos casos pueden ser mortales. Hoy día nuestros pacientes están al tanto del peligro que pueden correr cuando son atendidos con instrumental contaminado y sin las debidas normas de protección y el avance contínuo de información nos obliga y nos exige cuidarnos y cuidarlos a ellos. Se revisarán las medidas necesarias que debe...

  6. Alternativa terapéutica basada en un conjunto de juegos para el mejoramiento de la salud en pacientes hipertensos adultos mayores del Consultorio No 79 del Km. 1 ½ de la Carretera a Viñales

    Directory of Open Access Journals (Sweden)

    Yakelín Mendoza Cabrera

    2009-06-01

    Full Text Available Toda sociedad tiene como deber   garantizarle al adulto mayor la realización sistemática de ejercicios físicos en coordinación con los profesores de Cultura Física. Dicha práctica es beneficiosa para los sistemas funcionales del organismo resulta como un medicamento obligatorio para la prevención y la terapia de enfermedades como la Hipertensión  Arterial (HTA. Por lo tanto, con este trabajo se pretende lograr la disminución de las cifras tensiónales  de  las  personas  hipertensas  a  través  de  una  propuesta  de conjunto de  juegos a pacientes que  asisten  al Círculo de  Abuelo pertenecientes al Consultorio Médico No. 79   del Km. 1 ½ de la carretera a Viñales con diferentes estadios de la enfermedad. En entrevista realizada al médico de la familia y al técnico de la cultura física pudimos constatar que estos adultos mayores presentan otras enfermedades asociadas (diabetes, obesidad, problemas circulatorios etc..  Todos tienen antecedentes familiares y tratamiento farmacológico. Estos adultos mayores incorporados a los círculos de abuelos realizan ejercicios aerobios,  con participación de grandes grupos musculares,  no  siendo suficiente las  acciones  que  se  realizan  para  un tratamiento integral de la hipertensión arterial que incluye también atender  las particularidades de cada   paciente  edad,  sexo,  peso, clasificación enfermedades asociadas. Al revisar los documentos se pudo constatar que una de las opciones  son los juegos, los mismos, en  el adulto mayor cumplen una función social y cultural. Aplicamos  distintos métodos de investigación  teóricos  y empíricos como el método matemático.  Todo esto nos posibilita realizar el diagnóstico y  proponer un conjunto de juegos atendiendo a las características individualidades de cada paciente y en la realización de actividades  educativas  para una mejor concientización  de la enfermedad a la

  7. Plaza Reforma, Mexico City, 1993

    Index Scriptorium Estoniae

    1997-01-01

    Arhitektuur: "Legorreta Arquitectos" Rõõmsameelne, värvikirev, ruumi- ja vormivallatu büroohoone. Büroodeks ette nähtud pind on jaotatud viieks plokiks, mida omavahel selgroona ühendab võlvlaega vestibüül. Välisvaated, plaan

  8. La plaza de la salud

    OpenAIRE

    Pracilio, Horacio Oscar; Zelayeta, Adrián Rogelio; Diaczuk, Teresa; Mendes, Claudia Andrea; Mamonde, Mario Valentín

    2016-01-01

    La estrategia de promoción de la salud, propiciada por la Organización Mundial de la Salud en la Carta de Otawa (1986), propone entre las líneas de acción para intervenir sobre los determinantes de la salud, la “creación de entornos favorables a la salud” y el “desarrollo de aptitudes personales”. Según numerosas investigaciones epidemiológicas sobre factores causales y de riesgo de enfermedades transmisibles y crónicas no transmisibles, la salud de la población depende no solo de intervencio...

  9. Ser medico en..

    DEFF Research Database (Denmark)

    Bjerrum, Lars; Llor, Carlos

    2012-01-01

    Dinamarca tiene en la actualidad 5,4 millones de habitantes. La moneda es la corona danesa (1 €=7,5 coronas). Como en otros países escandinavos, Dinamarca disfruta de un estado de bienestar con acceso universal de todos sus ciudadanos a la asistencia sanitaria. Todos los daneses tienen acceso dir...

  10. Medico legal issues.

    Science.gov (United States)

    Mackenzie, Geraldine; Carter, Hugh

    2010-01-01

    This chapter gives an educational overview of: * An awareness of the legal issues involved in health informatics * The need for the privacy and security of the patient record * The legal consequences of a breach of the security of the patient record * The concept of privacy law and what precautions ought to be taken to minimize legal liability for a breach of privacy and/or confidentiality.

  11. El estado periodontal y la higiene bucal en los pacientes cardiópatas del Policlínico “Plaza de la Revolución” The periodontal state and the oral hygiene in cardiopathy patients at “Plaza de la Revolución ” Polyclinic

    Directory of Open Access Journals (Sweden)

    María Elena Pueo Lazo

    2006-09-01

    Full Text Available La enfermedad periodontal se relaciona con las enfermedades cardiovasculares, ya que los microorganismos del surco gingival y de las bolsas periodontales pueden agravar el inicio y curso de estas afecciones cardiovasculares. Se efectuó un estudio descriptivo y transversal, a una muestra no probabilística de 210 cardiópatas del Policlínico "Plaza de la Revolución" en el mes de febrero del 2003, a los que se les aplicó el índice de higiene bucal revisado (IHB-R de Greene y Vermillion, y el índice periodontal revisado de Russell (IP-R. Las variables del estudio fueron: la edad, el sexo, el estado periodontal y el grado de higiene bucal. Se pudo constatar que el 91 % de estos pacientes presentó algún grado de afección periodontal, y fueron los adultos jóvenes los de mayor prevalencia en cuanto a enfermedad gingival crónica, con el 83,3 %. La gravedad de las periodontopatías aumentó con la edad; no hubo diferencias significativas en canto al sexo. Solo el 8 % de estos pacientes tuvo buena higiene bucal; en el grupo estudiado predominó la higiene deficiente. Se evidenció que a medida que la higiene bucal fue más deficiente, el grado de afección periodontal aumentó, por lo cual resulta importante aplicar medidas preventivo-curativas, para mejorar la salud periodontal y así disminuir los riesgos en este grupo de pacientes dispensarizados.The periodontal disease is related to the cardiovascular diseases, since the microorganisms of the gingival sulcus and of the periodontal pockets may aggravate the beginning and the course of these cardiovascular affections. A descriptive and cross-sectional study was conducted in a non-probabilistic sample of 210 cardiopathy patients of “Plaza de la Revolución ” Polyclinic in February 2003. They were applied the revised oral higiene index (R-OHI of Greene and Vermillion, and the revised periodontal index of Russell (R-PI.The following variables were studied: age, sex, periodontal state, and

  12. Medico-Artistic Complicities on Swedish Stages: The Boys in the Band and the Regulation of Gay Male Representation in the Welfare State.

    Science.gov (United States)

    Gindt, Dirk

    2016-01-01

    Seeking to understand the highly unfavorable conditions for the development of gay male theater in Sweden, this essay engages in a historical study of the national opening of Mart Crowley's The Boys in the Band at Malmö City Theatre in 1970. Propelled by a Foucauldian-inspired theoretical approach, it identifies the subtle, yet highly effective, measures of control that the, at the time, social democratic welfare state exercised over representations of homosexuality on stage. State representatives, who complied with the official political and medical doctrine that homosexuality was a mental illness and posed a potential threat to social stability, interfered at various levels of the production, including the rehearsal process and post-performance talks between cast members and audiences. This alliance between Swedish theaters and members of the medical, psychological, and sexological professions constituted a medico-artistic complicity that supervised and regulated early attempts of gay representation on stage.

  13. Learning Astronomy by Playing in a Park. (Spanish Title: Aprender AstronoMía Jugando en Una Plaza.) Aprender Astronomia Brincando em Uma Praça

    Science.gov (United States)

    Camino, Néstor

    2012-12-01

    Some public-square games are presented in this paper, considered as didactic modules to help children imagine astronomical processes, based on the concept that learning in Astronomy should be developed to strengthen the relationship of our body with three-dimensional space and time, much in the same way we experience when observing the actual sky, holding a permanent "dialogue" between the actual world and what is to be learned. The games presented (merry-go-rounds and slides) were designed to work on the astronomical concepts related to the translation of the Earth around the Sun, the phases of the Moon and gravity, and on what is perceived by an observer about those phenomena. The description of each game, their physical and astronomical foundations, and a critical comment about their didactical importance are the key parts of the paper. Finally, a recommendation is given about the role teachers should play to be essential partners in the process of learning Astronomy by means of the interaction with these games. Se presentan en este trabajo algunos juegos de plaza, considerados como módulos didácticos para imaginar procesos astronómicos, a partir de la concepción de que el aprendizaje en Astronomía debe desarrollarse fortaleciendo la relación del propio cuerpo con el espacio tridimensional y con el tiempo, tal como se vive al observar el cielo, construyendo un "diálogo" entre el mundo real y los aprendizajes a construir. Los juegos presentados (calesitas y toboganes) fueron diseñados para trabajar sobre la traslación de la Tierra en torno al Sol, las fases de la Luna y la gravedad, y sobre lo que un observador percibe de los mismos. Se da la descripción de cada juego, se discuten sus fundamentos físicos y astronómicos, y se desarrolla una crítica didáctica de los mismos. Finalmente, se comenta el rol que deberían tener los docentes en el acompañamiento a los aprendices en el proceso de interacción con los juegos presentados. Apresentam-se neste

  14. La anticoncepción en adolescentes de Plaza de la Revolución: 1996-2011. The contraception in adolescents of Revolution Square: 1996-2011

    Directory of Open Access Journals (Sweden)

    Aida Gisela González Aguiar

    2015-12-01

    Full Text Available Este estudio descriptivo y retrospectivo se desarrolló en el servicio de Ginecología Infanto Juvenil de Plaza de la Revolución para caracterizar el uso de anticonceptivos en adolescentes que demandaron esta prestación desde julio de 1996 hasta diciembre de 2011. Incluyó el universo de usuarias que declararon mantener relaciones sexuales coitales (1008. A partir de la revisión de la historia clínica individual se analizó el anticonceptivo utilizado en la primera relación sexual coital (PRSC, la continuidad del empleo, la aceptación del método y motivo de abandono. La información se procesó mediante análisis de frecuencia, media y rango. Se identificó que en las primeras relaciones sexuales, 50.5% de las usuarias utilizó algún método anticonceptivo, el más frecuente fue el condón. Sin embargo su empleo ulterior fue irregular. Las tabletas anticonceptivas fueron más usadas y aceptadas con posterioridad, seguido de los dispositivos intrauterinos, aunque con alto porcentaje de rechazo por dolores bajo vientre o trastornos menstruales. Se consideró la necesidad de trabajar en la inducción de la demanda del servicio de ginecología infantojuvenil antes de las PRSC a través de la activación de redes sociales comunitarias, la escuela, la familia y otros servicios de salud, como el médico de familia. Es preciso además, sensibilizar a otros prestadores de servicios de salud en atención primaria y en otros niveles de atención del Sistema Nacional de Salud, a fin de ampliar la accesibilidad oportuna de las adolescentes para asesoría y consejería. This descriptive and retrospective study was developed in the service of Gynecology child and youth’s Revolution Square to characterize contraceptive use in adolescents who claimed this benefit from July 1996 until December 2011. It included the universe of users who declared to have coital sex (1008. Based on the review of the individual clinical history was analyzed the

  15. La crítica en la plaza pública. Siglos XVIII-XX (pequeñas dudas históricas sobre educación y literatura

    Directory of Open Access Journals (Sweden)

    Campos Fernández-Fígares, M.

    2010-11-01

    Full Text Available Cuando nos acercamos a la educación literarianecesitamos cubrir un hueco histórico acerca delnacimiento de la Crítica y su función facilitadora ydivulgadora. Y al igual que hoy hablamos de una sociedadglobalizada, no podemos pensar en esa funciónde la crítica en España sin analizar también suaparición en otros países, principalmente Inglaterray Francia. Desde su nacimiento en el nuevo espaciode la Plaza Pública del XVIII hasta su difuminaciónen el “Mercado sin más”, será un agente fundamentalen la educación en general y en la educaciónliteraria en particular.

  16. Memorias sociales y familiares de la dictadura cívico-militar: narrativas biográficas de integrantes de la asociación Abuelas de Plaza de Mayo

    Directory of Open Access Journals (Sweden)

    Miriam Elizabeth Kriger

    2017-06-01

    Puede volverse una memoria fuerte o débil según la coyuntura y el papel que le otorguen el Estado y la sociedad. Se presentan aquí narrativas biográficas de tres miembros de la asociación Abuelas de Plaza de Mayo, surgidas de entrevistas presenciales semiestructuradas y en profundidad realizadas ad hoc, en las cuales se ponen en juego estas memorias en diferentes registros. Se muestran fragmentos selectos para establecer las modalidades de reconocimiento de sus hijos desaparecidos y las tensiones entre su identidad juvenil y su condición militante.

  17. Técnica etl para informar a los comerciantes sobre los productos agrícolas comercializados en las plazas de mercado en la ciudad de Bogotá

    Directory of Open Access Journals (Sweden)

    Gabriel Alexis Roncancio Hern

    2017-07-01

    Full Text Available Las tecnologías de la información y las comunicaciones (TIC han generado cambios significativos en diferentes contextos de la sociedad. Sin embargo, no se han logrado implementar eficientemente en todos los ámbitos. Las plazas de mercado son lugares históricos y culturales de las grandes urbes. No obstante, los comerciantes de este escenario cuentan con muy pocas herramientas tecnológicas para ser competitivos. La investigación presente se enfoca en el proceso de la Extracción, Transformación y Carga de Datos conocida como herramientas ETL, para informar a los comerciantes sobre los productos que se comercializan periódicamente. En él se recogen resultados de encuestas realizadas en 3 plazas de mercado en la ciudad de Bogotá. Los resultados obtenidos mostraron la no disposición de datos necesarios para la toma de decisiones al momento de la compra de un producto y su posterior comercialización. Basándose en la información generada a través de las encuestas, se procedió a realizar una herramienta tecnológica para extraer los datos de la página de Corabastos, y de esa manera transformarlos en información valiosa para la generación de estadísticas e indicadores que permitieran responder a la problemática de desinformación, por medio de una página web responsiva con características de usabilidad y portabilidad.

  18. Rate of caesarean sections according to the Robson classification: Analysis in a French perinatal network - Interest and limitations of the French medico-administrative data (PMSI).

    Science.gov (United States)

    Lafitte, A-S; Dolley, P; Le Coutour, X; Benoist, G; Prime, L; Thibon, P; Dreyfus, M

    2018-02-01

    The objective of our study was to determine, in accordance with WHO recommendations, the rates of Caesarean sections in a French perinatal network according to the Robson classification and determine the benefit of the medico-administrative data (PMSI) to collect this indicator. This study aimed to identify the main groups contributing to local variations in the rates of Caesarean sections. A descriptive multicentric study was conducted in 13 maternity units of a French perinatal network. The rates of Caesarean sections and the contribution of each group of the Robson classification were calculated for all Caesarean sections performed in 2014. The agreement of the classification of Caesarean sections according to Robson using medico-administrative data and data collected in the patient records was measured by the Kappa index. We also analysed a 6 groups simplified Robson classification only using data from PMSI, which do not inform about parity and onset of labour. The rate of Caesarean sections was 19% (14.5-33.2) in 2014 (2924 out of 15413 deliveries). The most important contributors to the total rates were groups 1, 2 and 5, representing respectively 14.3%, 16.7% and 32.1% of the Caesarean sections. The rates were significantly different in level 1, 2b and 3 maternity units in groups 1 to 4, level 2a maternity units in group 5, and level 3 maternity units in groups 6 and 7. The agreement between the simplified Robson classification produced using the medical records and the medico-administrative data was excellent, with a Kappa index of 0.985 (0.980-0.990). To reduce the rates of Caesarean sections, audits should be conducted on groups 1, 2 and 5 and local protocols developed. Simply by collecting the parity data, the excellent metrological quality of the medico-administrative data would allow systematisation of the Robson classification for each hospital. Copyright © 2017. Published by Elsevier Masson SAS.

  19. [Permanent essential defacement--remarks on the possibilities of verification of the accepted criteria in medico-legal certification in criminal and civil law proceedings].

    Science.gov (United States)

    Chowaniec, Czesław; Nowak, Agnieszka; Jabłoński, Christian; Neniczka, Stanisława

    2007-01-01

    Despite the fact that some criteria of medico-legal certification in criminal and civil proceedings have been established, there are still some topics which are controversial and thus require modification. This is also true of the notion of "permanent essential defacement". In the opinion of the authors, changes in social conventions that are occurring nowadays, as well as a highly diversified, subjective perception of esthetic values indicate the need for discussing a possible modification of the presently obligatory criteria. Apart from the assessment of posttraumatic changes, an important problem is posed by defining the notion of "a part of the body customarily open to the view ". Additionally, the authors bring up for discussion the issue of experts taking into consideration the age and sex of the victims while assessing damages. A separate problem lies in difficulties in assessing the degree of detriment to health because of defacement due to the fact that official tables for evaluating permanent or long-term detriment to health do not include relevant information.

  20. Descriptive study of breast and cervix cancer, in patients treated with linear accelerator, at the Centro Medico de Radioterapia Irazu, between 2000 and 2001, and proposed a database

    International Nuclear Information System (INIS)

    Calvo Jimenez, Kattia; Marchena Mendoza, Mario

    2008-01-01

    A descriptive study of breast and cervix cancer was performed in patients who have received treatment linear accelerator, during the period 2000 - 2001 in the Centro Medico de Radioterapia Irazu. The survival of the patients was assessed to five years (2006). One proposal called database is the product of analysis performed and consistent with the objectives set. The idea to develop the database of these features in the medical center, arises because the Centre was at that time with the only linear accelerator in the country and also all the necessary information of patients was easily accessible. A population of 438 records, with a common pathology was analyzed under the following variables: type of cancer, identification of anatomic region, province, age, sex, type of radiation, number of sessions, referral hospital, physician, physician referral. This work is relevant, because breast and cervical cancers have been a major cause of mortality, ranked among the five most common malignancies in women. From there to have adequate information systems, has led policy makers and health professionals to have a better outlook for their level of management. (author) [es

  1. Activities of the International Radio Medical Centre (C.I.R.M.) in Rome during the last five years (1996-2000). Centro Internazionale Radio Medico.

    Science.gov (United States)

    Amenta, F; Dauri, A

    2001-01-01

    This paper reviews medical activity provided from 1996 to 2000 by the International Radio Medical Centre (Centro Internazionale Radio Medico, C.I.R.M.). C.I.R.M. is a non-profit organization headquartered in Rome and providing freely telemedical advice to ships flying of any flag navigating on all seas of the world, to civil airplanes and to small Italian islands. From 1996 to 2000 C.I.R.M. has assisted 4,982 patients, 4,686 of which (94%) on board ships, 85 on airplanes and 206 on small Italian islands. More than 65% of requests of telemedical advice received by C.I.R.M. were from non-Italian ships. This indicates the really international nature of C.I.R.M.'s activity. The largest number of medical requests come from the Atlantic Ocean, followed by the Mediterranean sea, Indian Ocean and Pacific Ocean. In terms of pathologies assisted, accidents took the first place, followed as main pathologies by gastrointestinal disorders, cardiovascular pathologies, respiratory disorders, infectious and parasitic diseases and nervous system complaints. Analysis of the outcome of C.I.R.M.'s medical activity showed that more than 50% of patients assisted were recovered or improved while assisted by the Centre.

  2. Social isolation and delayed discovery of bodies in houses: the value of forensic pathology, anthropology, odontology and entomology in the medico-legal investigation.

    Science.gov (United States)

    Archer, M S; Bassed, R B; Briggs, C A; Lynch, M J

    2005-07-16

    The bodies of socially isolated people may remain undiscovered in their own houses for prolonged periods. Occasionally the body is in situ for sufficient time to become skeletonised, or partially so. Medico-legal investigation of these cases is complicated by degradation and contamination of evidence. Thus, a multidisciplinary forensic investigation is recommended. The potential contributions of forensic pathology, anthropology, odontology and entomology are outlined here with reference to two cases that occurred in Victoria, Australia, in 2003. Forensic pathologists are often unable to determine the cause of death in skeletonised bodies, however, they may find evidence to support either a natural or unnatural mode of death, and they may describe skeletal pathology or trauma, and identify skeletal features to support radiological identification of the deceased. Anthropologists can provide supplementary evidence of skeletal trauma. Additionally, they can assess age, sex, stature and racial affiliation from skeletal remains. Odontologists can identify individuals through comparison with ante-mortem dental records; however, potential difficulties exist in identifying the treating dentist of a socially isolated person. Odontologists may also examine the teeth and oro-facial skeleton for trauma. Entomologists may estimate minimum death time and/or season of death. Entomological examination of insect remains may also confirm that a body has lain in situ for a considerable period.

  3. Analysis of the origin and importance of acetone and isopropanol levels in the blood of the deceased for medico-legal testimony.

    Science.gov (United States)

    Borowska-Solonynko, A; Siwińska-Ziółkowska, A; Piotrkowicz, M; Wysmołek, M; Demkow, M

    2014-01-01

    The aim of the study was to analyze the incidence of acetone and isopropanol in the blood of the deceased, and to assess cases in which the compounds have been detected with a focus on their origin and usefulness for medico-legal testimony. The study material consisted of results of tests detecting ethyl alcohol and reports of autopsies performed at the Department of Forensic Medicine, Medical University of Warsaw, from January 2008 to April 2009 - a total of 2,475 cases. The test group proper (group B) comprised only those cases in which acetone was detected in blood, either with or without isopropanol [n = 202 (8.2%)]. The blood levels of isopropanol varied depending on the cause of death. The need for differentiating the origin of isopropanol in the case of its presence in the blood of the deceased was pointed out. The results of the present study show that the differentiation should be based on the isopropanol and acetone concentration ratio, as isopropanol concentration alone is not sufficient for preparing expert opinions. Even high concentrations of isopropanol, when accompanied by even higher concentrations of acetone, imply that isopropanol could have been formed as a result of acetone transformations. Isopropanol concentrations exceeding acetone levels strongly point to the exogenous origin of isopropanol, particularly when high levels of ethanol are concurrently detected.

  4. Medico-economic evaluation of healthcare products. Methodology for defining a significant impact on French health insurance costs and selection of benchmarks for interpreting results.

    Science.gov (United States)

    Dervaux, Benoît; Baseilhac, Eric; Fagon, Jean-Yves; Biot, Claire; Blachier, Corinne; Braun, Eric; Debroucker, Frédérique; Detournay, Bruno; Ferretti, Carine; Granger, Muriel; Jouan-Flahault, Chrystel; Lussier, Marie-Dominique; Meyer, Arlette; Muller, Sophie; Pigeon, Martine; De Sahb, Rima; Sannié, Thomas; Sapède, Claudine; Vray, Muriel

    2014-01-01

    Decree No. 2012-1116 of 2 October 2012 on medico-economic assignments of the French National Authority for Health (Haute autorité de santé, HAS) significantly alters the conditions for accessing the health products market in France. This paper presents a theoretical framework for interpreting the results of the economic evaluation of health technologies and summarises the facts available in France for developing benchmarks that will be used to interpret incremental cost-effectiveness ratios. This literature review shows that it is difficult to determine a threshold value but it is also difficult to interpret then incremental cost effectiveness ratio (ICER) results without a threshold value. In this context, round table participants favour a pragmatic approach based on "benchmarks" as opposed to a threshold value, based on an interpretative and normative perspective, i.e. benchmarks that can change over time based on feedback. © 2014 Société Française de Pharmacologie et de Thérapeutique.

  5. A paisagem urbana como herança cultural: a praça Santos Dumont, Umuarama, Estado do Paraná, Brasil = The urban landscape as a cultural heritage: Santos Dumont plaza, Umuarama, Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Alexander Fabbri Hulsmeyer

    2011-04-01

    Full Text Available A paisagem urbana possui uma forte conotação histórica, e pode ser considerada uma herança cultural. Neste contexto, os espaços livres públicos podem converter-se em registros importantes, fortalecendo tradições, valores e identidades. Nos quatro principais núcleosurbanos projetados pela Companhia de Terras do Norte do Paraná CTNP, e denominada Companhia Melhoramentos Norte do Paraná CMNP após 1942, as praças exercem o papel de elementos ordenadores na configuração dos centros cívico, religioso e comercial, demonstrando a íntima relação entre os espaços livres públicos e seu entorno. Esta pesquisa1 teve o objetivo de analisar, a partir da pesquisa dos registros fotográficos, jornais de época e bibliografia referente àsraízes conceituais do traçado morfológico da cidade e seu contexto histórico, a Praça Santos Dumont, maior praça e palco de importantes momentos da história da jovem cidade de Umuarama, Estado do Paraná.The urban landscape has strong historical meaning because it can be considered as cultural heritage. In this context, public open spaces are important registries, reinforcing traditions, values and identities. In the four main cities projected by the Companhia Melhoramentos Norte do Paraná (CMNP, the squares and plazas carry out the task of ordination elements for the configuration of the civic, religious and commercial centers, reinforcing the close relation between public open spaces and their surroundings. This research was done under the Scientific Initiation Program of Universidade Paranaense, and is about Santos Dumont Plaza, the biggest one that supported important historical moments of earlyUmuarama, in northwestern Paraná, Brazil. The analysis was based on the research of photographic registries, newspapers, and the publications about the conceptual roots of the urban morphology of the city and its historical context.

  6. La gestión del proceso de convocatoria de plazas de formación médica especializada Management of allocation of positions for specialist medical training

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    M.I. Alonso

    2003-07-01

    Full Text Available Objetivo: Dado el actual desajuste existente entre oferta y demanda de médicos especialistas en el sistema sanitario español, el objetivo de este trabajo es mostrar el impacto que puede tener sobre el sistema las actuales políticas de convocatoria de plazas de formación médica especializada -plazas MIR-, así como diversas medidas y políticas alternativas de control. Métodos: Con esta finalidad se procedió a elaborar un modelo de simulación del proceso de convocatoria de plazas empleando como metodología la dinámica de sistemas. A partir del modelo elaborado y validado, se procede a simular la posible evolución del sistema a lo largo del tiempo ante diversas políticas de convocatoria. En concreto, se observa la evolución de la bolsa histórica de licenciados sin especialidad, la bolsa de médicos especialistas y el gap, o desajuste, entre oferta y demanda, existente en el período de simulación considerado. Resultados: De los resultados obtenidos de la simulación se observa que una política de convocatoria como la actual tiende a reducir la bolsa histórica de licenciados sin especialidad, debido a la propia filosofía que caracteriza a la actual convocatoria, pero incrementa considerablemente la bolsa de médicos especialistas y agudiza el desequilibrio existente. Esta tendencia se mantiene a pesar de que se adopten en la simulación medidas más restrictivas en numerus clausus y edad de jubilación forzosa. Se observa igualmente cómo una política consciente de las necesidades sociales y de los retrasos formativos existentes en el proceso mejora de modo sustancial la evolución, eliminando con el tiempo la bolsa de médicos especialistas y el desequilibrio. Si a su vez se combina dicha política con las medidas anteriormente citadas, los resultados obtenidos son aún superiores, eliminando ambas bolsas y el desajuste existente con mayor rapidez. Conclusiones: Si la Administración Sanitaria continúa convocando plazas de

  7. Espacios genéricos y apropiaciones sociales en centros comerciales: El caso del Mall Plaza del Trébol en el área metropolitana de Concepción, 1994-2012

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    Aarón Napadensky

    2015-05-01

    Full Text Available La narrativa académica, global y latinoamericana, expone al shopping mall y su proliferación, como parte de una emergente y genérica pseudo-ciudad; fortificaciones elitistas, socialmente homogéneas y privatizadoras del espacio público, no-lugares estériles en la producción de sociabilidades y contención de lo urbano. Sin embargo, también están quienes plantean estos lugares como espacios de oportunidad destacando la existencia de fenómenos de transposición de actividades sociales desde la ciudad tradicional a estos posmodernos escenarios. Pues bien, la presente investigación expone y discute las discursivas predominantes mediante un análisis cuantitativo y cualitativo del primer shopping mall construido fuera de la capital, el Mall Plaza del Trébol (1994 de Concepción, Chile; afirmando que, bajo los procesos de apropiación y transformación morfológico-programática, los centros comerciales de nuevo cuño no siempre son estériles en lo urbano. Incluso que, más allá de los procesos de transposición identificados, están siendo espacios de soporte para la producción de nuevas sociabilidades por parte de comunidades de intereses emergentes y transespaciales.

  8. [Epidemiology of the medico-legal risk associated with the practice of ambulatory surgery in France: a study based on insurance data].

    Science.gov (United States)

    Theissen, A; Fuz, F; Catineau, J; Sultan, W; Beaussier, M; Carles, M; Raucoules-Aimé, M; Niccolai, P

    2014-03-01

    The medico-legal risk specifically associated with the practice of ambulatory surgery is still not well studied. SHAM insurances are the biggest French provider of medical liability insurances. The study of the insurance claims provided by this insurer is therefore a relevant source of data on the complications related to ambulatory surgery. The aim of this study was to compare the claim rate related to ambulatory surgery with non-ambulatory surgery. We did a retrospective study on insurance claims provided by SHAM insurances between 2007 and 2011 to compare the claim rate related to ambulatory surgery with non-ambulatory surgery. We searched the files in the SHAM database, and then analyzed them. On the study period, out of a total of 29565 registered claims, 467 (1.6%) originated from ambulatory surgery. On the total of 29,098 registered claims for non-ambulatory surgery, 2151 (7.4%) led to a condemnation whereas the rate was 7% (33 out of 467 claims) for ambulatory surgery. The condemnations linked to ambulatory surgery amounted to 1.5% of the total (33 out of 2184), for a cost of 1.7 M€ (versus 400,3 M€ for non-ambulatory surgery). The average cost of a compensation is therefore 50,500 € for ambulatory surgery and 186,000 € for non-ambulatory surgery. The medical specialties concerned are primarily ophthalmology, abdominal and orthopedics surgery. The main identified causes were medical errors (n=16) and nosocomial infections (n=13). The claim rate in ambulatory surgery is proportionally less frequent with compensations three times less and were related to the most frequent type of surgery done in ambulatory settings. These data should help strengthen quality approach in ambulatory surgery. Copyright © 2014 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

  9. [Cognitive research about the use of virtual worlds among the students enrolled to the faculty of medicine and surgery "Campus Bio-Medico University" in Rome].

    Science.gov (United States)

    Tambone, V; Alessi, A; Macchi, I; Milighetti, S; Muzii, L

    2009-01-01

    The main difference between a virtual reality and a generic representation is to be directly involved into the action you are performing. As a matter of fact, within the shift from real to virtual world, our biological physique does not mutate but is amplified and connected to the virtual world by technological interfaces. Training using a virtual reality simulator is an option to supplement (or replace) standard training. One of the two main goals of our study is to test, at first, how much students enrolled to the Faculty of Medicine at "University Campus Bio-Medico of Rome" are familiar with synthetic worlds, how long they have been using them and how they would like their Avatar to look like. Moreover, the second aim is to collect students' opinion about the use of virtual, interactive environments to enable learning and participation in dynamic, problem based, clinical, virtual simulations. Simulations might be used to allow learners to make mistakes safely in lieu of real life situations, learn from those mistakes and ultimately to improve performances by subsequent avoidance of those mistakes. The selected approach to the study is based on a semi-structured questionnaire made of 14 questions administered to all the medical students. Most of the students appear not to be very confident with virtual worlds mostly because of a lack of interest. However, a large majority of them are likely to use a virtual world for fun or escaping from reality. Students would select and customize their Avatar by giving her/him the same sexual identity, same figure, same social class but different employment. It is important to notice that a wide majority of the students is interested in practicing on a virtual world in order to manage new experiences and being able to face them; their willing is to get benefits from the ability to make mistakes in a safe environment as well as to record a positive impact on their understanding.

  10. [Werner Leibbrand, Annemarie Wettley and controversies on "euthanasia" the background of medico-historical and ethical debates in the Post World War II era].

    Science.gov (United States)

    Wiesinger, Christine; Frewer, Andreas

    2014-01-01

    Psychiatrists and medical historians Werner Leibbrand (1896 - 1974) and Annemarie Wettley (1913 - 1996) are amongst the most striking figures in the field of history of medicine. Leibbrand was appointed director of the "Heil- und Pflegeanstalt" in Erlangen shortly after the war. Fuelled by his own experiences of suppression and persecution during the Nazi era he promised to unearth the crimes and atrocities which had happened under watch of the Nazi regime. He was joined by Annemarie Wettley, who worked as a physician at the hospital and had developed an increasing interest in the history of medicine. In 1946 they published "Um die Menschenrechte der Geisteskranken" ("Human Rights of the Mentally Ill") about the "euthanasia" campaign of the Nazi regime. Although a number of substantial works followed, Leibbrand and Wettley failed to inform in more depth on crimes and atrocities, for instance killings of patients and forced malnutrition. Doubts and charges against Wettley regarding her role in dietary programmes at the Erlangen hospital and against Leibbrand regarding special expert's reports--both had a short-term arrest warrant--might have contributed to stagnation in their efforts. In 1953 Leibbrand accepted the offer of a chair at the University in Munich, Wettley followed and habilitated in history of medicine; in the year 1962 they married. Contacts and exchange amongst medico-historical experts shed light on developments during the post-war era; still, a critical and fundamental review of the crimes within the medical system of the Nazi regime did not take place during this time.

