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Sample records for hospital central norte

  1. Hospital Duke Norte, Durham Carolina del Norte - EE. UU.

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    Hellmuth, George

    1980-12-01

    Full Text Available The Duke University Medical Centre is one of the main regional type research and medical training complexes in the United States. It was built as compliment of an expansion scheme of the old existing hospital, since its services and spaces had become old fashioned regarding the growing needs of same. The construction scheme, apart from making a new centre, includes redesigning the old hospital. The new building corporate all kinds of equipment for surgery and pediatrics, for intern patients, and also complimentary diagnosis and treatment departments. The old hospital in turn is used for other services for interns and auxiliary functions.

    El Centro Médico Universitario de Dulce es uno de los principales complejos de investigación y enseñanza médica, de carácter regional, en los Estados Unidos. Fue construido como complemento de un programa de expansión del antiguo hospital existente, ya que sus servicios y espacios habían quedado desfasados respecto a las crecientes necesidades del mismo. El plan de construcción comprende, además de la realización de un nuevo centro, la remodelación del viejo hospital. El edificio nuevo incorpora toda clase de equipamiento para medicina quirúrgica y pediátrica destinada a pacientes internos, así como departamentos complementarios de diagnóstico y tratamiento. El antiguo hospital, por su parte, da cabida a otros servicios para internados y a las funciones auxiliares.

  2. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Mayo-Junio de 2003

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    Angeles C, A.; Camacho V, B.; Rodriguez A, F

    2003-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  3. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX III.- Septiembre de 2001

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    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001; Asesoria especializada en seguridad radiologica a la clinica hospital central norte de alta especialidad, PEMEX. IV.- Diciembre de 2001

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    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The clinical north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  5. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX II.- Agosto de 2001

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    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-10-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)0.

  6. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A

    2001-09-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  7. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001; Asesoria especializada en seguridad radiologica al Hospital Central Norte de alta especialidad, PEMEX. V. Noviembre de 2001

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    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2002-01-15

    It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the North Central Hospital of High Specialty, to maintain the sanitary license for the use of X ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of November of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

  8. Griegos en la mitad Norte Central de Hispania romana

    OpenAIRE

    Crespo Ortiz de Zárate, Santos

    2015-01-01

    This researching work studies the greek personal names found in the epigraphical sources of the northern middle of roman Spain. It deals with the quantitative proportions, the relationship with roman nomina and the territorial distribution according to the population settlements. It also introduces a gender point of view. Se estudian los onomásticos griegos expresados en fuentes epigráficas de la mitad norte-central de Hispania romana, sus dimensiones numéricas, aportación de gentilicios r...

  9. Plomo en sangre de cordón umbilical de neonatos nacidos en un hospital del norte de Lima

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    Daniel Guillén-Mendoza

    2013-06-01

    Full Text Available Con el objetivo de describir la concentración de plomo en sangre de cordón umbilical (SCU de recién nacidos (RN hijos de mujeres primíparas residentes en la zona norte de Lima (Perú se realizó un estudio transversal en el Hospital Nacional Cayetano Heredia entre julio de 2011 a diciembre de 2012. Se incluyeron 100 RN hijos de madres primigestas, que tenían un tiempo mínimo de residencia de 5 años en la zona norte de Lima. Se midió plomo en SCU de los RN por el método de adsorción atómica. Se encontró que 30% de los RN tuvieron nivel de plomo en SCU considerados de riesgo incrementado (= 3,0 µg/dL; en el 16% de los casos se encontró niveles tóxicos de plomo en SCU (= 5 µg/dL. Se concluye que existe un gran porcentaje de neonatos contaminados con plomo entre los RN de madres primigestas residentes en la zona norte de Lima.

  10. Frecuencia de lesiones en genitales de delfines Tursiops truncatus de la cayería norte central de Cuba

    OpenAIRE

    Cruz, D.; Barrera, M.

    2011-01-01

    Entre las enfermedades virales de más reciente diagnóstico que afectan los delfines Tursiops truncatus se describe la Papilomatosis, una entidad tumoral generalmente benigna que afecta piel y mucosas de diferentes zonas del cuerpo, tanto de animales acuáticos como terrestres incluido el hombre. Con el objetivo de determinar la frecuencia de presentación de las lesiones en genitales externos de delfines Tursiops truncatus en zonas de la cayería norte central de Cuba, se estudiaron ...

  11. Modelling distributed ablation on Juncal Norte Glacier, dry Andes of central Chile

    Science.gov (United States)

    Carenzo, Marco; Pellicciotti, Francesca; Helbing, Jakob; Dadic, Ruzica; Burlando, Paolo

    2010-05-01

    In the Aconcagua River Basin, in the dry Andes of central Chile, water resources in summer originate mostly from snow and ice glacier melt. Summer seasons are dry and stable, with precipitation close to zero, low relative humidity and very intense solar radiation. The region's economic activities are dependent on these water resources, but their assessment is still incomplete and an effort is needed to evaluate present and future changes in water from glacier and seasonal snow covers in this area. The main aim of this paper is to simulate glacier melt and runoff from Juncal Norte Glacier, in the upper Aconcagua Basin, using models of various complexity and data requirement. We simulate distributed glacier ablation for two seasons using an energy-balance model (EB) and an enhanced temperature-index model (ETI). Meteorological variables measured at Automatic Weather Stations (AWSs) located on and off-glacier are extrapolated from point observations to the glacier-wide scale. Shortwave radiation is modelled with a parametric model taking into account shading, reflection from slopes and atmospheric transmittance. In the energy-balance model, the longwave radiation flux is computed from Stefan-Boltzmann relationships and turbulent fluxes are calculated using the bulk aerodynamic method. The EB model includes subsurface heat conduction and gravitational redistribution of snow. Glacier runoff is modelled using a linear reservoir approach accounting for the temporal evolution of the system. Hourly simulations of glacier melt are validated against ablation observations (ultrasonic depth gauge and ablation stakes) and runoff measured at the glacier snout is compared to a runoff record obtained from a combination of radar water level measurements and tracer experiments. Results show that extrapolation of meteorological input data, and of temperature in particular, is the largest source of model uncertainty, together with snow water equivalent initial conditions. We explore

  12. Stuttgart Hauptbahnhof : espacio político y social y recuperación del ala norte de la Estación Central de Stuttgart

    OpenAIRE

    BUENO VICENTE, ALFREDO

    2015-01-01

    Proyecto de centro político y social en Stuttgart, con espacio público y recuperación del ala norte de la Estación Central de la ciudad. Se proyecta una plaza con tres volúmenes principales: edificio de oficinas y centro de coworking que sustituye la antigua ala norte; edificio comercial longitudinal que ofrece un frente continuo a la salida de la nave central; y volumen de aparcamiento e intercambiador, que permite una zona de parada de taxis, autobuses y coches, así como aparcamiento de bic...

  13. central hospital with acute coronary syndrome

    African Journals Online (AJOL)

    Knowledge about coronary artery disease among patients admitted to Aseer central hospital with acute coronary syndrome. Abdullah S. Assiri. Department of Internal Medicine. College of Medicine & Medical Sciences. King Khalid University. Interventional Cardiology Consultant and Chief of Cardiology. Aseer Central ...

  14. Accidents at work and its impact on a hospital in Northern Portugal Accidentes de trabajo y su impacto en un hospital en el norte de Portugal Acidentes de trabalho e suas repercussões num hospital ao Norte de Portugal

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    Matilde Delmina da Silva Martins

    2012-04-01

    Full Text Available In order to describe accidents at work at a hospital in Northern Portugal and analyze their main impact in the period from 2008 to 2010, we conducted a retrospective cross-sectional study. The information was obtained from the notification records of accidents at work for 387 workers. The highest prevalence levels of accidents referred to superior health technician (56.1%, female workers (81.9%, in the age group 30-39 years (37.2%, with a secondary education degree (55.8%, working in shifts (72.4% and in-patient services (35.9%. Needle pricks were the main cause (45.7% and hands were the main injury location (37.5%. Wounds (32.6% were the most frequent type of injury, followed by sprains and strains (23%. In total, 27.4% resulted in absence from work, with sprains and strains as the main reason. Preventive strategies should be adopted, aiming to promote these workers' health.Para describir los accidentes de trabajo en un hospital del norte de Portugal y analizar su impacto principal en período 2008 a 2010, se realizó un estudio retrospectivo de corte transversal. La información se obtuvo mediante la notificación de registro de accidentes de trabajo de 387 trabajadores. La mayor prevalencia de accidentes cayó en los técnicos superiores de salud (56,1%, en el sexo femenino (81,9%, con edad 30-39 años (37,2%, con la educación superior a los 12 años (55,8%, trabajando en turnos (72,4% y servicios de hospitalización (35,9%. La causa principal fue el pinchazo de aguja (45,7% y la lesión se produjo principalmente en las manos (37,5%. Las heridas (32,6% fueran el tipo más frecuente de lesión. Dieron lugar a la ausencia del trabajo 27,4%, con esguinces y distensiones la principal razón. Las estrategias preventivas deben ser adoptadas con miras a la promoción de la salud de los profesionales.Com o objetivo de descrever os acidentes de trabalho num hospital ao Norte de Portugal e analisar as suas principais repercussões, no período de 2008

  15. A study of the energy balance and melt regime on Juncal Norte Glacier, semi-arid Andes of central Chile, using melt models of different complexity

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    Pellicciotti, Francesca; Helbing, Jakob; Rivera, Andrés; Favier, Vincent; Corripio, Javier; Araos,José; Sicart, Jean-Emmanuel; Carenzo, Marco

    2008-01-01

    We use meteorological data from two automatic weather stations (AWS) on Juncal Norte Glacier, central Chile, to investigate the glacier-climate interaction and to test ablation models of different complexity. The semi-arid Central Andes are characterized by dry summers, with precipitation close to zero, low relative humidity and intense solar radiation. We show that katabatic forcing is dominant both on the glacier tongue and in the fore field, and that low humidity and absence of clouds caus...

  16. Actitudes lingüísticas en el Perú. Predominancia del castellano de la costa central y norte

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    Ana Gloria Arias Torres

    2014-11-01

    Full Text Available Resumen Este artículo analiza las actitudes lingüísticas de los hablantes nativos de español de la ciudad de Lima hacia al español del Perú y hacia el español de los otros países hispanohablantes. El artículo es parte de los resultados del Proyecto LIAS (Linguistic Identity and Attitudes in Spanish-speaking Latin America, financiado por El Consejo Noruego de Investigación (RCN. La recolección de los datos se realizó en la capital del país, entrevistando a una muestra de 400 informantes previamente estratificada con las variables de edad, sexo y nivel socioeconómico. Como conclusión se ha comprobado que la mayoría de la población identifica su forma de hablar con las variedades de las zonas de la costa central y norte. Específicamente tienen valoración positiva las hablas de Lima y Trujillo; la valoración negativa se observa en algunas hablas de la capital, la sierra sur, la sierra central, y el oriente norte, por considerarlas formas muy diferentes, con acentos muy marcados. Abstract This article analyzes the linguistic attitudes of native Spanish speakers from Lima towards Spanish spoken in Peru and in the other Spanish-speaking countries. It is a result of the LIAS-Project (Linguistic Identity and Attitudes in Spanish-speaking Latin America, funded by The Research Council of Norway (RCN. The data were gathered in the capital of the country, interviewing a stratified sample of 400 respondents, based on the variables of age, sex and socioeconomic status. The results confirm that most of the population of the capital perceive their own speech to be very similar to the Spanish spoken in the central and northern regions of the country. The Spanish variety of Lima and Trujillo are valued positively, while some dialects of the capital, the southern and central sierras and the northeastern region are considered very different due to their strong accents.

  17. Making regional facility location decisions: the example of Hospital do Oeste Norte, Portugal.

    Science.gov (United States)

    Gonçalves, Jorge; Antunes Ferreira, J; Condessa, Beatriz

    2014-11-01

    This paper seeks to contribute to the debate on the decision-making process for the location of large public facilities, responding to the growing demand for greater rationality in public investment whilst still offering services of quality and addressing the problem of spatial friction. The specific problem analysed in this paper is the need to define the best location for a public hospital in a particular region of Portugal. The singularity of the approach adopted lies above all in the segmentation into macro-location and micro-location.

  18. Making regional facility location decisions: the example of Hospital do Oeste Norte, Portugal

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    Jorge Gonçalves

    2014-11-01

    Full Text Available This paper seeks to contribute to the debate on the decision-making process for the location of large public facilities, responding to the growing demand for greater rationality in public investment whilst still offering services of quality and addressing the problem of spatial friction. The specific problem analysed in this paper is the need to define the best location for a public hospital in a particular region of Portugal. The singularity of the approach adopted lies above all in the seg- mentation into macro-location and micro-location.

  19. Centralization of Intensive Care Units: Process Reengineering in a Hospital

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    Arun Kumar

    2010-03-01

    Full Text Available Centralization of intensive care units (ICUs is a concept that has been around for several decades and the OECD countries have led the way in adopting this in their operations. Singapore Hospital was built in 1981, before the concept of centralization of ICUs took off. The hospital's ICUs were never centralized and were spread out across eight different blocks with the specialization they were associated with. Coupled with the acquisitions of the new concept of centralization and its benefits, the hospital recognizes the importance of having a centralized ICU to better handle major disasters. Using simulation models, this paper attempts to study the feasibility of centralization of ICUs in Singapore Hospital, subject to space constraints. The results will prove helpful to those who consider reengineering the intensive care process in hospitals.

  20. [Prevalence of methicillin-resistant Staphylococcus spp isolated in a teaching maternity hospital in the city of Natal, State of Rio Grande do Norte].

    Science.gov (United States)

    Sousa Junior, Francisco Canindé de; Nunes, Ederson William de Figueiredo; Nascimento, Ermeton Duarte do; Oliveira, Solange Maria de; Melo, Maria Celeste Nunes de; Fernandes, Maria José de Britto Costa

    2009-01-01

    Analyses on 1,576 clinical specimens from hospitalized patients were performed with the aim of determining the prevalence of methicillin-resistant Staphylococcus spp isolated in the Januário Cicco Teaching Maternity Hospital in Natal, Rio Grande do Norte, in 2002 and 2003. The samples were collected, processed and identified according to standard procedures, for each clinical specimen. In vitro susceptibility profiles were obtained using the Kirby-Bauer method. 188 strains of Staphylococcus spp were isolated: 105 were identified as Staphylococcus aureus and 83 as coagulase-negative Staphylococcus. Staphylococcus aureus was isolated most often in secretions, whereas coagulase-negative Staphylococcus was most prevalent in blood cultures. The high (41.5%) prevalence of methicillin-resistant Staphylococcus spp shows the need for immediate prophylactic measures aimed at impeding the dissemination of this phenomenon.

  1. Inquérito epidemiológico sobre plantas tóxicas das mesoregiões Central e Oeste do Rio Grande do Norte

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    Severino Antonio Geraldo Neto

    2013-07-01

    Full Text Available Foi realizado um estudo para determinar as plantas tóxicas incriminadas como de interesse zootécnico em 35 municípios das mesorregiões Central e Oeste do estado do Rio Grande do Norte (RN. Foram entrevistados 180 produtores, 20 médicos veterinários, 12 técnicos agrícolas e 5 agrônomos. Os dados obtidos nas entrevistas foram compilados e analisados com auxílio do programa Epi Info versão 6.04. As plantas tóxicas relatadas pelos entrevistados como causadoras de diversos surtos foram Ipomoea asarifolia, Aspidosperma pyrifolium, Indigofera suffruticosa, Manihot carthaginensis subsp. glaziovii, Amorimia septentrionalis, Tephrosia cinerea, Anadenanthera colubrina var. cebil, Marsdenia megalantha, Anacardium occidentale, Cnidoscolus quercifolius, Crotalaria retusa, Froelichia humboldtiana, Ipomoea carnea, Leucaena leucocephala, Manihot esculenta, Mimosa tenuiflora, Nerium oleander, Prosopis juliflora, Ricinus communis, Sorghum bicolor, Sorghum halepense e Urochloa (Brachiaria decumbens.

  2. Influencia de la cooperación internacional Norte-Sur sobre la agenda ambiental en Colombia (Tema Central)

    OpenAIRE

    Burbano Galeano, Mario Ediñho

    2013-01-01

    La política ambiental de Colombia se centra en mecanismos e instrumentos de protección ambiental y desarrollo sostenible sobre los cuales se sustenta el crecimiento económico del país; además, establece medidas para la adaptación del país al cambio climático. Tal política se articula en el desarrollo de la agenda internacional de cambio climático, en cuya sincronía –entre la política internacional y política doméstica– contribuye la cooperación internacional (Norte-Sur), ahora que ha existido...

  3. Enfermedades raras y catastróficas en un hospital del norte peruano: Características y factores asociados a la mortalidad

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    Mario J. Valladares-Garrido

    2017-01-01

    Full Text Available Objetivos: El objetivo fue determinar las características y los factores asociados a la mortalidad en los pacientes atendidos por enfermedades raras (ER y catastróficas (EC en un hospital de la seguridad social del norte peruano. Materiales y métodos: Estudio transversal analítico, se utilizaron datos reportados de pacientes atendidos en un hospital del norte del Perú durante el año 2013. Se caracterizó a los pacientes, las enfermedades y se obtuvieron datos estadísticos de asociación. Resultados: De los 2316 pacientes, 2135 (92% tuvieron EC y 181 (8% ER. La enfermedad más común fue la insuficiencia renal crónica inespecífica (43%, pero la deficiencia hereditaria del factor VIII fue la que generó mayor gasto total (más de 850 426,35 € y por cada paciente (2115,49 €. En el análisis multivariado se encontró asociación con la mortalidad al sexo femenino (p<0,001, RPa: 1,76, IC95%:1,67-1,86, la edad (p<0,001, RPa: 1,02, IC95%:1,01-1,03 y la cantidad de días hospitalizados (p<0,001, RPa: 1,08, IC95%:1,07- 1,09, ajustando por el tipo de enfermedad. Conclusión: Existen características económicas y factores asociados a la mortalidad en los pacientes atendidos en nuestro medio, por lo que deberían realizarse más investigaciones para conocer mejor sobre este grupo, ya que generalmente se encuentra desatendido.

  4. Maternal mortality at Queen Elizabeth Central Hospital, 1989 to 1990

    African Journals Online (AJOL)

    Department of Obstetrics and Gynaecology, Queen. Elizabeth Central Hospital, Blantyre. JE Wiebenga. Correspondence to: Dr. J.E. Wiebenga. WCA Hospital. 207 Foote Avenue ... medical condition is actually affected by the preg- nancy. Fortuitous .... tients who underwent cardiac valve replacement in. South Mrica and ...

  5. The changing configuration of hospital systems: centralization, federalization, or fragmentation?

    Science.gov (United States)

    Burns, Lawton Robert; Wholey, Douglas R; McCullough, Jeffrey S; Kralovec, Peter; Muller, Ralph

    2012-01-01

    Research on hospital system organization is dated and cross-sectional. We analyze trends in system structure during 2000-2010 to ascertain whether they have become more centralized or decentralized. We test hypotheses drawn from organization theory and estimate empirical models to study the structural transitions that systems make between different "clusters" defined by the American Hospital Association. There is a clear trend toward system fragmentation during most of this period, with a small recent shift to centralization in some systems. Systems decentralize as they increase their members and geographic dispersion. This is particularly true for systems that span multiple states; it is less true for smaller regional systems and local systems that adopt a hub-and-spoke configuration around a teaching hospital. Our time series ends in 2010 just as health care reform was implemented. We also rely on a single measure of system centralization. Systems that appear to be able to centrally coordinate their services are those that operate in local or regional markets. Larger systems that span several states are likely to decentralize or fragment. System fragmentation may thwart policy aims pursued in health care reform. The potential of Accountable Care Organizations rests on their ability to coordinate multiple providers via centralized governance. Hospitals systems are likely to be central players in many ACOs, but may lack the necessary coherence to effectively play this governance role. Not all hospital systems act in a systemic manner. Those systems that are centralized (and presumably capable of acting in concerted fashion) are in the minority and have declined in prevalence over most of the past decade.

  6. Hospital centralization and performanced in Denmark - ten years on

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2017-01-01

    Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties were merged into five new regions and the number of municipalities was reduced from 271 to 98. A main objective was to create administrative units that were large enough to support....... The reform emphasized an improved acute service and high quality. The number of acute hospitals was reduced from about 40 to 21 hospitals with joint acute facilities. The restructuring and geographical placement of acute hospitals took place in a democratic process subject to central guidelines...

  7. Mother’s knowledge about breastfeeding at the São Lucas’ Hospital in Juazeiro do Norte (CE - doi:10.5020/18061230.2004.p170

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    Erlane Marques Ribeiro

    2012-01-01

    Full Text Available During human history the maternal process of breastfeeding has become less frequent. Numerous policies have been introduced worldwide to stop this unfavourable trend. The benefits of breastfeeding are well established. However, despite this fact, the rates of breastfeeding continue to be low. Maternal knowledge about breastfeeding influences on the initiation and duration of lactation. This study had the objective of investigating the mothers’ knowledge about breastfeeding. A cross-sectional study was designed involving 206 mothers of newborns on their first day of life while they were at the maternity hospital São Lucas (Juazeiro do Norte - Ceará. The mothers answered a standardized questionnaire to test their knowledge on breastfeeding. 32% were adolescent mothers and 60% had not completed elementary school. 61% received prenatal orientation about breastfeeding. 76% of the mothers knew that the optimal duration of exclusive breastfeeding is six months. 91% knew about the protective effect of exclusive breastfeeding against infections. 32% of the mothers believed that their milk was watery. 62% did not know how to solve mammary engorgement. It is concluded that the majority (87% of the mothers answered correctly the questions about breastfeeding, but continuous education over this theme for future mothers is still needed.

  8. sexually transmitted diseases at queen elizabeth central hospital

    African Journals Online (AJOL)

    hi-tech

    2000-12-12

    Dec 12, 2000 ... Objectives: To re-assess attendance at the sexually transmitted diseases (STDs) clinic in relation to age, sex and seasonal variation over a three-year period, and to determine the pattern of STD syndromes presenting at the STDs clinic, Queen Elizabeth Central Hospital,. Blantyre, Malawi. Design: A ...

  9. Determinants of premature births in two central hospital Harare ...

    African Journals Online (AJOL)

    Determinants of premature births in two central hospital Harare, Zimbabwe, 2011. ... Identifying local risk factors for prematurity could help incoming up with local intervention and prevention strategies. ... [ AOR 0.926 95% CI 0.88 0.97] and MUAC ≥23cm [AOR 0.95 95% CI 0.91 0.95] reduced the risk of premature delivery.

  10. Endometrial pathology in a teaching hospital in North Central ...

    African Journals Online (AJOL)

    Eight hundred and eighty two slides of cases of endometrial disorders recorded in the register of the Department of Pathology, University of Ilorin Teaching Hospital, Ilorin, North Central Nigeria were reviewed. Clinical data on each of the cases was retrieved from request cards. The pathological reports and clinical data ...

  11. La tectónica alpina en el borde norte del Sistema Central español y su enlace con la cuenca del Duero

    Directory of Open Access Journals (Sweden)

    Gómez Ortiz, D.

    1997-12-01

    Full Text Available This report is focused to describe the main alpine structures located in the northern edge of the Spanish Central System and the linking zone with the Tertiary Duero basin. A review of the main characteristics of the alpine tectonic phases is given. From these data, differences between the Gredos zone, dominated by N-S and E-W faults, and the Guadarrama zone, in which N 70° E reverse faults with N 140° E and N 10° E strike-slip faults are present, can be observed. The pattern of drainage of this area shows three main orientations, coincident with the alpine faults activated during the Guadarrama tectonic phase, which reveals the relationship between the present drainage pattern and the Alpine orogeny.En este trabajo se describen las principales estructuras alpinas del borde norte del Sistema Central y su enlace con la cuenca del Duero, así como las características de las principales fases tectónicas alpinas que han dado lugar a la actual estructura. Se pone de manifiesto las diferencias entre la zona de Gredos, dominada por fallas N-S y E-O principalmente, y la zona de Guadarrama en la que las fallas inversas son N 70° E acompañadas de desgarres N 140° E y N 10° E. El análisis de las direcciones de los ríos en este área permite definir tres zonas en función de su orientación, que coinciden con las definidas para las fallas alpinas, lo que refleja la relación entre la red de drenaje y la fase alpina Guadarrama principalmente.

  12. Complications of central venous catheter insertion in a teaching hospital

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    Pedro Henrique Comerlato

    Full Text Available Summary Introduction: Central venous catheters are fundamental to daily clinical practice. This procedure is mainly performed by residents, often without supervision or structured training. Objective: To describe the characteristics of central venous catheterization and the complication rate related to it. Method: Retrospective cohort study. Adult patients undergoing central venous catheter insertion out of the intensive care unit (ICU of a teaching hospital were selected from March 2014 to February 2015. Data were collected from medical charts using an electronic form. Clinical and laboratory characteristics from patients, procedure characteristics, and mechanical and infectious complications rates were assessed. Patients with and without complications were compared. Results: Three hundred and eleven (311 central venous catheterizations were evaluated. The main reasons to perform the procedure were lack of peripheral access, chemotherapy and sepsis. There were 20 mechanical complications (6% of procedures. Arterial puncture was the most common. Procedures performed in the second semester were associated with lower risk of complications (odds ratio 0.35 [95CI 0.12-0.98; p=0.037]. Thirty-five (35 catheter-related infection cases (11.1% were reported. They were related to younger patients and procedures performed by residents with more than one year of training. Procedures performed after the first trimester had a lower chance of infection. Conclusion: These results show that the rate of mechanical complications of central venous puncture in our hospital is similar to the literature, but more attention should be given to infection prevention measures.

  13. Water recycling at the Nova Scotia Hospital Central Laundry.

    Science.gov (United States)

    Bligh, David; Dingwell, Dylan

    2017-03-01

    A water recycling system was installed at the Nova Scotia Hospital Central Laundry in Dartmouth, Nova Scotia in the spring of 2014. The consequent reductions in the consumption of water and steam at this facility have been measured over a 20-month period and are presented here in nominal units and as a financial analysis. Cumulative savings over this period have been calculated to be $351,567, representing a 53% annual return on investment after accounting for annual operating and maintenance costs.

  14. [Cutaneous myiasis by Cochliomyia hominivorax (Coquerel) (Diptera Calliphoridae) in Hospital Universidad del Norte, Soledad, Atlántico].

    Science.gov (United States)

    de la Ossa, Napoleón; Castro, Luis Eduardo; Visbal, Lila; Santos, Ana María; Díaz, Esther; Romero-Vivas, Claudia M E

    2009-03-01

    Human myiasis is the parasitism of human tissues by fly larvae. Diagnoses are based on clinical pattern of tissue damage and presence of insect stages. Herein, a case myiasis is described in a seven-year-old female child. She presented with fever associated with abscessed scalp lesions containing exposed larvae. Severe pediculosis was also observed. The patient was hospitalized and treated with clindamycin, gentamicin (for bacterial secondary infections) and ivermectin (treatment for lice) after which the patient showed clinical improvement and was discharged four days later. Since human myiasis can be caused by a number of different species, larvae were collected from the patient and identified as those of Cochliomyia hominivorax (Diptera: Calliphoridae). Because other cases of coinfestation of flies and lice are on record, health workers are to be alerted about the possible pediculosis-myasis risk.

  15. Seropositivity for anti-trypanosoma cruzi antibodies among blood donors of the "Hospital Universitário Regional do Norte do Paraná", Londrina, Brazil.

    Science.gov (United States)

    Reiche, E M; Inouye, M M; Pontello, R; Morimoto, H K; Itow Jankevicius, S; Matsuo, T; Jankevicius, J V

    1996-01-01

    The most frequent form of acquisition of Chagas' disease in endemic areas was the transmission through the feces of contaminated triatominae. However, special attention should be paid in urban areas to transmission by blood transfusion, justifying the compulsory screening of blood donors. Early investigations at blood banks in the town of Londrina, Brazil, demonstrated that the seroprevalence of anti-Trypanosoma cruzi antibodies among blood donors was approximately 7.0% in the fifties. Further studies demonstrated practically the same seroprevalence until the eighties. In an attempt to obtain data about the real dimension of the seropositivity for anti-Trypanosoma cruzi antibodies in the region, the authors carried out a large-scale study on 45,774 serum samples from blood donors of the Hemocentro of Hospital Univesitário Regional do Norte do Paraná (HURNP), Universidade Estadual de Londrina. The immunological tests were done at the Division of Clinical Immunology of HURNP from May 1990 to December 1994. The serum samples were studied by the indirect hemagglutination assay (IHA, using kits commercially obtained from EBRAM) and by indirect immunofluorescence (IFI, using kits from LIO SERUM) with anti-human IgG conjugate (LABORCLIN). The results demonstrated that 643 serum samples were positive in both assay corresponding to a seroprevalence of 1.4%, i.e., a significant decrease in anti-Trypanosoma cruzi antibodies in the region in comparison with the previously mentioned rates. Data correlating sex and age of seropositive blood donors are presented, as well as the possible factors that may have contributed to the results observed.

  16. An integrated outsourcing solution at York Central Hospital.

    Science.gov (United States)

    Marr, Jo-Anne; Tam, Richard; Simms, Stephen; Bacchus, Feria

    2011-01-01

    Canadian hospitals struggle to balance the need to increase and improve operational services and quality with diminishing resources. Many realize that sustaining their organization depends on how well they focus their resources and talents on their core business, clinical care delivery. Outsourcing of non-core, non-clinical support services is a solution for many organizations. Most often, this is put into action one service provider at a time. In 2007, however, York Central Hospital (YCH) implemented Sodexo's integrated Comprehensive Service Solutions (CSS) for all its support service functions. In doing so, YCH achieved significant improvements in patient and staff satisfaction rates, substantial cost savings through improved operational efficiency from process improvements and leveraging technology investments, and increased retail food revenue.

  17. Avaliação das hemotransfusões alogênicas na maternidade do Hospital Universitário Regional do Norte do Paraná

    Directory of Open Access Journals (Sweden)

    Guilherme Gryschek

    2006-05-01

    Full Text Available Os riscos inerentes às hemotransfusões alogênicas são amplamente conhecidos e, embora tenham diminuído nos últimos anos, parece improvável que possam ser completamente eliminados. É fundamental que se avalie corretamente cada paciente, para a adequada indicação transfusional ou a possível substituição por alternativas mais seguras, eficazes e acessíveis. No ciclo gravídico-puerperal, há maior exposição a riscos de anemia, quer a fisiológica quer a decorrente de hemorragias especialmente no periparto. Constituem, assim, um grupo de interesse para se considerar possíveis alternativas ao uso do sangue alogênico. O objetivo do presente estudo consiste nas principais indicações de transfusões na maternidade do Hospital Universitário Regional do Norte do Paraná (HURNP-UEL. Analisaram-se, retrospectivamente, 206 prontuários, de um total de 6552 pacientes internadas na Maternidade do HURNP, no período de maio de 1999 a julho de 2004, submetidas a 274 transfusões de sangue. Os principais dados coletados foram: epidemiológicos, nível de Hb pré-transfusional, indicações, tocurgias e complicações. A média etária foi de 27,5 (14- 44 anos. As indicações mais freqüentes foram: anemia aguda (62%, coagulopatia (7%, anemia crônica (7%, choque hipovolêmico (6% e outras (9%. Em 9% dos casos, não se mencionou nenhuma indicação, e, neles, o nível médio de Hb pré-transfusional foi de 9,6 g/dl. Os produtos hemoterápicos mais utilizados foram: concentrado de hemácias (82%, plaquetas (4%, plasma (11% e crioprecipitado (3%. O nível médio de Hb foi de 7,15 g/dl nas pacientes que receberam concentrado de hemácias, dentre as quais em 5% a Hb era maior ou igual a 10 g/dl. As tocurgias realizadas incluíram cesáreas, laqueaduras tubárias puerperais, histerectomias puerperais, curetagens, fórceps e partos normais com episiotomia. Conclui-se que a indicação de transfusão sangüínea não se deve basear apenas nos n

  18. Drowning in children: Aseer Central Hospital experience, Southwestern Saudi Arabia

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    Suliman H Al-Fifi

    2011-01-01

    Full Text Available Aim: To study the reasons, magnitude and outcome of drowning following submersion in water of children admitted to the Pediatric Intensive Care Unit in Aseer Province, Saudi Arabia. Materials and Methods: A retrospective cohort study of all pediatric patients (0-13 years old who drowned and were admitted to the Pediatric Intensive Care Unit, Aseer Central Hospital, Southwestern Saudi Arabia, between January 1st 1999 and December 31st 2009. Results: A total of 19 cases were admitted following submersion in water. The mean age was 5.2 years ±3.8. Majority of victims (94.1% were from the highland areas. Events most frequently occurred in the summer (46.7%, followed by spring and winter, 33.3% and 20%, respectively. Home events constituted 44.4% of submersion cases. Of these, 55.6% drowned in a washing container, While 53.4% submersed in swimming pools. Twenty-two percent of these accidents occurred in the sea and in wells while 11.1% occurred in a lake. The mean duration of submersion was 4.04 minutes ± 5.35. Cardiac arrest was reported upon arrival at hospital in 42.1% of the victims. There were seven deaths (36.8 % and in one patient (5.2 % there was severe brain injury. In all deceased cases, no adults were watching the children when the accidents occurred. Conclusion: Drowning is a significant risk factor facing our children and can claim lives. The media as well as the authority should play a major role in increasing the public awareness to minimize or prevent such a problem.

  19. [The Vishnevsky Central Military Clinical Hospital N 3 celebrates the 45th anniversary].

    Science.gov (United States)

    Beliakin, S A; Frolkin, M N

    2013-05-01

    The article is dedicated to the history of the Vishnevsky Central Military Clinical Hospital N 3. N.M.Nevskiy, the head of the 2nd Central military clinical hospital n.a. P. V. Mandryka, suggested to groud a military diagnostic and treatment complex in the countryside. It was caused by the exceeding demand for hospitalization for military personnel. The new hospital was built in 4 years and launched on 20 June 1968. The Central military clinical hospital of n.a. P. V.M andryka was transformed to the staff N 27/705 with 925 beds. This staff consisted of main treatment department with 655 beds (Krasnogorsk), branch of the 1st hospital with 120 beds (Moscow), branch of 2nd hospital with 100 beds and sanitary department with 50 beds (Bolshevo, the Moscow Region). In 1970 branch of the 1st 2nd hospitals were excluded from the staff. The name of hospital was changed for "Central clinical military hospital". In 1976 hospital was named after the prominent military surgeon A.A. Vishnevsky. Nowadays hospital is a multi-field medical and preventive treatment facility, one of the highest technological medical centers of the Armed Forces of the Russian Federation. This hospital provides a qualified medical treatment for servicemen, their families and other categories of employee of the Armed Forces. Hospital consists of 18 specialized centers, 110 diagnostic and treatment departments, 1 outpatient hospital and 6 branches.

  20. Prematurity in Central Hospital and GN Children's Clinic in Warri ...

    African Journals Online (AJOL)

    Materials and Method: Retrieval and analysis of casenotes of all the premature babies seen between 2000 and 2007 at General Hospital Warri, a specialist hospital with referrals from surrounding General Hospitals, and GN Children's Clinic, the two major ... Kangaroo nursing was introduced very early in the management.

  1. SATISFAÇÃO DOS CLIENTES: UMA ANÁLISE DA QUALIDADE DOS SERVIÇOS PRESTADOS POR UM HOSPITAL DO NORTE FLUMINENSE

    Directory of Open Access Journals (Sweden)

    PIANNA, L M

    2015-12-01

    Full Text Available A satisfação dos clientes demonstra a qualidade nos serviços prestados pela organização. O atendimento é atualmente um dos assuntos mais importantes e pesquisados pelas instituições hospitalares que almejam prestar um serviço de melhor qualidade aos seus pacientes. Segundo Kotler (1998, p. 53 algumas das empresas mais bem-sucedidas de hoje estão aumentando as expectativas dos consumidores e melhorando suas condições de atendimento por meio das pesquisas de satisfação. A satisfação do cliente é um dos principais indicadores da qualidade no atendimento à saúde, por isso a importância de analisar o bem-estar dos usuários em relação aos serviços que lhe são oferecidos é de extrema importância. Com base neste contexto, a avaliação dos serviços prestados sobre percepção dos usuários, transformou-se em uma ferramenta fundamental para os tomadores de decisão. A administração deste tipo de serviço é um processo complexo, cheio de subjetivismo, envolvem valores, experiências dentre outros aspectos. Para Las Casas (2008, p.62 as empresas voltadas para o cliente devem priorizar as pesquisas dos consumidores. Assim, é possível conhecer as atuais necessidades e desejos, ou então identificar os níveis de satisfação que o consumidor em relação à empresa. Empresas com foco no cliente desenvolvem práticas permanentes para identificar suas necessidades. A compreensão das expectativas e necessidades dos clientes facilita a empresa aderir a procedimentos que correspondem a essas necessidades. Entretanto, o objetivo principal deste estudo é identificar o nível de satisfação dos clientes com base na metodologia servqual em um hospital do Norte Fluminense. Para atender o objetivo geral deste estudo, foram propostos os seguintes objetivos específicos: construir referencial teórico sobre qualidade em serviços; elencar dimensões do modelo servqual para avaliação da qualidade em serviço; apontar possíveis perdas

  2. Are central hospitals ready for National Health Insurance? ICD ...

    African Journals Online (AJOL)

    Background. South Africa (SA)'s planned National Health Insurance reforms require the use of International Statistical Classification of Diseases (ICD) codes for hospitals to purchase services from the proposed National Health Authority. However, compliance with coding at public hospitals in the Western Cape Province ...

  3. El Ferrocarril Central Norte en Argentina, sección San Miguel de Tucumán-San José de Metán (Salta, 1880-1885. Notas sobre tierras y actores sociales

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    Cecilia Alejandra Fandos

    2011-06-01

    Full Text Available Este artículo analiza la prolongación del Ferrocarril Central Norte entre 1880-1885, época en que la línea se extendió desde la ciudad de San Miguel de Tucumán hasta el límite con Salta. Propone, a partir del análisis del caso tucumano, problematizar algunos aspectos del eje vincular entre el ferrocarril y la tierra. En este sentido, la provincia de Tucumán mostraba un proceso singular de apropiación del recurso tierra en relación con muchas otras regiones de Argentina en el siglo XIX, lo que habría pautado también las políticas diseñadas para la obtención de tierras necesarias para la construcción de ferrocarriles. Finalmente, en torno a la cuestión ferrocarriles e intereses económicos empresariales sostiene que, pese a que en los balances finales las inversiones de capitales privados y públicos hayan resultado favorables a determinados sectores, fueron secundadas por actores ligados a una diversidad de actividades económicas.This article reviews the expansion of the "Central Norte" railway between 1880 and 1885. During this period of time, it stretched from the city of San Miguel de Tucumán up to the border of the Province of Salta. We intend to discuss the linking core between railway and land by analyzing this case. In this way, the Province of Tucumán shows a particular process of appropriation of the land with regard to many other regions of the country during the XIX th century. This should have lined the designed politics for the obtention of the necessary lands for the railway construction. Finally, and according to railway and economic business interests, we uphold that, despite the final positive balances of some private and public investments, they have been supported by agents related to a variety of economic activities.

  4. A comparison of medical admissions Kamuzu Central Hospital ...

    African Journals Online (AJOL)

    Diagnosis recorded in patients admitted to the adult medical wards of Jane Furse Memorial. Hospital, Lebowa, South Africa, from I November. 1982 - 31 October 1983. Disease Category. Number. Ofo of Patients Total No. Respiratory. 489. 49.0. TB alone. 273. 27.4. Cardiovascular. 147. 14.8. Hepatic. 24. 2.4. Diabetes. 43.

  5. Gastric cancers at Kibogora Hospital | Ntakiyiruta | East and Central ...

    African Journals Online (AJOL)

    Many of our patients present with advanced gastric cancer with no prospective for cure. The aim of this study was to determine the frequency, the clinical presentations, the anatomical and pathological aspects and the management of gastric cancers at Kibogora hospital. Methods: This was a retrospective descriptive study ...

  6. Pattern of ocular trauma seen in Grarbet Hospital, Butajira, Central ...

    African Journals Online (AJOL)

    Bernt Lindtjorn

    Data on demography, initial and final visual acuities, type of ... eye hospital serves a population of about 1.5 million residing in six woredas .... 2009-Oct. 2010. Types of ocular injuries. Sources/ Causes. Tools/ metal. Sharp object. Blunt object. Fall. Tree leaves. Traffic accident. Fire. Works. Burn. Lawn equipment. Chemical ...

  7. Avaliação das condições de trabalho em Hospitais de Natal, Rio Grande do Norte, Brasil Evaluación de las condiciones de trabajo en Hospitales de Natal, Rio Grande do Norte, Brasil Assessment of the work conditions in hospitals of Natal, Rio Grande do Norte State, Brazil

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    Joel Lima Júnior

    2009-09-01

    Full Text Available Buscou-se identificar como os profissionais de saúde avaliam as condições de trabalho em hospitais de diferentes naturezas, e verificar como estas condições interferem na satisfação laboral. A amostra foi composta por 213 profissionais de diferentes categorias. A análise dos resultados evidenciou um perfil distinto entre os hospitais no tocante as condições de trabalho. De forma geral, apontou as menores médias no hospital estadual, enquanto as maiores foram observadas no hospital filantrópico; resultado que corrobora o atual cenário da saúde pública do País. Ressalta-se ainda, uma associação significativa entre satisfação no trabalho e as variáveis renda familiar e hospital em que o profissional atua. Acredita-se que os conflitos nesse cenário são inevitáveis, frente à precária estrutura de algumas instituições públicas, contudo, são previsíveis e passíveis de solução se o hospital dispuser de um canal de expressão livre e acessível a todos os agentes.Se buscó identificar como los profesionales de la salud evalúan las condiciones de trabajo en hospitales de diferentes naturalezas y verificar como estas condiciones interfieren en la satisfacción laboral. La muestra estuvo compuesta por 213 profesionales de diferentes categorías. El análisis de los resultados evidenció un perfil distinto entre los hospitales en lo que se refiere a las condiciones de trabajo. De forma general, apuntó los menores promedios en el hospital estatal, en cuanto las mayores fueron observadas en el hospital filantrópico; resultado que corrobora el actual escenario de la salud pública del país. También, se resalta una asociación significativa entre la satisfacción en el trabajo y las variables renta familiar y hospital en que el profesional actúa. Se piensa que los conflictos en ese escenario son inevitables, frente a la precaria estructura de algunas instituciones públicas, sin embargo, son previsibles y pasibles de

  8. Estudio retrospectivo de complicaciones asociadas al aceite de silicona. Experiencia de 5 años en un hospital público del norte de México

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    Edwin Javier Anaya-Pava

    2017-03-01

    Conclusiones: Las complicaciones encontradas con el uso del AS fueron AS emulsionado, hipertensión ocular, erosión corneal y la inflamación crónica del segmento anterior, así como una incidencia de catarata creciente conforme al tiempo transcurrido. La tasa de redesprendimiento después del retiro de AS en nuestro hospital fue de casi una quinta parte de todos los casos.

  9. Evaluation of surrogate markers for human immunodeficiency virus infection among blood donors at the blood bank of "Hospital Universitário Regional Norte do Paraná", Londrina, PR, Brazil

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    Reiche Edna Maria Vissoci

    2003-01-01

    Full Text Available This study evaluated the usefulness of the anti-HBc, hepatitis C virus antibodies (anti-HCV, human T cell lymphotropic virus I and II antibodies (anti-HTLV I/II, serologic tests for syphilis, and surface antigen of hepatitis B virus (HBsAg as surrogate markers for the risk for HIV infection in 80,284 serum samples from blood donors from the Blood Bank of "Hospital Universitário Regional Norte do Paraná", Londrina, Paraná State, Brazil, analyzed from July 1994 to April 2001. Among 39 blood donors with positive serology for HIV, 12 (30.8% were anti-HBc positive, 10 (25.6% for anti-HCV, 1 (2.6% for anti-HTLV I/I, 1 (2.6% was positive for syphilis, and 1 (2.6% for HBsAg. Among the donors with negative serology for HIV, these markers were detected in 8,407 (10.5%, 441 (0.5%, 189 (0.2%, 464 (0.6%, and 473 (0.6% samples, respectively. The difference was statistically significant (p < 0.001 for anti-HBc and anti-HCV. Although the predictive positive value for these surrogate markers were low for HIV infection, the results confirmed the anti-HBc and anti-HCV as useful surrogate markers for HIV infection thus reinforcing the maintenance of them in the screening for blood donors contributing to the prevention of the small number of cases in which HIV is still transmitted by transfusion.

  10. Maternal mortality at the Central Hospital, Benin City Nigeria: A ten ...

    African Journals Online (AJOL)

    Maternal mortality remains a major challenge in Nigeria. This retrospective study was conceptualized to document the number and pattern of obstetric deaths at the Central Hospital, Benin City, over a ten year period, to identify common causes of maternal deaths and proffer relevant interventions. The overall maternal ...

  11. An audit of urine culture results at Queen Elizabeth Central Hospital ...

    African Journals Online (AJOL)

    We conducted a retrospective audit of urine cultures at the Queen Elizabeth Central Hospital (QECH), Blantyre. The aims of the audit were to determine the common organisms cultured from urine, in 1994-5 and in 1999-2001, and the sensitivity of these organisms to the first and second line drugs used in the management of ...

  12. A 54 year analysis of articles from Mpilo Central Hospital, Bulawayo ...

    African Journals Online (AJOL)

    PubMed and Google Scholar were searched to obtain articles originating from Mpilo Central Hospital, Bulawayo, Zimbabwe - 1958 to August 2011 (54 years). 168 articles cited 999 times were retrieved giving about 6 citations per article. Analysis of publication trends over time as well as publication avenues is made.

  13. Diabetic retinopathy at the Yaoundé Central Hospital in Cameroon ...

    African Journals Online (AJOL)

    We carried out a cross-sectional analytical survey using data from patients who had done Fluorescein Angiography at the Yaounde Central Hospital Diabetic Retinopathy Prevention and Management Project between October 2007 and January 2010 to identify the risk factors, incidence and severity of different types of ...

  14. Experience of an implantable central venous access system in a district general hospital.

    Science.gov (United States)

    Currie, I C; Miller, E J; Mitchell, A; Moir, D; Souter, R G

    1995-02-01

    Reliable access to a central vein is increasingly important in the treatment of major acute and chronic disease. The use of an implantable central venous access device in a district general hospital is reviewed. Fifty-four PortaCaths (Kabi Pharmacia, Milton Keynes, UK) were inserted in 51 patients over a 7-year period. Most patients had haematological disease, often with neutropenia and thrombocytopenia. There were a total of 22,515 catheter days experience. Twelve catheters were removed for complications with an overall complication rate of 0.93/1000 catheter days. There were four line infections and four episodes of periport sepsis. Occasional catheter thrombosis was usually cleared with urokinase. Neutropenic and immunocompromised patients had an increased complication rate. PortaCaths were well tolerated by patients and required minimum maintenance. An implantable central venous access device proved safe and reliable for use in a district general hospital.

  15. Acaricides efficiency on Rhipicephalus (Boophilus microplus from Bahia state North-Central region Eficiência de acaricidas sobreRhipicephalus (Boophilus microplusna região Centro-Norte, Bahia

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    José Tadeu Raynal

    Full Text Available The cattle tick Rhipicephalus (Boophilus microplus is responsible for major losses in the Brazilian livestock, mainly due to reduction in cattle productive performance. Resistance development to major classes of acaricide widely used nowadays has been extensively reported, as well as the occurrence of residues from these compounds in animal products and the environment. This study aimed to evaluate the efficiency of acaricides on R. (B. microplus collected from rural properties in the North-Central region of Bahia State. Ticks were collected in several cattle farms in the cited region, and an in vitro acaricide efficiency assay was performed based on the immersion of ticks in acaricide solutions made according to manufacturers' recommendations. The results obtained in the experiments indicated varying degrees of efficiency of the several bases studied, with the products benzofenilurea, macrocyclic lactone and fipronil showing the highest levels of efficiency, 100%, 100% and 97.34%, respectively. It was possible to conclude that, for the region studied, there are different degrees of commercial acaricides efficiency, and many present less than 95% effectiveness, value determined as acceptable by the Brazilian legislation.O carrapato Rhipicephalus (Boophilus microplus é responsável por grandes perdas na pecuária brasileira, principalmente devido à redução no desempenho produtivo dos animais. A resistência do parasita a diferentes classes de acaricidas tem sido amplamente relatada, bem como os problemas de ocorrência de resíduos desses compostos em produtos de origem animal e no ambiente. Esse estudo teve como objetivo avaliar a eficiência de diversos acaricidas sobre populações de R. (B. microplus provenientes de propriedades rurais da Região Centro-Norte do Estado da Bahia, Brasil. Teleóginas ingurgitadas foram colhidas em diferentes propriedades da região e submetidas a ensaio in vitro de eficiência de acaricidas, baseado na

  16. [Study on 10 409 cases of post-marketing safety Danhong injection centralized monitoring of hospital].

    Science.gov (United States)

    Li, Xuelin; Tang, Jinfa; Meng, Fei; Li, Chunxiao; Xie, Yanming

    2011-10-01

    To study Danhong injection adverse reactions (ADR) incidence, nature and clinical performance, provide the basis for the clinical safety of drugs. Multi-center, a large sample of hospitals focused on monitoring method. Danhong injection ADR for the rapid onset and ease the quick recovery, the rate was 0. 682% , the newly discovered ADR constipation, sweating, tinnitus, irritability, joint disease, erythema, venous pain, phlebitis, local numbness, pain, weakness, gastrointestinal ulcer bleeding, vasospasm, cyanosis. Danhong injection adverse reactions are type A adverse reactions occasionally, centralized monitoring of hospital medicine injection method is to carry out post-marketing safety re-evaluation of appropriate methods.

  17. Aspectos clínicos de recém-nascidos admitidos em Unidade de Terapia Intensiva de hospital de referência da Região Norte do Brasil

    Directory of Open Access Journals (Sweden)

    Samyra Said de Lima

    2015-08-01

    Full Text Available Introdução: O conhecimento das características de nascimento e óbitos de recém-nascidos, condições biológicas da gestação e parto, bem como dos neonatos admitidos em Unidades de Terapia Intensiva Neonatal (UTIN, disponibilizadas através de estudos epidemiológicos podem subsidiar ações de assistência em saúde materno-infantil, minimizando a ocorrência de agravos e planejando um atendimento mais adequado. Objetivo: Descrever os aspectos clínicos de recém-nascidos admitidos na UTIN de hospital de referência da região norte do país. Métodos: Estudo transversal, descritivo e documental com amostragem aleatória simples composta por 318 prontuários de recém-nascidos admitidos na UTIN no ano de 2013, coletados por meio de ficha estruturada durante os meses de abril a julho de 2014. Foi realizada análise descritiva simples dos dados. Resultados: A amostra constituiu-se de neonatos masculinos (53,14%, prematuros (92,14% e de baixo peso ao nascimento (80,5%, com Apgar adequados no 1º e 5º minutos e sem utilizar surfactante pulmonar exógeno (54,72%. Suas genitoras constituíram-se de adultas jovens, com pré-natal inadequado (72,6%, partos cesarianos (56,0%, sem corticoterapia antenatal (91,19% e provenientes do interior do estado (44,0%. Prematuridade foi a principal causa de admissão na Unidade (77,04%. Os neonatos necessitaram de suporte ventilatório, oxigenoterapia e assistência fisioterapêutica (92,14%. No total, 55% dos óbitos ocorreram precocemente, sendo o choque séptico a principal causa (40,83%. Conclusão: Estes resultados revelam as características dos recém-nascidos desta Unidade podendo contribuir no direcionamento de ações públicas voltadas à prevenção de agravos e a promoção da saúde materna e neonatal a nível regional e nacional.

  18. Numerical investigation of airborne infection in naturally ventilated hospital wards with central-corridor type

    DEFF Research Database (Denmark)

    Zhou, Qi; Qian, Hua; Liu, Li

    2018-01-01

    Natural ventilation is believed to control airborne infection due to high ventilation rates while an undesired flow pattern may cause infection transmission in hospital wards. A computational fluid dynamics simulation was carried out in this study to investigate the impact of airflow pattern...... on cross infection in a real central-corridor hospital ward with natural ventilation in Nanjing, China. The simulation results demonstrate that the predicted infection risks of the downstream cubicle are up to 10.48% and 11.59% as the index patient is located in the corridor and in the opposite upstream...... cubicle, respectively. Under this circumstance, the downstream cubicle should be listed on the high-risk list and the central-corridor type is not recommended in a naturally ventilated ward. Measures such as keeping cubicle doors closed should be taken in order to cut off the transmission route...

  19. Clinical Spectrum of Acute Renal Failure in Dammam Central Hospital, Dammam, Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Ghacha Reda

    2000-01-01

    Full Text Available Fifty consecutive patients of acute renal failure (ARF seen over a period of two years at the Dammam Central Hospital, Dammam were studied. The mean age of the patients was 39.3 years ranging from 14 to 90 years. The main etiological factors for ARF were acute tubular necrosis (67.5% and obstructive uropathy (30%. The mortality rate was 26% and the poor prognostic factors included sepsis, acidosis, shock and the need for emergency hemodialysis.

  20. Metodología para la evaluación de rutas de evacuación en caso de tsunami aplicado a la costa del pacífico norte y central de Costa Rica

    Directory of Open Access Journals (Sweden)

    Arozarena Llopis, Isabel

    2016-06-01

    Full Text Available Se ha diseñado un método con el objetivo de elaborar una cartografía de rutas de evacuación en caso de tsunami a escala 1:10.000, basado en las directrices establecidas por la Comisión Europea. Las áreas de estudio son las localidades del Pacífico Norte y Central identificadas como más vulnerables ante tsunamis. Dicha metodología está basada en el modelado a baja resolución de 35 escenarios de posibles tsunamis, la vulnerabilidad física y poblacional del lugar; y está adaptada a los datos con los que el país cuenta en este momento. Se emplea una metodología de análisis de redes en un sistema de información geográfica, para determinar los costos superficiales y con ello, la ruta óptima a recorrer para evacuar desde la zona inundable hasta los refugios horizontales (lugares que por su elevación no se inundan en caso de tsunami o verticales (edificios situados en la zona inundable, que por su altura y capacidad sirven de refugio. En Costa Rica, la metodología dictada por la Comisión Europea debe ser adaptada a la disponibilidad de datos. Muchos de ellos se obtienen a través de instancias públicas nacionales, mientras que otros han tenido que ser creados. Asimismo, se realizan comprobaciones en campo de algunos de los grupos de datos necesarios. El método de análisis de rutas utilizado debe ser forzado en algunos casos para lograr que la evacuación sea completa A method designed with the objective of developing a mapping evacuation routes in case of tsunami at scale 1: 10,000, based on guidelines set by the European Commission. The areas of study are the localities Northern and Central Pacific identified as most vulnerable to tsunamis. Based on low-resolution modeling of 35 scenarios of possible tsunamis, physical and population vulnerability of the site, and is adapted to the data with which the country has at this time. A methodology of network analysis in a geographic information system is used to determine the surface

  1. Kangaroo Mother Care: A review of mothers׳'experiences at Bwaila hospital and Zomba Central hospital (Malawi).

    Science.gov (United States)

    Chisenga, Jayne Z; Chalanda, Marcia; Ngwale, Mathews

    2015-02-01

    Kangaroo Mother Care is an intervention that can help reduce neonatal mortality rate in Malawi but it has not been rolled out to all health facilities. Understanding the mothers׳ experience would help strategise when scaling-up this intervention. to review experiences of mothers Kangaroo Mother Care at two hospitals of Bwaila and Zomba. quantitative, descriptive using open interviews. two central hospitals in Malawi. 113 mothers that were in the Kangaroo Mother Care unit and those that had come for follow-up two weeks after discharge before the study took place. mothers had high level of knowledge about the significant benefits of Kangaroo Mother Care but 84% were not aware of the services prior to their hospitalisation. 18.6% (n=19) were not counselled prior to KMC practice. Mothers preferred KMC to incubator care. There were factors affecting compliance and continuation of KMC, which were lack of support, culture, lack of assistance with skin-to-skin contact, multiple roles of the mother and stigma. mothers had a positive attitude towards KMC once fully aware of its benefits. there is need for awareness campaigns on KMC services, provision of counselling, support and assistance which can help motivate mothers and their families to comply with the guidelines of KMC services. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. The perception of safety culture among nurses in a tertiary hospital in Central Saudi Arabia.

    Science.gov (United States)

    Alonazi, Noufa A; Alonazi, Aisha A; Saeed, Elshazaly; Mohamed, Sarar

    2016-01-01

    Developing a patient safety culture was one of the recommendations made by the Institute of Medicine (IOM) to assist hospitals in improving patient safety. Nurses are the key to safety improvements in hospitals. It is necessary to know their awareness and perception regarding institutional safety climate. The aim of this study is to explore perceptions of patient safety among nursing staff in a tertiary hospital in Central Saudi Arabia in different discipline units. The current study was conducted at Prince Sultan Military Medical City (PSMMC), a tertiary center in Riyadh, Central Saudi Arabia. In November 2014, five hundred nurses were randomly selected to participate in this study. A survey questionnaire with Likert scale was adopted covering characteristics of participants together with their views on patient safety issues. Two hundred and twenty-four participants filled the questionnaire with a response rate of 44.8%. The overall perception of patient safety among participants was (57.9%). The majority (74.1%) thought that the existing system is good at preventing errors and only one third indicated that they have patient safety problems. Most of the participants were happy with the existing patient safety culture including organizational learning/continuous improvement (95.5%), and errors feedback and communication (76.64%). In conclusion, this study showed that perception of patient safety was sub-optimal among nurses and there are several areas for improvement regarding safety culture.

  3. [New blood transfusion system of the Saku Central Hospital--present conditions and problems].

    Science.gov (United States)

    Shimizu, Ken-ichi; Muroi, Ken-ichi; Imai, Mari; Asano, Katsunori; Tamura, Makoto; Imai, Shuichi

    2003-09-01

    It is important for a hospital to have a well organized blood transfusion service. Our hospital adopted the maximum surgical blood order schedule (MSBOS) and type and screen (T & S) systems in April 1999 and opened a division of transfusion therapy, thus introducing an integrated control system for blood transfusion. In the year (2002), the crossmatch-to-transfusion (C/T) ratio has dropped from 3.94 to 2.01, and the volume of blood transported outside the central operating room and that of waste blood have decreased. The new systems are instrumental in saving preoperatively prepared blood and exercising its qualitative control. From now on, our task is to improve measures to cope with cases of transfusion in excess of MSBOS and reevaluate MSBOS on a regular basis.

  4. Neurocognitive sequelae of cerebral malaria in adults: a pilot study in Benguela Central Hospital, Angola.

    Science.gov (United States)

    Peixoto, Bruno; Kalei, Isabel

    2013-07-01

    To characterize the neurocognitive sequelae of cerebral malaria (CM) in an adult sample of the city of Benguela, Angola. A neuropsychological assessment was carried out in 22 subjects with prior history of CM ranging from 6 to 12 months after the infection. The obtained results were compared to a control group with no previous history of cerebral malaria. The study was conducted in Benguela Central Hospital, Angola in 2011. CM group obtained lower results on the two last trials of a verbal learning task and on an abstract reasoning test. CM is associated to a slower verbal learning rate and to difficulties in the ability to discriminate and perceive relations between new elements.

  5. Reactive Arthritis by Intestinal Parasites in the Central Military Hospital in Lima

    OpenAIRE

    Feijóo Quiroz, Octavio; Departamento de Medicina Interna Hospital Militar Central de Lima Lima, Perú

    2014-01-01

    OBJECTIVE: To determine the causal relationship existent between intestinal parasitic infestations and reactive arthritis (ReA). MATERIAL AND METHODS: A case-control trial with patients admitted to the Hospital Militar Central of Lima, 31 of them were diagnosed as having ReA between 1994 and 1995 (control group) and 31 ReA-free patients. Data were obtained from medical records. RESULTS: In the case group, 11 patients (35,48%) had intestinal parasites; 12 (38,71%) presented albendazol- and/or ...

  6. Humanizing access to modern contraceptive methods in national hospitals in Guatemala, Central America.

    Science.gov (United States)

    Kestler, Edgar; Barrios, Beatriz; Hernández, Elsa M; del Valle, Vinicio; Silva, Alejandro

    2009-07-01

    The overall situation in Guatemala, Central America, regarding programs caring for women's reproductive health has been lagging behind for some decades. Since the year 2000, 56% of Guatemalan families have lived below the poverty line. Guatemala has one of the highest fertility rates (lifetime births per woman) in Latin America and the Caribbean countries, comparable to those observed in less developed countries in Africa. Considering the lack of sex education, poor access to effective contraceptive methods and issues of unwanted pregnancy, Guatemalan women engage in illegal and unsafe abortions, which often causes harm and sometimes death. A key strategy designed to improve women's health is through free and informed access to contraceptive methods that are effective and accepted by Guatemalan women. From July 1, 2003, to December 31, 2006, specially hired trained facilitators visited 22 public hospitals for 1 week to train corresponding physician staff in postabortion counseling, enabling them to assist patients to select and use an effective contraceptive method. To monitor the progress achieved, the trained facilitators returned 4 weeks later. The main purpose of the training was to focus in strengthening the understanding and technical capacity of the hospital staff to implement postabortion contraceptive counseling and to enable women to obtain an effective contraceptive method prior to hospital discharge. Out of 22 hospitals, 21 managed to improve their record for counseling patients admitted for postabortion complications, from 31% to 96%. Furthermore, the percentage of women being discharged from the hospital with an effective contraceptive method rose from 20% to 64% from 2003 to 2006. The successful results obtained during this study to meet postabortion demands by Guatemalan women point out to the urgent need for the government to expand this initiative within the national health system, including health centers nationwide. This is one of the worldwide

  7. Costing of services of Vietnamese hospitals: identifying costs in one central, two provincial and two district hospitals using a standard methodology.

    Science.gov (United States)

    Flessa, Steffen; Dung, Nghiem Tran

    2004-01-01

    The People's Republic of Vietnam is currently in a period of transition from a purely socialistic country towards a so-called socialist market economy. Since the introduction of the Doi Moi policy in 1987, health care services have been liberalized, medical practitioners have received the right to open private hospitals and private pharmacies are booming. However, the majority of inhabitants strongly depends on governmental hospital services. These services are currently going through a financial crisis. This demands the quest for efficiency and the wise allocation of public funds. The efficient allocation of funds depends on the quotient between costs and health outcomes, but the costs of health services in Vietnamese hospitals are unknown. Therefore the study analysed five hospitals in Vietnam and determined the average costs as well as the main cost drivers. The full costs of five hospitals were analysed, including depreciation and the value of donations. The costs were allocated to cost centres and cost units by a stepping-stone method. As expected, the average costs per inpatient day at a central hospital are about 300% of the costs of provincial hospitals and about 600% of the costs of district hospitals. However, the costs of some laboratory procedures and operations done at district hospitals are higher than those of provincial or even central hospitals. The main reason for the high costs of some procedures at district hospitals was the low quantity of these procedures at that level. This is a strong indicator that some procedures, in particular major operations, should not be performed in Vietnamese district hospitals.

  8. Precocious puberty: An experience from a major teaching hospital in Central Saudi Arabia.

    Science.gov (United States)

    Osman, Huda A; Al-Jurayyan, Nasir A M; Babiker, Amir M I; Al-Otaibi, Hessah M N; AlKhalifah, Reem D H; Al Issa, Sharifah D A; Mohamed, Sarar

    2017-01-01

    Precocious puberty is a developmental process that gives rise to secondary sexual characteristics before the age of 8 years in girls and 9 years in boys. In general, precocious puberty can be classified as central or peripheral. This is a retrospective hospital-based study was conducted at King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia, during the period January 1990 and December 2016. Data were abstracted from the medical records of patients diagnosed with precocious puberty, with special emphasis on age, sex, clinical characteristics, and relevant hormonal assay. A total of 62 patients were diagnosed with Precocious Puberty (PP); 43 had Central Precocious Puberty (CPP) while 19 had peripheral precocious puberty (PPP). The majority of girls with CPP (68%) had idiopathic PP, while pathological causes were found in (50%) of boys. The commonest cause of PPP was congenital adrenal hyperplasia (42%) and chronic hypothyroidism (26%). In conclusion, this study showed that precocious Puberty is a common endocrine problem in our center. The etiology of CPP was idiopathic in the majority of girls while it was caused by CNS pathology in most of the boys in this cohort. Peripheral precocious puberty is not that rare and mainly caused by congenital adrenal hyperplasia or hypothyroidism.

  9. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    . Documentation exists in; well-being of patients and staff, sleep disorders, pain distraction, confidentiality and privacy, levels of errors in hospitals. Art and the use of color: Art can be context related so one should be aware whether it is in a private ward or the foyer and related to the experience...... in treating disease can be supported by architecture which is sensitive to the contextual conditions of healing in health facilities. It is not the intention to supplant technology, but a question of supplementing the incredible advances that have been made in medicine in recent decades. The central premise......- sick-leave and work-related injuries....

  10. Biopsy case mix and diagnostic yield at a Malawian central hospital.

    Science.gov (United States)

    Mtonga, P; Masamba, L; Milner, D; Shulman, L N; Nyirenda, R; Mwafulirwa, K

    2013-09-01

    Cancer is a major disease burden worldwide resulting in high morbidity and mortality. It is the leading cause of mortality in developed countries and is one of the three leading causes of death for adults in developing countries. Pathological examination of tissue biopsies with histological confirmation of a correct cancer diagnosis is central to cancer care. Without an accurate and specific pathologic diagnosis, effective treatment cannot be planned or delivered. In addition, there are marked geographical variations in incidence of cancer overall, and of the specific cancers seen. Much of the published literature on cancer incidence in developing countries reflects gross estimates and may not reflect reality. Performing baseline studies to understand these distributions lays the groundwork for further research in this area of cancer epidemiology. Our current study surveys and ranks cancer diagnoses by individual anatomical site at Queen Elizabeth Central Hospital (QECH) which is the largest teaching and referral hospital in Malawi. A retrospective study was conducted reviewing available pathology reports over a period of one full year from January 2010 to December 2010 for biopsies from patients suspected clinically of having cancer. There were 544 biopsies of suspected cancer, taken from 96 anatomical sites. The oesophagus was the most common biopsied site followed by breast, bladder, bone, prostate, bowel, and cervical lymph node. Malignancies were found in biopsies of the oesophagus biopsies (squamous cell carcinoma, 65.1%; adenocarcinoma, 11.6%), breast (57.5%), bladder (squamous cell carcinoma, 53.1%) and stomach (37.6%). Our study demonstrates that the yield of biopsy for clinically suspected malignancy was greater than 50% for the 11 most common sites and provides a current survey of cancer types by site present in the population reporting to our hospital.

  11. Measles among healthcare workers in a teaching hospital in central Italy.

    Science.gov (United States)

    Barbadoro, Pamela; Marigliano, Anna; Di Tondo, Elena; De Paolis, Maria; Martini, Enrica; Prospero, Emilia; D'Errico, Marcello Mario

    2012-01-01

    The aim of this report is to describe a measles cluster involving health-care workers (HWCs) that occurred in a teaching hospital in central Italy during winter 2011 and the efforts made to promptly identify all the susceptible contacts in order to stop, as soon as possible, transmission of the infection within the hospital. An epidemiological investigation took place. The immunization status of all the exposed individuals was assessed by personal interviews (history of measles or measles vaccine). Serologie screening for personnel not immune to measles was performed. Four cases of measles infection in HCWs were identified; of the 72 HCWs tested for measles immunity, 50 reported a past history of measles, while 22 underwent serological screening, which showed that all were IgG positive except for one case, which was excluded from duty as recommended. Strict adherence to use of alcohol-based hand rub and rapid implementation of appropriate isolation precautions are essential but insufficient to prevent measles outbreaks in hospital settings. Vaccination is the only reliable protection against nosocomial spread of measles. Therefore, assessing the immunization status of HCW and implementing vaccination strategies are needed in order to virtually set to zero the risk of acquiring and spreading measles in healthcare settings.

  12. Incidence of Maternal "Near-Miss" Events in a Tertiary Care Hospital of Central Gujarat, India.

    Science.gov (United States)

    Parmar, Niyati T; Parmar, Ajay G; Mazumdar, Vihang S

    2016-10-01

    Constant decline in maternal mortality ratio has given rise to the need of a new indicator. This search has motivated investigation of severe maternal morbidity-"maternal near-miss" (MNM) event. World Health Organization (WHO) defines MNM as "a woman who, being close to death, survives a complication that occurred during pregnancy, delivery or up to 42 days after the end of her pregnancy". A hospital-based cross-sectional study was carried out at Sir Sayajirao General Hospital (SSGH), a tertiary care referral hospital in Vadodara, Central Gujarat, from May to September 2012. MNM events were identified according to either WHO or Mantel et al. criteria or both. During study period, 1929 live births, 18 maternal deaths and 46 "near-miss" cases were recorded. Among these 46 near-miss cases, 57 near-miss events were identified. Calculated MNM ratio was 23.85/1000 live births, MNM rate was 20.6/1000 obstetric admissions, the ratio of maternal death to MNM event was 1:2.6, and overall Mortality index was 28.1 %. Among near-miss cases, percentage of preterm delivery was 42 % and stillbirth rate was 35 % (16/46). Out of 46 MNM, pregnancies were continued in 3 while 43 pregnancies were terminated. (25 live births, 16 stillbirths, 2 abortions). Identification of preventable factors and special preventive actions should be taken for management of complications in such near-miss cases.

  13. Bootstrapping data envelopment analysis of efficiency and productivity of county public hospitals in Eastern, Central, and Western China after the public hospital reform.

    Science.gov (United States)

    Wang, Man-Li; Fang, Hai-Qing; Tao, Hong-Bing; Cheng, Zhao-Hui; Lin, Xiao-Jun; Cai, Miao; Xu, Chang; Jiang, Shuai

    2017-10-01

    China implemented the public hospital reform in 2012. This study utilized bootstrapping data envelopment analysis (DEA) to evaluate the technical efficiency (TE) and productivity of county public hospitals in Eastern, Central, and Western China after the 2012 public hospital reform. Data from 127 county public hospitals (39, 45, and 43 in Eastern, Central, and Western China, respectively) were collected during 2012-2015. Changes of TE and productivity over time were estimated by bootstrapping DEA and bootstrapping Malmquist. The disparities in TE and productivity among public hospitals in the three regions of China were compared by Kruskal-Wallis H test and Mann-Whitney U test. The average bias-corrected TE values for the four-year period were 0.6442, 0.5785, 0.6099, and 0.6094 in Eastern, Central, and Western China, and the entire country respectively, with average non-technical efficiency, low pure technical efficiency (PTE), and high scale efficiency found. Productivity increased by 8.12%, 0.25%, 12.11%, and 11.58% in China and its three regions during 2012-2015, and such increase in productivity resulted from progressive technological changes by 16.42%, 6.32%, 21.08%, and 21.42%, respectively. The TE and PTE of the county hospitals significantly differed among the three regions of China. Eastern and Western China showed significantly higher TE and PTE than Central China. More than 60% of county public hospitals in China and its three areas operated at decreasing return scales. There was a considerable space for TE improvement in county hospitals in China and its three regions. During 2012-2015, the hospitals experienced progressive productivity; however, the PTE changed adversely. Moreover, Central China continuously achieved a significantly lower efficiency score than Eastern and Western China. Decision makers and administrators in China should identify the causes of the observed inefficiencies and take appropriate measures to increase the efficiency of county

  14. Peripheral and Central Giant Cell Lesions in Children: Institutional Experience at Subharti Dental College and Hospital.

    Science.gov (United States)

    Chandna, Preetika; Srivastava, Nikhil; Bansal, Vishal; Wadhwan, Vijay; Dubey, Prajesh

    2017-01-01

    Giant cell lesions (GCG) are a group of varied lesions that contain a multitude of multinucleated, osteoclast like giant cells within connective tissue stroma. These include giant cell granulomas which may be central (CGCG), if they lie within the jaw bone, or, peripheral (PGCG) if they lie within the soft tissue. Giant cell granulomas comprised 9.29% of all oral lesions. This case series comprises of 5 giant cell lesions in children between the ages of 4 to 12 years. A retrospective analysis was conducted of all patients who were diagnosed with giant cell lesions and treated over a period of 10 years (from August 2004 to August 2014) at Subharti Dental College and Hospital, Meerut, India. A total of 5 giant cell lesions were identified in this case series, of which 2 cases were diagnosed as PGCG and 3 cases as CGCG. Surgical excision and curettage was performed for 2 peripheral lesions under local anesthesia while 1 central lesion was excised under general anesthesia. Two central lesions were treated with a non-surgical approach using intralesional corticosteroid. Our experience suggests that a correct diagnosis and complete surgical excision with curettage is effective in complete management of oral giant cell lesions in the pediatric age group.

  15. [Enteroviral central nervous system infections in children treated at a hospital in Lima, Peru].

    Science.gov (United States)

    Espinoza, Iván O; Ochoa, Theresa J; Mosquito, Susan; Barletta, Francesca; Hernández, Roger; Medina, María del Pilar; Stiglich, María Luisa; Ugarte, Claudia; Guillén, Daniel

    2011-12-01

    To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the presence of enterovirus, herpes simplex virus 1 (HSV-1), herpes simplex virus 2 (HSV-2) and varicella-zoster virus (VZV) by polymerase chain reaction (PCR). 97 patients were included, out of which 69 % had acute encephalitis and 31 % acute meningitis. Enteroviruses were identified in 52,6% of all acute non-bacterial central nervous system infections; corresponding to 83,3 % of meningitis and 38,8 % of encephalitis. There were no cases of infection due to HSV-1, HSV-2 or VZV. Enterovirus infections reached 82,9 % in the warm months (November-January) and 28,6 % in the colder months (May-July). Enteroviruses are the principal etiologic agents in acute aseptic meningitis and encephalitis in pediatric patients in Lima, Peru. Enteroviruses have a seasonal epidemiological pattern with a clear increase in the number of cases during the summer months. It is useful to have this rapid diagnostic method available as an aid in the management of acute central nervous system infections.

  16. Karyotypic polymorphism and evolution within and between the Liolaemus monticola (Iguanidae "northern 2n = 38-40" chromosome race populations in central Chile Polimorfismo cromosómico y evolución intra e inter poblacional de la raza cromosómica "Norte 2n = 28-40" de Liolaemus monticola (Iguanidae en Chile Central

    Directory of Open Access Journals (Sweden)

    MADELEINE LAMBOROT

    2001-03-01

    Full Text Available Chromosomal genotypes were scored from 359 Liolaemus monticola lizards of the "northern, 2n = 38-40" chromosomal race from 21 locality samples between the Maipo (and one of its tributaries and the Aconcagua (and one of its tributaries ribers, plus a sample from the interracial hybridization zone, and some representative locality samples of the "southern 2n = 34" and the "multiple fission 2n = 42-44" chromosomal races for comparisons. The first seven variable chromosomal pairs were coded as Mendelian genotypes and statistically summarized by several clustering and population genetic algorithms. Spatial and temporal differentiation was assessed by chromosome frequencies, chromosomal diversity and heterozygosity. While no differentiation was found for diversity in the "northern 2n = 38-40" race, chromosomal frequencies and heterozygosity showed significant spatial differentiation that permit distinguishing between the coastal, Andean and transversal mountain range populations. The sample of Cuesta Chacabuco may represent a hybrid zone between the other two range samples. The origin of the chromosomal rearrangements, the population cytogenetics, and the recombination patterns resulting from chromosomal heterozygosity are compared in these chromosomal races, thus expanding the geographical area. These patterns are discussed with respect to the evolution of this complex in Chile and the importance of the riverine barriers in central ChileSe cuantificaron los "genotipos" cromosómicos para 359 lagartijas de 21 muestras poblacionales de la raza "Norte, 2n = 38-40" comprendida entre los ríos: río Maipo y uno de sus afluentes el río Yeso y río Aconcagua (y uno de sus afluentes el río Juncal. Con fines comparativos agregamos una muestra de la zona de hibridación interracial, algunas muestras representativas de la raza "Sur 2n = 34" y una de la raza "múltiples fisiones 2n = 42-44". Los siete primeros pares cromosómicos variables fueron codificados

  17. Antibiotic Prescribing among Pediatric Inpatients with Potential Infections in Two Private Sector Hospitals in Central India

    Science.gov (United States)

    Pathak, Ashish; Stålsby Lundborg, Cecilia

    2015-01-01

    Introduction Infectious diseases are one of the major causes of child mortality in India. Pediatric patients are commonly prescribed antibiotics for non-bacterial infections. Monitoring of local antibiotic prescribing with respect to the diagnosis is necessary to improve the prescribing practices. The aim of the study was to describe antibiotic prescribing for potential infections among patients admitted in pediatric departments in two private sector hospitals; one teaching (TH) and one non-teaching (NTH) in Central India. Methods Data from all patients admitted at the pediatric departments of both study hospitals was collected manually, for 3 years (2008–2011) using a customized form. Data from inpatients aged 0–18 years, diagnosed with; acute gastroenteritis (AGE), respiratory tract infections, enteric fever, viral fever or unspecified fever were focused for analysis. Antibiotic prescriptions were analysed using the WHO Anatomical Therapeutic Chemical (ATC) classification system and defined daily doses (DDDs). Adherence to the Indian Academy of Pediatrics list of essential medicines (IAP-LEM) was investigated. P-values antibiotic during hospital stay (odds ratio-0.69, 95%confidence interval-0.52 to 0.93; pantibiotics at both hospitals, yet higher proportion were prescribed antibiotics at the NTH compared to the TH. Broad-spectrum antibiotics were the most commonly prescribed antibiotic class in both hospitals, namely third generation cephalosporins, J01DD (69%) at the TH, and new fixed dose combinations of antibiotics J01R (FDCs, 42%) at the NTH. At the TH, 37% of the antibiotic prescriptions were comprised of antibiotics listed in the IAP-LEM, compared to 24% at the NTH (pantibiotics were prescribed frequently in both hospitals also for the un-indicated conditions such as viral fever and enteric fever. At the NTH, new FDCs were more frequently prescribed and adherence to the IAP-LEM was substantially lower at the NTH compared to the TH. The results

  18. Multiscale upwelling forcing cycles and biological response off north-central Chile Ciclos multiescala en el forzamiento de la surgencia y respuesta biológica en el centro-norte de Chile

    Directory of Open Access Journals (Sweden)

    JOSÉ RUTLLANT

    2002-03-01

    Full Text Available The physical forcing of the upwelling along the subtropical west coasts of the continents encompasses a broad range of time scales which shape both phytoplankton biomass (Chl-a and primary productivity (carbon fixation changes over any given time interval. The narrow continental shelf and the steep alongshore orography off north-central Chile provide for a unique combination of year-round, upwelling-favorable winds with quasi-weekly upwelling pulses associated with atmospheric coastal-trapped disturbances (coastal lows. This variability is modulated by intraseasonal oscillations in the depth of the thermo/nutricline, produced by coastal-trapped waves in the ocean, upon which annual (seasons and interannual (ENSO cycles are superimposed. During coastal field experiments off Cruz Grande bay (29º S, carried on in November 1987 and 1988 (opposite extremes of the ENSO cycle, mean changes of the phytoplankton-integrated Chl-a (B and carbon fixation rate (PP from the active to the relaxed phases of the local upwelling forcing cycle (phyto-pattern were characterized. Those data were contrasted against similar ones reported off Punta Lengua de Vaca (Coquimbo, 30º S and off Mejillones peninsula (Antofagasta, 23º S, encompassing different seasons and phases of intraseasonal and interannual (ENSO cycles from 1992 to 1997. A "warm" phyto-pattern was schematically characterized by a significant increase in B and a quasi-steady evolution of PP from the active to the relaxed phases of one complete upwelling event. Conversely, relative small changes in B and a significant increase in PP characterized a "cold" phyto-pattern. It is proposed here that the ENSO "cold/warm" signal may be offset by more than one opposite "thermal" condition (seasonal and/or intraseasonal in defining a "warm" or "cold" phyto-pattern associated with a particular cycle of the local upwelling forcingEl forzamiento físico de la surgencia a lo largo de las costas occidentales de los

  19. The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

    Science.gov (United States)

    Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

    2010-01-01

    One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

  20. CAPD in Dammam Central Hospital, Saudi Arabia: A Five-Year Experience

    Directory of Open Access Journals (Sweden)

    Youmbissi Joseph

    2001-01-01

    Full Text Available Thirty-one patients with end-stage renal disease (ESRD were offered continuous ambulatory peritoneal dialysis (CAPD at the Dammam Central Hospital, Dammam, Saudi Arabia over a period of five years. The group included 21 women and 10 men with a mean age of 41.3 ± 17.2 years. The main indication for CAPD was poor or failed vascular access (51.4%. Peritonitis remained the major complication with an overall incidence of 0.62 episode per patient year. Staphylococcus epidermidis was the main causative organism. Therapy with CAPD lasted a mean of 26 ± 7.4 months. Our results, showing good technique survival and low peritonitis rate, suggest that CAPD should be promoted to become a full arm of the integrated care of ESRD in Saudi Arabia.

  1. Prescribing Albumin in a Central Hospital. New Standards versus Old Habits

    OpenAIRE

    Pasini, J.; Marcelino, P

    2012-01-01

    O presente estudo teve como objectivo aferir a adequação da prescrição de albumina humana num hospital central à evidência científica nesta área actualmente disponível. O estudo foi retrospectivo e analisou os pedidos de albumina aos serviços farmacêuticos entre Setembro de 2007 e Agosto de 2008. Analisadas 761 requisições de 619 doentes com idade média de 58,1 +/- 14,7 anos, 510 (77%) dos quais do sexo masculino. Foram avaliados parâmetros analíticos globais (proteínas totais, album...

  2. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX. V.- Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Autho000.

  3. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica a la clinica al hospital central sur de alta especialidad, PEMEX. IV.- Octubre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

    2002-01-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  4. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX III.- Septiembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  5. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX I.- Julio de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  6. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX II.- Agosto de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

    2001-12-15

    The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

  7. Coronavirus Infections in the Central Nervous System and Respiratory Tract Show Distinct Features in Hospitalized Children.

    Science.gov (United States)

    Li, Yuanyuan; Li, Haipeng; Fan, Ruyan; Wen, Bo; Zhang, Jian; Cao, Xiaoying; Wang, Chengwu; Song, Zhanyi; Li, Shuochi; Li, Xiaojie; Lv, Xinjun; Qu, Xiaowang; Huang, Renbin; Liu, Wenpei

    2016-01-01

    Coronavirus (CoV) infections induce respiratory tract illnesses and central nervous system (CNS) diseases. We aimed to explore the cytokine expression profiles in hospitalized children with CoV-CNS and CoV-respiratory tract infections. A total of 183 and 236 hospitalized children with acute encephalitis-like syndrome and respiratory tract infection, respectively, were screened for anti-CoV IgM antibodies. The expression profiles of multiple cytokines were determined in CoV-positive patients. Anti-CoV IgM antibodies were detected in 22/183 (12.02%) and 26/236 (11.02%) patients with acute encephalitis-like syndrome and respiratory tract infection, respectively. Cytokine analysis revealed that the level of serum granulocyte colony-stimulating factor (G-CSF) was significantly higher in both CoV-CNS and CoV-respiratory tract infection compared with healthy controls. Additionally, the serum level of granulocyte macrophage colony-stimulating factor (GM-CSF) was significantly higher in CoV-CNS infection than in CoV-respiratory tract infection. In patients with CoV-CNS infection, the levels of IL-6, IL-8, MCP-1, and GM-CSF were significantly higher in their cerebrospinal fluid samples than in matched serum samples. To the best of our knowledge, this is the first report showing a high incidence of CoV infection in hospitalized children, especially with CNS illness. The characteristic cytokine expression profiles in CoV infection indicate the importance of host immune response in disease progression. © 2017 S. Karger AG, Basel.

  8. Factors affecting turnover intentions among public hospital doctors in a middle-level city in central China.

    Science.gov (United States)

    Zhang, Fengfan; Luo, Zhenni; Chen, Ting; Min, Rui; Fang, Pengqian

    2017-05-01

    Objective The aim of the present study was to explore prominent factors affecting turnover intentions among public hospital doctors in urban areas, particularly in Xiangyang City, Hubei Province, a middle-level city in central China. Methods Questionnaires were used to collect data from 284 public hospital doctors. Pearson's Chi-squared was used to assess whether sociodemographic and other factors were related to the turnover intentions of public hospital doctors. Binary logistic regression was performed to determine the significant factors that influence turnover intentions. Results The analysis revealed that 28.2% of public hospital doctors intended to leave the hospital where they were currently employed. Dissatisfaction with working conditions and hospital management processes, as well as work pressures, were significant factors contributing to the turnover intentions of public hospital doctors. Conclusion Research into turnover intentions indicates that public hospital doctors surveyed in urban China give greater weight to their professional environment and career development rather than salary in their employment decisions. What is known about the topic? Turnover of medical staff is a concern to hospital administrators because it is costly and detrimental to organisational performance and quality of care. Most studies have focused on the effects of individual and organisational factors on nurses' intentions to leave their employment. Income dissatisfaction was one of the determining factors of turnover intentions in previous studies. What does this paper add? The satisfaction of public hospital doctors with regard to income is not a determining factor of turnover intentions. In contrast with findings of previous studies, the doctors in public hospitals in urban China in the present study gave greater weight to their professional environment and career development in their employment decisions. What are the implications for practitioners? The findings suggest

  9. Equipment for pre-hospital airway management on Helicopter Emergency Medical System helicopters in central Europe.

    Science.gov (United States)

    Schmid, M; Schüttler, J; Ey, K; Reichenbach, M; Trimmel, H; Mang, H

    2011-05-01

    For advanced out-of-hospital airway management, skilled personnel and adequate equipment are key prerequisites. There are little data on the current availability of airway management equipment and standards of medical staff on Helicopter Emergency Medical System (HEMS) helicopters in central Europe. An internet search identified all HEMS helicopters in Austria, Switzerland and Luxembourg. We identified 15 HEMS helicopter bases in Switzerland, 28 in Austria and three in Luxembourg. A questionnaire was sent to all bases, asking both for the details of the clinical background and experience of participating staff, and details of airway management equipment carried routinely on board. Replies were received from 14 helicopter bases in Switzerland (93%), 25 bases in Austria (89%) and all three bases in Luxembourg. Anaesthesiologists were by far the most frequent attending physicians (68-85%). All except one bases reported to have at least one alternative supraglottic airway device. All bases had capnometry and succinylcholine. All bases in the study except two in Austria had commercial pre-packed sets for a surgical airway. All helicopters were equipped with automatic ventilators, although not all were suitable for non-invasive ventilation (NIV; Switzerland: 43%, Austria: 12%, Luxembourg: 100%). Masks for NIV were rarely available in Switzerland (two bases; 14%) and in Austria (three bases; 12%), whereas all three bases in Luxembourg carried those masks. Most HEMS helicopters carry appropriate equipment to meet the demands of modern advanced airway management in the pre-hospital setting. Further work is needed to ensure that appropriate airway equipment is carried on all HEMS helicopters.

  10. [Troubles felt in the central surgery suite of an hospital in Marseilles: what relevant factor?].

    Science.gov (United States)

    Kacel, Myriam; Sierra, Adeline; Dreyfus, Elsa; Giorgi, Roch; François, Nicole; Catani, Jacques; Lehucher-Michel, Marie-Pascale

    2009-02-01

    In August 2005, a series of complaints, with a strong media coverage, occurred among the staff of the surgery suite of an hospital in Marseilles during a maintenance work period. A study realized during this period of time concluded that the complaints were due to a collective phenomenon provoked by a acute discomfort among the staff. No triggering mechanism was identified till then. In order to found a relevant factor that could explain the complaints, we performed a retrospective investigation some time after the events with the aim of reducing the auto-suggestive phenomenon. Six months after the events, a questionnaire was submitted to each person of the 109 medical and paramedic staff working at central surgery suite during the maintenance work period. Subjects were asked about age, gender, disorder description, medical history, work place and work conditions during the event period. The study counted 98 persons with 31 physicians and 67 paramedic staff having replied to the questionnaire. Sixty-nine persons (70,4%) plead showing up symptoms. Multifactorial analysis found that female gender (OR=4,21; IC=1,23-14,38) and perception of particular odours (OR=8,81: IC=2,52-30,78) increased the probability of the occurrence of symptoms. A significant increase (p=0,03) of felt disorders was evidenced among the staff working in the sanitizing room. Disorders were less frequent for persons working in the operating room (p=0,04) and were strongly decreased for smokers (OR=0,25; IC=0,07-0,89). No complaint was recorded six months after the events. Considering the work places and conditions, peracetic acid appears as the most plausible etiologic agent of the reported disorders. As a consequence, hospitals, especially during maintenance work periods, must be sensitized to the involvement of the occupational physician in order to avoid the social and financial cost of such crisis.

  11. Analysis of 126 hospitalized elder maxillofacial trauma victims in central China.

    Science.gov (United States)

    Li, Rui; Zhang, Rui; Li, Wenlu; Pei, Fei; He, Wei

    2015-07-01

    The aim of this study was to analyzed the characteristics and treatment of maxillofacial injuries in the elder patients with maxillofacial injuries in central China. We retrospectively analyzed the characteristics and treatment of maxillofacial injuries in the patients over the age of 60 to analyze the trends and clinical characteristics of maxillofacial trauma in elder patients from the First Affiliated Hospital of Zhengzhou University (from 2010 to 2013) in central China and to present recommendations on prevention and management. Of the 932 patients with maxillofacial injuries, 126 aged over 60 years old accounting for 13.52% of all the patients (male:female, 1.74:1; mean age, 67.08 years old). Approximately 52% of the patients were injured by falls. The most frequently observed type of injuries was soft tissue injuries (100%), followed by facial fractures (83.05%). Of the patients with soft tissue injuries, the abrasions accounted the most, followed by lacerations. The numbers of patients of midface fracture (60 patients) were almost similar to the number of lower face fractures (66 patients). Eighty two patients (65.08%%) demonstrated associated injuries, of which craniocerebral injuries were the most prevalent. One hundred and four patients (82.54%) had other systemic medical conditions, with cardiovascular diseases the most and followed by metabolic diseases and musculoskeletal conditions. Furthermore, the study indicated a relationship between maxillofacial fractures and musculoskeletal conditions. Only 13 patients (10.32%) sustained local infections, of whom had other medical conditions. Most of the facial injuries (85.71%) in older people were operated including debridement, fixing loose teeth, reduction, intermaxillary fixation and open reduction and internal fixation (ORIF). Our analysis of the characteristics of maxillofacial injuries in the elder patents may help to promote clinical research to develop more effective treatment and possibly prevent

  12. Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia

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    Frieder Pfäfflin

    2017-01-01

    Full Text Available Abstract Background The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. Methods The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3.5 million in Arsi Zone, Central Ethiopia. Compliance with hand hygiene during routine patient care was measured by direct observation before and starting from six weeks after the intervention, which consisted of a four day workshop accompanied by training sessions and the provision of locally produced alcohol-based handrub and posters emphasizing the importance of hand hygiene. A second follow up was conducted three months after handing over project responsibility to the Ethiopian partners. Health-care workers’ perception and knowledge about hand hygiene were assessed before and after the intervention. Results At baseline, first, and second follow up we observed a total of 2888, 2865, and 2244 hand hygiene opportunities, respectively. Compliance with hand hygiene was 1.4% at baseline and increased to 11.7% and 13.1% in the first and second follow up, respectively (p < 0.001. The increase in compliance with hand hygiene was consistent across professional categories and all participating wards and was independently associated with the intervention (adjusted odds ratio, 9.18; 95% confidence interval 6.61-12.76; p < 0.001. After the training, locally produced alcohol-based handrub was used in 98.4% of all hand hygiene actions. The median hand hygiene knowledge score overall was 13 (interquartile range 11–15 at baseline and increased to 17 (15–18 after training (p < 0.001. Health

  13. Etiologic agents of central nervous system infections among febrile hospitalized patients in the country of Georgia.

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    Tamar Akhvlediani

    Full Text Available OBJECTIVES: There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. METHODS: Children and adults patients clinically diagnosed with meningitis or encephalitis were enrolled at four reference health centers. Cerebrospinal fluid (CSF was collected for bacterial culture, and in-house and multiplex RT-PCR testing was conducted for herpes simplex virus (HSV types 1 and 2, mumps virus, enterovirus, varicella zoster virus (VZV, Streptococcus pneumoniae, HiB and Neisseria meningitidis. RESULTS: Out of 140 enrolled patients, the mean age was 23.9 years, and 58% were children. Bacterial or viral etiologies were determined in 51% of patients. Five Streptococcus pneumoniae cultures were isolated from CSF. Based on in-house PCR analysis, 25 patients were positive for S. pneumoniae, 6 for N. meningitidis, and 1 for H. influenzae. Viral multiplex PCR identified infections with enterovirus (n = 26, VZV (n = 4, and HSV-1 (n = 2. No patient was positive for mumps or HSV-2. CONCLUSIONS: Study findings indicate that S. pneumoniae and enteroviruses are the main etiologies in this patient cohort. The utility of molecular diagnostics for pathogen identification combined with the knowledge provided by the investigation may improve health outcomes of CNS infection cases in Georgia.

  14. The Burden of Tunneled Central Venous Catheters for Hemodialysis in a County Hospital.

    Science.gov (United States)

    Pillado, Eric; Korn, Abraham; de Virgilio, Christian; Bowens, Nina

    2017-10-01

    Prolonged use of central venous catheters (CVCs) for hemodialysis (HD) is associated with greater morbidity and mortality when compared with autogenous arteriovenous fistulas (AVF). The objective was to assess compliance with CVC guidelines in adults referred for hemoaccess at a county teaching hospital. Out of 256 patients, 172 (67.2%) were male, with a mean age of 50.0 ± 12.4 years. Overall 62.5 per cent initiated dialysis via CVC. Patients were divided into two groups (those with CVC (62.5%) and those without (37.5%)). Male gender was associated with initiation of dialysis via CVC versus no CVC (72.5 vs 58.3%, P = 0.02), as was a history of prior vascular access (P < 0.01). There were no significant differences between the groups regarding age, diabetes, smoking, ambulatory status, or insurance status. There were no differences in gender, age, insurance status, or prior vascular access between prolonged CVC use (≥90 days) and short-term CVC use (<90 days). We conclude that most patients initiated HD with CVC and exceed the recommended CVC duration. Men are more likely to initiate HD via CVC. Insurance status was not associated with CVC use. Multidisciplinary action may address barriers to reducing CVC duration.

  15. Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova teaching hospital

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    Lul Raka

    Full Text Available Infections caused by bacteria of genus Acinetobacter pose a significant health care challenge worldwide. Information on molecular epidemiological investigation of outbreaks caused by Acinetobacter species in Kosova is lacking. The present investigation was carried out to enlight molecular epidemiology of Acinetobacterbaumannii in the Central Intensive Care Unit (CICU of a University hospital in Kosova using pulse field gel electrophoresis (PFGE. During March - July 2006, A. baumannii was isolated from 30 patients, of whom 22 were infected and 8 were colonised. Twenty patients had ventilator-associated pneumonia, one patient had meningitis, and two had coinfection with bloodstream infection and surgical site infection. The most common diagnoses upon admission to the ICU were politrauma and cerebral hemorrhage. Bacterial isolates were most frequently recovered from endotracheal aspirate (86.7%. First isolation occurred, on average, on day 8 following admission (range 1-26 days. Genotype analysis of A. baumannii isolates identified nine distinct PFGE patterns, with predominance of PFGE clone E represented by isolates from 9 patients. Eight strains were resistant to carbapenems. The genetic relatedness of Acinetobacter baumannii was high, indicating cross-transmission within the ICU setting. These results emphasize the need for measures to prevent nosocomial transmission of A. baumannii in ICU.

  16. Carbapenem Resistance among Enterobacter Species in a Tertiary Care Hospital in Central India

    Directory of Open Access Journals (Sweden)

    Atul Khajuria

    2014-01-01

    Full Text Available Objective. To detect genes encoding carbapenem resistance among Enterobacter species in a tertiary care hospital in central India. Methods. Bacterial identification of Enterobacter spp. isolates from various clinical specimens in patients admitted to intensive care units was performed by routine conventional microbial culture and biochemical tests using standard recommended techniques. Antibiotic sensitivity test was performed by standard Kirby Bauer disc diffusion technique. PCR amplification and automated sequencing was carried out. Transfer of resistance genes was determined by conjugation. Results. A total of 70/130 (53.84% isolates of Enterobacter spp. were found to exhibit reduced susceptibility to imipenem (diameter of zones of inhibition ≤13 mm by disc diffusion method. Among 70 isolates tested, 48 (68.57% isolates showed MIC values for imipenem and meropenem ranging from 32 to 64 mg/L as per CLSI breakpoints. All of these 70 isolates were found susceptible to colistin in vitro as per MIC breakpoints (<0.5 mg/L. PCR carried out on these 48 MBL (IP/IPI E-test positive isolates (12 Enterobacter aerogenes, 31 Enterobacter cloacae, and 05 Enterobacter cloacae complex was validated by sequencing for beta-lactam resistance genes and result was interpreted accordingly. Conclusion. The study showed MBL production as an important mechanism in carbapenem resistance in Enterobacter spp. and interspecies transfer of these genes through plasmids suggesting early detection by molecular methods.

  17. Percutaneous retrieval of dislodged totally implantable central venous access system in 92 cases: Experience in a single hospital

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, C.-C.; Tsai, T.-N. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China); Yang, C.-C. [Department of Medicine, Armed Forces Tao-Yuan General Hospital, Taoyuan, Taiwan (China); Han, C.-L. [Division of Cardiology, Department of Medicine, Tri-Service General Hospital, Taipei, Taiwan (China)], E-mail: allexll.cheng@msa.hinet.net

    2009-02-15

    Objective: To investigate the clinical presentation of dislodged totally implantable central venous access system (central venous port-catheter) fragments and the efficacy and safety of percutaneous retrieval of them in our hospital. Materials and methods: Ninety-two cancer patients, mean age of 53.8 years old with 51.1% male, were enrolled from January 2005 to March 2007. They were referred to our catheterization laboratory for retrieval of fractured central venous port-catheter in our hospital. All patients were followed in the outpatient department for at least 1 month after surgical insertion. The characteristics of disrupted central venous port-catheter were recorded. The procedure-related clinical condition was evaluated. Results: The most common presentation of central venous port-catheter dislodgement is irrigation resistance to infusion (51/92). The most common location of fractured fragments is between superior vena cava and right atrium (i.e. proximal end remained in superior vena cava and distal end in right atrium) (22/92). The most common fracture site of the catheter is at the anastomosis between injection port and catheter (77/92). The retrieval set used mostly is loop snare. The success rate of the percutaneous retrieval of dislodged fragment was 97.8% and the complication rate was 3.3% only. Conclusion: The faulty connection between catheter and injection port contributes mainly to dislodgement of central venous port-catheter. Percutaneous retrieval of dislodged catheter is a highly successful, safe and efficient method.