  11. The medico-legal investigation of sudden, unexpected and/or unexplained infant deaths in South Africa: where are we--and where are we going?

    Science.gov (United States)

    du Toit-Prinsloo, L; Dempers, J J; Wadee, S A; Saayman, G

    2011-03-01

    Sudden Infant Death Syndrome (SIDS) has been reported to be the leading cause of death in infants under 1 year of age in many countries. Unfortunately, a paucity of published research data exists in South Africa, with regard to the incidence of and investigation into the circumstances surrounding Sudden Unexplained Deaths in Infants (SUDI) and/or SIDS. Currently, even though most academic centers conform to a protocol consistent with internationally accepted standards, there exists no nationally accepted infant death investigation protocol in South Africa. It is the aim of this study to review the current practice of infant death investigation in two representative but geographically and demographically distinct centers. Retrospective case audit over a five-year period (2000-2004) was conducted at two large medico-legal mortuaries in Pretoria (Gauteng) and Tygerberg (Cape Town). Case files on all infants younger than 1 year of age were reviewed. The outcome measures included number of deaths, demographic details and the nature and final outcome of the post mortem examinations. A total of 512 cases were identified as possible SIDS cases and of these, 171 was classified as SIDS. The study showed marked inter-case and inter-divisional variation in terms of the investigation of infant deaths at the two institutions. It is envisaged that this study will focus attention on the current lack of usable data regarding sudden/unexplained/unexpected infant deaths in South Africa, and aid in the formulation and implementation of a practical (yet internationally accountable) infant death investigation protocol, which could facilitate comparisons with other countries and initiate further structured research in this field.

  12. Patterns of abuse amongst Sri Lankan women returning home after working as domestic maids in the Middle East: An exploratory study of medico-legal referrals.

    Science.gov (United States)

    Wickramage, Kolitha; De Silva, Malintha; Peiris, Sharika

    2017-01-01

    Migrant worker abuse is well recognised, but poorly characterised within the scientific literature. This study aimed to explore patterns of abuse amongst Sri Lankan women returning home after working as domestic maids. Sri Lanka has over 2 million of its citizens employed overseas as international labor migrants. A cross-sectional study was conducted on Sri Lankan female domestic maids returning from the Middle East region who were referred for medico-legal opinion. A total of 20 women were included in the study. Average length of their employment overseas was 14 months. Complaints of physical violence directed mainly through their employers were made by 60% of women. Upon physical examination, two-thirds had evidence of injuries, with a third being subjected to repetitive/systematic violence. Eighty percent suffered some form of psychological trauma. Personal identity papers and travel documents had been confiscated by the employer in 85% of cases, with two thirds indicating they were prevented and/or restricted from leaving their place of work/residence. Our study demonstrates that female domestic maid abuse manifests through multiple pathways. Violence against such workers span the full spectrum of physical, financial, verbal, emotional abuse and neglect, as defined by the World Health Organization. Findings from this exploratory study cannot be generalized to the large volume of migrant worker outflows. Further research is needed to determine incidence and define patterns in other migrant worker categories such as low-skilled male workers. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  13. Medico-economic impact of MSKCC non-sentinel node prediction nomogram for ER-positive HER2-negative breast cancers.

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    Hélène Bonsang-Kitzis

    Full Text Available Avoiding axillary lymph node dissection (ALND for invasive breast cancers with isolated tumor cells or micrometastatic sentinel node biopsy (SNB could decrease morbidity with minimal clinical significance.The aim of this study is to simulate the medico-economic impact of the routine use of the MSKCC non-sentinel node (NSN prediction nomogram for ER+ HER2- breast cancer patients.We studied 1036 ER+ HER2- breast cancer patients with a metastatic SNB. All had a complementary ALND. For each patient, we calculated the probability of the NSN positivity using the MSKCC nomogram. After validation of this nomogram in the population, we described how the patients' characteristics spread as the threshold value changed. Then, we performed an economic simulation study to estimate the total cost of caring for patients treated according to the MSKCC predictive nomogram results.A 0.3 threshold discriminate the type of sentinel node (SN metastases: 98.8% of patients with pN0(i+ and 91.6% of patients with pN1(mic had a MSKCC score under 0.3 (false negative rate = 6.4%. If we use the 0.3 threshold for economic simulation, 43% of ALND could be avoided, reducing the costs of caring by 1 051 980 EUROS among the 1036 patients.We demonstrated the cost-effectiveness of using the MSKCC NSN prediction nomogram by avoiding ALND for the pN0(i+ or pN1(mic ER+ HER2- breast cancer patients with a MSKCC score of less than or equal to 0.3.

  14. Suicide among nursing home residents in Australia: A national population-based retrospective analysis of medico-legal death investigation information.

    Science.gov (United States)

    Murphy, Briony J; Bugeja, Lyndal C; Pilgrim, Jennifer L; Ibrahim, Joseph E

    2018-05-01

    Suicide among nursing home residents is a growing public health concern, currently lacking in empirical research. This study aims to describe the frequency and nature of suicide among nursing home residents in Australia. This research comprised a national population-based retrospective analysis of suicide deaths among nursing home residents in Australia reported to the Coroner between July 2000 and December 2013. Cases were identified using the National Coronial Information System, and data collected from paper-based coroners' records on individual, incident, and organizational factors, as well as details of the medico-legal death investigation. Data analysis comprised univariate and bivariate descriptive statistical techniques; ecological analysis of incidence rates using population denominators; and comparison of age and sex of suicide cases to deaths from other causes using logistic regression. The study identified 141 suicides among nursing home residents, occurring at a rate of 0.02 deaths per 100 000 resident bed days. The ratio of deaths from suicide to deaths from any other cause was higher in males than females (OR = 3.56, 95%CI = 2.48-5.12, P = home for less than 12 months (n = 71, 50.3%). Common major life stressors identified in suicide cases included the following: health deterioration (n = 112, 79.4%); isolation and loneliness (n = 60, 42.6%); and maladjustment to nursing home life (n = 42, 29.8%). This research provides a foundational understanding of suicide among nursing home residents in Australia and contributes important new information to the international knowledge base. Copyright © 2018 John Wiley & Sons, Ltd.

  15. Eficácia da estufa de Pasteur como equipamento esterilizante em consultórios odontológicos La eficacia de la estufa de Pasteur como equipamiento esterilizante en consultorios odontológicos Efficacy of the pasteur oven as sterilization equipment in dental offices

    Directory of Open Access Journals (Sweden)

    Solange do Socorro Fonseca Tavares

    2008-03-01

    Full Text Available Este estudo objetivou avaliar a eficácia do uso da estufa de Pasteur, como equipamento esterilizante, em consultórios odontológicos, por meio de monitoramento biológico. Para esta avaliação foram consideradas: adequação no carregamento dos materiais no equipamento, tempo/temperatura utilizados e manutenção preventiva da estufa. Os dados foram coletados em 101 consultórios odontológicos, no Distrito Central de Goiânia-GO, Brasil, por meio de observação, entrevista e realização de teste com indicador biológico. Os resultados demonstraram não-padronização de algumas condutas preconizadas pelo Ministério da Saúde (MS, para esterilização dos artigos em estufa, e positividade do teste biológico em 46 (45,5% dos ciclos testados. Os fatores intervenientes, com maior significância, relativos às falhas da esterilização foram: ausência do termômetro acessório para o controle da temperatura dos ciclos e a inobservância das relações tempo/temperatura recomendados para o ciclo de esterilização, por calor seco.Este estudio tuvo como objetivo evaluar la eficacia de la estufa de Pasteur, como equipamiento esterilizante, en consultorios odontológicos, por medio del monitoreo biológico. Para esta evaluación se consideraron: adecuación en el cargamento de los materiales en el equipamiento, tiempo/temperatura utilizados y mantenimiento preventivo de la estufa. Los datos fueron obtenidos en 101 consultorios de odontología, en el Distrito Central de Goiânia-Goiás-Brasil, por medio de la observación y la entrevista, así como la realización de un test con indicador biológico. Los resultados demostraron la no patronización de algunas conductas preconizadas por el Ministerio de Salud (MS, para la esterilización de los artículos en estufa, y la prueba biológica positiva en 46 (45,5% de los ciclos probados. Los factores de mayor intervención significativa, relativos a las fallas de la esterilización fueron: ausencia del

  16. Sistema de actividades encaminadas a la incorporación de los abuelos al círculo del adulto mayor en el consultorio № 38 delConsejo Popular del Reparto Hermanos Cruz del municipio Pinar del Río

    Directory of Open Access Journals (Sweden)

    Berta Alejandra Junquera Gutiérrez

    2009-06-01

    Full Text Available Es un deber de toda la sociedad y muy especialmente de los relacionados con la Cultura Física garantizarle al Adulto Mayor, la realización sistemática de las actividades físicas, que practicadas de forma regular sean un pilar para mejorar la salud desde los puntos de vista ya que con el proceso de envejecimiento. El Adulto Mayor sufre cambios a nivel físico, psíquico y social. Las actividades físicas tienen un papel fundamental que es el mejoramiento de su salud, el bienestar del  Adulto Mayor  favorece su calidad de vida en los umbrales del Tercer Milenio. En un mundo donde prima la tendencia globalizadora y neoliberal gestada en los centros de poder, que ofrece una imagen virtual del desarrollo, realmente no puede concebirse el desarrollo si no es sostenible y como un proceso integral, en consecuencia, es preciso crear un paradigma totalmente nuevo que coloque al ser humano en el centro de su preocupación El presente trabajo aborda un tema de vital importancia y siempre actual, ya que se relaciona con la incorporación del Adulto Mayor a las actividades físicas, relacionados con la calidad de vida de la población adulta del Consultorio N0. 38 del Consejo Popular Hermanos Cruz, específicamente para aquellos que están en la 3era edad, los cuales se consideran por ellos mismos y por muchas personas de la comunidad como personas acabadas

  17. Diagnóstico y análisis de estructuras de madera mediante técnicas no destructivas: aplicación a la Plaza Mayor de Chinchón (Madrid

    Directory of Open Access Journals (Sweden)

    López, G.

    2009-12-01

    Full Text Available This article shows the work attributed to the assessment, diagnosis and intervention proposal regarding the seen timber structure at the Plaza Mayor in Chinchón (Madrid. Visual recognition techniques and other non-destructive and pseudo non-destructive methods were used such as microphotography, xilohigrometry, ultrasound velocity measurements, screw extraction and resistography.The investigative work allowed for the identification of the original woody species, the characterization of the structural timber and the identification of diverse types of damages and lesions present in order to carry out a structural assessment. It served as a basis to establish an intervention proposal based on the obtained data and the internationally recognized general principles applied to the particular case. Although the overall state of the timber is quite good, thanks to the actions carried out previously, suggestions for constructive intervention and treatments against biotic and abiotic damages were proposed.The investigative work was carried out by the research group of Timber Structures and Wood Technology of the University of Valladolid (http://www.uva.es/maderas, which is composed of multidisciplinary researchers with experience in the fields of construction and architectural restoration and wood technology.Este artículo muestra los trabajos de inspección, diagnóstico y propuesta de intervención sobre la estructura de madera vista de la plaza Mayor de Chinchón (Madrid. Se emplearon técnicas de reconocimiento visual y otras de tipo no destructivo y pseudo-no destructivo como la microfotografía, xilohigrometría, medición de la velocidad de ultrasonidos, arranque de tornillos y resistografía. Los trabajos permitieron identificar la especie leñosa original, caracterizar la madera estructural, señalar los daños y lesiones de diverso tipo que presenta y, finalmente, realizar una peritación estructural. Todo ello sirvió de base para establecer

  18. Las otras mitas. Aproximaciones al estudio de la mita de plaza en la jurisdicción de Jujuy, gobernación de Tucumán, siglo XVII

    Directory of Open Access Journals (Sweden)

    Sica, Gabriela

    2014-06-01

    Full Text Available The objective of this paper is to analyze the conformation mita system of place in the jurisdiction of San Salvador de Jujuy in the governorate of Tucumán during the seventeenth century. The mita was one of economic institutions on which rested the colonial system in the Andes, and helped to ensure the supply of Indian labor is poured to public works or different economic activities such as mining, agriculture, livestock, dairy services, etc. For indigenous communities was a load of a percentage of tax that they leave their own activities and often travel a considerable distance, while for other sectors such as mining, without encomiendas neighbors and authorities was an important contribution of labor, therefore became a field of dispute and tension between different sectors throughout the seventeenth century.El objetivo de este artículo es analizar la conformación de la mita de plaza en la jurisdicción de San Salvador de Jujuy en la gobernación de Tucumán durante el siglo XVII. La mita era una de las instituciones económicas sobre las que reposaba el sistema colonial en los Andes, y permitió garantizar el aporte de trabajo indígena que se volcaba a las obras públicas o diferentes actividades económicas como la minería, agricultura, ganadería, servicios de tambos, etc. Para las comunidades constituía una carga de un porcentaje de sus tributarios que debían abandonar sus propias actividades y en muchos casos trasladarse a considerable distancia, mientras que para distintos sectores como mineros, vecinos sin encomiendas y autoridades era una importante contribución de mano de obra, por esta razón se convirtió en un campo de disputa y tensiones entre los distintos sectores.

  19. Una nueva evaluación de la Plaza de los Peregrinos de Pachacamac: aportes de la primera campaña 2003 del Proyecto Arqueológico Pachacamac

    Directory of Open Access Journals (Sweden)

    2004-01-01

    , llevó a cabo su primera temporada de campo, en el marco de un programa de investigaciones de largo plazo. Este proyecto, de carácter interdisciplinario e internacional, tiene como principal orientación el estudio de los fundamentos sociales y el contexto natural del afamado sitio de Pachacamac. Uno de los objetivos específicos de nuestros trabajos durante el año 2003 fue definir la localización y extensión de las áreas residenciales correspondientes a diferentes periodos de tiempo, mediante prospecciones con un radar de penetración de suelos y excavaciones de sondeo. En esta oportunidad, presentamos los resultados más importantes de tales intervenciones en la Plaza de Los Peregrinos, en un sector próximo al llamado Ushnu incaico. Entre los diversos niveles ocupacionales Ychsma detectados, nos ha llamado notablemente la atención algunos asociados con una repetida veneración y entierro de cántaros, resaltando que cada una de estas vasijas fue hallada dentro de construcciones de adobe o cercaduras de piedra cuidadosamente construidas. En general, consideramos que los datos obtenidos abren una nueva oportunidad para revisar nuestra actual concepción de la zona considerada sagrada, a la luz de 1 el hallazgo de ofrendas diversas, densas y superpuestas asociadas con estructuras de quincha y adobe, igualmente superpuestas pero espacialmente diferenciadas y 2 el registro de una serie de cambios importantes en la naturaleza del uso del área a través del tiempo. A NEW ASSESSMENT OF THE PILGRIMS’ PLAZA AT PACHACAMAC: SIGNIFICANCE OF THE RESULTS OF THE FIRST SEASON (2003 OF THE PACHACAMAC ARCHAEOLOGICAL PROJECT. During the months of July and August of 2003, the Pachacamac Archaeological Project, under the co-direction of Izumi Shimada, Rafael Segura, and María Rostworowski de Diez Canseco, conducted its first season of what is envisioned as long-term fieldwork. This project with its interdisciplinary and international character has the principal objective of

  20. Essere un Medico di base

    DEFF Research Database (Denmark)

    Olesen, Henning Salling

    2006-01-01

    Artiklen præsenterer foreløbige resultater fra livshistorisk forskning i alment prkatiserende lægers professionsidentitet og læring i praksis. Med eksempel i medicin skitseres en analysemodel, og et empirisk eksempel fra undersøgelsen gennemgås kortfattet....

  1. La actividad física como tratamiento para las personas adultas obesas en edades comprendidas entre 50 y 55 años del Consultorio Médico No. 10 de la zona 45 pertenecientes al Consejo Popular No. 1 del municipio Guane

    Directory of Open Access Journals (Sweden)

    Eduardo Isaac Crespo Gutiérrez

    2009-06-01

    Full Text Available Con el objetivo, de proponer un grupo de recomendaciones educativas y acciones basadas en actividades físicas encaminadas a que las personas adultas obesas en edades comprendidas entre 50 y 55 años, del consultorio # 10 del municipio Guane, tengan un control sobre su peso corporal, las que como elementos fundamentales después de un diagnostico poseen un índice de masa corporal (peso esperado para talla por encima de 30kg/m², y el conocimiento sobre la practica de ejercicios físicos era casi nulo, así como también sobre la  noción en lo relativo en  normas y patrones de conducta alimentarias  son incorrectos. Se tomo como unidad de análisis  36 personas obesas de ambos sexos y como muestra de estas 15 .Utilizando métodos teóricos  y métodos empíricos, al comparar la fase inicial y la evolutiva respecto a las variaciones de su IMC estudiados se han encontraron cambios significativos en los mismos, así se espera concluir  que la combinación de tratamientos no farmacológico basados en el ejercicio  en  combinación  conjunta  en  la  educación  de  sus  patrones  alimentarios produce cambios significativos en el peso corporal, además de crear las condiciones necesarias  para  influir  en  la  formación  de  estilos  de  vida  sanos,  y  lograr  que  la población se incorpore a las transformaciones del medio social que los rodea y, de esta forma, se modifican ellos mismos, e incorporan valores y conductas de vida mucho más sanas que harán posible los cambios futuros que se esperan en el país dentro del campo de la salud . Teniendo en cuenta que el abordaje terapéutico de la obesidad, por su naturaleza multifactorial, debe ser objeto de múltiples sectores o miembros de la sociedad y la comunidad. Y en  correspondencia con la realidad toda la comunidad una sus esfuerzos con vistas evitar el incremento progresivo de esta enfermedad.

  2. Prevalencia de la sensibilización a tres ácaros domésticos en la población infantil alérgica de un consultorio médico Prevalence of sensitization to three house dust mites in the allergic infantile population of a family physician's office

    Directory of Open Access Journals (Sweden)

    Mayda González León

    2005-04-01

    Full Text Available Se realizó un estudio con el objetivo de investigar si la sensibilización a estos ácaros ( Dermatophagoides pteronyssinus [ Dp ], Dermatophagoides siboney [ Ds ] y Blomia tropicalis [ Bt ] constituye un problema de salud en nuestra población infantil, pues el estudio de los problemas alérgicos ha identificado a los ácaros domésticos como los principales agentes causales de asma y otras afecciones. Se seleccionaron 32 niños alérgicos de nuestro consultorio que se clasificaron según su grado de exposición al polvo doméstico. A todos se les realizó la prueba por punción cutánea en el brazo derecho, y se utilizaron 3 extractos alergénicos estandarizados Valergen Ò ( Blomia tropicalis, Dermatophagoides siboney y Dermatophagoides pteronyssinus de producción nacional (BIOCEN. La prevalencia de la sensibilización fue mayor de forma significativa (pA study was conducted aimed at investigating if the sensitization to these dust mites (Dermatophagoides pteronyssinus [Dp], Dermatophagoides siboney [Ds] and Blomia tropicalis [Bt] is a health problem in our infantile population, since the study of the allergic problems has identified the house dust mites as the main agents causing asthma and other affections. 32 allergic children of our office were selected and classified according to their degree of exposure to house dust. All of them underwent the skin test in the right arm. 3 standardized allergenic extracts ValergenÒ (Blomia tropicalis, Dermatophagoides siboney y Dermatophagoides pteronyssinus of national production (BIOCEN were used. The prevalence of sensitization was significantly higher (p<0.05 for all the dust mites in patients with a greater exposure to house dust compared with those with lower exposure to it. A higher sensitization was attained for the dust mites of the genus Dermatophagoides. The extract of Dp produced a wheal with a mean size greater than the one caused by other products.

  3. Advance of the National Program of Radiological Protection and Safety for medical diagnostic with X-rays; Avance del Programa Nacional de Proteccion y Seguridad Radiologica para diagnostico medico con rayos X

    Energy Technology Data Exchange (ETDEWEB)

    Verdejo S, M. [Direccion de Riesgos Radiologicos, Direccion General de Salud Ambiental (Mexico)

    1999-07-01

    The National Program of Radiological Protection and Safety for medical diagnostic with X-ray (Programa Nacional de Proteccion y Seguridad Radiologica para diagnostico medico con rayos X) was initiated in the General Direction of Environmental Health (Direccion General de Salud Ambiental) in 1995. Task coordinated with different dependences of the Public Sector in collaboration between the Secretary of Health (Secretaria de Salud), the National Commission of Nuclear Safety and Safeguards (Comision Nacional de Seguridad Nuclear y Salvaguardias) and, the National Institute of Nuclear Research (Instituto Nacional de Investigaciones Nucleares). The surveillance to the fulfilment of the standardization in matter of Radiological Protection and Safety in the medical diagnostic with X-rays has been obtained for an important advance in the Public sector and it has been arousing interest in the Private sector. (Author)

  4. Plaza Central Peachtree Atlanta-(EE.UU.

    Directory of Open Access Journals (Sweden)

    Portman, John

    1976-10-01

    Full Text Available This 70-storey hotel has been constructed to meet the requirements of the city of Atlanta which needed a building with a sufficient room capacity and adequate premises for Conventions. On a structure of reinforced concrete which serves as a base and in which the common areas are situated rises a big cylindric tower, covered with coloured glass and which contains the 1.100 rooms. 230 m above ground level, the construction is crowned with a roof top cocktail lounge and a revolving restaurant with a splendid view of the city. Among the most noteworthy characteristics of this hotel is the elegantly decorated entrance hall —atrium shaped and 7 storeys high— with a pond in the centre. Further premises worth mentioning in view of their design and dimensions are the great ball room, coffee-shops and luxurious restaurants, one of which is planned in different levels and in which the most impressive feature is a 30 m high waterfall.Este edificio de setenta plantas se construyó para responder a las necesidades hoteleras de la ciudad de Atlanta, que precisaba de una instalación con suficiente capacidad de habitaciones y preparación para albergar Convenciones. Sobre una estructura de hormigón armado, que sirve de base y en la que se sitúan las zonas comunes, se eleva una gran torre cilíndrica, recubierta de vidrio coloreado reflectante, destinada a distribuir las 1.100 habitaciones con las que cuenta el edificio. La construcción se corona, a 230 m de la cimentación, con una sala para cócteles y un restaurante giratorio desde el que se domina una espléndida vista del contorno. El edificio dispone de importantes servicios comunes, entre los que cabe destacar el hall de entrada —a modo de atrio y con una altura equivalente a siete plantas—, que está dotado de un gran estanque y variados elementos de gran efecto decorativo. Otros servicios notables por su diseño y dimensiones son la gran sala de baile, y las cafeterías, comedores y restaurantes de lujo, uno de los cuales, organizado en varios niveles, domina una cascada de agua de 30 m de altura.

  5. Crowne Plaza Renovation Retrofit Case Study

    Energy Technology Data Exchange (ETDEWEB)

    none,

    2013-03-01

    InterContinental Hotels Group (IHG) and its franchise partner B.F. Saul Company Hospitality Group (B.F. Saul Co.) partnered with the Department of Energy (DOE) to develop and implement solutions to retrofit existing buildings to reduce energy consumption by at least 30% versus requirements set by Standard 90.1-2004 of the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE), the American National Standards Institute (ANSI), and the Illuminating Engineering Society of North America (IESNA) as part of DOE’s Commercial Building Partnerships (CBP) Program.

  6. Perfil do doente renal crônico no ambulatório multidisciplinar de um hospital universitário Perfil del enfermo renal crónico de consultorios externos multidisciplinario de un hospital universitario Demographic profile of individuals with chronic renal disease from a multidisciplinary outpatient clinic of a university teaching hospital

    Directory of Open Access Journals (Sweden)

    Simone Martins Rembold

    2009-01-01

    Full Text Available OBJETIVO: Descrever o perfil do cliente com doença renal crônica em tratamento conservador no Ambulatório Multidisciplinar do Hospital Universitário Antonio Pedro. MÉTODOS: O estudo é descritivo tendo sido analisados 72 prontuários de pacientes atendidos nos anos de 2006 a 2008. Os dados foram processados eletronicamente com o auxílio dos programas EXCEL 2007 e SPSS 13.0. RESULTADOS: A média de idade dos pacientes foi 59 + 14 anos sendo 60% do sexo feminino. Em relação à escolaridade, 42% tinham ensino fundamental incompleto. A maior parte encontrava-se no estágio 4 da doença renal crônica, sendo as principais doenças de base o diabetes mellitus e a hipertensão arterial. Mais de 80% usavam anti-hipertensivos, e mais da metade usava diuréticos. O sintoma predominante foi a noctúria. Apenas em sete pacientes foi confeccionada fístula artério-venosa. CONCLUSÃO: A população atendida no referido ambulatório consistiu, na sua maior parte de pacientes na quinta ou sexta década de vida, com predominância do sexo feminino. A maioria encontrava-se no estágio 4 da classificação do DOQI para doença renal crônica sendo diabetes a principal causa da doença renal.OBJETIVO: Describir el perfil del cliente con enfermedad renal crónica en tratamiento conservador en Consultorio Externo Multidisciplinario del Hospital Universitario Antonio Pedro. MÉTODOS: Se trata de un estudio descriptivo en el que se analizaron 72 historias clínicas de pacientes atendidos en los años de 2006 a 2008. Los dados fueron procesados electrónicamente con la ayuda de los programas EXCEL 2007 y SPSS 13.0. RESULTADOS: El promedio de edad de los pacientes fue entre 59 + 14 años siendo el 60% del sexo femenino. En relación a la escolaridad, el 42% tenían primaria incompleta. La mayor parte se encontraba en la fase 4 de la enfermedad renal crónica, siendo las principales enfermedades de base la diabetes mellitus y la hipertensión arterial. Más del

  7. COMPORTAMIENTO DE FACTORES DE RIESGO CARDIOVASCULAR EN ANCIANOS DEL CONSULTORIO

    Directory of Open Access Journals (Sweden)

    Humberto L. Ramos González

    2012-01-01

    Full Text Available ResumenIntroducción y objetivos: Las enfermedades cardiovasculares causan aproximadamente una cuarta parte de todas las muertes en el mundo. Esta mortalidad aumenta proporcionalmente a la edad. El objetivo de esta investigación fue conocer el comportamiento de los factores de riesgo coronario en ancianos y contribuir al establecimiento de un proyecto de intervención en salud. Método: Se realizó un estudio observacional, descriptivo, transversal, entre enero de 2007 y enero de 2008. El universo estuvo constituido por 506 pacientes mayores de 60 años, y la muestra, obtenida de forma aleatoria simple, fue de 162 pacientes. Los datos se obtuvieron a través de un modelo tipo encuesta, mediante la revisión de las historias clínicas individuales y familiares. Resultados: El 51,2 % de la muestra (83 pacientes pertenecen al grupo de 60 a 64 años, y 53,3 % correspondió al sexo femenino. La hipercolesterolemia fue el factor de riesgo más prevalente, 103 casos (63,5 %, y 65 pacientes (40,1 % presentaban 4 factores de riesgo asociados. Entre los no hipertensos, la tensión arterial se encontró, en 56 pacientes (34,5 %, en la categoría normal alta; y entre los hipertensos, 32 casos (19,7 % se encuentran en el grado I, seguido de la hipertensión sistólica aislada con 27 (16,6 %. Conclusiones: Predominaron el sexo femenino y el grupo de edad entre 60 y 64, la hipertensión arterial fue el antecedente patológico familiar más representativo; la hipercolesterolemia fue el factor de riesgo más encontrado; el grupo de 80 a 84 años resultó ser el de mayor número de factores de riesgo asociados; predominó el sobrepeso en el sexo femenino.AbstractIntroduction and objectives: Cardiovascular diseases cause approximately a quarter of all deaths worldwide. This mortality increases proportionally with age. The objective of this research was to study the behavior of coronary risk factors in the elderly and contribute to the establishment of a health intervention project. Method: An observational, descriptive and transversal study was performed between January 2007 and January 2008. The universe consisted of 506 patients over 60 years of age, and the sample, obtained in a simple random form, consisted of 162 patients. Data were collected through a survey-type model by reviewing the medical records of individuals and families. Results: 51,2 % of the sample (83 patients belonged to the group of 60 to 64 years of age, and 53.3 % were female. Hypercholesterolemia was the most prevalent risk factor, 103 cases (63,5 % and 65 patients (40,1 % had 4 associated risk factors. Among non-hypertensive patients, blood pressure was found in 56 patients (34,5%, high-normal category, and among those with hypertension, 32 cases (19,7 % were in grade I, followed by the isolated systolic hypertension in 27 (16,6 %. Conclusions: Female sex and the age group between 60 and 64 years predominated. Hypertension was the most representative family disease antecedent; high cholesterol was the strongest risk factor found, the group of 80 to 84 years proved to be the one with the highest number of associated risk factors. Overweight predominated in females.

  8. Anemia e insuficiência cardíaca na comunidade: comparação com um ambulatório especializado Anemia e insuficiencia cardiaca en la comunidad: comparación con un consultorio especializado Anemia and heart failure in a community-based cohort: comparison with a specialized outpatient clinic

    Directory of Open Access Journals (Sweden)

    Eduarda Barcellos dos Santos

    2010-01-01

    Full Text Available FUNDAMENTO: A anemia é comum em pacientes com insuficiência cardíaca (IC. Sua prevalência em pacientes com IC na comunidade é desconhecida em nosso meio. OBJETIVO: Avaliar a prevalência e características de pacientes com anemia em uma população não selecionada com IC na comunidade, comparando-a a uma população com IC atendida em um ambulatório especializado. MÉTODOS: Estudo transversal, prospectivo, observacional, realizado de janeiro de 2006 a março de 2007. Os pacientes com IC preenchiam os critérios de Boston, com pontuação >8. Anemia foi definida pelos critérios da Organização Mundial de Saúde, como valores de hemoglobina FUNDAMENTO: La anemia es común en pacientes con insuficiencia cardiaca (IC. Su prevalencia en pacientes con IC en la comunidad es desconocida en nuestro medio. OBJETIVO: Evaluar la prevalencia y características de pacientes con anemia en una población con IC no seleccionada en la comunidad, comparándola a una población con IC atendida en un consultorio especializado. MÉTODOS: Estudio transversal, prospectivo, observacional, realizado de enero de 2006 a marzo de 2007. Los pacientes con IC cumplían los criterios de Boston, con puntuación >8. La anemia fue definida por los criterios de la Organización Mundial de la Salud, como valores de hemoglobina BACKGROUND: Anemia is common in patients with heart failure (HF. Its prevalence in patients with HF from a community-based cohort is unknown in our country. OBJECTIVE: evaluate the prevalence and characteristics of patients with anemia in a non-selected population with HF from a community-based cohort, comparing it with that of a HF population treated at a specialized outpatient clinic. METHODS: This was a transversal, prospective, observational study, carried out from January 2006 to March 2007. The patients with HF met the Boston criteria, with a score > 8. Anemia was defined through the criteria of the World Health Organization as hemoglobin levels

  9. Seasonal fluctuations in prevalence of dog intestinal parasites in public squares of Mar del Plata city, Argentina and its risk for humans Estacionalidad en la prevalencia de parásitos intestinales caninos en plazas públicas de Mar del Plata, Argentina, y su riesgo para la salud humana

    Directory of Open Access Journals (Sweden)

    V. Andresiuk

    2007-12-01

    Full Text Available The aim of this work is to analyze whether there is a seasonal prevalence of parasites in dog feces from public squares in Mar del Plata city, Argentina, and to evaluate the climatic conditions that promote the development of parasites and allow the transmission to people. The study was performed in 21 squares from June 2001 to May 2002. Samples were processed by the Willis technique. Differences in prevalence of parasites were examined for significance by the Chisquare test. Climatic data were obtained from the Library of the National Meteorological Service of Argentina. Total parasitic prevalence was higher in winter than in summer. The prevalence of Ancylostoma spp. was higher in the summer-autumn period. For Toxocara canis, the prevalence was higher in winter whereas for Trichuris vulpis, it was higher in winter, spring and summer. This work shows high prevalence of total parasites throughout the year. For Ancylostoma spp., summer and autumn might be the seasons with higher sanitary risk. On the other hand, T. canis could present the higher risk to people in winter and, T. vulpis, would be transmitted throughout the whole year. The seasonal variation in prevalence of dog parasites results in continuous exposure to people visiting the squares, not only Mar del Plata residents but also tourists from other regions of Argentina and the world, with at least one species of parasite with sanitary risk.El objetivo de este trabajo es analizar la variación estacional de la prevalencia de los parásitos presentes en las heces caninas halladas en plazas públicas de la ciudad de Mar del Plata y evaluar aquellas condiciones climáticas que promueven su desarrollo y permiten su transmisión a la gente. El estudio se realizó en 21 plazas desde junio de 2001 hasta mayo de 2002. Las muestras fueron procesadas con la técnica de Willis. Se utilizó el test de c² para comparar la prevalencia de los diferentes parásitos. Los datos climáticos fueron

  10. Las memorias de un medico pirata

    Directory of Open Access Journals (Sweden)

    Alberto Miramón

    1959-10-01

    Full Text Available Médico y pirata, como Pedro Sangre -el famoso capitán Peter Blood, cuya figura contradictoria de libertador de esclavos y tirano del mar de las Antillas, sirvió a Rafael Sabatini para hacer un truculento folletín que la cinematografía yankee ha popularizado- el flamenco Henrick Smeeks, no se contentó con tomar parte activa en expediciones y asaltos, como su colega inglés, sino que, varón un tanto aficionado a las letras, dejó un libro de Memorias que, por sí sólo, ha bastado a inmortalizar su nombre ya que, sin lugar a dudas, es una de las primeras y más portentosas historias sobre la vida del Caribe durante el siglo XVII.