  18. Prevalence and risk factors for latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique.

    Science.gov (United States)

    Belo, Celso; Naidoo, Saloshni

    2017-06-08

    Healthcare workers in high tuberculosis burdened countries are occupationally exposed to the tuberculosis disease with uncomplicated and complicated tuberculosis on the increase among them. Most of them acquire Mycobacterium tuberculosis but do not progress to the active disease - latent tuberculosis infection. The objective of this study was to assess the prevalence and risk factors associated with latent tuberculosis infection among healthcare workers in Nampula Central Hospital, Mozambique. This cross-sectional study of healthcare workers was conducted between 2014 and 2015. Participants (n = 209) were administered a questionnaire on demographics and occupational tuberculosis exposure and had a tuberculin skin test administered. Multivariate linear and logistic regression tested for associations between independent variables and dependent outcomes (tuberculin skin test induration and latent tuberculosis infection status). The prevalence of latent tuberculosis infection was 34.4%. Latent tuberculosis infection was highest in those working for more than eight years (39.3%), those who had no BCG vaccination (39.6%) and were immunocompromised (78.1%). Being immunocompromised was significantly associated with latent tuberculosis infection (OR 5.97 [95% CI 1.89; 18.87]). Positive but non-significant associations occurred with working in the medical domain (OR 1.02 [95% CI 0.17; 6.37]), length of employment > eight years (OR 1.97 [95% CI 0.70; 5.53]) and occupational contact with tuberculosis patients (OR 1.24 [95% CI 0.47; 3.27]). Personal and occupational factors were positively associated with latent tuberculosis infection among healthcare workers in Mozambique.

  19. Peripherally Inserted Central Catheter-Related Infections in a Cohort of Hospitalized Adult Patients

    Energy Technology Data Exchange (ETDEWEB)

    Bouzad, Caroline, E-mail: caroline.bouzad@gmail.com [Percy Military Teaching Hospital, Radiology Department (France); Duron, Sandrine, E-mail: duronsandrine@yahoo.fr [GSBdD, Military Centre for Epidemiology and Public Health (CESPA) (France); Bousquet, Aurore, E-mail: aurorebousquet@yahoo.fr [Begin Military Teaching Hospital, Bacteriology Department (France); Arnaud, François-Xavier, E-mail: fxa0160@hotmail.com [Percy Military Teaching Hospital, Radiology Department (France); Valbousquet, Laura, E-mail: laura.valbousquet@gmail.com [Begin Military Teaching Hospital, Radiology Department (France); Weber-Donat, Gabrielle, E-mail: weberdonatgabrielle@yahoo.fr; Teriitehau, Christophe, E-mail: cteriitehau@me.com; Baccialone, Jacques, E-mail: jacques.baccialone@wanadoo.fr; Potet, Julien, E-mail: potet-julien@yahoo.fr [Percy Military Teaching Hospital, Radiology Department (France)

    2016-03-15

    PurposeTo determine the incidence and the risks factors of peripherally inserted central catheter (PICC)-related infectious complications.Materials and MethodsMedical charts of every in-patient that underwent a PICC insertion in our hospital between January 2010 and October 2013 were reviewed. All PICC-related infections were recorded and categorized as catheter-related bloodstream infections (CR-BSI), exit-site infections, and septic thrombophlebitis.ResultsNine hundred and twenty-three PICCs were placed in 644 unique patients, mostly male (68.3 %) with a median age of 58 years. 31 (3.4 %) PICC-related infections occurred during the study period corresponding to an infection rate of 1.64 per 1000 catheter-days. We observed 27 (87.1 %) CR-BSI, corresponding to a rate of 1.43 per 1000 catheter-days, 3 (9.7 %) septic thrombophlebitis, and 1 (3.2 %) exit-site infection. Multivariate logistic regression analysis showed a higher PICC-related infection rate with chemotherapy (odds ratio (OR) 7.2–confidence interval (CI) 95 % [1.77–29.5]), auto/allograft (OR 5.9–CI 95 % [1.2–29.2]), and anti-coagulant therapy (OR 2.2–95 % [1.4–12]).ConclusionChemotherapy, auto/allograft, and anti-coagulant therapy are associated with an increased risk of developing PICC-related infections.Clinical AdvanceChemotherapy, auto/allograft, and anti-coagulant therapy are important predictors of PICC-associated infections. A careful assessment of these risk factors may be important for future success in preventing PICC-related infections.

  20. Awareness and Knowledge of Glaucoma in Central India: A Hospital-Based Study.

    Science.gov (United States)

    Maharana, Prafulla K; Rai, Vaishali G; Pattebahadur, Rajesh; Singhi, Shipra; Chauhan, Ashish K

    2017-01-01

    To assess the awareness and knowledge of glaucoma among people attending the ophthalmology outpatient department at a tertiary care hospital in central India. A prospective observational study. A questionnaire-based study was conducted, involving persons aged 18 and above attending the ophthalmology outpatient department from October 2014 to September 2015. Data on awareness and knowledge of glaucoma was collected through a face-to-face interview. Fourteen hundred people participated in the study. The mean age of participants was 43 ± 15 years (range, 18-85). The study participants included 53% men and 47% women. Only 27% (n = 380/1400) of the participants were aware of glaucoma. Age, sex, and presence or type of refractive error had no impact on glaucoma awareness. Awareness level was greater in individuals with higher education levels and those belonging to an upper socioeconomic class (SEC). Multiple logistic regression analysis revealed significantly higher levels of glaucoma awareness among participants belonging to the upper 2 SECs (P = 0.05) and those educated above the high school level (P = 0.001). The most common source of awareness was close acquaintance with relatives, famly members, and friends of glaucoma patients. Awareness of glaucoma in India is low. Lack of education and lower socioeconomic status are the major risk factors for late preentation of glaucoma. Continuous presence of a low level of awareness and the same factors accounting for it warrants the need for an aggressive and refined approach to increase awareness of glaucoma to prevent glaucoma-related blindness. Copyright 2017 Asia-Pacific Academy of Ophthalmology.

  1. Aetiologies of central nervous system infection in Viet Nam: a prospective provincial hospital-based descriptive surveillance study.

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    Nghia Ho Dang Trung

    Full Text Available BACKGROUND: Infectious diseases of the central nervous system (CNS remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen. METHODS: We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007-April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology. RESULTS: We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52% of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24% and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%. Mycobacterium tuberculosis was confirmed in 34/617 (6% adult patients and 11/624 (2% paediatric patients. The acute case fatality rate (CFR during hospital admission was 73/617 (12% in adults and to 42/624 (7% in children. CONCLUSIONS: Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam.

  2. Implementation of a children's hospital-wide central venous catheter insertion and maintenance bundle

    NARCIS (Netherlands)

    K. Helder MScN (Onno); R.F. Kornelisse (René); C. van der Starre (Cynthia); D. Tibboel (Dick); C.W.N. Looman (Caspar); R.M.H. Wijnen (René); M.J. Poley (Marten); E. Ista (Erwin)

    2013-01-01

    textabstractBackground: Central venous catheter-associated bloodstream infections in children are an increasingly recognized serious safety problem worldwide, but are often preventable. Central venous catheter bundles have proved effective to prevent such infections. Successful implementation

  3. Hospitals

    Data.gov (United States)

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

  4. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India

    Directory of Open Access Journals (Sweden)

    Anirban Mandal

    2016-07-01

    Full Text Available Dear Editor,We read with great interest the article by Taksande et al. published in the latest issue of your journal. First, we would like to commend the authors for their endeavor. We have comments regarding the methodological issues which require further clarification by the authors for the benefit of the readers of JPNIM. This corrispondence refers to the following article:Taksande AM, Yeole M. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(1:e050105. doi: 10.7363/050105 br />Authors’ reply can be found in the following article:Taksande A, Yeole M. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India – Authors’ reply. J Pediatr Neonat Individual Med. 2016;5(2:e050208. doi: 10.7363/050208

  5. [The struggle over the establishment of the central hospital in the Negev--the Soroka Medical Center].

    Science.gov (United States)

    Shvarts, Shifra; Doron, Haim; Sherf, Michael

    2010-03-01

    In December 1959 the Central Hospital for the Negev (today, the Soroka University Medical Center) opened its doors. This event was preceded by an arduous political battle over the Location of hospital facilities for inhabitants of Israel's south. On one side was the presiding Prime Minister David Ben-Gurion, who opposed the establishment of a hospital in Beer Sheba by the Clalit Sick Fund. On the other side were Beer Sheba's residents, led by David Tuviyahu--mayor of Beer Sheba, and Moshe Soroka--a member of the Clalit Sick Fund's management, who sought to bring about the immediate establishment of a hospital in the city itself, following the decision of the Hadassah Women's Organization to close the temporary hospital they had operated in Beer Sheba since 1948. The work at hand describes the ideological and political struggle between the two sides, the conflicting interests of the Government of Israel and the Labor Federation regarding the health needs of the city, and the factors that, in the end, led to the establishment of the hospital by the Federation's Clalit Sick Fund. The research is based on both archival material and on input from informants from the period who constitute primary sources.

  6. Outcome of deliveries among adolescent girls at the Yaoundé central hospital

    Science.gov (United States)

    2014-01-01

    Background Adolescent pregnancies are a growing public health problem in Cameroon. We sought to study the outcome of such pregnancies, in order to inform public health action. Methods A cross-sectional analysis of 5997 deliveries which compared the outcome of deliveries in adolescent (10–19 years old) pregnant women registered at the Yaoundé Central Hospital between 2008 and 2010 to that of their non-adolescent adult (≥ 20 years old) counterparts. Variables used for comparison included socio-demographic and obstetric characteristics of parturients, referral status, and maternal and fetal outcomes. Predictors of maternal and of perinatal mortality were determined through binomial logistic modeling. Results Adolescent deliveries represented 9.3% (560) of all pregnancies registered. Adolescent pregnancies had significantly higher rates of both gestational duration extremes: preterm as well as post-term deliveries (29.3% versus 24.5%, p = 0.041 OR 1.28 95% CI 1.01-1.62 and 4.9 versus 2.4%, p = 0.014 OR 2.11 95% CI 1.46-3.87 respectively). Both groups did not differ significantly with respect to mean blood loss, rates of cesarean or instrumental deliveries. Adolescent deliveries however required significantly twice as many episiotomies (OR 2.15 95% CI 1.59-2.90). The likelihood of perineal tears in the adolescent group was significantly higher than that in the adult group on assuming episiotomies done would have been tears if they had not been carried out (OR 1.45 95% CI 1.16-1.82). Adolescent parturients had a higher likelihood of apparent fetal death at birth as well as perinatal fetal death after resuscitation efforts (AOR 1.75 95% CI 1.25-2.47 and AOR 1.69 95% CI 1.17-2.45 respectively).Comparisons of pregnancy outcomes between early (10–14 years), middle (15–17 years) and late adolescence (18–19 years) found no significant differences. Predictors of maternal death included having been referred, having had ≥5 deliveries and preterm

  7. Factors associated with intention to exclusive breastfeed in central women's hospital, Yangon, Myanmar.

    Science.gov (United States)

    Hmone, Myat Pan; Li, Mu; Agho, Kingsley; Alam, Ashraful; Dibley, Michael J

    2017-01-01

    Under-nutrition is a public health problem in Myanmar. Despite current efforts, the exclusive breastfeeding rate (EBF) for children under six months is only 24%. Intention to breastfeed is a strong predictor for long-term breastfeeding, however, little is known about pregnant women's breastfeeding intentions in Myanmar. We, therefore, aimed to identify the factors associated with women's intention to EBF. Data in this article was collected in a baseline survey for a randomized controlled trial, which aimed to assess the impact of mobile text messages on the breastfeeding practices of women in Yangon, Myanmar. A total of 353 pregnant women at 28-34 weeks of gestation, recruited into the trial from the antenatal clinics of the Central Women's Hospital, Yangon, Myanmar, responded to the baseline survey questions, which included background information and breastfeeding related characteristics. To determine factors associated with women's intention to EBF logistic regression was used to analyse individual demographic, household economic and breastfeeding characteristics. In-depth interviews were performed with a sub-sample of 24 women who participated in the survey, to gain a further understanding of these associated factors. After adjusting for potential confounders, working women were less likely to intend to EBF (adjusted odds ratio (AOR) = 0.30, CI 0.17-0.53). Women from rich households (AOR = 2.43, CI 1.08-5.47) and middle income households (AOR = 1.79, CI 1.01-3.16); those who had high (AOR = 10.19, CI 3.43-30.23) and medium (AOR = 5.46, CI 1.79-16.72) breastfeeding knowledge levels, and received information from health professionals (AOR = 2.29, CI 1.29-4.03) and mobile internet (AOR 3.62, CI 2.04-6.41) had a higher intention to EBF. These findings were supported by qualitative analysis, which revealed that returning to work was the main barrier; health staff and printed media are reliable sources and; women with higher knowledge had high intentions

  8. Derrames pleurais parapneumónicos em pediatria: Experiência num hospital central universitário Pediatric parapneumonic pleural effusions: Experience in a university central hospital

    Directory of Open Access Journals (Sweden)

    Paulo Soares

    2009-03-01

    são tratados com êxito em centros de referência com experiência nos diferentes tipos de intervenção que poderão ser necessários.Introduction: Pleural effusions can complicate pneumonias in children and adolescents and are usually associated with a long hospital stay and increased morbidity. Aims: To characterise a population of patients with parapneumonic pleural effusion and to establish possible prognostic factors on admission based on clinical, imaging and analytical data. To correlate treatment options with the outcome. Methods: Case review of patients under 18 years old with parapneumonic pleural effusion, admitted between July 1997 - June 2004 (7 years. Results: 118 patients were included, 60% male, with mean age 7 years. The incidence of pleural effusion increased throughout the period of the study. The admissions occurred predominantly in autumn and winter. On admission 60% of patients had respiratory distress and 39% chest pain. In 40% loculations were found on admission and were associated with longer hospital stay, longer course of antibiotic therapy and more frequent need for surgery. Thoracentesis was performed in 72% of patients (mean pH pleural fluid 7.24. The aetiologic agent was identified in 17% of cases: Streptococcus pneumoniae (five, Staphylococcus aureus (four and Streptococcus pyogenes (four. In our study, 52% of patients underwent pleural drainage and 18% surgery. Median length of hospital stay was 15 days with mean 16.4 days (2 - 51. Discussion: Factors associated with worse prognosis were respiratory distress, loculations, empyema, low pH in pleural fluid, glucose or proteins in pleural fluid, high lactic dehydrogenase level in pleural fluid and high serum C-reactive protein. Pleural drainage and/or surgery can shorten hospital stay and improve outcome. Conclusion: Complicated parapneumonic pleural effusions are managed successfully in centres with experience in the different types of procedure that might be necessary.

  9. Towards a smoke-free hospital: how the smoking status of health professionals influences their knowledge, attitude and clinical activity. Results from a hospital in central Italy.

    Science.gov (United States)

    Giorgi, E; Marani, A; Salvati, O; Mangiaracina, G; Prestigiacomo, C; Osborn, J F; Cattaruzza, M S

    2015-01-01

    In Italy, the prevalence of smoking among health professionals is higher than in the general population and this might hamper their role in the promotion of health. This study aimed to investigate how the smoking status of healthcare professionals might influence knowledge, attitudes and clinical practice in a hospital in central Italy in order to enforce effective tobacco control measures. Physicians and professionals of the hospital were asked to complete an anonymous questionnaire which yielded epidemiological and environmental information on knowledge, attitude, clinical practice and quality of the hospital environments, in relation to smoking. Overall, among the employees of the hospital, the smoking prevalence was 47%, (42% among physicians and 43% among nurses); 30% admitted smoking in the hospital and three quarters of the smokers would like to quit. Some knowledge, opinions and attitudes differ statistically among the smoking categories. For example, only 35% of the smokers admitted that smoking is more dangerous to health than atmospheric and car pollution compared with 60% of the ex or never smokers (p=0.04). Fewer smokers realize that their behavior is seen as a role model by patients. A greater percentage of smokers state that patients (34%) and visitors (43%) often smoke in hospital and these percentages are significantly higher than those reported by ex or never smokers (p≤0.05). All smokers claim that they never smoke in patient rooms, infirmaries and clinics, whereas over 20% of ex or never smokers report that smoking sometimes occurs in these places (p=0.015). The mean concentration of PM 2.5 in the 25 rooms was 2.4 μg/m3 with a range from 1 to 7 μg/m3. This study implies that the prevalence of smoking among health professionals may be very high, and might be twice the rate observed in the general population. Generally, smokers report less knowledge compared with ex and never-smokers and it seems that they systematically underestimate the

  10. Variations in injury characteristics among paediatric patients following trauma: A retrospective descriptive analysis comparing pre-hospital and in-hospital deaths at Kamuzu Central Hospital, Lilongwe, Malawi.

    Science.gov (United States)

    Purcell, Laura; Mabedi, Charles E; Gallaher, Jared; Mjuweni, Steven; McLean, Sean; Cairns, Bruce; Charles, Anthony

    2017-06-01

    Trauma is a major cause of paediatric mortality in sub-Saharan Africa. In absence of pre-hospital care, the injury mechanism and cause of death is difficult to characterise. Injury characteristics of pre-hospital deaths (PHD) versus in-hospital deaths (IHD) were compared. Using our trauma surveillance database, a retrospective, descriptive analysis of children (PHD and IHD, respectively. In PHD and IHD patients mean age was 7.3±4.9 v 5.2±4.3 (pPHD, 51.2% v 8.3% (pPHD were road traffic injuries (RTI) (45.8%) and drowning (22.0%), with head injury (46.7%) being the predominant cause of death. Burns were the leading mechanism of injury (61.8%) and cause of death (61.9%) in IHD, with a mean total body surface area involvement of 24.7±16.0%. RTI remains Malawi's major driver of paediatric mortality. A majority of these deaths attributed to head injury occur prior to hospitalisation; therefore the mortality burden is underestimated if accounting for IHD alone. Death in burn patients is likely due to under-resuscitation or sepsis. Improving pre-hospital care and head injury and burn management can improve injury related paediatric mortality.

  11. Territorio flexible en la semiperiferia: La frontera norte mexicana

    Directory of Open Access Journals (Sweden)

    Ovidio González Gómez

    1999-05-01

    Full Text Available En este trabajo se realiza una discusión sobre la aplicabilidad de la propuesta de la denominada corriente regulacionista en torno a la espacialidad de los procesos recientes de industrialización, para un caso dentro de los países no centrales, en particular sobre el proceso de industrialización ocurrido en la Frontera Norte mexicana, desde mediados de la década pasada. Lo que se cuestiona, primeramente, a nivel teórico, es la utilidad de esta propuesta para parte de los estados no-centrales del Sistema Mundial. También se desarrollan, en el mismo plano, las objeciones principales en relación a sus supuestos generales al aplicarse esta teoría tanto al centro del Sistema Mundial como también al resto de ésta. Las características principales de este reciente proceso de industrialización en el territorio del norte mexicano son esbozadas para luego ser confrontadas a los supuestos subyacentes a la teoría regulacionista. Desde la crítica formulada a esta escuela de pensamiento, se genera una propuesta interpretativa, basada primeramente sobre el concepto de espacio de flujos, y después sobre la flexibilidad en el uso de la región fronteriza del norte mexicanoA debate is proposed in this paper on the suitability of the regulationist proposal to explain the spatial implications of recent industrial processes. This suitability is questioned for a particular territory in a non-central Nation-State, the Mexican Northern Border, from the mid-dle 1980´s. At a theoretical level, the usefulness of this for parts of the non-central nations of the World-System. On the same level the main objections on its general assumptions when this theory is applied to the center of the World-System as well as to the rest of it. Are also developed he main characteristics of the new industrialization process in the northern Mexican territory are depicted. These features are then confronted to the underlying assumptions of the regulationist theory. And, from

  12. Revisiting chlorophyll data along the coast in north-central Chile, considering multiscale environmental variability Reinterpretando datos de clorofila en la costa centro-norte de Chile, considerando variabilidad ambiental de multiescala

    Directory of Open Access Journals (Sweden)

    VIVIAN MONTECINO

    2006-06-01

    ", nutrient supply, mean light exposure and mixing thresholds, including biological interactions, could be more effective in producing a higher phytoplankton biomass, in spite of a larger dispersionLa abundancia de fitoplancton en la capa de mezcla superficial del océano costero responde a cambios ambientales en diferentes escalas de tiempo. Aquí se han considerado conjuntamente las fases "cálida", "fría" y "neutra" de "tres ciclos ambientales" para estimar la variabilidad de la biomasa de la clorofila (Chl-a para las fases activa y relajada de la surgencia costera inducida por el viento local: (i el ciclo interanual ENOS (ii el ciclo anual (estacional y (iii el ciclo intraestacional asociado con ondas oceánicas atrapadas a lo largo de la costa en el norte de Chile. El objetivo principal de este estudio es estimar cuantitativamente la variabilidad de la Cl-a integrada en la zona eufótica (¾Chl-a en términos de una "condición ambiental" conjunta, para la banda costera de 50 km sensible a la surgencia, reinterpretando datos in situ de Chl-a (Cship = Chl-a + Feo pigmentos publicados y no publicados. Todas las combinaciones posibles de las "condiciones ambientales" se ordenaron en siete "indices ambientales" que van desde 0 ("absolutamente frío" a 6 ("absolutamente cálido". Del total de 332 muestras de ¾Chl-a, 198/134 se obtuvieron en condiciones de surgencia activa/relajada, de las cuales 24/38 y 30/36 muestras estuvieron asociadas con al menos dos fases frías/cálidas, de los tres ciclos ambientales (condiciones ambientales "fría"/"cálida" respectivamente. Los menores valores de ¾Chl-a durante las condiciones ambientales "frías" y "cálidas" respecto de las "neutras" alcanzaron significancia estadística tanto en surgencia activa como relajada (144/60 muestras respectivamente. Una mayor mezcla turbulenta durante condiciones ambientales "frías" y una nutriclina más profunda durante las "cálidas" explicarían los menores valores de ¾Chl-a. Datos de clorofila

  13. La bella durmiente: el norte de Veracruz

    Directory of Open Access Journals (Sweden)

    Anath Ariel de Vidas

    2005-02-01

    Full Text Available La región del norte del Estado de Veracruz se ve en el mapa como una enorme extensión de un territorio llano de aproximadamente seis mil kilómetros cuadrados, poco poblado y careciendo totalmente de carreteras que lo atraviesan de la costa hacia el interior. Ocupa el espacio que va desde el río Pánuco y la frontera con Tamaulipas al norte, hasta la laguna de Tamiahua y la Sierra de Otontepec al sur y al poniente llega hasta los lomeríos de la Sierra Madre Oriental (ver mapa. Estas planicies ...

  14. Biopsy case mix and diagnostic yield at a Malawian central hospital ...

    African Journals Online (AJOL)

    %). Our study demonstrates that the yield of biopsy for clinically suspected malignancy was greater than 50% for the 11 most common sites and provides a current survey of cancer types by site present in the population reporting to our hospital.

  15. Structural overprint of a late Paleozoic accretionary system in north-central Chile (34°-35°S during post-accretional deformation Modificación estructural de un sistema acrecional del Paleozoico tardío en el centro-norte de Chile (34°-35°S, durante deformación posacrecional

    Directory of Open Access Journals (Sweden)

    Arne P Willner

    2009-01-01

    Full Text Available In the Coastal Cordillera of central Chile a coherently preserved architecture of a late Paleozoic accretionary prism is exposed at 36°-35°S in cióse spatial association with a neighbouring área at 34°-35°S, where it is strongly modified by post-accretional processes. Syn- and post-accretional struetures can be distinguished relatively easily in this región studying the deviations from the original architecture. South of 35°S a transitional contact between two major units is observed, which reflects a continuous change of the mode of accretion in the accretionary wedge before -305 Ma: the structurally overlying metagreywacke of the Eastern Series exhibits struetures typical of frontal accretion, Le., subvertical chevron folds of bedding planes with an axial-plane foliation Sr With increasing finite strain structurally downwards, open F2 folds develop associated with a S2-foliation which becomes gradually flattened as it rotates into a subhorizontal orientation. S2 is the penetrative transposition foliation in the structurally underlying Western Series. It affeets the continent-derived metagreywacke series as well as metabasite intercalations of oceanic origin and was formed during basal accretion. This principal evolution of the accretionary system places firm constraints on the original architecture also in regions where it was destructed after accretion. Accretion ceased at -225 Ma, when a major tectonic change from a convergent to an extensional/strike-slip regime oceurred. Although the development of the margin in central Chile is largely characterized by extensión during Mesozoic and Cenozoic times, two pronounced episodes involving shortening of the forearc particularly affected the Western Series north of 35°S: 1. Expressions of strike-slip activity during Jurassic times involve local steepening of the originally flat S2-foliation planes, local rotation of the stretching lineation L2 into the N-S direction, tight upright folding

  16. Infecciones del sistema nervioso central por enterovirus en niños atendidos en un hospital de Lima, Perú Enteroviral central nervous system infections in children treated at a hospital in Lima, Peru

    OpenAIRE

    Iván O Espinoza; Theresa J Ochoa; Susan Mosquito; Francesca Barletta; Roger Hernández; María del Pilar Medina; María Luisa Stiglich; Claudia Ugarte; Daniel Guillén

    2011-01-01

    Objetivos. Determinar la frecuencia y las características clínicas de las infecciones del sistema nervioso central por enterovirus en niños atendidos en el Hospital Nacional Cayetano Heredia de Lima, Perú. Materiales y métodos. Se realizó un estudio prospectivo y descriptivo desde abril 2008 hasta marzo 2010. Se enrolaron pacientes de un mes a 14 años con diagnóstico clínico de encefalitis o meningitis asépticas. Se investigó la presencia de enterovirus, virus herpes simple 1 (VHS-1), virus h...

  17. [Contribution of the Vishnevsky Central Military Clinical Hospital N 3 to the history of combat casualty care and delivery of care to the injured soldiers].

    Science.gov (United States)

    Beliakin, S A; Dolgikh, R N; Fokin, Iu N

    2013-05-01

    The article is dedicated to the 45-year history of combat casualty care in the Vishnevsky Central Military Clinical Hospital N 3. In the echelon system of medical care the Vishnevsky Central Military Clinical Hospital N 3 ranks the echelon (level) N 3. Specialists of the hospital, along with a medical and preventive activity, practice methodological, educational and innovative activity, participate in different scientific forums. Temporary duty assignment to the combat, human-made disaster and natural disaster areas is a real functional test. 64 physicians have an extreme situation experience. The Vishnevsky Central Military Clinical Hospital N 3 is a clinical base of department of surgery, advanced physician training department, combat casualty care department of the Institute for advanced physician training of Mandryka scientific and educational clinical center. For the purpose of reducing the terms and improving the quality of medical care it was suggested to make the integration connections with leading hospitals of the Ministry of Defense of the Russian Federation.

  18. Motivation and Factors Affecting It among Health Professionals in the Public Hospitals, Central Ethiopia.

    Science.gov (United States)

    Dagne, Tesfaye; Beyene, Waju; Berhanu, Negalign

    2015-07-01

    Motivation is an individual's degree of willingness to exert and maintain an effort towards organizational goals. This study assessed motivational status and factors affecting it among health professionals in public hospitals of West Shoa Zone, Oromia Region. Facility based cross-sectional survey was employed. All health professionals who served at least for 6 months in Ambo, Gedo and Gindeberet hospitals were included. Self-administered Likert scale type questionnaire was used. Data were analyzed using SPSS version 20. Mean motivation calculated as percentage of maximum scale score was used. Bivariate and multiple linear regression analyses were done to see the independent effects of explanatory variables. The overall motivation level of health professionals was 63.63%. Motivation level of health professionals varied among the hospitals. Gindeberet Hospital had lower motivation score as compared to Ambo Hospital (B = -0.54 and 95% CI; -0.08,-0.27). The mean motivation score of health professionals who got monthly financial benefit was significantly higher than those who did not (B = 0.71 and 95% CI; 0.32, 1.10). Environmental factors had higher impact on doctors' motivation compared to nurses' (B = 0.51 and 95% CI; 0.10, 0.92). Supervisor-related factors highly varied in motivation relative to other variables. Motivation of health professionals was affected by factors related to supervisor, financial benefits, job content and hospital location. Efforts should be made to provide financial benefits to health professionals as appropriate especially, to those who did not get any such benefits. Officially recognizing best performance is also suggested.

  19. Peripherally Inserted Central Catheters (PICCs) and Potential Cost Savings and Shortened Bed Stays In an Acute Hospital Setting.

    LENUS (Irish Health Repository)

    O’Brien, C

    2018-01-01

    Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely. The ability to deliver outpatient intravenous treatment is facilitated by the placement of PICCs allowing safe and targeted treatment of patients over a prolonged period of time. We carried out a retrospective study of 2,404 patients referred for PICCs from 2009 to 2015 in a university teaching hospital. There was an exponential increase in the number of PICCs requested from 2011 to 2015 with a 64% increase from 2012 to 2013. The clear increase in demand for PICCs in our institution is directly linked to the advent of outpatient intravenous antibiotic services. In this paper, we assess the impact that the use of PICCs combined with intravenous outpatient treatment may have on cost and hospital bed demand. We advocate that a more widespread implementation of this service throughout Ireland may result in significant cost savings as well as decreasing the number of patients on hospital trollies.

  20. Patient satisfaction regarding eye care services at tertiary hospital of central India

    Directory of Open Access Journals (Sweden)

    Anand Sudhan

    2011-01-01

    Study Design : Descriptive study. Materials and Methods : This study was conducted between September 2005 and June 2006. Patients attending the eye clinic of Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India, and admitted as in-patients in this hospital were our study population. Randomly selected patients were interviewed by trained staff. Close-ended questionnaire was used to conduct these structured interviews. Their responses were grouped into one of five categories and evaluated to determine satisfaction for different components of eye care services. Results : Three hundred and twenty persons were interviewed. The satisfaction was of excellent grade among 77 (48.1% patients attending clinic and 156 (97.5% patients who were admitted in the hospital. The participants expressed dissatisfaction for the long waiting period in clinics, poor cleanliness, and insufficient toilet facilities. Those admitted in the hospital felt that food facilities were less than the expected quality. Child-friendly facilities received high satisfaction scores. Conclusion : Although eye care services both in clinics and in the wards were satisfactory according to the end-users, there are scopes for improvement. Patient satisfaction surveys should be encouraged in hospitals for better accountability and also for strengthening the quality of eye care services.

  1. Molecular epidemiology of Brucella genotypes in patients at a major hospital in central Peru

    NARCIS (Netherlands)

    Nöckler, Karsten; Maves, Ryan; Cepeda, David; Draeger, Angelika; Mayer-Scholl, Anne; Chacaltana, Jesus; Castañeda, María; Espinosa, Benjamin; Castillo, Rosa; Hall, Eric; Al Dahouk, Sascha; Gilman, Robert H.; Cabeza, Franco; Smits, Henk L.

    2009-01-01

    The multiple-locus variable-number repeat analysis of 90 human Brucella melitensis isolates from a large urban area in central Peru revealed variations at 4 (Bruce07, Bruce09, Bruce18, and Bruce42) out of 16 loci investigated, of which 1 (Bruce42) also is used for species identification. Ten

  2. INFANCY AND EARLY CHILDHOOD PSYCHIATRY – CHARACTERIZATION OF THE OUTPATIENT CLINIC IN A CENTRAL HOSPITAL

    OpenAIRE

    Aguiar, Inês Guerra; Barroso, Cláudia; Moreira, Filipa; Fonseca, Maria da Luz; Mendes, Patrícia; Pangaio, Nuno; Miranda, Vânia; Fernandes, Graça

    2017-01-01

    Introduction: The Infancy and Early Childhood Psychiatric Outpatient Clinic at the Oporto Hospital Centre’s Department of Child and Adolescent Psychiatry opened in 2007. Our aim is to characterize the first consultations between June 2012 and June 2013.Methods: Review of clinical files and collection of demographic and medical data; diagnostic evaluation according to the Diagnostic Classification of Mental Health and Development Disorders of Infancy and Early Childhood: Revised Edition; stati...

  3. Etiology and risk factors of meningitis in patients admitted at a Central Hospital in Harare.

    Science.gov (United States)

    Matubu, A; Rusakaniko, S; Robertson, V; Gwanzura, L

    2015-01-01

    To determine etiology and risk factors of meningitis in patients admitted a tertiary referral Hospital in Harare. Cross-Sectional Study. Urban Referral Health Facility. Patients suspected of having Meningitis admitted at Parirenyatwa Hospital were consecutively consented and recruited into the study until sample size accrual. Prevalence of pathogens associated with Meningitis. Risk factors of meningitis. Two Hundred and Ninety Six (296) clinically suspected meningitis patients were recruited into the study, 51.7 %( n=115) were male. Meningitis was confirmed in 20.6% (n=61) cases with the following pathogen proportions, C. neoformans - 45.9 %( n=28), S. pneumoniae – 27.9 % (n=17), TBM – 4.9 %( n=3), probable viral meningitis – 6.6% (n=4 and other bacteria- 14.8% (n=9). Patients from crowded households were also more likely to suffer from meningitis than those from sparsely populated households (pstain and culture. Cryptococcus neoformans and S. pneumoniae are the leading causes of meningitis in patients admitted at Parirenyatwa Hospital.

  4. Hospital

    African Journals Online (AJOL)

    treatment modality. Design: It is a retrospective study of all confirmed. Burkitt's lymphoma of the head and neck region seen at the Obafemi Awolowo University Teaching Hospital Ile. Ife (OAUTHC) between 1986 and 2002. Patients and methods: The medical records of all the patients with the histopathologically confirmed ...

  5. Peripheral and Central Giant Cell Lesions in Children: Institutional Experience at Subharti Dental College and Hospital

    OpenAIRE

    Chandna, Preetika; Srivastava, Nikhil; Bansal, Vishal; Wadhwan, Vijay; Dubey, Prajesh

    2017-01-01

    Introduction: Giant cell lesions (GCG) are a group of varied lesions that contain a multitude of multinucleated, osteoclast like giant cells within connective tissue stroma. These include giant cell granulomas which may be central (CGCG), if they lie within the jaw bone, or, peripheral (PGCG) if they lie within the soft tissue. Giant cell granulomas comprised 9.29% of all oral lesions. This case series comprises of 5 giant cell lesions in children between the ages of 4 to 12 years. Materials ...

  6. Food borne illness amongst health care workers, at a Central Hospital, Harare, Zimbabwe, 2016: a retrospective cohort study.

    Science.gov (United States)

    Sithole, Zvanaka; Juru, Tsitsi; Chonzi, Prosper; Bangure, Donewell; Shambira, Gerald; Gombe, Notion Tafara; Tshimanga, Mufuta

    2017-12-08

    Health care workers (HCW) at a Central Hospital, were served lunch at the hospital canteen on 12 December 2016. On 12 December 2016 at 1700 h, there was a sudden onset of symptoms suggestive of gastrointestinal illness among HCW. We conducted a retrospective cohort study to determine the cause and the factors associated with illness among the HCW at the hospital. We interviewed 96 respondents. The median incubation period was 6 h (Q1 = 4; Q3 = 12). Abdominal pain (97.5%) and watery diarrhoea (95%) were the most common symptoms. The majority (97.5%) took antibiotics before collection of stool specimen for analysis, with 24 (60%) of 40 HCW treating themselves. Eating chicken (RR = 44.2, CI 74.07; 95.34) during lunch was associated with the illness. Staphylococcus aureus and Escherichia coli were isolated from food handlers' hands, kitchen utensils and work surfaces. Staphylococcus aureus was isolated from chicken. None of food handlers had valid medical certificates. One out of four food handlers was formally trained.

  7. Impact of ergonomics risk among workers in clothes central distribution service in a hospital.

    Science.gov (United States)

    Sacouche, D A; Morrone, L C; Silva, J S

    2012-01-01

    In health care services, the workers from laundry and linen services are exposed to various occupational hazards, including the ergonomic risk. Were decided to study the effect of ergonomic factors at work in the musculoskeletal system for employees in this sector. Cross-sectional study conducted in a mid-sized general hospital in Brazil. Site visit was conducted to apply recognition of occupational hazards and work activities flow. Medical evaluation of twenty-one workers was performed for designing the health status of them, focusing on orthopedic disorders. Their activities are to distribute clothes in all units of hospital care in order to organize and maintain supplies. The principal complaints were back pain (43%) and shoulder pain (24%). The ergonomic risk happens due to repeated movements of lumbar flexion in sealing, raising the arms above shoulder level in storage and transportation of loads on the distribution of clean clothes. The complaints by workers are consistent with the overloads identified in the evaluation of jobs. It is recommended to adjust anthropometrically the sealing workplace; the availability of stairs; the implantation of trolleys with four swivel wheels; short breaks during the workday; and to stretch the muscles before and during work.

  8. Ocular biometry and central corneal thickness in children: a hospital-based study

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    Adem Gul

    2014-06-01

    Full Text Available Objetivo: Investigar a distribuição do comprimento axial, profundidade da câmara anterior, espessura do cristalino, profundidade da câmara vítrea e espessura corneal central em crianças em diferentes faixas etárias. Métodos: Foram estudados 364 olhos de 182 crianças entre 1 e 12 anos de idade. O comprimento axial, a profundidade da câmara anterior , a espessura do cristalino e a profundidade da câmara vítrea foram medidos por biometria ultrassônica. A espessura corneal central foi medida por paquimetria ultrassônica em todas as crianças. Resultados: A idade média foi de 6,54 ± 3,42 anos. O comprimento axial foi 20,95 mm no grupo de 1-2 anos de idade e 22,95 mm no grupo de 11-12 anos de idade. A espessura corneal central foi 556 µm no grupo de 1-2 anos de idade e 555 µm no grupo de 11-12 anos de idade. A profundidade da câmara anterior média e profundidade da câmara vítrea aumentou com a idade (3,06 mm a 3,44 mm de profundidade da câmara anterior, 13,75 mm a 15,99 mm de profundidade da câmara vítrea e da espessura do cristalino diminuiu com o aumento da idade (3,67 mm a 3,51 mm. Conclusões: Em nosso estudo, os valores do comprimento axial aumentou com a idade e atingiu os níveis adultos aos 9-10 anos de idade. A espessura do cristalino diminuiu gradualmente até os 12 anos de idade. As medições de espessura corneal central não seguiu um algoritmo linear.

  9. Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad. PEMEX. VI. Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J.; Benitez S, J.A.; Garcia A, J.; Rodriguez A, F. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2002-01-15

    It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the South Central Hospital of High Specialty, to maintain the sanitary license for the use of X-ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of december of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

  10. El paleomargen pasivo mesozoico de la América del Norte en Cuba

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    Jorge L. Cobiella-Reguera

    2003-03-01

    Full Text Available Cuatro dominios paleogeográficos y paleotectónicos se distinguen en los cortes mesozoicos cubansos. De norte a sur, ellos son: 1. Secuencias de un paleomargen pasivo septentrional (PPS; 2. El cinturón ofiolítico septentrional (COS; 3. El terreno de arcos volcánicos cretácicos (TAVK, y 4. Secuencias metamorfizadas de un paleomargen pasivo meridional (PPM. Tres tipos de cortes de secuencias de margen pasivo, geográficamente bien diferenciados, afloran en el norte de Cuba: A-Cortes de Guaniguanico, divisibles a su vez en tres subtipos: Sierra del Rosario, Sierra de los Órganos y Cinturón Cangre; B-Cortes del norte de Cuba Central, caracterizados por una manifiesta zonalidad estratigráfica y estructural, y C-Cortes de Maisí, caracterizados poe el metamorfismo de bajo grado de sus rocas. En estas tres regiones los cortes más jóvenes, comenzando en el Jurásico Superior, son casi exclusivamente carbonatados, mientras que su parte inferior (Oxfordiano y más antiguo es terrígena, exceptuando los más septentrionales, en Cuba central, donde están presentes evaporitas. Los cortes A y B presentan una discordancia qie se correlaciona estrechamente con el Mid-Cretaceous Sequence Boundary, detectado en el sur del golfo de México y el estrecho de La Florida. Las similitudes, en particular entre las regiones A y B, indican una misma identidad geológica. Su posición actual, yuxtapuestos a las plataformas de Bahamas y Yucatán de la placa norteamericana, y su bien confirmado tránsito a los cortes de Bahamas en el norte de Cuba central, indican que los cortes del PPS deben formar parte del margen pasivo mesozoico de la América del Norte. La continuación al este de los cortes de Guaniguanico es visible en varios afloramientos y registrada por numerosos pozos de prospección desde el oeste de La Habana hasta Matanzas. Por tanto, no hay razón para considerar los cortes de Guaniguanico como parte de los "terrenos sudoccidentales". Siguiendo esta

  11. Incidence of Adverse Reactions to Medicinal Products in Josina Machel Central Hospital during the Year of 2014

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    Mateus Sebastião João Fernandes

    2016-04-01

    Full Text Available Introduction: The lack of knowledge regarding the incidence of adverse drug reactions in the hospital setting and their impact on morbidity and mortality is, nowadays, a major health problem in Angola. In the last years, notifications of adverse drug reactions have been practically null, namely at a hospital level. It is of great importance to characterize the incidence of adverse drug reactions occurring in a hospital setting, in order to implement measures towards improving the quality of healthcare services. Material and Methods: We conducted a descriptive, prospective observational study to characterize the incidence of adverse drug reactions (ADRs in patients admitted to the Central Hospital “Josina Machel” in Luanda during the year 2014. An intensive monitoring through active search for adverse reactions possibly related with the drugs prescribed to patients was performed. Results: Of a total of 2041 hospitalized patients, 175 had adverse drug reactions. The incidence rate was 4.74% in the medicine service (n = 1077 and 12.86% in the therapy service (n = 964. A total of 209 adverse drug reactions were identified, averaging 1,2 adverse drug reactions per patient. The highest incidence rate of adverse drug reactions was recorded in patients aged between 18 and 35 years old, with 79 patients (45.14%. With regard to therapeutic class, it was found that antimicrobials were the drugs most commonly associated with adverse reactions, with 71 notifications (40.57%, followed by analgesics, antipyretics and anti-inflammatory steroids with 20,00%. Quinine and artesunate were the antimicrobials most frequently implicated in causing an adverse drug reaction, with 25 (14.29% and 15 (8.57% notifications respectively. In the group of anti-inflammatory drugs, diclofenac stood out with 13 notifications (7.43%. The most common clinical manifestations were skin rash, which corresponded to 23,44% of the total number of adverse drug reactions, followed by

  12. A Centralized Report on Pediatric Japanese Encephalitis Cases from Beijing Children's Hospital, 2013.

    Science.gov (United States)

    Li, Jiu Wei; Gao, Xiao Yan; Wu, Yun; Fu, Shi Hong; Tan, Xiao Juan; Cao, Yu Xi; Zhang, Wei Hua; Yin, Zun Dong; He, Ying; Li, Yi Xing; Liang, Guo Dong; Xu, Wen Bo; Fang, Fang; Wang, Huan Yu

    2016-12-01

    Fifteen pediatric cases of suspected Japanese encephalitis (JE) were reported in Beijing Children's Hospital during the late summer of 2013. The clinical manifestations in most cases included high fever, seizures, and abnormal magnetic resonance imaging findings. Twelve of 15 cases were laboratory-confirmed as JE cases by pathogen identification. Epidemiological investigations showed that five of the 12 laboratory-confirmed patients had an incomplete JE vaccination history. Follow-up investigations after discharge indicated that seven laboratory-confirmed JE patients without JE vaccinations had relatively poor prognoses, with an average Modified Rankin Scale (MRS) score of 2.6 when compared with the other five laboratory-confirmed, JE-vaccinated patients with an average MRS score of 0.5. The observation of pediatric JE cases among those with a history of JE vaccination warrants further attention. Copyright © 2016 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved.

  13. PRIMARY GLAUCOMAS- SCREENING, EVALUATION AND MANAGEMENT IN A TERTIARY CARE HOSPITAL, CENTRAL INDIA

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    Neelima Sarkar

    2017-05-01

    Full Text Available BACKGROUND Early detection and management of glaucoma can reduce the visual morbidity. As the population-based screening programs were not cost effective because of low prevalence of glaucoma in general population, this study was aimed at screening by the comprehensive eye checkup at hospital attending patients for any possibility of developing glaucoma in future and if detected to evaluate the extent of damage suffered at initial diagnosis and to provide treatment. MATERIALS AND METHODS A cross-sectional survey conducted on participants aging 40 years or older attending eye department from March 2013 to February 2014. All were subjected to a pre-structured questionnaires. Data on demographics collected besides screening and evaluating each patient for glaucoma by extensive comprehensive eye checkup. The results were analysed. RESULTS 924 patients participated in this study from urban and semi-urban areas having similar ethnicity. The mean age was 52 (range 28 – 76 yrs.; 146 (15.8% were labelled as glaucoma suspects. Optic nerve head changes of glaucoma suspects were noted and correlated with visual field defects and intraocular pressure; 28 (3.03% were detected to have various types of glaucoma. CONCLUSION Comprehensive eye checkup to screen glaucoma in hospital attending patients proved a good measure to detect and manage glaucoma at the earliest as is shown in result of this study; 3.03% were detected with various types of glaucoma, of which 1.62% had POAG. All patients were managed conservatively and surgically as per need. Proper training of optometrists will also be an effective step in early detection, management and preventing this blinding disease.

  14. Syphilis in Pregnancy and Congenital Syphilis: Reality in a Portuguese Central University Hospital.

    Science.gov (United States)

    Magalhães, Magda; Basto, Lígia; Areia, Ana Luísa; Franco, Sofia; Malheiro, Maria Eugénia; Afonso, Maria Eulália; Moura, Paulo

    2017-06-01

    Purpose  To evaluate maternal-fetal surveillance and follow-up of infants at risk for congenital syphilis (CS). Methods  Retrospective cohort study in a Portuguese Tertiary Referral Hospital. The main inclusion criterion was a positive syphilis serology. The study included all pregnant women that delivered in our hospital between January 2004 and December 2013. The neonates were classified according to their probability of infection based on the Centers for Disease Control and Prevention guidelines. Results  Among the 27 pregnancies at risk for CS, 48.2% ( n  = 13) of the women had a diagnosis during the 1st trimester, and the median gestational age at the end of the treatment was 28 weeks. Inadequate treatment was noted in 44.4% ( n  = 12) of the women. Adverse pregnancy outcomes were observed in 30.8% of the cases ( n  = 8), 5 of which had been adequately treated. We found 2 (7.7%) cases with "proven or highly probable CS," 10 (38.5%) with "possible CS," 12 (46.1%) with "less likely CS," and 2 (7.7%) with "unlikely CS." Among the infants, the treatment was successful, except for 1 neurosyphilis case. Conclusion  This study highlights many of the difficulties/concerns encountered in the maternal-neonatal management of syphilis. We highlight the importance of assuring the early detection of the infection as a way of guaranteeing the timely treatment, as well as a good compliance to the treatment and follow-up through a more efficient pregnant women surveillance network. Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil.

  15. Challenges in the surgical management of ectopic pregnancy in a low-resource setting: Mpilo Central Hospital, Bulawayo, Zimbabwe.

    Science.gov (United States)

    Ngwenya, Solwayo

    2017-10-01

    Background Ectopic pregnancy contributes to maternal morbidity and mortality, especially in low-resourced countries with limited facilities for early diagnosis and treatment. It is a very challenging condition to diagnose. Patients may collapse and die while undergoing investigation. Aims To assess surgical treatment given to patients presenting at Mpilo Central Hospital, the challenges that are faced and the outcomes; and also to document how women survive this dangerous condition in a setting challenged by low resources. Results All the patients had prompt life-saving surgery within 48 h of admission despite the challenges faced. The survival rate was 100% during the period of the study. Conclusion It is possible to prevent maternal mortality in low-resource countries by maintaining basic clinical and surgical skills.

  16. Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care.

    Science.gov (United States)

    Jacobs, Lee D; Judd, Thomas M; Bhutta, Zulfiqar A

    2016-01-01

    The neonatal, infant, child, and maternal mortality rates in Haiti are the highest in the Western Hemisphere, with rates similar to those found in Afghanistan and several African countries. We identify several factors that have perpetuated this health care crisis and summarize the literature highlighting the most cost-effective, evidence-based interventions proved to decrease these mortality rates in low- and middle-income countries.To create a major change in Haiti's health care infrastructure, we are implementing two strategies that are unique for low-income countries: development of a countrywide network of geographic "community care grids" to facilitate implementation of frontline interventions, and the construction of a centrally located referral and teaching hospital to provide specialty care for communities throughout the country. This hospital strategy will leverage the proximity of Haiti to North America by mobilizing large numbers of North American medical volunteers to provide one-on-one mentoring for the Haitian medical staff. The first phase of this strategy will address the child and maternal health crisis.We have begun implementation of these evidence-based strategies that we believe will fast-track improvement in the child and maternal mortality rates throughout the country. We anticipate that, as we partner with private and public groups already working in Haiti, one day Haiti's health care system will be among the leaders in that region.

  17. Incidence and natural course of symptomatic central serous chorioretinopathy in pregnant women in a maternity hospital in Kuwait.