  11. Medico-legal problems in radiology

    International Nuclear Information System (INIS)

    Becker, W.

    1979-01-01

    The obligation of the pysician to inform the patient - which he has to prove in case of a suit - is based on the patient's right of selfdetermination. This self-dicision information was subject of the panel discussion. Not discussed in detail were the information concerning diagnosis and prognosis, and the instruction of the patient regarding his conduct postoperatively and during medical treatment. Not considered was the so-called malpractice and negligence respectively. Medical liability suits are increasing for various reasons and are frequently directed at a failure to inform the patient because the patient is often unable to prove a negligence of the physician ('surrogate liability'). The dimension of the duty of disclosure (complete information - no information at all) is discussed in general and with special regard to the radiological field. (orig.) [de

  12. medico-legal perspectives in history

    African Journals Online (AJOL)

    Various legal codes dealing with medical malpractice existed in Egypt, Mesopotamia, China, Islam, Greece, Rome, Persia and India. The first documented Code of Laws ever used by human civilisation in, for example, Mesopotamia is to be found from the Law Code of Hammurabi – a textual source of evidence concerning ...

  13. A SMALL PLAZA AND A STREETSCAPE IN KUROMON

    Directory of Open Access Journals (Sweden)

    ANDO Naomi

    2017-05-01

    Full Text Available To place architecture within a site is to place an open space around it,as well as to form a streetscape. This study examines the characteristics of the contemporary Japanese open spaces and the streetscapes through a case study of an architectural design. The author has involved in designs of a construction and renovations of three adjacent houses. The construction of the oldest house dates back to 1881. Since then, structure of the city and the lifestyle of families have significantly changed. This study discusses on the transformation of them as well.

  14. Edificio en La Plaza Lesseps de Fernando Lesseps – Barcelona

    Directory of Open Access Journals (Sweden)

    Danés, Albert

    1975-02-01

    Full Text Available This interesting example of urban architecture is situated in Barcelona, facing two streets of different widths, for which reasons the number of floors on the two sides is also different. The basements are reserved for parking space. Further the building comprises commercial ground floors with very attractive shopping arcades; a mezzanine commercial floor as well and the top floors, that are intended for housings. Pleasant exterior with solid colours. The work has been achieved thanks to the valuable contribution of Lluciá Navarro i Rodón.Esta interesante muestra de la arquitectura urbana está emplazada en Barcelona, con fachadas a dos calles de anchura diferente, por lo que el número de plantas es también distinto. Sótanos destinados a estacionamiento de vehículos. Plantas bajas comerciales, con galerías de paso muy atractivas. Entresuelo, también comercial, y plantas altas de viviendas variadas. Tratamiento exterior atrayente, a base de colores sólidos y sistema esgrafiado, contando con la valiosa colaboración de Lluciá Navarro i Rodón.

  15. Reinterpreting the Plaza de los Glifos, La Ventilla, Teotihuacan

    DEFF Research Database (Denmark)

    Nielsen, Jesper; Helmke, Christophe

    2011-01-01

    of a ‘deer-snake,’ a supernatural creature closely tied to diseases and ailments known throughout most of Mesoamerica and beyond, before and after the conquest. We further argue that contemporary and colonial concepts and practices concerning illness and curing offer ways of understanding several other...

  16. Plaza hotell Karla katedraali külge / Tiina Jõgeda

    Index Scriptorium Estoniae

    Jõgeda, Tiina, 1962-

    1997-01-01

    Tallinna Sakala keskuse külge on plaanis ehitada 50 miljonit dollarit maksev nelja-tärni konverentsihotell. Arhitekt Raine Karbi omaaegses projektis oli ette nähtud "Estonia" teatri poolse külje täisehitamine

  17. City Plaza büroohoone : Tartu mnt. 2, Tallinn = City Plaza office building : Tartu maantee 2, Tallinn

    Index Scriptorium Estoniae

    2006-01-01

    Arhitektid: Tiit Trummal, Andres Alver, Martin Melioranski, Indrek Rünkla, AB Alver Trummal Arhitektid. Eesti Kultuurkapitali arhitektuuri sihtkapitali 2005. a. objektipreemia. Žürii liikme Ado Eigi arvamus. 5 värv. välis- ja 4 sisevaadet

  18. Condições mais frequentes em um ambulatório de perícia neurológica The most common disorders in neurological clinic for medico-legal assessment of labour capacity at the Brazilian Social Security System (INSS in Florianópolis - SC, Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Cesar Trevisol-Bittencourt

    2001-06-01

    Full Text Available OBJETIVO: Apresentar as condições nosológicas vistas em perícia neurológica em um ambulatório de referência estadual do Instituto Nacional de Seguridade Social (INSS, Florianópolis, Santa Catarina, Brasil, durante o período de outubro de 97 a maio de 98. MÉTODO: Revisão dos relatórios especializados das perícias solicitadas ao especialista em neurologia, com identificação dos diagnósticos finais dos 108 pacientes encaminhados para avaliação. RESULTADOS: Os diagnósticos mais comuns em ordem decrescente de frequência foram: epilepsia, doenças reumatológicas, distúrbios psiquiátricos, alterações neurológicas associadas a alcoolismo crônico, síndrome pós TCE e doença vascular cerebral. CONCLUSÕES: Doenças neurológicas podem determinar importante grau de incapacidade no trabalhador catarinense. Contudo, existe um subestimado potencial de recuperação funcional. Além disso, diversas condições não genuinamente neurológicas são encaminhadas para avaliação especializada.OBJECTIVE: To present the most frequent diagnosis among patients refered for neurological evaluation to estimate their labour capacities at the unit of National Institute of Social Security (INSS, Florianópolis-SC, southern Brazil. METHOD: Review of all medical records of 108 patients evaluated between October 97 and May 98. The sample was submited to judicious medico-legal assessment to define their final diagnosis. RESULTS: Neurological evaluation disclosed as the commonest disorders, in decreasing order of frequency: epilepsy, rheumatic diseases, psychiatric illnesses, neurological disorders related to chronic alcoholism, head trauma syndrome and cerebrovascular diseases. CONCLUSION: Neurological disorders may be responsible for important disability among workers in our society. However, the potential for social rehabilitation, often underestimated, must be considered. Moreover, diverse non-neurological conditions used to be sent for

  19. CURRENT PRACTICES AND MEDICO-LEGAL ASPECTS OF PRE ...

    African Journals Online (AJOL)

    hi-tech

    2004-07-01

    Jul 1, 2004 ... Lecturer 1, Faculty of Law and S. Mohammed, MBBS., Resident Doctor, Department of Community Health, University of ... Over a hundred respondents were not informed of risk of procedure. .... requires patient's capacity, adequate disclosure of ... dealing with cases requiring major surgical procedures.

  20. special article the medico-legal prerequisite for initiating quarantine

    African Journals Online (AJOL)

    1Department of Biological, Environmental and Occupational Health Science, School of Public Health, Univer- ... and isolation in public health emergency management. ... The implementation of quarantine or isolation ... ety, technological systems within a given population ..... Ghana Civil Aviation Act, 2004 (Act 678).

  1. Medico-legal claims against English radiologists: 1995–2006

    Science.gov (United States)

    Halpin, S F S

    2009-01-01

    A list of claims against radiologists from 1995–2006 was obtained from the NHS Litigation Authority. It shows a total of 440 claims. The largest number of claims (199) related to delayed or missed diagnoses of cancer, and 73 claims related to breast radiology. There is a trend for a mild increase in the number of claims each year. 30 claims were made after a false-positive diagnosis of cancer. Just under £8.5 million has so far been paid in damages, with a further £5 million in legal fees. A claim for multiple missed diagnoses of breast cancer led to a pay-out of £464 000 (£673 000 after legal fees); the largest sum awarded following a delay in the diagnosis of an individual cancer was £300 000. The subtle legal distinction between error and negligence is reviewed here. The reason why breast radiologists are more likely to be sued than any other type of British radiologist is also discussed, along with the implications for UK radiological practice, particularly in light of the recent Chief Medical Officer's report on revalidation. A method is proposed that may protect radiologists from allegations of clinical negligence in the future. PMID:19470570

  2. Medico-legal claims against English radiologists: 1995-2006.

    Science.gov (United States)

    Halpin, S F S

    2009-12-01

    A list of claims against radiologists from 1995-2006 was obtained from the NHS Litigation Authority. It shows a total of 440 claims. The largest number of claims (199) related to delayed or missed diagnoses of cancer, and 73 claims related to breast radiology. There is a trend for a mild increase in the number of claims each year. 30 claims were made after a false-positive diagnosis of cancer. Just under pound8.5 million has so far been paid in damages, with a further pound5 million in legal fees. A claim for multiple missed diagnoses of breast cancer led to a pay-out of pound464 000 ( pound673 000 after legal fees); the largest sum awarded following a delay in the diagnosis of an individual cancer was pound300 000. The subtle legal distinction between error and negligence is reviewed here. The reason why breast radiologists are more likely to be sued than any other type of British radiologist is also discussed, along with the implications for UK radiological practice, particularly in light of the recent Chief Medical Officer's report on revalidation. A method is proposed that may protect radiologists from allegations of clinical negligence in the future.

  3. christ's crucifixion as a medico-historical event 1. introduction

    African Journals Online (AJOL)

    metres, bearing what appears to be the imprint of a crucified figure, is considered by some .... meters and a total weight which could exceed 130 kilograms. The ... Sometimes a wooden block was nailed to the stipes as a prop for the buttocks ... and attached to the stipes with a mortise and tenon joint, or in any other suitable ...

  4. Coronary atherosclerosis in medico-legal autopsy cases

    Directory of Open Access Journals (Sweden)

    VN Prasad

    2014-09-01

    Full Text Available Background: Coronary atherosclerosis is the major cause of death worldwide. Lifestyle and habits are the major contributory factor in the development of coronary atherosclerosis. Materials and Methods: This is an autopsy-based study in which 45 autopsy cases were randomly selected for study. Proximal one third of all three epicardial coronary arteries (LAD, LCX and RCA were dissected out for study and serial sections were made and stained with H&E method and under the light microscope. Atherosclerosis was graded according to American heart association classification. The risk factors (cigarette smoking, hypertension, diabetes, alcohol consumption, age, sex were also correlated with the grade of atherosclerosis. Results: Seventy-Eight percent of American Heart Association classification grade V lesions were seen in > 70 yrs of age. Almost all cases of > 70 yrs of age had American Heart Association classification grade > IV lesions. Out of all grade IV lesions, 88.9% was seen in male while only 11.1% in female. Similarly out of all grade V lesions, 77.8% was seen in male while 22.2% in female. LAD showed maximum involvement by higher grade lesion, followed by LCX and RCA. American Heart Association classification grade > IV in LAD, LCX and RCA was seen in 25(55.6%, 5(11.1%, and 3(6.7% cases respectively. Conclusion: Higher grade lesion occurs in advancing age. Various cardiovascular risk factors were significantly associated with higher grade of lesions. The multiple risk factors had a synergistic effect on the progression of coronary atherosclerosis. DOI: http://dx.doi.org/10.3126/jpn.v4i8.11492 Journal of Pathology of Nepal; Vol.4,No8(2014 607-611

  5. Aesthetic Dental Procedures: Legal and Medico-legal Implications.

    Science.gov (United States)

    Di Lorenzo, Pierpaolo; Casella, Claudia; Capasso, Emanuele; Delbon, Paola; Fedeli, Piergiorgio; Policino, Fabio; Niola, Massimo

    2018-01-01

    Dental treatments, as well as simple anatomical and functional repair work, can also be for aesthetic purposes. This is because the anatomical area concerned, i.e. the oral cavity, has a great power of attraction. Aesthetic treatments in general - in particular dental treatments - have been on the rise in recent years, and this has also meant an increase in claims due to patient dissatisfaction with the results obtained. Numerous laws have been introduced that emphasise the need for comprehensive prior information in order to acquire valid consent. This has resulted in the elimination of the distinction between the obligation of means and obligation of result, with achievement of the normally expected result required in any case.

  6. [Medico-social characteristics of patients with chronic pancreatitis].

    Science.gov (United States)

    Kosyura, S D; Fedorov, I G; Gavrilina, N S; Sedova, G A

    2014-01-01

    Comparative analysis of the health status of patients with chronic toxic-metabolic pancreatitis (CTMP) and chronic obstructive pancreatitis (COP). The gender and social factors was analysed. 250 patients with chronic pancreatitis examined. On based of the TIGAR-O classification, two groups of patients choosed: the 1-st group included 142 (56.8%) a patient with CTMP, the 2-nd group--108 (43.2%) patients COP. The social characteristics of patients had produced, including assessment of status social (gender, age, educational level, employment, marital status, bad habits). Quality of life was assessed by using the updated questionnaire SF-36. The average age of patients with CP is 53.2 years, male to female ratio is 3:2. At stake is 56.8% of all CTMP patients with CP, the median age is 42.3 years, the male to female ratio is 4:1. The average age of patients with COP is 54.6 years, male to female ratio is 1:4. Do not work, not married, engaged in an anti-social way of life 43% of people working age with CTMP, have a lower education in comparison with patients with COP. Patients with CTMP reduced social significance illustrate reduced social significance as personal (reduction in the level of education, an anti-social way of life), and social (lack of employment, deterioration of demographic indicators).

  7. Computed tomography in dental implantology: medico-legal implications.

    Science.gov (United States)

    Scribano, Emanuele; Ascenti, Giorgio; Mazziotti, Silvio; Blandino, Alfredo; Racchiusa, Silvio; Gualniera, Patrizia

    2003-01-01

    Diagnostic imaging plays an important role in both the planning of dental implants and the follow-up evaluation of the procedure. It is widely known that computed tomography (CT) together with Dentascan software is the most accurate imaging technique in the planning of implant treatment. Unlike conventional radiological techniques, CT enables the three-dimensional evaluation of the bone without the overlapping of adjacent structures, as well as a precise measurement of the bone tissue available in the future implant site, contributing in this way to a significant reduction in unsuccessful treatment. CT also enables a qualitative evaluation of the bone structure together with a precise definition of the adjacent anatomical structures and possible associated pathologies. Finally, given the wealth of information provided by CT, it is clear that the technique can also be used for judging in retrospect the correctness of a dental implant procedure. The present paper describes the CT findings that are most relevant to the medicolegal assessment of professional liability in implantology.

  8. Page | 1 MEDICO-LEGAL EXAMINATION OF BIOLOGICAL ...

    African Journals Online (AJOL)

    Fr. Ikenga

    what triggers sexual arousal and the responses of both male and female to ... Keywords: Biological responses, Sexual Stimulation, Rape, Defence of Provocation, Criminal Law, ..... it all control over his emotions and action but also that, that feeling had an ... It is that which arouses, moves, calls forth, causes or occasions.

  9. Doctors and Medico Legal Examination of Victims of Sexual Offenses

    OpenAIRE

    Khan MK

    2015-01-01

    This increasing incident of crime against woman is adding up to the number of female patients. This, along with normal female patients there is a dire emergency in the treatment of female victims of sexual assault. We need provision in our hospital set up to treat the victims separately. There is also an awareness campaign against the sexual crimes and the right of women. Thus increasing trend of crime against woman in India is also burdening the health system in providing treatment and me...

  10. Medico-legal documentation South African Police Services forms

    African Journals Online (AJOL)

    be overly time consuming, and they may also feel intimidated ... practitioner to achieve this is by proper examination of victims and/or ... able to prove that it was safe for the patient to be observed in .... suspicion thereof with respect to a mentally disabled person, ... except for the right to know the human immunodeficiency.

  11. Megalomania del potere medico nei romanzi di Thierry Jonquet

    OpenAIRE

    Modenesi, Marco

    2016-01-01

    Thierry Jonquet (Paris, 1954-2009) specialized in thriller and crime novels with political and ethical themes such as reflections on how Medicine tend to exceed reasonable boundaries in the exercise of its powers. This essay focuses on the definition of some figures of doctors who show this dark side of Science and its multiple facets and it underlines also the condemnation that Jonquet inserts in his works, thanks to a deep renewal of detective story.

  12. Medico-social characteristics of patients treated in rehabilitation centres

    Directory of Open Access Journals (Sweden)

    Shapovalenko T.V.

    2013-12-01

    Full Text Available Aim: analysis of the medical social characteristics of patients of rehabilitation center. Material and methods. The data that had been got by extracting from medical records of patients of the Center of restorative medicine and rehabilitation «Medical rehabilitation center» MOH of Russia on a specially developed «Patient card» were analyzed. Results. Among the majority of patients (who got treatment in the center with diseases of the musculoskeletal system and connective tissue (44,9%, almost 1/3 (29,2% were patients with diseases of the circulatory system, in the third place — patients with injuries (14,1 %. Conclusion. As a result of the peculiarities of a patient health condition of different age and social position had been revealed.

  13. Medico-legal documentation of rape or sexual assault: are ...

    African Journals Online (AJOL)

    L Fouché

    Results: A response rate of 59.3% was achieved. ... on how to manage alleged rape or sexual assault cases, only 11.4% of the participants had hands-on exposure to an ..... atrocious crimes, constituting a huge human rights violation and.

  14. Medico-social aspects of the prevention of noncommunicable diseases

    Directory of Open Access Journals (Sweden)

    T.V. Peresypkina

    2017-03-01

    Full Text Available Background. The noncommunicable disease (NCDs are very common among population around the world. They are the main cause of preventable mortality, cause temporary and permanent disability. NCDs are the major reason for attending for medical care and lead to economic losses. The implementations of preventive strategy, increasing the role of preventive measures are general tasks for all health care system. The analysis of trends of preventive measure for NCD nowadays is the aim of this research. Materials and methods. The study included the result of analysis of science publication and WHO database about NCD and preventive measure used as well as the results of the analysis of data of the Center for Statistics in Medicine of MoH of Ukraine. Results. Diabetes, cardiovascular diseases, cancer, chronic respiratory diseases are the major NCDs. The base factors which lead to NCD are behavioral risk factors, namely tobacco use, unhealthy diet, physical inactivity, and alcohol abuse. The WHO prepared a lot of documents, among which the most significant are the strategies on noncommunicable diseases prevention, convention against smoking, strategy on diet and physical activity, global strategy on reducing alcohol abusing and so on. Nowadays the world population follows Global Action Plan for Prevention of Noncommunicable Diseases for 2013–2020. The documents emphasize the importance of state support, the use of scientific potential and intersectoral interaction to effectively combat noncommunicable diseases. The major of scientific direction are NCD monitoring, detection of the determinant of NCD development and making strategy for usage it in conditions of limited resources. The role of Digital marketing today increases that leads to the acquisition and consolidation of the habits and behavior of modern youth. Internet marketing is very effective to form unhealthy food behavior in children and adolescents that requires adequate and urgent actions. The project of NCD prevention and improving health status in Ukraine began in Kharkiv region. Conclusions. The strategic direction of health protection in Ukraine (for the period up to 2025 is to increase the duration of healthy (active life by preventing non-infectious pathology among adolescents and young people. Priority measures for the prevention of noncommunicable diseases of the younger generation should be monitoring and evaluating existing problems, a clear vision of the ultimate goals, a large number of stakeholders and support for evidence-based research on the prevention of noncommunicable diseases.

  15. [Marriage in old age groups (medico-social aspects)].

    Science.gov (United States)

    Galkin, R A; Hechtt, I A; Larionov, Iu K; Pavlov, V V

    2001-01-01

    Recently married elderly people change attitude to hospital treatment and living in asylums; they prefer care rendered at home and hospital-substituting forms of care; hospitalization and ambulance care are less needed and permanent social workers are required less. All this promotes rational utilization of the potentialities of therapeutic institutions and saving of public health and social protection resources.

  16. Inspecting asylum seekers upon entry: a medico-ethical complex.

    NARCIS (Netherlands)

    Francois, G.; Hambach R.; Sprundel, M. van; Devillé, W.; Hal, G. van

    2008-01-01

    In September 2007, the UN Refugee Agency UNHCR summarized the main asylum application levels and trends during the first six months of the year in 36 industrialized countries, including 26 European Union (EU) Member States. Based on the assumption of unchanged yearly patterns, the total number of

  17. The ethical and medico-legal issues of trauma care

    African Journals Online (AJOL)

    the case of polytrauma, the patient's autonomy is further reduced. In addition, the risk .... Rational resource use in these circumstances has been an ac- cepted part of ... The high prevalence of HIV among the trauma population is well known in ...

  18. Medico-legal analysis of a case of mass shooting.

    Science.gov (United States)

    Kuruc, R; Šidlo, J; Zummerová, A; Šikuta, J; Baloghová, A

    Despite the existence of organised crime in Slovakia, no case has ever been monitored in which one individual used a firearm against several people, as happens in the U.S. or in Western Europe. The aim of this work is to demonstrate a "unique" case in the history of Slovak criminality, when six members of one family were killed and some other accidental victims were wounded or even killed by one perpetrator using a firearm.

  19. [Medico-economic assessment of the Pontoise Hospital stroke unit].

    Science.gov (United States)

    Yekhlef, F; Decup, D; Niclot, P; Servan, J; Descombes, S; Richecoeur, J; Ollivier, A

    2010-11-01

    Annually, approximately 120,000 people in France have a stroke. Various controlled studies have pointed out the benefits of treatment in a stroke unit (SU). The objective of this study was to evaluate, from a medical point of view, the economic impact of the Pontoise Hospital SU. Based on the national cost study (NCS [étude nationale des coûts: ENC]) we analyzed data of five diagnosis related groups (DRG) which have a principle diagnosis in relation with stroke. This work was limited to strokes and transient ischemic events in adults and excluded sub-arachnoid hemorrhage. Medical and economic parameters were collected over the period from January to October 2006 and compared with those of the same period in 2005, that is to say before the opening of the SU. Three hundred and twenty-three hospital stays occurred between January 1st and October 31st, 2006 and 216 during the same time period before the opening of the SU, an increase of approximately 50% of all stroke-related admissions in our hospital. The number of stays carried out in the neurology unit increased by 29%. There was no significant difference between the two periods regarding age (median 69 versus 70 years) and sex- ratio. Average length of stay (ALS) was the same (9 days). There were no significant differences concerning the death rate (5.6% versus 6.2%) and that of discharge to home (44.6% versus 44.4%). The cost by stay in 2006 was 3534 euros [median; min 664-max 57,542] versus 3541 euros in 2005 [681-35,149] (p=0.57). Analysis by DRG highlighted an increase in the cost for serious strokes, cerebral infarctions and hemorrhages. For transitory ischemic events, the cost and the ALS decreased. After the opening of the SU, there was an increase in the activity without an increase in the total cost. This could be related in part to the limited means allocated to the stroke unit at its opening (in particular medical staff). The NCS can be used to evaluate the activity of a stroke unit. This work could be completed on a larger number of units or in several units of different size. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  20. CAUSES OF SUDDEN NATURAL DEATH: A MEDICO-LEGAL ...

    African Journals Online (AJOL)

    89 No. 10 October 2012 ... The age range of the cases was 19-105 years with a mean age ... majority of cases (39.3%), the cause of death was related to the cardio-vascular ... Six hundred and twenty six cases of sudden natural .... (39/60) and a mean age of 54.2±15years. ..... D. A population-based autopsy study of sudden,.

  1. Childhood and adolescent fatalities at the Pretoria Medico-Legal ...

    African Journals Online (AJOL)

    in children <12 years, found the leading external cause of death to be road traffic fatalities (22% of cases). In Nigeria, Nwafor et al.[9] reviewed deaths in children ≤14 years; in a 20-year period, road traffic accidents ..... We thank Ms B English,.

  2. The use of propofol by gastroenterologists: medico-legal issues.

    Science.gov (United States)

    Axon, Andrew E

    2010-01-01

    The increasing use of non-anesthesiologist-administered propofol for sedation during gastrointestinal endoscopy has both clinical and legal consequences. As medical practices develop, the law of clinical negligence will be applied in the context of such developments. While the law will recognize the desirability of advanced techniques and methods, in circumstances where an injury or adverse outcome occurs, the facts of a particular case will be scrutinized to determine whether or not the duty of care between patient and clinician has been breached. This paper considers a number of specific matters likely to arise in the context of a clinical negligence/malpractice claim resulting from the use of non-anesthesiologist-administered propofol, in particular the role and standard of care expected of gastroenterologist and/or anesthetic provider, the relevance of FDA labeling, the implementation and use of protocols, the importance of patient selection and informed consent. Copyright 2010 S. Karger AG, Basel.

  3. [The flexible fiberoptic bronchoscopy report: medico-legal issues].

    Science.gov (United States)

    Trosini-Désert, V; Morin, J-M; Fournier, C; Similowski, T; Vergnon, J-M

    2010-09-01

    The flexible bronchoscopy report is one of the tools permitting exchange of medical information in respiratory medicine and is an integral part of the medical record. Currently, there is no consensus on its content, and consequently, there are no recommendations. A survey was carried out involving experts from the Groupe d'Endoscopie de Langue Française (GELF--Endoscopy Research Group of the French Language Society of Pneumology) and a lawyer from the legal affairs and patient's rights department of the Paris public hospital system. Thirty-four questions distributed in eight chapters were asked in an eight-part questionnaire covering: 1) general administration, 2) environmental safety, 3) medical and anatomical description of the examination, 4) tolerance/complications of the examination, 5) conclusion, 6) image and video sequence capture, 7) administrative data for archiving, 8) disposable elements used during the examination. The results showed as many areas of convergence as they did divergence, between physicians, and between physicians and lawyer. Collective consideration is required to harmonize the writing of bronchoscopy reports, to provide a tool that is not only consensual and complete, but also valid and sound from the medicolegal viewpoint. Copyright © 2010 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  4. Editorial: Medico-legal Litigation: Balancing Spiralling Costs with ...

    African Journals Online (AJOL)

    South African Journal of Bioethics and Law. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 8, No 1 (2015) >. Log in or Register to get access to full text downloads.

  5. Racionalidade terapêutica: elementos médico-sanitários nas demandas judiciais de medicamentos Racionalidad terapéutica: elementos medico-sanitarios en las demandas judiciales de medicamento Rational therapeutics: health-related elements in lawsuits demanding medicines

    Directory of Open Access Journals (Sweden)

    João Mauricio Brambati Sant'Ana

    2011-08-01

    Full Text Available OBJETIVO: Caracterizar os principais elementos processuais, médico-científicos e sanitários que respaldam as decisões das demandas judiciais individuais por medicamentos consideradas essenciais. MÉTODOS: Estudo descritivo retrospectivo com base em 27 ações julgadas em 2ª instância no Estado do Rio de Janeiro em 2006. Os processos originais foram solicitados ao Arquivo Central do Tribunal de Justiça do Estado do Rio de Janeiro, fotografados e analisados na íntegra. RESULTADOS: Todas as ações incluíram prescrição e atestado médicos. As prescrições estavam em desacordo com a legislação. Não houve perícia médica em nenhuma das ações e em 7,4% constavam exames complementares. Apesar da escassa informação médica contida nos autos, todos os pedidos foram deferidos. CONCLUSÕES: O acolhimento de demandas judiciais carentes de subsídios clínicos e diagnósticos traz embaraços de ordem gerencial e sanitária ao sistema de saúde, pois comprometem a assistência farmacêutica regular e fomentam o uso irracional de medicamentos.OBJETIVO: Caracterizar los principales elementos procesales, medico-científicos y sanitarios que respaldan las decisiones de las demandas judiciales individuales por medicamentos consideradas esenciales. MÉTODOS: Estudio descriptivo retrospectivo con base en 27 acciones juzgadas en 2ª instancia en el estado de Rio de Janeiro, Sureste de Brasil, en 2006. Los procesos originales fueron solicitados al Archivo Central del Tribunal de Justicia del Estado de Rio de Janeiro, fotografiados y analizados de forma íntegra. RESULTADOS: Todas las acciones incluyeron prescripción y atestados médicos. Las prescripciones estaban en desacuerdo con la legislación. No hubo pericia médica en ninguna de las acciones y en 7,4% constaban exámenes complementarios. A pesar de la escasa información médica contenida en los autos, todos los pedidos fueron deferidos. CONCLUSIONES: El acogimiento de demandas judiciales

  6. PASEO URBANO POR LA CIUDAD DE MADRID: PLAZA DE LA MONCLOA, CALLE DE LA PRINCESA Y PLAZA DE ESPAÑA.

    Directory of Open Access Journals (Sweden)

    Clemente Herrero Fabregat

    1997-12-01

    Full Text Available En este artículo se va a proponer la realizaciónde un trabajo de campo urbano dirigido aalumnos de Educación Secundaria, con unaduración de cuatro horas, por una zona deMadrid, cuyo origen hay que encontrarlo en elensanche del siglo XIX. Fue reordenada en losaños cuarenta, debido a la situación de losfrentes durante la guerra civil y posteriormenteal intento de creación de una arquitecturaque se ha denominado del "Nuevo orden", quequedó en mera quimera urbanística desde elfin de la segunda guerra mundial y del aislamientoconsiguiente. El incipiente desarrolloeconómico terminó con el proyecto de la "cornisaimperial del Manzanares" debido a laconstrucción del Edificio España y posteriormentede la Torre de Madrid, que rompieron lapretendida perspectiva "imperial".

  7. Construction and Operation of a Commercial Gamma-Ray Package-Sterilizing Plant; Construction et fonctionnement d'une installation industrielle pour la sterilisation d'articles sous emballage par les rayons gamma; Razrabotka i ehkspluatatsiya sbornoj ustanovki gamma-izlucheniya promyshlennogo tipa dlya sterilizatsii meditsinskikh materialov; Construccion y funcionamiento de una instalacion industrial para la esterilizacion gamma de articulos medicos empaquetados

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, C. G. [Johnson' s Ethical Plastics Ltd., Slough (United Kingdom)

    1963-11-15

    'installation dans une unite d e production exploitee par une entreprise commerciale et la bacteriologie. Il etudie brievement la rentabilite de la sterilisation par les rayons gamma et examine quelles sont les autres possibilites d'utilisation d'une installation de cette nature. (author) [Spanish] En la memoria se describe una instalacion de esterilizacion a base de {sup 60}Co, explotada comercialmente por la Johnson's Ethical Plastics Limited en Slough (Reino Unido). Se trata de una instalacion de tratamiento continuo totalmente automatica equipada con una fuente de 72 000 c. Aprovechando la experiencia adquirida por la Junta de Energfa Atomica del Reino Unido en su Package Irradiation Plant de Wantage, dicha instalacion fue concebida para esterilizar jeringas de material plastico y otros articulos medicos no recuperables de analoga densidad aparente. La instalacion viene funcionando desde noviembre de 1962. En la memoria se indican las principales caracteristicas de construccion, en especial los dispositivos para la seguridad del personal, y el metodo de carga de las varillas de cobalto. Se describe la experiencia adquirida, en particular en lo que atauee a la dosimetria, la integracion de la instalacion en el proceso productivo de una empresa comercial y los resultados bacteriologicos. Por ultimo, se examinan brevemente los aspectos economicos de la esterilizacion por irradiacion gamma y se evaluan las posibles aplicaciones de una instalacion de este tipo en el futuro. (author) [Russian] Tsel' nastoyashchej stat'i - opisanie ustanovki dlya oblucheniya s pomoshch'yu Co{sup 60}, na kotoroj v nastoyashchee vremya proizvoditsya v promyshlennykh masshtabakh sterilizatsiya meditsinskikh materialov (firma ''Dzhonsons ehtikal plastike'' v Slou, Angliya). Ustanovka nepreryvnogo dejstviya snabzhena istochnikom v 72 000 kyuri; vse operatsii polnost'yu avtomatizirovany. Na osnove opyta, poluchennogo v ehtoj oblasti pri ehkspluatatsii sbornoj radiatsionnoj ustanovki v Uontidzhe (pri

  8. Del consultorio a la cama. Discurso, cultura visual, erótica y sexología en la Argentina

    Directory of Open Access Journals (Sweden)

    Patricio Simonetto

    Full Text Available Resumen: La conformación de la sexología como un sub campo de saber en la Argentina se debió a la condensación de tradiciones previas entre los galenos. La circulación de saberes trasnacionales, manuales de clasificación y estudios extranjeros, resultó decisiva en sus prácticas de intervención y sus reflexiones. Este artículo propone un análisis de la obra de Rinaldi Pelleginni, "Sexuología", entendiendo que la misma fue sustancial para la comunidad científica. El texto asume, de este modo, el análisis de los nodos discursivos y de sus imágenes, desde la perspectiva de los estudios visuales, para aproximarse, de este modo, a la manera en que este campo imaginó a determinado actores y definió aquello considerado "normal": lo bello, lo erótico y lo moral.