    Science.gov (United States)

    Said-Ahmed, Khaled; Moustafa, Gamal; Fawzy, Medhat

    2012-01-01

    To report the incidence, clinical features and natural course of central serous chorioretinopathy (CSR) in pregnant women in Kuwait. Patients were actively recruited from a private maternity hospital. Out of the 17,000 pregnant women who visited the antenatal care clinics (Al-Orf Hospital, Kuwait) over 3 years, 900 had visual complaints. Patients with visual complaints underwent complete ophthalmological assessment. Medical records of patients with CSR were reviewed, and a full clinical ophthalmological assessment was performed including measurement of best corrected visual acuity, intraocular pressure, slit lamp biomicroscopy, dilated indirect ophthalmoscopy and Amsler grid screening, color and red free fundus photography and retinal optical coherence tomography. All patients were evaluated throughout the course of pregnancy and for 6 months after delivery. Four patients had CSR among the 17,000 pregnant women reviewed over 3 years corresponding to an incidence of 0.008 % per year. Two patients (50%) had CSR with white subretinal exudates and 2 (50%) had no exudates. There was complete resolution in all patients (100%) within 3 months after delivery. In pregnant women, CSR can present with or without retinal exudates and completely resolves in either case. Further studies with a larger sample size are warranted to investigate the risk factors in pregnant women.

  18. Epidemiology and referral patterns of burns admitted to the Burns Centre at Inkosi Albert Luthuli Central Hospital, Durban.

    Science.gov (United States)

    den Hollander, Daan; Albert, Malin; Strand, Anna; Hardcastle, Timothy C

    2014-09-01

    The epidemiology, referral patterns and outcome of patients admitted to a tertiary burns unit in southern Africa were reviewed. The charts of all patients with thermal injury presenting to the Burns Centre at Inkosi Albert Luthuli Central Hospital (IALCH) between 1 January 2008 and 31 December 2010 were reviewed. Information collected included age, gender, past medical history, cause of burn, size of burn, presence of inhalation injury, time before admission, time to excision, length of hospital stay, complications and mortality. Four hundred and sixty two patients were admitted, 296 (58%) children and 193 (42%) adults. The female-male ratio was 1:1.13. The mean total body surface area (TBSA) burned was 12% (interquartile range 8-25%) for children and 18% (interquartile range 10-35%) for adults. Common causes for the burns were in children: hot liquids (71%) and open flame (24%). Major causes in adults were: open fire (68%) and hot liquids (25%). Epilepsy was a contributing factor in 12.7%. Inhalation injury was seen in 13.6% of adults and 14.3% of children with a flame burn. Forty-four percent of referrals from general surgical units were for burns burns burn for all burns in children and for burns between 10 and 49% in adults. The epidemiology and outcome of severe burns referred to the Burns Centre at IALCH is similar to those in other units in Africa. The management and referral of burns patients by other hospitals are inappropriate in a significant number of patients. Copyright © 2014. Published by Elsevier Ltd.

  19. Molecular Epidemiology of Brucella Genotypes in Patients at a Major Hospital in Central Peru▿

    Science.gov (United States)

    Nöckler, Karsten; Maves, Ryan; Cepeda, David; Draeger, Angelika; Mayer-Scholl, Anne; Chacaltana, Jesus; Castañeda, María; Espinosa, Benjamin; Castillo, Rosa; Hall, Eric; Al Dahouk, Sascha; Gilman, Robert H.; Cabeza, Franco; Smits, Henk L.

    2009-01-01

    The multiple-locus variable-number repeat analysis of 90 human Brucella melitensis isolates from a large urban area in central Peru revealed variations at 4 (Bruce07, Bruce09, Bruce18, and Bruce42) out of 16 loci investigated, of which 1 (Bruce42) also is used for species identification. Ten genotypes were identified, separated by the number of Bruce42 repeats into two groups that may have distinct phenotypic characteristics. Whereas genotypes with five or six Bruce42 repeats were cultured mainly from adult patients, genotypes with three Bruce42 repeats were isolated from children and young adolescents as well as from adults. In addition, the isolates with three Bruce42 repeats were obtained more often from patients with splenomegaly (P = 0.02) or hepatomegaly (P = 0.006). An annual variation in the diversity of genotypes was observed, possibly reflecting changes in sources of fresh dairy products, supply routes to city shops and markets, and the movement of infected dairy goat herds. PMID:19656979

  20. Infecciones del sistema nervioso central por enterovirus en niños atendidos en un hospital de Lima, Perú Enteroviral central nervous system infections in children treated at a hospital in Lima, Peru

    Directory of Open Access Journals (Sweden)

    Iván O Espinoza

    2011-12-01

    Full Text Available Objetivos. Determinar la frecuencia y las características clínicas de las infecciones del sistema nervioso central por enterovirus en niños atendidos en el Hospital Nacional Cayetano Heredia de Lima, Perú. Materiales y métodos. Se realizó un estudio prospectivo y descriptivo desde abril 2008 hasta marzo 2010. Se enrolaron pacientes de un mes a 14 años con diagnóstico clínico de encefalitis o meningitis asépticas. Se investigó la presencia de enterovirus, virus herpes simple 1 (VHS-1, virus herpes simple 2 (VHS-2 y virus varicela-zoster (VZV mediante reacción en cadena de polimerasa (PCR. Resultados. Se enrolaron 97 pacientes de los cuales 69 % presentaron encefalitis aguda y 31 % meningitis aguda. Se identificó enterovirus en 52,6 % del total de infecciones agudas no bacterianas del sistema nervioso central; encontrándose en 83,3 % de las meningitis y en 38,8 % de las encefalitis. No hubo casos de infección por VHS-1, VHS-2 ni VZV. Las infecciones por enterovirus alcanzaron el 82,9 % en los meses cálidos de noviembre a enero y el 28,6 % en los meses fríos de mayo a julio. Conclusiones. Los enterovirus fueron los principales agentes etiológicos en las encefalitis y meningitis asépticas agudas en pacientes pediátricos de Lima, Perú. Los enterovirus tienen un comportamiento epidemiológico estacional con un claro aumento del número de casos en los meses de verano. Resulta útil tener disponible un método de diagnóstico rápido, como una ayuda para el manejo de las infecciones agudas del sistema nervioso.Objectives. To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. Materials and methods. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the

  1. A review of patients with glutaric aciduria type 1 at Inkosi Albert Luthuli Central Hospital, Durban, South Africa

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    R Govender

    2017-03-01

    Full Text Available Glutaric aciduria type 1 (GA1 is an organic acidaemia. The objective of this study was to describe the profile of patients diagnosed with GA1 at Inkosi Albert Luthuli Central Hospital, Durban, South Africa from 2007 to 2015. We identified 6 children (4 girls, 2 boys in a retrospective review. The mean age at diagnosis was 12 months. Clinical findings on presentation were encephalopathic crises (n=4, hypotonia (n=4 and macrocephaly (n=5. Other complications included seizures (n=4, dystonia (n=3 and bulbar dysfunction (n=4. Urine organic acid screens showed elevated glutaric acid levels (n=6. Five patients tested positive for the A293T mutation on the glutarylco-enzyme A (CoA dehydrogenase gene. Abnormalities on magnetic resonance imaging screening included hyperintense basal ganglia (n=6, widened perisylvian fissures (n=6, and an abnormal signal in the cerebral peduncles (n=5 and central tegmental tract (n=4. All patients were treated with L-carnitine and dietary modification. Two patients had a static clinical course, 1 patient gained milestones, and 3 have shown further neuroregression.

  2. Susceptibility of Rubella Among Pregnant Women Attending the Antenatal Clinic in a Tertiary Care Hospital, Jabalpur, Central India.

    Science.gov (United States)

    Kori, Bhupesh K; Singh, Kavita N; Sharma, Ravendra K; Sharma, Bhagwati S; Badkur, Poorva; Barde, Pradip V

    2017-03-01

    The purpose of this study was to evaluate rubella susceptibility of pregnant women from central India as rubella infection can be devastating for the newborn if it occurs in the mother in the first trimester of pregnancy, which may lead to congenital rubella syndrome (CRS). There are very few studies about seroprevalence of rubella from India and none from central India. The study was conducted among women attending the obstetric department of a tertiary care hospital, in which 369 antenatal cases were tested for the presence of immunoglobulin G antibody for rubella and its titer. Data were analyzed using statistical tests. A total of 141 (38.2%) women were found susceptible to rubella. There was no significant difference in rubella susceptibility among different socioeconomic classes, ages, and gravidity. A large proportion of pregnant women were found to be rubella susceptible, posing immense threat of CRS to their newborns. A robust program for rubella immunization targeting young adult women is needed to avoid CRS.

  3. Prevalence of Cryptosporidium Species in Children Referred to Central and Hospital Laboratories of Zabol City, South East of Iran

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    Mansour Dabirzadeh

    2017-12-01

    Full Text Available Background Cryptosporidiosis has a worldwide distribution, and is the commonest cause of diarrhea in children and immune compromised individuals. Since there is no data available on the prevalence of Cryptosporidium species (sp. in Zabol city, thus this study was carried out to assess the disease prevalence and related factors influencing the disease. Materials and Methods In this cross-sectional study, 200 fecal specimens were collected from children referred to the Central or hospital labs in Zabol city, South East of Iran, during April 2014 to August 2016. Fecal examination was performed by staining with Ziel-Neelsen acid-fast to find oocysts of the parasite. The children were grouped according to the age, gender, kind of water supplies, and diarrheic and non-diarrheic condition. Data were evaluated using SPSS version 13.0 software. Results Among the children referred to the Central laboratory, 200 fecal samples from different age groups were collected. The prevalence of Cryptosporidium species was 9.7% which was higher in children under 4 years. There was a significant relationship between sources of water supply and diarrheic children infected with Cryptosporidium (P

  4. Characteristics of measuring organizational performance: a study in description in Rio Grande do Norte’s hospitals Características da medição de desempenho organizacional: um estudo descritivo nos hospitais do estado do Rio Grande do Norte

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    Edzana Roberta F. da C. V. Lucena

    2011-12-01

    Full Text Available Normal 0 21 false false false PT-BR X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} This research aims to investigate the main characteristics of the measurement performance of hospitals in Rio Grande do Norte. For this purpose, we performed a descriptive, conducted in 46 hospitals in the state, selected from a non-probabilistic in the cities of Natal, Mossoró, Parnamirim, São Gonçalo do Amarante, Ceará-Mirim, Macaíba, Caicó, Açu, Currais Novos, São José de Mipibú and Pau dos Ferros. To collect the data, we used an objective questionnaire, consisting of 32 questions, arranged in rating scales for single category, multiple choice and Likert scale. After tabulating the data, perform analysis was descriptive and non-parametric statistical tests, chi-square and Fisher exact test. The results show that most of the institutions analyzed are being managed by professionals with good skills and knowledge in areas such as administration, accounting, economics and medicine, have a mission, do some planning, budgeting, report on their plans, strategies and goals, using indicators and reports for decision making, evaluate and compare the performance of organizations with similar characteristics. The hypotheses tested

  5. Short-term training of upper gastrointestinal endoscopy for resident doctors in Sotogahama Central Hospital in Aomori, Japan

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    Soma T

    2013-07-01

    Full Text Available Takako Soma,1,2,* Yuichi Sakamoto,1,2,* Yasufumi Matsuoka,1,2 Tomoko Nakano,1,2 Masatoshi Kamiuttanai,1 Masaki Akiyama11Department of General Medicine, Sotogahama Central Hospital, Aomori, Japan; 2Department of General Medicine, Aomori Prefectural Central Hospital, Aomori, Japan*These authors contributed equally to this workAbstract: It is essential for young physicians in municipal hospitals to be familiar with the technique of upper gastrointestinal (GI endoscopy. Endoscopy is an exciting subspecialty in primary care medicine. Endoscopic procedures are primarily performed by general physicians in Japan. However, a standardized strategy for teaching diagnostic GI endoscopy is still lacking, and there is not sufficient time for young physicians to effectively learn the upper GI endoscopy technique. To elucidate how young physicians can be trained in the skills of GI endoscopy in a short time period, we initiated a 12-week training course. Two young physicians performed upper GI endoscopies for outpatients and inpatients 2 or 3 days a week from April 2010 to March 2012. The total number of cases undergoing GI endoscopy during the training course in each year was 117 and 111, respectively. The young physicians were trained in this technique by the attending physician. The short-term training course included four phases. During these phases, the young physicians learned how to insert the endoscope through the nasal cavity or oral cavity into the esophageal inlet, how to pass the endoscope from the esophageal inlet into the duodenum, how to take pictures with the endoscope, and how to stain the gastric and duodenal mucosa and take mucosal biopsy samples. The young physicians experienced 20–30 cases in each phase. In week five, they performed endoscope insertion into the duodenum along the folds of the greater curvature of the stomach. They viewed the entire stomach and took pictures until week ten of the course. The pictures taken in week ten were

  6. Use of Chinese herbal medicine therapies in comprehensive hospitals in central China: A parallel survey in cancer patients and clinicians.

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    Chen, Gang; Qiao, Ting-ting; Ding, Hao; Li, Chen-xi; Zheng, Hui-ling; Chen, Xiao-ling; Hu, Shao-ming; Yu, Shi-ying

    2015-12-01

    Chinese herbal medicine (CHM), as the largest application category of traditional Chinese medicine (TCM), is widely accepted among cancer patients in China. Herbal slice (HS) and Chinese patent drug (CPD) are commonly used CHM in China. This study aimed to investigate the utilization of CHM among clinicians and cancer patients in central China. Five hundred and twenty-five patients and 165 clinicians in 35 comprehensive hospitals in central China were asked to complete an anonymous questionnaire that was designed to evaluate the use of CHM. The results showed that 90.74% clinicians and 72.24% cancer patients used CHM during cancer treatment. The educational backgrounds of the clinicians and the age, education level, annual income, and cancer stage of the cancer patients were related to use of CHM. More than 90% clinicians and cancer patients had used CPD. Comparatively, the percentage of HS use was 10% lower than that of CPD use among clinicians and cancer patients. More clinicians preferred to use CHM after surgery than cancer patients did (20.41% vs. 5.37%). Enhancing physical fitness and improving performance status were regarded as the most potential effect of CHM on cancer treatment (85.71% among clinicians and 94.07% among cancer patients), in comparison with directly killing tumor cells (24.49% among clinicians and 31.36% among patients). As for refusal reasons, imprecise efficacy was the unanimous (100%) reason for clinicians' rejection of CHM, and 95.58% patients objected to using CHM also for this reason. Furthermore, the side effects of CHM were more concerned by clinicians than by patients (33.33% vs. 15.81%). In conclusion, our survey revealed that CHM was popularly accepted by clinicians and cancer patients in central China. The reasons of use and rejection of CHM were different between clinicians and cancer patients.

  7. [Fragments of history in psychiatric care Rio Grande do Norte, Brazil].

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    de Miranda, Francisco Arnoldo Nunes; Santos, Raionara Cristina de Araújo; de Azevedo, Dulcian Medeiros; Fernandes, Rafaella Leite; Costa, Tarciana Sampaio

    2010-09-01

    This article aims to rescue aspects of the performing therapeutic of the Day Hospital (HD) Dr Elger Nunes, Natal, Rio Grande do Norte, Brazil, during its term, and analyze the results regarding to the number of patients assisted from 1996 to 2004. This is an empirical, descriptive and exploratory study, ex post facto with a quantitative approach, carried out through the analysis of the records of 910 people attended in the hospital. The data was submitted to the informational resource software Microsoft Excel and converted into diagrams. The results show a greater accessibility to this treatment modality, decreasing in hospitalization-time length and improving hospital discharge conditions for users, with reduction in number of patients who interrupted treatment. It focus on the importance of the Day Hospital in the process of psychiatric reform, with care grounded on the use of the humanized therapeutic practices, and still not losing the bond with family and society.

  8. Importance of water quality on plant abundance and diversity in high-alpine meadows of the Yerba Loca Natural Sanctuary at the Andes of north-central Chile Importancia de la calidad del agua sobre la abundancia y diversidad vegetal en vegas altoandinas del Santuario Natural Yerba Loca en los Andes de Chile centro-norte

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    ROSANNA GINOCCHIO

    2008-12-01

    Full Text Available Porphyry Cu-Mo deposits have influenced surface water quality in high-Andes of north-central Chile since the Miocene. Water anomalies may reduce species abundance and diversity in alpine meadows as acidic and metal-rich waters are highly toxic to plants The study assessed the importance of surface water quality on plant abundance and diversity in high-alpine meadows at the Yerba Loca Natural Santuary (YLNS, central Chile (33°15' S, 70°18' W. Hydrochemical and plant prospecting were carried out on Piedra Carvajal, Chorrillos del Plomo and La Lata meadows the growing seasons of 2006 and 2007. Direct gradient analysis was performed through canonical correspondence analysis (CCA to look for relationships among water chemistry and plant factors. High variability in water chemistry was found inside and among meadows, particularly for pH, sulphate, electric conductivity, hardness, and total dissolved Cu, Zn, Cd, Pb and Fe. Data on species abundance and water chemical factors suggests that pH and total dissolved Cu are very important factor determining changes in plant abundance and diversity in study meadows. For instance, Festuca purpurascens, Colobanthus quitensis, and Arenaria rivularis are abundant in habitals with Cu-rich waters while Festuca magellanica, Patosia clandestina, Plantago barbata, Werneria pygmea, and Erigeron andícola are abundant in habitals with dilute waters.Los megadepósitos de pórfidos de Cu-Mo han influido sobre la calidad de las aguas superficiales en las zonas altoandinas del centro-norte de Chile desde el Mioceno. Estas alteraciones en la calidad de las aguas podrían afectar negativamente a la vegetación presente en las vegas altoandinas, ya que las aguas acidas y ricas en metales son altamente tóxicas para las plantas. En este estudio se evaluó el efecto de la calidad de las aguas en la abundancia y diversidad florística de las vegas altoandinas del Santuario de la Naturaleza Yerba Loca (SNYL, en Chile central (33

  9. La fauna de caprélidos (Crustacea: Amphipoda: Caprellidea de la costa de Coquimbo, centro-norte de Chile, con una clave taxonómica para la identificación de las especies The caprellid fauna (Crustacea: Amphipoda: Caprellidea from the coast of Coquimbo, Northern-central Chile, with a taxonomic key for species identification

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    JOSÉ M. GUERRA-GARCÍA

    2001-12-01

    Full Text Available Los caprélidos son comunes y abundantes en muchos hábitats litorales del ambiente marino. Sin embargo este grupo de anfípodos no ha sido muy bien estudiado en la costa chilena. El estudio de los caprélidos se ha visto dificultado por su gran variabilidad morfológica y el hecho de que la literatura así como los especímenes de los museos son difíciles de localizar. El objetivo de este estudio fue entregar las herramientas taxonómicas para la identificación de las especies de crustáceos caprélidos comunes en el centro-norte de la costa de Chile. Se muestrearon distintos hábitats (boyas, bolones intermareales, praderas de algas y fanerógamas marinas y se encontraron seis especies distintas de caprélidos: Caprellina longicollis (Nicolet, 1849, Caprella equilibra Say, 1818, C. scaura Templeton, 1836, C. verrucosa Boeck, 1871; Deutella venenosa Mayer, 1890 y Paracaprella pusilla Mayer, 1890. Caprella scaura, C. verrucosa y D. venenosa fueron muy abundantes sobre las algas, hidrozoos y briozoos asociados a boyas. Caprella equilibra, también presente en boyas, fue más abundante bajo piedras en zonas intermareales rocosas expuestas, donde también se encontraron ejemplares de D. venenosa y de P. pusilla. Caprella scaura también se encontró sobre algas rojas de las playas arenosas, especialmente sobre Gracilaria chilensis y sobre la fanerógama marina Heterozostera tasmanica, donde cohabitó junto a Caprellina longicollis. Paracaprella pusilla constituye una nueva cita para las costas pacíficas sudamericanas, siendo nueva para la fauna de Chile. La especie D. venenosa, que se cita por primera vez después de la descripción original de Mayer en el año 1890, es considerada una especie endémica de la costa central de ChileCaprellids are abundant in many littoral habitats of the marine environment. Nevertheless, this group of amphipods has been scarcely studied along the coast of Chile. The study of the Caprellidea is particularly

  10. [Central nervous system malformations in a Clinical Hospital of Universidad de Chile and in Chilean maternity hospitals that participated in the Latin American Collaborative Study of Congenital Malformations (ECLAMC)].

    Science.gov (United States)

    Nazer, J; Cifuentes, L; Rodríguez, M; Rojas, M

    2001-10-01

    In Chile, the rates of central nervous system congenital malformations at birth remain high, when compared with the rest of the world. To report the rates of central nervous system congenital malformations in Chilean hospitals. Using the ECLAMC protocol, every malformed newborn or stillbirth, weighing more than 500 g at birth is registered using a standard protocol, and the next non malformed child of the same sex born in the same hospital is assigned as control. The rates of central nervous system congenital malformations are higher at the University of Chile Clinical Hospital than in the rest of Chilean hospitals or Latin American Hospitals. There are significantly higher rates of anencephalia in Concepcion and spina bifida in Valdivia, Rancagua and Concepcion. In the University of Chile Clinical Hospital, global annual rates have a negative slope of -0.0259 per 1000 born alive, with a correlation coefficient of -0.125 (p < 0.05). The slope is positive among children born alive, with an annual rate increase of 0.071. Among stillbirths, the slope is -0.47 per 1000 born alive. Sixty two percent of malformed children were female. Among children with neural tube defects, 30% had a malformed relative and, of these, 66% had the same malformation. Family clustering of neural tube defects, supports the influence of a genetic factor influencing their appearance.

  11. Ozone studies in the Paso del Norte region

    Science.gov (United States)

    Becerra-Davila, Fernando

    obtained from this photolysis study demonstrate that the local ground level ozone formation is not only influenced by the strong solar radiation and changing aerosol makeup, but also by other heterogeneous factors and reactions. In addition, this research provided good evidence that the ground level ozone precursor regime in El Paso during the ozone episode of June 2006 was mostly VOC-limited. Much of this estimation was derived from measurements of local ambient VOC/NOx ratios. This finding shows that at least during June 2006, the non-linear surface ozone production increased during weekends compared to workdays in a habitually VOC-limited regime. The seasonal variations of columnar ozone as measured by a Multi-filter Rotating Shadowband instrument installed at the UTEP campus are analyzed for the first time for this region and results are presented. This investigation has addressed the problem of ground-level ozone formation in the Paso del Norte region. Urban ozone is a complex problem with many aspects that are not fully understood. In this investigation, a range of techniques has been used to address the study of local surface ozone episodes with the purpose of acquiring new insights and knowledge that will help understand and remediate the diverse atmospheric pollution events that affect this bi-national region recurrently. Innovative techniques were developed and used, ranging from the use of local ambient atmospheric pollution data to the utilization of complex modeling techniques to achieve the best possible computer results. Finally, the influence of ground level ozone concentrations in admissions to hospitals for this region due to respiratory diseases is analyzed. The comprehensive results obtained in this work will help to better understand ozone formation in the Paso del Norte Region for future policy regulation implementations.

  12. Prevalência de tripanossomíase americana, sífilis, toxoplasmose, rubéola, hepatite B, hepatite C e da infecção pelo vírus da imunodeficiência humana, avaliada por intermédio de testes sorológicos, em gestantes atendidas no período de 1996 a 1998 no Hospital Universitário Regional Norte do Paraná (Universidade Estadual de Londrina, Paraná, Brasil Prevalence of american trypanosomiasis, syphilis, toxoplasmosis, rubella, hepatitis B, hepatitis C, human immunodeficiency virus infection, assayed through serological tests among pregnant patients, from 1996 to 1998, of the Hospital Universitário Regional Norte do Paraná (Londrina State University, Paraná, Brazil

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    Edna Maria Vissoci Reiche

    2000-12-01

    Full Text Available Com o objetivo de determinar a soroprevalência de tripanossomíase americana, sífilis, toxoplasmose, rubéola, hepatite B, hepatite C e infecção pelo vírus da imunodeficiência humana em gestantes atendidas no Hospital Universitário Regional Norte do Paraná, da Universidade Estadual de Londrina, Paraná, foi realizado estudo retrospectivo dos resultados dos testes sorológicos efetuados no período de junho de 1996 a junho de 1998. As taxas de positividade encontradas foram: 0,9% para tripanossomíase americana, 1,6% para sífilis, 67% (IgG e 1,8% (IgM para toxoplasmose, 89% (IgG e 1,2% (IgM para rubéola, 0,8% para hepatite B (AgHBs, 0,8% para hepatite C e 0,6% para infecção pelo vírus da imunodeficiência humana. Observou-se associação entre o aumento da soroprevalência de tripanossomíase americana com a idade das gestantes (p = 0,006. Os resultados reafirmam a importância da realização destes testes sorológicos no atendimento pré-natal, com a finalidade de realizar o diagnóstico e, eventualmente, adotar medidas para prevenir a transmissão congênita ou perinatal dessas doenças.In order to evaluate the seroprevalence of the american trypanosomiasis, syphilis, toxoplasmosis, rubella, hepatitis B infection, hepatitis C infection and human immunodeficiency virus infection among pregnant women attended at the Hospital Universitário Regional Norte do Paraná, Londrina State University, Paraná, a retrospective study of the serologic results performed in the prenatal routine during the period of June 1996 to June 1998 was carried out. The rates of seropositivity were as follows: american trypanosomiasis = 0.9%, syphilis = 1.6%, toxoplasmosis = 67% (IgG and 1.8% (IgM, rubella = 89% (IgG and 1.2% (IgM, hepatitis B surface antigen = 0.8%, hepatitis C virus = 0.8% and human immunodeficiency virus infection = 0.6%. An association between the increase in the seroprevalence of Chagas' disease and patient age was detected (p=0

  13. C4. Pneumonia adquirida na comunidade (PAC: estudo retrospectivo num hospital central

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    A. Oliveira

    2003-11-01

    Full Text Available A PAC é uma importante causa de morbilidade e mortalidade nos doentes hospitalizados. O objectivo deste estudo foi analisar a etiologia, factores de risco, tratamento e mortalidade da PAC no internamento. Procedemos a um estudo retrospectivo de 246 doentes, admitidos no nosso Departamento com o diagnóstico de PAC num período de 24 meses. A média etária foi de 58,9 anos e 61% eram do sexo masculino. Em 48,6% existiam comorbilidades. Na radiografia torácica havia envolvimento multilobar em 17,1%, padrão alveolar em 66,7% e derrame pleural em 18,3%.Os agentes etiológicos foram pesquisados em 195 doentes (75,9% e foram positivos em 57 (29,2%: 11% das hemoculturas (19/173; 30% dos exames culturais de expectoração (48/160 e 10.4% das serologias e antigenúria para Legionella (7/67 foram positivos. Nos doentes com etiologia bacteriana o agente etiológico mais frequente foi S. pneumoniae (47%, seguindo-se os Gram-negativos (26% e H. Influenza (18%.A amoxicilina/clavulanato (82,9% e macrólidos (68,1% foram os antibióticos mais usados. Houve associação de antibióticos em 61,6% dos doentes. A duração média do tratamento foi de 12 dias. Em 93% dos doentes assistiu-se a evolução favorável. A mortalidade foi de 5,1%.Concluimos que o S. pneumoniae continua a ser o agente etiológico mais frequente de PAC. A escolha terapêutica esteve de acordo com as guidelines internacionais e o regime terapêutico mostrou-se adequado tendo a maioria das PAC evolução favorável com baixa mortalidade. : CAP is an important cause of morbidity and mortality in hospitalized patients. The aim of this study was to analyze etiology, risk factors, treatment and mortality of CAP. We conducted a retrospective analysis of clinical data from 246 patients admitted to our Department with CAP diagnosis throughout an 24 month period.The patients were in average age 58,9 years old and 61% were male. In 48,6% significant co-morbidities were found. On chest X-ray there

  14. Job satisfaction and attitudes towards nursing care among nurses working at Mzuzu Central Hospital in Mzuzu, Malawi.

    Science.gov (United States)

    Nyirenda, Maloni; Mukwato, Patricia

    2016-12-01

    Job satisfaction is a major determinant of performance at the workplace. Studies have shown that job dissatisfaction can intensify emotional exhaustion, and this can influence nurses to perceive their work as tiresome and repetitive, leading to frustration and discouragement. The purpose of this study was to investigate the relationship between job satisfaction and attitude towards nursing care at Mzuzu Central Hospital in Mzuzu, Malawi. This was a descriptive correlational study. Eighty-nine nurses were selected using simple random sampling. A self-administered questionnaire was used to collect data. Data were analysed using Stata (version 12). Frequencies, means, and standard deviations were used to summarise sociodemographic data and also to determine job satisfaction and attitudes towards nursing care among the participants. Independent t-tests were used to determine if differences in professional qualifications, job title, work experience, or the clinical setting in which the nurses worked were associated with differences in job satisfaction and attitude. Pearson's product-moment correlation was used to determine the relationship between job satisfaction and attitude in the study sample. The nurses who participated in this study generally had positive attitudes towards nursing care and were moderately satisfied with their jobs. There was a significant variation in attitude depending on the amount of time a nurse worked at a particular post (P = 0.0308), as well as the amount of time a nurse had worked at the hospital (P = 0.0012). There was a significant positive relationship between job satisfaction and attitude (r = 0.226, P = 0.033). The nurses in the study sample were moderately satisified with their work and generally had positive attitudes towards nursing care. There was a positive correlation between attitude towards nursing care and job satisfaction. Addressing factors which dissatisfy nurses can promote nurses' attitudes and likely improve performance

  15. Multidrug resistance Acinetobacter species at the intensive care unit, Aseer Central Hospital, Saudi Arabia: A one year analysis.

    Science.gov (United States)

    Al Bshabshe, Ali; Joseph, Martin R P; Al Hussein, Ali; Haimour, Waleed; Hamid, Mohamed E

    2016-09-01

    To identify and to determine the antimicrobial susceptibility of Acinetobacter baumannii (A. baumannii) clinical isolates from ICU at Aseer Central Hospital. The study was conducted in the Intensive Care Unit, Aseer Central Hospital, Saudi Arabia over 13 months period (2014-2015). Acinetobacter species (n = 105) were isolated from various clinical samples. Isolates were identified using selected phenotypic criteria and confirmed using the Vitek 2 automated system. This system was used to determine the susceptibilities of 21 antimicrobial agents. Patients, isolates and drug data were analyzed using the SPSS statistical software package to determine some epidemiological and microbiological patterns. Of the 105 stains, A. baumannii accounted for 49 (46.67%), A. baumannii complex, 19 (18.09%), A. baumannii/haemolyticus 32 (30.47), Acinetobacter haemolyticus 4 (3.81%), Acinetobater lwoffii 1 (0.95%) and unidentified Acinetobater species 2 (1.3%). Of the 105 Acinetobacter strains, 103 (98.1%) were found multidrug resistant (MDR). A. baumannii strain were 100% sensitive to colistin and 74.5% to trimethoprim + sulfamethoxazole. The remaining 19 antimicrobial agents revealed low or no sensitivities: amikacin 16.3%; ampicillin 7.7%; ceftazidime, 7.3%. Distribution of similar sensitivities was shown by other Acinetobacter species. Mean number of isolates from males and females indicates no statistical variation (P = 0.867) whereas age groups showed significant differences (P = 0.008) as it is clear from the high percentage of infected individuals more than 60 years followed by those aged 20-29 years old (19.05%). Upper respiratory tract (30.48%), lower respiratory tract (47.65%) and subcutaneous tissue (9.5%) were the main sources of Acinetobacter spp. but mean numbers of isolates from these specimens indicate no discrepancy between specimens (P = 0.731). Acinetobacter species including A. baumannii were found MDR (98.1%) according to the current Acinetobacter

  16. Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

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    Tamara Trelha Gauna

    2013-08-01

    Full Text Available Introduction Vascular access in patients undergoing hemodialysis is considered a critical determinant of bloodstream infection (BSI and is associated with high morbidity and mortality. The purpose of this study was to investigate the occurrence of BSI in patients with end-stage renal disease using central venous catheters for hemodialysis. Methods A cohort study was conducted in a public teaching hospital in central-western Brazil from April 2010 to December 2011. For every patient, we noted the presence of hyperemia/exudation upon catheter insertion, as well as fever, shivering, and chills during hemodialysis. Results Fifty-nine patients were evaluated. Thirty-five (59.3% patients started dialysis due to urgency, 37 (62.7% had BSI, and 12 (20% died. Hyperemia at the catheter insertion site (64.9% was a significant clinical manifestation in patients with BSI. Statistical analysis revealed 1.7 times more cases of BSI in patients with hypoalbuminemia compared with patients with normal albumin levels. The principal infective agents identified in blood cultures and catheter-tip cultures were Staphylococcus species (24 cases, non-fermentative Gram-negative bacilli (7 cases of Stenotrophomonas maltophilia and 5 cases of Chryseobacterium indologenes, and Candida species (6. Among the Staphylococci identified, 77.7% were methicillin-resistant, coagulase-negative Staphylococci. Of the bacteria isolated, the most resistant were Chryseobacterium indologenes and Acinetobacter baumannii. Conclusions Blood culture was demonstrated to be an important diagnostic test and identified over 50% of positive BSI cases. The high frequency of BSI and the isolation of multiresistant bacteria were disturbing findings. Staphylococcus aureus was the most frequently isolated microorganism, although Gram-negative bacteria predominated overall. These results highlight the importance of infection prevention and control measures in dialysis units.

  17. [Introduction of the psychoprophylactic method and its influence on the prenatal care program for institutional parturition in Japan: the practice in the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, 1953-1964].

    Science.gov (United States)

    Fujihara, Satoko; Tsukisawa, Miyoko

    2014-03-01

    The psychoprophylactic method is one of the methods for providing 'painless childbirth without drugs' and was invented by applying I. Pavlov's theory of higher nervous activity. In 1951, it was adopted as a national policy in the Union of Soviet Socialist Republics. This method was then introduced in the People's Republic of China in 1952. In 1953, it was brought to Japan by Masatomo SUGAI, an obstetrician, and was introduced into the Central Hospital of Maternity of the Japanese Red Cross Society with the support of the director, Naotarou KUJI. The practice of this method by the research team, which consisted of the obstetricians and midwives of the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, resulted in the initiation and characterization of the prenatal care program to encourage the autonomy of the pregnant women for normal parturition in the institutions of Japan.

  18. Knowledge and practice of universal precautions among nurses in central hospital, Benin-City, Edo State, Nigeria.

    Science.gov (United States)

    Ofili, A N; Asuzu, M C; Okojie, O H

    2003-03-01

    Nurses are faced with professional hazards such as needle pricks and blood-borne infections in their day to day activities in the work place. This study is aimed at finding out the knowledge and practice of universal precautions among nurses at the Central Hospital, Benin City, Edo State, Nigeria. One hundred and fifty-five (155) nurses participated in the cross-sectional study. The nurses were selected using the stratified random sampling method. The nurses had a poor knowledge about universal precautions as only 34.2% of nurses had heard about universal precautions. There was also a poor observance of universal precautions. Knowledge of measures to be taken after the occurrence of occupational accidents/ injuries was also poor, as only 26(16.8%) nurses would report puncture injuries to the clinic, only 13(8.4%) nurses would screen patients for HIV antibody after consent when they sustain work related accident/injuries. Twelve (7.7%) nurses would screen patient to determine hepatitis B status of patient while only 8(5.2%) nurses would go for medical check-up/immunisation with hepatitis B vaccine.

  19. Genetic variability of respiratory syncytial virus A in hospitalized children in the last five consecutive winter seasons in Central Spain.

    Science.gov (United States)

    Calderón, Ana; Pozo, Francisco; Calvo, Cristina; García-García, Mluz; González-Esguevillas, Mónica; Molinero, Mar; Casas, Inmaculada

    2017-05-01

    Human respiratory syncytial virus group A (RSV-A) was detected in symptomatic hospital attended children in Central Spain for a continuous time period, September 2010 to April 2015. In order to accurately describe the epidemiology of this virus, the genetic diversity of the complete G gene and the clinical manifestations observed were jointly analyzed. Out of 3,011 respiratory specimens taken from 2,308 children, 640 were positive to RSV (21.3%) and 405 were RSV-A (63.2%). Complete G gene sequences of 166 randomly selected RSV-A virus identified NA1 and ON1 genotypes. In 2011-2012, ON1 emerged sporadically and become dominant in 2012-2013 with 38 cases (70%). In 2014-2015, all the 44 sequences contained the 72-nt duplication (100%). Clinical diagnosis of children with ON1 genotype were bronchiolitis in 55 (62.5%), recurrent wheezing or asthma exacerbations in 22 (25%), laryngotracheobronchitis in 3 (3.4%), and upper respiratory tract infections in eight. Results showed replacement and substitution of circulating NA1 genotype with the new ON1 genotype. Nevertheless, at this stage, none of the RSV-A genotypes identified have resulted in significant clinical differences. The amino acid composition of the complete G gene ON1 sequences demonstrated an accumulation of single changes not related with different clinical presentation. J. Med. Virol. 89:767-774, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  20. The Role of Necropsy in Diagnostic Dilemmas as Seen in a Tertiary Hospital in North Central Nigeria

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    Olugbenga A. Silas

    2009-01-01

    Full Text Available Background. Necropsy (autopsy has helped medical science and law. It has given rise to numerous diagnostic surprises as it explains cause of death, pathogenesis of diseases, and circumstances of death. It also explains reasons for most therapeutic failures. In spite of its usefulness, the rate has dropped worldwide and Africa is worse hit. This work aims to highlight the role autopsy (Necropsy plays in demystifying diagnostic dilemmas and to encourage its patronage by medical practitioners, law enforcement agents and society. Methods. This is a retrospective review of autopsy and clinical reports of cases seen by pathologists and physicians in the Jos University Teaching Hospital (JUTH, Jos, North central Nigeria. Results. A total 166 cases were studied out of which 52 had same diagnosis for both attending physician and pathologist, 106 had different diagnoses and in eight cases diagnoses remained unknown even after autopsy was performed. Conclusions. Autopsy remains an important tool for obtaining definitive diagnosis, determining cause of death to explain pathogenesis of diseases, medical auditing and a vital source of data for health statistics and planning.

  1. ANALYSIS OF DISCARD OF WHOLE BLOOD AND BLOOD COMPONENTS IN GOVERNMENT HOSPITAL BLOOD BANK IN CENTRAL INDIA

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    Vedita Bobde

    2015-02-01

    Full Text Available BACKGROUND: Transfusion requests are always more than the supply due to advances in health care delivery . Injudicious use of whole blood and blood components strains the transfusion services. This mandates the proper analysis of real need of transfusion and the discard of this scarce resource. MATERIALS & METHODS: Total 31143 voluntary and replacement donors donated blood during January 2012 to December 2014 in blood bank of tertiary care Government hospital in Central India. The donors record, transfusion transmitted infections (TTI testing record, component preparation record & discard record during the same period were screened for analysis. RESULT: Out of total 31143 blood collection during study period TTI positive blood were 377 (1.21% comprising of 13.4% of total discarded blood bags. Components prepared 19545 and discarded 1610 (8.2%. Among components discarded most common units were platelets due to date expiry followed by FFP discarded due to leakage of bag. CONCLUSION: Analysis of reasons of discard of whole blood and blood components helps in forming policies to reduce the gap between demand and supply at local as well as national level

  2. [Determination of serologic markers of hepatitis B virus in high risk areas at the Central Air Force Hospital of Peru].

    Science.gov (United States)

    Valladares Alvarez, G; Galarza, J; Espinoza, J; Nieri, A; Makino, R; Berrocal, A; Grados, N

    1989-01-01

    In the present paper, the serologic markers of Hepatitis B virus were studied in 123 people belonging to the Hospital Central de la Fuerza Aérea del Perú that had been working in areas of high risk to get contact with this virus. The determination was done with the enzimo inmuno assay (EIA Abbot) and the results were the following: In 15 individuals (12.1%), at least one positive marker was found, evidence which proved to have been in contact with the virus in some moment of his life. Only one carrier (0.8%) was found, in 6 (4.8%) the presence of anti-HBc as only marker was found and in 8 (6.5%) the presence of Anti-HBc and Anti-HBs was observed which means post infection immunity. The great number of the individuals in which the markers were found, were male: 13 (16.0%) against only 2 (4.7%) female. There wasn't great difference with relation to the prevalency of markers according to the years of work like there has been observed in other greater series. It can be concluded that in this group the incidence of infection due to VHB was no greater than that of general population, which indicates us the little contact that they have had with the contaminating material during their professional life.

  3. Córeia do Norte: um interlúdio norte-americano na Ásia.

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    JOSÉ RIBEIRO MACHADO NETO

    2010-12-01

    Full Text Available O presente artigo busca delinear os efeitos que a recente visita do enviado diplomático chinês, Tang Jiaxuan, à Pyongyang exerceu no cenário político internacional e analisar o desenvolvimento das relações norte-coreanos com os demais países do globo, em especial os Estados Unidos e seus vizinhos.

  4. Prevalence of hemolytic anemia and hemoglobinopathies among the pregnant women attending a tertiary hospital in central India

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    Ranbir S. Balgir

    2015-10-01

    Full Text Available Anemia in pregnancy is one of the causes of maternal morbidity and, maternal and fetal mortality in India. Hemoglobin transports oxygen to different parts of the body. Any defect in hemoglobin structure leads to its adverse functions. Screening of pregnant women for hemoglobinopahties helps in early intervention for reducing morbidity and mortality. Although the prevalence of hemoglobinopathies especially of the sickle cell disorders is high in Madhya Pradesh but any study on pregnant women is lacking. This study had set the objectives to find the prevalence of anemia and hemoglobin disorders in pregnant women, and to determine the health status through hematological indices profile in central India. Hospital based a cross-sectional study showed 12.26% prevalence of hemoglobinopathies among 416 pregnant women, the sickle cell trait being 7.45%, followed by β-thalassemia trait (2.89%, hemoglobin E trait (0.24%, and sickle cell disease (1.68%. About 88% of the pregnant women were found free of hemoglobinopathies. Of the 9.13% pregnant women included in the study were suffering from sickle cell disorders. However, the overall 47.11% anemia was observed in pregnant women, ranging in between 45% to 66% and seemed to show a reduction in anemia after nutritional supplementations and improvement in maternal health care at antenatal check up due to accessibility to medical health facilities. A comparison of hematological indices of pregnant women afflicted with and without sickle cell disorders have revealed much reduced hemoglobin level, red blood cells count, mean corpuscular volume, hematocrit, and mean corpuscular hemoglobin; and raised leucocytosis in sickle cell disorder cases than among the normal pregnant women. A more vigorous and realistic campaign of prophylactic regime of supplementations for these pregnant women and child health care is suggested.

  5. Clinical characteristics of patients with atrial fibrillation at a tertiary care hospital in the central region of Saudi Arabia

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    Salih A Bin Salih

    2011-01-01

    Full Text Available Objective: To report on the clinical presentation, etiology, and laboratory features of acute and chronic atrial fibrillation (AF in a tertiary hospital in Riyadh, Saudi Arabia. Materials and Methods: We retrospectively studied records of 720 patients with AF seen in outpatients and inpatients departments at King Abdulaziz Medical City, Riyadh, during the period of 1 January 2002 to 31 August 2008. Results: Documented acute and chronic AF was present in 157 (21.8% and 563 (78.1% patients, respectively. Palpitations, dizziness and syncope were the most frequent symptoms in acute AF, while dyspnea and palpitations were the most common symptoms in the chronic type. Acute respiratory problems and acute myocardial infarction were significantly more common in acute AF, while congestive heart failure and acute respiratory problems (chest infection, bronchial asthma, and pulmonary embolism were significantly more common in chronic AF. The most common causes of both types of AF were diabetes mellitus (DM in 68.8%, hypertension (HTN in 59.3%, chronic lung diseases (bronchial asthma, chronic obstructive pulmonary disease and interstitial lung disease in 31.8%, valvular heart disease in 23.6%, and ischemic heart disease (IHD in 23.1%. In 9 (1.3% patients, no cause was detected. The echocardiographic findings of left ventricular hypertrophy, valve lesions, and depressed left ventricular function were significantly more common in chronic AF (P<0.01. Conclusions : Nowadays, DM, HTN, and IHD are becoming the most common predisposing factors for AF in the central region of Saudi Arabia and require prevention and control

  6. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India

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    Amar M. Taksande

    2015-11-01

    Full Text Available Introduction: Acute Respiratory Infection (ARI is a major cause of morbidity and mortality in developing countries in children especially in under-fives. Every year in the world, about 13 million under-5 children dies, 95% from developing countries; one third of total deaths are due to ARI. The aim of this study was to identify the significant risk factors for ARI in children less than five years of age living in rural areas of Central India.Methods: A hospital based case control study was undertaken to determine risk factors associated with respiratory tract infections in children. Children less than 5 years admitted in a pediatric ward with diagnosis of ARI were enrolled in the study as cases (n = 300 while the same number of controls (n = 300 were selected from neighborhood and were matched for age, sex and religion. Details of risk factors in cases and controls were recorded in pre-designed proforma. Results: A significant association was found between ARI and lack of breastfeeding, nutritional status, immunization status, delayed weaning, prelactal feeding, living in overcrowded conditions, mothers’ literacy status, low birth weight and prematurity. Among the environmental variables, inadequate ventilation, improper housing condition, exposure to indoor air pollution in form of combustion from fuel used for cooking were found as significant risk factors for ARI in under-fives.Conclusions: ARIs are affected by socio-demographic and socio-cultural risk factors, which can be modified with simple interventions. The various risk factors identified in this study were lack of breastfeeding, undernutrition, delayed weaning, overcrowding and prelactal feeding.

  7. [Branch of the 1st Federal Budget Institution "3rd Central Military Clinical Hospital n. a. A. A. Vishnevskiĭ of the Russian Defense Ministry"--60 years].

    Science.gov (United States)

    Beznosik, R V; Savitskiĭ, G G

    2012-03-01

    The history of creation and development of the Central Tuberculosis Hospital of the Ministry of Defense of the USSR--now branch No 1 FBU "3 TsVKG of the Russian Defense Ministry n. a. A.A. Vishnevsky". The contribution into the hospital, not only in organizing of effective treatment, but also into study the state of TB control in the armed forces, the development of methods for differential diagnosis of pulmonary tuberculosis and extrapulmonary forms are presented. The incidence of tuberculosis in the country remains high, so the problem faced by the institution, remain relevant and responsible.

  8. Corea del Norte: vientos favorables para el cambio

    National Research Council Canada - National Science Library

    Garcia, Pio

    2009-01-01

    Las manifestaciones de fuerza de Corea del Norte durante el ultimo ano crisparon los nervios de los televidentes de todo el mundo, ante el temor de un conflicto de grandes dimensiones en el noreste asiatico...

  9. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India – Authors’ reply

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    Amar Taksande

    2016-07-01

    Full Text Available Dear Editor,We thank the authors for their interest and comments on our paper. They have raised some very valid points. This corrispondence refers to the following article:Taksande AM, Yeole M. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(1:e050105. doi: 10.7363/050105 br />Comments can be found in the following article:Mandal A, Sahi PK. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(2:e050207. doi: 10.7363/050207

  10. Infecciones del sistema nervioso central por enterovirus en niños atendidos en un hospital de Lima, Perú

    OpenAIRE

    Espinoza, Iván O.; Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico neurólogo pediatra.; Ochoa, Theresa J.; Universidad Peruana Cayetano Heredia. Lima, Perú University of Texas School of Public Health. Texas, EE. UU.; Mosquito, Susan; Universidad Peruana Cayetano Heredia. Lima, Perú. Microbiólogo.; Barletta, Francesca; Universidad Peruana Cayetano Heredia. Lima, Perú. Biólogo molecular.; Hernández, Roger; Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. Grupo Peruano de Investigación en Neumococo (GPIN). Lima, Perú. Médico infectólogo pediatra.; Medina, María del Pilar; Universidad Peruana Cayetano Heredia. Lima, Perú. Instituto Nacional Materno Perinatal. Lima, Perú. Médico neurólogo pediatra.; Stiglich, María Luisa; Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Docente Madre Niño San Bartolomé. Lima, Perú. Médico neurólogo pediatra.; Ugarte, Claudia; Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico pediatra.; Guillén, Daniel; Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico neurólogo pediatra.

    2014-01-01

    Objectives. To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. Materials and methods. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month – 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the presence of enterovirus, herpes simplex virus 1 (HSV-1), herpes s...

  11. Opinion of hospital pharmacy practitioners toward the Continuing Pharmacy Education program: a study from a tertiary care hospital in central Nepal

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    Poudel RS

    2017-09-01

    Full Text Available Ramesh Sharma Poudel,1 Rano Mal Piryani,2 Shakti Shrestha,3 Roshan Chaurasiya,1 Bed Prakash Niure1 1Hospital Pharmacy, Chitwan Medical College Teaching Hospital, Chitwan, Nepal, 2Health Professionals Education and Research Centre, Chitwan Medical College Teaching Hospital, Chitwan, Nepal, 3Department of Pharmacy, Shree Medical and Technical College, Chitwan, Nepal Background: Meeting participants’ needs and matching their preferences are important prerequisites for an effective Continuing Pharmacy Education (CPE program. The objective of this pilot study was to assess the opinion of hospital pharmacy practitioners with respect to the CPE program.Methods: The pretested questionnaires were distributed to 20 pharmacy practitioners working in a pharmacy at a tertiary care hospital in Nepal which asked for their opinions and suggestions with respect to the CPE program. Descriptive statistics were performed using IBM SPSS version 20.Results: Topics related to skills development (75% and recent innovations in pharmacy practice (65% were mostly preferred. Live (in-person presentations (80% and small group discussion (60% were the most suitable methods for delivery. Improving knowledge (75%, improving skills (60% and keeping up-to-date in the latest information (60% were major motivating factors to participate, while lack of time (75% was a major barrier. Approximately 55% of the participants believed that face-to-face interview was a suitable method for evaluating the effectiveness. Allocation of separate time for the program, assessing baseline knowledge and skills of the participants along with delivery of quality materials in an understandable way were the top common suggestions for improving the CPE program.Conclusion: Hospital pharmacy practitioners’ opinions and suggestions were assessed with respect to the CPE program and this was upgraded accordingly to meet their expectations. Keywords: continuing education, opinion, pharmacy, pharmacy

  12. Redefining and Contextualizing the Hospital Volume-Outcome Relationship for Robot-Assisted Radical Prostatectomy: Implications for Centralization of Care.