  9. GRAND PLAZA SITE INVESTIGATION USING THE TRIAD APPROACH AND EVALUATION OF VAPOR INTRUSION - (ITER)

    Science.gov (United States)

    This document provides a detailed report about a field study conducted by EQM/URS on behalf of EPA/NRMRL to characterize the subsurface contamination of volatile organic compounds (VOCs) at a Brownfield commercial site. The TRIAD approach was implemented to characterize the exten...

  10. Crisis y dignidad: un paseo con Karl Kraus por la plaza Tahrir

    Directory of Open Access Journals (Sweden)

    Alex Escamilla Imparato

    2012-03-01

    Full Text Available Los últimos acontecimientos revolucionarios surgidos en el mundo árabe, así como los movimientos sociales de indignación frente a los abusos de poder del mercado y la degradación de la vida democrática, están promoviendo nuevas formas distribuidas y horizontales de resistencia y actuación política en defensa de lo común, mediante un uso comprometido y libertario de las mismas herramientas tecnológicas que han servido para globalizar la economía nanciera y reducir lo político a una gestión técnica del poder. En el texto se pretende recuperar la mirada crítica de Karl Kraus, entendiendo que sus diagnósticos y sus profecías -también su sátira- pueden servirnos ahora para desactivar un poder absolutamente privatizado y en crisis.

  11. The Impact of Marketing Mix on Customer Loyalty Towards Plaza Indonesia Shopping Center

    OpenAIRE

    Tjan, Sylvia

    2015-01-01

    As Jakarta is one of the cities with the highest numbers of shopping centers in the world as well as the most populous city in Southeast Asia, it is no surprise if the city is packed with buildings, malls, cars, and people. That is one of the reasons why there is Moratorium of shopping center in Jakarta. Left with 173 malls standing in Jakarta, they have to compete with what is left, the marketing strategy. Shopping centers compete crazily on their marketing in order to gain the loyalty of th...

  12. Pengaruh Iklan Pokkits Terhadap Keputusan Pembelian Pada Konsumen Kentucky Fried Chicken Cabang Sun Plaza Medan

    OpenAIRE

    Harefa, Stephanie

    2013-01-01

    The main function of advertising is to communicate an information as efficient as possible to the hundreds thousands of people in number. In its activities, it does the most important economic function for the advertisers and audiences. In many cases, introducing new products will not be done easily if the advertising can not tell people about the product. The purpose of this study was to determine and analyze the effect of Pokkits on television advertising on Consumer Buying Decision agai...

  13. Studi Penggunaan GPC (Generator Paralelling Control) Pada PLTD Di Sun Plaza

    OpenAIRE

    Juanda, T.

    2010-01-01

    Sistem pembangkitan listrik yang sudah umum digunakan adalah mesin generator tegangan AC, di mana penggerak utamanya bisa berjenis mesin turbin, mesin diesel atau mesin baling-baling. Dalam pengoperasian pembangkit listrik dengan generator, karena faktor keandalan dan fluktuasi jumlah beban, maka disediakan dua atau lebih generator yang dioperasikan dengan tugas terus-menerus, cadangan dan bergiliran untuk generator-generator tersebut. Penyediaan generator tunggal untuk pengoperasian terus me...

  14. Los nuevos vecinos en la plaza. Inmigrantes, espacios y sociabilidad pública

    Directory of Open Access Journals (Sweden)

    Francisco Torres Pérez

    2008-09-01

    Full Text Available Los espacios públicos constituyen uno de los escenarios más visibles del proceso de inserción de los inmigrantes en los pueblos y ciudades españolas. Los nuevos vecinos y vecinas utilizan los espacios públicos como recurso instrumental, de sociabilidad y de sentido, y los transforman de formas muy diversas. Este artículo analiza este proceso que está conformando dos tipos de espacios que generan dinámicas, percepciones y valoraciones, bastante distintas. Unos, son espacios compartidos por los vecinos de distintos orígenes. Otros, que concentran a los inmigrantes de la misma cultura y/o origen nacional se han convertido en espacios etnificados. El hilo conductor del análisis es el concepto de sociabilidad y su base empírica son las investigaciones realizadas por el autor en la ciudad de Valencia y en varios municipios del Campo de Cartagena (Murcia. El texto aborda las diferentes estrategias de uso y apropiación de los espacios por los vecinos inmigrantes, particularmente de los ecuatorianos, discute las valoraciones que suscitan y se cuestiona sobre sus efectos en el proceso de inserción de los nuevos vecinos y vecinas.

  15. Arquitectura y mercado en la Sevilla del siglo XIX: la plaza de abastos de Triana

    OpenAIRE

    Fernández González, Alberto

    2010-01-01

    En 2002, tras una drástica intervención que se prolongó varios años, el histórico mercado de Triana dejó paso a un moderno centro comercial. En este artículo se estudia la historia constructiva del edificio ochocentista diseñado por Tomás Escacena. También se analizan los diferentes planos y proyectos relativos al establecimiento que custodia el Archivo Municipal de Sevilla, alguno inédito todavía, como el croquis delineado por José Manfredi y Juan Bermejo; y se da a conocer un valioso levant...

  16. [Preferences of general practitioners in metropolitan France with regard to the delegation of medico-administrative tasks to secretaries assisting medico-social workers: Study in conjoint analysis].

    Science.gov (United States)

    Chanu, A; Caron, A; Ficheur, G; Berkhout, C; Duhamel, A; Rochoy, M

    2018-05-01

    A general practitioner's office is an economic unit where task delegation is an essential component in improving the quality and performance of work. To classify the preferences of general practitioners regarding the delegation of medical-administrative tasks to assistant medical-social secretaries. Conjoint analysis was applied to a random sample of 175 general practitioners working in metropolitan France. Ten scenarios were constructed based on seven attributes: training for medical secretaries, logistical support during the consultation, delegation of management planning, medical records, accounting, maintenance, and taking initiative on the telephone. A factorial design was used to reduce the number of scenarios. Physicians' socio-demographic variables were collected. One hundred and three physicians responded and the analysis included 90 respondents respecting the transitivity of preferences hypothesis. Perceived difficulty was scored 2.8 out of 5. The high rates of respondents (59%; 95% CI [51.7-66.3]) and transitivity (87.5%; 95% CI [81.1-93.9]) showed physicians' interest in this topic. Delegation of tasks concerning management planning (OR=2.91; 95% CI [2.40-13.52]) and medical records (OR=1.88; 95% CI [1.56-2.27]) were the two most important attributes for physicians. The only variable for which the choice of a secretary was not taken into account was logistical support. This is a first study examining the choices of general practitioners concerning the delegation of tasks to assistants. These findings are helpful to better understand the determinants of practitioners' choices in delegating certain tasks or not. They reveal doctors' desire to limit their ancillary tasks in order to favor better use of time for "medical" tasks. They also expose interest for training medical secretaries and widening their field of competence, suggesting the emergence of a new professional occupation that could be called "medical assistant". Copyright © 2018 Elsevier Masson SAS. All rights reserved.

  17. Study of the radiological procedures used in odontologic clinics of Boa Vista, Roraima, Brazil; Estudo dos procedimentos radiologicos nos consultorios odontologicos de Boa Vista, Roraima

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Jaberson Luiz Leitao

    2002-04-01

    The purpose of this study was to evaluate the radiological procedures used at the odontologic clinics of Boa Vista, Roraima-Brazil. The following parameters were recorded: field diameter, half value layer, total filtration, discrepancy between the preset and the applied kilovoltage and exposure time. Dose to the patient's skin from radiography of the upper molar tooth was also estimated. The results showed that 78% of the inspected units had field diameters larger than 6,0 cm, which is outside the limits recommended by the Brazilian Health Ministry. The results also showed that 14% of the equipment presented a discrepancy of more than 10% between preset and applied kilovoltage. On the other hand, the discrepancy between preset and applied exposure time is higher than 10% in 70% of the tested units. The total filtration of 77% units is lower than 1,5 mm of Al, a value recommended by the Brazilian Health Ministry for equipment that operates in the range of 50 kV to 70 kV. The survey also indicates that for 35% of the units the entrance dose in high than 3,5 mGy that is the reference value established by the Brazilian Health Ministry for dental radiography with film type. It was observed that the majority of the clinics use neither aprons nor collars for patients and that films are processed manually, without controlling temperature or processing time. Based on the results obtained it is strongly recommended that a quality control program be implemented in dental radiological clinics in Boa Vista, Roraima. (author)

  18. Eficacia de la Prueba del Cuy en el Diagnóstico de Patologia Vesicular en Pacientes del Consultorio Particular, Arequipa. 2007 - 2008

    OpenAIRE

    Zeballos Benavides María Candelaria

    2010-01-01

    En la investigación se trata de encontrar los hallazgos en la vesícula de la persona con la Prueba del Cuy y compararlos con los hallazgos de la Prueba Ecográfica para determinar su eficacia. El objetivo del presente estudio de investigación fue evaluar la Eficacia de la Prueba del Cuy (cobayo), en el diagnóstico de Patología Vesicular. Se escogió un grupo de estudio que fue constituido por 21 personas con sintomatología aparentemente vesicular, deseosos de encontrar resp...

  19. Alternancia de lenguas como estrategia de actividad de imagen en la comunicación médico-paciente en un consultorio gallego

    Directory of Open Access Journals (Sweden)

    Vanesa Rodríguez Tembrás

    2016-07-01

    Full Text Available Este trabajo explora la alternancia de lenguas desde un enfoque sociopragmático, entendiendo este fenómeno como estrategia de actividad de imagen en la interacción médico-paciente en Galicia (España, una comunidad de habla bilingüe. El corpus utilizado está formado por grabaciones de audio y entrevistas de profundización en un centro de atención primaria en esta comunidad autónoma, donde el gallego y el castellano son lenguas cooficiales. El 95.8% de la población afirma entender el gallego y el 86.9% lo habla a un nivel alto. Esta investigación es la primera aproximación a porqué los médicos y los pacientes realizan alternancia de lenguas, cuando aparentemente no existe una necesidad derivada de una carencia de competencia lingüística. Nuestra hipótesis es que los hablantes realizan otras estrategias pragmáticas, como es la actividad de imagen, con el fin de (redefinir o (reconstruir su identidad cuando alternan lenguas. Para investigar esto, hemos analizado dos secuencias con el mismo médico. En la primera, tanto el doctor como la paciente realizan alternancia de lenguas del castellano al gallego como estrategias de cortesía por afiliación y de autoimagen. En la segunda secuencia solo la paciente alterna lenguas del gallego al castellano como actividad de autoimagen.

  20. FACTORES ASOCIADOS A LA CALIDAD DE ATENCIÓN PERCIBIDA POR EL USUARIO ATENDIDO EN CONSULTORIO DE PLANIFICACIÓN FAMILIAR. RED DE SALUD AZÁNGARO: 2010

    OpenAIRE

    CHARAJA AÑAZCO, LISBÉ

    2014-01-01

    CONCEPTO DE CALIDAD DE ATENCIÓN ASPECTOS DE LA CALIDAD SERVICIO DE CALIDAD AL CLIENTE NECESIDADES BÁSICAS DEL CLIENTE IMPORTANCIA DE LA GESTIÓN DE LA CALIDAD DEL SERVICIO CONCEPTO DE CALIDAD PERCIBIDA TRATO DIGNO ACCESIBILIDAD Y DISPONIBILIDAD SATISFACCIÓN O ACEPTABILIDAD COMPETENCIA TÉCNICA EL PROBLEMA DE LA CALIDAD EN LA SALUD PARÁMETROS DE CALIDAD EN LOS SERVICIOS DE SALUD DEFINICIÓN DE PERCEPCIÓN ASEGURAMIENTO DE LA CALIDAD LA GESTIÓN DE CALIDAD TOTAL RESULTADOS DE UN SISTEMA DE CALIDAD F...

  1. Modelo de costes ahorrados aplicado a un consultorio médico en el ambiente laboral de una gran obra en construcción

    Directory of Open Access Journals (Sweden)

    Fernando Llorca Castro

    2008-06-01

    Full Text Available Los beneficios de mantener un servicio de consulta médica en las obras en construcción muchas veces son difíciles de percibir por parte de su administración que simplemente lo ven como un requisito más para obtener los permisos. El objetivo es establecer cuáles son los supuestos en tiempos de espera ahorrados en los servicios de urgencias de la zona, en que se produce utilidad financiera en el proyecto de la obra Distrito C, al haber mantenido una consulta médica en el sitio de la obra durante el año 2005.Para ello se ha realizado una evaluación económica del tipo minimización de costes, donde se han empleado los datos disponibles en la contabilidad una vez depurados, información estadística histórica y clasificada para ello y se planteó un modelo de cálculo de tiempo ahorrado en euros basado en supuestos, tomando como precio sombra el salario hora de los trabajadores. El programa genera utilidad financiera con un tiempo de espera en la Seguridad Social correspondiente de 165 minutos o 30 minutos para las diferentes mutuas involucradas, siempre para los casos catalogados como accidentes de trabajo con lesiones (ATL leves o moderados. Programas como el analizado en grandes obras de construcción pueden presentar utilidad financiera, si el entorno de servicios sanitarios en que se desarrollan así lo permiten. Las autoridades deben estimular a las empresas a registrar mejor los tiempos y movimientos en casos de ATL leves y moderadas para poder documentar el coste de esos desplazamientos.

  2. Depresión en el adulto mayor: Estudio de una serie de pacientes de consultorio externo de medicina en el Hospital Nacional Cayetano Heredia

    Directory of Open Access Journals (Sweden)

    José Capuñay Chafloque

    1996-10-01

    Full Text Available Objetivo: Determinar la prevalencia de síntomas depresivos y de la depresión mayor en el adulto mayor. Material y métodos: Se realizó un estudio prospectivo y transversal tipo entrevista de carácter descriptivo en pacientes adultos mayores que acudieron a la consulta ambulatoria de medicina del Hospital Nacional Cayetano Heredia, entre abril y mayo de 1995. Resultados: Se encontró que 75% presentaba algún síntoma depresivo y el 8.3% de pacientes tenían depresión mayor según DSMIV. Los principales síntomas depresivos fueron estado de ánimo depresivo, trastorno del sueño y perdida de energía. Además se realizó revisión de la literatura sobre el tema de depresión en adultos mayores. (Rev Med Hered 1996; 7: 172-177.

  3. PENGARUH PRODUK, MODAL, POTENSI KEUNTUNGAN DAN MEREK TERHADAP KEPUTUSAN MEMBELI USAHA FRANCHISE (STUDI KASUS FOOD FRANCHISE DI SUN PLAZA MEDAN)

    OpenAIRE

    Marhaini; Patuan, G.M.

    2012-01-01

    This research was aimed to determine the effect of products, capital, profits and brand potential of entrepreneurial decision to buy a franchise business. Research methods in this study using purposive random sampling method which is a sampling technique with consideration of the character and characteristics that are determined in advance to limit the sample of study. The analytical method used is descriptive analysis method, and methods of statistical analysis of test validity, reliability ...

  4. Pengaruh Bauran Pemasaran terhadap Persepsi Konsumen dalam Penciptaan Ekuitas Merek: Studi Kasus Restoran Clemmons Bandung Indah Plaza

    OpenAIRE

    Danil, Lilian

    2016-01-01

    Penulis mengajukan suatu kerangka kerja dimana persepsi konsumen atas bauran pemasaran dihubungkan dengan dimensi-dimensi ekuitas merek yaitu persepsi kualitas, loyalitas merek dan asosiasi merek yang dikombinasikan dengan kesadaran merek. Hasil penelitian menunjukkan bahwa persepsi konsumen atas bauran pemasaran dan dimensi ekuitas merek secara signifikan mempengaruhi ekuitas merek secara keseluruhan baik secara simultan maupun parsial, terhadap Brand Equity kecuali Store Image terhadap Bran...

  5. Estudio de reutilización de un edificio sin uso. Plaza de toros de Ibi (Alicante)

    OpenAIRE

    Picó Gómez, Iván

    2015-01-01

    La reutilización de edificios con cambio de uso supone una práctica relativamente usual en la actualidad, cuyo recorrido en la historia ha pasado del mero aprovechamiento de espacios a ser una alternativa de construcción. Muchos son los ejemplos alrededor del planeta sobre esta práctica, la rehabilitación adaptada con cambio de uso, materializándose desde épocas antiguas y existiendo claros ejemplos, como: el Partenón de Atenas, Santa María del Naranco en Asturias o la Catedral de Notre Dame ...

  6. Redefinition of Pedestrian Route-Finding Networks as a Tool to Return Vitality and Responsiveness to Yazd Khan Plaza

    OpenAIRE

    Leila Moghimi; Ali Assari

    2016-01-01

    The requirement of communities to new urban elements has changed urban space and proportional to modern community. These changes have been realized in new urban texture within modernism framework and also in old texture as wearing framework and converted them into ill urban spaces. Removing balance in social life may appear in public scenes at historic textures with which a modern element competes including street. In order to find the most efficient strategy to compensate such imbalance, rea...

  7. Pengaruh Sponsorship Program TV X Factor Indonesia Season 2 Terhadap Brand Awareness OPPO Smartphone Pada Pengunjung Plaza Medan Fair Medan

    OpenAIRE

    Hutajulu, Lidya Adriany Br.

    2015-01-01

    The development of the modern era and increasing competition are some of the problems faced by companies in the business world. The importance of effective marketing strategies in reaching target markets is one of the keys for companies to be successful in marketing their products. Promotion is an important component in the marketing mix. Promotion is an important component in the marketing mix. Through the promotion, the product can be introduced to the public. Brand competition in the busin...

  8. Väljak: siseväljak = Square: inner plaza / Kristi Tuurmann, Tiia Vahula, Riin Kersalu, Kerstin Kivila

    Index Scriptorium Estoniae

    Tuurmann, Kristi

    2013-01-01

    EKA arhitektuuri ja linnaplaneerimise osakonna III kursuse 2009-2012 aastail erialase projekteerimise raames loodud lahendus, kus ei teki raekoja ette traditsioonilist väljakut, pigem "kolib" see avaliku ruumina linnavalitsuse sisse

  9. Predictors of resocialization of patients with schizophrenia: medico-sociological analysis

    Directory of Open Access Journals (Sweden)

    Zhukova О.A.

    2012-03-01

    Full Text Available Processes of urbanization, stressful events and other social trends of the modern world are considered as the social predictors determining the growth of frequency of mental illness. They are directly associated with manifestations of mental disorders, including schizophrenia. The majority of people is subjected to mental disorders living in unfavorable conditions. According to severe social consequences schizophrenia takes the leading position in psychiatry. Course of schizophrenia is one of the main clinical predictors of clinical and social prognosis. The research has established that the clinical predictors determining the severity of non-cancerous condition of patients with schizophrenia are not obligate in the socialization of the patients.

  10. Part 3: Medico-legal documentation Practical completion of pages 2 ...

    African Journals Online (AJOL)

    for medical indications and to detect foreign objects in adults ..... development in rural and urban South African black children. Ann Hum Biol. 1993 .... Darnell C. Forensic science in healthcare: caring for patients, preserving the evidence.

  11. [The issue of medico-legal assessment of noise induced hearing loss: comparison of methods].

    Science.gov (United States)

    Bosio, D; Coggiola, M; Baracco, A; Andreis, P; Perrelli, F

    2011-01-01

    Audiogram classification is crucial for hearing protection of workers occupationally exposed to noise. The methods that have been proposed are based on two principles: the morphological evaluation of the audiometric curve (eg. Merluzzi-Pira-Bosio--MPB) or the average hearing loss on different frequencies (eg. Albera-Beatrice--AB). The purpose of this study was to classify audiograms compatible with chronic acoustic trauma performed at the Occupational Medicine Outpatient Clinic of CTO Hospital in Turin from 2004 to 2011 with the methods outlined in Guidelines published by SIMLII. A substantial agreement among the methods was observed. While MPB is the most appropriate method for secondary prevention, the AB would seem more appropriate for the verification of a permanent weakening that has to be reported to the competent legal authorities.

  12. Statistical behavior of high doses in medical radiodiagnosis; Comportamento estatistico das altas doses em radiodiagnostico medico

    Energy Technology Data Exchange (ETDEWEB)

    Barboza, Adriana Elisa, E-mail: adrianaebarboza@gmail.com, E-mail: elisa@bolsista.ird.gov.br [Instituto de Radioprotecao e Dosimetria, (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2014-07-01

    This work has as main purpose statistically estimating occupational exposure in medical diagnostic radiology in cases of high doses recorded in 2011 at national level. For statistical survey of this study, doses of 372 IOE's diagnostic radiology in different Brazilian states were evaluated. Data were extracted from the work of monograph (Research Methodology Of High Doses In Medical Radiodiagnostic) that contains the database's information Sector Management doses of IRD/CNEN-RJ, Brazil. The identification of these states allows the Sanitary Surveillance (VISA) responsible, becomes aware of events and work with programs to reduce these events. (author)

  13. Radiological informed consent in cardiovascular imaging: towards the medico-legal perfect storm?

    Directory of Open Access Journals (Sweden)

    Loré Cosimo

    2007-10-01

    Full Text Available Abstract Use of radiation for medical examinations and tests is the largest manmade source of radiation exposure. No one can doubt the immense clinical and scientific benefits of imaging to the modern practice of medicine. Every radiological and nuclear medicine examination confers a definite (albeit low long-term risk of cancer, but patients undergoing such examinations often receive no or inaccurate information about radiological dose exposure and corresponding risk directly related to the radiological dose received. Too detailed information on radiological dose and risk may result in undue anxiety, but information "economical with the truth" may violate basic patients' rights well embedded in ethics (Oviedo convention 1997 and law (97/43 Euratom Directive 1997. Informed consent is a procedure needed to establish a respectful and ethical relation between doctors and patients. Nevertheless, in an "ideal" consent process, the principle of patient autonomy in current radiological practice might be reinforced by making it mandatory to obtain explicit and transparent informed consent form for radiological examination with high exposure (≥ 500 chest x-rays. The form may spell-out the type of examination, the exposure in effective dose (mSv, derived from reference values in guidelines or – better – from actual values from their department. The dose equivalent might be also expressed in number of chest radiographs and the risk of cancer as number of extra cases in the exposed population, derived from most recent and authorative guidelines (e.g., BEIR VII Committee, release 2006. Common sense, deontological code, patients'rights, medical imaging guidelines, Euratom law, all coherently and concordantly encourage and recommend a justified, optimized, responsible and informed use of testing with ionizing radiation. Although the idea of informed consent for radiation dose does not seem to be on the immediate radar screen at least in the US, the current practice clashes against these guidelines and laws.

  14. Medico-legal implications of sleep apnoea syndrome: Driving license regulations in Europe

    DEFF Research Database (Denmark)

    Alonderis, A.; Barbee, F.; Bonsignore, M.

    2008-01-01

    Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be a risk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, we looked at driving license regulati......Background: Sleep apnoea syndrome (SAS), one of the main medical causes of excessive daytime sleepiness, has been shown to be a risk factor for traffic accidents. Treating SAS results in a normalized rate of traffic accidents. As part of the COST Action B-26, we looked at driving license...... sleep apnoea syndrome is mentioned in 10 countries. A patient with untreated sleep apnoea is always considered unfit to drive. To recover the driving capacity, seven countries rely on a physician's medical certificate based on symptom control and compliance with therapy, whereas in two countries...... it is up to the patient to decide (on his doctor's advice) to drive again. Only FR requires a normalized electroencephalography (EEG)-based Maintenance of Wakefulness Test for professional drivers. Rare conditions (e.g., narcolepsy) are considered a driving safety risk more frequently than sleep apnoea...

  15. Paranormal experience in a medico-swimming rescue: a case study.

    Science.gov (United States)

    Avramidis, Stathis

    2013-06-01

    This study looks at the case of a 20-year-old fisherman, who was speared in the head, the spear entering at his jaw and protruding from the top of his scull, while he was swimming unaccompanied; he was rescued, admitted to the intensive care unit for an operation, remained in a coma for a few days and then had a full recovery. About 10 days before the rescue, he had visited a monk who, intuited and functioning as channel of the divine spirit, had told him that he 'should not be afraid of anything', rubbing the top of his scull and his jaw exactly at the points through which the 40-inch spear passed. After the incident, the monk prescience again the exact day on which he would recover from the coma. It is concluded that the survival of the fisherman can be attributed to a paranormal event. The monk's prescience permit the assumption that a divine spirit was pervasive throughout the universe and present in this life-threatening situation, endeavouring to assist the lifeguard, the neurosurgeons and the young fisherman.

  16. [Oocyte and embryo donation and surrogacy. Religious, medico-social, ethical, financial and legal problems].

    Science.gov (United States)

    Kozovski, I; Kovachev, M; Angelova, K; Alexandrov, K; Kozovski, G; Markova, V

    2010-01-01

    The authors quote and discuss the postulates of the Orthodox, Jewish, Catholic and Islamic religions towards ART as well as worldwide legislations and standards and the attitude of female students of medicine in Varna. Indications of oocyte and embryo donation and surrogacy are proposed but all kinds or surrogacy should be permitted. The ART legislation and standards in Bulgaria should be thoroughly revised.

  17. Death from Barotrauma Due to Compressed Air: A Medico-legal Analysis.

    Science.gov (United States)

    Giugliano, Pasquale; Massoni, Francesco; Crisci, Antonello; Ricci, Serafino

    2016-11-01

    Lesions of the digestive tract due to barotrauma resulting from compressed air application are not common, are rarely lethal, and largely affect the sigmoid and descending colon. Moreover, their pathogenic mechanism is a topic of discussion because these lesions have multiple characteristics. Here, the authors describe an autoptic case of death from lesions of the ascending and transverse segments, with perforations and bleeding suffusions as well as ischemic areas covered the colonic wall that was extremely thinned, congested, and hemorrhagic, with considerable flattening leading to disappearance of the mucosal folds and with numerous petechial hemorrhages. The pathological framework of lung congestion made it possible to identify the mechanism responsible for this death as depletion of the heart's pumping function, which contributed significantly to the acute respiratory failure due to respiratory distress as well as to reduced mobility of the diaphragm due to intestinal distension. Acute heart failure played an important role in this death. © 2016 American Academy of Forensic Sciences.

  18. Ethno- medico - botanical studies of Badaga population In the Nilgiri district of Tamilnadu, South India

    Science.gov (United States)

    Manikandan, P. N. Arul

    2008-01-01

    The study grains to explore ethno-medicobotany of Badaga population in the Nilgiri hills of Tamilnadu, South India. Ethno botanical field survey and personal discussion methods have been adopted in the collection of data. A list of 71 flowering plants belonging to 42 families, 67 genera and 70 species are employed by the Badaga popu-lation in their native system of medicine for therapeutic purposes. In reviewing ethnomedical information, data on folk herbal remedies and their various methods of applications for treating a wide range of ailments have been furnished. A brief description of plants, their habitat, family and local Badaga names are outlined here. PMID:22557279

  19. COMPLIANCY AS A MEDICO-SOCIAL AND ETHIC PROBLEM OF PEDIATRICS

    Directory of Open Access Journals (Sweden)

    G. L. Mikirtichan

    2012-01-01

    Full Text Available The article represents the clinic-sociological analysis of the compliancy among pediatric patients and the estimation of various factors influence on the patients’ and their surroundings’ adherence to the treatment regimen. For the compliance assessment physicians, children with allergic dermatosis at the age of 13–18 years old (n =295 and their parents (n =270 were interrogated with the special questionnaires. Received data confirms that there is decrease in compliance among the pediatric patients and their patients. It is more significant in older girls than in boys.

  20. medico-legal an overview of some of the key legal developments in ...

    African Journals Online (AJOL)

    Enrique

    equipped to admit a child with HIV as none of its teachers ... Head, Legal Unit, AIDS Law Project, and Centre for Applied Legal Studies, University of the Witwatersrand, Johannesburg ... once they have certified that the test or treatment is in the.

  1. French Medico-Administrative Data to Identify the Care Pathways of Women With Breast Cancer.

    Science.gov (United States)

    Lefeuvre, Delphine; Le Bihan-Benjamin, Christine; Pauporté, Iris; Medioni, Jacques; Bousquet, Philippe-Jean

    2017-07-01

    Study of the care pathways is an important topic for care planning, as well as to observe guidelines application. This study aimed to describe care pathways and the period of time between treatments of women with breast cancer (BC), at a population level. Women with in situ, local and regional BC who were hospitalized and newly treated in 2012 were included and followed for 1 year. Care pathways were described, focusing on surgery (partial mastectomy [PM], total mastectomy [TM]), chemotherapy, and radiotherapy. The periods of time between treatments were measured and compared with the guidelines. The study involved 52,128 women. The most common care pathways among the 2845 women with in situ BC were PM-radiotherapy (46.7%) and TM (28.5%). Among the 41,470 women with local BC, they were: PM-radiotherapy (44.8%) or PM-chemotherapy-radiotherapy (16.0%). The 7813 women with regional BC had similar care pathways, although chemotherapy was given more frequently (73%). The periods of time between surgery and chemotherapy were in accordance with the guidelines for 98% of the women; those between surgery and radiotherapy were affected by adjuvant chemotherapy. Finally, the time between chemotherapy and radiotherapy was longer than recommended for 40% of the women. The French medicoadministrative databases allow the study, at a national population level, of the care pathways and periods of time between treatments of women with BC according to the stage of the disease. They were close to the guidelines, although an improvement is highly necessary. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Medical uses non-ionizing radiation; Uso medicos de radiaciones no ionizantes

    Energy Technology Data Exchange (ETDEWEB)

    Ubeda Maeso, A.; Trillo Ruiz, M. A.

    2016-08-01

    This article reviews various clinical applications of non-ionizing radiation, focusing on the Hz-GHz frequency range. Depending on the signal characteristics, the applications cover several therapeutic areas, including osteology and traumatology, tissue regeneration, physiotherapy, chronic pain treatment, neurology, cardiology, urology and oncology. Electromagnetic therapies have proved simple, safe, low cost, devoid of side effects and able to treat the underlying pathology rather than simply alleviate the symptoms. Therefore, it is predictable that these therapies will have as serious impact on public health and associated costs. (Author)

  3. Health Care Service for Irradiated and Contaminated Individuals; Servicio medico especializado. Asistencia a irradiados y contaminados

    Energy Technology Data Exchange (ETDEWEB)

    Herranz Crespo, R.

    2007-07-01

    Since the Radiopathology Centre, CRP, of Madrid's Hospital General Universitario Gregorio Maranon, HGUGM, began operating as a Health Care Service for Irradiated and Contaminated Individuals, it has gained experience over 22 years of official activity, since its recognition in 1985. This experience is described by the author along with the availability of resources and the reasonable use of these resources for a radiological emergency situations. A proper assessment of the Physical and Biological dosimetry can lead to confirmation of the dose supposedly received by the individual referred because of suspected overexposure. The CRPs Biological Dosimetry procedure is described, with its indications and means of evaluation, which has led to dose-effect curves and basal studies in different populations for subsequent practical application. The typification of radiological emergencies and the data to be collected in the event that casualties are referred to the CRP have led to proposals for action guidelines that aim to simplify the applicable procedures, including eventual prophylaxis with Iodine and the appropriate use of chelating agents. Finally, the resources and portfolio of services that ensure the operability of the CRP are described, together with identification of the procedures of communication with the CRP. (Author)

  4. Part 3: Medico-legal documentation Practical completion of pages 2 ...

    African Journals Online (AJOL)

    revision so that the research and advances in knowledge that have taken place .... the female breasts, and not the menarche.3 The information is of medical value in .... Examination on a lap makes the prone knee-chest position difficult, but not.

  5. ESTADO ACTUAL DEL TRATAMIENTO MEDICO DE LA ULCERA PEPTICA, EXPERIENCIA COLOMBIANA

    Directory of Open Access Journals (Sweden)

    Alberto Albornoz Plata

    1984-07-01

    Full Text Available

    SUMARIO

    a La úlcera péptica en la actualidad ha sufrido un cambio positivo en su tratamiento médico y prevención desde el año 77, año de la introducción de la cimetidina y posteriormente con el hallazgo de otras drogas similares aún más potentes como la ranitidina, la oxmetidina y la droga antimuscarínica pirenzepina.
    En el futuro se vislumbra poder utilizar drogas anti-enzimáticas de acción sobre la célula
    parietal para bloquear sistemas enzimáticos necesarios para la producción del HCL (tipo omeprazoles, timotrazoles y fenoctimina.
    b Gracias a esas drogas la dieta es amplia, fácil de cumplir sin alterar los actos sociales y de trabajo del paciente. Todo esto obra indirectamente como un SISTEMA ANTI-STRESS ya que el paciente, sintiéndose mejor, pudiendo dormir por no tener dolor, llevando una vida normal tanto social como de trabajo, vive más tranquilo y más confiado. Todo esto le
    confiere un estado de seguridad, de tranquilidad y bienestar tanto mental como fisico.

    Los anti-ácidos se usan en plan opcional y ocupan un segundo lugar muy distante en la terapéutica antiulcerosa.
    Los antiguos anticolinérgicos prácticamente están entrando en la historia pasada de la farmacología como drogas antiulcerosas.
    c Un estudio multicéntrico colombiano con pirenzapina en 59 pacientes con enfermedad ulcerosa produce eficacia terapéutica en eI91.5% que es una cifra similar a la obtenida en otros países de Europa,

    Canadá y Estados Unidos, cifras que allí van desde el 68 hasta el 95% de éxito; los efectos colaterales son mínimos (algunos casos de sequedad bucal sin afectar las esferas sexual, hepática o cerebral.
    d La citoprotección que se logra con las drogas específicas es en la actualidad un gran avance terapéutico cuando hay necesidad de utilizar aspirinas, aspirinoides y/o esteroides en pacientes ulcerosos o con historia de enfermedad digestiva alta y más aún si hay antecedentes hemorrágicos.

  6. The ethical and medico-legal issues of trauma care | Hardcastle ...

    African Journals Online (AJOL)

    Abstract. Ethical issues confront trauma clinicians on a daily basis. This article highlights the similarities of trauma ethical dilemmas to those faced by other emergency care providers and takes the reader through the inpatient aspects of trauma care.

  7. Medico-Science and School Hygiene: A Contribution to a History of the Senses in Schooling

    Science.gov (United States)

    Milewski, Patrice

    2014-01-01

    This article takes as its inspiration Ian Grosvenor's conjectural essay presented for the symposium "Historiography of the Future: Looking Back to the Future" held at the International Standing Conference for History of Education (ISCHE) 33 in July 2011 in San Luis Potosi, Mexico. It contributes to a sensory history of schooling by…

  8. Medico-legal aspects of congenital heart diseases in buying and selling of pets

    Directory of Open Access Journals (Sweden)

    Annamaria Passantino

    2017-01-01

    Full Text Available Aim: The veterinarian should be able to assess congenital and inherited malformations such as heart defects because they may be object of legal disputes. In this study, the authors report some cases of congenital heart defects in pets (dogs and cats to clarify whether or not they may be considered a redhibitory defect. Materials and Methods: A total of 28 medical records of pets referred with suspected congenital heart disease were examined. All patients aged between 3 and 24 months underwent clinical examination, chest X-ray examination, electrocardiogram, and echocardiography and angiocardiography when necessary. Results: Congenital heart diseases or associated cardiac malformations were confirmed. Considering the above congenital diseases as redhibitory defect and the rights of the owners from a strictly legal viewpoint, 9 owners demanded an estimatory action and 11 a redhibitory action; 1 owner decided to demand the reimbursement of veterinary expenses because the animal died; 7 owners took no legal action but requested surgical intervention. Conclusions: Until more appropriate and detailed legislation on the buying and selling of pet animals is put in place; the authors propose to include in the contract a temporal extension of the guarantee relating to congenital heart disease, which can often become evident later.

  9. Ethics and responsibility of the physics physician; Etica y responsabilidad del fisico medico

    Energy Technology Data Exchange (ETDEWEB)

    Villasenor N, L. F. [Hospital General de Mexico, Unidad de Radioterapia, Dr. Balmis No. 148, Col. Doctores, 06726 Mexico D. F. (Mexico)

    2008-12-15

    Professional ethics in radiation protection is characterized by high set of standards governing the conduct of any professional who is responsible for enforcing o accomplish with a set of laws and rules aimed at protecting the individuals health and the physical security of radiation sources. Without losing sight of the fulfillment of these obligations are not limited to such minimum standards and expressed as active all have a right to recognize and accept the consequences of an act done freely. There are a number of institutions that function as moral and ethics authorities in radiation protection, such as the IAEA, the Committee on Radiation Protection and Public Health at the NEA, the UNSCEAR, in addition to national authorities in each country. There are also a reference regulatory framework which includes the Regulatory Law to Article 27 of the Constitution in the Nuclear Matter, the General Regulation of Radiation Safety and the Mexican Official Standards. The use of radiation sources representing a wide range of charitable purposes but their use involves risks due to possible radiations exposure. Hence arises the need to protect individuals, society and environment against the adverse effects of possible accidents and malicious acts involving radioactive sources. In the case of the physics physician, there is a matrix of responsibilities under obligations not only in terms of treatment planing, but also equipment, dosimetry, radiation protection and even some kinds of academic and administrative. (Author)

  10. Part 2: Medico-legal documentation Practical completion of pages 1 ...

    African Journals Online (AJOL)

    Part 3 will address the sexual assault section of the J88 form. As a legal document, ... shown that suspects can manipulate crucial biological results and examinations to ..... of speech, and orientation with regard to the time, place and person.3.

  11. Breakdowns in communication of radiological findings: an ethical and medico-legal conundrum

    OpenAIRE

    Berlin, Leonard; Murphy, Daniel R.; Singh, Hardeep

    2014-01-01

    Communication problems in diagnostic testing have increased in both number and importance in recent years. The medical and legal impact of failure of communication is dramatic. Over the past decades, the courts have expanded and strengthened the duty imposed on radiologists to timely communicate radiologic abnormalities to referring physicians and perhaps the patients themselves in certain situations. The need to communicate these findings goes beyond strict legal requirements: there is a mor...

  12. Breakdowns in communication of radiological findings: an ethical and medico-legal conundrum.

    Science.gov (United States)

    Berlin, Leonard; Murphy, Daniel R; Singh, Hardeep

    2014-12-01

    Communication problems in diagnostic testing have increased in both number and importance in recent years. The medical and legal impact of failure of communication is dramatic. Over the past decades, the courts have expanded and strengthened the duty imposed on radiologists to timely communicate radiologic abnormalities to referring physicians and perhaps the patients themselves in certain situations. The need to communicate these findings goes beyond strict legal requirements: there is a moral imperative as well. The Code of Medical Ethics of the American Medical Association points out that "Ethical values and legal principles are usually closely related, but ethical obligations typically exceed legal duties." Thus, from the perspective of the law, radiologists are required to communicate important unexpected findings to referring physicians in a timely fashion, or alternatively to the patients themselves. From a moral perspective, radiologists should want to effect such communications. Practice standards, moral values, and ethical statements from professional medical societies call for full disclosure of medical errors to patients affected by them. Surveys of radiologists and non-radiologic physicians reveal that only few would divulge all aspects of the error to the patient. In order to encourage physicians to disclose errors to patients and assist in protecting them in some manner if malpractice litigation follows, more than 35 states have passed laws that do not allow a physician's admission of an error and apologetic statements to be revealed in the courtroom. Whether such disclosure increases or decreases the likelihood of a medical malpractice lawsuit is unclear, but ethical and moral considerations enjoin physicians to disclose errors and offer apologies.

  13. The Development of the Interface between Law, Medicine and Psychiatry: Medico-Legal Perspectives in History

    Directory of Open Access Journals (Sweden)

    M Swanepoel

    2009-12-01

    Full Text Available Medicine and law were related from early times. This relation resulted as a necessity of protecting communities from the irresponsible acts of impostors. Various legal codes dealing with medical malpractice existed in Egypt, Mesopotamia, China, Islam, Greece, Rome, Persia and India. Over the course of the past 30 years, interest in the history of psychiatry has boomed. Much of this proliferation of interest has taken place under the broad influence of postmodernism and has resulted in multiple and diverse histories that no longer seek to provide a linear narrative of constant evolutionary progress. Rather, these new histories explore and disrupt taken for granted assumptions about the past and provide a starting point for discussion and debate about the some of the very foundations of mental health care in South Africa. As a matter of practical importance knowledge of how knowledge accrues and knowledge of the mistakes of the past is of prime importance in preventing similar mistakes in present and future work. An important reason for specifically understanding historical psychiatry is the fact that many of the uncertainties experienced in the present are a direct result of decisions made in the past. The key issue is that while it is tempting to experience current psychiatric and legal approaches towards the mentally disordered as natural and permanent, an understanding of the past helps mental health and legal practitioners to see things in a different perspective. Psychiatric and legal approaches towards the mentally disordered have changed over time and can undoubtedly also be changed in future. Therefore, the research conducted in this article focuses on the history and development of law and psychiatry including prehistoric times, the Arabian countries, the Nile Valley as well as Greece and Rome.

  14. IGF-1 abuse in sport: clinical and medico-legal aspects.

    Science.gov (United States)

    Molinelli, A; Bonsignore, A; Cicconi, M; Cioè, A; Traverso, A

    2010-12-01

    The frequent revisions of prohibited substances list established by WADA are aimed at keeping up with those drugs that, being increasingly used in medicine and in sports, play on one side a therapeutic role and, on the other, a doping role. Among the various hormone substances widely used in sports, the authors draw particular attention on IGF-1, a growth factor that is rapidly widespreading among athletes. Moreover, IGF-1 diffusion is not exclusively correlated with the doping phenomenon, being various the pathological conditions that may require the therapeutic use of this substance. As a consequence, during pathologies or medical treatments of various nature, the athletes should be informed of the IGF-1 administration because, if they are not duly apprised, they risk undergoing unjust sanctions from the competent authority. In fact, the athlete is given the possibility of communicating, before using, he is taking a medication of the WADA list for therapeutic reasons by applying for a TUE (Therapeutic Use Exemption). If this application is accepted on certified clinical grounds, the athlete will be allowed to use that substance even during sports competitions. However, the IGF-1 detection in the athlete's body shows, at the present state-of-art, two different problems: the first one has a technical character and concerns the differential diagnosis between the quantity of the physiologically produced substance and the quantity of the exogenously administrated substance; the second problem has an economic character and regards to the high cost of the analysis and, consecutively, the necessity of finding a well-equipped laboratory centre.

  15. Measuring the performance of business model configurations: A field study from the medico tech industry

    DEFF Research Database (Denmark)

    Thomsen, Peter; Nielsen, Christian; Lund, Morten

    . Findings – Our findings illustrate the process of translating business models to KPIs. This is achieved by translating the identified business model configuration to a set of value drivers that are then translated to KPIs. Our data illustrates difficulties in narrowing down the amount of KPIs...... to a reasonable amount and how applying the main storyline and focusing on key value drivers are mechanisms that support this process. Research limitations/implications – This study explores the notions of linking KPIs to distinct ways of creating value. Some difficulties are found in generalizing the results due...... to lack of cross-industry datapoints. Practical implications – Managers need a decision support tool that can provide inspiration for which KPIs that in total best support the value creation mechanisms of their firm. Instead of choosing KPIs from random lists, the KPIs suggested through the 5V ontology...

  16. Measurement analysis using the Fricke dosemeter; Analise de medicoes com o dosimetro Fricke

    Energy Technology Data Exchange (ETDEWEB)

    Pedrosa, G A.C. , [Instituto Nacional de Metrologia (INMETRO), Rio de Janeiro, RJ (Brazil); Dantas, C.C. [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. de Energia Nuclear], e-mail: ccd@ufpe.br; Campos, C.A. [Centro Regional de Ciencias Nucleares do Nordeste (CRCN-NE/CNEN-PE), Recife, PE (Brazil)], e-mail: auster@elogica.com.br

    2003-07-01

    The Fricke dosemeter has been used for absolute determination of the radiation dose between 40 and 350 Gy for X-rays, Gamma rays and fast electrons energies. The great inconvenient of that dosimetric system is the impossibility of using for measurements of exposure or low dose rates. A Fricke dosimetry system was implanted at the Nuclear Sciences Regional Center (CRCN), in Recife, Pernambuco state, Brazil, for the determination of radiation doses for spectrometry and mass dosimetry with plasma source. The statistical analysis of the obtained results have shown that using the spectrometric method that system cna be used for maintenance of factors of CRCN standard calibrations and the dose assessment thru mail system of radiotherapy centers of the country.

  17. MEDICO-LEGAL HIV/AIDS, LAW AND ETHICS: A BRIEF ANALYSIS ...

    African Journals Online (AJOL)

    Enrique

    ... are in a unique situation, as both legal and ethical rules apply to a ... Guidelines for the Management of Patients with HIV. Infection or ... process of obtaining informed consent from a patient. Not ... narrowly construed and applied. Although ...

  18. Measuring the performance of business model configurations: A field study from the medico tech industry

    DEFF Research Database (Denmark)

    Thomsen, Peter Poulsen; Nielsen, Christian; Lund, Morten

    This study suggests applying the lenses of Activity Systems Theory and Representation Theory in relation to the study of business models. It examines the link between the 71 business model configurations identified by Taran et al. (2016) and performance measures through the mechanisms of value dr...

  19. LIFESTYLE PECULIARITIES OF MODERN MYOPIC SCHOOLCHILDREN: A MEDICO-SOCIAL STUDY

    Directory of Open Access Journals (Sweden)

    M.E. Gurileva

    2011-01-01

    Full Text Available Myopia — is the most common vision defect, that is being formed due to impaired school routine, work and recreation conditions, motion activity and against the background of increased physical and psychological stress. Study objective: study lifestyle peculiarities of myopic schoolchildren. Methods: 349 pupils from 5–9 forms of a school with profound studying of various subjects were interviewed using a specially designed questionnaire. After a preventive examination the schoolchildren were divided into two groups according to ophthalmologists report, comparable by age and gender (162 myopic vs 182 without myopia. Results: all participants were poorly informed about myopia and possible preventive care, and during breaks behaved themselves in an unreasonable way judging from the positions of vision care. At home myopic children tended to spend more time doing their homework and on extracurricular studies, as well as on reading; these children in general spent more time watching TV or working on a computer; failed to rest properly, couldn’t switch from one type of activity to another, were working under conditions of unreasonable vision workload. In contrast to participants from control group, myopic schoolchildren spent less time resting: they were sleeping less and spent less time outdoors. Conclusion: revealed lifestyle peculiarities of modern myopic schoolchildren must become a target for preventive care. Their irrational lifestyle can be corrected by correction of daily routine, better organization of extracurricular exercises, visual exercises, better education of schoolchildren about disease risk factors.Key words: schoolchildren, myopia, risk factors.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2011; 10 (4: 5–9

  20. Medico-legal implications of mobbing. A false accusation of psychological harassment at the workplace.

    Science.gov (United States)

    Jarreta, Begoña Martínez; García-Campayo, Javier; Gascón, Santiago; Bolea, Miguel

    2004-12-02

    Mobbing, or psychological harassment at the workplace, is usually defined as a situation in which a person or a group of people engage in extreme psychological violence against another person. In Spain, the number of reports for mobbing has increased extraordinarily in the last years. The reports are increasing dramatically not only before the Labour Courts, but also before the Civil Courts, with claims for damages, and before the Penal Court for offences causing physical or moral injury, etc., since at the present time this figure is not typified as an offence in the Spanish Penal Code. The high degree of complexity of this situation has given rise to frequent misuse of the term and to a number of false accusations of mobbing. A recent European Parliament Resolution on harassment at the workplace addressed the devastating consequences of false accusations. In this paper we present a case in which the "false" victim was mentally ill (paranoia) but succeed in generating an extreme dangerous environment of great harassment against the "false" assailants that were "falsely" accused of mobbing. Forensic diagnosis of the psychiatric disorder suffered by the "false" victim was essential to clarify the issue at the Penal Court.

  1. MEDICO-SOCIAL CHARACTERISTICS OF POPULATION GROUPS SEEKING FOR DENTAL CARE IN POLYCLINICS SMOLENSK

    Directory of Open Access Journals (Sweden)

    Светлана Николаевна Дехнич

    2013-09-01

    Full Text Available The research’s aim is to give health-social characteristic of contingents of the urban population, seeking for outpatient dental care, including a comparative estimation of stomatological index of life quality (SILQ by doctors and patients.Novelty: Was installed the difference in the estimation of work sets SILQ by doctors and patients.Methodology of the research work. It was used an advantage «Card of studying the dental health» for holding the research, including the objective and subjective expert estimations of the dental patient’s status by doctors. This information was comparing with the subjective estimation of SILQ by patients. The sample volume was about 400 people out of number of people, seeking for outpatient dental care in state budget dental clinics during 2011-2012 years.Results. Was installed mostly very high level of prevalence of caries, the destruction of fabrics of parodont reaches 100 % with the age. The stomatological index of life quality among the patients, seeking for outpatient care is low. One of the reasons- a low population’s sanitary culture. A big part of patients seek in case of acute pain(40%. Out of three components of SILQ the criteria of social welfare got rather high estimation. The lowest estimation was given to moral psychological well-being criteria. In this case the moral psychological well-being criteria was given a higher estimation by doctors then by patients (in 1,8. The criteria of the physical and social well-being is lower compared with the patient’s (in 1,8 and 1,2 times respectively.Practical implication: Indicators SILQ may be the basis for planning activities of stomatological polyclinics, including the preventive dentists’ work.DOI: http://dx.doi.org/10.12731/2218-7405-2013-6-46

  2. Piercing and tattoos in adolescents: legal and medico-legal implications

    Directory of Open Access Journals (Sweden)

    Conti Adelaide

    2018-04-01

    Full Text Available Non-therapeutic body modification interventions are permitted within the limits of the use of one’s own body that can be specified in the legal system. The authors take into consideration Italian regulation on tattooing and piercing, in particular in relation to adolescents.

  3. Piercing and Tattoos in Adolescents: Legal and Medico-legal Implications.

    Science.gov (United States)

    Conti, Adelaide; Bin, Paola; Casella, Claudia; Capasso, Emanuele; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Terracciano, Lucia; Piras, Mauro

    2018-01-01

    Non-therapeutic body modification interventions are permitted within the limits of the use of one's own body that can be specified in the legal system. The authors take into consideration Italian regulation on tattooing and piercing, in particular in relation to adolescents. In Italy, several regions have therefore issued acts aimed at regulating the activities of tattoo and piercing also in reference to minors. Discussion. With regard to minors, the rules taken into account set precise limits in relation to the age criterion and subordinate the implementation of such practices to the provision of consent by legal representatives. If such practices are of an aesthetic nature, we cannot avoid considering the implications they have on health protection, and then adopt appropriate measures to protect the person who intends to undergo them, particularly in the case of minors.

  4. Costos medicos directos en pacientes con enfermedad pulmonar obstructiva Crónica en Mexico.

    Science.gov (United States)

    Nevárez-Sida, Armando; Castro-Bucio, Augusto Javier; García-Contreras, Fernando; Cisneros-González, Nelly

    2017-12-01

    chronic obstructive pulmonary disease (COPD) is a progressive, incurable and potentially mortal. COPD generates a high burden of illness and decreased quality of life in patients. The aim of this study was to determine the direct medical cost of COPD and the primary variables associated. We conducted a multicenter clinical study, based in a retrospective cohort as base of a partial economic evaluation in patients diagnosed with moderate to severe COPD. It was considered an institutional point of view to determine medical costs, with an annual time horizon. For analysis of associations between explanatory and end point variables, a generalized lineal regression model was developed. We analyzed data from 283 patients, Fifty-nine percent were women, the average age was 72 years ± 11, Sixty-five percent of patients had a history of smoking and 57.6 % were exposed to wood smoke. The annual direct medical costs (MXN 2016) was 20,754 and 41,887 for patients with moderate and severe COPD, respectively, this difference is mainly due to the use of oxygen as well as longer hospital stay (12.9 vs. 24.7 days) of patients with severe COPD. Although the severity level is associated with greater health care costs, the quality of life of the patients should be considered carefully because it is inversely associated with the cost of care for patients with COPD. Copyright © 2017. Published by Elsevier Inc.

  5. Medico-legal analysis of a case of mass shooting

    Directory of Open Access Journals (Sweden)

    Roman Kuruc

    2014-12-01

    Full Text Available Despite the existence of organised crime in Slovakia, no case has ever been monitored in which one individual used a firearm against several people, as happens in the U.S. or in Western Europe. The aim of this work is to demonstrate a “unique” case in the history of Slovak criminality, when six members of one family were killed and some other accidental victims were wounded or even killed by one perpetrator using a firearm.

  6. THE MEDICO-SCIENTIFIC MARGINALISATION OF HOMEOPATHY: INTERNATIONAL LEGAL AND REGULATORY DEVELOPMENTS.

    Science.gov (United States)

    Freckelton, Ian

    2015-09-01

    The 2010 report of the United Kingdom Science and Technology Committee of the House of Commons and the 2015 report of the Australian National Health and Medical Research Council have overtaken in significance the uncritical Swiss report of 2012 and have gone a long way to changing the environment of tolerance toward proselytising claims of efficacy in respect of homeopathy. The inquiry being undertaken in the United States by the Food and Drug Administration during 2015 may accelerate this trend. An outcome of the reports and inquiries has been a series of decisions from advertising regulators and by courts rejecting medically unjustifiable claims in respect of the efficacy of homeopathy. Class actions have also been initiated in North America against manufacturers of homeopathic products. The changing legal and regulatory environment is generating an increasingly scientifically marginalised existence for homeopathy. That new environment is starting to provide effective inhibition of assertions on behalf of homeopathy and other health modalities whose claims to therapeutic efficacy cannot be justified by reference to the principles of evidence-based health care. This has the potential to reduce the financial support that is provided by insurers and governments toward homeopathy and to result in serious liability exposure for practitioners, manufacturers and those who purvey homeopathic products, potentially including pharmacists. In addition, it may give a fillip to a form of regulation of homeopaths if law reform to regulate unregistered health practitioners gathers momentum, as is taking place in Australia.

  7. Survey of medico-legal investigation of homicide in the region of Epirus (Northwest Greece).

    Science.gov (United States)

    Fragkouli, Kleio; Boumba, Vassiliki; Vougiouklakis, Theodore

    2016-01-01

    This study analyzed the forensic features of homicides in North-West Greece (Epirus) from 1998 to 2013, a borderland area between Greece and Albania. Although Greece is critically influenced by both the increasing flow of refugees and the current socioeconomic crisis, very little information has been published regarding the patterns of homicide in the country. Fifty-eight autopsied victims (36 males; 22 females) were investigated. The median age was 37 years old. The average annual homicide rate was 0.85 per 100,000 inhabitants and showed remarkable fluctuation, with largest increase during Greek financial downturn. Sixteen victims were not Greek citizens. The most common method of commitment was the use of firearm (40%). The main motives were economical causes (26%) and passion (14%). Four cases were categorized as matricide (7%), 3 as homicide-suicide (5%), 2 as patricide (3%) and 1 as infanticide (2%). Toxicological analysis proved negative for ethanol and other psychotropic substances in the majority of the victims (50%). There is an urgent need for public actions both in Epirus and in Greece, with the application of effective strategies against criminality. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  8. A Management Guide to Asbestos: Medico-Legal, Regulatory, and Hazard Abatement Considerations

    Science.gov (United States)

    1986-08-01

    of the medical hazards of asbestos exposure. Essentially, plaintiffs suffer from a failure of the courts to apply the doctrine of collateral estoppel ...93-114. Brennan, Troyen A, "Collateral Estoppel in Asbestos Litigation." Environmental Law 14 (1983): 197-222. Brodeur, Paul. ’The Asbestos

  9. HANNIBAL REVISITED: ANTISOCIAL PERSONALITY DISORDER VERSUS PSYCHOPATHY--MEDICO-LEGAL PERSPECTIVES FROM SOUTH AFRICA.

    Science.gov (United States)

    Stevens, Philip

    2014-07-01

    Psychopathy and its relation to criminal behaviour has been the focus of clinical research for many years. Within the context of South African criminal law, the impact of psychopathy on criminal liability has been addressed in numerous decisions with varying outcomes all indicative of the reality that psychopathy will at most serve as a factor in mitigation of sentence, but will not exonerate an accused of criminal responsibility. In this contribution, the author reflects on the diagnostic entities of psychopathy and antisocial personality disorder against the backdrop of South African criminal law cases in terms of which either of these entities were raised in support of mitigation of sentence and/or as extenuating circumstances.

  10. Do companies experiment with business model configurations? Evidence from the medico-tech industry

    DEFF Research Database (Denmark)

    Montemari, Marco; Thomsen, Peter; Schaper, Stefan

    of the research sample, which contains 80 companies from several industry segments and of certain value chain positions. In some of these segments the number of companies is particularly limited (e.g. virtual reality, sensory, etc.). Practical implications – The paper presents a process useful for companies...... distinct BM configurations according to Taran et al.’s (2016) 5-V ontology in 80 companies in the medical-technology industry. The mapping tool is used in a content analysis format. Four researchers took part in the mapping exercise to ensure reliability of the results. Findings – Companies operating...

  11. Mob justice in Tanzania: a medico-social problem | Ng'walali ...

    African Journals Online (AJOL)

    African Health Sciences. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 6, No 1 (2006) >. Log in or Register to get access to full text downloads.

  12. Mob justice in Tanzania: a medico-social problem | Ng'walali ...

    African Journals Online (AJOL)

    Objective: To investigate the magnitude of mob justice and associated factors. Background: Mob justice is a social and public health problem that has grown in Tanzania in recent decades that has negative effects on social and health of the country, communities, and families. Materials and Methods: A four-year autopsy ...

  13. Medical advancements: emergency contraception (EC). Medico-legal implications of EC on adolescents.

    Science.gov (United States)

    Signore, F; Napoletano, S; Bruti, V; di Luca, N M

    2018-01-01

    The article's main focus is documenting what the best options are in order to make sure that minors are allowed to play a key role in the management of issues arising from the use of emergency contraception. In that regard, there is a lack of clean-cut legislative measures and, although there are several legal and ethical norms designed to get parents or legal guardians involved in such decisions, there seems to be an increasingly widespread tendency to give weight to the minor's will, thus acknowledging her decision-making capacity. Lastly, the paper's authors undertake a thorough examination as to what the duties of doctors are, and the measures that need to be put in place in order to safeguard the minor patients' conditions. They arrive at the conclusion that emergency contraception is suitable for minors even in absence of the stated consent from their parents or guardians, but it is of utmost importance to implement adequate measures aimed at the provision of proper care, prevention and education.

  14. 4.2. Medico-biological investigations and experiments on animals

    International Nuclear Information System (INIS)

    Khalikov, D.Kh.

    2012-01-01

    The hemo compatibility of cross-linked polymers was studied. Experiments were carried out on 18 healthy dogs by means of hemo sorption through hydrogels. The diagram of change of erythrocytes, leucocytes, haemoglobin, erythrocyte sedimentation rate and hematocrit rate at hemo sorption of healthy dogs is presented. Changes of peripheral blood after its passing through sorbents were considered. Changes of peripheral blood at extra corporal detoxication were studied as well. The effectiveness of hemo sorption by means of ethynyl piperidol polymers at treatment of acute radiation sickness was studied. It was found that hemo sorption by cross-linked ethynyl piperidol polymers purify the animal blood from peptide toxins.

  15. Piercing and Tattoos in Adolescents: Legal and Medico-legal Implications

    Science.gov (United States)

    Conti, Adelaide; Bin, Paola; Casella, Claudia; Capasso, Emanuele; Fedeli, Piergiorgio; Salzano, Francesco Antonio; Terracciano, Lucia; Piras, Mauro

    2018-01-01

    Abstract Non-therapeutic body modification interventions are permitted within the limits of the use of one’s own body that can be specified in the legal system. The authors take into consideration Italian regulation on tattooing and piercing, in particular in relation to adolescents. Results In Italy, several regions have therefore issued acts aimed at regulating the activities of tattoo and piercing also in reference to minors. Discussion. With regard to minors, the rules taken into account set precise limits in relation to the age criterion and subordinate the implementation of such practices to the provision of consent by legal representatives. Conclusion If such practices are of an aesthetic nature, we cannot avoid considering the implications they have on health protection, and then adopt appropriate measures to protect the person who intends to undergo them, particularly in the case of minors. PMID:29675481

  16. 78 FR 26416 - Environmental Impact Statement: City of Buffalo, Erie County, New York

    Science.gov (United States)

    2013-05-06

    ... from the US Border Port of Entry/Peace Bridge Plaza (Plaza), in the City of Buffalo, Erie County, New... Drive, and to provide alternate access from Porter Avenue to the Plaza. Letters describing the proposed...

  17. Appraisal of the renal function in health donors of the Specialities Hospital Centro Medico La Raza, IMSS; Valoracion de la funcion renal en donadores sanos del Hospital de Especialidades Centro Medico La Raza, IMSS

    Energy Technology Data Exchange (ETDEWEB)

    Llanos O, S.V

    2004-07-01

    The techniques of Nuclear Medicine (MN) represent the most reliable and sure forms in measurement of the glomeruli filtrate (FG) and of the effective renal plasmatic flow (FPRE), by means of a simple, practical, innocuous and economic method that doesn't require urine gathering, available in the services of (MN). The renal gamma gram is at the moment the election procedure in the diagnosis and evaluation of diverse nephro urological pathologies since it provides objective information of the renal function as well as of the characteristics of the drainage of the urinal tract. They provide to the clinical doctor a real measurement of the state of the purifying renal function. their determinations are not affected by the habitual protein ingesta, they can be made with any level of seric creatinine, the exercise, size, sex. Their methodology uses the unique injection technique for each one, in which the renal purification is determined by means of Gary Gates method and the tubular secretion by based on the method of Schlegel. These techniques show a very high correlation coefficient with those standard of gold and they lack the inherent inconveniences to the technique of urine gathering. The used radiopharmaceuticals are diethylen triamine penta acetic-Tc {sup 99m} acid and Orto iodine hippurate- I{sup 131} the only requirement for the realization of the study is an appropriate hydration (10-15 ml/Kg is calculated.) (Author)

  18. [Legal and medico-legal issues in adolescent medicine. A critical review of the present regulation and legislation].

    Science.gov (United States)

    Schwarzenberg, T L; Buffone, M R

    2001-02-01

    During the last years the Italian Government has taken many different initiatives to protect the adolescents rights to benefit from physical, psychical and social well-being. In particular, various projects concerning the promotion and the support of the school, the family, sport, mass-media, judicial and medical infrastructures, have been organised, promoted and financed. However, it is not always possible to assure a real safeguarding of teenagers rights; this especially happens because the problem concerning the autonomous capacity of minors to consent (or non consent) to the medical treatment is much debated. However, many contradictions still persist about the effective duration of the pediatric age. All the same, it must be noted that the Legislator apparently realised that not only the physical, psychological and social maturity proceed by steps, but also the legal capacity.

  19. Brachytherapy versus prostatectomy in localized prostate cancer: Results of a French multicenter prospective medico-economic study

    International Nuclear Information System (INIS)

    Buron, Catherine; Le Vu, Beatrice; Cosset, Jean-Marc; Pommier, Pascal; Peiffert, Didier; Delannes, Martine; Flam, Thierry; Guerif, Stephane; Salem, Naji; Chauveinc, Laurent; Livartowski, Alain

    2007-01-01

    Purpose: To prospectively compare health-related quality of life (HRQOL), patient-reported treatment-related symptoms, and costs of iodine-125 permanent implant interstitial brachytherapy (IB) with those of radical prostatectomy (RP) during the first 2 years after these treatments for localized prostate cancer. Methods and Materials: A total of 435 men with localized low-risk prostate cancer, from 11 French hospitals, treated with IB (308) or RP (127), were offered to complete the European Organization for Research and Treatment of Cancer core Quality of Life Questionnaire QLQ-C30 version 3 (EORTC QLQ-C30) and the prostate cancer specific EORTC QLQ-PR25 module before and at the end of treatment, 2, 6, 12, 18, and 24 months after treatment. Repeated measures analysis of variance and analysis of covariance were conducted on HRQOL changes. Comparative cost analysis covered initial treatment, hospital follow-up, outpatient and production loss costs. Results: Just after treatment, the decrease of global HRQOL was less pronounced in the IB than in the RP group, with a 13.5 points difference (p < 0.0001). A difference slightly in favor of RP was observed 6 months after treatment (-7.5 points, p = 0.0164) and was maintained at 24 months (-8.2 points, p = 0.0379). Impotence and urinary incontinence were more pronounced after RP, whereas urinary frequency, urgency, and urination pain were more frequent after IB. Mean societal costs did not differ between IB ( Euro 8,019 at T24) and RP ( Euro 8,715 at T24, p = 0.0843) regardless of the period. Conclusions: This study suggests a similar cost profile in France for IB and RP but with different HRQOL and side effect profiles. Those findings may be used to tailor localized prostate cancer treatments to suit individual patients' needs

  20. Dose measurements in dental radiology using thermoluminescent dosimetry;Medicoes de dose em radiodiagnostico odontologico utilizando dosimetria termoluminescente

    Energy Technology Data Exchange (ETDEWEB)

    Chiara, Ana Claudia M. de; Costa, Alessandro M. [Universidade de Sao Paulo (FFCLRP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Filosofia, Ciencias e Letras; Pardini, Luiz Carlos [Universidade de Sao Paulo (FORP/USP), Ribeirao Preto, SP (Brazil). Faculdade de Odontologia

    2009-07-01

    The aim of this work was the implementation of a code of practice for dosimetry in dental radiology using the technique of thermoluminescent dosimetry. General principles for the use of thermoluminescent dosimeters were followed. The irradiations were performed using ten X-ray equipment for intra-oral radiography and an X-ray equipment for panoramic radiography. The incident air kerma was evaluated for five different exposure times used in clinical practice for intra-oral radiographs. Using a backscatter factor of 1.2, it was observed that approximately 40% of the entrance skin dose values found for intra-oral radiographs are above the diagnostic reference level recommended in national regulation. Different configurations of voltage and current were used representing the exposure as a child, woman and man for panoramic radiographs. The results obtained for the air kerma area product were respectively 53.3 +- 5.2 mGy.cm{sup 2}, 101.5 +- 9.5 mGy.cm{sup 2} and 116.8 +- 10.4 mGy.cm{sup 2}. The use of thermoluminescent dosimetry requires several procedures before a result is recorded. The use of dosimeters with ionization chambers or semiconductors provides a simple and robust method for routine measurements. However, the use of thermoluminescent dosimetry can be of great value to large-scale surveys to establish diagnostic reference levels. (author)

  1. Radiation protection at Centro Medico Naval Marcilio Dias during the assistance to the victims of the accident in Goiania

    International Nuclear Information System (INIS)

    Silva, L.H.C.; Rosa, R.; Fajardo, P.W.