    Science.gov (United States)

    Gershman, Boris; Meier, Sarah K; Jeffery, Molly M; Moreira, Daniel M; Tollefson, Matthew K; Kim, Simon P; Karnes, R Jeffrey; Shah, Nilay D

    2017-07-01

    Robot-assisted radical prostatectomy has undergone rapid dissemination driven in part by market forces to become the most frequently used surgical approach in the management of prostate cancer. Accordingly, a critical analysis of its volume-outcome relationship has important health policy implications. Therefore, we evaluated the association of hospital robot-assisted radical prostatectomy volume with perioperative outcomes, and examined the distribution of hospital procedure volume to contextualize the volume-outcome relationship. We identified 140,671 men who underwent robot-assisted radical prostatectomy from 2009 to 2011 in NIS (Nationwide Inpatient Sample). The associations of hospital volume with perioperative outcomes and total hospital costs were evaluated using multivariable logistic regression and generalized linear models. In 2011, 70% of hospitals averaged 1 robot-assisted radical prostatectomy per week or less, accounting for 28% of surgeries. Compared to patients treated at the lowest quartile hospitals, those treated at the highest quartile hospitals had significantly lower rates of intraoperative complications (0.6% vs 1.4%), postoperative complications (4.8% vs 13.9%), perioperative blood transfusion (1.5% vs 4.0%), prolonged hospitalization (4.3% vs 13.8%) and mean total hospital costs ($12,647 vs $15,394, all ptrend robot-assisted radical prostatectomies per year, beyond which there appeared to be marginal improvement. Increasing hospital robot-assisted radical prostatectomy volume was associated with improved perioperative outcomes up to approximately 100 surgeries per year, beyond which there appeared to be marginal improvement. A substantial proportion of these procedures is performed at low volume hospitals. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  13. Tratamiento antimicrobiano en la meningoencefalitis, Hospital Militar Central "Dr. Luis Díaz Soto", 2004-2011

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    María del Carmen Jiménez Martínez

    Full Text Available Introducción: las meningoencefalitis constituyen un grupo de gran importancia dentro de las enfermedades infecciosas, en las cuales la introducción de los antibióticos hizo posible que fuese curable, pero la morbilidad y la mortalidad de esta enfermedad continúan siendo inaceptablemente altas. Objetivo: identificar la terapia antimicrobiana usada en las meningoencefalitis. Métodos: estudio descriptivo, observacional y retrospectivo. Se estudiaron 150 pacientes con diagnóstico de meningoencefalitis viral o meningoencefalitis bacteriana confirmada por cuadro clínico, estudio citoquímico del líquido cefalorraquídeo o identificación del agente etiológico. Todos se atendieron en el período comprendido entre los años 2004 y primer semestre del 2011, en los servicios de Medicina y Pediatría del Hospital Militar Central "Dr. Luis Díaz Soto". Se empleó el diseño de un estudio de utilización de medicamentos que hace uso de la indicación-prescripción y el esquema terapéutico para este tipo de paciente. Resultados: se utilizó terapia antimicrobiana en el 18,67 % de pacientes con meningoencefalitis viral (23,93 % de 117 y el 22 % con bacteriana (100 % de 33 casos. Las antibioticoterapias más usadas fueron la ceftriaxona (como único antibiótico en la meningoencefalitis viral, y asociada (ceftriaxona más vancomicina en la meningoencefalitis bacteriana. El patógeno más aislado (Streptococcus pneumoniae fue tratado en la mayoría de los casos con ceftriaxona más vancomicina. La generalidad de los tratamientos para la meningoencefalitis bacteriana duró menos de 21 días. Conclusiones: se evidenció el uso de terapia antimicrobiana en pacientes con meningoencefalitis viral y la coincidencia entre la terapia empírica y la específica en la meningoencefalitis bacteriana.

  14. Un norte diferente para la independencia peruana

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    Aldana Rivera, Susana

    1997-04-01

    Full Text Available The independence has been one of the most studied peruvian theme. However, too little is known about how was it done in other places beyond Lima, principally, and the south andian peruvian region. This works' interest is to open a so close regard by making a sketch of the north peruvian participation and asking questions that could give a more accurate thinking of the tint wealth of that process in the whole country.

    La independencia es uno de los temas más trabajado en el Perú. Sin embargo, poco se sabe de cómo se desarrolló este proceso en otros espacios más allá de Lima, sobre todo, y del sur andino. El interés de este trabajo es abrir esta visión tan cerrada, delineando la participación del norte peruano en ese proceso y tratar de plantear preguntas que lleven a una reflexión que recoja la riqueza de matices del conjunto nacional.

  15. Características físico-químicas e produtividade de acessos de Passiflora nitida Kunth procedentes do Centro-Norte do Brasil Physical and chemical characteristics and yield of Passiflora nitida Kunth accessions from North and Central regions of Brazil

    Directory of Open Access Journals (Sweden)

    Nilton Tadeu Vilela Junqueira

    2010-09-01

    Full Text Available O maracujá-suspiro (Passiflora nitida Kunth é uma espécie silvestre amplamente distribuída no território nacional. Tem alto potencial para o melhoramento visando à resistência a diversas doenças que provocam perdas expressivas em cultivos comerciais de maracujá-azedo (Passiflora edulis Sims. Seus frutos são comestíveis e têm elevado valor comercial como fruta fresca. Dessa forma, esse estudo teve como objetivo analisar as características físicas e químicas dos frutos e determinar, em condições de campo, o rendimento de dez acessos de P. nitida procedentes de estados e/ou de diferentes tipos fitofisionômicos das regiões Centro - Norte do Brasil. O experimento foi conduzido na Embrapa Cerrados, localizada em Planaltina, Distrito Federal. Os acessos avaliados foram coletados em Manaus-AM, de capoeira; no Núcleo Rural São José - DF, de chapada e de vereda; no Vale do Amanhecer - DF, de vereda; Jardim Botânico-DF, de Cerrado Stricto Sensu; em Silvânia-GO, de mata ciliar e de chapada; em Itiquira - MT, de Cerrado Stricto Sensu; em Alto Paraíso-GO, de chapada, e em Natividade-TO, de chapada. O delineamento estatístico foi em blocos casualizados, com quatro repetições e três plantas úteis por repetição. As plantas foram propagadas por estacas enraizadas de cada acesso e conduzidas em espaldeiras verticais de 1,80 metro de altura, com irrigação por gotejamento. As avaliações foram feitas durante as colheitas de 2006 e 2007. O acesso do Vale do Amanhecer apresentou o melhor rendimento de frutos. Este acesso pode ser usado no programa de melhoramento visando à inserção de P. nitida no mercado. Também foi possível observar que as fontes provenientes do Cerrado têm características físicas mais desejáveis, produzindo frutos maiores e com melhor rendimento em polpa. Por outro lado, o acesso do Amazonas teve a menor espessura da casca, característica desejável para o mercado de frutas naturais.The passion fruit

  16. The influence of intensive care unit-acquired central line-associated bloodstream infection on in-hospital mortality: A single-center risk-adjusted analysis.

    Science.gov (United States)

    Wong, S W; Gantner, D; McGloughlin, S; Leong, T; Worth, L J; Klintworth, G; Scheinkestel, C; Pilcher, D; Cheng, A C; Udy, A A

    2016-05-01

    To explore the risk-adjusted association between intensive care unit (ICU)-acquired central line-associated bloodstream infection (CLABSI) and in-hospital mortality. Retrospective observational study. Forty-five-bed adult ICU. All non-extracorporeal membrane oxygenation ICU admissions between July 1, 2008, and April 30, 2014, requiring a central venous catheter (CVC), with a length of stay > 48 hours, were included. Data were extracted from our infection prevention and ICU databases. A multivariable logistic regression model was constructed to identify independent risk factors for ICU-acquired CLABSI. The propensity toward developing CLABSI was then included in a logistic regression of in-hospital mortality. Six thousand three hundred fifty-three admissions were included. Forty-six cases of ICU-acquired CLABSI were identified. The overall CLABSI rate was 1.12 per 1,000 ICU CVC-days. Significant independent risk factors for ICU-acquired CLABSI included: double lumen catheter insertion (odds ratio [OR], 2.59; 95% confidence interval [CI], 1.16-5.77), CVC exposure > 7 days (OR, 2.07; 95% CI, 1.06-4.04), and CVC insertion before 2011 (OR, 2.20; 95% CI, 1.22-3.97). ICU-acquired CLABSI was crudely associated with greater in-hospital mortality, although this was attenuated once the propensity to develop CLABSI was adjusted for (OR, 1.20; 95% CI, 0.54-2.68). A greater propensity toward ICU-acquired CLABSI was independently associated with higher in-hospital mortality, although line infection itself was not. The requirement for prolonged specialized central venous access appears to be a key risk factor for ICU-acquired CLABSI, and likely informs mortality as a marker of persistent organ dysfunction. Copyright © 2016. Published by Elsevier Inc.

  17. Tenosinovitis piógena flexora de la mano: experiencia en el Hospital Universitario Central de Asturias

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    Irene García-Martínez

    Full Text Available Introducción y Objetivos. La tenosinovitis piógena flexora de la mano es una infección severa de los tejidos blandos de la mano. Se asocia a secuelas funcionales graves que varían desde rigideces de las articulaciones interfalángicas y metacarpofalángicas hasta la necesidad de amputaciones digitales. La rapidez en la instauración de tratamiento antibiótico endovenoso de amplio espectro y el drenaje quirúrgico urgente son las claves para minimizar la aparición de secuelas. Nuestro objetivo es estudiar las características de los pacientes con dicha patología en nuestro medio. Material y método. Presentamos un estudio retrospectivo de 24 casos de infección de la vaina sinovial flexora diagnosticados y tratados por el Servicio de Cirugía Plástica del Hospital Universitario Central de Asturias (Oviedo, España durante un periodo de 8 años. Resultados. Los dedos más afectados fueron el índice y el medio y en todos los casos estuvo presente alguno de los 4 signos de Kanavel. Un 71% de nuestros pacientes precisó intervención quirúrgica urgente: 88% drenaje abierto, 76% abordaje volar tipo Bruner, 6% abordaje mediolateral longitudinal, y otro 6% desbridamiento amplio incluyendo piel. Los demás fueron tratados con antibioticoterapia endovenosa de amplio espectro, inmovilización y elevación de la extremidad afecta. En todos los casos se realizó lavado intraoperatorio con suero salino y/o antiséptico, y en el 65% irrigación postoperatoria continua. El germen más frecuénteme aislado fue Staphylococus aureus si bien en el 75% de los casos no se obtuvo crecimiento microbiológico. La media de estancia hospitalaria fue de 7.3 días. Todos siguieron rehabilitación precoz; el 42% lograron recuperación completa, el 29% sufrió limitación de extensión y el 16% déficit de flexio-extensión del dedo afecto. Conclusiones. Nuestros hallazgos ponen de manifiesto que la tenosinovitis piógena flexora es una patología poco frecuente en

  18. Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy

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    Torbica Aleksandra

    2010-05-01

    Full Text Available Abstract Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass infusion containers. Methods A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases and patients without CLABSI (controls were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143; 56% of the cases and 57% of the controls were females (p = 0.922. The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p Conclusions CLABSI results in considerable and significant increase in utilization of hospital resources. Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets.

  19. Reproductive outcome in carrier couples of β-thalassemia disorders in a tertiary hospital in central India

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    Ranbir S. Balgir

    2014-06-01

    Full Text Available The β-thalassemia syndromes and hemoglobin disorders are the major genetic and public health challenges in Central India. In view of dubious credit of the highest infant mortality rate in Madhya Pradesh (62 as against 47 per 1000 live-births of India in 2011 it was presumed that carrier couples of b-thalassemia disorders might be one of the contributing factors to high mortality. A total of 280 couples including their offspring with at least one affected and/or suspected case of β-thalassemia/ sickle cell disorders referred to our Centre from a tertiary hospital, Jabalpur during March 2010 to February 2013 were consecutively studied as matched case controls. Out of 280 couples, 200 were found normal and 80 couples had different b-thalassemia disorders. β-thalassemia carrier couples had significantly higher relative fertility (mean number of conceptions, i.e. 2.457 versus 1.480, higher infant mortality (3.5% versus 1.3%, higher below 10 years mortality (7.0% versus 2.7% and lower surviving offspring (925.9 versus 970.6 than of controls. Still-births were three times lower (12.3, neonatal deaths almost two folds higher (24.7, three folds higher infant mortality (37.0 and almost three times higher below 10 years mortality per 1000 live-births were observed in carriers of β-thalassemia major than in controls. The present study indicated that afflicted couples of these hereditary disorders are increasing the afflicted offspring, being 60.7% surviving against controls (39.3%. This increased production of afflicted (heterozygous and homozygous offspring leads to increased morbidity and mortality and might be contributing towards increased neonatal/infant mortality in Madhya Pradesh of Central India. As a preventive measure, affected families were imparted genetic/marriage counseling.  β-重型地中海贫血综合征和血红蛋白疾患是印度中部地区主要的基因以及公共卫生挑战。据不确切数据,印度中央邦

  20. [Hi-tech center of outpatient care (To the 40th anniversary of the Branch N 6 of the Vishnevsky Central military clinical hospital N 3)].

    Science.gov (United States)

    Popov, A P

    2015-10-01

    The authors present the history of the branch N 6 of the Federal States Organization "the Vishnevsky Central Military Clinical Hospital N 3" of the Ministry of Defense of the Russian Federation, which dates back to November 1, 1974. Over the past years, organizational and staff structure; and the name of the clinic (45th central polyclinic, 45th central consultative-diagnostic polyclinic, 52nd Advisory Diagnostic Center of Defense) has repeatedly changed, but the core the work stays unchangeable--to continually improve patient care technology, to be the leader in the outpatient care for soldiers, reserve officers (retired), members of their families. The. branch consists of 58 medical and 19 specialized diagnostic departments, including 4 hospital departments, 1845 employee work at the branch. Among them 4 doctors of medical science and 43 candidates of medical sciences, 20 honoured physicians and 10 honoured health workers of republic. 70% of doctors and 93% of nurses have the highest qualification category. To health care in the Branch are more than 110 thousand people.

  1. Transformaciones territoriales en el norte de Marruecos

    Directory of Open Access Journals (Sweden)

    Jesús Gabriel Moreno-Navarro

    2011-12-01

    Full Text Available Los miembros del equipo de cooperación internacional "Territorio Andaluz, Desarrollo e Innovación" se han implicado durante más de una década en proyectos de desarrollo sobre zonas colindantes con el Estrecho de Gibraltar. En este artículo se resume el perfil y las conclusiones obtenidas en los proyectos de cooperación desarrollados por el grupo, así como otros hechos relacionados con las transformaciones territoriales del Norte de Marruecos. En la actualidad, las acciones se basan en la construcción de grandes puertos y carreteras cercanas a los nuevos centros turísticos de la costa. Los impactos son evidentes en el medio ambiente y en el contexto social. La transformación radical ha aumentado el atractivo en las zonas urbanas, incrementando el éxodo rural que ya era de por sí considerable. Por otra, la pérdida de calidad de vida la asociamos a la merma de suelo cultivable y el deterioro del medio al poner en cultivo tierras forestales. La agricultura es de subsistencia y como tal está sometida a la supervivencia de las familias en un medio cada vez más desfavorable. Las intervenciones en este medio podrían tomar como ejemplo los patrones que se han aplicado en el entorno rural español en el pasado, cuyo deterioro siguió pautas similares en un período de tiempo más largo.

  2. estudiantes de la Universidad del Norte

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    María Mercedes Botero

    2008-01-01

    Full Text Available El objetivo de esta investigación fue establecer la relación que existe entre el self y el consumo en 364 hombres y mujeres con edades entre 18 y 24 años, estudiantes de la Universidad del Norte, en la ciudad de Barranquilla, Colombia. El self se define como el producto de la internalización en la constante reinterpretación de la interacción individuo-sociedad. Según Luna-Arocas (1998, la identidad o self está compuesta por siete dimensiones: dimensión intelectual, física, belleza física, personal, social, emocional y socioeconómica. A veces estas dimensiones se construyen como partes independientes que afectan a una unicidad global denominada autoconcepto (Luna-Arocas 2005. La muestra del estudio estuvo conformada por 364 estudiantes, el 53.6 % eran mujeres y el 46,4%, hombres. Los participantes fueron seleccionados mediante un muestreo aleatorio simple. El instrumento utilizado está basado en el NESE, que diseñó y validó Roberto Luna-Arocas (1996 y fue modificado por las investigadoras, que lo conformaron con 114 ítems, y le consiguieron un índice de confiabilidad de 0.948. El análisis de los resultados arroja datos muy importantes para la comprensión de la Psicología del Consumidor, particularmente, acerca de sus comportamientos, que demuestran la existencia de una correlación significativa y directamente proporcional entre la variable self y consumo, (0.613

  3. en América del Norte

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    Alejandro Mercado Celis

    2006-01-01

    Full Text Available Las brechas tecnológicas entre países y regiones son la pieza clave en la diferenciación económica y en las tasas de crecimiento resultantes. Los países y regiones menos desarrollados pueden fomentar competencias tecnológicas con estrategias diferentes. El mejor momento para que este tipo de países ingrese en la competencia por el control tecnológico es cuando las tecnologías y los conocimientos relacionados con ellas están en una etapa inicial, a lo que se le conoce como ventana de oportunidad tecnológica y locacional. En este artículo, se argumenta que la ventana de oportunidad de la biotecnología aún está abierta, y que México todavía puede entrar en la competencia mundial por su desarrollo. No obstante lo anterior, se documenta que Canadá y Estados Unidos están generando ventajas absolutas con rapidez, por lo que las ventanas de oportunidad en algunas áreas pronto estarán "cerradas". Se presentan las regiones que dominan la creación de aplicaciones comerciales en biotecnología en la región de América del Norte. En particular, se subraya el papel destacado que algunas ciudades canadienses están jugando en el desarrollo de esta industria, pese a la competencia estadounidense.

  4. Benefit of hospital pharmacy intervention on the current status of dry powder inhaler technique in patients with asthma and COPD: a study from the Central Development Region, Nepal

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    Poudel RS

    2016-12-01

    Full Text Available Ramesh Sharma Poudel,1 Rano Mal Piryani,2 Shakti Shrestha,3 Aastha Prajapati1 1Hospital Pharmacy, 2Department of Internal Medicine, Chitwan Medical College Teaching Hospital, 3Department of Pharmacy, Shree Medical and Technical College, Chitwan, Nepal Background: The majority of patients with asthma and chronic obstructive pulmonary disease (COPD have been known to perform inhaler technique inadequately. We aimed to evaluate the benefit of hospital pharmacy intervention on the current status of dry powder inhaler (Rotahaler® technique in such patients and the factors associated with the correct use. Methods: A pre–post interventional study was conducted at the outpatient pharmacy in a teaching hospital of the Central Development Region, Nepal, in patients with asthma and COPD currently using a Rotahaler device. Patients’ demographics and Rotahaler technique were assessed before intervention. Those who failed to demonstrate the correct technique were educated and trained by the pharmacist, and their technique was reassessed after 2 weeks of intervention. Descriptive statistics, including Wilcoxon signed rank test, Mann–Whitney U test, Spearman’s correlations and Kruskal–Wallis test, were performed for statistical analysis. Results: Before intervention, only 5.7% (10 of 174 of the patients demonstrated the correct Rotahaler technique and the most common errors observed were failure to breathe out gently before inhalation (98.8% and failure to hold breath for about 10 seconds after inhalation (84.8%. After the intervention (n=164, 67.1% of the patients showed their technique correctly (p≤0.001 and failure to breathe out gently before inhalation was the most common error (27.44%. Age (p=0.003, previous instruction (p=0.007, patient’s education level (p=0.013 and source of instruction (p<0.001 were associated with an appropriate technique before intervention, while age (p=0.024, duration of therapy (p=0.010 and gender (p=0.008 were

  5. Rifampicin resistance in mycobacterium tuberculosis patients using GeneXpert at Livingstone Central Hospital for the year 2015: a cross sectional explorative study.

    Science.gov (United States)

    Masenga, Sepiso K; Mubila, Harrison; Hamooya, Benson M

    2017-09-22

    Since the recent introduction of GeneXepert for the detection of Tuberculosis (TB) drug resistance mutations in both primary resistance and acquired resistance in Zambia, little has been documented in literature on the issue of rifampicin resistance especially in the face of a high National TB burden. The study aimed to determine the prevalence of rifampicin resistance in tuberculosis patients at Livingstone Central Hospital for the year 2015. This was a cross sectional study conducted at Livingstone Central Hospital where we reviewed 152 records (from January 1, 2015 to 31st December, 2015) involving patients who presented with clinically suspected TB or documented TB, whose samples were sent to the laboratory for GeneXpert Mycobacterium tuberculosis/rifampicin testing. Statistical evaluations used a one-sample test of proportion and Fisher's exact test. The age of participants ranged from 8 months to 73 years old (median = 34). Of the participants with complete data on gender, 99 (66%) and 52 (34%) were males and females respectively. The TB co-infection with HIV prevalence was 98.3% (p < 0.001). Prevalence of rifampicin resistance was 5.9% and there was no statistical significant difference between being male or female (p = 0.721). We were able to show from our study, evidence of rifampicin resistance at Livingstone Central Hospital. Hence, there was need for further in-depth research and appropriate interventions (i.e close follow-up and patient care for drug resistance positive patients).

  6. Demodicose suína no norte do estado do Rio de Janeiro: relato de caso

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    R.L Silveira

    2012-06-01

    Full Text Available Um leitão oriundo de um criatório do norte do estado do Rio de Janeiro, mantido no biotério do Hospital Veterinário da Universidade Estadual do Norte Fluminense Darcy Ribeiro e utilizado como caso piloto de projeto de pesquisa para investigações sobre o acesso videolaparoscópico retal (NOTES - Natural Orifice Translumenal Endoscopic Surgery, foi eutanasiado e necropsiado. Amostras do ponto de acesso do tubo de inserção na região mucocutânea anal foram colhidas, fixadas em formalina neutra tamponada a 10%, processadas por inclusão em parafina e coradas pela hematoxilina e eosina para histologia. Observou-se o comprometimento de folículos que, dilatados, exibiam formações que lembravam Demodex spp. cortados em vários sentidos e, por se tratar de ácaros espécie-específicos, concluiu-se como D. phylloides. Na citopatologia, o ácaro foi recuperado e identificado a fresco, mostrando-se alongado, com quatro pares de patas ventrais e no terço anterior do corpo. Este se refere ao primeiro registro de demodicose suína no estado do Rio de Janeiro.

  7. Reproductive biology of the Del Norte salamander (Plethodon elongatus).

    Science.gov (United States)

    Clara A. Wheeler; Hartwell H. Welsh Jr.; Lisa M. Ollivier

    2013-01-01

    We examined seasonal reproductive patterns of the Del Norte Salamander, Plethodon elongatus, in mixed conifer and hardwood forests of northwestern California and southwestern Oregon. Seasonal size differences in reproductive structures suggested that maximum spermatogenic activity occurred during the late summer, with spermatozoa transfer to the...

  8. Corea del Norte: vientos favorables para el cambio

    National Research Council Canada - National Science Library

    Pío García

    2009-01-01

    Las manifestaciones de fuerza de Corea del Norte durante el último año crisparon los nervios de los televidentes de todo el mundo, ante el temor de un conflicto de grandes dimensiones en el noreste asiático...

  9. Frequency, Type and Causes of Medication Errors in Pediatric Wards of Hospitals in Yazd, the Central of Iran

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    Naiire Salmani

    2016-09-01

    Full Text Available Background Medication errors are among the most common medical errors which are used as an indicator to assess patients’ safety in hospitals. Thereby the aim of this study was to investigate the frequency, type and causes of medication errors in children's ward at hospitals in Yazd- Iran. Materials and Methods This descriptive-analytical study was conducted during 6 months from Jan to Jun 2015. A total number of 63 nurses working in the pediatric ward of the hospitals in Yazd city were enrolled in this study using census method. Data collection tools included demographic questionnaire and "Wakefield medication administration errors" questionnaire. Data were analyzed using SPSS-18. Results Medication errors had been made by 44.4% of the nurses once to twice in the 6 months preceding the study. 30.2% of the errors had occurred on the night shift. Errors with high incidence  in non-injectable medication included wrong patient (1.6%,wrong dosage (7.9%  , drug adminstration without doctors ordedr (1.6% and in injectable medication included wrong  dosage (7.9%,mistake in medication calculation (6.4% and wrong infusion rate (9.5%. The most common causes were communication, packaging, transcription, working conditions and pharmacy conditions respectively. Conclusion Considering the frequency of errors on the night shift, dosage calculation and administration as well as the identified causes, it is necessary that nursing managers to negotiate with medical and pharmaceutical professionals in order to design and implement operational guidelines for preventing medication errors.

  10. A retrospective clinical audit of 696 central venous catheterizations at a tertiary care teaching hospital in India

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    Sanjay Agrawal

    2012-01-01

    Full Text Available Background: Malpositions after central venous cannulation are frequently encountered and may need a change in catheter. The incidence of malpositions are varied according to various studies and depend on the experience of the operator performing the cannulation. Aim: To access the incidence of malpositions and related complications associated with landmark-guided central venous cannulation in a 15-bedded medical surgical ICU over a period of three years. Settings and Design: Retrospective analysis of records of all the central venous cannulation done in a 15- bedded medical- surgical ICU over the period of three years (April 2008 to June 2011 were evaluated for the site and side of insertion, number of attempts of puncture, arterial puncture as well as the malpositions on post procedural chest X-ray. The records were also evaluated for the experience of the operator performing cannulation and relationship between experience of operator to malpositions of catheter. Statistical Analysis: Analysis was done using SPSS v 17.0 for Windows. Chi-square test was applied to evaluate the statistical significance. P > 0.05 was significant. Results: Records of 696 cannulations were evaluated. Malpositions occurred in 40 patients. Subclavian vein cannulation resulted in increased malpositions in relation to internal jugular vein cannulation. More common with left sided cannulation. Experience of operator had positive correlation with malpositions and arterial puncture. Arterial puncture was common in 6%, while more than one attempt for cannulation was taken in 100 patients. Conclusion: Incidence of malpositions was low. We conclude that experience of operator improves successful catheterization with lesser number of complications.

  11. Overview of natural gas in Rio Grande do Norte, Brazil; Panorama do gas natural no Rio Grande do Norte

    Energy Technology Data Exchange (ETDEWEB)

    Teixeira, Pedro Helio Gomes [Universidade Federal do Rio Grande do Norte (GREEN/UFRN), Natal, RN (Brazil). Centro de Tecnologia. Grupo de Estudos Energeticos

    2008-07-01

    This work draws a picture of what the natural gas means to Rio Grande do Norte in its quantitative dimension, expressed in the numbers and reserve indicators, production and structure of consume. In another dimension, it broaches the processes of energetic substitution by the natural gas in the state energetic matrix. (author)

  12. Spontaneous intracerebral hemorrhage: Clinical and computed tomography findings in predicting in-hospital mortality in Central Africans

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    Michel Lelo Tshikwela

    2012-01-01

    Full Text Available Background and Purpose: Intracerebral hemorrhage (ICH constitutes now 52% of all strokes. Despite of its deadly pattern, locally there is no clinical grading scale for ICH-related mortality prediction. The first objective of this study was to develop a risk stratification scale (Kinshasa ICH score by assessing the strength of independent predictors and their association with in-hospital 30-day mortality. The second objective of the study was to create a specific local and African model for ICH prognosis. Materials and Methods: Age, sex, hypertension, type 2 diabetes mellitus (T2DM, smoking, alcohol intake, and neuroimaging data from CT scan (ICH volume, Midline shift of patients admitted with primary ICH and follow-upped in 33 hospitals of Kinshasa, DR Congo, from 2005 to 2008, were analyzed using logistic regression models. Results: A total of 185 adults and known hypertensive patients (140 men and 45 women were examined. 30-day mortality rate was 35% (n=65. ICH volume>25 mL (OR=8 95% CI: 3.1-20.2; P 7 mm, a consequence of ICH volume, was also a significant predictor of mortality. The Kinshasa ICH score was the sum of individual points assigned as follows: Presence of coma coded 2 (2 × 2 = 4, absence of coma coded 1 (1 × 2 = 2, ICH volume>25 mL coded 2 (2 × 2=4, ICH volume of ≤25 mL coded 1(1 × 2=2, left hemispheric site of ICH coded 2 (2 × 1=2, and right hemispheric site of hemorrhage coded 1(1 × 1 = 1. All patients with Kinshasa ICH score ≤7 survived and the patients with a score >7 died. In considering sex influence (Model 3, points were allowed as follows: Presence of coma (2 × 3 = 6, absence of coma (1 × 3 = 3, men (2 × 2 = 4, women (1 × 2 = 2, midline shift ≤7 mm (1 × 3 = 3, and midline shift >7 mm (2 × 3 = 6. Patients who died had the Kinshasa ICH score ≥16. Conclusion: In this study, the Kinshasa ICH score seems to be an accurate method for distinguishing those ICH patients who need continuous and special management

  13. Figuras zoomorfas de barro de la Edad del Hierro en la Meseta Norte

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    Pablo ALONSO HERNÁNDEZ

    2009-11-01

    Full Text Available RESUMEN: En el yacimiento de Las Cogotas, durante la campaña de excavaciones arqueológicas de 1986 apareció una cabeza de caballo, en barro cocido. Es de destacar su interés al igual que el de otras piezas aparecidas en las antiguas excavaciones de este yacimiento (cabeza de serpiente y bóvido. Se trata de importantes ejemplos de figuración zoomorfa en el marco de la Meseta Norte, realizados durante la Segunda Edad del Hierro.ABSTRACT: A horse's head in clay was discovered in the archaeological excavations at Las Cogotas settlement in 1986. This figure and others recovered in the excavations of the 20's (serpent and ox are remarkable in the context of zoomorphic representations of the Meseta Iron Age. They are important examples of the sculpture elaborated by Late Iron Age communitties of the Central Meseta.

  14. Job satisfaction and Job stress among various employees of tertiary care level hospital in central Uttar Pradesh, India

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    Ruchi Yadav

    2017-03-01

    Full Text Available Introduction: Job satisfaction defined as the end state of feeling, the feeling that is experienced after a task is accomplished. Job stress can be defined as the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or need of the worker. Objectives: To study the relationship between job satisfaction and job stress among various employees of tertiary care level hospital and to find the co-relates of job stress and job satisfaction. Materials & Methods: A cross sectional study carried out for a period of 2 month among various employees working in Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, a tertiary care level hospital. A total 225 Participants 75 from each medical, paramedical and office staff were selected by purposive sampling technique. The study was conducted using pretested structured questionnaire regarding socio-demographic profile, job satisfaction and job stress. Data was analyzed using chi square test. Result: A total of 225 participants,75 from each medical, paramedical and office staff were interviewed. On doing analysis of questionnaire regarding job satisfaction and job stress it was found that majority believe that their job was well recognized and working in a good institute and were not satisfied with the management and salary and were coping well with their job stress and were having average level of satisfaction. Conclusion: The present study conclude that majority of the participants felt they are well recognized with their job, working in a good institute but not satisfied with the management and salary.

  15. Prevalence and correlation of infectious agents in hospitalized children with acute respiratory tract infections in Central China.

    Science.gov (United States)

    Liu, Jia; Ai, Hongwu; Xiong, Ying; Li, Fu; Wen, Zhou; Liu, Weiyong; Li, Tongya; Qin, Kai; Wu, Jianguo; Liu, Yingle

    2015-01-01

    Acute respiratory tract infections (ARTIs) are associated with significant morbidity and mortality worldwide, especially in children under the age of 5 years. Almost 2 million children die from ARTIs each year, and most of them are from developing countries. The prevalence and correlation of pathogens in ARTIs are poorly understood, but are critical for improving case prevention, treatment, and management. In this study, we investigated the prevalence and correlation of infectious agents in children with ARTIs. A total of 39,756 children with one or more symptoms, including fever, cough, sore throat, tonsillitis, pharyngitis, herpangina, pneumonia, and bronchiolitis, were enrolled in the study. All patients were hospitalized in Wuhan Children's Hospital between October 1, 2010 and September 30, 2012, and were evaluated for infectious agents. Pathogens, including Mycoplasma pneumoniae, influenza A virus, influenza B virus, adenoviruses, respiratory syncytial virus, parainfluenza virus, Legionella pneumophila, Chlamydophila pneumoniae, and Coxiella burnetii, were screened simultaneously in patient blood samples using anti-pathogen IgM tests. Regression analysis was used to reveal correlations among the pathogens. Our results showed that one or more pathogens were identified in 10,206 patients, and that Mycoplasma pneumoniae, adenoviruses, and influenza B virus were the leading infectious agents. Mixed-infections of pathogens were detected in 2,391 cases, with Mycoplasma pneumoniae as the most frequent pathogen. The most common agents in the co-infections were Mycoplasma pneumoniae and influenza B virus. Regression analysis revealed a linear correlation between the proportion of mixed infections and the incidence of multi-pathogen infections. The prevalence of infectious agents in children with ARTIs was determined. Equations were established to estimate multiple infections by single-pathogen detection. This revealed a linear correlation for pathogens in children with

  16. Virtual Visit to the ATLAS Control Room by the Federal Institute of Rio Grande do Norte (IFRN), Natal

    CERN Multimedia

    ATLAS Experiment

    2012-01-01

    In the next October 18th, the Science Club of the Federal Institute of Rio Grande do Norte (IFRN) will host the video-conference "The Particle's Universe : Discovering the LHC and the ATLAS Detector" in partnership with CERN and with the participation of the teachers Amadeu Albino Júnior (IFRN), Anderson Guimarães Guedes (PIBID/UFRN - Natal), and Denis Damazio (ATLAS Detector - LHC/CERN). The Event will take place in the Auditorium of the IFRN Campus Natal-Central at 1:00 pm, Natal local time. http://atlas-live-virtual-visit.web.cern.ch/atlas-live-virtual-visit/2012/Natal-2012.html

  17. Estructura de la población antigua de la costa norte de Chile

    Directory of Open Access Journals (Sweden)

    Cocilovo, José Alberto

    2003-01-01

    Full Text Available El poblamiento arcaico del Área Centro Sur Andina, iniciado en los albores del XI milenio AP., es producido por cazadores y recolectores que ocupan progresivamente el área altiplánica, los valles fluviales y las cuencas intermedias derivados de grupos paleoindios. El proceso de dispersión que involucra la exploración, conquista y adaptación a distintos ambientes, biotopos y ecosistemas produjo la fragmentación de la población original de los cazadores holocénicos tempranos (11000-8000 AP y su progresiva divergencia genética posiblemente asociada con diferentes modelos adaptativos propuestos por la arqueología (Núñez y Santoro, 1990. Si bien los registros bioantropológicos de épocas tan tempranas son sumamente escasos, la estructura de la población antigua se proyecta en el tiempo permitiendo explicar la variación geográfica de los grupos arcaicos tardíos y formativos. En el presente informe se analizan los resultados de varios trabajos realizados con materiales bien cronometrados para explicar el poblamiento de la costa norte de Chile. Se emplearon datos métricos y no métricos obtenidos en relevamientos modernos de sitios de la costa de Arica y Valle de Azapa, Pisagua, Norte Semiárido y Zona Central de Chile. Se analizan y discuten distintos modelos elaborados para comprender el proceso microevolutivo a nivel local, suponiendo un desarrollo en relativo aislamiento moderado por eventos demográficos dependientes de acontecimientos económicos y sociopolíticos de rango medio a nivel regional (transhumancia y de rango amplio (migraciones, originados en el área circuntiticaca y en los Andes Centrales que determinaron al final, la configuración de las sociedades multiétnicas del Período Tardío.

  18. Hymenoptera stings: a study of clinical profile, complication and outcome from a teaching hospital of central Nepal

    Directory of Open Access Journals (Sweden)

    M Ghimire

    2014-04-01

    Full Text Available Background Hymenoptera sting is a common health hazard in the tropics. Wasp and Bee stings can produce symptoms ranging from local allergic reactions to serious complications including anaphylaxis and multiple organ dysfunction syndromes. Objective To evaluate the clinical profile, management and early outcome of patients with gallbladder cancer. Methods We prospectively analyzed all the consecutive patients with Hymenopterid sting (Wasp and Bee stings, who were admitted in Nephrology Unit in college of Medical Sciences Teaching hospital over a period of two year; from June 2010 to May 2012. Data including demographic profile, clinical profile, complications and outcomes associated with the Hymenopterid stings were entered in a designated profroma and were analyzed. Results A total of 15 cases with Hymenopterid stings (Wasp and Bee stings were analyzed. Majority of the cases were females (n=8. The male to female ratio was 0.88. The mean age of the case was 37.1± 17.38years. Most of the cases (n=11 were younger subjects d"45 years and majority of them felt in the age group of 21-30 years; (n=4. Mean number of stings (Wasp or Bee stings, were 46 ± 18.4 (12-74 and the mean time to reach the hospital from the bite time was 78.23±82.24 hours (30 minutes-13 days. Black Wasps were the commonest species to inflict the stings in (n=10 cases and Bees in (n=5 cases. The Hymenoptera stings were observed more frequently in the month of July to September in (n=8. The commonest site of bite was head and face seen in (n=11 cases. Among the clinical presentations the commonest clinical presentation was local burning pain and pruritus which was present in all the cases (n=15 followed by nausea (n=10. The commonest clinical sign was bipedal edema which was seen in (n=7 cases. Low Hb (defined as Hb <10gm/dl was seen in (n=5 cases of Hymenopterid stings. Low platelet (defined as Platelet < 100X109/L was documented in (n=10 cases. Serum creatinine >1.5mg /dl was

  19. Central corneal thickness of Iraqi population in relation to age, gender, refractive errors, and corneal curvature: a hospital-based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Kadhim YJ

    2016-11-01

    Full Text Available Yasir Jawad Kadhim,1 Qasim K Farhood2 1Ibn Al Haitham Teaching Eye Hospital, Baghdad, 2Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: Central corneal thickness (CCT is an important indicator of corneal status. Its measurement provides valid information about corneal physiological condition and possible changes associated with diseases, traumas, and hypoxia. It is an integral part for interpretation of intraocular pressure and glaucoma patient management and in prerefractive procedure assessment. Objective: The aim of this study is to determine the mean CCT among a normal Iraqi population and to correlate between CCT and age, gender, refraction, and corneal curvature. Patients and methods: This cross-sectional study was carried out at Ibn Al-Haitham Teaching Eye Hospital. A total of 418 eyes from 209 healthy individuals with an age range from 20 to 75 years were studied. CCT was measured by ultrasound pachymeter. Refraction was measured using an auto-refractor and confirmed by trial lenses and retinoscopy to calculate the spherical equivalent. Corneal curvature was measured using an auto-refracto-keratometer to calculate the average corneal curvature (AVK. Results: The mean CCT was 543.95±32.58 µm with a range from 422 to 636 µm. CCT was not affected by gender. CCT significantly negatively correlated with age and AVK. CCT significantly positively correlated with the spherical equivalence. Conclusion and recommendation: Among an Iraqi population, CCT significantly decreased with age. Myopics had significantly thinner corneas. There was weak but significant negative correlation between CCT and corneal curvature. We recommend further studies about the relationship between central corneal thickness and other ocular parameters in Iraqi population such as the axial length. Keywords: CCT, age, ultrasound pachymeter, gender, refractive errors, corneal curvature

  20. A STUDY ON ADVERSE DRUG REACTIONS INVOLVING CENTRAL NERVOUS SYSTEM, ITS SEVERITY AND CAUSALITY ASSESSMENT IN PEDIATRIC PATIENTS ADMITTED TO A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Arati

    2015-09-01

    Full Text Available A retrospective study was conducted in Department of pediatrics SCB Medical College and SVPPGIP for a period of 2 years i.e. September 2012 to August 2014 . All the patients from birth to 14 years admitted to the pediatric ward in this study were under ADR surveillance. Patients admitted to our hospital with adverse drug reaction o r patients developing adverse drug reaction in our hospital were studied; only those cases where the central nervous system was involved were taken in our study. The cases were compiled and the causality of offending drugs was found using WHO - UMC causality assessment score. The severity of drug reaction in every case was determined by using HARTWIG’s severity scoring scale. Total 350 Adverse reactions were reported in this period with prevalence rate of 2.04% i.e. 20 out of 1000 children faced ADR due to dr ugs, with annual incidence rate of 0.9% and 1.14% over two years. Out of total 350 cases dermatological system was most commonly involved i.e. 207 cases (59.14%. This is followed by involvement of central nervous system 46 number of cases (13.14%. The GI system was involved in 34 cases i.e. (9.71%. Life threatening reactions like anaphylaxis, angioedema and shock like immediate life threatening ADRs were reported in 16 cases. Our study group was the patient in whom the ADR involved the CNS. Out of 46 suc h cases, there were 25 female and 21 male. Various reaction due to drug were encephalopathy , eps, febrile seizure, tremor, head reeling, ototoxicity, persistant cry, pseudotumor cerebri, psychosis, seizure, status epilepticus, toxic amblyopia, tremor, atax ia etc. The most common CNS manifestation was Extra pyramidal side effects (EPS involving 21% of cases. The most common Drug causing CNS manifestation was ATT (HRZE causing blindness, Eps, psychosis , toxic amblyopia blindness etc.

  1. Presentation of child sexual abuse cases to Queen Elizabeth Central Hospital following the establishment of an HIV post-exposure prophylaxis programme.

    Science.gov (United States)

    Chesshyre, Emily L D; Molyneux, Elizabeth M

    2009-06-01

    To review the presentation and management of child sexual abuse cases presenting to Queen Elizabeth Central Hospital (QECH), Blantyre, since the introduction of an HIV postexposure prophylaxis programme. Demographic and medical data was collected from all children presenting to Queen Elizabeth Central Hospital, Blantyre, Malawi between January 2005 and February 2007 with alleged child sexual abuse (CSA). Between January 2005 and February 2007, 217 children presented with alleged CSA. This an average of 3 more per month since the previous year, a 57 percent increase. Physical examination showed signs of trauma 60% (130/217) of cases. 63% (137/217) of the cases presented within 72 hours of defilement. Overall in 42% (92/217) of children a one month course of HIV PEP was indicated and given. In 58% (125/217) HIV PEP was not indicated in view of normal examination, presentation too late (>72 hrs after abuse), multiple abuse episodes in the last 6 months, HIV test positive or HIV test refused. In 66% (144/217) of assessed children antibiotic treatment was given for the prevention and/ or treatment of sexually transmitted infections (STIs). The introduction of an HIV PEP programme for victims of CSA has lead to increased numbers presenting and being treated. In conclusion it is likely that a significant number of children have been prevented from acquiring HIV and other STIs following CSA. The key area where our service needs to be improved is in establishing documented follow up of all cases to monitor medication compliance, side effects and rates of HIV seroconversion following CSA.

  2. Ocular malignant tumors. Review of the Tumor Registry at a tertiary eye hospital in central Saudi Arabia.

    Science.gov (United States)

    Khandekar, Rajiv B; Al-Towerki, Abdulelah A; Al-Katan, Hind; Al-Mesfer, Saleh S; Abboud, Emad B; Al-Hussain, Hailah M; Sheikh, Osama H; Chaudhry, Imtiaz A; Ahmed, Wafa A; Zaman, Babar M; Asghar, Nasira; Edward, Deepak P

    2014-04-01

    To present the epidemiologic profile and magnitude of ocular malignant tumors (MT) representative of the Saudi population from the Tumor Registry (TR) at King Khaled Eye Specialist Hospital (KKESH). This study evaluated the demographic information, clinical features including tumor laterality, ocular tissue of origin, and diagnosis of patients from the TR registry between 1983 and 2012 at KKESH, Riyadh, Kingdom of Saudi Arabia. The incidence of MT among Saudi adults (>/= 15 years old), and children (ocular malignancy in children. In adults, the most common MT was squamous cell carcinoma (SCC) (n=363, 45.8%), basal cell carcinoma (BCC) (n=186, 23%), uvealmelanoma (n=94, 11.9%), sebaceous gland carcinoma (n=54, 6.8%), lymphomas (orbital, adnexal) (n=46, 5.8%), and others (n=53, 6.8%). The Rb (7.7/M/Y in <5 years old Saudi children) was less frequent than that reported in some Gulf countries, but higher than that reported from the West. The SCC was less frequent in countries with comparable sun exposure than in other continents, but the incidence remained unchanged over 3 decades. There was a significant increase in BCC between 1983-1992 and 2003-2012. The rates of all cancers remained stable over 3 decades except BCC, which showed a significant rise.

  3. Evaluation of the implementation of the South African Triage System at an academic hospital in central Haiti.

    Science.gov (United States)

    Rouhani, Shada A; Aaronson, Emily; Jacques, Angella; Brice, Sandy; Marsh, Regan H

    2017-07-01

    Effective triage is an important part of high quality emergency care, yet is frequently lacking in resource-limited settings. The South African Triage Scale (SATS) is designed for these settings and consists of a numeric score (triage early warning score, TEWS) and a list of clinical signs (known as discriminators). Our objective was to evaluate the implementation of SATS at a new teaching hospital in Haiti. A random sample of emergency department charts from October 2013 were retrospectively reviewed for the completeness and accuracy of the triage form, correct calculation of the triage score, and final patient disposition. Over and under triage were calculated. Comparisons were evaluated with chi-squared analysis. Of 390 charts were reviewed, 385 contained a triage form and were included in subsequent analysis. The final triage color was recorded for 68.4% of patients, clinical discriminators for 48.6%, and numeric score for 96.1%. The numeric score was calculated correctly 78.3% of the time; in 13.2% of patients a calculation error was made that would have changed triage priority. In 23% of cases, chart review identified clinical discriminators should have been circled but were not recorded. Overtriage and undertriage were 75.6% and 7.4% respectively. This study demonstrates that with limited structured training, SATS was widely adopted, but the clinical discriminators were used less commonly than the numeric score. This should be considered in future implementations of SATS. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Uptake of influenza vaccination, awareness and its associated barriers among medical students of a University Hospital in Central Saudi Arabia.

    Science.gov (United States)

    Abalkhail, Mohammed S; Alzahrany, Mohannad S; Alghamdi, Khaled A; Alsoliman, Muath A; Alzahrani, Mosa A; Almosned, Badr S; Gosadi, Ibrahim M; Tharkar, Shabana

    Outbreaks of influenza epidemics are common but influenza vaccination is sub-optimal among the healthcare staff including the medical students. The study aims to assess the rate of vaccine uptake among medical students, its associated barriers and levels of awareness. A cross sectional study was done at a University Hospital in Saudi Arabia on 421 medical students by self administered questionnaire from February to March 2015. The immunization rate of seasonal influenza vaccine was just 20.7% in 2015, while it was 57% for cumulative of previous three-year period. The intended uptake among those offered vaccination was 68%. The significant determinants of vaccine uptake were clinical years of medical study (psocial and media influence. Barriers of vaccination constituted, assumption of not being at risk of influenza (37.9%), vaccine side effects (28.9%), questioned effectiveness of the vaccine (14.5%), and inability to allocate time (11%). Knowledge levels were unsatisfactory and males scored lower (5.4±1.7) than females (6.5±1.4) out of total score of 9. Both knowledge and uptake of annual influenza vaccination was inadequate. Policy makers can formulate strategies with a focus on larger coverage of medical students. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Bacteriological Profile of Neonatal Sepsis in Neonatal Intermediate Care Unit of Central Paediatric Referral Hospital in Nepal.

    Science.gov (United States)

    Chapagain, R H; Acharya, R; Shrestha, N; Giri, B R; Bagale, B B; Kayastha, M

    2015-01-01

    Sepsis is one of the leading causes of neonatal morbidity and mortality. Because of difference in local epidemiology and possible variation with time, regular monitoring and updates on pathogen and their antimicrobial sensitivity pattern is important for prevention and treatment. A retrospective descriptive study was carried out among cases of neonatal sepsis admitted in neonatal intermediate care unit of Kanti Children's hospital from August 2014 to August 2015. The data was collected from medical records of neonatal intermediate care unit and microbiology department and analyzed using SPSS version 20. There were 644 admissions, among which 210 (32%)were suspected of having neonatal sepsis. Thirty(14%) of the suspected cases had positive blood culture. Proportions of late and early onset were 25 (83.3%) and 5(17.7%) respectively.In blood culture Staphylococcus aureus was the most common organism(80%),followed by Coagulase negative Staphylococcus (6.66%), Acinetobacter (6.66%), Enterobacter species(3.33%) and Morgonellamorgoni (3.33.5%).Gram positive organisms were isolated in all cases of early onset sepsis and in 84% of late onset sepsis. Most of the isolated organisms showed sensitivity to amikacin, cloxacillin, ciprofloxacin and vancomycin. This study has indicated possible emergence of Staphylococcus aureus as the dominant cause of neonatal sepsis. Cloxacillin, amikacin, ciprofloxacin have high proportion of efficacy against the commonly isolated bacteria in neonatal sepsis.

  6. Condom use among people living with HIV/AIDS attending Abejukolo General Hospital in Kogi State, North Central Nigeria.