    1988-01-01

    The objective of this paper is to present the acquired experience in developing a radiation protection program to be implemented in case of an emergency medical assistance in radiological accidents. (author) [pt

  2. Pregnancy-associated Death - Clarifying the Cause of Death and Medico-legal Assessments in Accusations of Malpractice.

    Science.gov (United States)

    Dettmeyer, Reinhard; Lang, Juliane; Amberg, Rainer; Zedler, Barbara; Schulz, Ronald; Birngruber, Christoph

    2018-02-01

    Pregnancy-associated deaths are extremely rare in Germany. Most deaths are from natural causes, and a range of causes are possible. The deaths of 22 women who died of pregnancy-associated causes and who were autopsied in the Institute of Forensic Medicine of Justus-Liebig University Gießen between 1992 and 2016 were analyzed. The autopsy results and histological examinations for the majority of women who died of pregnancy-associated causes between 1992 and 2016 showed that they had died of natural causes, although complications of pregnancy were a leading cause of death. The death of a pregnant woman should not automatically raise the suspicion of malpractice, although the question does arise in cases of bleeding complications only detected at very late stages. Experts must prove that a real mistake was made during treatment and provide evidence of the causality between malpractice and patient death. Particularly when well-known complications of pregnancy were present, this is only the case if poor monitoring resulted in the complication being detected too late or if treatment was not in accordance with accepted standards of care. The majority of pregnancy-associated deaths are from natural causes and the death of a pregnant woman does not mean that medical malpractice was involved, although this accusation is often levelled in cases where rupture was not immediately diagnosed or in cases of fatal postpartum hemorrhage.

  3. La formazione delle parole nei linguaggi di specializzazione in tedesco: una prospettiva didattica per il lessico medico

    Directory of Open Access Journals (Sweden)

    D. Puato

    2013-01-01

    Full Text Available In this paper some typical features of word-formation processes in scientific German are analyzed in a didactic perspective, with particular attention to medical language. In the introductory part I briefly discuss some general aspects of teaching languages for special purposes and I underline the importance of the grammatical reflection on word-formation in LSP, in particular when dealing with a language having a very transparent terminology such as the medical one. In the main part I analyse the most relevant handbooks of German medical language and I suggest methodological approaches to medical vocabulary teaching to Italian students. Particular importance is thereby given to the setting of terminology in authentic texts

  4. [Certain medico-economic prerequisites for the integration of spa and resort facilities into the system of compulsory health insurance].

    Science.gov (United States)

    Artem'eva, G B; Gekht, I A

    2013-01-01

    The involvement of spa and resort facilities in the system of compulsory health insurance is of primary importance for the improvement of medical aid provided to the population. The application of the methods for the calculation of differential expenditures on the spa and resort-based treatment and estimation of their dependence on a variety of factors may facilitate the more rational use of the available resources of compulsory health insurance.

  5. Appraisal of the renal function in health donors of the Specialities Hospital Centro Medico La Raza, IMSS

    International Nuclear Information System (INIS)

    Llanos O, S.V.

    2004-01-01

    The techniques of Nuclear Medicine (MN) represent the most reliable and sure forms in measurement of the glomeruli filtrate (FG) and of the effective renal plasmatic flow (FPRE), by means of a simple, practical, innocuous and economic method that doesn't require urine gathering, available in the services of (MN). The renal gamma gram is at the moment the election procedure in the diagnosis and evaluation of diverse nephro urological pathologies since it provides objective information of the renal function as well as of the characteristics of the drainage of the urinal tract. They provide to the clinical doctor a real measurement of the state of the purifying renal function. their determinations are not affected by the habitual protein ingesta, they can be made with any level of seric creatinine, the exercise, size, sex. Their methodology uses the unique injection technique for each one, in which the renal purification is determined by means of Gary Gates method and the tubular secretion by based on the method of Schlegel. These techniques show a very high correlation coefficient with those standard of gold and they lack the inherent inconveniences to the technique of urine gathering. The used radiopharmaceuticals are diethylen triamine penta acetic-Tc 99m acid and Orto iodine hippurate- I 131 the only requirement for the realization of the study is an appropriate hydration (10-15 ml/Kg is calculated.) (Author)

  6. Necrotizing fasciitis: case series and review of the literature on clinical and medico-legal diagnostic challenges.

    Science.gov (United States)

    Fais, Paolo; Viero, Alessia; Viel, Guido; Giordano, Renzo; Raniero, Dario; Kusstatscher, Stefano; Giraudo, Chiara; Cecchetto, Giovanni; Montisci, Massimo

    2018-04-07

    Necrotizing fasciitis (NF) is a life-threatening infection of soft tissues spreading along the fasciae to the surrounding musculature, subcutaneous fat and overlying skin areas that can rapidly lead to septic shock and death. Due to the pandemic increase of medical malpractice lawsuits, above all in Western countries, the forensic pathologist is frequently asked to investigate post-mortem cases of NF in order to determine the cause of death and to identify any related negligence and/or medical error. Herein, we review the medical literature dealing with cases of NF in a post-mortem setting, present a case series of seven NF fatalities and discuss the main ante-mortem and post-mortem diagnostic challenges of both clinical and forensic interests. In particular, we address the following issues: (1) origin of soft tissue infections, (2) micro-organisms involved, (3) time of progression of the infection to NF, (4) clinical and histological staging of NF and (5) pros and cons of clinical and laboratory scores, specific forensic issues related to the reconstruction of the ideal medical conduct and the evaluation of the causal value/link of any eventual medical error.

  7. [Surgical learning curve for creation of vascular accesses for haemodialysis: value of medico-radio-surgical collaboration].

    Science.gov (United States)

    Van Glabeke, Emmanuel; Belenfant, Xavier; Barrou, Benoît; Adhemar, Jean-Pierre; Laedrich, Joëlle; Mavel, Marie-Christine; Challier, Emmanuel

    2005-04-01

    Creation of a vascular access (VA) for haemodialysis is a surgical procedure which comprises a failure rate related to the quality of the vessels and the operator's experience. The authors report the first 2 years of a young urologist's experience with this procedure in a local hospital in collaboration with the nephrology team. Patients undergoing creation of VA were divided into 2 chronological groups. The patient's age and gender, the cause of renal failure, the presence of diabetes, clinical examination of the upper limb, preoperative assessment of upper limb vessels, the type of anaesthesia, the operating time and the start of dialysis after the operation, as well as the functional results of the VA at 6 months were studied. Results concerning the patients of the first period were discussed by the operator and the nephrology team. During the first 9 months, 28 patients were operated, corresponding to 36 operations including 32 direct fistulas. Over the following 15 months, 61 patients were operated, with the creation of 63 VAs, including 55 direct fistulas. The failure rate (thrombosis or non-functioning VA) decreased from 32.1% to 11.1% (p=0.07), while the 2 groups were globally comparable. Evaluation of a new surgical procedure shows a number of failures, as for all learning curves. However, it helps to improve the results. Collaboration with nephrologists must comprise a discussion allowing the acceptance of certain failures, as they reflect compliance with a strategy of preservation of the vascular capital and a rational attempt to avoid a non-essential proximal access or bypass graft. The support of a motivated radiology team (preoperative assessment and management of complications) and the assistance of a more experienced operator are essential.

  8. Verification of medical diagnosis establishments with X radiation; Verificacion de establecimientos de diagnostico medico con rayos X

    Energy Technology Data Exchange (ETDEWEB)

    Azorin N, J. [Lider Nacional de Proteccion Radiologica, Comision Federal para la Proteccion contra Riesgos Sanitarios, Monterrey No. 33, Col. Roma, 06700 Mexico D. F. (Mexico)

    2008-12-15

    In regard to verification of medical diagnosis establishments with X radiation, it is very important to the coordination between the competent authorities such as the coordination achieved between the Federal Commission for the Protection against Sanitary Risks attached to the Health Secretary and the National Commission of Nuclear Safety and Safeguards, under the Energy Secretary. The Health Secretary found a subcommittee of environmental health standards to develop the Mexican Official Standards of medical diagnosis with X-rays, with the participation of over 50 institutions and experts in Mexico. The legal framework governing the procedures for health surveillance in radiology include the Health General Law, the Internal Regulation of the Health Secretary, the Regulation of the Federal Commission for the Protection against Sanitary Risks and the Mexican Official Standard NOM-229 SSA1 -2002, {sup T}echnical requirements for the facilities, health responsibilities, technical specifications for the equipment and radiation protection in medical diagnosis establishments with X-rays{sup .} Among the participated institutions in the revision of this standard were federal government agencies, public and private sector institutions, educational institutions and professional associations. The standard establishes criteria for design, construction and facilities maintenance, technical requirements for the acquisition and operation vigilance of equipment, health requirements and patient protection. Standard observance is for establishments that use X-ray generators for its application in humans with purposes of medical diagnosis either fixed or mobile units. It also contains aspects that must be observed by owners of establishments who hold formal, responsible, own X-ray equipment and consultants with expertise in radiation protection. In the field of diagnosis radiology the Federal Commission for the Protection against Sanitary Risks, has the mission to ensure the patients health protection and occupationally exposure personnel in the medical use of ionizing radiation sources, ensuring the existence of radiation protection programs and quality, as well as protect to the general population of derivates risks of the ionizing radiation exposure. (Author)

  9. The medical physicist in a nuclear medicine department; El fisico medico en un departamento de medicina nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Trujillo Z, F.E.; Gomez A, E. [Instituto nacional de Cancerologia, 14000 Mexico D.F. (Mexico)

    2007-07-01

    The diagnostic studies and therapeutic treatments carried out in a Nuclear Medicine department make use of radioactive material. For such a reason it becomes necessary to take a strict control in the reception, use and waste that are generated of the typical works inside the department. Also, work related with the quality control of the equipment dedicated to produce images and of those not image formers, need to carry out to guarantee its maximum performance; as well as quality of the diagnostic and of the therapy imparted in patients. Additionally its are needed to make originated works of the individual procedures to patient and of the acquisition of radioactive materials and removal of the waste or radioactive contaminations. Presently work the recommendations of the American College of Radiology (ACR), the European Federation of Organizations for Medical Physics (EFOMP) and of the Mexican Official Standards relating to the functions that should be observed in a Nuclear Medicine Department are exposed. The ACR and the EFOMP, conclude in their recommendations that the medical physicist fulfills with the suitable profile and likewise they describe in detail the actions and functions that he should supervise, to carry out, to document and to inform. (Author)

  10. Effect of the ionizing radiation in polyurethane of medical grade; Efecto de la radiacion ionizante en poliuretano de grado medico

    Energy Technology Data Exchange (ETDEWEB)

    Ceron, P.; Rivera, T.; Calderon, J. A. [IPN, Centro de investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, Col. Irrigacion, 11500 Mexico D. F. (Mexico); Paredes, L., E-mail: victceronr@hotmail.com [ININ, Carretera Mexico-Toluca, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-10-15

    The polyurethane is a material broadly used in implant medical devices, such as the connection blocks of the pacemakers and the insulator of the electrodes. Some patients that are users of these devices possibly have the necessity to receive external radiotherapy. For that reason is necessary to know the effects induced by the ionizing radiation in this polymer. In this study samples of Pellethane 2363 80a (thermoplastic polyurethane of medical grade) were irradiated. It was used the same energy and absorbed dose of a treatment of external radiotherapy in pelvis, by means of a linear accelerator of X-rays of 6 MeV and absorbed dose of 60 Gy to isocenter. The irradiation corresponding to the gamma sterilization of the material was reproduced (1, 5, 7.5, 10 and 25 kGy for the Co 60) the effects induced by the radiotherapy and for the sterilization in the material were studied by means of an analysis of the chemical connection, the molecular structure and identification of the functional groups of the polymer, by means of the infrared spectroscopy by Fourier transform in the infrared half region. (Author)

  11. Test de Evaluacion de Conocimientos Medicos-CIIPME (Test of Evaluation of Medical Knowledge-CIIPME). Publication No. 42.

    Science.gov (United States)

    Alfici, C.; And Others

    The purpose of this research is to build a test for the evaluation of the knowledge needed by medical students before entering clinical courses in medical school. The criterion for this was provided by teachers in both the pre-clinical and clinical subjects. The Pilot instrument consisted of 335 items that covered 8 sections. Each one of these…

  12. Medico legal aspects of self-injection of metallic mercury in cases of suicide or self-harming.

    Science.gov (United States)

    Da Broi, Ugo; Moreschi, Carlo; Colatutto, Antonio; Marcon, Barbara; Zago, Silvia

    2017-08-01

    Metallic mercury may be self-injected for suicidal or self-harm purposes or sometimes for superstitious or other inadvisable reasons. Local tissue or systemic consequences such as mercurialism can frequently occur in cases of subcutaneous or deep injection, while death due to pulmonary embolism and cardiac, brain, hepatic or renal toxicity may occur in cases of high dosage intravenous administration. The aim of this review is to focus on the diagnostic difficulties facing coroners and forensic pathologists when the courts require confirmation that evidence of self-injection of metallic mercury is the result of suicide or self-harming. Forensic examination performed on the corpses of victims who died in or out of hospital or on surviving injured or intoxicated victims showing signs of mercurialism, demands the careful evaluation of the death scene, of all related circumstances and of the clinical and autopsy data. Close interaction between forensic pathologists and toxicologists is also needed to identify and quantify mercury levels in blood, urine and tissue. Copyright © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  13. Dosimetry in medical specialist in procedures of interventionist radiology; Dosimetria en medico especialista en procedimientos de radiologia intervencionista

    Energy Technology Data Exchange (ETDEWEB)

    Gaona, E. [Universidad Autonoma Metropolitana, Unidad Xochimilco, Calz. del Hueso 1100, Col. Villa Quietud, 04960 Mexico D. F. (Mexico); Vazquez V, J. A.; Rivera M, T. [IPN, Centro de Investigacion en Ciencia Aplicada y Tecnologia Avanzada, Av. Legaria 694, 11500 Mexico D. F. (Mexico); Izeta G, A. C. [Hospital Central Militar, Periferico y Av. Ejercito Nacional s/n, 11200 Mexico D. F. (Mexico); Azorin V, J. C. [Universidad de Guanajuato, Instituto de Fisica, Loma del Bosque 103, 37150 Leon, Guanajuato (Mexico); Arreola, M., E-mail: gaen1310@correo.xoc.uam.mx [Shands Hospital at University of Florida, Department of Radiology, PO Box 100374, Gainesville, FL 32610-0374 (United States)

    2014-08-15

    In this work are presented the experimental results of determining the dose in different body parts, measured by thermoluminescent dosimeters, to medical specialists of implantation procedures of definitive cardiac pacemaker. The medical personnel in ten intervention procedures were controlled according to the procedure type, pathological indication, fluoroscopy time and machine generating estimates of the patient doses. The doses to the extremities of the cardiologist were measured by means of thermoluminescent dosimeters (TLD). The domains of first level in the hand are in the index finger of the left and the right hand. The medium doses of the skin in the eyes, a report of the dose received during each type of intervention procedure in the glandular thyroid and fingers of the cardiologists is made. The results represent the integrated dose to the cardiologist, received during the implantation procedures of definitive cardiac pacemaker in the same patient. By a half time of detection of 70 minutes for patient, the half dose of the skin, received for the right and left hand, ascended to 1,4 mSv, under the glove. In conclusion, the dose average for the dosimeters of the thyroid gland and forehead was varied from 0,41 up to 1,14 mSv for study. The exposure to the X-rays is a topic to consider, more important every time on the development of systematic procedures little invasive, including the angiography, catheter, worker and patient. (Author)

  14. Methodology of high dose research in medical radiodiagnostic; Metodologia de investigacao de doses elevadas em radiodiagnostico medico

    Energy Technology Data Exchange (ETDEWEB)

    Barboza, Adriana E.; Martins, Cintia P. de S., E-mail: ird@ird.gov.br [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

    2013-11-01

    This work has as main purpose to study occupational exposure in diagnostic radiology in medical cases of high doses recorded in 2011 at the national level . These doses were recorded by monitoring individual of the occupationally exposed individuals (OEI's). This monitoring of the doses received by ionizing radiation has as main objective to ensure that the principle of dose limitation is respected. In this study it were evaluated doses of 372 OEI's radiology in different Brazilian states. Doses were extracted from the database of Sector Management Doses of the Institute for Radioprotection and Dosimetry - IRD/CNEN-RJ, Brazil. The information from the database provide reports of doses from several states, which allows to quantify statistically, showing those with the highest doses in four areas: dose greater than or equal to 20 mSv apron and chest and dose greater than or equal to 100 mSv apron and chest. The identification of these states allows the respective Sanitary Surveillance (VISA), be aware of the events and make plans to reduce them. This study clarified the required procedures when there is a record of high dose emphasizing the importance of using protective radiological equipment, dosimeter and provide a safety environment work by maintaining work equipment. Proposes the ongoing training of professionals, emphasizing the relevance of the concepts of radiation protection and the use of the questionnaire with their investigative systematic sequence, which will allow quickly and efficiently the success the investigations.

  15. Medico-legal significance of service difficulties and clinical errors in the management of patients with inflammatory bowel diseases.

    Science.gov (United States)

    Farrukh, Affifa; Mayberry, John F

    2015-03-01

    There is a significant growth in medical litigation, and cases involving the care and management of patients with inflammatory bowel disease are becoming common. There is no central register of such cases, and the majority are settled before court proceedings. As a result, there is no specific case law related to such conditions, and secrecy usually surrounds the outcome with "no admission of guilt" by the defendant and a clause about non-disclosure and discussion linked to the financial compensation received by the claimant. This review discusses common areas of potential litigation. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  16. Data about shipping of radioactive material for medical use; Datos sobre los envios de material radioactivo para uso medico

    Energy Technology Data Exchange (ETDEWEB)

    Sanches, M.P.; Rodrigues, D.L. [Instituto de Pesquisas Energeticas e Nucleares - IPEN/CNEN, Comissao Nacional de Energia Nuclear - CNEN/SP, Av.Professor Lineu Prestes No. 2242, Zip Code 05508-000, Sao Paulo (Brazil)]. e-mail: msanches@ipen.br

    2006-07-01

    The transport of radioactive materials implies a risk for the personnel of the team, those members of the public and the environment. While the safety in the transports is based on the designs of the bulks, the programs of radiological protection are important to assure the radiological control to the workers, the public and the environment during the transport of these materials. Although the biggest interest in the transport of radioactive materials it spreads to be centered in the nuclear industry, the transport in great measure it happens for the materials of medical use. These are mainly transported in bulks of the A Type and excepted bulks. The transport ones are forced, by national regulations, to send to the competent authority, in our case the National Comissao of Nuclear Energy (CNEN), all the data of the transported materials. This work has by objective to aim the efforts made to settle down and to manage the data regarding the transported radioactive materials. The existent data in the Radiopharmaceuticals Center, of the Institute of Energy and Nuclear Investigations 'IPEN/CNEN' it contains the information on all the radioactive materials consigned for the transport during every year. A statistic of the number of deliveries of the radioactive material for the period from 2001 to 2005 is provided. Based on this statistic its are presented the number of bulks, the quantity of activity and the ways of the transport for the period in study. (Author)

  17. Clinical Training of Medical Physicists Specializing in Diagnostic Radiology (Spanish Edition); Capacitacion clinica de fisicos medicos especialistas en radiodiagnostico

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-01-15

    The application of radiation in human health, for both diagnosis and treatment of disease, is an important component of the work of the IAEA. The responsibility for the increasing technical aspects of this work is undertaken by the medical physicist. To ensure good practice in this vital area, structured clinical training programmes are required to complement academic learning. This publication is intended to be a guide to the practical implementation of such a programme for diagnostic radiology. There is a general and growing awareness that radiation medicine is increasingly dependent on well trained medical physicists based in the clinical setting. However, an analysis of the availability of medical physicists indicates a large shortfall of qualified and capable professionals. This is particularly evident in developing countries. While strategies to increase academic educational opportunities are critical to such countries, the need for guidance on structured clinical training was recognized by the members of the Regional Cooperative Agreement (RCA) for Research, Development and Training related to Nuclear Sciences for Asia and the Pacific. Consequently, a technical cooperation regional project (RAS6038) under the RCA programme was formulated to address this need in the Asia-Pacific region by developing suitable material and establishing its viability. Development of a clinical training guide for medical physicists specializing in diagnostic radiology started in 2007 with the appointment of a core drafting committee of regional and international experts. The publication drew on the experiences of clinical training programmes in Australia and New Zealand, the UK and the USA, and was moderated by physicists working in the Asian region. This publication follows the approach of the IAEA publication Training Course Series No. 37, Clinical Training of Medical Physicists specializing in Radiation Oncology. This approach to clinical training has been successfully tested in Thailand, with two other Member States currently undergoing testing, and is believed to be applicable to the medical physics community in general.

  18. Clinical Training of Medical Physicists Specializing in Nuclear Medicine (Spanish Edition); Capacitacion clinica de fisicos medicos especialistas en medicina nuclear

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-07-15

    The application of radiation in human health, for both diagnosis and treatment of disease, is an important component of the work of the IAEA. The responsibility for the increasingly technical aspects of this work is undertaken by the medical physicist. To ensure good practice in this vital area, structured clinical training programmes are required to complement academic learning. This publication is intended to be a guide to the practical implementation of such a programme for nuclear medicine. There is a general and growing awareness that radiation medicine is increasingly dependent on well trained medical physicists who are based in a clinical setting. However an analysis of the availability of medical physicists indicates a large shortfall of qualified and capable professionals. This is particularly evident in developing countries. While strategies to increase educational opportunities are critical to such countries, the need for guidance on structured clinical training was recognized by the members of the Regional Cooperative Agreement for Research, Development and Training related to Nuclear Science and Technology (RCA) for the Asia-Pacific region. Consequently, a technical cooperation regional project (RAS6038) under the RCA programme was formulated to address this need in this region by developing suitable material and establishing its viability. Development of a clinical training guide for medical physicists specialising in nuclear medicine was started in 2009 with the appointment of a core drafting committee of regional and international experts. The publication drew on the experience of clinical training in Australia, Croatia and Sweden and was moderated by physicists working in the Asian region. The present publication follows the approach of earlier IAEA publications in the Training Course Series, specifically Nos 37 and 47, Clinical Training of Medical Physicists Specializing in Radiation Oncology and Clinical Training of Medical Physicists Specializing in Diagnostic Radiology, respectively. This approach to clinical training has been successfully tested in Thailand, with three other Member States currently undergoing testing, and is believed to be generally applicable to the medical physics community in general.

  19. Frontera, ciudad y plaza pública americana del siglo XVI: escritura, violencia y statu quo deseado en cronistas españoles de la conquista

    Directory of Open Access Journals (Sweden)

    Álvaro Félix Bolaños

    2004-01-01

    Full Text Available El dominio colonial sobre el Nuevo Mundo se inició a través de prácticas ampliamente ceremoniales -poniendo cruces, estandartes, banderas y escudos de armas- marchando en procesiones, recogiendo tierra, midiendo las estrellas, trazando mapas, expresando algunas palabras especiales, o permaneciendo en silencio. Aunque la fuerza militar aseguró efectivamente su poder sobre el Nuevo Mundo, los europeos de los siglos XVI y XVII también creyeron en su derecho a dominar. Y se crearon esos derechos para sí mismos por medio de la exposición simbólica de palabras y gestos significativos, unas veces antes, otras después o simultáneamente con la conquista militar.

  20. Metro Plaza tõi Viru väljakule LED-valguse hõõguva tuledemängu / Maris Meiessaar

    Index Scriptorium Estoniae

    Meiessaar, Maris

    2009-01-01

    2009. a. alguses Tallinnas Viru väljak 2 valmivast ärihoonest ja selle klaasfassaadide valgustusest. Ärihoone seisab 19. saj. ehitatud maja muinsuskaitse all oleva fassaadi taga. Autorid: büroo KOKO Arhitektid arhitektid Raivo Kotov ja Lembit-Kaur Stöör ning sisearhitektid Liis Lindvere ja Raili Paling. Ehitaja: Facio Ehitus

  1. Algunas Cerámicas Ibéricas Decoradas del «Castro Plaza del Tercio» (Torrecillas de la Tiesa, Caceres

    Directory of Open Access Journals (Sweden)

    María Cleofé RIVERO DE LA HIGUERA

    2009-10-01

    Full Text Available La existencia de este castro me la notificó D. Juan Gil Montes, licenciado en Ciencias Geológicas y profesor en la actualidad de la Universidad Laboral de Càceres, quien me mandaba en la carta un croquis del yacimiento y un dibujo esquemático de la pieza n.° 1. El Dr. Jordá a la vista de la importancia del mismo, me entregó una carta dirigida a los hermanos Sánchez-Vallarino de Trujillo, a fin de que me dejaran ver el castro, ubicado en su finca «La Coraja».

  2. Pentingnya Penerapan Hygiene Dan Sanitasi Di Area Kitchen Dalam Meningkatkan Mutu Dan Cita Rasa Makanan Terhadap Kepuasan Tamu Di Garuda Plaza Hotel Medan

    OpenAIRE

    Syafutra, Idham

    2011-01-01

    Dewasa ini keberadaan sektor pariwisata, terutama dibidang perhotelan telah banyak menyumbangkan devisa bagi negara. Hal ini terlihat semakin pesatnya persaingan bisnis dibidang ini perhotelan. Dengan seiring berjalannya waktu, kini hotel semakin meningkatkan kualitas dan produk serta jasa dari pelayanannya. Banyak atau sedikitnya jumlah kunjungan tamu dapat dilihat dari baik buruknya pelayanan hotel tersebut. Dengan memperhatikan seluruh area hotel dan meningkatkan hygiene dan sanitasi p...

  3. Pengaruh Brand Image, Corporate Social Responsibility, dan Kualitas Produk terhadap Keputusan Pembelian Produk The Body Shop Sun Plaza Medan dengan Harga sebagai Variabel Moderating

    OpenAIRE

    Evayanti, Sufratiwi

    2016-01-01

    147019086 The Body Shop is one of international company that offers beauty care and cosmetics products made from natural materials imported from various countries. One of factor that can make consumers decided to purchase The Body Shop?s products are the brand image, corporate social responsibility (CSR), quality of product, and product?s price. This study aims to determine and analyze the effect of brand image, corporate social responsibility, and quality of product on purchase decision p...

  4. Analisis Pengaruh Hedonic Shopping Tendency Dan Visual Merchandising Terhadap Impulse Buying Dengan Positive Emotion Sebagai Variabel Intervaning Pada Area Ladies Matahari Department Store Tunjungan Plaza Surabaya

    OpenAIRE

    Yanthi, Devi

    2014-01-01

    This research tried to determine what factors are causing consumers to do impulse buying in the area of ladies at Matahari Department Store. Variables examined in this research include hedonic shopping tendency and visual merchandising as the independent variable, positive emotion as the intervening variable, and impulse buying as the dependent variable. The sample used amounted 100 rerspondents. By using PLS-SEM analysis technique, demonstrated that through positive emotion variables, hedoni...

  5. Intervención arqueológica de urgencia en la Plaza de Maimonides, esquina C/ Cardenal Salazar (Córdoba)

    OpenAIRE

    González Vírseda, Marina L.; Moreno-Almenara, Maudilio

    2001-01-01

    The site of this excavation was located in the Jewisth district of Cordoba. Located in the city walls, this area has been occuppied almont constantly from c. I a. C. up to the present day. This has been observed throughtout the excavations by the presence of at least six phases of occupation which can be seen in the discovery of different construction styles. The first three phases show that the fovildings excavated were for public purposes, from the low Medieval period anwards the remains th...

  6. Rattus norvegicus como indicador de la circulación de Capillaria hepatica y Taenia taeniaeformis en la Plaza Minorista de Medellín, Colombia

    Directory of Open Access Journals (Sweden)

    Biviana Andrea Duque

    2012-12-01

    Full Text Available Introducción. Rattus norvegicus cumple un papel epidemiológico en el mantenimiento y dispersión de agentes zoonóticos bacterianos, virales y parasitarios de interés en salud pública. La presencia de infección por helmintos en especies Rattus cercanas a poblaciones expuestas en condiciones ambientales propicias, puede convertirse en un factor de riesgo de transmisión. Objetivo. Reportar la frecuencia de infección con Capillaria hepatica y formas larvarias de Taenia taeniaeformis en ratas silvestres (R. norvegicus capturadas en una zona urbana de Medellín. Materiales y métodos. Se capturaron 254 ejemplares de R. norvegicus. Los hígados de 54 ejemplares que presentaron lesión hepática macroscópica durante la necropsia, fueron examinados por histopatología convencional. Resultados. La frecuencia de infección por C. hepatica fue de 20,1 % (51/254. Seis hígados fueron también positivos para larvas de T. taeniaeformis con una frecuencia de 2,4 % (6/254. Los hígados infestados con C. hepatica exhibían parásitos en el estadio adulto o juvenil y huevos ovalados conopérculos bipolares, asociados con hepatitis granulomatosa leve a moderada multifocal y acompañada por infiltrado leucocitario. Se observaron lesiones granulomatosas en resolución y fibrosis residual o calcificada que contenía huevos. Donde se encontraron cisticercos de T. taeniaeformis, el hallazgo más frecuente fueron quistes hepáticos que contenían larvas, y lesiones inflamatorias y fibróticas. Conclusión. Estos resultados indican que helmintos de potencial zoonótico circulan en R. norvegicus de ambientes urbanos. Debe investigarse la verdadera distribución de estos parásitos, para determinar el riesgo potencial que corren las poblaciones animales y humanas expuestas a adquirir este tipo de infecciones.   doi: http://dx.doi.org/10.7705/biomedica.v32i4.442

  7. La regulación de la dotación de plazas de estacionamiento en el marco de la congestión

    Directory of Open Access Journals (Sweden)

    Julio Pozueta Echavarri

    1995-01-01

    The paper analyzes these new policies and, particularly, describes the use of modal split objectives as a quantitative reference to establish parking requirements in congested areas. An application to Madrid is also presented.

  8. Prevalence and risk factors for PTSD in injured workers in Bangladesh: a study of surviving workers from the Rana Plaza building collapse

    Directory of Open Access Journals (Sweden)

    T Fitch, MPH

    2015-03-01

    Funding: Travel expenses of participants were covered by Deutsche Gesellschaft für Internationale Zusammenarbei. Taylor Fitch and Gabriela Villanueva both received travel grants from UTHSCSA for airfare and lodging.

  9. El comienzo de la historia de dos plazas del siglo 17: la Place des Vosges, en Paris, y Covent Garden, en Londres

    Directory of Open Access Journals (Sweden)

    Maria Fernanda Derntl

    2006-12-01

    Full Text Available A bibliografia e a documentação pertinentes à história da Place des Vosges e de Covent Garden, na primeira metade do século 17, são retomadas e analisadas com o objetivo de identificar as diretrizes de seus projetos e esclarecer como vieram a ser construídas. Procura-se mostrar que, no caso da Place des Vosges, a construção foi gradativa e marcada por conflitos entre os vários agentes envolvidos, sem que tivesse existido um projeto mais bem definido de uma place royale pela Coroa francesa. Já no caso de Covent Garden, pôde-se entender que a Coroa inglesa impôs, de início, o projeto de uma place royale, mas a resistência do IV conde de Bedford às determinações reais impediu sua realização.

  10. Determinaci?n de Listeria monocytogenes en quesos blancos artesanales expendidos en la plaza de mercado de C?queza, Cundinamarca

    OpenAIRE

    Baquero Acu?a, Deissy Milena; Bernal Gonz?lez, Astrid Marcela; Campuzano, Silvia

    2006-01-01

    Las intoxicaciones alimentar?as son un problema de salud p?blica, ya que estas se presentan en cualquier tipo de poblaci?n aumentando la prevalencia en personas inmunosuprimidas, mujeres embarazadas y personas de edad avanzada. Seg?n los datos obtenidos, el 80% de las muestras positivas para Listeria spp presentaron Listeria monocytogenes y el 20% Listeria innocua, indicando una prevalencia de la especie pat?gena para los humanos, aumentando el riesgo en la poblaci?n de padecer enfermedades g...