    Science.gov (United States)

    Salaudeen, Adekunle G; Musa, Omotosho I; Ojotule, Austin; Yusuf, Ayodeji S; Durowade, Kabir A; Omokanye, Lukman O

    2014-01-01

    Condom programming is an integral component in a range of HIV/AIDS prevention strategies and with repeated sexual contact among HIV-discordant couples, 98-100% of those who used latex condoms correctly and consistently did not become infected. The objective of this study is to determine condom use among people living with HIV/AIDS (PLWHA). This is a cross-sectional survey carried out among 231 PLWHA and receiving care and treatment at General Hospital Abejukolo in Kogi State, Nigeria. The research instrument was interviewer-administered questionnaire. The data obtained were analysed using EPI-INFO version 3.4.1 software and P-value of < 0.05 was significant for the study. About three-quarters (70.6%) of the respondents had ever used condom. Reasons given by respondents who did not use condom were: Desire for children (39.7%), and reduction of sexual pleasure (17.7%) and partner preference. More than half (56.0%) of the respondents with multiple partners did not use condom. About half 119 (51.5%) have used condom in the last sexual encounter. Gender, literacy level and disclosure of HIV status to partners significantly influence condom use during sexual intercourse. The poor uptake of condom among PLWHA underscores the need for government and other stakeholders in the management of HIV/AIDS to provide more enlightenment opportunities to address the gaps in condom use and disclosure of HIV status to partners.

  7. Awareness of cervical cancer and Pap smear among nursing staff at a rural tertiary care hospital in Central India.

    Science.gov (United States)

    Jain, S M; Bagde, M N; Bagde, N D

    2016-01-01

    Cancer cervix is the leading cause of cancer deaths in females in developing countries and one in five women suffering from cervical cancer lives in India. The aim of this study is to determine the awareness about cervical cancer and Pap smear among nurses working in a tertiary care institute. Study Setting and Design: Cross-sectional survey in a tertiary care institute. Nurses working at our institute excluding those who have worked or working in the Obstetrics and Gynecology department were provided with a pre-designed questionnaire testing their knowledge about cervical cancer. Approximately, 86% were aware about cancer cervix and 69% were aware of a pre-cancerous stage. 42.3% were not aware of any risk factor and 27.6% were not aware of any symptom of cancer cervix. 86.2% were aware about Pap smear, but only 58.6% were aware that facilities of Pap smear were available at our hospital. Knowledge about cervical cancer and awareness of Pap smear as screening test was inadequate in nursing staff. Awareness programs about cervical cancer and screening are needed to increase awareness for this preventable condition. There is a need to arrange reorientation programs to sensitize nurses and establish cytology clinics to offer facilities for easily accessible and affordable screening.

  8. Prevalence of Oral Mucosal Lesions in Patients with Dermatological Diseases Attending Tertiary Care Hospital in Central India

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    K. M. Shivakumar

    2017-07-01

    Full Text Available Background: The oral cavity is a unique environment where systemic maladies may be amplified by the oral mucosa. Sometimes, oral lesions are the first indication of a systemic problem. Oral mucosal lesions may be the initial feature or the only clinical sign of mucocutaneous diseases commonly observed in a dermatologic practice. Aim and Objectives: To assess the frequency of the oral manifestations in patients who suffer from dermatologic diseases, emphasizing the aspects referring to their, sex and age of the patients. Material and Methods:A cross sectional hospital-based study was carried out focusing on patients with skin lesions, for data gathering only patients included in the research were clinically examined aiming at identifying oral and cuteneous alterations. Information was recorded in individual clinical cards, as well as personal information, health conditions, family diseases and current and previous diseases. The structured interview was done in the local language containing questions regarding socio-demographics (gender, age, education and occupation general and oral health related characteristics and lifestyle. Results: In our study, the prevalence rate of oral mucosal lesions in patients with dermatological diseases is relatively low (94/489. Our study results showed that there is a positive correlation of oral manifestations with their respective dermatological diseases Conclusion: Oral mucosal lesions in skin diseases deserve special attention, Documenting the frequency of oral mucosal lesions in dermatological diseases may alert the dental surgeons and gives scope for early diagnosis and progress for such diseases and a multidisciplinary approach

  9. Work-Related Accidents and Sharp Injuries in Paramedics—Illustrated with an Example of a Multi-Specialist Hospital, Located in Central Poland

    Science.gov (United States)

    Szatko, Franciszek; Ulrichs, Magdalena

    2017-01-01

    (1) Background: An analysis of work-related accidents in paramedics in Poland by presenting the model and trend of accidents, accident rates and by identifying causes and results of accidents; (2) Methods: A retrospective analysis of medical documentation regarding work-related accidents in a multi-specialist hospital, located in central Poland, in the period 2005–2015. The study group included paramedics who had an accident while being on duty; (3) Results: According to hospital records, 88 paramedics were involved in 390 accidents and 265 injuries caused by sharp instruments. The annual accident rate was 5.34/100 employed paramedics. Most of the accidents occurred at night. The most common reason for the accident was careless behaviour of the paramedic, which resulted in joint sprains and dislocations. Injuries accounted for a huge portion of the total number of events. As many as 45% of injuries were not officially recorded; (4) Conclusion: High rates of work-related accidents and injuries caused by sharp instruments in paramedics are a serious public health problem. Further studies should be conducted in order to identify risk factors of accidents, particularly injuries, and to implement preventative programmes, aiming to minimise rates of occupational hazards for paramedics. PMID:28796193

  10. Work-Related Accidents and Sharp Injuries in Paramedics—Illustrated with an Example of a Multi-Specialist Hospital, Located in Central Poland

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    Anna Garus-Pakowska

    2017-08-01

    Full Text Available (1 Background: An analysis of work-related accidents in paramedics in Poland by presenting the model and trend of accidents, accident rates and by identifying causes and results of accidents; (2 Methods: A retrospective analysis of medical documentation regarding work-related accidents in a multi-specialist hospital, located in central Poland, in the period 2005–2015. The study group included paramedics who had an accident while being on duty; (3 Results: According to hospital records, 88 paramedics were involved in 390 accidents and 265 injuries caused by sharp instruments. The annual accident rate was 5.34/100 employed paramedics. Most of the accidents occurred at night. The most common reason for the accident was careless behaviour of the paramedic, which resulted in joint sprains and dislocations. Injuries accounted for a huge portion of the total number of events. As many as 45% of injuries were not officially recorded; (4 Conclusion: High rates of work-related accidents and injuries caused by sharp instruments in paramedics are a serious public health problem. Further studies should be conducted in order to identify risk factors of accidents, particularly injuries, and to implement preventative programmes, aiming to minimise rates of occupational hazards for paramedics.

  11. Oral squamous cell carcinoma patients which human papilloma virus infection: a case control study in Muwardi Hospital Surakarta, Central Java, Indonesia

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    SUHARTONO TAAT PUTRA

    2011-07-01

    Full Text Available Prayitno A, Aznar E, Poernomo, Putra ST. 2011. Oral squamous cell carcinoma patients which human papilloma virus infection: a case control study in Muwardi Hospital Surakarta, Central Java, Indonesia. Nusantara Bioscience 3: 64-67. Annual incidence rates for oral and pharyngeal cancer are estimated at 25 cases per 100,000 in developing countries. Human papilloma virus (HPV was implicated in pathogenesis of Oral Squamous Cell Carcinoma (OSCC. Aims of this research were to know the incidence of OSSC patient which realized HPV infection. Women OSCC (15 and Benign Oral Squamous Cells (BOSC (40 tissue biopsy frozen sections were from Departement of Oral and Dental, Muwardi Hospital in Surakarta from January to December 2007. Tissue was cut into two parts. To ascertain the type of neoplasm was subsequently stains with HE. To amplify the L1-HPV gene for 450bp long. The collected data was analyzed by Chi Square Test. The result of this experiment showed nine patients from 40 patients BOSC identified have HPV infections (9/40 = 23%. Eleven patient from 15 patient OSCC identified have HPV infections (11/15 = 73%. From Chi Square analysis have significant differences between BOSC and OSCC. HPV is a factor for OSCC pathogenesis.

  12. Vitamin D deficiency in medical patients at a central hospital in Malawi: a comparison with TB patients from a previous study.

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    Yamikani Mastala

    Full Text Available OBJECTIVES: To determine the prevalence of vitamin D deficiency (VDD in adult medical, non-tuberculous (non-TB patients. To investigate associations with VDD. To compare the results with a similar study in TB patients at the same hospital. DESIGN: Cross-sectional sample. SETTING: Central hospital in Malawi. PARTICIPANTS: Adult non-TB patients (n = 157, inpatients and outpatients. OUTCOME MEASURES: The primary outcome was the prevalence of VDD. Potentially causal associations sought included nutritional status, in/outpatient status, HIV status, anti-retroviral therapy (ART and, by comparison with a previous study, a diagnosis of tuberculosis (TB. RESULTS: Hypovitaminosis D (≤75 nmol/L occurred in 47.8% (75/157 of patients, 16.6% (26/157 of whom had VDD (≤50 nmol/L. None had severe VDD (≤25 nmol/L. VDD was found in 22.8% (23/101 of in-patients and 5.4% (3/56 of out-patients. In univariable analysis in-patient status, ART use and low dietary vitamin D were significant predictors of VDD. VDD was less prevalent than in previously studied TB patients in the same hospital (68/161 = 42%. In multivariate analysis of the combined data set from both studies, having TB (OR 3.61, 95%CI 2.02-6.43 and being an in-patient (OR 2.70, 95%CI 1.46-5.01 were significant independent predictors of VDD. CONCLUSIONS: About half of adult medical patients without TB have suboptimal vitamin D status, which is more common in in-patients. VDD is much more common in TB patients than non-TB patients, even when other variables are controlled for, suggesting that vitamin D deficiency is associated with TB.

  13. Varicella zoster virus infection of the central nervous system – 10 year experience from a tertiary hospital in South India

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    Ronald Albert Benton Carey

    2017-01-01

    Full Text Available Introduction: Varicella zoster virus is an exclusively human neurotrophic virus. The primary infection with the virus causes varicella. The virus remains latent in nervous tissue and upon secondary activation causes a variety of syndromes involving the central nervous system (CNS including meningoencephalitis and cerebellitis. Materials and Methods: In this study, we looked at the epidemiology, clinical and laboratory features, and outcomes of patients who were admitted with varicella zoster of the CNS from 2005 to 2014. Results: There were 17 patients. Fever was present in 13 patients, seizures in 9 patients and headache and vomiting in 4 patients each. A generalized varicella rash was present in 8 out of 17 patients. A single dermatomal herpes zoster was present in seven patients. Two patients had no rash. Varicella zoster polymerase chain reaction (PCR in cerebrospinal fluid (CSF was done in 5 patients of which 4 were positive and 1 was negative. Nine patients had diabetes with an average glycated hemoglobin of 8.6%. Total number of deaths was five. Conclusions: Patients with diabetes who develop varicella or herpes zoster may be at risk for CNS complications. The diagnosis of varicella encephalitis has to rest on a combination of clinical findings and CSF PCR, as neither the rash nor the PCR is sensitive enough to diagnose all the cases with varicella encephalitis.

  14. Alimentación y relaciones tróficas del pez espada (Xiphias gladius Linnaeus, 1758, frente a Chile centro-norte durante 2005 Feeding and trophic relationships of the swordfísh (Xiphias gladius Linnaeus, 1758, off central and northern Chile during 2005

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    Sergio Letelier

    2009-01-01

    Full Text Available Se analizaron 126 estómagos de pez espada (Xiphias gladius, capturados entre los 25° y 34°S y 78° y 90°W, por barcos palangreros de la pesquería industrial frente a Chile centro-norte. Del total de estómagos analizados, 54 se encontraron vacíos (42,9% y 72 (57,1% presentaron sus estómagos con contenidos, de estos últimos la proporción sexual correspondió a 32 machos (44,4%, 37 hembras (51,4%o y 3 indeterminados (4,2%o. Para el análisis de contenidos estomacales se utilizaron los métodos numéricos, de frecuencia, gravimétricos e índice de importancia relativa (IIR. Los cefalópodos fueron el alimento principal (%IIR > 90, mientras que los peces aparecen como alimento secundario (%IIR A total of 126 sword-fish (Xiphias gladius stomach were analyzed. The stomachs were obtained from specimens captured within the 25° to 34°S and 78° to 90°W área, by industrial longline vessels. Only 72 (57.1% of the total stomach had food ítems in their stomachs, whit a sex proportion of 32 males (44.4%o, 37 females (51.4% and 3 indeterminate (4.2%. Traditional methods for the stomach contents analysis such as the numeric, frequency of occurrence, gravimetric and índex of relative importance (IRI were used. Cephalopods were the main food ítems (%IIR > 90 followed by the fishes (%IIR < 4. The squid (Dosidicus gigas was the principal food in this study (%IIR = 85.1. No significant differences were found between the feeding of males and females of swordfishes (U = 81; p = 0.4862, p < 0.05. A cluster analysis showed higher stomach contents similarity between fall and winter than those from spring, within the size groups the I group was different than others and finally, the feeding from zone 3 were different from others zones.

  15. Central corneal thickness of Iraqi population in relation to age, gender, refractive errors, and corneal curvature: a hospital-based cross-sectional study.

    Science.gov (United States)

    Kadhim, Yasir Jawad; Farhood, Qasim K

    2016-01-01

    Central corneal thickness (CCT) is an important indicator of corneal status. Its measurement provides valid information about corneal physiological condition and possible changes associated with diseases, traumas, and hypoxia. It is an integral part for interpretation of intraocular pressure and glaucoma patient management and in prerefractive procedure assessment. The aim of this study is to determine the mean CCT among a normal Iraqi population and to correlate between CCT and age, gender, refraction, and corneal curvature. This cross-sectional study was carried out at Ibn Al-Haitham Teaching Eye Hospital. A total of 418 eyes from 209 healthy individuals with an age range from 20 to 75 years were studied. CCT was measured by ultrasound pachymeter. Refraction was measured using an auto-refractor and confirmed by trial lenses and retinoscopy to calculate the spherical equivalent. Corneal curvature was measured using an auto-refracto-keratometer to calculate the average corneal curvature (AVK). The mean CCT was 543.95±32.58 μm with a range from 422 to 636 μm. CCT was not affected by gender. CCT significantly negatively correlated with age and AVK. CCT significantly positively correlated with the spherical equivalence. Among an Iraqi population, CCT significantly decreased with age. Myopics had significantly thinner corneas. There was weak but significant negative correlation between CCT and corneal curvature. We recommend further studies about the relationship between central corneal thickness and other ocular parameters in Iraqi population such as the axial length.

  16. Mortality pattern of burn patients admitted in S. G. M. Hospital Rewa: A teaching institute of central India

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    S Lal

    2012-01-01

    Full Text Available Background: Burn injuries rank among the most severe types of injuries suffered by the human body with an attendant high mortality and morbidity rate. In previous studies, incidence, severity and deaths due to burn were found higher in young married women in India. Study to find out mortality pattern in burn patient was not carried out in this part of country. Objective: To identify demographic and sociocultural factors, type, modes, causes and risk factors for burn injuries and their gender-wise association. Materials and Methods: It was a retrospective study. Data were collected from all burn patients who admitted and died while on the treatment from 2004 to 2009. A total of 586 patients were included in this study. Data were gathered from hospital records and entered in the excel sheet. Analysis of data was done by using SPSS version 17 statistical software. Results: The mean age of patients was 22.66 years (range 1 m to 80 years. Episodes of burn were 4.63 times common in female (82.25% than in male (17.75%. It was statistically significant in females of age group 21-30 years (93.93% vs. 15.33% P < 0.0001. Married females (86.80% burned more commonly than married males (13.19% P < 0.0001. Flame burn was the major cause of death (95.56%. Kerosene was the most common (69% source of flame burn. Clothes caught fire while working on Chullha were 25% cases ( P < 0.0001. Accidental (86.44% burn was the most common intention of injury. The majority of burn deaths (68% occurred within one week of the incident due to septicemia (57%. Conclusion: Factors associated with an increase in mortality were accidental burns, burn size, young age, married women, and flame burns. For planning and implementing prevention programs, the approach has to be multidisciplinary and coordinated.

  17. Short-term training of upper gastrointestinal endoscopy for resident doctors in Sotogahama Central Hospital in Aomori, Japan.

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    Soma, Takako; Sakamoto, Yuichi; Matsuoka, Yasufumi; Nakano, Tomoko; Kamiuttanai, Masatoshi; Akiyama, Masaki

    2013-01-01

    It is essential for young physicians in municipal hospitals to be familiar with the technique of upper gastrointestinal (GI) endoscopy. Endoscopy is an exciting subspecialty in primary care medicine. Endoscopic procedures are primarily performed by general physicians in Japan. However, a standardized strategy for teaching diagnostic GI endoscopy is still lacking, and there is not sufficient time for young physicians to effectively learn the upper GI endoscopy technique. To elucidate how young physicians can be trained in the skills of GI endoscopy in a short time period, we initiated a 12-week training course. Two young physicians performed upper GI endoscopies for outpatients and inpatients 2 or 3 days a week from April 2010 to March 2012. The total number of cases undergoing GI endoscopy during the training course in each year was 117 and 111, respectively. The young physicians were trained in this technique by the attending physician. The short-term training course included four phases. During these phases, the young physicians learned how to insert the endoscope through the nasal cavity or oral cavity into the esophageal inlet, how to pass the endoscope from the esophageal inlet into the duodenum, how to take pictures with the endoscope, and how to stain the gastric and duodenal mucosa and take mucosal biopsy samples. The young physicians experienced 20-30 cases in each phase. In week five, they performed endoscope insertion into the duodenum along the folds of the greater curvature of the stomach. They viewed the entire stomach and took pictures until week ten of the course. The pictures taken in week ten were of a better quality for examining the disease lesions than those taken in week six. In the last 2 weeks of the training course, the young physicians stained the gastric and duodenal mucosa and took mucosal biopsy samples. The short-term training course of 100-120 cases in 12 weeks was effective for teaching young physicians how to perform GI endoscopies

  18. Antiretroviral treatment adherence and its determinants in Sub-Saharan Africa: a prospective study at Yaounde Central Hospital, Cameroon

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    Elia Nadia

    2009-10-01

    Full Text Available Abstract Background With African health-care systems facing exploding demand for HIV care, reliable methods for assessing adherence and its influencing factors are needed to guide effective public-health measures. This study evaluated individual patient characteristics determining antiretroviral treatment (ART adherence and the predictive values of different measures of adherence on virological treatment failure in a cohort of patients in a routine-care setting in Cameroon. Methods Longitudinal study over 6-months following ART introduction, using patients questionnaires and hospital and pharmacy records. Results At the end of the 6 months study period, 219 of 312 patients (70% returned to the pharmacy to refill their medication, 17% (51 were lost to follow-up, 9% (28 were dead and 4% (14 were transferred to other care centres. Virological treatment failure at 6 months was experienced by 26 patients, representing 13% of patients with available viral load value. Pharmacy refill irregularity was the most powerful predictor (odds ratio 12.4; P 3 had a greater risk of dying during the follow-up period (odds ratio 2.69; P = 0.02. Compared with asymptomatic CDC stage A patients, CDC stage B (odds ratio 5.72 and CDC stage C patients (odds ratio 16.9 had higher risk of becoming lost to follow-up (P Conclusion Pharmacy-refill adherence might be considered as an alternative to CD4 count monitoring for identification of patients at risk of virological failure, especially in resources-scarce countries. The study confirmed the difficulty in demonstrating clear associations of individual patient factors and treatment outcomes. The substantial loss to follow-up and deaths occurring within 6 months after initiating ART emphasise the need to understand the best timing of ART initiation and further elucidate and educate on the underlying reasons for delaying initiation of ART in resource-limited countries

  19. A Pediatric Application of the STRAC Regional Hospital Trauma Registry Database: Pediatric Trauma Deaths in South Central Texas During 2004-2013.

    Science.gov (United States)

    Buehner, Michelle; Aden, Jay; Borgman, Mathew; Love, Preston; Wright, Brandi; Edwards, Mary

    2017-01-01

    The purpose of this study was to define the demographics of pediatric traumatic injuries and to understand the predictive value of injury type, prehospital, and emergency department (ED) data regarding the mortality of pediatric trauma patients (<14 years of age) in South Central Texas. We report a retrospective review of pediatric trauma patients presenting to Trauma Service Area P in South Central Texas during 2004-2013. The primary outcome was mortality; secondary outcomes were ventilator days, hospital days, and intensive care unit stay. Demographics, Abbreviated Injury Score (AIS) codes, ICD-9 codes, transport times, Emergency Medical Services (EMS) vital signs en route and on arrival to the emergency department (ED), and outcomes were evaluated. A total of 8004 traumatically injured children presented to EDs in South Central Texas during the study period; 4109 of these presented via EMS. Most patients were Hispanic and male. Distribution was even across age groups. Overall mortality was 2%, and the mortality of those arriving by EMS was 3.7%. Abnormal vital signs and Glasgow Coma Score upon presentation to both EMS and the ED were strongly associated with mortality. Increased Injury Severity Score, the need for transfusion in the ED, and increased maximal AIS were also strongly associated with mortality. African American race was associated with increased mortality, although transport time and age were not. Most injuries overall were caused by motor vehicle collisions; however, burns and falls were most common in infants. The most lethal injuries were caused by firearms (mostly seen in preteens) and assaults (mostly seen in infants). This analysis of injured children in Southwest Texas offers insight into areas of needed quality improvement in the trauma system and potential areas to focus prevention efforts.

  20. Calha Norte: Explaining Brazilian Army Presence in the Amazon

    Science.gov (United States)

    1993-06-01

    organizations to oversee and provide incentives to encourage the responsible development of the jungle. First, the government established the Banco da Borracha...Norte Project Given Higher Priority," ]ornal do Brasil in Portuguese, 2 November 1992, 4, translated in FBIS, LAT-92-243, 17 December 1992, 26-7. 55...25 March 1993, 6, translated in FBIS, LAT-93-058, 29 March 1993, 30. See also "Implementation of Air Agreement With Cuba Announced," lornal do Brasil

  1. Modelos de asentamiento en la sierra norte de Soria

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    Manuel CORRAL CAÑÓN

    2009-10-01

    Full Text Available En esta comunicación intentaremos una aproximación a las estructuras económicas y los modelos de asentamiento de los poblados de la Edad del Hierro en la Sierra norte de Soria. Nuestra intención es reconocer las diferencias entre los asentamientos del Hierro I y II, tanto en lo que refiere a las posibilidades del entorno, como a los esquemas de organización de los habitats.

  2. Estudo clínico de 35 pacientes com diagnóstico de erisipela internados no Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo Erysipelas: a clinical study of 35 pacients hospitalized at the São Paulo Central Hospital of Irmandade da Santa Casa de Misericórdia

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    Renata Mie Oyama Okajima

    2004-05-01

    Full Text Available FUNDAMENTOS: Erisipela e celulite são infecções cutâneas freqüentes. OBJETIVOS: Com o objetivo de avaliar incidência, fatores de risco, principais complicações, esquemas terapêuticos utilizados e evolução. MÉTODOS: Foram estudados 35 pacientes com diagnóstico de erisipela internados nas enfermarias do Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo no período de abril a agosto de 2002. RESULTADOS: A incidência de pacientes com diagnóstico de erisipela no período estudado foi de 0,87%. O fator de risco local mais encontrado foi o linfedema, seguido por episódios prévios de erisipela. Dos fatores de risco gerais, aqueles que comprometem a imunidade, como diabetes mellitus, etilismo e neoplasias, foram os mais observados em associação ao quadro de infecção dermatológica. Sinais inflamatórios locais foram encontrados em 97,8% dos casos. Verificaram-se quatro casos com complicações: necrose, abscesso, trombose venosa profunda e septicemia. A evolução dos pacientes foi satisfatória em mais de 97% dos casos. CONCLUSÕES: O tratamento com penicilina cristalina foi associado ao menor número de complicações (pBACKGROUND: Erysipelas and cellulitis are common skin infections. OBJECTIVES: The aim of this paper is to investigate the frequency, risk factors, clinical features, complications, principal drugs used for treatment and the disease course. METHODS: The authors studied 35 ward patients who had been diagnosed with erysipelas, and were admitted to the Central Hospital of Irmandade da Santa Casa de Misericórdia de São Paulo between April and August 2002. RESULTS: Among the patients in the ward during the study 0.87% had been diagnosed with erysipelas. The most common local risk factor was lymphedema, followed by previous episodes of erysipelas. Among the general risk factors, diabetes mellitus, alcohol abuse and cancer were most frequently observed. Local inflammatory signs were found in 97

  3. Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013

    OpenAIRE

    Alarcon Ruiz, Diego Jesus; Gil Vargas, Luis Fabio

    2016-01-01

    TITULO DEL TRABAJO: Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013. OBJETIVO: Determinar y analizar la causa raíz de los principales factores de riesgo que afectan la seguridad del paciente que puedan ocasionar eventos adversos en la atención de los pacientes, con el uso de la teoría de restricciones TOC en el Hospital Central de la Policía HOCEN. MATERIALES Y METODO: Se r...

  4. Health-related quality of life in type 1 and type 2 diabetic patients in a Portuguese central public hospital

    Directory of Open Access Journals (Sweden)

    Sepúlveda E

    2015-04-01

    Full Text Available Eduardo Sepúlveda,1,2 Rui Poínhos,2,3 Miguel Constante,4,5 José Pais-Ribeiro,1,2 Paula Freitas,6,7 Davide Carvalho6,71Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal; 2Associação de Prevenção e Apoio à Diabetes, Porto, Portugal; 3Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; 4Institute of Psychiatry, King’s College London, London, UK; 5Department of Psychiatry, Hospital Beatriz Ângelo, Loures, Portugal; 6Department of Endocrinology, Diabetes and Metabolism, Centro Hospitalar São João, Porto, Portugal; 7Faculty of Medicine, University of Porto, Porto, PortugalBackground: Diabetes mellitus is a chronic metabolic disease, the prevalence of which has registered a considerable increase, mainly in adults and elderly. The purpose of this study was to assess the relationship between health-related quality of life in patients with diabetes and sex, body mass index, type of diabetes and treatment regimens (type 1 diabetes: intensive versus conventional treatment; type 2 diabetes: insulin use versus non-insulin use, and duration of diabetes.Methods: One hundred and twenty-four patients with diabetes were interviewed. Health-related quality of life was evaluated using the age-adjusted Short-Form 36 dimensions (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health, and related to demographic and clinical variables. Independent samples t-tests and One-Way Analysis of Variance were used to compare means of independent samples. The degree of association between pairs of variables was measured by Pearson’s (r or Spearman’s (rs correlation coefficients.Results: The mean age of the study population was 55.7±16.4 years; 54.8% were male, and 77.4% had type 2 diabetes. Females reported worse quality of life than males in all dimensions of the Short-Form 36, except for role-physical and bodily pain. Obese

  5. Afinidades en la flora genérica de piñonares del norte y centro de México: un análisis fenético Floristic affinities of the generic flora of pinyon pines of northern and central Mexico: a phenetic analysis

    Directory of Open Access Journals (Sweden)

    Mario Luna-Cavazos

    2008-12-01

    Full Text Available Mediante un análisis de clasificación fenética, se discuten las afinidades en la flora genérica de los piñonares mexicanos. El estudio se sustentó en el registro de 438 géneros de plantas vasculares de 32 piñonares mexicanos caracterizados por distintas especies como Pinus cembroides, P. johannis, P. maximartinezii, P. monophylla, P. quadrifolia, P. nelsonii, P. culminicola y P. lagunae. Se elaboró una matriz de datos presencia/ausencia de los géneros en los 32 piñonares, cada uno de los cuales se consideró como una Unidad Geográfica Operativa. Se estimaron 2 índices de semejanza entre las comunidades piñoneras, y después se agruparon mediante el procedimiento UPGMA; los grupos formados se representaron en un dendrograma. Los piñonares se relacionaron, en general, por cercanía geográfica y por su localización en una misma provincia fisiográfica. Los piñonares de Baja California caracterizados por P. quadrifolia formaron un grupo compacto, lo mismo que aquellos de P. cembroides de Chihuahua y de P. maximartinezii de Zacatecas. En el grupo de San Luis Potosí se conjuntaron comunidades de P. cembroides y de P. johannis; mientras que las propias de P. nelsonii no formaron un grupo coherente; los piñonares del suroeste de Coahuila están muy relacionados, pero tienen diferencias con los de más al norte de este estado. El piñonar de P. culminicola de Nuevo León es el más diferente de las otras comunidades de piñoneros.Using phenetic classification, we analyze the similarity of the generic flora of Mexican pinyon pine forests. Methods included records of 438 genera of vascular plants from 32 communities of pinyon pines such as Pinus cembroides, P. johannis, P. maximartinezii, P. monophylla, P. quadrifolia, P. nelsonii, P. culminicola, and P. lagunae. A matrix of presence/absence of genera in 32 communities was performed, and 2 indices of similarity between communities were estimated; we then applied UPGMA to classify the

  6. Viral aetiology of central nervous system infections in adults admitted to a tertiary referral hospital in southern Vietnam over 12 years.

    Directory of Open Access Journals (Sweden)

    Le Van Tan

    2014-08-01

    Full Text Available Central nervous system (CNS infections are important diseases in both children and adults worldwide. The spectrum of infections is broad, encompassing bacterial/aseptic meningitis and encephalitis. Viruses are regarded as the most common causes of encephalitis and aseptic meningitis. Better understanding of the viral causes of the diseases is of public health importance, in order to better inform immunization policy, and may influence clinical management.Study was conducted at the Hospital for Tropical Diseases in Ho Chi Minh City, a primary, secondary, and tertiary referral hospital for all southern provinces of Vietnam. Between December 1996 and May 2008, patients with CNS infections of presumed viral origin were enrolled. Laboratory diagnostics consisted of molecular and serological tests targeted at 14 meningitis/encephalitis-associated viruses. Of 291 enrolled patients, fatal outcome and neurological sequelae were recorded in 10% (28/291 and 27% (78/291, respectively. Mortality was especially high (9/19, 47% amongst those with confirmed herpes simplex encephalitis which is attributed to the limited availability of intravenous acyclovir/valacyclovir. Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses were the most common viruses detected, responsible for 36 (12%, 19 (6.5%, 19 (6.5% and 8 (2.7% respectively, followed by rubella virus (6, 2%, varicella zoster virus (5, 1.7%, mumps virus (2, 0.7%, cytomegalovirus (1, 0.3%, and rabies virus (1, 0.3%.Viral infections of the CNS in adults in Vietnam are associated with high morbidity and mortality. Despite extensive laboratory testing, 68% of the patients remain undiagnosed. Together with our previous reports, the data confirm that Japanese encephalitis virus, dengue virus, herpes simplex virus, and enteroviruses are the leading identified causes of CNS viral infections in Vietnam, suggest that the majority of morbidity/mortality amongst patients with a confirmed

  7. Hand hygiene non-compliance among intensive care unit health care workers in Aseer Central Hospital, south-western Saudi Arabia.

    Science.gov (United States)

    Mahfouz, Ahmed A; El Gamal, Mohammad N; Al-Azraqi, Tarik A

    2013-09-01

    Hand hygiene is the undisputed single most effective infection control measure. The purpose of the current study was to measure the degree of compliance with hand hygiene practices among health care workers in intensive care facilities at Aseer Central Hospital (ACH), south-western Saudi Arabia. Data were collected by direct observation of health care workers in intensive care units delivering routine care, using the standardized World Health Organization method for direct observation "Five moments for hand hygiene" approach. Observations were made during February-April 2011, by well-trained infection control nurses during their routine visits to the units. The moment the observer identified an indication, it was counted as an opportunity to which there should be a corresponding positive or negative action (hand washing). The present study included 536 opportunities (observations) collected from the intensive care unit (ICU), intermediate care unit (IMCU), cardiac care unit (CCU), and pediatric care unit (PICU) of ACH. Observations covered 179 nurses and 34 physicians working in these units. Overall, hand hygiene non-compliance was observed in 41.0%. The study showed that events before contact with the patient (adjusted odds ratio (aOR) 6.575, 95% confidence interval (CI) 4.461-9.691), being a physician (aOR 1.712, 95% CI 1.126-2.989), and work in the IMCU (aOR 2.140, 95% CI 1.202-3.811) were significant risk factors for hand hygiene non-compliance in the hospital. The observed high figures of hand hygiene non-compliance warrant intensifying education to promote local hand hygiene and training programs to help embed efficient and effective hand hygiene into all elements of care delivery in the intensive care units of ACH. Copyright © 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  8. Evaluation Of Prescription Pattern And Medication Adherence Of Antihypertensive Drugs In Stage 1 Essential Hypertensive Patients At Rural Tertiary Care Teaching Hospital Of Central India.

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    Chetan S. Urade

    2016-09-01

    Full Text Available Objectives- To study the prescription pattern of antihypertensive drugs and analyze the medication adherence to antihypertensive drugs at rural tertiary care teaching hospital.Materials and Methods- Prospective, observational, 12 weeks, questionnaire based study, conducted in rural tertiary care teaching hospital of central India. 214 antihypertensive prescriptions were analyzed by Morisky medication adherence scale. Statistical analysis was done by MS Excel and Graph pad prism 6.0.Results- 28.03% patients were not aware about the medicines taken, 29.90% patients were unacquainted about dose and route of administration whereas 32.71% patients were unfamiliar about frequency of administration of medicines. 53.27% patients were unaware about precautions to be taken while consuming medicines.  58.68% & 12.67% patients consumed amlodipine & atenolol respectively. In 16.43% patients, atenolol + amlodipine combination therapy was prescribed.  Amongst 214 patients 12, 58 & 144 showed high, medium & low adherence respectively.  No significant difference was found on gender basis at any level of adherence.Conclusion- In this study, physicians given preference to amlodipine than other antihypertensive drugs. However, thiazide is a first line drug in stage 1 hypertension, recommended by JNC VII guideline. This indicates that there is need of creating awareness about current management of hypertension to clinicians by organizing various workshops. We observed only 5.60% patients showed high adherence to antihypertensive therapy. Therefore educational strategies must be carried out for physicians focusing on causes for nonadherence to antihypertensive medications. Also raising patient trust in their physicians may improve patient motivation to prescribed medication. 

  9. Prevalence of antimicrobial resistance in bacteria isolated from central nervous system specimens as reported by U.S. hospital laboratories from 2000 to 2002

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    Karlowsky James A

    2004-03-01

    Full Text Available Abstract Background Bacterial infections of the central nervous system, especially acute infections such as bacterial meningitis require immediate, invariably empiric antibiotic therapy. The widespread emergence of resistance among bacterial species is a cause for concern. Current antibacterial susceptibility data among central nervous system (CNS pathogens is important to define current prevalence of resistance. Methods Antimicrobial susceptibility of pathogens isolated from CNS specimens was analyzed using The Surveillance Database (TSN® USA Database which gathers routine antibiotic susceptibility data from >300 US hospital laboratories. A total of 6029 organisms derived from CNS specimen sources during 2000–2002, were isolated and susceptibility tested. Results Staphylococcus aureus (23.7% and Streptococcus pneumoniae (11.0% were the most common gram-positive pathogens. Gram-negative species comprised approximately 25% of isolates. The modal patient age was 1 or S. aureus from cerebrospinal fluid (CSF and brain abscesses were 29.9–32.9%. Penicillin resistance rates were 16.6% for S. pneumoniae, 5.3% for viridans group streptococci, and 0% for S. agalactiae. For CSF isolates, ceftriaxone resistance was S. pneumoniae (3.5%, E. coli (0.6%, Klebsiella pneumoniae (2.8%, Serratia marcescens (5.6%, Enterobacter cloacae (25.0%, Haemophilus influenzae (0%. Listeria monocytogenes and N. meningitidis are not routinely susceptibility tested. Conclusions Resistance is commonly detected, albeit still at relatively low levels for key drugs classes such as third-generation cephalosporins. This data demonstrates the need to consider predominant resistance phenotypes when choosing empiric therapies to treat CNS infections.

  10. Outbreak of serotype W135 Neisseria meningitidis in central river region of the Gambia between February and June 2012: a hospital-based review of paediatric cases.

    Science.gov (United States)

    Osuorah, Dic; Shah, B; Manjang, A; Secka, E; Ekwochi, U; Ebenebe, J

    2015-01-01

    Meningitis still accounts for many deaths in children especially during epidemics in countries within the African meningitis belt. Between February and May 2012, the Gambia witnessed an outbreak of meningitis in two of its six regions. This study presents a clinical perspective of this outbreak in central river region of the Gambia. It evaluated the outbreak pattern, clinical features, and mortality among suspected cases that presented to the hospital during the outbreak. This is a prospective observational study of suspected cases of meningitis that presented to the pediatric ward of the Bansang Hospital during the outbreak period. Confirmed cases of meningitis were consecutively enrolled, and those with negative blood cultures presenting during the same period were employed as controls. Two hundred and four suspected cases of meningitis presented to the pediatric ward during the outbreak. Ninety were confirmed as meningitis cases. The W135 strain of Neisseria meningitidis was responsible for 89 (98.9%) of meningitis cases seen with an incidence rate of 74.9/100,000 in children (0-14 years) and in-hospital case fatality rate of 7.9%. Highest attack rate was among the 12-49 months age group. Clinical features such as meningeal signs (neck stiffness), conjunctivitis, and joint swelling were seen more in cases than controls. Contact history with relatives, who had fever in previous 2 weeks prior to illness was significantly seen more in cases. Adjusted regression analysis showed 7.5 more likelihood of infection with positive contact history (odds ratio [OR]: 7.2 confidence interval [CI]: [3.39-15.73]). There was no significant difference in death outcome between cases and controls (OR: 0.78 CI: [0.29-2.13]). The double peak wave-like pattern of the epidemic curve noted during this outbreak suggests a disseminated outbreak originating from an index case with propagated spread. There is need for more effective surveillance and incorporation of vaccine against

  11. Using the Theory of Planned Behavior to explore hospital-based nurses' intention to use peripherally inserted central catheter (PICC): a survey study.

    Science.gov (United States)

    Bertani, Laura; Carone, Maria; Caricati, Luca; Demaria, Serena; Fantuzzi, Silvia; Guarasci, Alessandro; Pirazzoli, Luca

    2016-11-22

    The peripherally inserted central catheters (PICC) have become an alternative to the traditional CVC. PICCs are usually inserted by trained nurses who decided to attend and complete a special training on PICC insertion and management. The present work aimed to investigate the intention of using PICC in a sample of hospital-based nurses using the theory of planned behavior as theoretical framework. A cross-sectional design was used in which a questionnaire was delivered to 199 nurses. According to the theory of planned behavior, the attitude toward the use of PICC, subjective norms and perceived self-efficacy predicted the intention to use PICC. Contrary to the expectations, the effect of subjective norms on intention to use PICC was mediated by attitude and self-efficacy. Finally, age of participants was negatively related to the intention to use the PICC. The theory of planned behavior offers a useful framework to explain nurses' intention to use PICC. Shared norms favoring the use of PICC seem to increase both nurse's positive attitudes and self-efficacy whit respect to the use of these devices. Thus, it appears that to train professionals individually does not necessarily results in an increased use of PICC.

  12. [The determination of serological markers of the hepatitis B virus in high-risk areas of the Central Air Force Hospital of Peru].

    Science.gov (United States)

    Valladares, G; Galarza, J; Espinoza, J; Nieri, A; Makino, R; Berrocal, A; Grados, N

    1989-01-01

    In the present paper, the serologic markers of Hepatitis B virus were studied in 123 people belonging to the Hospital Central de la Fuerza Aérea del Perú that had been working in areas of high risk to get contact with this virus. The determination was done with the enzyme immunoassay (EIA Abbot) and the results were the following: In 15 individuals (12.1%), at least one positive marker was found, evidence which proved to have been in contact with the virus in some moment of his life. Only one carrier (0.8%) was found, in 6 (4.8%) the presence of anti-HBc as only marker was found and in 8 (6.5%) the presence of anti-HBc and anti-HBs was observed which means post infection immunity. The great number of the individuals in which the markers were found, were male: 13 (16.0%) against only 2 (4.7%) female. There wasn't great difference with relation to the prevalence of markers according to the years of work like there has been observed in other greater series. It can be concluded that in this group the incidence of infection due to VHB was no greater than that of general population, which indicates us the little contact that they have had with the contaminating material during their professional life.

  13. Migraciones interurbanas en la frontera norte de México

    OpenAIRE

    Gabriel Estrella Valenzuela

    1989-01-01

    Este ensayo describe la migración de las últimas cuatro décadas hacia los estados fronterizos del norte de México en general, y hacia Baja California en particular. Para poder comparar los saldos migratorios fronterizos se establece una subregionalización de los estados y municipios adyacentes a la frontera.El fenómeno migratorio de Baja California se aborda a partir del perfil de los movimientos poblacionales en cuanto a magnitud, origen y destino. Además, se analizan las características de ...

  14. Corea del Norte: vientos favorables para el cambio

    OpenAIRE

    Pío García

    2009-01-01

    Las manifestaciones de fuerza de Corea del Norte durante el último año crisparon los nervios de los televidentes de todo el mundo, ante el temor de un conflicto de grandes dimensiones en el noreste asiático. La decisión de realizar una segunda explosión y continuar el lanzamiento de cohetes de mediano alcance al Pacífico le significó nuevas sanciones del Consejo de Seguridad al gobierno de Pyongyang, en el mes de julio. La inminencia de una guerra no aparece, empero, un escenario realista, en...

  15. Abasto del agua en la frontera norte de Tamaulipas

    OpenAIRE

    Frausto Ortega, Jesús

    2016-01-01

    El trabajo ref lexiona sobre el abasto de agua potable en los municipios fronterizos del norte de Tamaulipas, a partir de la perspectiva del derecho humano al agua ( DHA ). Se responde la pregunta: ¿cómo se ha desarrollado la cobertura de agua potable en esos municipios? Se revisan estadísticas del Inegi de 1990 a 2010, ejemplares del Periódico o f icial del estado y diversas fuen - tes secundarias. Se encuentra que hay coberturas altas, tanto en agua potable como en drenaje, superiore...

  16. Monica del Norte - Eesti maalikunstnik päikeselises Hispaanias / Anne-Mari Alver

    Index Scriptorium Estoniae

    Alver, Anne-Mari

    2006-01-01

    Deivi Oru alias Monica del Norte eneseleidmisest maalikunstniku, sisekujundaja ja kunstiõpetajana Hispaanias. Kunstnik teeb oma maalidele ise raamid. Koos abikaasa Alaniga on ta soetanud Räpina lähistele talukoha, millest tulevikus peaks saama näituste ja kunstilaagrite paik. 26. augustini on Monica del Norte maalid väljas Artdepoo galeriis

  17. Flora útil de los cafetales en la Sierra Norte de Puebla, México Useful plants of the Sierra Norte de Puebla, Mexico

    National Research Council Canada - National Science Library

    Miguel Ángel Martínez; Virginia Evangelista; Francisco Basurto; Myrna Mendoza; Antonio Cruz-Rivas

    2007-01-01

    Los cafetales de la Sierra Norte de Puebla son agroecosistemas variados en composición y estructura, donde se pueden encontrar especies vegetales cultivadas y silvestres, nativas e introducidas, y cuya diversidad florística está...

  18. Evaluación del espesor corneal central y su influencia en la presión intraocular en pacientes del Hospital "Dr. Miguel Enríquez" Evaluation of the central corneal thickness and its impact on the intraocular pressure of patients in "Dr. Miguel Enriquez" hospital

    Directory of Open Access Journals (Sweden)

    María Teresa Arrronte Alarcón

    2012-01-01

    Full Text Available Objetivo: evaluar el espesor corneal central en sujetos sanos, hipertensos oculares, sospechosos de glaucoma y glaucomatosos, y su influencia en la presión intraocular. Métodos: se realizó un estudio descriptivo y transversal que incluyó 708 ojos de 356 sujetos que acudieron al servicio de oftalmología del Hospital Universitario "Dr. Miguel Enríquez" entre enero y diciembre de 2010. A los pacientes se les midió el espesor corneal central con paquimetría ultrasónica (paquímetro US 4000. El resto de la información se obtuvo a partir de las historias clínicas de los pacientes. Resultados: Los hipertensos oculares presentaron córneas gruesas (p=0,07; el mayor número de casos que tenían diagnóstico de sospecha de glaucoma y de glaucoma primario de ángulo abierto presentaron un grosor corneal delgado (p=0,62 y p=0,08 respectivamente. Si no se hubiese tenido en cuenta el factor de corrección para evaluar la presión intraocular se encontraría 48,1 % de los glaucomatosos y 31,5 % de los hipertensos oculares con diagnóstico inadecuado (pObjective: to evaluate the central corneal thickness in healthy individuals, in persons with ocular hypertension, and in suspected glaucoma and glaucomatous people, and its influence in intraocular pressure. Methods: a cross-sectional and descriptive study was performed in 708 eyes from 356 people who had been seen at ophthalmology service of “Dr. Miguel Enríquez”, university hospital from January to December, 2010. Their central corneal thickness was measured with ultrasonic pachymetry (pachymeter US 4000. The rest of the information came from the clinical histories of the patients. Results: Most of the ocular hypertensives presented thick corneas (p=0,07; a high number of cases that had diagnosis of glaucoma suspicion and primary open-angle glaucoma showed thin corneas (p=0,62 and (p=0,08 respectively. If the correction factor to evaluate the IOP had not been considered, then 48,1 % of the

  19. La "gente del desierto" en el norte de Sonora

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    Hernán Javier Salas Quintanal

    2006-01-01

    Full Text Available La construcción de la frontera política administrativa, a mediados del siglo diecinueve, entre Arizona (Estados Unidos y Sonora (México provocó una dispersión entre los pápagos que quedaron al lado mexicano y los que se ubicaron al norte de la línea fronteriza. Durante años esta división generó un alejamiento en los estilos de vida y en la forma de habitar un ambiente desértico; en la actualidad, la frontera política se expresa en las esferas de la vida social, económica y cultural. En este artículo se hace referencia a la situación de los pápagos, la "gente del desierto" que habita el desierto de Altar, al norte de Sonora, quienes actualizan sus referentes comunes para identificarse como etnia y como grupo.

  20. Caracterização de amostras do vírus da raiva, isoladas nas regiões Norte e Centro-Oeste do Brasil, com anticorpos monoclonais antilissavírus Antigenic characterization of Brazilian rabies virus isolate North and Central West regions of Brazil with anti-lyssavirus monoclonal antibodies

    Directory of Open Access Journals (Sweden)

    H.B.C.R. Batista

    2008-02-01

    Full Text Available The occurrence of rabies virus antigenic variants in North and Central West regions of Brazil was studied using 61 rabies viruses isolated from different species: 30 from domestic dogs, 20 from cattle, four from horses, two from cats, one from a human and four from unidentified species. The isolates were submitted to antigenic analyses by indirect immunofluorescence with a panel of 12 monoclonal antibodies (Mabs to lyssavirus antigens. Antigenic analyses revealed consistent differences between isolates whose natural hosts were dogs and those of haematophagous bats, often isolated from cattle. Three out of four isolates from horses and one from a domestic dog showed patterns of reactivity found only in viruses of insectivorous bats, indicating that non-haematophagous bats do play a unique role in the transmission of the virus to other species.

  1. Measurement of central corneal thickness by ultrasonic pachymeter and oculus pentacam in patients with well-controlled glaucoma: hospital-based comparative study

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    Rashid RF

    2016-03-01

    Full Text Available Riyam Faihan Rashid, Qasim K Farhood Department of Ophthalmology, College of Medicine, University of Babylon, Babylon, Iraq Background: The measurement of central corneal thickness (CCT plays an important role in the diagnosis and treatment of glaucoma and many corneal diseases.Objective of the study: To compare the measurement of CCT by ultrasonic pachymeter with that measured by oculus pentacam in both normal subjects and patients with well-controlled glaucoma.Patients and methods: In 173 eyes of both controls and patients with open-angle glaucoma (normal intraocular pressure attending Ibn Al Haitham Teaching Eye Hospital, CCT was measured by oculus pentacam and then by ultrasound pachymeter at the same morning by the same technicians.Results: The results showed no significant difference in CCT readings measured by the two devices in both glaucoma and control groups (glaucoma group: 547.29±49.32 µm with pentacam vs 547.66±45.24 µm with ultrasound pachymeter; control group: 551.02±36.28 µm with pentacam vs 541.25±34.96 µm with ultrasound pachymeter. P-values were >0.05 in both groups (statistically not significant.Conclusion and recommendation: Ultrasonic pachymeter and oculus pentacam can be used interchangeably in measuring CCT, and we recommend a nontouch method (in this study, pentacam Scheimpflug camera for measuring CCT during assessment of patients with glaucoma or any ocular disease or surgery. Keywords: CCT, open-angle glaucoma, ultrasound pachymeter, Scheimpflug camera

  2. Sexual Practices, Fertility Intentions, and Awareness to Prevent Mother-to-Child Transmission of HIV Among Infected Pregnant Women at the Yaounde Central Hospital.

    Science.gov (United States)

    Kuete, Martin; Yuan, Hongfang; He, Qian; Tchoua Kemayou, Aude Laure; Ndognjem, Tita Pale; Yang, Fan; Hu, ZhiZong; Tian, BoZhen; Zhao, Kai; Zhang, HuiPing; Xiong, ChengLiang

    2016-06-01

    The sexual and reproductive health of people living with HIV is fundamental for their well-being. Antiretroviral therapy and reproductive technologies have significantly improved quality of life of people living with HIV in developed countries. In sub-Saharan Africa, the epicenter of HIV, the sexual practices and fertility of women infected with HIV have been understudied. To assess the sexual behavior, fertility intentions, and awareness of preventing mother-to-child transmission of HIV in pregnant women with HIV-negative partners in Yaounde Central Hospital (Yaounde, Cameroon). A cross-sectional survey using a semistructured, interviewer-administered questionnaire was conducted at the antenatal unit and HIV clinic in 2014. Ninety-four pregnant women infected with HIV provided consistent information on (i) sociodemographic characteristics, (ii) sexual and fertility patterns, (iii) awareness of preventing mother-to-child transmission of HIV, and (iv) their unmet needs. Although sexual desire had significantly changed since their HIV diagnosis, the women were highly sexually active. Approximately 19% of women had more than one sexual partner and 40% had regular unprotected sex during the 12-month period before the interviews (P awareness of mother-to-child transmission (P HIV-infected women living with HIV-negative partners in Cameroon expressed high sexual and fertility intentions with several unmet needs, including safer sexual practices and conception. Incorporating and supporting safe sexual educational practices and conception services in maternal care can decrease risky sexual behavior and vertical transmission. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  3. Clinico-radiological profile and outcome of dengue patients with central nervous system manifestations: A case series in an Eastern India tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Souren Pal

    2016-01-01

    Full Text Available Background and Objective: Dengue, an acute viral disease, transmitted by Aedes mosquitoes, has a variable clinical spectrum ranging from asymptomatic infection to life-threatening dengue hemorrhagic fever and dengue shock syndrome. However, neurological complications, in general, are unusual but have been observed more frequently in the recent past, and some studies highlighted varied neurological complications during the course of illness. Although dengue is classically considered a nonneurotropic virus, there is increasing evidence for dengue viral neurotropism. In this study, we have evaluated clinico-radiological profile and outcome of nine serologically confirmed dengue patients having varied manifestations of central nervous system (CNS involvement. Materials and Methods: All the consecutive patients presented with neurological complications with positive serology for dengue infection (IgM positivity in Department of Medicine, in a tertiary care hospital in Eastern India from August 2013 to October 2014 were included in the study. These patients were subjected to a detailed clinical evaluation, laboratory assessment including complete hemogram, coagulation profile, liver function test, serum electrolytes, and routine CSF (Cerebrospinal Fluid study with the exclusion of other common neuroinvasive pathogens. Results: Out of 9 patients with neurological complications associated with confirmed dengue infection, 2 (22% patients had dengue encephalopathy, 5 (56% patients have dengue encephalitis, 1 (11% patient had dengue meningitis, and 1 (11% patient had postdengue immune-mediated CNS involvement. Conclusion: This case series reaffirms the occurrence of varied CNS manifestations in dengue virus infection and underlines the importance of inclusion of dengue in the differential diagnosis of acute encephalitis syndrome.

  4. Hospital, en Uazán

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    J. Chemineau

    2017-05-01

    Full Text Available Uazán, villa situada al norte de Marruecos, en el Rif, en una región bastante poblada, tiene 25.000 habitantes y reúne otros tantos de sus vecindades. La construcción de este hospital en esta pequeña villa, vino a sustituir a una serie de antiguos pabellones dispersos, de acuerdo con el plan general francés, del año 1945, de defensa sanitaria civil.

  5. Fungal microbiota in air-conditioning installed in both adult and neonatal intensive treatment units and their impact in two university hospitals of the central western region, Mato Grosso, Brazil.

    Science.gov (United States)

    Simões, Sara de Almeida Alves; Leite Júnior, Diniz Pereira; Hahn, Rosane Christine

    2011-08-01

    To evaluate fungal microbiota in air-conditioning units installed in intensive care units in two university hospitals in Cuiaba city, Mato Grosso, central western region of Brazil, 525 solid environmental samples were collected, 285 from Hospital A and 240 from Hospital B. Collections were performed using sterile swabs on air-conditioning unit components: cooling coils, ventilators, and filters. Mycelial fungi identification was achieved by observation of the macroscopic and micromorphological characteristics in different culture mediums (maize meal, oatmeal and potato dextrose agars and malt extract) using the Ridell technique. Eleven genera and 27 distinct species belonging to the hyphomycetes and ascomycetes classes were isolated and identified. The most frequently detected genera in both hospitals were Aspergillus spp, Penicillium spp, and Cladosporium spp. Values for colony-forming units per gram were 64 and 75%, well above the limits recommended by Health Ministry resolution 176/00 at the locations selected for analysis in Hospitals A and B, respectively. In conclusion, evaluation of fungal microbiota in the air-conditioning units indirectly determined that the air quality was compromised in both university hospitals analyzed, which constitutes a risk factor for the acquisition of infection in the intensive care units.

  6. Clean cities: Award winning coalition -- Paso del Norte

    Energy Technology Data Exchange (ETDEWEB)

    O' Connor, K.

    1999-10-25

    Designated the 41st Clean Cities coalition in November 1995, the Paso del Norte Clean Cities Coalition (PDNCCC) is the first in the country to gain international participation. Spanning the US-Mexico border; the coalition includes stakeholders from El Paso, Texas; Ciudad Juarez, Mexico; and Las Cruces, New Mexico. PDNCCC developed a comprehensive plan to jump-start its program place, alternative fuel vehicles (AFVs) on the road, and eliminate barriers inhibiting alternative fuel market growth. PDNCC raised more than $2.3 million for alternative fuel activities and clean air initiatives in less than 26 months. In 1998, the US Department of Energy (DOE) recognized that PDNCCC accomplishment with its Rainmaker Award for leveraging the most funds from outside sources. PDNCCC is proud of its efforts to drive the alternative fuels and AFV market in the El Paso/Juarez region.

  7. Migraciones interurbanas en la frontera norte de México

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    Gabriel Estrella Valenzuela

    1989-09-01

    Full Text Available Este ensayo describe la migración de las últimas cuatro décadas hacia los estados fronterizos del norte de México en general, y hacia Baja California en particular. Para poder comparar los saldos migratorios fronterizos se establece una subregionalización de los estados y municipios adyacentes a la frontera.El fenómeno migratorio de Baja California se aborda a partir del perfil de los movimientos poblacionales en cuanto a magnitud, origen y destino. Además, se analizan las características de los migrantes intraestatales que residen en las áreas urbanas de Baja Califonia. Para finalizar, se presentan las conclusiones del trabajo.

  8. Corea del Norte: vientos favorables para el cambio

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    Pío García

    2009-11-01

    Full Text Available Las manifestaciones de fuerza de Corea del Norte durante el último año crisparon los nervios de los televidentes de todo el mundo, ante el temor de un conflicto de grandes dimensiones en el noreste asiático. La decisión de realizar una segunda explosión y continuar el lanzamiento de cohetes de mediano alcance al Pacífico le significó nuevas sanciones del Consejo de Seguridad al gobierno de Pyongyang, en el mes de julio. La inminencia de una guerra no aparece, empero, un escenario realista, en cuanto el pronunciamiento multilateral refleja el acuerdo de las grandes potencias en atender la situación de ese país, impidiendo la posesión de la bomba atómica por parte

  9. Abasto del agua en la frontera norte de Tamaulipas

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    Jesús FRAUSTO ORTEGA

    2016-01-01

    Full Text Available El trabajo ref lexiona sobre el abasto de agua potable en los municipios fronterizos del norte de Tamaulipas, a partir de la perspectiva del derecho humano al agua ( DHA . Se responde la pregunta: ¿cómo se ha desarrollado la cobertura de agua potable en esos municipios? Se revisan estadísticas del Inegi de 1990 a 2010, ejemplares del Periódico o f icial del estado y diversas fuen - tes secundarias. Se encuentra que hay coberturas altas, tanto en agua potable como en drenaje, superiores a los promedios nacional y regional. Sin embargo, aún existe población sin acceso a estos servicios en sus viviendas y que, utilizando el DHA como una herramienta de gestión, puede demandar la dotación de esos servicios.

  10. Compilation and evaluation of a Paso del Norte emission inventory

    Energy Technology Data Exchange (ETDEWEB)

    Funk, T.H.; Chinkin, L.R.; Roberts, P.T. [Sonoma Technology, Inc., 1360 Redwood Way, Suite C, 94954-1169 Petaluma, CA (United States); Saeger, M.; Mulligan, S. [Pacific Environmental Services, 5001 S. Miami Blvd., Suite 300, 27709 Research Triangle Park, NC (United States); Paramo Figueroa, V.H. [Instituto Nacional de Ecologia, Avenue Revolucion 1425, Nivel 10, Col. Tlacopac San Angel, Delegacion Alvaro Obregon, C.P., 01040, D.F. Mexico (Mexico); Yarbrough, J. [US Environmental Protection Agency - Region 6, 1445 Ross Avenue, Suite 1200, 75202-2733 Dallas, TX (United States)

    2001-08-10

    Emission inventories of ozone precursors are routinely used as input to comprehensive photochemical air quality models. Photochemical model performance and the development of effective control strategies rely on the accuracy and representativeness of an underlying emission inventory. This paper describes the tasks undertaken to compile and evaluate an ozone precursor emission inventory for the El Paso/Ciudad Juarez/Southern Dona Ana region. Point, area and mobile source emission data were obtained from local government agencies and were spatially and temporally allocated to a gridded domain using region-specific demographic and land-cover information. The inventory was then processed using the US Environmental Protection Agency (EPA) recommended Emissions Preprocessor System 2.0 (UAM-EPS 2.0) which generates emissions files compatible with the Urban Airshed Model (UAM). A top-down evaluation of the emission inventory was performed to examine how well the inventory represented ambient pollutant compositions. The top-down evaluation methodology employed in this study compares emission inventory ratios of non-methane hydrocarbon (NMHC)/nitrogen oxide (NO{sub x}) and carbon monoxide (CO)/NO{sub x} ratios to corresponding ambient ratios. Detailed NMHC species comparisons were made in order to investigate the relative composition of individual hydrocarbon species in the emission inventory and in the ambient data. The emission inventory compiled during this effort has since been used to model ozone in the Paso del Norte airshed (Emery et al., CAMx modeling of ozone and carbon monoxide in the Paso del Norte airshed. In: Proc of Ninety-Third Annual Meeting of Air and Waste Management Association, 18-22 June 2000, Air and Waste Management Association, Pittsburgh, PA, 2000)

  11. A cross sectional study on nursing process implementation and associated factors among nurses working in selected hospitals of Central and Northwest zones, Tigray Region, Ethiopia.

    Science.gov (United States)

    Baraki, Zeray; Girmay, Fiseha; Kidanu, Kalayou; Gerensea, Hadgu; Gezehgne, Dejen; Teklay, Hafte

    2017-01-01

    The nursing process is a systematic method of planning, delivering, and evaluating individualized care for clients in any state of health or illness. Many countries have adopted the nursing process as the standard of care to guide nursing practice; however, the problem is its implementation. If nurses fail to carry out the necessary nursing care through the nursing process; the effectiveness of patient progress may be compromised and can lead to preventable adverse events. This study was aimed to assess the implementation of nursing process and associated factors among nurses working in selected hospitals of central and northwest zones of Tigray, Ethiopia, 2015. A cross sectional observational study design was utilized. Data was collected from 200 participants using structured self-administered questionnaire which was contextually adapted from standardized, reliable and validated measures. The data were entered using Epi Info version 7 and analyzed using SPSS version 20 software. Data were summarized and described using descriptive statistics and multivariate logistic regression was used to determine the relationship of independent and dependent variable. Then, finally, data were presented in tables, graphs, frequency percentage of different variables. Seventy (35%) of participants have implemented nursing process. Different factors showed significant association. Nurses who worked in a stressful atmosphere of the workplace were 99% less likely to implement the nursing process than nurses who worked at a very good atmosphere. The nurses with an educational level of BSc. Degree were 6.972 times more likely to implement the nursing process than those who were diploma qualified. Nurses with no consistent material supply to use the nursing process were 95.1% less likely to implement the nursing process than nurses with consistent material supply. The majority of the participants were not implementing the nursing process properly. There are many factors that hinder them

  12. Light-emitting diode fluorescent microscopy and Xpert MTB/RIF® assay for diagnosis of pulmonary tuberculosis among patients attending Ambo hospital, west-central Ethiopia.

    Science.gov (United States)

    Gelalcha, Alemu Gadissa; Kebede, Abebaw; Mamo, Hassen

    2017-09-11

    The relatively simple and cheaper light-emitting diode fluorescent microscopy (LED-FM) was recommended by the World Health Organization (WHO) to replace the conventional tuberculosis (TB) microscopy in both high- and low-volume laboratories. More recently the WHO also endorsed one more technique, Xpert MTB/RIF® assay (Xpert), for improved TB diagnosis particularly among human immunodeficiency virus (HIV)-infected cases. However, the relative performance of both of these tools differs from setting to setting in reference to the conventional TB diagnostics. This study thus aimed to evaluate these tools for TB detection in individuals visiting Ambo Hospital, west-central Ethiopia. Cross-sectional early-morning sputum samples were collected from presumptive TB patients between January and August 2015. Socio-demographic data were captured using a structured questionnaire. Clinical information was gathered from patients' medical records. The sputum samples were diagnosed using LED-FM, Xpert, concentrated Ziehl-Neelsen (cZN) staining and Lowenstein-Jensen (LJ) culture as the gold standard. Drug sensitivity test (DST) was also conducted. Out of 362 sputum samples collected and processed, 36(9.9%) were positive by LED-FM, 42(11.6%) by cZN and 50(13.8%) by Xpert. But, only 340 samples could be declared culture positive or negative for mycobacteria. Of these 340, eight were non-tubercle mycobacteria (NTM). Out of the remaining 332 samples, 45(13.6%) had culture-confirmed TB with 11(24.4%) being HIV co-infected. LED-FM, Xpert and culture detected 54.5% (6/11), 90.9% (10/11) and 100% (11/11) mycobacteria in HIV-positive individuals and 81.3% (26/32), 73.7% (28/38), 78.8% (26/33) and 73.2% (30/41), in HIV negatives respectively. Two samples were rifampicin resistant by both Xpert and DST. The overall sensitivity, specificity, positive and negative predictive values of LED-FM and Xpert were 77.8, 100, 100 and 96; and 93.3, 98, 97.5 and 98.9% respectively. The data demonstrated

  13. Representações sociais do medicamento genérico por consumidores residentes em Natal, Rio Grande do Norte, Brasil Social representations of generic drugs by consumers from Natal, Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Maria Cleide Ribeiro Dantas de Carvalho

    2006-03-01

    Full Text Available O trabalho objetivou determinar os núcleos central e periférico das representações sociais do medicamento genérico por consumidores, estabelecendo mecanismos que poderão ser utilizados no aprimoramento da política desse tipo de medicamento no Brasil. A pesquisa foi realizada no período de abril de 2002 a fevereiro de 2003, na Cidade do Natal, Rio Grande do Norte, com quatrocentos consumidores. O teste utilizado foi o de associação de palavras, e o estímulo indutor, as palavras medicamento genérico. Foi solicitada a evocação de três palavras, de acordo com a estratégia de acesso ao Núcleo Central de Vergès. A análise dos dados foi realizada com o auxílio do programa EVOC 2000 e da análise de conteúdo preconizada por Bardin. Os resultados demonstraram que o núcleo central era composto pelas categorias preço, qualidade e equivalência farmacêutica, e o sistema periférico, representado pelas categorias opção, eficácia, governo, benefício social e acessibilidade.This paper aimed to determine the central and peripheral roles of consumers' social representations concerning generic drugs, establishing mechanisms that could be used to improve policies for this type of medication in Brazil. The research was done from April 2002 to February 2003 in the city of Natal, Rio Grande do Norte, with 400 consumers. The study employed the word association test with the words "generic drug" as the inductive stimulus. Evocation of three words was requested, according to the access strategy to Vergès' Central Nucleus. Data analysis used the EVOC 2000 software and the content analysis proposed by Bardin. The results demonstrated that the central nucleus consisted of the categories price, quality, and pharmaceutical equivalence, while the peripheral system was represented by the categories option, effectiveness, government, social benefit, and accessibility.

  14. Metodología para la construcción del currículo por competencias para la Universidad Técnica del Norte

    OpenAIRE

    Tejada Yépez, Efrén Edison

    2008-01-01

    Las competencias es una de las últimas tendencias en la educación superior ecuatoriana. Su inclusión en el currículo ha sido impulsada desde varios sectores: Consejo Nacional de Educación Superior (CONESUP), La Organización de las Naciones Unidas para la Educación, la Ciencia y la Cultura (UNESCO), Proyecto Europeo Tunnig, desde la Administración Central y las Autoridades de las Facultades y Escuelas de la Universidad Técnica del Norte (UTN). Para cumplir con estas demandas se propone un m...

  15. Nuevo orden alimentario y disputa por el agua en el norte de Mexico

    National Research Council Canada - National Science Library

    Quintana S., Victor M

    2013-01-01

    Este articulo pretende tanto mostrar como los procesos de agricultura comercial y cambio climatico estan agotando los mantos acuiferos del estado de Chihuahua en el norte de Mexico, como reconstruir...

  16. Fragmentos históricos da assistência psiquiátrica no Rio Grande do Norte, Brasil Fragmentos de la historia en la atención psiquiátrica en Rio Grande do Norte, Brasil Fragments of history in psychiatric care Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Francisco Arnoldo Nunes de Miranda

    2010-09-01

    Full Text Available O presente artigo objetiva resgatar aspectos do funcionamento terapêutico do Hospital-Dia (HD Dr. Élger Nunes, em Natal, Rio Grande do Norte, durante sua vigência, e analisar os resultados referentes ao número de usuários atendidos no período de 1996 a 2004. Trata-se de um estudo empírico, descritivo, exploratório, ex posto facto de abordagem quantitativa, realizado a partir dos registros e prontuários de 910 usuários atendidos no HD. As informações foram submetidas ao recurso informacional Microsoft Excel e transformadas em gráficos. Os resultados constataram uma maior acessibilidade à modalidade de tratamento, diminuição no tempo de permanência e melhoria das condições de alta dos usuários com redução no número de interrupções no tratamento. Salienta-se a importância do HD no processo de reforma psiquiátrica, com atendimento pautado na utilização de práticas terapêuticas humanizadas e sem perda do vínculo com a família e a sociedade.Este artículo tiene como objetivo el rescate de los aspectos del funcionamiento terapéuticos del hospital-día (HD Dr. Elger Nunes, Natal, Rio Grande do Norte, Brasil, durante su mandato, e analizar los resultados relacionado con el número de pacientes tratados en el período de 1996 a 2004. Es un estudio empírico, descriptivo, de carácter exploratorio, ex posto facto con enfoque cuantitativo, realizado a partir de los registros de 910 usuarios atendidos en el HD. Las informaciones fueran tratadas en el programa Microsoft Excel y procesadas en gráficos. Los resultados verifican una mayor accesibilidad a esta modalidad de tratamiento, disminución de la duración del tiempo de permanencia y mejorar de las condiciones para alta hospitalaria de los usuarios con reducción en el número de interrupciones en el tratamiento. Se enfatiza la importancia del HD en proceso de reforma psiquiátrica, con un tratamiento basado en el uso de prácticas terapéuticas y humanizada, sin p

  17. The Use of the Peripherally Inserted Central Catheter (Picc in the Hospital Environment La utilización del catéter central de inserción periférica (CCIP en el ambiente hospitalario A utilização do cateter central de inserção periférica (CCIP no ambiente hospitalar

    Directory of Open Access Journals (Sweden)

    Graziella Gasparotto Baiocco

    2010-12-01

    Full Text Available The study aimed to analyze the history of the use of the peripherally inserted central catheters in adult patients admitted to hospital from 2000 to 2007. The historical cohort approach was used with retrospective data collection from medical records of the Catheter Group of the Moinhos de Vento Hospital Association in Porto Alegre, RS, totaling 229 catheters inserted. The growth curve in the use of the PICC was from 1 catheter inserted in 2000 to 57 in 2007. The most prevalent pathology was oncology (17.9%, n=41. In relation to the indications of use, antibiotic use prevailed (54.1%, n=124. In the radiological confirmation the vena cava was prevalent (68.1%, n=156. The use of the PICC in the hospital environment is expanding and nursing has a fundamental role in its insertion, maintenance and removal.El estudio objetivó analizar el histórico de la utilización del catéter central de inserción periférica en pacientes adultos e internados en ambiente hospitalario de 2000 a 2007. Tuvo abordaje de cohorte histórico con recolección de datos retrospectivo en fichas del Grupo de Catéteres de la Asociación Hospitalaria Molinos de Viento en Porto Alegre, RS, totalizando 229 catéteres inseridos. La curva de crecimiento en la utilización del CCIP fue de 1 catéter inserido en 2000 a 57 inseridos en 2007. La prevalencia inherente a la patología fue oncológica (17,9%, n=41. En relación a las indicaciones de uso prevaleció la terapia con antibióticos (54,1%, n=124. En la confirmación radiológica la vena cava fue prevalente (68,1%, n=156. La utilización del CCIP en el ambiente hospitalario está en expansión y la enfermería tiene un papel fundamental en la inserción, manutención y remoción.O estudo objetivou analisar o histórico da utilização do cateter central de inserção periférica em pacientes adultos e internados, em ambiente hospitalar, de 2000 a 2007. Teve abordagem de coorte histórica, com coleta de dados retrospectiva em

  18. REESTRUTURAÇÃO PRODUTIVA NO RIO GRANDE DO NORTE

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    Francisco Fransualdo de Azevedo

    2013-01-01

    Full Text Available El objetivo de este articulo es analizar el proceso de reestruturación produtiva del sistema capitalista, discu- tiendo sus distintas dimensiones, concretamente la económica, social, política y técnica. Se trata, por tanto, de explicar como este proceso se à desarrollando em el territorio de Rio Grande do Norte (Brasil, teniendo em cuenta las vuejas y nuevas materialidades que constituyen este proceso de producción del espacio durante las últimas décadas. Al mismo tiempo que lo ayudan a explicar. Desde el punto de vista metodológico, se hace una breve revisión teórica y conceptual acerca de la recolección de datos y la sistematización y ana- lisi de los datos procedentes de fuentes oficiales. Como son las secretarias y los organos gubernamentales -Instituto Brasileiro de Geografia e Estatística, Instituto de Desenvolvimento Sustentável e Meio Ambiente do Rio Grande do Norte, Agência Nacional de Petróleo, Serviço Brasileiro de Apoio às Micro e Pequenas Empresas- y también algunas instituciones académicas, como es el caso del Observatório das Metrópoles. De todo ello parece desprenderse que los años 1980/90 estuvieron marcados por cambios importantes em el proceso de producción del espacio potiguar, destacando em particular los que estuvieron asociados a los incentivos estatales, em consonancia con acciones e intenciones del capítal privado interessado em el fo- mento de la reeestructuración de las actividades em todo el arco de la estructura económica: las actividades agropeciarias, la pesca, y la carcinicultura, así como el turismo, la extracción minera, la construcción de infrestructuras públicas, la industria textil, el comercio y los servicios.

  19. Social and Health Care of Children in Central Europe : The Italian Hospital in Prague in the 17th–18th Century

    Directory of Open Access Journals (Sweden)

    Petr Svobodný

    2007-07-01

    Full Text Available The history of the Italian Hospital in Prague from the end of the 16th to the end of the 18th century is a notable example of the formalisation, professionalisation and medicalisation of care for children: from the provision of a refuge for the most helpless members of society (abandoned newborns and orphans who were completely bereft of the protection of the family, to progressively organisationally and professionally improving care offered by a lay religious congregation, to the ever more stringent supervision and finally the complete transfer of the social-health institution created in this way (a foundling hospital and maternity hospital into a sphere entirely controlled by the authorities of the “State” (Bohemian provincial health institutions and the “Academy” (the Medical Faculty in Prague.

  20. Conflictos sindicales en la maquila de la frontera norte

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    Cirila Quintero Ramírez

    1999-01-01

    Full Text Available El artículo analiza tres movimientos laborales en las maquiladoras de la frontera norte, acontecidos entre 1997 y 1998, señalando que más que eventos coyunturales, tales manifestaciones son parte de la reestructuración sindical iniciada en estas empresas durante los años setenta y ochenta. El comienzo de este proceso estuvo caracterizado por una definición de la función y los objetivos que estas organizaciones deberían desempeñar en estas industrias; así se conformaron dos comportamientos: el sindicalismo tradicional, vinculado a los trabajadores, y el sindicalismo subordinado, enlazado a los inversionistas. La segunda fase, iniciada a principios de los noventa, se ha caracterizado por un reacomodo en las estructuras internas de las organizaciones sindicales locales. En este reacomodo, la fragilidad de algunas organizaciones conformadas ex-profeso para las maquiladoras, como lo muestran los conflictos analizados, ha sido evidente.

  1. DRENAGEM SUPERFICIAL DE SOLOS ARGILOSOS DO NORTE DO PARANÁ

    Directory of Open Access Journals (Sweden)

    Rogério Teixeira de Faria

    1999-08-01

    Full Text Available RESUMO Foi avaliado o desempenho de práticas de drenagem superficial e cobertura morta em uma área de várzea do norte do Paraná. Antes e após o cultivo do arroz, foram comparadas as taxas de drenagem em tratamentos com e sem drenos torpedo e determinadas a vazão e a obstrução dos condutos. Sob o cultivo do feijoeiro, foram avaliados os efeitos dos drenos torpedo e de "camas" na drenagem e de cobertura morta (palha de arroz na retenção de água do solo. Os resultados indicaram que os drenos torpedo foram mais eficientes se construídos com solo menos úmido, porém sua longevidade foi menor que um ano. Sob o feijoeiro, os drenos torpedo e cobertura morta mantiveram o lençol freático mais profundo e o solo com menor tensão de umidade, mas esses efeitos ocorreram abaixo da zona radicular (15 cm, resultando em baixa produtividade.

  2. Assessment of Solid Waste Management Strategies in Camarines Norte, Philippines

    Directory of Open Access Journals (Sweden)

    Maria Cristina C. Azuelo

    2016-11-01

    Full Text Available The Ecological Solid Waste Management Act of 2000 or RA 9003 mandates the local government units to take initiatives in managing their daunting problems on ecological solid waste disposal. Consequently, compliance of Camarines Norte, Philippines on this mandate needs assessment to determine the existing solid waste management (SWM strategies, the effectiveness and the possibility of adoption in each municipality. This study utilized the descriptive method using questionnaire as the main tool supplemented by interview. Results showed that the existing SWM strategies with the highest percentages of existence in the twelve (12 municipalities were provision of number of trucks in transporting solid wastes and knowledge on waste segregation conducted at every household/establishment. Varying levels were observed. However, high level of effectiveness is still required for significant impact, seeing that from the six areas assessed only four municipalities were identified to have more and highly effective SWM strategies. Generally, only availability of technology for composting was considered more effective and can be adopted in all municipalities. Better solid waste management may be fully attained through the involvement, political will and commitment of the implementers in the implementation of politically passed resolutions and undertaking of their initiatives that will stimulate active participation of the community. All these measures may bring change in health and environment in the province.

  3. Protocolo POG 9061 en la recaída aislada a sistema nervioso central en pacientes con diagnóstico de leucemia linfoide aguda. Resultados de una serie de casos en el Hospital Universitario de Santander POG 9061 protocol to treat isolated central nervous system recurrence in patients with acute lymphoid leukemia at Hospital Universitario de Santander

    Directory of Open Access Journals (Sweden)

    Ernesto Rueda

    2010-04-01

    Full Text Available Introducción: La leucemia linfoide aguda (LLA es la neoplasia más común en niños; el 5-10 % presentan recaídas a sistema nervioso central (SNC, un factor de mal pronóstico. Objetivo: Describir los resultados obtenidos en una unidad de oncología pediátrica con el protocolo POG 9061 modificado, en pacientes con LLA y recaída aislada a SNC. Metodología: Cohorte de los pacientes atendidos en el Hospital Universitario de Santander (HUS. Se estimó la sobrevida libre de evento (SLE y la sobrevida total (ST, así como las alteraciones resultantes del protocolo. Se incluyeron 15 pacientes atendidos entre enero/93 y marzo/07; el último diagnóstico de recaída al SNC se hizo en noviembre/04. Resultados: El 66,6 % de las recaídas se dieron antes de 18 meses luego de remitir la LLA. Dos pacientes abandonaron el protocolo, uno de los cuales falleció; dos o más fallecieron luego de terminar el protocolo. La ST a cinco años fue de 85,6 % (IC95 % 53,3-96,2, mientras que la SLE de 84,9 % (IC95 % 51,2-96,0 %. La complicación más frecuente fue mielosupresión; no hubo alteraciones de la función renal y solo una ligera elevación de las pruebas de función hepática. Las causas de hospitalización fueron principalmente infecciones. El coeficiente intelectual de los pacientes posterior a la aplicación del protocolo indicaba deficiencia leve en el 45,4 % de ellos. Conclusiones: La sobrevida, el tipo y la frecuencia de complicaciones, son similares a las encontradas a nivel mundial, lo que es relevante dada la alta proporción de pacientes con recaída precoz luego de remisión de la LLA. Salud UIS 2010; 42: 7-17Introduction: Acute lymphoblastic leukemia (ALL is the most frequent neoplasm in children. Relapses to central nervous system (CNS Appears in 5-10 % of the ALL patients and is a bad prognostic factor. Objective: To describe the results obtained with modified POG 9061 protocol in a pediatric oncology unit. Methodology: Survival analysis was

  4. Desarrollo forestal comunitario sustentable en la region norte de mexico y su desafio en el contexto de la globalizacion

    National Research Council Canada - National Science Library

    Alvarez, Concepcion Lujan; Garcia, Jesus Miguel Olivas; Hernandez, Hilda Guadalupe Gonzalez; Alvarez, Susana Vazquez; Alvarez, Jose Ciro Hernandez Diaz y.Humberto Lujan

    2016-01-01

    Los objetivos del estudio fueron analizar el desarrollo forestal comunitario sustentable en la region norte de Mexico, en los estados de Chihuahua y Durango, considerando la organizacion comunitaria...

  5. REGISTRO DE CINCO ESPECIES DE AVES POCO CONOCIDAS PARA NORTE DE SANTANDER, COLOMBIA Five Bird Species Poorly Known for Norte de Santander, Colombia

    Directory of Open Access Journals (Sweden)

    LUIS ORLANDO ARMESTO

    2013-04-01

    Full Text Available Registramos cinco especies de aves poco conocidas para la región con base en observaciones realizadas en el área urbana de Cúcuta (departamento de Norte de Santander, Colombia. Dos de ellas son migratorias neárticas/neotropicales (Coccyzus americanus y Protonotaria citrea. Aunque cuatro especies ya habían sido recolectadas en Cúcuta, han pasado inadvertidas para esta región. Uno de los registros corresponde a la ampliación hacia el norte del área de distribución geográfica conocida para Paroaria nigrogenis.We report five bird species poorly known for Norte de Santander based on observations in the urban area of the city of Cúcuta (department of Norte de Santander, Colombia. Two are nearctic/neotropical migratory birds (Coccyzus americanus and Protonotaria citrea. Although four species had been collected before in Cúcuta, their report has remained unnoticed. We record the geographical range extension for Paroaria nigrogenis to the north of its currently known distribution.

  6. Unplanned Hospital Visits - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — Unplanned Hospital Visits – provider data. This data set includes provider data for the hospital return days (or excess days in acute care) measures, the unplanned...

  7. Magnitude and determinants of diabetic retinopathy among persons with diabetes registered at employee health department of a tertiary Eye Hospital of central Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Rajiv Khandekar

    2015-01-01

    Conclusions: Low coverage for eye screening and laser treatment to diabetics among the staff of an eye hospital is a matter of concern. The underlying causes of low coverage of screening, digital fundus photography as a screening tool and management should be addressed.

  8. Viral aetiology of central nervous system infections in adults admitted to a tertiary referral hospital in southern Vietnam over 12 years

    NARCIS (Netherlands)

    Tan, Le Van; Thai, Le Hong; Phu, Nguyen Hoan; Nghia, Ho Dang Trung; Chuong, Ly Van; Sinh, Dinh Xuan; Phong, Nguyen Duy; Mai, Nguyen Thi Hoang; Man, Dinh Nguyen Huy; Hien, Vo Minh; Vinh, Nguyen Thanh; Day, Jeremy; Chau, Nguyen Van Vinh; Hien, Tran Tinh; Farrar, Jeremy; de Jong, Menno D.; Thwaites, Guy; van Doorn, H. Rogier; Chau, Tran Thi Hong

    2014-01-01

    Central nervous system (CNS) infections are important diseases in both children and adults worldwide. The spectrum of infections is broad, encompassing bacterial/aseptic meningitis and encephalitis. Viruses are regarded as the most common causes of encephalitis and aseptic meningitis. Better

  9. Centro-norte del estado de Campeche, México

    Directory of Open Access Journals (Sweden)

    Fulgencio Mart\\u00EDn Tucuch-Cauich

    2007-01-01

    Full Text Available Caracterización de la producción de maíz en la zona Centro-Norte del estado de Campeche, México. Con el fi n de obtener la información de la tecnología utilizada por los productores de maíz en las áreas de alto potencial del estado de Campeche, México, en el año 2004 se diseñó una encuesta y se entrevistó al 4 % del padrón ofi cial en los municipios de Hecelchakan, Hopelchen, Tenabo, Calkini y Campeche, en aspectos como edad de los productores, preparación del suelo, combate de plagas y malezas, nutrición del cultivo, material genético utilizado, fecha de siembra, método de siembra, distancia de siembra entre otros. Los resultados mostraron que las labores agrícolas que integran la producción de maíz son nueve, la fecha de siembra se concentra en los meses de junio y julio; la mayoría de los productores siembra con maquinaria y el restante lo realiza en forma manual; los materiales que sobresalen por la superfi cie sembrada y el número de productores que la utilizan en orden de importancia son: Nutria, VS-536, C-343, Z-31, Z-30. El 49 % de los productores obtienen rendimientos promedios de 2 a 3,5 t/ha.

  10. Patient waiting time in the outpatient clinic at a central surgical hospital of Vietnam: Implications for resource allocation [version 3; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Tho Dinh Tran

    2017-06-01

    Full Text Available Background: Patient waiting time is considered as a crucial parameter in the assessment of healthcare quality and patients’ satisfaction towards healthcare services. Data concerning this has remained limited in Vietnam. Thus, this study aims to assess patient waiting time in the outpatient clinic in Viet Duc Hospital (Hanoi, Vietnam in order to enable stakeholders to inform evidence-based interventions to improve the quality of healthcare services. Methods: A cross-sectional study was conducted from June 2014 to June 2015 in the outpatient clinic at Viet Duc Hospital. Waiting time stratified by years (2014 and 2015, months of the year, weekdays, and hours of the day were extracted from Hospital Management software and carefully calculated. Stata 12.0 was employed to analyze data, including the average time (M± SD, frequencies and percentage (%. Results: There was a total of 137,881 patients involved in the study. The average waiting time from registration to preliminary diagnosis in 2014 was 50.41 minutes, and in 2015 was 42.05 minutes. A longer waiting time was recorded in the morning and in those having health insurance. Conclusions: Our results provided evidence that despite the decrease of waiting time from 2014 to 2015, waiting time was much higher among patients having health insurance compared to their counterparts. The findings suggest that human resources promotion and distribution should be emphasized in outpatient clinics and health insurance-related administrative procedures should be simplified.

  11. Los servicios profesionales en América del Norte. Un análisis de sus resultados y perspectivas a partir del Tratado de Libre Comercio

    Directory of Open Access Journals (Sweden)

    María Yira Figueroa Olvera

    2008-01-01

    Full Text Available Este trabajo presenta las características actuales del mercado laboral en América del Norte, para ello se toma como marco de referencia el Tratado de Libre Comercio de América del Norte (TLCAN. Asimismo, se analizan los resultados actuales y las perspectivas futuras de la prestación de servicios profesionales entre Canadá, Estados Unidos y México; los servicios profesionales más demandados; los requisitos para su prestación; así como las oportunidades de acceso y restricciones para los profesionistas mexicanos interesados en incorporarse. El argumento central es que uno de los sectores más dinámicos en la generación de empleo es el de servicios, y que éste a su vez presenta prioridades y particularidades entre los tres países. Por otra parte, no podemos soslayar que hay un aumento de la migración de mexicanos altamente calificados en relación con años anteriores. No obstante, una mayor movilidad de profesionistas en el mercado laboral de América del Norte sigue siendo un reto para México, pese a las negociaciones existentes, y más bien se ha caracterizado por cubrir las necesidades estratégicas de la economía de la región, donde también repercute la política migratoria de cada país. Finalmente, a manera de reflexión, se presentan los resultados indirectos de la migración de profesionales, como la fuga de cerebros.

  12. Preliminary study of food residues and cooking practices in the Medieval Hospital of Santa Maria della Scala in Siena (Central Italy

    Directory of Open Access Journals (Sweden)

    Alessandra PECCI, Francesca GRASSI

    2016-01-01

    Después del estudio arqueológico-formal, algunas cerámicas han sido seleccionadas para el análisis con cromatografía de gases acoplada a espectrometría de masas con el fin de identificar los residuos orgánicos preservados y conocer su contenido original. Los datos obtenidos han sido integrados con la información proporcionada por los documentos escritos encontrados durante el estudio del Hospital acerca de las compras y de la vida cotidiana en su interior.

  13. análise das unidades hoteleiras do Norte de Portugal

    OpenAIRE

    Rodrigues, Sónia Andreia Pereira

    2016-01-01

    O presente estudo tem como objetivo fundamental analisar, por um lado, o impacto da liderança transformacional no empowerment e, por outro, o impacto da liderança transformacional e do empowerment na orientação empreendedora das unidades hoteleiras da Região do Norte de Portugal. Para tal, utilizamos uma abordagem quantitativa recorrendo à aplicação de um inquérito por questionário ao qual responderam 44 gestores de topo das unidades hoteleiras da Região do Norte de Portugal...

  14. Risk factors of nasal carriage of Staphylococcus aureus and methicillin-resistant Staphylococcus aureus among health care staff in a teaching hospital in central Saudi Arabia.

    Science.gov (United States)

    Al-Humaidan, Ohoud S; El-Kersh, Talat A; Al-Akeel, Raid A

    2015-09-01

    To investigate possible risk factors of Staphylococcus aureus (S. aureus) and methicillin-resistant S. aureus (MRSA) nasal carriage associated with various health troubles among healthcare workers (HCWs) at King Khalid University Hospital (KKUH). This prospective study was conducted between May 2012 and January 2013 in KKUH, Riyadh, Saudi Arabia. A total of 200 nasal swabs were collected from HCWs. Identification was carried out based on morphology, Gram stain, catalase and coagulase test, Staphaurex PlusH test, chromogenic medium, oxacillin, and cefoxitin test using disc diffusion method. Characterization was carried out using disk diffusion method and E-test. Polymerase chain reaction was carried out to confirm using GeneXpert® Dx System (Cepheid) to detect mecA gene. Among the 200 isolates, 80 (40%) were S. aureus carriers, and 36 (18%) of all HCWs were identified as MRSA carriers. There was a significant difference of S. aureus according to gender with male carriers (p=0.012), occupation particularly among nurses (p=0.006), and duration of working years in the hospital among 4-6 years group (p=0.002). Moreover, none of the risk factors assessed were significantly associated with the carriage rate of MRSA (p greater than 0.05). The current study revealed that nursing staff was the potential colonizers of S. aureus and MRSA compared with other HCWs. Regular screening of carriers is required for prevention of nosocomial infections.

  15. HISTOPATOLOGIA DA ADENOMIOSE EM VACAS ABATIDAS NO NORTE FLUMINENSE

    Directory of Open Access Journals (Sweden)

    Eulógio Carlos Queiróz de Carvalho

    2006-10-01

    Full Text Available O presente experimento relata a ocorrência de adenomiose em vacas destinadas ao abate, na região do Norte Fluminense do Estado do Rio de Janeiro. O crescimento excessivo de glândulas e estroma endometriais por entre as fibras do miométrio é denominado adenomiose. A literatura cita que sua ocorrência não é muito comum nas fêmeas domésticas, contudo é observada em cadelas com hiperplasia endometrial cística. Muitos estudos sugerem que a adenomiose seja causada primariamente pela desorganização da membrana basal endométrio-miometral por estrógenos, progestágenos e prolactina, desencadeando uma invasão do miométrio pelos componentes endometriais. Atribui-se a esta enfermidade interferência na implantação do embrião, em função de alterações em nível vascular e estresse oxidativo, com conseqüente fibrose, subfertilidade e infertilidade. Amostras de 27 úteros de vacas, vazias, azebuadas, foram colhidas e protocoladas no Setor de Morfologia e Anatomia Patológica/LSA/CCTA/UENF, submetidas a histotécnica por inclusão em parafina e coloração pela hematoxilina e eosina e Van-Gieson. Idealizou-se um escore foi idealizado para lesões adenomióticas. Das 27 amostras, 18 (66,67% apresentaram adenomiose, contra 9 (33,33% sem o achado. Dez (55,56% apresentaram adenomiose superficial discreta; 2(11,12% profunda discreta; 1 (5,56% a do tipo moderada superficial; 3 (16,67% profunda moderada; e finalmente 2 (11,12% a do tipo acentuada profunda. É admissível que a exigüidade de descrições desta distrofia nas demais fêmeas domésticas não signifique uma negligência, e sim uma não-percepção da lesão, por se tratar de víscera de pouco valor comercial, de não ser demonstrada em biópsias endometriais e por estarem, em muitos casos, associadas a processos mais expressivos clinicamente, como hiperplasia endometrial cística, ovários policísticos, tumor de células da granulosa etc. Faz-se imprescindível o registro desta

  16. Solid waste management in Linamon, Lanao del Norte

    Science.gov (United States)

    Paragoso, Glaiza P.; Sapar, Cherine Mae A.; Magsayo, Joy R.; Lahoylahoy, Myrna E.; Guarin, Rica Mae B.

    2018-01-01

    In this modern world, Solid Waste Management is very important in maintaining a high quality of life so humans must manage and store waste efficiently and safely. Almost every day each household generates garbage or wastes. People throw things improperly without knowing the consequences. The main objective of the study was to assess the residents' Solid Waste Management. Specifically, it aimed to answer the following questions: What is the profile of the respondents in terms of age, gender, educational attainment, occupation, monthly income, no. of household member; What is the knowledge of the respondents about Natural Environment?; How do respondents disposed garbage from the household?; What is the level of the respondents concern about proper waste management?; What is the willingness of the respondents to participate in proper Solid Waste Management?; What is the attitude of the respondents towards the Solid Waste Management? The said study was conducted at the Municipality of Linamon, which is a 5th class municipality located at the Eastern Gateway to Lanao del Norte, a south western Province of Northern Mindanao in the Philippines. The study was conducted in the 8 barangays of the Municipality of Linamon, namely: Bosque, Larapan, Mago-ong, Napo, Poblacion, Purakan, Robocon, and Samburon. The Municipality has 3 urban barangays and 4 rural barangays. The study revealed that most of the respondents interviewed were housewives. Out of 313 respondents, 67.10 % did not understand the term natural environment, with major issue currently affecting natural environment as "household garbage'. The respondents dispose the yard trimmings and papers through burning. The plastic and glass is disposed through the garbage truck. The metals and damaged home appliances were disposed by selling it to the junk shop. The respondents disposed their garbage into an open container specifically in a sack, collected by garbage trucks. The study also revealed that the respondents were

  17. DISEÑO METODOLÓGICO PARA LA MEDICIÓN DE LA RSE EN EL SECTOR DEL CARBÓN EN NORTE DE SANTANDER

    Directory of Open Access Journals (Sweden)

    Jorge Enrique Rodríguez Guevara

    2014-06-01

    Full Text Available El presente artículo es una contribución a la búsqueda de una metodología para medir la Responsabilidad Social Empresarial (RSE en el sector del carbón en Norte de Santander. Por tanto, el papel central de las empresas actualmente está enlazado no solo con los negocios, sino también con el beneficio que las empresas pueden generar a la sociedad y su entorno; lo cual, se considera como el elemento clave para enfrentar los desafíos en asuntos de desarrollo, incluyendo un factor de gran importancia en las entidades como son el recurso humano de éstas. Este estudio se ubica en uno de los sectores considerados de talla mundial, por las ventajas comparativas históricas que presenta el sector del carbón y su participación en los mercados globales, en Norte de Santander. Cada vez más la Responsabilidad Social Empresarial, da cuenta de las oportunidades que ofrecen en los negocios internacionales, en aquellas organizaciones que tienen un enfoque sostenible y sustentable en la oferta de productos, no solo por la exigencia de los mercados desarrollados, sino porque significa en términos de competitividad internacional y su participación en el exterior.

  18. Prevalence of high level gentamicin and vancomycin resistance among clinical isolates of enterococci from a tertiary care hospital in central Nepal.

    Science.gov (United States)

    Amatya, R; Jha, B; Shrestha, S; Adhikari, R P; Timsina, S

    2014-12-01

    High level aminoglycoside resistance is an established phenomenon in enterococci. With the increasing use of broad spectrum cephalosporins and glycopeptides, vancomycin resistant enterococci are being increasingly reported from different parts of the world. The objective of our study was to determine the prevalence of high level gentamicin resistant (HLAR) enterococci among the clinical isolates in our hospital and to find the minimum inhibitory concentration (MIC) of vancomycin against these isolates. The enterococci isolated over a year (n = 41) were subjected to HLAR screening by disc diffusion and MIC of vancomycin by agar dilution method. HLAR prevalence was 63%. MIC of vancomycin showed none in the resistant range. However, 4 (9.7%) isolates were in the intermediate range heralding the eminent emergence of VRE if adequate control measures are not implemented in time.

  19. Duchenne, Charcot and Babinski, three neurologists of La Salpetrière Hospital, and their contribution to concepts of the central organization of motor synergy.

    Science.gov (United States)

    Clarac, François; Massion, Jean; Smith, Allan M

    2009-11-01

    Many currently accepted notions of motor control originate from a few seminal concepts developed in the latter half of the 19th century (see Bennett and Hacker, 2002). The goal of this review is to retrace some current ideas about motor control back to the thought of three French neurologists of Hospital of the Salpetrière hospital in Paris during the latter half of the 19th century and early 20th century (Fig. 1): Guillaume Duchenne de Boulogne (1806-1875), Jean-Martin Charcot (1825-1893), and Joseph Babinski (1857-1932). A common theoretical and methodological thread unites these three men as Charcot was taught neurology by Duchenne, and Babinski was trained by Charcot. The influential concepts developed by these pioneering French neurologists have been neglected for nearly a century and only rediscovered recently. We intend to highlight how these astute clinicians used their meticulous clinical observations of patients to reveal novel and original perspectives of motor co-ordination. Between 1850 and 1930, all three men played a major role in developing and shaping the entire field of normal and pathological motor control in addition to making important contributions to three major scientific issues; the centralist view of muscle sense, the emerging concept of muscle synergy in voluntary movements and in locomotion and finally the specific role of the cerebellum in muscle synergy. The important contributions of these men will be considered in the context of other significant schools of neurology from other countries. Finally, the concept of cerebellar asynergy as proposed by Babinski anticipated the development of the internal models which much later were able to provide a theoretical basis for understanding the mechanism of learned motor co-ordination involving the cerebellum.

  20. Estudo clínico de 35 pacientes com diagnóstico de erisipela internados no Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo

    OpenAIRE

    Okajima,Renata Mie Oyama; Freitas,Thaís Helena Proença de; Zaitz,Clarisse

    2004-01-01

    FUNDAMENTOS: Erisipela e celulite são infecções cutâneas freqüentes. OBJETIVOS: Com o objetivo de avaliar incidência, fatores de risco, principais complicações, esquemas terapêuticos utilizados e evolução. MÉTODOS: Foram estudados 35 pacientes com diagnóstico de erisipela internados nas enfermarias do Hospital Central da Irmandade da Santa Casa de Misericórdia de São Paulo no período de abril a agosto de 2002. RESULTADOS: A incidência de pacientes com diagnóstico de erisipela no período estud...

  1. Hongos basidiomycetes: una contribución al conocimiento de 14 generos en norte de santander

    Directory of Open Access Journals (Sweden)

    Nancy Jackeline Sanchez-Sandoval

    2006-07-01

    Full Text Available In this article 14 genera of Basidiomycetes are reported tor Norte de Santander Department. These genera belong to 10 families and 5 orders: Agaricales, Boletales, Schizophyllales, Polyporales and Lycoperdales. The last order belongs to Gasteromycetes. The study was done in Chinócota county, during the years 2003-2004.

  2. Determining sex and life stage of Del Norte salamanders from external cues

    Science.gov (United States)

    Lisa Ollivier; Hartwell H. Welsh Jr

    2003-01-01

    Life stage determination for many western plethodontids often requires dissection of the specimen. Availability of reliable external measures that could be applied under field conditions would enhance future studies of the genus Plethodon. We examined preserved specimens of the Del Norte Salamander, Plethodon elongatus, taken from...

  3. Observaciones sobre la flora del “Norte Chico” de Chile./ Notes on the flora of

    Directory of Open Access Journals (Sweden)

    Guillermo Ulriksen Becker [1952

    2008-06-01

    Full Text Available Desde un profundo conocimiento adquirido en sus estudios teóricos y prácticos, Guillermo Ulriksen da una mirada a la flora y fauna encontrada en sus exhaustivos recorridos por el Norte Chico de Chile, y a sus experiencias con ellas en circunstancias de su trabajo −conjunto con Oscar Prager− para efectos del proyecto del llamado “Plan Serena” desde 1947, y de su tesis de título de Arquitecto en 1952-53. En esta última, intenta aportar bases para la planeación regional del Norte Chico, a partir de las carencias que él estima existieron en el mandato del “Plan Serena”. Corresponde el presente escrito a un anexo con observaciones complementarias en la citada tesis./ Guillermo Ulriksen presents a deep study of the flora and fauna of the Norte Chico, as a part of his study for the Plan Serena and for his Graduation Proyect. He also tries to propose the basis for the development plan for the Norte Chico.