  11. Comparison of three methods for diabetes screening in a rural clinic in Honduras Comparación de tres métodos para el tamizaje de la diabetes en un consultorio rural en Honduras

    Directory of Open Access Journals (Sweden)

    John D Piette

    2010-07-01

    Full Text Available OBJECTIVE: To evaluate two alternatives to the fasting plasma glucose (FPG test for diabetes screening in Latin America. METHODS: Eight hundred adults without diabetes were recruited in a primary care clinic in Honduras. An equation-based screening formula, incorporating a random capillary glucose test and other risk factors, was used for initial screening. All patients with a screening-based probability of diabetes > 20%, plus one-fifth of those with a probability 126 milligrams per deciliter and a POC-A1c > 6.5% were used as gold standards to assess the performance of the screening equation. The association between the POC-A1c and the FPG tests was examined as were patient factors associated with failure to return for follow-up and variation in diabetes risk across subgroups. RESULTS: The screening equation had excellent test characteristics compared with FPG and POC-A1c. Using the FPG gold standard, the POC-A1c had a sensitivity of 77.8% and a specificity of 84.9%. With an A1c cutoff of 7%, POC-A1c specificity increased to 96.2%. Thirty-four percent of patients asked to return for follow-up testing failed to do so. Those who failed to return were more likely to be men and to have hypertension. CONCLUSIONS: Both the screening equation and POC-A1c are reasonable alternatives to an FPG test for identifying patients with diabetes. Given the barriers to currently recommended screening procedures, these options could have important public health benefits in Latin America.OBJETIVO: Evaluar dos alternativas a la prueba de glucemia en ayunas para el tamizaje de la diabetes en América Latina. MÉTODOS: Se seleccionaron 800 adultos sin diabetes que acudían a un dispensario de atención primaria en Honduras. Para el tamizaje inicial se utilizó una fórmula de tamizaje mediante la aplicación de ecuaciones, que incluía una prueba aleatoria de la concentración de glucosa capilar y otros factores de riesgo. A todos los pacientes cuyos tamizajes revelaron una probabilidad de diabetes > 20%, y a una quinta parte de los pacientes con una probabilidad 126 mg por decilitro y HbA1c > 6,5%. Se analizó la asociación entre las prueba de HbA1c y la de glucemia en ayunas, así como los factores de los pacientes asociados con faltas a las citas de seguimiento y la variación del riesgo de diabetes a través de los subgrupos. RESULTADOS: La ecuación de tamizaje presentó excelentes características de análisis en comparación con el examen de glucosa en ayunas y con la prueba de HbA1c. Usando el criterio de referencia del examen de glucosa en ayunas, el HbA1c mostró una sensibilidad de 77,8% y una especificidad de 84,9%. Con un límite de A1c de 7%, la especificidad de la prueba de HbA1c aumentó a 96,2%. No se presentaron para el seguimiento de la prueba 34% de los pacientes a quienes se les solicitó que regresaran. La probabilidad de no regresar para el seguimiento fue mayor en hombres y que tenían hipertensión. CONCLUSIONES: Tanto la ecuación de tamizaje como la prueba HbA1c son alternativas razonables al examen de glucosa en ayunas. Teniendo en cuenta las barreras actuales a la aplicación de los procedimientos de tamizaje recomendados, estas opciones podrían representar beneficios importantes para la salud pública en América Latina.

  12. Violencia doméstica contra la mujer: Una encuesta en consultorios de atención primaria Detection of domestic violence against women: Survey in a primary health care clinic

    Directory of Open Access Journals (Sweden)

    Carla Pontecorvo

    2004-12-01

    Full Text Available De acuerdo a la Organización de la Salud, en América Latina cerca del 50% de las mujeres sufren violencia doméstica crónica. Se realizó esta investigación con el objetivo de estimar la prevalencia de violencia basada en género (VBG en las mujeres que se atienden en el Programa de Medicina Interna General (PMIG y comparar la frecuencia de detección de VBG bajo diferentes modalidades de encuesta. Se utilizó una muestra consecutiva de mujeres mayores de 18 años de edad que concurren al PMIG y aceptaron participar. Se utilizó la encuesta para detección de VBG desarrollada por la International Planning Parenthood Foundation. La mitad de la población completó la encuesta en forma anónima y a solas, y a la otra mitad el médico tratante le entregó el cuestionario al final de la consulta. Se repartieron 360 encuestas, se recuperaron 270. La edad promedio de la población fue 45.4 años, el 33 % poseía mas de 7 años de educación formal, el 48% no convivía en situación de pareja, el 56% tenía trabajo. Ciento veinte mujeres (44.4% refirieron haber sufrido algún tipo de violencia en su vida. Ciento ocho informaron violencia psicológica, 53 violencia física y 45 violencia sexual. Cuarenta y seis mujeres (17.5% relataron haber sufrido violencia sexual en la niñez. Cuarenta (14.8% refirieron sufrir violencia en la actualidad. Las mujeres que respondieron la encuesta en forma anónima referían haber sufrido VBG con una frecuencia significativamente menor que las otras (P According to Pan American Health Organization nearly 50% of women suffer chronic domestic violence in Latin America. We evaluated the prevalence of gender based violence (GBV in women assisted in a University Outpatient Clinic in Buenos Aires. We used a survey originally developed by the International Planned Parenthood Federation (IPPF in Spanish. The survey was distributed to a consecutive sample of women more than 18 years of age who attended the clinic. Participants were randomized to fill out the questionnaire anonymously (self-administered or during an interview with the physician in order to test the sensitivity of these two different modalities of data collection. Of 360 eligible women 270, (75% completed the questionnaire. The respondents had a median age of 45.4 years, only 33% had more than 7 years of formal education and 48% did not live with a partner. Of the 270 respondents, 120 (44% women reported mistreatment at least once during their lifetime. Of these, 108 (40% reported psychological GBV, 53 physical GBV and 45 reported sexual GBV. Most of the respondents suffered more than one type of violence. 46 (17% women reported sexual abuse during childhood, 219 (81% of participants never had been asked by their physician about domestic violence. Women interviewed by the physician reported GBV more frequently than those completing the self-administered survey (p <0.005. The survey developed by the IPPF is considered a useful tool for screening in a clinical setting.

  13. Diseñar, implementar y auditar, un sistema para el registro de historias clínicas en el consultorio endogástrico entre noviembre de 2010 y junio de 2011

    OpenAIRE

    2011-01-01

    En este estudio se elaboró un estudio descriptivo observacional, en el cual se midió el grado de satisfacción de uso de la HCE, y evaluar el correcto diligenciamiento de los diferentes componentes e ítems que conforman una Historia Clínica, luego de obtener los resultados se hizo su respectivo análisis que nos permitieron concluir y recomendar acciones a seguir.

  14. Análisis costo-efectividad del uso de estatinas frente a gemfibrozilo en pacientes de consultorios externos del Centro Médico Naval: "Cirujano Mayor Santiago Tavara"

    OpenAIRE

    Maguiña, Elbis; Nuevo V., Fernando; Rumiche B., Jesús

    2014-01-01

    The purpose of this study was determine and comparing cost-effectiveness of Statins (Atorvastatin 20 mg and Pravastatin 20 mg) against Gemfibrozil 600 mg in hyperlipidemia treatment. This is a transversal, retrospective, descriptive study, carried out in the Centro Médico Naval "Santiago Távara" in the over a period from January 2002 to JuIy 2005. 64 patient's clinical record revision, who suffered with dyslipidemia of both genders, who were aged from 40 to 64 years old, attending in external...

  15. Ejercicios de tai –chi chuan\tpara\tcontribuir\ta\tla\tsalud física del\tadulto mayor en el consultorio no. 37 del Consejo Popular Reparto Hermanos Cruz del municipio Pinar del Río

    Directory of Open Access Journals (Sweden)

    Carlos Castañeda Hernández

    2009-06-01

    Full Text Available En el presente trabajo se investigó, la influencia del ejercicio físico del Tai Chi en  personas  de  la tercera  edad.  Teniendo    en   cuenta   las    múltiplesenfermedades asociadas que pueden padecer dichos abuelos, incursionando nuestro  trabajo  en  este  campo;  en  aras  del  beneficio  integral  mediante  la cultura física terapéutica en el municipio Pinar del Río, con la utilización de una muestra de 17 abuelos a los que se le realizaron diversas pruebas así como la aplicación de un complejo de ejercicios 5 veces por semana con una duración de1 hora. Realizando el primer muestreo en el mes de septiembre. En el mes de mayo se aplica la segunda prueba y se observa una mejoría en los parámetros medidos en los abuelos. Para llevar a cabo el desarrollo del trabajo nos apoyamos en el programa de ejercicios físicos de Tai Chi en la tercera edad, recomendados para estos fines, permitiéndonos obtener resultados relevantes y demostrándonos la efectividad del programa trazado, así como del complejo de ejercicios aplicados, los resultados finales demostramos en el presente  trabajo  que  el  Tai  Chi  logró  un  mejoramiento  considerable  en  el estado físico, psíquico y funcional de todas las personas de la tercera edad. Que participan de este experimento, denotando en ellos un aumento del nivel de salud.

  16. Comparación del blanqueamiento dental con peróxido de hidrógeno al 25% en consultorio, utilizando o no activación con lámpara de luz halógena

    OpenAIRE

    Posso Moreno, Sandra Lorena; Pontificia Universidad Javeriana; Ramírez Ramírez, Diana Ximena; Pontificia Universidad Javeriana; Rosas Jaimes, Jimena Alexandra; Pontificia Universidad Javeriana; Güiza Cristancho, Edgar Humberto; Pontificia Universidad Javeriana

    2010-01-01

    Antecedentes: el blanqueamiento dental es actualmente uno de los tratamientos más solicitados para mejorar la estética dental. Las técnicas para efectuarlo utilizan agentes blanqueadores como el peróxido de carbamida, el perborato de sodio y el peróxido de hidrógeno. Investigadores y clínicos buscan usualmente saber cuáles de las técnicas que hoy son empleadas producen los mejores efectos. Propósito: determinar si el uso de luz halógena para el blanqueamiento dental con peróxido de hidrógeno ...

  17. Úlcera gastroduodenal: problemática de la morbilidad

    Directory of Open Access Journals (Sweden)

    Luis Manuel Fernández Machín

    2000-10-01

    Full Text Available Se realizó un estudio descriptivo, restrospectivo en 4 consultorios atendidos por Médicos de la Familia, pertenecientes al Policlínico "Plaza de la Revolución" para señalar los principales problemas de salud que afectan la morbilidad por úlcera gastroduodenal, en el período comprendido desde enero de 1996 hasta diciembre de 1997. El sexo masculino representó el 65,7 % de la muestra en estudio y los grupos de edades de mayor prevalencia fueron de 31 a 40 años y de 51 a 60. El 42,1 % de los pacientes que refirieron antecedentes patológicos familiares de afecciones gastroduodenales desarrollaron úlcera gastroduodenal. La localización duodenal se presentó en un 77,1 % de los casos. El café fue el más frecuente de los hábitos tóxicos, siguiéndole el alcohol; entre los medicamentos ingeridos, la aspirina representó el 17,1 % de los casos. Los esquemas de tratamiento más empleados fueron la cimetidina y otros medicamentos (74,3 %, los regímenes lácteos (65,7 % y los antiácidos (62,9 %. La endoscopia y la radiología (40 % asociada a la endoscopia fueron los métodos más frecuentes para el diagnóstico. Asimismo, el sangramiento digestivo alto fue la complicación más observada (28,6 %A descriptive and retrospective study was conducted in 4 family physician?s offices from the Plaza de la Revolución? Polyclinic to stress the main health problems affecting morbidity from peptic ulcer between January, 1996, and December, 1997. Males accounted for 65,7 % of the sample under study, whereas the highest prevalence was observed in the age groups 31-40 and 51-60. 42,1 % of the patients who had pathological family history of gastroduodenal disorders developed peptic ulcer.The duodenal localization was present in 77,1 % of the cases. Coffee was the most frequent of the toxic habits, followed by alcohol. Among the drugs taken by the patients, aspirin represented 17,1 % of the cases. The most used schemes of treatment were cimetidine and

  18. Percepción de riesgo de hipertensión arterial infantil en familiares de niños y adolescentes Relatives's perception of arterial hypertension in children and adolescents

    Directory of Open Access Journals (Sweden)

    Raquel González Sánchez

    2011-03-01

    Full Text Available INTRODUCCIÓN. La prevalencia de hipertensión arterial en el niño ha aumentado con los estilos de vida inadecuados y la obesidad, y se plantea que la población general conoce poco al respecto en los niños. El objetivo de esta investigación fue caracterizar la percepción de riesgo e información sobre hipertensión arterial infantil en familiares de niños y adolescentes. MÉTODOS. Se realizó un estudio exploratorio con los familiares de niños y adolescentes de un área de salud del municipio Plaza, en el período de noviembre de 2009 a abril de 2010. Se entrevistaron 50 familiares de niños de 3 a 18 años, que representaron el 20 % de los niños de esas edades atendidos en un consultorio médico. Se utilizaron técnicas como la observación participante, la entrevista en profundidad y el criterio de expertos (técnica Delphi; además se realizó el análisis porcentual. RESULTADOS. La percepción de riesgo de los familiares sobre la hipertensión arterial en los niños no es la adecuada. Aunque el 78 % afirma que existe, el 70 % no tiene información sobre este tema y, del 30 % que tienen información, solo el 14 % la ha obtenido en el consultorio médico. Del 26 % de niños a quienes se midió la presión arterial, solo el 6 % correspondió a mediciones habituales como parte del examen físico. CONCLUSIONES. No existe una buena percepción de riesgo de hipertensión arterial infantil en la población estudiada, dada por la poca información que tiene al respecto y el pobre criterio de medición de la presión arterial en la infancia.INTRODUCTION. The prevalence of arterial hypertension in children has increased with the inappropriate lifestyles and the obesity posing that the general population know not much on this subject in children. The objective of present research was to characterize the family's perception of arterial hypertension risk and of the information in children and adolescents. METHODS. An exploratory study was

  19. Aspectos relacionados con la atención continuada a los pacientes en un área de salud

    Directory of Open Access Journals (Sweden)

    Félix J Sansó Soberats

    2000-12-01

    Full Text Available Con vistas a identificar las experiencias más relevantes de la población en materia de atención continuada a los pacientes, así como para conocer el criterio de los profesionales de la APS en relación con el papel que desempeñan en el proceso de referencia de pacientes y el apoyo que reciben (para su gestión de las otras unidades con las cuales interrelacionan, se realizó un estudio descriptivo de índole retrospectiva en el área de salud " Plaza de la Revolución" en la Ciudad de La Habana. A través de una encuesta se exploraron los criterios de Médicos de Familia y la población que recibe el servicio. Nuestro universo estuvo constituido por los 32 médicos que laboran en el policlínico y que atienden a la población residente en el área. El universo de destinatarios de los servicios lo constituyeron todas las familias que pertenecen a esta área de salud (5 895. Se realizó un muestreo por conglomerados bietápico con selección de consultorios con probabilidad proporcional al número de familias y selección sistemática de familias dentro del consultorio (196 en total. Se identificó que, si bien es aceptable el acceso de la población a los servicios del policlínico, la regionalización de los servicios entre los niveles primario y secundario presenta dificultades apreciables. Además se evidencia que a pesar de que la inmensa mayoría de los pacientes accedió a la atención secundaria por mecanismos colaterales, la accesibilidad de la población al sistema (en última instancia estuvo garantizadaIn order to identify the most significant experiences of the population concerning the continuing attention to the patients and to know the criteria of the primary health care professionals in relation to the role they played in the process of patient referral and to the support they received (for their management from other units with which they are interrelated, a descriptive and retrospective study was conducted in the health

  20. Valor del tacto rectal y el antígeno prostático específico en el pesquisaje del adenocarcinoma de próstata

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    Odalys Sandoval Jiménez

    2002-12-01

    Full Text Available Se realizó un estudio para valorar la utilidad del pesquisaje en el diagnóstico del adenocarcinoma de próstata, en 5 consultorios del médico de la familia, en el municipio Plaza de la Revolución, en el período de 1998 al 2000. El universo del estudio estuvo constituido por 97 varones, todos mayores de 50 años y supuestamente sanos. A todos los pacientes se les realizó una dosificación de antígeno prostático específico (PSA total y luego tacto rectal. En los casos cuando apareció alguna alteración o signo de sospecha de posible desarrollo de células malignas, se les practicó un mapeo citológico de la glándula prostática a través de la biopsia con aguja fina. Se constató en el estudio que el tacto rectal es un examen que mantiene utilidad para el diagnóstico del adenocarcinoma de próstata, y presentó en la investigación una positividad del 15 %. El PSA total se mostró alterado en 6 casos, y fue positivo de células malignas en los 3 pacientes cuando su valor era superior a 10 ng/mL. Aunque la muestra no fue selectiva, es de señalar la alta incidencia de adenocarcinoma de próstata (4,1 % que aparece en esta investigación

  1. [Using cancer case identification algorithms in medico-administrative databases: Literature review and first results from the REDSIAM Tumors group based on breast, colon, and lung cancer].

    Science.gov (United States)

    Bousquet, P-J; Caillet, P; Coeuret-Pellicer, M; Goulard, H; Kudjawu, Y C; Le Bihan, C; Lecuyer, A I; Séguret, F

    2017-10-01

    The development and use of healthcare databases accentuates the need for dedicated tools, including validated selection algorithms of cancer diseased patients. As part of the development of the French National Health Insurance System data network REDSIAM, the tumor taskforce established an inventory of national and internal published algorithms in the field of cancer. This work aims to facilitate the choice of a best-suited algorithm. A non-systematic literature search was conducted for various cancers. Results are presented for lung, breast, colon, and rectum. Medline, Scopus, the French Database in Public Health, Google Scholar, and the summaries of the main French journals in oncology and public health were searched for publications until August 2016. An extraction grid adapted to oncology was constructed and used for the extraction process. A total of 18 publications were selected for lung cancer, 18 for breast cancer, and 12 for colorectal cancer. Validation studies of algorithms are scarce. When information is available, the performance and choice of an algorithm are dependent on the context, purpose, and location of the planned study. Accounting for cancer disease specificity, the proposed extraction chart is more detailed than the generic chart developed for other REDSIAM taskforces, but remains easily usable in practice. This study illustrates the complexity of cancer detection through sole reliance on healthcare databases and the lack of validated algorithms specifically designed for this purpose. Studies that standardize and facilitate validation of these algorithms should be developed and promoted. Copyright © 2017. Published by Elsevier Masson SAS.

  2. Personal dosimetry TLD 100 in orthopedic surgeons exposed to ionizing radiation in Bogota - Colombia; Dosimetria personal TLD 110 en medicos ortopedistas expuestos a radiacion ionizante en Bogota - Colombia

    Energy Technology Data Exchange (ETDEWEB)

    Sierra C, B. Y.; Jimenez, Y. [Universidad Nacional de Colombia, Departamento de Fisica, Grupo de Fisica Medica, Carrera 45 No. 26-85, Bogota (Colombia); Plazas, M. C. [Hospital Universitario Fundacion Santa Fe de Bogota, Instituto de Oncologia Carlos Ardila Lulle, Calle 119, No. 7-90, 220246 Bogota (Colombia); Eslava S, J. [Universidad Nacional de Colombia, Instituto de Investigaciones Clinicas, Grupo Equidad en Salud, Carrera 45 No. 26-85, Bogota (Colombia); Groot R, H., E-mail: brigith.sierra@gmail.com [Universidad de los Andes, Laboratorio de Genetica Humana, Carrera 1 No. 18A -12, Bogota (Colombia)

    2014-08-15

    Orthopedic surgeons should be considered as professionals occupationally exposed to ionizing radiation, for using C arc (fluoroscope) an equipment of X type radiation emission, during surgical procedures for imaging generation. Some health institutes, use of C arc under uncontrolled circumstances, such a lack of dosimetry control, incomplete or absence of personnel protective elements and protective measures, which in turn, lead to a high exposition to the personnel. Materials and methods. Study of double match cohort by age and gender, was conducted, in four health institutions of second and third level of attention in Bogota city. Personal dosimetry measurements with TLD-100 dosimetry crystals in both cohorts and environmental dosimetry in each of operation rooms used for orthopedic procedures, were carry out during six months of follow up. Dosimetry crystals were read in a Harshaw 4500 - Bicron equipment, in the Medical Physics Laboratory of National University of Colombia. Results. Dosimetry measurements are compatibles with those of occupationally exposed personnel 3.44 mSv/6 m CI 95% (1.66-3.99), even does not overpass ICRP recommendations, are higher as were expect at the beginning of the study. The median of effective accumulative dose in thorax is 3,4 mSv CI 95% (1,66-3,99), higher in comparison with neck value 2,7 mSv CI 95% (1,73-3,80) and hand dosimetry 1,42 mSv CI 95% (0,96-2,34). Conclusions: Orthopedic surgeons should be considered occupational exposed to ionizing radiation, who has to accomplish to the radiological protection measures, dosimetric follow up and maintenance of the used X ray equipment. It was confirm throughout this study that dosimetry shows higher levels as expected at the beginning of the study, compatible with occupationally exposed personnel. (Author)

  3. Non-clinicians' judgments about asylum seekers' mental health: how do legal representatives of asylum seekers decide when to request medico-legal reports?

    Science.gov (United States)

    Wilson-Shaw, Lucy; Pistrang, Nancy; Herlihy, Jane

    2012-01-01

    Procedures for determining refugee status across Europe are being speeded up, despite the high prevalence of mental health difficulties among asylum seekers. An assurance given is that ''vulnerable applicants'' will be identified and excluded from accelerated procedures. Although experts have recommended assessments to be undertaken by experienced clinicians, this is unlikely to happen for political and financial reasons. Understanding how non-clinically qualified personnel perform assessments of mental health issues is timely and crucial. Misrecognition of refugees due to the inappropriate use of accelerated procedures involves the risk of returning the very people who have the right to protection from further persecution. To examine the decision making of immigration lawyers, who are an example of a group of nonclinicians who decide when and whether to refer asylum-seekers for psychiatric assessment. Semi-structured interviews were conducted with 12 legal representatives working with people seeking refugee or human rights protection in the United Kingdom. The resultant material was analysed using Framework Analysis. Themes clustered around the legal case, the client, the representative and the systems, all with sub-themes. A mapping exercise integrated these themes to show how representatives brought together questions of (1) evidential reasons for a report, influenced by their legal, psychological and case law knowledge, and (2) perceived evidence of mental distress, influenced by professional and personal experiences and expectations. The legal representatives interviewed were well-informed and trained in psychological issues as well as clearly dedicated to their clients. This helped them to attempt quasi-diagnoses of common mental health problems. They nonetheless demonstrated stereotypical understanding of post-traumatic stress disorder and other possible diagnoses and the role of subjectivity. The study has implications for other groups - particularly those less trained and compassionate - who are required to make clinical judgments without the necessary expertise.

  4. [Application of hair analysis of selected psychoactive substances for medico-legal purposes. Part II. Cases of complex fatal poisonings: interactions of heroine - cocaine - amphetamines].

    Science.gov (United States)

    Rojek, Sebastian; Kłys, Małgorzata; Rzepecka-Woźniak, Ewa; Konopka, Tomasz

    2010-01-01

    The study represents an attempt at employing segmental hair analysis in complex poisonings with xenobiotic mixtures of heroine - cocaine - amphetamines in the context of the cause of death as a consequence of complex interaction mechanisms which occurred prior to death. Two cases of complex poisonings: heroine - cocaine and heroine - cocaine - amphetamines were analyzed and documented with macro- and microscopic examinations and complex toxicological examinations, including the analysis of classic biological material, i.e. samples of selective blood, and alternative material, i.e. hair samples. Determinations of opioids, cocaine and its metabolite and amphetamines in the hair biological matrix were performed using high performance liquid chromatography--atmospheric pressure chemical ionization--tandem mass spectrometry (HPLC-APCI-MS-MS). Segmental hair analysis of the investigated cases indicated a prolonged intake of similar psychoactive substances and a developed adaptation of the addicted to interaction mechanisms, which, however, led gradually to multiorgan anatomopathological changes, and in consequence to death.

  5. [Contributions and difficulties of the social approach in psychiatry: apropos of the American forces and veterans in Vietnam. 2. Psychosociological, psychiatric and medico-legal aspects in veterans].

    Science.gov (United States)

    Juillet, P

    1987-10-01

    In many veterans, the post-Vietnam era is that of "post-traumatic stress disorder" (P.T.S.D.), chronic or delayed, practically corresponding to the traumatic neurosis, dominated at all times by the intrusive-repetitive syndrome. This phenomenon is considered as concerning at least 800,000 persons. Acting out, in fact less common than it was feared, may be associated with it, as well as delinquency, likely more frequent than in the general population, alcoholism and substance abuse. Regarding the latter, the notion of a "legacy of Vietnam" is very questionable. Its decrease, which is sometimes spontaneous, puts the question of dependency, including opiates. The evidence of a possible P.T.S.D. behind these miscellaneous behavior disorders which evoke more an antisocial personality, is ticklish. With regard to epidemiology, the part of psychiatric sequels of Vietnam is so much the more difficult to appreciate as the affective and social support provided to these people at the time of their return "into the world" is often poor. A partial induction of such troubles, inspired with ideological or utilitarian purposes, is not excluded.

  6. Public appraisal of government efforts and participation intent in medico-ethical policymaking in Japan: a large scale national survey concerning brain death and organ transplant

    Science.gov (United States)

    Sato, Hajime; Akabayashi, Akira; Kai, Ichiro

    2005-01-01

    Background Public satisfaction with policy process influences the legitimacy and acceptance of policies, and conditions the future political process, especially when contending ethical value judgments are involved. On the other hand, public involvement is required if effective policy is to be developed and accepted. Methods Using the data from a large-scale national opinion survey, this study evaluates public appraisal of past government efforts to legalize organ transplant from brain-dead bodies in Japan, and examines the public's intent to participate in future policy. Results A relatively large percentage of people became aware of the issue when government actions were initiated, and many increasingly formed their own opinions on the policy in question. However, a significant number (43.3%) remained unaware of any legislative efforts, and only 26.3% of those who were aware provided positive appraisals of the policymaking process. Furthermore, a majority of respondents (61.8%) indicated unwillingness to participate in future policy discussions of bioethical issues. Multivariate analysis revealed the following factors are associated with positive appraisals of policy development: greater age; earlier opinion formation; and familiarity with donor cards. Factors associated with likelihood of future participation in policy discussion include younger age, earlier attention to the issue, and knowledge of past government efforts. Those unwilling to participate cited as their reasons that experts are more knowledgeable and that the issues are too complex. Conclusions Results of an opinion survey in Japan were presented, and a set of factors statistically associated with them were discussed. Further efforts to improve policy making process on bioethical issues are desirable. PMID:15661080

  7. Medico-legal and legal-penal aspects of expert opinions and adjudication in cases of intoxications with intoxicating agents and ethanol-like intoxicants

    Directory of Open Access Journals (Sweden)

    Monika Ćwiklińska

    2015-08-01

    Full Text Available Introduction: The available legal regulations in Poland do not define the concentration thresholds enabling to differentiate between the states of “after-use” versus “under the influence” of a drug, as it is in the case of alcohol. The aim of the study was to analyse jurisdiction in cases regarding the evaluation of the effects of intoxicating agents and ethanol-like intoxicants and to identify ambiguities and gaps in the applicable regulations leading to problems in preparing expert opinions. Material and methods: The material included the opinions of experts in the field of toxicology and forensic medicine made by the Department of Forensic Medicine in Lublin in the years 2009–2011 and records obtained in the process of inquiry from the regional prosecutor’s offices and courts in 52 cases. Results : Amongst 52 cases in which the ordered toxicology examinations demonstrated the presence of intoxicating agents in drivers’ blood (tetrahydrocannabinols in 39 and amphetamine in 21 cases in 2 cases petty offence proceedings were instituted (Art. 87 of the Petty Offence Code although high concentrations of xenobiotics indicated the state of being “under the influence” of a narcotic drug (Art. 178a of the Penal Code. Three cases were discontinued despite expert opinions that the drivers were at least in the after-narcotic use state. In only 3 cases were witnesses asked to provide testimony about the circumstances of the driver’s conduct. Conclusions : The analysis has demonstrated that judicial bodies expect forensic expertise based exclusively on toxicological examination results; when expert findings are inconclusive, they only administer litigations opportunistically applying the principle of the presumption of innocence understood literally. Considering the above, threshold values of “use” and “influence” of the most commonly detected drugs should be urgently determined.

  8. Occupational doses due to photoneutrons in medical linear accelerators rooms; Doses ocupacionais devido a neutrons em salas de aceleradores lineares de uso medico

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Alessandro Facure Neves de Salles

    2006-04-15

    Medical linear accelerators, with maximum photon energies above 10 MeV, are becoming of common use in Brazil. Although desirable in the therapeutic point of view, the increase in photon energies causes the generation of undesired neutrons, which are produced through nuclear reactions between photons and the high Z target nuclei of the materials that constitute the accelerator head. In this work, MCNP simulation was undertaken to examine the neutron equivalent doses around the accelerators head and at the entrance of medical linear accelerators treatment rooms, some of them licensed in Brazil by the National Regulatory Agency (CNEN). The simulated neutron dose equivalents varied between 2 e 26 {mu} Sv/Gy{sub RX}, and the results were compared with calculations performed with the use of some semi-empirical equations found in literature. It was found that the semi-empirical equations underestimate the simulated neutron doses in the majority of the cases, if compared to the simulated values, suggesting that these equations must be revised, due to the increasing number of high energy machines in the country. (author)

  9. Assessment of main medico-demographic health indices and analysis of life span of children in different generations born among rural population of contaminated areas of Kaluga region

    International Nuclear Information System (INIS)

    Medvedeva, A.I.; Matveenko, E.G.; Omel'chenko, V.N.

    1993-01-01

    The paper presents the results of study, analysis and forecast of the demographic effects of the Chernobyl accident in the most contaminated areas in the Kaluga region. A uniform technique was used for the study. The rural settlements with 1-15 Cu/m 2 radioactive contamination density were examined. The rural population of the Borovsk area free from the radioactive contamination was used as a control area. The period of examination - from 1981 up to 1990. The following indices were studied: birth rate and child mortality, stillbirth, ratio of born sexes, survival of children. It was determined that irradiation of the population resulted from the Chernobyl accident at the given moment does not affect the demographic situation in the region

  10. The methods, models and information support on administrative decisions on medico-sanitary maintenance of population of Ukraine in the after Chernobyl accident period

    International Nuclear Information System (INIS)

    Torbin, V.; Babich, A.; Onopchuk, J.

    1996-01-01

    The liquidation of serious consequences of Chernobyl accident, taking into consideration their character and scale, requires the huge material and human resources. The complexity and plural of factors, affecting on planning and management of measures on medical-sanitarian maintenance of damaged population, requires the processing during acceptance of decisions, large files of information, containing parameters of healths condition of damaged population, information about the level of complex medical-sanitarian maintenance, dynamics of investments and compensation and etc. The instability of economic situation in Ukraine, connected with transition to new forms of managing and formation of political system does not permit to increase the resources on decisions the problems of liquidation of Chernobyl accident, requires the increasing the effectiveness, efficiency and qualities of accepted decisions on control and management of forming situation. (author)

  11. [Off-label drug use of the misoprostol in gynecology & obstetrics: From a medico-economics benefit to a potential legal risk].

    Science.gov (United States)

    Decamps-Mini, D; Pelofi, J; Treisser, A

    2015-06-01

    The scandal of the Mediator® case led the legislature to take measures in order to regulate off-label drugs prescriptions. Indeed the law issued in December 29th, 2011 on strengthening the safety of drugs and all derivative health products came to pave the way for an "over-cautious" practice of medicine in line with the precautionary principle erected as a constitutional principle. The supervision of off-label prescribing has had a direct impact on the exercise of the medical profession and has resurrected the issues related to the freedom of prescription, the obligation to provide information to patients and in general their whole responsibility. It is important to mention that the prescribing act is part of the freedom and the strict prerogative of those skilled in the art: the physician in this case. The off-label prescription is commonly accepted in certain specialties, such as anesthesia and intensive care, oncology or pediatrics where it is even subject of a memorandum of use because of concerns regarding the availability of forms adapted to children. However, the physician must ensure that no appropriate therapeutic alternative is available and inform the patient, fundamental principle of the right to respect for the will of the person. Off-label use of the prostaglandin-E1 analogue misoprostol in obstetrics and gynecology is a good example. In fact, this drug obtained a marketing authorization for the treatment or prevention of peptic ulcers and other stomach disorders, is commonly used off-label when inducing labour or intrauterine device insertion. These are the issues that need to be clarify and carefully assessed in order to help physicians to understand the impact of the law and the state of the jurisprudence on the exercise of their profession. Copyright © 2015. Published by Elsevier SAS.

  12. Production of medical supplies from elastomers vulcanized with ionizing radiation; Obtencao de artefatos medicos a partir de elastomeros vulcanizados com radiacao ionizante

    Energy Technology Data Exchange (ETDEWEB)

    Guedes, Selma M.L.; Collantes, Hugo David Chirinos; Kodama, Yasko [Instituto de Pesquisas Energeticas e Nucleares (IPEN), Sao Paulo, SP (Brazil)

    1996-07-01

    The silicon was vulcanized by gamma rays in the absence of organic peroxides. The natural rubber latex was vulcanized by gamma rays and electron beams in the absence and presence of sensitizer. The surgical gloves fabricated with latex containing nB-A vulcanized by gamma rays can be commercialized. Another expected applications are the development of the catheter and the material utilized in the radiotherapy treatment. (author)

  13. Qualification of University graduates nursing for the management of radiodiagnostic facilities; Capacitacion de diplomados universitarios en enfermeria para el manejo de instalaciones de radiodiagnostico con fines medicos

    Energy Technology Data Exchange (ETDEWEB)

    Haro, G.; Herrador, M.; Hernandez, A.; Benitez, J. J.; Roman, J. J.; Gomez, A.; Luis, J.

    2003-07-01

    Since 1987, the nursery specialization degrees, such as Radiology and Electrotechnical were cancelled. Afterwards, an education and training deficiency has existed in the nursery career. The professional college of Graduated in Nursery in Seville, recognized the lack of training in their members to develop properly the profession, specially in radiation protection within the radiodiagnosis area. Therefore, advanced training courses were organised by this college to overcome the training deficiency and to provide skills for the correct management of the radiodiagnosis facilities. These courses are accredited by the Spanish Nuclear Safety Council. These courses have been performing annually since 1994 and cover the following items: Theoretical content: Electromagnetic Radiations. Radiobiology. Radiation Protection. Laws and Legislation. Seminaries. Practical content: Radiation Monitors. Evaluation of a X-ray room shielding. Quality control of the x-ray films and direct beam radiation. Seminaries. More than 300 nursery professionals ha been trained by these courses. They have acquired enough knowledge to offer radiological safety to their users within the ALARA frame, in state and private establishments. (Author) 4 refs.

  14. [Journal AMHA - Acta medico-historica Adriatica: 14 years of patient work on the scientific valorisation of the history of medicine].

    Science.gov (United States)

    Eterović, Igor

    2017-12-01

    In this paper the first 14 years of publication of scientific journal AMHA - Acta medico‑historica Adriatica (2002-2016) are presented and shortly analysed. This journal has undoubtedly become and remained the central activity of the Croatian Scientific Society for the History of Health Culture, which has rapidly become a globally esteemed journal of history of medicine. The beginning and the context of publishing the journal with the reference to scientific meeting "Rijeka and Its Citizens in Medical History" is presented, as well as the journal's profiling into distinguished international journal and its fast development in later years. The analysis shows the growth of journal's visibility through indexation in different international journal databases, the number and ratio of scientific articles and the variety of published material. Finally, a review of the potential future directions of development and the significance of this journal within the national, regional and international context is given.

  15. Cambio de conductas en tratamientos de larga duracion: Relacion medico-paciente Behavior changes in long-term treatment: Physician-patient relationship

    Directory of Open Access Journals (Sweden)

    Monica Facchini

    2004-12-01

    Full Text Available Las enfermedades crónicas como la diabetes, la obesidad y la hipertensión arterial, entre otras, requieren de tratamientos prolongados. El establecimiento de un vínculo básico se constituye en la piedra fundamental de toda acción terapéutica. En el enfoque centrado en el paciente se busca entrar en su mundo para comprender la vivencia subjetiva de la enfermedad en un marco más amplio. Es relevante integrar al paciente como un participante activo, valorado y esencial para el proceso de cambio. La manera en que se prescribe es tan valiosa como el tratamiento mismo; el objetivo es enseñar al paciente a seguirlo, las recaídas no deben ser vistas como fracasos sino como una oportunidad más de aprender. Los pacientes necesitan encontrar sus propias soluciones y motivaciones, y hacerse responsables de su salud; los profesionales de la salud necesitamos darles el poder para hacerlo. Las intervenciones exitosas y más efectivas en el largo plazo requieren de un enfoque terapéutico que haga hincapié en la adherencia al mismo y en el autocuidado.Chronic diseases such as diabetes, obesity and hypertension, among others, need long term treatments. The constitution of a basic alliance is the cornerstone of any therapeutic action. In the patient-centered approach, the aim is to enter their world in order to understand the subjective experience of the disease in a broader frame. It is relevant to involve the patient as an active, respected and fundamental participant of the changing process. The way a treatment is prescribed is as important as the treatment itself; the aim is to teach the patient how to follow his/her own treatment, relapses must not be considered failures but opportunities for learning. Patients need to find their own solutions and motivations and be responsible for their health on a daily basis. We need to empower them to do so. Long-term, successful and effective interventions require a treatment which focuses on compliance and self care.

  16. Should a doctor stop rendering medical services? Part II – Analysis of medico-legal conduct in cases of uncertainties regarding informed consent in minors. The Polish perspective

    Directory of Open Access Journals (Sweden)

    Justyna Zajdel

    2014-06-01

    Full Text Available introduction. The doctor’s decision whether to save the life of a minor who has attempted to commit suicide depends on the decision of the person who, under legal regulations, is responsible for the minor. In everyday medical practice doctors are often placed in difficult situations and often cannot make any decision. Such doubts arise when it is impossible to contact the person(s responsible for the minor. The doctor encounters similar issues when the parents of a minor under 16 years of age express different opinions on the recommended procedures, and are against the doctor’s decision and do not want their child to be hospitalized. materials and methods. The current legislation and doctrine was analyzed and an attempt was made to determine the way of conduct with regard to suicidal minors, and algorithmize the way of conduct towards such suicidal minors. The conduct was discussed on the two examples, based on real clinical cases. results. With regard to minors in a clinical state demanding urgent procedures, who have of the decision made by the guardian, and regardless of the fact there is no contact with the guardian. If the status is stable, the physician’s modus operandi depends on various accompanying circumstances. However, he is still obliged to provide medical help. discussion. A practical algorithm is presented and all the possible legal variations discussed and clarified.

  17. Development of capacity for measuring ionizing radiation in aircraft crew; Desenvolvimento da capacitacao para efetuar medicoes de radiacao ionizante em tripulacoes de aeronaves

    Energy Technology Data Exchange (ETDEWEB)

    Federico, C.A.; Goncalez, O.L., E-mail: claudiofederico@ieav.cta.b, E-mail: odairl@ieav.cta.b [Centro Tecnico Aeroespacial (CTA/ITA), Sao Jose dos Campos, SP (Brazil). Inst. Tecnologico de Aeronautica; Caldas, L.V.E., E-mail: lcaldas@ipen.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2011-10-26

    This paper describes the activities performed in a research program of the Institute of Advanced Studies, Brazil, belonging to the Brazilian Air Force, joining to researches from Brazilian Nuclear Energy Commission, in order to bring to Brazil the capacity and acknowledge necessary to the evaluation of dose from ionizing radiation originated in the cosmic radiation and its by products which fall on aircraft crews

  18. Number of addictive substances used related to increased risk of unnatural death: A combined medico-legal and case-record study

    Directory of Open Access Journals (Sweden)

    Lindgren Anna

    2009-08-01

    Full Text Available Abstract Background Substance use disorders have repeatedly been found to lead to premature death, i.e. drug-related death by disease, fatal intoxications, or trauma (accidents, suicide, undetermined suicide, and homicide. The present study examined the relationship between multi-drug substance use and natural and unnatural death. Methods All consecutive, autopsied patients who had been in contact with the Addiction Centre in Malmö University Hospital from 1993 to 1997 inclusive were investigated. Drug abuse was investigated blindly in the case records and related to the cause of death in 387 subjects. Results Every substance apart from alcohol used previously in life added to the risk of unnatural death in a linear way. There were independent increased risks of fatal heroin overdoses or undetermined suicide. Death by suicide and violent death were unrelated to additional abuse. Conclusion The number of drugs used was related to an increased risk of unnatural death by undetermined suicide (mainly fatal intoxications and heroin overdose.

  19. "Legal highs"--toxicity in the clinical and medico-legal aspect as exemplified by suicide with bk-MBDB administration.

    Science.gov (United States)

    Rojek, Sebastian; Kłys, Małgorzata; Strona, Marcin; Maciów, Martyna; Kula, Karol

    2012-10-10

    The easily available "legal highs", which are products containing psychoactive substances, such as cathinones, piperazines and synthetic cannabinoids, are abused by adolescents in Poland and in the world as alternatives to classic drugs, such as amphetamines or marijuana. The majority of these potentially dangerous substances are still legal and they are associated with a risk of severe poisoning or even death, and provide new challenges in clinical and forensic toxicological practice. Investigations in the field of "designer drugs" may be well illustrated by the case of a suicide of a 21-year old male who ingested a specified dose of a preparation called "Amphi-bi-a" that contains bk-MBDB, chemically 2-methylamino-1-(3,4-methylenedioxyphenyl) butan-1-one, which belongs to the cathinone group, as a synthetic euphoric empathogen and psychoactive stimulant that is chemically similar to MDMA. It is one of more common components of "legal highs" examined in Poland and other countries. The documentation of the case includes a clinical assessment of the patient's health status performed during his almost 4-h hospitalization before death, autopsy and histological examinations supported by toxicological findings revealing bk-MBDB at extremely high concentrations (at 20 mg/l in the blood and 33 mg/kg in the liver); hence, this body of evidence contributes to knowledge in the field of "designer drugs". Inventions of designers of new psychoactive xenobiotics, which are much in demand, especially in view of the dynamic Internet marketing, which drums up narcobusiness, must be balanced by a national strategy developed by medical, legal and educational circles in the modern civilized world in order to prevent the spreading of the phenomenon. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  20. [Cost of a renal transplant: medico-economic analysis of the amount reimbursed by the French national health program to finance renal transplantation].

    Science.gov (United States)

    Sainsaulieu, Yoël; Sambuc, Cléa; Logerot, Hélène; Bongiovanni, Isabelle; Couchoud, Cécile

    2014-07-01

    Successful organ transplantation relies on several ancillary activities such as the identification of a compatible donor, organ allocation and procurement and the coordination of the transplant process. No existing study of the overall costs, in France, of these additional transplantation activities could be identified. This study determines the total additional costs of ancillary transplantation activities by comparing the costs of kidney transplantations with living donors against those using deceased donors. The data used are drawn from the 2013 public healthcare tariff calculations, PMSI recorded activity and transplant activity in 2012 as assessed and reported by the Agence de la biomédecine. The results show that, in 2012, additional transplant costs varied from 13835.44 € to 20050.67 € for a deceased donor and were 13601.66 € for a living donor. In conclusion, this study demonstrates that all the costs covered by National Health Insurance need to be taken into account in the economic impact evaluation of renal transplantation and during the development of this national priority activity. Copyright © 2014 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

  1. Course of radiological protection and safety in the medical diagnostic with X-rays; Curso de proteccion y seguridad radiologica en el diagnostico medico con rayos X

    Energy Technology Data Exchange (ETDEWEB)

    Dominguez A, C.E. [Instituto Nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico)

    1997-07-01

    The obtention of images of human body to the medical diagnostic is one of the more old and generalized applications for X-ray. Therefore the design and performance of equipment and installations as well as the operation procedures must be oriented toward safety with the purpose to guarantee this radiological practice will bring a net positive benefit to the society. Given that in Mexico only exists the standardization related to source and equipment generators of ionizing radiation in the industrial area and medical therapy, but not so to the medical diagnostic area it is the purpose of this work to present those standards related with this application branch. Also it is presented the preparation of a manual for the course named Formation of teachers in radiological protection and safety in the X-ray medical diagnostic in 1997 which was imparted at ININ. (Author)

  2. Planetary method to measure the neutrons spectrum in lineal accelerators of medical use; Metodo planetario para medir el espectro de neutrones en aceleradores lineales de uso medico

    Energy Technology Data Exchange (ETDEWEB)

    Vega C, H. R. [Universidad Autonoma de Zacatecas, Unidad Academica de Estudios Nucleares, Cipres No. 10, Fracc. La Penuela, 98068 Zacatecas (Mexico); Benites R, J. L., E-mail: fermineutron@yahoo.com [Centro Estatal de Cancerologia de Nayarit, Servicio de Seguridad Radiologica, Calzada de la Cruz 118 Sur, 63000 Tepic, Nayarit (Mexico)

    2014-08-15

    A novel procedure to measure the neutrons spectrum originated in a lineal accelerator of medical use has been developed. The method uses a passive spectrometer of Bonner spheres. The main advantage of the method is that only requires of a single shot of the accelerator. When this is used around a lineal accelerator is necessary to operate it under the same conditions so many times like the spheres that contain the spectrometer, activity that consumes enough time. The developed procedure consists on situating all the spheres of the spectrometer at the same time and to realize the reading making a single shot. With this method the photo neutrons spectrum produced by a lineal accelerator Varian ix of 15 MV to 100 cm of the isocenter was determined, with the spectrum is determined the total flow and the ambient dose equivalent. (Author)

  3. The management, privacy and medico-legal issues of electronic CPAP data in Australia and New Zealand: Electronic CPAP data management in Australia and New Zealand.

    Science.gov (United States)

    Swieca, John; Hamilton, Garun S; Meaklim, Hailey

    2017-08-01

    Continuous Positive Airway Pressure (CPAP) is considered to be the gold standard treatment for obstructive sleep apnoea (OSA). CPAP monitoring systems allow tracking of patient CPAP adherence and treatment efficacy, by measuring residual sleep-disordered breathing, hours of CPAP use, and mask leak etc. The American Thoracic Society (ATS) published a position paper in 2013 highlighting issues of interpreting CPAP data such as a lack of consistency between CPAP manufacturers data algorithms, legal implications of CPAP data and implications for CPAP adherence. This paper extends on this work by investigating these issues in an Australasian context. A review of current literature on CPAP monitoring systems, privacy and security of CPAP data for major Australasian CPAP providers, and CPAP adherence was undertaken. A legal review was also commissioned for issues related to privacy and security of CPAP data. CPAP manufacturers' utilize different algorithms for respiratory event detection and clinicians need to be aware the implications for interpreting CPAP data. Australasian CPAP manufacturers have created security/privacy policies with the intent to follow relevant legislation to protect patients' CPAP data, however they do need to be constantly reviewed and updated to avoid data breaches and changes to agreements. No guarantees can be provided by the Australasian Sleep Association on CPAP manufacturers' compliance with these policies and there is the potential for some degree of liability for physicians and CPAP providers associated with CPAP data. Lastly, providing patients with feedback on their CPAP usage and OSA management appears to have positive influence CPAP adherence. CPAP data provides many opportunities to increase OSA patient care and to help patients self-manage this chronic condition. However, issues relating to lack of standardization of CPAP parameters, privacy, security, and legal implications will need to be managed in this changing technologic and clinical environment. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Neutron activation processes in the medical linear accelerator Elekta Precise; Procesos de activacion neutronica en el acelerador lineal medico Elekta Precise

    Energy Technology Data Exchange (ETDEWEB)

    Juste, B.; Miro, R.; Verdu, G.; Diez, S.; Campayo, J. M.

    2015-07-01

    Monte Carlo estimation of the giant-dipole-resonance (GRN) photoneutrons insider the Elekta Precise Linac head (emitting a 15 MV photon beam) were performed using the MCNP6 code. Each component of Linac head geometry and materials were modelled in detail using the given manufacturer information. Primary photons generate photoneutrons and its transport across the treatment head was simulated, including the (n, γ) reactions which undergo activation products. The MCNP6 was used to develop a method for quantifying the activation of accelerator components. The approach described in this paper is useful in quantifying the origin and the amount of nuclear activation. (Author)

  5. Neutron activation processes in the medical linear accelerator Elekta Precise; Procesos de activacion neutronica en el acelerador lineal medico Elekta Precise

    Energy Technology Data Exchange (ETDEWEB)

    Juste, B.; Miro, R.; Verdu, G.; Diez, S.; Campayo, J. M.

    2014-07-01

    In radiotherapy beams of high energy photons produced lower doses in the skin and a lower dose dispersed into surrounding healthy tissue. However, when operating above 10 MV, Linacs have some drawbacks such as the generation of photo-neutrons and activation of some components of the accelerator. The launch and capture of neutrons produce radioactive nuclei that can radiate even when the accelerator is not working. These reactions occur mainly in the heavier materials of the head accelerator. This work has studied the activation generated isotopes resulting, concluding that these derived doses are not negligible. (Author)

  6. [Quality evaluation of the orthodontic practice for certification by ISO 9001. A procedure beneficial for medical, medico-dental or hospital service].

    Science.gov (United States)

    Becker, G

    2001-01-01

    The accreditation of the ISO 9001 certification (ISO = International Standard Organization) is an external evaluation procedure carried out by independent experts, whose object is the analysis of the operational methods and practices of a medical care facility (e.g. hospital, private clinic, general practitioner's or dentist's practice) which decided to assume the concept, implementation and control of its own quality policy. The whole accreditation procedure represents the basic structure of a continuous dynamic progressiveness within a cabinet eager to offer outstanding quality. Moreover, it guarantees active and voluntary participation of every single member of the medical administration or technical team involved in the realization of this primary objective. In other words, we are talking about a very strong dynamic innovation leading to a change of views and the improvement of communication means, while simultaneously enhancing the security and quality aspects of medical care. The continuous guarantee of high quality medical care calls for precise planning and systematization of actions. First of all, these actions are defined, analyzed and listed in precise work procedures. As they are defined with the agreement of the whole team, they implicate respect and self control. This requires of course transparency of the treatment methods, whose different steps and procedures are described in detail in a logogramm set up in common.

  7. Non-clinicians’ judgments about asylum seekers’ mental health: how do legal representatives of asylum seekers decide when to request medico-legal reports?

    Directory of Open Access Journals (Sweden)

    Lucy Wilson-Shaw

    2012-10-01

    Full Text Available Background : Procedures for determining refugee status across Europe are being speeded up, despite the high prevalence of mental health difficulties among asylum seekers. An assurance given is that ‘‘vulnerable applicants’’ will be identified and excluded from accelerated procedures. Although experts have recommended assessments to be undertaken by experienced clinicians, this is unlikely to happen for political and financial reasons. Understanding how non-clinically qualified personnel perform assessments of mental health issues is timely and crucial. Misrecognition of refugees due to the inappropriate use of accelerated procedures involves the risk of returning the very people who have the right to protection from further persecution. Objective : To examine the decision making of immigration lawyers, who are an example of a group of nonclinicians who decide when and whether to refer asylum-seekers for psychiatric assessment. Method : Semi-structured interviews were conducted with 12 legal representatives working with people seeking refugee or human rights protection in the United Kingdom. The resultant material was analysed using Framework Analysis. Results : Themes clustered around the legal case, the client, the representative and the systems, all with sub-themes. A mapping exercise integrated these themes to show how representatives brought together questions of (1 evidential reasons for a report, influenced by their legal, psychological and case law knowledge, and (2 perceived evidence of mental distress, influenced by professional and personal experiences and expectations. Conclusions : The legal representatives interviewed were well-informed and trained in psychological issues as well as clearly dedicated to their clients. This helped them to attempt quasi-diagnoses of common mental health problems. They nonetheless demonstrated stereotypical understanding of post-traumatic stress disorder and other possible diagnoses and the role of subjectivity. The study has implications for other groups – particularly those less trained and compassionate – who are required to make clinical judgments without the necessary expertise.

  8. La dispensarización: entre lo normado y lo posible

    Directory of Open Access Journals (Sweden)

    Félix J Sansó Soberats

    1999-01-01

    Full Text Available Se realizó un estudio descriptivo de índole retrospectiva en el consultorio No. 27 del Policlínico "Plaza de la Revolución", con vista a conocer acerca del cumplimiento de la dispensarización en la Atención Primaria, donde desde septiembre de 1997 se viene piloteando un nuevo sistema de planificación de acciones de salud que se ha demostrado ser más eficiente que el actual, en el seguimiento y control de los pacientes. Se analizó el 100 % de las historias clínicas del consultorio y se contabilizaron las consultas y terrenos por grupo de dispensarización del año 1998. Se recogió de las hojas de cargo del médico, el número de consultas y terrenos realizados en este año, así como el tiempo dedicado a otras actividades. Se realizó una comparación entre la información que se recoge en las historias clínicas y las hojas de cargo y se determinó el promedio de pacientes vistos por actividad y el número exacto de pacientes no dispensarizados; así como las visitas efectuadas a pacientes hospitalizados y el número real de terrenos realizados por la enfermera. Se comprobó que el Médico de Familia dedicó el 78,96 % de su jornada a la asistencia, con una productividad en consulta de 9,4 y de 8 en el terreno. Poco más del 20 % restante del tiempo laborable fue dedicado a otras actividades. Aproximadamente 1/6 parte de los pacientes del área no fue dispensarizada. Se constató, que aún contando con un sistema organizativo más eficiente en el consultorio, no fue posible cumplir con las normas establecidas para la dispensarización. Se realiza un análisis de las variables que pueden estar influyendo en este resultado y se hacen recomendacionesA retrospective and descriptive study was conducted in the physician's office No. 27 of "Plaza de la Revolución" Polyclinic, in order to know the fulfillment of classiffication in Primary Care, where from September 1997, a new system for planning health actions has been experimentally

  9. HOTEL INFORMATION

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    Holiday Inn Central Plaza Beijing Tyrone Tang is the newly appointed general manager of Holiday Inn Central Plaza, Beijing.Tang joined IHGin2002.He was transferred from the position of operations manager.

  10. 77 FR 1550 - Environmental Impact Statement: Erie County, NY

    Science.gov (United States)

    2012-01-10

    ... structure and to expand the border crossing plaza for Federal inspection agencies with reconstruction... the border can be accomplished without a combined bridge and plaza improvements project and addressed...

  11. 76 FR 51375 - Dialogues in Diversifying Clinical Trials: Successful Strategies for Engaging Women and...

    Science.gov (United States)

    2011-08-18

    ... implementation within a broad research community--industry, academia, and government. Date and Time: The meeting... will be held at L'Enfant Plaza Hotel, 480 L'Enfant Plaza, SW., Washington, DC 20024. Contact: Deborah...

  12. Consulta ciudadana en la gestión de proyectos de espacios públicos. Estudio del caso de la plaza Ahmed Bey en Constantina = Citizen consultation in public spaces’ project management. The case study of Ahmed Bey place Constantine

    Directory of Open Access Journals (Sweden)

    Rahil Laouar

    2016-12-01

    Full Text Available La realización de proyectos de interés público requiere la participación de los diversos habitantes y una fuerte comunicación entre las partes del proyecto basándose en una estrategia adecuada con herramientas y medios. Se debe definir bien la gestión del proyecto, de forma que cada proyecto se lleve a cabo con calidad y dentro de los plazos previstos. El objetivo de este estudio consiste en cómo identificar la comunicación en un proyecto en curso pasando una encuesta en el campo. Abstract The realization of the projects of public interests requires a participation of the various worn, inhabitants and citizens that it requires a strong communication between the parts fascinating of the project by basing on an adequate strategy with tools and means. Of this fact a project management must be defined well, that each project must have a method legitimates in order to carry out a project quality to realize within the deadlines envisaged. The aim of this survey consists to get better the communication in a given project in progress thought a poll on the field.

  13. Presencia de Listeria monocytogenes en alimentos listos para el consumo, procedentes de plazas de mercado y delicatessen de supermercados de cadena, Bogotá, D.C, 2002-2008

    Directory of Open Access Journals (Sweden)

    Ana Isabel Muñoz

    2011-03-01

    Conclusión. Los resultados indican que estos alimentos son vehículos de transmisión del microorganismo, convirtiéndolos en potenciales alimentos de alto riesgo; deben ser vigilados y controlados por la autoridad competente. Se requieren programas para implementar la normativa sobre vigilancia, reducción y control de este microorganismo con miras hacia la prevención de las enfermedades transmitidas por alimentos.

  14. New research results on “La Plaza de Toros” of Cerro de San Pelayo” (Martimor, Salamanca: a tumulus burial with inhumation at the beginning of the Firts Millenium in the Western area of the North Meseta

    Directory of Open Access Journals (Sweden)

    López Jiménez, Óscar

    2004-06-01

    Full Text Available The aim of this work is to present the latest results obtained from the systematic revision of the materials from this unique site. We present here the burial level in its complete context and the first results of the analyses of this assemblage. We have documented in it human bones, elements of fauna possibly associated with a funerary feast, storage pottery and the well-known geometric painted vessel. The results obtained by analysis of the distribution and post-depositional processes are also very interesting, allowing us to recreate the space in which seem to be represented symbolic and prestige elements that indicate important social changes in these societies. All this, together with the calibration of the radiocarbon dates taken from the tumulus, offers a more complete archaeological documentation of this little known area in the South-western of the Northern Meseta.

    En este trabajo pretendemos adelantar los últimos resultados obtenidos de la revisión sistemática realizada sobre los materiales de este yacimiento de características únicas hasta ahora en la región. Avanzamos aquí la presentación del nivel de enterramiento en su contexto completo y los primeros resultados de los análisis de este conjunto. En él documentamos restos humanos, elementos de fauna posiblemente asociados a un banquete funerario, elementos de almacenaje y el ya conocido vaso pintado con decoración geométrica. Los resultados obtenidos por los análisis de dispersión y procesos postdeposicionales son igualmente de gran interés, permitiéndonos recrear ese espacio en el que parecen estar representados elementos simbólicos y de prestigio que indican importantes cambios en las sociedades de aquel momento. Todo ello, unido a la recalibración de las fechas radiocarbónicas del interior del túmulo, ofrece una completa documentación arqueológica de un momento poco conocido en el área sudoccidental de la Meseta Norte.

  15. Luciano Alonso, Luchas en plazas vacías de sueños. Movimiento de derechos humanos, orden local y acción antisistémica en Santa Fe

    OpenAIRE

    Tahir, Nadia

    2012-01-01

    Una de las herencias más significativas de la última dictadura argentina (1976-1983) es, sin lugar a dudas, el movimiento de derechos humanos. Si bien éste empezó a conformarse poco antes del golpe de Estado del 24 de marzo de 1976, fue construyéndose y definiéndose durante el régimen dictatorial. Esto implica, como lo señalan muchos especialistas, que la fundación de un movimiento de derechos humanos en la Argentina está esencialmente ligada a la represión dictatorial. En 1995, la socióloga ...

  16. 77 FR 23810 - Joint Biomedical Laboratory Research and Development and Clinical Science Research and...

    Science.gov (United States)

    2012-04-20

    ....... Sheraton Suites--Old Town Alexandria. Neurobiology-C June 14-15, 2012.... L'Enfant Plaza Hotel. Oncology-A... addresses of the hotel and VA Central Office are: L'Enfant Plaza Hotel, 480 L'Enfant Plaza SW., Washington... Board is to provide advice on the scientific quality, budget, safety and mission relevance of...

  17. Caracterización de la obesidad en los adolescentes Characterization of obesity present in adolescents

    Directory of Open Access Journals (Sweden)

    Raquel González Sánchez

    2009-06-01

    Full Text Available INTRODUCCIÓN. La obesidad ha ido aumentando en proporciones epidémicas en el mundo y se presenta muchas veces desde la niñez, por lo que resulta importante la prevención en edades tempranas. El objetivo de este estudio fue caracterizar la obesidad en los adolescentes en relación con la frecuencia de presentación, presencia de antecedentes personales y familiares, estilos de vida inadecuados y enfermedades asociadas. MÉTODOS. Se realizó un estudio de corte transversal, retrospectivo, entre enero y junio de 2006, que incluyó a 180 adolescentes de 4 consultorios médicos del Policlínico Plaza. Las variables de estudio fueron edad, sexo, peso, talla, circunferencia de la cintura, tensión arterial, frecuencia de consumo de alimentos, horas de actividad física y sedentarias, antecedentes personales de lactancia materna, peso al nacer y antecedentes familiares de obesidad, diabetes mellitus y diabetes gestacional. RESULTADOS. Uno de cada 5 adolescentes presentó sobrepeso corporal. El alto peso al nacer, los antecedentes familiares de obesidad, diabetes y diabetes gestacional y el consumo de alimentos grasos y azúcares fue mayor en los adolescentes con sobrepeso. Uno de cada 3 adolescentes con sobrepeso corporal presentó prehipertensión o hipertensión arterial. CONCLUSIONES. El sobrepeso corporal y la obesidad se presentaron con frecuencia en los adolescentes y estuvieron relacionados de manera significativa con el alto peso al nacer y la hipertensión arterial como enfermedad asociada frecuente.INTRODUCTION: Obesity is increasing in epidemic proportions at worldwide, and many times starts from childhood, being necessary its prevention from early ages. The aim of present paper was to characterize obesity in adolescents according to frequency of presentation, presence of personal and family backgrounds, inappropriate lifestyles, and comorbidities. METHODS: From January to June 2006, a retrospective and cross-sectional study was made

  18. Respuesta sexual de la mujer de edad mediana con diabetes mellitus Sexual response of middle-aged women with diabetes mellitus

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    Adriana Agramonte Machado

    2002-12-01

    Full Text Available Se realizó un estudio descriptivo transversal para describir las características de la respuesta sexual de la mujer con diabetes mellitus (DM, se emplearon cuestionarios autoadministrados (Sexualidad y el Inventario de Depresión de Beck y fueron evaluadas 180 mujeres de la mediana edad (90 con DM y 90 sin DM registradas en 31 consultorios de médicos de familia de 3 policlínicos del municipio Plaza de la Revolución. En cada mujer se precisó: datos generales necesarios para caracterización sociodemográfica, etapa climatérica, presencia de depresión y frecuencia de relaciones sexuales (RS, nivel de satisfacción con las RS, deseo y excitación sexual y orgasmos, y en las mujeres con DM, las características de la enfermedad y la auto percepción de la influencia de la misma sobre su sexualidad. Se comprobó que las mujeres con DM tenían: 1. Niveles menores de deseo y excitación sexual y mayor frecuencia de trastornos sexuales, 2. Mayor frecuencia de orgasmo, 3. Parejas sexuales con mayor frecuencia de disfunciones sexuales, 4. En su mayoría están satisfechas con la frecuencia de sus RS. En conclusión, la respuesta sexual de la mujer con DM difiere cuantitativamente de la mujer sin DM, se necesitarán nuevos estudios que permitan profundizar en las causas de estas diferencias.A cross-sectional descriptive study was conducted to describe the characteristics of the sexual response of women with diabetes mellitus (DM. Self-administered questionnaries (Sexuality and Beck's Depression Inventory were applied. 180 middle-aged women (90 with DM and 90 without DM registered in 31 family physician offices from 3 polyclinics of Plaza de la Revolución municipality were evaluated. The following information was obtained for each woman: general data necessary for the sociodemographic characterization, climacteric stage, presence of depression and frequency of sexual relations (SR, level of satisfaction with SR, sexual desire and excitement, and

  19. Ocurrencia de enfermedad cerebrovascular en pacientes hipertensos

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    María de la Concepción Orbay Araña

    2002-10-01

    Full Text Available Se realizó un estudio para establecer la relación entre la hipertensión arterial esencial y la enfermedad cerebrovascular, en 19 consultorios del Médico de la Familia del Policlínico Plaza de la Revolución. Se aplicó una encuesta a pacientes reevaluados como hipertensos, confeccionándose una base de datos para tratamiento en el sistema FOXBASE versión 5.0. Aplicamos prueba de asociación entre variables cualitativas que se distribuyen en Chi cuadrado. Se identificó el comportamiento de la hipertensión arterial atendiendo a grados, los grupos etáreos, el sexo, la raza y los factores de riesgo asociados. Se estableció igualmente la relación entre el control de la hipertensión arterial y la aparición de la enfermedad cerebrovascular y encontramos un 15 % de población hipertensa, predominando la moderada (36,88 %, con mayor representación los grupos etáreos de 55 a 64 años (38,29 % y de 45 a 54 (23,16 %, del sexo femenino (55,02 % y de la raza blanca (54,04 %. La ocurrencia de enfermedad cerebrovascular estuvo representada por el 4, 35 %, correspondiente a 71 pacientes, con mayor asociación a la hipertensión arterial severa. No resultó significativamente estadística la relación entre enfermedad cerebrovascular e hipertensión arterial.A study was conducted to establish the relationship between essential arterial hypertension and cerebrovascular disease in 19 family physician offices of "Plaza de la Revolución" Polyclinic. Those patientes reevaluated as hypertensive were surveyed. A database for treatment was created in the FOXBASE system, version 5.0. A Chi square test of association among qualitative variables, which are distributed, was applied. The behavior of arterial hypertension was identified according to degrees, age groups, sex, race and the associated risk factors. The relation between the control of arterial hypertension and the appearance of cerebrovascular disease was also established. It was found a 15 % of

  20. Desarrollo Psicomotor en Niños Menores de 2 Años de Diferentes Niveles Sociales que Acuden al Consultorio de Niño Sano del Centro de Salud Edificadores Misti y Hospital ESSALUD de Yanahuara Arequipa – 2006

    OpenAIRE

    Huayhua Cabana Giovanna Natividad

    2010-01-01

    El objetivo del presente trabajo de investigación es conocer el desarrollo psicomotor de niños menores de dos años de diferentes niveles sociales del Centro de Salud Edificadores Misti (zona rural) y Hospital ESSALUD de Yanahuara (zona urbana), es decir, cómo influye el nivel socioeconómico de la familia del niño menor de dos años en su desarrollo psicomotor . Para llevar a cabo esta investigación se conformó un grupo de estudio de 192 niños, conformado por 96 niños en el Ho...