  4. Diet of the Del Norte Salamander (Plethodon elongatus): Differences by age, gender, and season.

    Science.gov (United States)

    Clara A. Wheeler; Nancy E. Karraker; Hartwell H. Welsh; Lisa M. Ollivier

    2007-01-01

    Terrestrial salamanders are integral components of forest ecosystems and the examination of their feeding habits may provide useful information regarding various ecosystem processes. We studied the diet of the Del Norte Salamander (Plethodon elongatus) and assessed diet differences between age classes, genders, and seasons. The stomachs of 309...

  5. After Crossing the Border You Reach the Limit: Norte, by Edmundo Paz Soldan

    Directory of Open Access Journals (Sweden)

    Pablo Sánchez

    2016-12-01

    Full Text Available Norte, by Edmundo Paz Soldan, is an attempt to rethink Mexican border’s narrative from exceptional cases beyond the usual socio-historical coordinates of that narrative subgenre. The plurality of migrant identities of the novel presents anomalous and unpredictable forms of psychological response and cultural assimilation that discuss previous models of transculturation.

  6. PROTAGONISMO DOS ÍNDIOS NORTE-AMERICANOS NOS DESENHOS ANIMADOS DE WALTER LANTZ

    Directory of Open Access Journals (Sweden)

    RAFAEL DUARTE OLIVEIRA VENANCIO

    2011-06-01

    Full Text Available Condemned to a dubious media representation in early cinema through thenovels of the late nineteenth century, the North American Indians never had a high profile infilms of this period. However, an animator, Walter Lantz, has a high degree of characterizationof Native Americans in his work. The aim of this paper is to study the role of Native Americansin these cartoons and analyze the social implications of these choices, using the concepts ofapparatus and formula. Furthermore, the analysis will include a portrayal of the Americanmedia scene before and after Lantz, seeking disruptions and legacies.Condenados a uma duvidosa representação midiática no início do cinema graçasaos romances do final do século XIX, os índios norte-americanos nunca tiveram um grandedestaque nos filmes dessa época. No entanto, um realizador de desenhos animados, WalterLantz, possui um alto grau de caracterização de nativos norte-americanos em seus trabalhos. Oobjetivo do presente artigo é estudar o protagonismo dos índios norte-americanos nessesdesenhos animados, e analisar as implicações sociais dessas escolhas através do uso dosconceitos de dispositivo e fórmula. Além disso, a análise incluirá a retratação da cenamidiática norte-americana antes e depois de Lantz, buscando rupturas e legados.

  7. Espacio Agrícola de la sierra norte de Puebla

    Directory of Open Access Journals (Sweden)

    Consuelo Soto Mora

    1988-01-01

    Full Text Available The analysis of rain–fed (i.e. unirrigated agriculture in the Sierra Norte de Puebla has led us to classify different agricultural spaces as well as the production in each in order to deter­mine the importance of the region in the economic context of the State of Puebla.

  8. Analisis de la competitividad del sector lechero: caso aplicado al norte de Antioquia, Colombia

    National Research Council Canada - National Science Library

    Dursun Barrios Hernández; Martha Olivera Ángel

    2013-01-01

    ... análisis de costos y competitividad, se realizó un estudio de carácter descriptivo que incluyó 138 predios y 5.952 vacas, en seis municipios ubicados en la cuenca del altiplano norte del departamento de Antioquia...

  9. Derrames pleurais parapneumónicos em pediatria: Experiência num hospital central universitário

    Directory of Open Access Journals (Sweden)

    Paulo Soares

    2009-03-01

    provavelmente diminuem o tempo de doença e de internamento.Conclusão: Os derrames parapneumónicos complicados são tratados com êxito em centros de referência com experiência nos diferentes tipos de intervenção que poderão ser necessários.Rev Port Pneumol 2009; XV (2: 241-259 Abstract: Introduction: Pleural effusions can complicate pneumonias in children and adolescents and are usually associated with a long hospital stay and increased morbidity.Aims: To characterise a population of patients with parapneumonic pleural effusion and to establish possible prognostic factors on admission based on clinical, imaging and analytical data. To correlate treatment options with the outcome.Methods: Case review of patients under 18 years old with parapneumonic pleural effusion, admitted between July 1997 – June 2004 (7 years.Results: 118 patients were included, 60% male, with mean age 7 years. The incidence of pleural effusion increased throughout the period of the study. The admissions occurred predominantly in autumn and winter. On admission 60% of patients had respiratory distress and 39% chest pain. In 40% loculations were found on admission and were associated with longer hospital stay, longer course of antibiotic therapy and more frequent need for surgery. Thoracentesis was performed in 72% of patients (mean pH pleural fluid 7.24. The aetiologic agent was identified in 17% of cases: Streptococcus pneumoniae (five, Staphylococcus aureus (four and Streptococcus pyogenes (four. In our study, 52% of patients underwent pleural drainage and 18% surgery. Median length of hospital stay was 15 days with mean 16.4 days (2 – 51.Discussion: Factors associated with worse prognosis were respiratory distress, loculations, empyema, low pH in pleural fluid, glucose or proteins in pleural fluid, high lactic dehydrogenase level in pleural fluid and high serum C-reactive protein. Pleural drainage and/or surgery can shorten hospital stay and improve outcome

  10. Hospitals; hospitals13

    Data.gov (United States)

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

  11. Percepção sobre o apoio social do homem colostomizado na região Norte de Portugal

    Directory of Open Access Journals (Sweden)

    Francisco Firmino dos Reis

    2014-12-01

    Full Text Available Objetivo: Avaliar a percepção do homem colostomizado sobre o apoio social recebido; verificar a relação entre o apoio social percebido e as variáveis sociodemográficas, a informação prestada, o apoio efetivamente recebido, e a realização do ensino no hospital. Métodos: Trata-se de um estudo descritivo-correlacional, transversal, de abordagem quantitativa, com uma amostra de 112 homens portadores de uma colostomia há mais de um ano, em três unidades da região Norte de Portugal. Resultados: A média de idades dos inquiridos era de 59,9 anos, 67,9% encontrava-se não ativo perante o trabalho, 49,5% percepcionou o apoio social como suficiente, mas 36,2% apoio social insuficiente. A percepção do apoio social é menor nos sujeitos mais velhos (r = -0,166; p = 0,018. Conclusão: Este estudo permitiu perceber que o cônjuge é muito importante na vida do homem colostomizado, nomeadamente nos momentos de dificuldades inerentes à doença, sendo a sua principal rede de apoio.

  12. Prevalence and risk factors of early fecal carriage of Enterococcus faecalis and Staphylococcus spp and their antimicrobial resistant patterns among healthy neonates born in a hospital setting in central Saudi Arabia.

    Science.gov (United States)

    El-Kersh, Talat A; Marie, Mohammed A; Al-Sheikh, Yazeed A; Al-Agamy, Mohamed H; Al Bloushy, Ahmad A

    2016-03-01

    To investigate the prevalence, antibiotic resistant profiles, and risk factors of early fecal carriage of Enterococcus faecalis (E. faecalis) and staphylococci among 150 healthy Saudi neonates born in a hospital setting in central Saudi Arabia. This prospective study was conducted in Al-Bukayriyah General Hospital, Qassim, Saudi Arabia, between June 2012 and January 2013. The E. faecalis and Staphylococcus spp. isolates were identified manually, and Vitek2 system was used for identity confirmation at the species level and minimum inhibitory concentration-susceptibility testing. Enterococcus faecalis (n=73) and Staphylococcus spp. (n=18) were recovered. Unlike staphylococci, E. faecalis colonization did not significantly vary from day one up to 7 days of life, regardless of the type of feeding, but it was relatively higher among vaginally versus cesarean delivery. Both Staphylococcus epidermidis (S. epidermidis) and Staphylococcus aureus (S. aureus) carriage increase as the body weight increases, and this difference was significant (p=0.025) for S. epidermidis. High-level resistance in Gentamycin among E. faecalis isolates was 25% and 11% to Streptomycin. Thirty percent of S. epidermidis were resistant to oxacillin and exhibited multidrug-resistant (MDR) patterns of 5 resistant markers, which were also observed among 2/5 (40%) of Methicillin-resistant Staphylococcus aureus isolates. Enterococcus faecalis did not significantly vary in relation to type of delivery, age up to 7 days, and type of feeding. The neonatal fecal carriage of MDR isolates should be considered as a crucial reservoir to the further spread of antimicrobial resistance genes among hospitals, cross infections, and the community.

  13. Población commuter de la frontera norte: el caso de Mexicali-Calexico y Tijuana-San Diego

    Directory of Open Access Journals (Sweden)

    Germán Vega Briones

    2016-01-01

    Full Text Available El objetivo central de este trabajo es analizar el perfil sociodemográfico de los trabajadores transfronterizos o commuters de las ciudades de Tijuana-San Diego y Mexicali- Calexico de acuerdo con el sexo y el lugar donde se encuentra el trabajo. Los trabajadores transfronterizos o commuters son los individuos que residen en alguna ciudad de la frontera norte de México, pero cotidianamente cruzan la línea fronteriza para trabajar en la ciudad estadounidense contigua. La información que se utiliza para realizar este estudio es la obtenida por el Censo de Población y Vivienda mexicano del año 2010; sin embargo, el análisis sobre el perfil de los commuters se complementa con información de carácter etnográfico producto de diversas entrevistas realizadas a los trabajadores transfronterizos, principalmente en las ciudades de Tijuana y Mexicali. Consideramos que esta población tiene una imagen individual y cotidiana más completa de la compleja relación que se da en la frontera México-Estados Unidos, dada su característica principal de interacción continua entre ambos lados de la frontera. Ello al mismo tiempo nos permite contar con una visión más profunda de una realidad fronteriza que se basa en la dependencia creada y recreada en las sociedades tanto mexicana como estadounidense.

  14. Aves y endemismo en los bosques relictos de la vertiente occidental andina del norte del Perú y sur del Ecuador

    Directory of Open Access Journals (Sweden)

    Jeremy N. M. Flanagan

    2013-05-01

    Full Text Available Los bosques relictos de las vertientes occidentales de los Andes del norte del Perú y el sur del Ecuador forman parte de dos regiones, una la denominada región de endemismo tumbesina (caracterizada principalmente por bosques secos y otra, en altitudes mayores, la región de endemismo del sur de los Andes centrales (caracterizada por bosques nublados y páramo. La región tumbesina es reconocida por albergar gran cantidad de aves endémicas, muchas de las cuales están amenazadas, y también por el alto grado de deforestación y fragmentación de sus hábitats naturales. Este artículo presenta un resumen del estado de conservación de dichas aves y bosques, con recomendaciones para mejorar la conservación de los últimos bosques de la vertiente occidental.

  15. Cambio de uso de suelo y vegetación derivados de la dotación de infraestructura: Sierra norte del Estado de Puebla

    Directory of Open Access Journals (Sweden)

    María Lourdes Guevara Romero

    2014-01-01

    Full Text Available El desarrollo integral así como el manejo de los recursos naturales y del ambiente, representan una de las preocupaciones centrales del desarrollo en los últimos años. Los cambios de uso de suelo y vegetación, son los mejores indicadores de la forma en que se ha echado mano del entorno, también es el resultado de la interacción de factores naturales y de factores humanos, por lo que resulta relevante conocer cuáles han sido las prácticas humanas asociadas a las condiciones físico-naturales en el contexto de la dotación de infraestructura, analizadas desde la perspectiva de los cambios de uso de suelo y vegetación y el impacto que traen a los habitantes de las comunidades de la Sierra Norte del estado de Puebla y su contribución al desarrollo regional.

  16. Competencia intercultural de estudiantado de educación superior: Un estudio en la Universidad del Norte (Barranquilla. Colombia) / Intercultural Competences of higher education students at Universidad del Norte

    National Research Council Canada - National Science Library

    John Cano Barrios; Carmen Ricardo Barreto; Francisco Del Pozo Serrano

    2016-01-01

    ... (La Universidad del Norte, Barranquilla), donde existe gran diversidad multicultural y pluriétnica. El objetivo general es analizar el nivel de desarrollado de la competencia intercultural de estudiantado virtual en los programas de grado...

  17. Critical hospitality management research

    OpenAIRE

    Lugosi, Peter; Lynch, Paul; Morrison, Alison

    2009-01-01

    This paper discusses the development of critical hospitality management research (CHMR) and explores key issues that such approaches raise. The paper is split into two parts. The first reviews contemporary writings that reflect the changing nature of hospitality management research and accounts for the emergence of a critical tradition. The second part identifies eight areas which are central concerns for the future development of CHMR: criticality, ethics and advocacy, scale, claims of legit...

  18. INNOVATION: A NECESSARY PROCESS FOR SMALL AND MEDIUM COMPANIES OF SAN JOSE DE CUCUTA MUNICIPALITY, NORTE DE SANTANDER (COLOMBIA)

    National Research Council Canada - National Science Library

    William R Avendaño C

    2012-01-01

      AVENDANO C., William R.. INNOVATION: A NECESSARY PROCESS FOR SMALL AND MEDIUM COMPANIES OF SAN JOSE DE CUCUTA MUNICIPALITY, NORTE DE SANTANDER (COLOMBIA). Semest. Econ. [online]. 2012, vol.15, n.31, pp. 187-208. ISSN 0120-6346...

  19. Identificacion y fluctuacion poblacional del minador de la hoja Liriomyza trifolii en Chile jalapeno en el Norte de Sinaloa

    National Research Council Canada - National Science Library

    Valenzuela-Escoboza, Fernando Alberto; Bautista Martinez, Nestor; Refugio Lomeli Flores, Jose; Valdez Carrasco, Jorge Manuel; Cortez Mondaca, Edgardo; Palacios Torres, Rogelio Enrique

    2010-01-01

    .... Este cultivo es una importante fuente de empleos y de derrama economica. Se identificaron las especies de minadores de la hoja y su fluctuacion poblacional en el cultivo de chile jalapeno en tres municipios del norte de Sinaloa...

  20. Bibliografia sobre organismos, ambientes y procesos marinos y atmosfericos en Bahia Culebra, Pacifico norte, Guanacaste, Costa Rica

    National Research Council Canada - National Science Library

    Cortes, Jorge

    2012-01-01

    Bahia Culebra se locoaliza en la parte norte de la costa Pacifica de Costa Rica. Es una region de afloramiento estacional, rica en ambientes y organismos marinos, y ademas, la zona de mayor desarrollo turistico del pais...

  1. Characterization of ceramic product of the Apodi region in Rio Grande do Norte, Brazil; Caracterizacao do produto ceramico da regiao do Apodi no Rio Grande do Norte

    Energy Technology Data Exchange (ETDEWEB)

    Sousa, Maria R.; Freire, Juvenise T.C., E-mail: rosimar.sousa@jfrn.edu.br, E-mail: juvenise.costa@ifrn.edu.br [Instituto Federal de Educacao, Ciencia e Tecnologia do Rio Grande do Norte (IFRN), Mossoro, RN (Brazil)

    2011-07-01

    Due to the great precariousness of information on ceramics products, as the brick of Rio Grande do Norte state, the purpose of this work was to analyze the physical and mechanical characteristics of ceramic bricks for construction manufactured in Assu region of the state. Therefore, samples were collected in cities belonging to different potters poles. The bricks were subjected to several tests: visual, absorption, suction, compressive strength, dimensions and flatness deviation from the square. According to ABNT standard, the products need some improvement in quality.

  2. Frontera entre 'áreas culturales' nor y centroandinas en los valles y la costa del extremo norte peruano

    Directory of Open Access Journals (Sweden)

    1991-01-01

    Full Text Available FRONTIÈRE ENTRE LES 'AIRES CULTURELLES' NORD ET CENTRE ANDINES DANS LES VALLÉES ET SUR LA CÔTE DE L'EXTRÊME NORD DU PÉROU. Dans les pages suivantes les informations archéologiques qui traitent de la côte et des vallées de l'extrême nord du Pérou seront réunies, comparées et discutées, dans le but de reconstituer les déplacements de la frontière entre les 'aires culturelles' nord et centre andines. Cette frontière constitue la limite septentrionale de 'l'organisation andine' de la production et de 'l'ordre andin' qui permet d'assurer la reproduction sociale. En las páginas siguientes se tratará de reunir, comparar y discutir las informaciones arqueológicas sobre la costa y los valles del extremo norte del Perú, con el fin de rastrear los desplazamientos de la frontera entre las 'áreas culturales' norandina y centroandina. Esta frontera constituye el límite septentrional de la 'organización andina' de la producción y del 'orden andino' que permite asegurar la reproducción social. BORDERS SET AMONG VALLEYS OF THE NORTH AND CENTRAL HIGHLAND 'CULTURAL AREAS' AND THE COAST OF THE PERUVIAN EXTREME NORTH. An attempt to gather, compare and discuss archaeological information on the coast and valleys of the peruvian extreme north is going to be made through the following pages, in order to trace the displacements of borders among the north and central highland 'cultural areas'. This frontier constitutes a septentrional limit for the 'andean organization' and the 'andean order' of the production which allows to ensure social reproduction.

  3. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  4. HCAHPS - Hospital

    Data.gov (United States)

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

  5. Hospital Compare

    Data.gov (United States)

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

  6. Sistemática filogenética de las lagartijas del género Stenocercus (Squamata: Iguania de los Andes del norte Phylogenetic systematics of lizards of the genus Stenocercus (Squamata: Iguania from the northern Andes

    Directory of Open Access Journals (Sweden)

    Omar Torres-Carvajal

    2009-12-01

    Full Text Available El género Stenocercus está compuesto por 61 especies que se distribuyen principalmente en los Andes y tierras bajas aledañas (0-4 000 m, desde el norte de Colombia y Venezuela hasta el centro de Argentina. En este trabajo se realizaron análisis de parsimonia e inferencia bayesiana para estudiar las relaciones filogenéticas entre las 20 especies de Stenocercus que habitan en los Andes del norte (Ecuador, Colombia y Venezuela, utilizando datos morfológicos y moleculares por separado y en combinación. Los análisis dieron como resultado topologías similares indicando que las especies de Stenocercus de los Andes del norte están divididas en 2 clados. Uno contiene 6 especies distribuidas entre el sur de Ecuador y sur de Colombia, mientras que el otro tiene 13 especies distribuidas desde el sur de Ecuador hasta el norte de Colombia y Venezuela. Los resultados también sugieren que la reciente formación de los Andes del norte ha tenido gran influencia sobre la evolución de Stenocercus.The genus Stenocercus is composed of 61 species that occur mainly in the Andes and adjacent lowland areas (0-4 000 m from northern Colombia and Venezuela to central Argentina. In this study, I performed parsimony and Bayesian analyses to infer the phylogenetic relationships among the 20 species of Stenocercus that occur in the northern Andes (Ecuador, Colombia, and Venezuela; I analyzed morphological, molecular, and combined datasets. These analyses resulted in similar topologies, which indicate that species of Stenocercus from the northern Andes are nested within 2 major clades. One of these clades contains 6 species occurring between southern Ecuador and southern Colombia, whereas the other clade includes 13 species that occur from southern Ecuador to northern Colombia and Venezuela. The results also suggest that the recent uplift of the northern Andes has had a major impact on the evolution of Stenocercus.

  7. La subida de los precios de los alimentos: Una mirada al Norte de África

    Directory of Open Access Journals (Sweden)

    Alberto Priego

    2013-01-01

    Full Text Available En los últimos 4 años el mundo ha sufrido al menos 3 crisis alimenticias. La explicación a este fenómeno tenemos que buscarla en un conjunto de diferentes causas (económicas, medioambientales, financieras, técnicas, políticas y sociales En el norte de África dichas crisis han sido el detonante de procesos de cambios sociales y políticos que hemos denominado Primaveras Árabes. En el presente artículo vamos a analizar las causas que han provocado el alza del precio de los alimentos y las consecuencias sobre la población del Norte de África.

  8. CRISIS DEL SISTEMA MIGRATORIO Y SEGURIDAD EN LAS FRONTERAS NORTE Y SUR DE MÉXICO

    Directory of Open Access Journals (Sweden)

    Daniel Villafuerte Solís

    Full Text Available Resumen En este artículo se analizan las implicaciones de la crisis del sistema migratorio Centroamérica-México-Estados Unidos, que se evidenció con la llamada crisis humanitaria de los niños migrantes mexicanos y centroamericanos detenidos por la Patrulla Fronteriza. Una de las consecuencia ha sido el reforzamiento de las fronteras sur y norte de México para detener el flujo de migrantes, y para lo ello los gobierno de México, Guatemala, Honduras y El Salvador, en estrecha colaboración con la Casa Blanca, han diseñado diversas estrategias, que van desde el incremento de la vigilancia de los pasos fronterizos, contención y deportación de migrantes, hasta la implementación de la Alianza para la Prosperidad en el Triángulo Norte de Centroamérica.

  9. Rumbo al norte: nuevos destinos de la emigración veracruzana

    Directory of Open Access Journals (Sweden)

    María Eugenia Anguiano Téllez

    2005-01-01

    Full Text Available En este trabajo se describe el contexto de la emigración veracruzana reciente y se explora la participación de los veracruzanos en los flujos migratorios que transitan por la frontera norte mexicana. Con información del Consejo Nacional de Población, se analiza el contexto migratorio del estado de Veracruz entre 1955 y 1995 y se identifican los municipios veracruzanos con mayor grado de intensidad migratoria internacional en el quinquenio 1995-2000. De igual forma, con datos de la Encuesta sobre Migración en la Frontera Norte de México se examina la participación de los veracruzanos en el flujo de migrantes que se desplazan por las localidades fronterizas con destino a esta región o hacia Estados Unidos, identificando sus itinerarios de origen, tránsito y destino.

  10. Las dysyunciones anfitrópicas en las floras xerofíticas norte y sudamericanas

    NARCIS (Netherlands)

    Werger, M.J.A.

    1973-01-01

    A pesar de que en general las floras de América del Norte y del Sur son muy distintas, hay sin embargo una serie de coincidencias. Los casos más extraños son aquellas áreas extratropicales, de ambas Américas, que poseen cierto numero de taxones comunes con amplia disyunción por faltar en las

  11. El huesped no invitado del TLCAN: China y la desintegracion del comercio en America del Norte

    National Research Council Canada - National Science Library

    Dussel Peters, Enrique; Gallagher, Kevin P

    2013-01-01

    ... que existian antes del ingreso chino a la OMC y despues de la primera etapa del Tratado de Libre Comercio de America del Norte (TLCAN) (1994-2000). Sobre la base de esta investigacion, los autores sugieren una variedad de opciones de politicas para revitalizar el comercio entre los Estados Unidos de America y Mexico y cooperar con China en la economia mundial. PALABRAS CLAVE Comercio internacional, China, relaciones economicas internacionales, libre comercio, Mexico, Estados Unidos, nafta, politica comerci...

  12. Impacto subregional del TLCAN. Sonora en el contexto de la frontera norte

    Directory of Open Access Journals (Sweden)

    María del Carmen Hernández Moreno

    2008-01-01

    Tal es el caso de Sonora, ubicado en la frontera norte de México, cuya posición estratégica auguraba mejores expectativas. El presente trabajo tiene como objetivo aportar una evidencia más de que un modelo de crecimiento sustentado sobre bases exógenas logra resultados muy pobres en el mediano y largo plazos, y no permite la potenciación de las capacidades locales

  13. Renealmia alpinia (Rottb.): Maas (Zingiberaceae): an edible plant from Sierra Norte de Puebla (México)

    OpenAIRE

    Macía, Manuel Juan

    2002-01-01

    The edible fruits of Renealmia alpinia are highly valued in the Sierra Norte de Puebla (Mexico) where they are managed at a household level. This plant is wild in the region, although a rare species. The aril of the fruit is the edible part. After harvesting, the aril is extracted fresh and processed for local consumption. Sometimes the fruits are commercialized in traditional markets. Only 19% of the total weight of the fruits is used for food.

  14. Correlates of Queen Pineapple (AnanascomosusLinn) Farming Practices in Camarines Norte, Philippines

    OpenAIRE

    Sonia S. Carbonell

    2015-01-01

    This study aimed to provide valuable information about the realities of the Queen pineapple (QP) farmers in Camarines Norte, highlighting their farming practices and worldview about sustainable development. Most of the respondents are owner-operator having a mean farm size of 1.33 hectares devoted to queen pineapple farming and crop diversification with two to seven crops combined to augment income. Cropping pattern employed by most of the respondents is multiple cropping, specifically interc...

  15. Putin e o escudo nuclear norte-americano: uma nova Guerra Fria?

    Directory of Open Access Journals (Sweden)

    João Fábio Bertonha

    2010-11-01

    Full Text Available A decisão norte-americana de instalar na República Tcheca e na Polônia mísseis anti-balísticos repercutiu enormemente na Rússia. Nesse sentido o presente artigo analisa, sob a ótica da segurança internacional, essa atitude do governo Bush e as suas repercusões e conseqüências internacionais.

  16. Hospitality and hospitableness | Lashley | Research in Hospitality ...

    African Journals Online (AJOL)

    Not long after the word hospitality emerged as a collective noun to describe the commercial provision of services associated with accommodation, drinking and eating, some academics began to investigate the meanings of hospitality and hospitableness. Whilst most academic programme provision related to developing ...

  17. Integrated surveillance of pulmonary tuberculosis and paragonimiasis in Zamboanga del Norte, the Philippines.

    Science.gov (United States)

    Belizario, Vicente; Totanes, Francis Isidore; Asuncion, Camille Ann; De Leon, Winifreda; Jorge, Manuel; Ang, Concepcion; Naig, June Rose

    2014-03-01

    Pulmonary tuberculosis (PTB) and paragonimiasis remain as health problems in certain areas in the Philippines. Both share similar clinical manifestations, which include chronic productive cough, hemoptysis, dyspnea, fever, weight loss, and night sweats. This study aimed to determine the prevalence of PTB, paragonimiasis, and co-infections in Zamboanga del Norte, Philippines. This study was conducted in selected villages in two municipalities in Zamboanga del Norte. Patients with chronic cough were interviewed, examined, and requested to submit two sputum samples which were processed using Ziehl-Neelsen method to detect acid-fast bacilli (AFB), and NaOH concentration technique for the detection of Paragonimus ova. A total of 836 patients submitted sputum samples for examination. Prevalence was 6·7% (2·5-12·7%) for paragonimiasis and 1·9% (0·9-6·3%) for PTB. Co-infection rate was 0·3%, with two identified cases. Positivity rates for males and females were 9·6 and 5·8% for paragonimiasis and 3·4 and 1·2% for PTB. Pulmonary tuberculosis and paragonimiasis are co-endemic in Zamboanga del Norte, suggesting the need to integrate surveillance and control efforts. Strengthening local health systems through collaboration between different sectors is recommended for effective disease control. Development of more sensitive diagnostic tests is important for more accurate disease surveillance.

  18. History of mesquite introduction in Rio Grande do Norte State, Brazil

    Directory of Open Access Journals (Sweden)

    João Paulo Silva dos Santos

    2017-06-01

    Full Text Available The mesquite (Prosopis juliflora (Sw DC was established as a successful action of xerophilous introduction in Brazilian Northeast dry region. Its fruits are used in animal feed and the wood may be used as piles, firewood and charcoal. The species was introduced in 1942, spreading in "low areas" in Rio Grande do Norte, Paraiba, Pernambuco, Bahia and Piauí States. This article aims to elucidate how mesquite was introduced in Rio Grande do Norte State and to understand how it was spread. It was first introduced in Rio Grande do Norte State by the introduction experiments installed at São Miguel farm in the municipality of Angicos. The enthusiasm of technicians and researchers promoted the distribution of pods and seedlings on farms and cities in the state. In addition, there were government incentives to production, distribution and planting the species. This work aims to establish considerations to be used as historical basis on studies about this species and to consider aspects regarding current situation of this culture in Brazilian Northeast.

  19. Pediatric intussusception in a Saudi Arabian tertiary hospital | Al ...

    African Journals Online (AJOL)

    Because of this, we reviewed the cases and management of intussusception, seen at Aseer Central Hospital over a 7-year period. Materials and methods: Thirty four pediatric patients admitted at Aseer Central Hospital over a 7-year period (from 1993 to 2000) at Aseer Central Hospital, Southwestern region of Saudi Arabia ...

  20. Uso de drogas ilícitas e perspectivas críticas de familiares e pessoas próximas na cidade do Rio de Janeiro - Zona Norte, Brasil El uso de las drogas ilícitas: perspectiva de familias y familiares en la Zona Central de Rio de Janeiro, Brazil Illicit drug use and the critical perspectives of drug users' relatives and acquaintances in Northern Rio de Janeiro (City, Brazil

    Directory of Open Access Journals (Sweden)

    Cristina Maria Douat Loyola

    2009-01-01

    Full Text Available O trabalho apresenta resultados quantitativos do Brasil, recorte centro da cidade do Rio de Janeiro (n=108, de uma pesquisa multicêntrica, multimétodos e corte temporal, envolvendo sete países latino-americanos e Canadá. A pergunta central da pesquisa foi "como familiares e pessoas próximas a usuários de drogas ilícitas descrevem fatores de proteção e de risco, iniciativas de prevenção, serviços de tratamento, leis e políticas sobre as drogas ilícitas". Os dados quantitativos foram coletados por meio de instrumento com perguntas fechadas, aplicados em 108 jovens adultos >18anos que se identificaram como pessoalmente afetados pela droga sem serem usuários. Para 104 entrevistados (96%, a dinâmica familiar que mais expõe à droga é a negligência e, para 106 (98%, a que mais protege é a relação de apoio com os pais. A política, a polícia e o sistema criminal não têm diminuído o consumo e não protegem o usuário.El trabajo presenta resultados cuantitativos de Brasil; el estudio se realizó en el centro de la ciudad de Río de Janeiro (n=108; es parte de una investigación multicéntrica, multimétodos y de corte temporal, en la que participaron a siete países Latinoamericanos y Canadá. La pregunta central del estudio fue "¿Cómo describen los familiares y las personas próximas a los usuarios de drogas ilegales los factores de protección y de riesgo, las iniciativas de prevención, los servicios de tratamiento, las leyes y las políticas sobre drogas ilegales?". Los datos cuantitativos fueron recolectados a través de un cuestionario con preguntas cerradas, que fue aplicado en 108 jóvenes adultos mayores de 18años, que se identificaron como personalmente afectados por la droga sin ser usuarios. Se encontró que para 104 de los entrevistados(96%, la dinámica familiar que más expone a la droga es la negligencia; también que la política, la policía y el sistema criminal no han disminuido el consumo de drogas y no

  1. The interstices of hospitality

    African Journals Online (AJOL)

    jane.b

    that mixes ideals of goodness and beauty. What is the ritual of hospitality? It is a scene, in the theatrical sense of the word, with two central actors, whether individual or collective, one considered to be the host and the other the guest, with precise marking points in both time and space. Whether in the home, in the street, ...

  2. predictors for hospital admission

    African Journals Online (AJOL)

    cations were more pronounced in infants yo¡jnger than six months of age, in infants affected by RSV and in infants who had never been breast fed. Acknowledgment. We thank the medical students, the hou: e officers, the residents and the nurses at the pediatric emergency room and the pediatric ward at Assir Central Hospit ...

  3. Neuropsychological Counseling in Hospital Settings.

    Science.gov (United States)

    Larson, Paul C.

    1992-01-01

    Explores integration of counseling psychology and neuropsychology in hospital setting. Sees example of such interchange occurring in rehabilitation unit or hospital where psychologist has responsibilities for helping patients, families, and staff to understand implications of central nervous system dysfunction and to adapt to changes. Discusses…

  4. Análisis de dieta y movilidad en un campamento arcaico del Norte de Chile

    Directory of Open Access Journals (Sweden)

    1982-01-01

    Full Text Available L'auteur de cet article identifie un établissement archaïque précoce, situé dans la vallée de Tiliviche (Nord du Chili, à 40 Km de la côte, daté entre 7.810 et 4.110 av. J.C. et où les fouilles ont révélé des composants locaux et maritimes. Il analyse les premiers tests avec des échantillons de coprolithes et des dépôts de déchets, pour proposer un modèle singulier de déplacement côte-oasis intérieurs. Il synthétise le contenu culturel du campement et les évidences de transferts primitifs de ressources, comme l'une des réponses d'adaptation les plus efficientes qui se serait produites sur les terres basses de l'aire centre-sud-andine. Ces événements dynamiques auraient couvert un vaste espace vital, intégré grâce à l'accès à des ressources complémentaires extra-côtières. Se identifica un asentamiento arcaico temprano en la quebrada de Tiliviche (Norte de Chile, a 40 km. de la costa, datado entre los 7.810 a 4.110 años A.C., con componentes locales y marítimos. Se analizan los primeros tests con muestras de coprolitos y depósitos de desperdicios, para proponer un singular patrón de movilidad costa-oasis interiores. Se sintetiza el contenido cultural del campamento y las evidencias de tempranos traslados de recursos como una de las respuestas adaptativas más eficientes ocurridas en las tierras bajas del área Centro-Sur andino. Estos eventos dinámicos habrían cubierto un amplio espacio vital, integrado a través del acceso a recursos complementarios extra-costeños. An early archaic settlement is identified in Tiliviche Valley (Northern Chile, at a distance of 40 kilometers from the coast, dated 7.810 to 4.110 B.C. with local and maritime components. The first tests on coprolite samples and garbage deposits are analysed, to propose a singular mobility pattern, from the coast to interior oases. A synthesis is made of the cultural content of the settlement and evidence of early shifts of resources as one of

  5. Usos y acepciones de chino, china en el norte del Perú, siglos XVIII-XIX

    Directory of Open Access Journals (Sweden)

    Luis Andrade Ciudad

    2014-07-01

    Full Text Available ResumenSe estudian los usos de la palabra chino, china en el norte peruano, entre los siglos XVIII y XIX, a partir de documentos históricos y coplas de la lírica popular. En contra de propuestas anteriores, se confirma el uso efectivo del término, sobre todo en su forma femenina, y se postulan dos acepciones: la primera, vinculada a la terminología de castas, alude a un tipo de mestizaje que une los troncos indio y africano, con un componente menor, variable, de “sangre blanca”, mientras que la segunda hace referencia a una mujer joven, generalmente campesina. Se estudia también el uso de la palabra como una fórmula de apelación a la amada en la lírica popular y se concluye que, aunque probablemente esta fórmula se derivó de la terminología racial, la palabra rápidamente adquirió matices afectivos positivos, con lo cual permitió aludir a la mujer cercana, aquella que era posible cortejar. Se sugiere que la antigua acepción ‘criada’, central en las fuentes coloniales del XVI y el XVII, se empezó a desdibujar en el período estudiado y, en línea con trabajos previos, se postula una competencia entre este lexema y la palabra homófona referida a las migrantes asiáticas desde fines del XIX.Palabras clave: categorización racial de seres humanos, lexicología, norte del Perú, siglos XVIII y XIXAbstractThis paper studies the uses of the word chino, china in northern Peru in the eighteenth and nineteenth centuries, via historical documents and popular poetry couplets. Contrary to previous proposals, we corroborate the actual use of this term, especially in its feminine form, and we propose two possible meanings for it: the first, linked to caste terminology, refers to a type of “racial mix” between “Indian” and “African”, with a minor and variable component of “white blood”, while the second refers to a young woman, usually a peasant. We also examine the use of the word as a formulaic

  6. Early Mortality during Initial Treatment of Tuberculosis in Patients Co-Infected with HIV at the Yaounde Central Hospital, Cameroon: An 8-Year Retrospective Cohort Study (2006-2013.

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    Jean Joel R Bigna

    Full Text Available Understanding contributors to mortality during the initial phase of tuberculosis (TB treatment in patients co-infected with HIV would guide targeted interventions to improve survival. The aim of this study was to ascertain the incidence of death during the initial 2 months (new cases and 3 months (retreatment cases of TB treatment and to assess correlates of mortality in HIV co-infected patients.We conducted a hospital-based retrospective cohort study from January 2006 to December 2013 at Yaoundé Central Hospital, Cameroon. We reviewed medical records to identify co-infected TB/HIV inpatients aged 15 years and older who died during TB treatment. Death was defined as any death occurring during TB treatment, as per World Health Organization recommendations. We collected socio-demographic, clinical and laboratory data. We conducted multivariable logistic binary regression analysis to identify factors associated with death during the intensive phase of TB treatment. Magnitudes of associations were expressed by adjusted odds ratio (aOR with 95% confidence interval. A p value < 0.05 was considered statistically significant.The 99 patients enrolled had a mean age of 39.5 (standard deviation 10.9 years and 53% were male. Patients were followed for 276.3 person-months of observation (PMO. Forty nine patients were died during intensive phase of TB treatment. Death incidence during the intensive phase of TB treatment was 32.2 per 100 PMO. Having a non-AIDS comorbidity (aOR 2.47, 95%CI 1.22-5.02, p = 0.012, having extra-pulmonary TB (aOR 1.89, 95%CI 1.05-3.43, p = 0.035, and one year increase in duration of known HIV infection (aOR 1.23, 95%CI 1.004-1.49 were independently associated with death during the intensive phase of TB treatment.Mortality incidence during intensive phase of TB treatment was high among TB/HIV co-infected patients during TB treatment; and strongly associated with extra pulmonary TB suggesting advanced stage of immunosuppression and

  7. Central nervous system tuberculosis in children: review of 35 cases at the Hospital Universitario San Vicente de Paúl in Medellín, Colombia.1997-2004. Meningoencefalitis tuberculosa en niños: Revisión de 35 casos en el Hospital Universitario San Vicente de Paúl en Medellín, Colombia. 1997-2004

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2005-04-01

    Full Text Available Objetive. To document the clinical and diagnostic features and to explore factors associated with central nervous system tuberculosis at the “Hospital San Vicente de Paúl (HUSVP” in Medellín-Colombia. Patients and methods. Review of the patient’s records to obtain information on demographic data, medical history, clinical manifestations, laboratory results, treatment and complications of 35 children with central nervous system tuberculosis admitted to the hospital between July 1997 and July 2004. Results. Of the 35 patients, 20 were males and 15 females. Mean age was 3.7 years. Thirty (85.7% patients were in stage III of the disease and 5 (14.3% in stage II. A symptomatic respiratory close contact was documented in 19 cases (54.3%. Malnutrition was present in 18 patients (51.4%. Fever was present in 88.6%, vomiting in 62.9%, consciousness alteration in 80%, and seizures in 51.4%. Mean duration of symptoms was 10 days. Physical examination revealed meningeal signs in 77%, movement disorders in 31.4%, stupor or coma in 82.9%, hemiparesis in 60% and fundoscopic abnormalities in 31.4%. Objetivo: documentar los rasgos clínicos y diagnósticos y explorar los factores asociados con la muerte de niños con meningoencefalitis tuberculosa (MT en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia. Método: revisión de las historias clínicas para obtener los datos demográficos, clínicos, de laboratorio, de tratamiento y de las complicaciones de 35 niños con tuberculosis del sistema nervioso central, entre julio de 1997 y julio de 2004. Resultados: veinte de los 35 pacientes eran niños y 15 niñas. La edad promedio era 3.7 años; 30 (85.7% estaban en el estadio III de la enfermedad y 5 (14.3%, en el estadio II. Se documentó un contacto sintomático respiratorio en 19 casos (54.3%. Diez y ocho pacientes (51.4% estaban desnutridos. Hubo fiebre en 88.6%, vómito en 62.9%, alteración de la conciencia en 80% y convulsiones en 51

  8. Pb-Pb Dating mono zircon from Gloria Norte Massif, Sergipano belt; Datacao de Pb-Pb em monozircao do Macico Gloria Norte, faixa Sergipana

    Energy Technology Data Exchange (ETDEWEB)

    Lisboa, V.A.C.; Rosa, M.L.S.; Conceicao, H., E-mail: viniciuslisboa1@hotmail.com [Pós-Graduacão em Geociências e Análise de Bacias/Universidade Federal de Sergipe, São Cristóvão, SE (Brazil); Macambira, M.J.B.; Galarza, M.A. [Pós-Graduacão em Geociências/Universidade Federal do Pará, Belem, PA (Brazil); Rios, D.C. [Departamento de Geologia/Universidade Federal da Bahia, Salvador, BA (Brazil)

    2014-11-01

    The Gloria Norte Massif (MGN) has about 50 km{sup 2} in area, lies between the cities of Nossa Senhora da Gloria and Monte Alegre, northeastern Sergipe state, is composed of monzonitic rocks, being intrusive in metasediments Domain Macurure, in the Sergipano Belt. In this study Pb-Pb geochronological determinations were performed using the evaporation technique single crystals of zircon in MGN. Two samples were analyzed (03A and 12A) and the results were ages of 646 ± 2.5 Ma and 650 ± 4.5 Ma, place this magmatism in the Cryogenian period. These data may imply that around 645-655 Ma, there was an active magmatic arc in this region of the Sergipano Belt. (author)

  9. Central de regulação de leitos do SUS em Belo Horizonte, Minas Gerais, Brasil: avaliação de seu papel pelo estudo das internações por doenças isquêmicas do coração The hospital bed referral center under the Unified National Health System in Belo Horizonte, Minas Gerais State, Brazil: the case of hospitalization for ischemic heart disease

    Directory of Open Access Journals (Sweden)

    Patrícia Alves Evangelista

    2008-04-01

    Full Text Available A Central de Internações de Belo Horizonte, Minas Gerais, Brasil, visa tornar ágil o acesso às internações pelo Sistema Único de Saúde (SUS. Entretanto, muitas internações ocorrem diretamente nos hospitais, sem intermediação da Central de Internação. O estudo comparou as características das internações realizadas em 2002, com relação à via de acesso. Foram selecionadas internações com hipótese diagnóstica de infarto agudo do miocárdio e insuficiência coronariana aguda. De 3.705 internações, 24,9% foram realizadas pela Central de Internação e 75,1% por via direta. As proporções de internações via direta foram maiores que pela Central de Internação para pacientes > 70 anos, internados por insuficiência coronariana aguda, na clínica cirúrgica e no fim de semana. Os percentuais das internações via Central de Internação foram maiores que os feitos por via direta para residentes em outros municípios, em hospitais não públicos e com utilização de UTI. O número de dias de internação também foi diferente entre as vias. O estudo mostrou diferenças nas características das internações realizadas pelas duas vias de acesso.The hospital admissions center in Belo Horizonte, Minas Gerais State, Brazil, aims to assure fast, timely, and equitable access to hospitalization services through the Unified National Health System. However, many patients are admitted directly to the hospitals, without going through the admissions center. This study compared the characteristics of hospitalizations in Belo Horizonte in 2002 according to type of access. All admissions for acute myocardial infarction and acute coronary disease were included. Of 3,705 admissions, 24.9% were processed through the hospital admissions center and 75.1% through direct access. Direct hospitalizations were more common as compared to processing by the hospital admissions center for patients > 70 years , those with presumptive diagnosis of acute

  10. [The indigenous population of Sierra Norte de Puebla].

    Science.gov (United States)

    Marquez Gonzalez, G

    1991-06-01

    The northern sierra region of Pueblo, Mexico, contains 1496 communities in 65 municipios and covers 1/4 of the area of the state of Puebla. The topography is steep and mountainous, and the area is inaccessible. The region contains the 3 principal zones of Mesoamerica, hot lands from sea level to 700 meters above sea level, temperate zones from 700-1500 meters, and cold country from 1500-2000 meters above sea level. Most of the population resides in the temperate and cold lands, but the hot zones are economically important. Little is known of the prehistory of the area. The Totonac were believed to have been the earliest settlers. In the mid-15th century numerous Nahua groups came to the area. In the late 15th century the region fell to the Aztecs, but their dominion was cut short by the arrival of the Spanish. Spanish penetration was relatively slow because of the difficult terrain and the lack of precious metals desired by the Spanish. The introduction of coffee cultivation in the late 19th century accelerated the adoption of urban-mestizo sociocultural and commercial elements by the indigenous population. The population of the northern sierra increased from 752,656 in 1980 to 965,976 in 1990. The 1980 census reported that 259,140 persons spoke indigenous languages, including 179,677 who spoke Nahuatl, 66,020 Totonaco, and 4921 Otomi. The most important cities are located on paved roads: Teziutland, Zacatlan, Hauachinango, and Zacapoaxtla. The municipios with predominantly monolingual indigenous populations are concentrated in the most difficult to reach areas of the central sierra massif. The region is characterized by temporary and permanent emigration of the indigenous population. The main reasons for emigration are lack of land and of alternative sources of employment, and desire for education. During the months August-December, known as the time of hunger, there is seasonal migration of household heads in search of work as laborers in cane cutting, tobacco

  11. Aspectos ergonômicos na transferência de pacientes: um estudo realizado com trabalhadores de uma central de transportes de um hospital universitário Aspectos ergonómicos en la transferencia de enfermos: un estudio hecho com trabajadores de una central de transportes de un hospital universitário The transfer of patients and its ergonomic aspects: a study conducted at a university hospital lifting center

    Directory of Open Access Journals (Sweden)

    Cristiane Gonzales Rossi

    2001-09-01

    Full Text Available Com o objetivo de avaliar aspectos ergonômicos na transferência de pacientes com a utilização de maca e cadeira de rodas, observou-se 249 transferências realizadas por trabalhadores da Seção de Escolta de um Hospital Universitário. Os resultados sugerem que a existência dessa equipe é uma iniciativa que deve ser estimulada mas que esses trabalhadores precisam de treinamento específico sobre movimentação e transporte de pacientes e de terem à disposição materiais auxiliares e equipamentos mecânicos.Com el objetivo de avaliar aspectos ergonómicos de transferencia de enfermos com utilización de maca y silla de ruedas, observarán se 249 transferencias realizadas por trabajadores de la Sección de Escolta (Acompañamiento de un Hospital Universitário. Los resultados sugerem que la existencia desse equipo es una iniciativa que debrá ser estimulada. Pero esos trabajadores necessitan entrenamiento especifico sobre mobilizacion y transporte de enfermos e necessitam tener a disposicion materiales auxiliares y equipamentos mecânicos.The purpose of this study was to evaluate ergonomic aspects involved in using a stretcher and a wheel chair to transfer patients. 249 transfers carried out by the workers of a university hospital lifting sector were observed. The observations showed that the idea of having a team to transfer patients has to be stimulated but the members of the team require specific training in handling and transferring patients. Mechanical equipment and other devices should also be available.

  12. Perinatal outcome analysis of twin pregnancies at the Department of Obstetrics and Gynecology Central Clinical Hospital of Ministry of Interior and Administration in Warsaw in the years 2005-2006.

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    Krzysztof T Niemiec

    2008-04-01

    Full Text Available A group of 59 twin pregnant women who gave birth at the Department of Obstetrics and Gynecology Central Clinical Hospital of Ministry of Interior and Administration in Warsaw in the years 2005-2006. The patients have been divided into four groups: spontaneous twin pregnant women (n=16, twin pregnant women after in- vitro fertilization (IVF (n=11, twin pregnant women after in-vitro fertilization with intracytoplasmic sperm injection (ICSI (n=29 and twin pregnant women after ICSI and transfer of frozen embryos (n=3. In one case intrauterine death of one of twins in the 34th week of gestation has been noticed. The cause of the death was umbilical cord wrapped around his neck. The gestation was ended with cesarean section and Apgar score of the second twin was 8 in the fifth minute. In one case there was an urgent indication for a cesarean delivery of children with a very low birth weight (because of intrauterine infection, preterm labor in progress and in three cases at least one of twins with a low birth weight. Among the group 19 women (32% have given birth prematurely. The Apgar score in the first, third and fifth minute has been statistically significant and inversely proportional dependent only on the gestational age. There were no differences in birth weight among study groups regardless the way of conception. Only two spontaneous twin pregnant patients have had a vaginal labor. By the remaining 57 patients there has been an elective cesarean section in thirty five cases and there has been an urgent indication for cesarean section in twenty two cases.

  13. Complicações pós-cirúrgicas em pacientes implantados no Programa de Implante Coclear do Rio Grande do Norte Postoperative complications in implanted patients in the Cochlear Implant Program of Rio Grande do Norte - Brazil

    Directory of Open Access Journals (Sweden)

    Luiz Rodolpho Penna Lima Júnior

    2010-08-01

    Full Text Available A cirurgia de implante coclear é considerada segura na reabilitação auditiva de portadores de disacusia de grau severo a profundo. Por se tratar de um procedimento cirúrgico, complicações podem advir deste ato. As complicações da cirurgia de implante coclear refletem a complexidade da operação, a habilidade da equipe cirúrgica e dos riscos inerentes ao ato operatório. OBJETIVO: Determinar e comentar as complicações pós-cirúrgicas em pacientes implantados no Programa de Implante Coclear do Rio Grande do Norte. DESENHO DE ESTUDO: Coorte retrospectiva. MATERIAL E MÉTODOS: Avaliou-se 250 prontuários de pacientes implantados de agosto de 2000 a dezembro de 2008. Todos os implantes foram realizados pelo mesmo cirurgião. As complicações pós-cirúrgicas foram classificadas em menores, caso resolvam-se espontaneamente ou com mínima terapêutica, e maiores, quando requerem cirurgia adicional terapêutica ou internação. RESULTADOS: Em nossa amostra, 33 pacientes (13,2% apresentaram complicação pós-cirúrgica. Destes, complicações menores corresponderam a 20 casos (8,0%, enquanto complicações maiores ocorreram em 13 casos (5,2%, sendo os hematomas, as falhas dos sistemas e as infecções as de maior relevância clínica. CONCLUSÃO: Este estudo reafirma a segurança do procedimento cirúrgico quanto às possíveis complicações advindas do ato operatório e enfatiza a necessidade da capacitação e treinamento contínuo do cirurgião.Cochlear implant surgery is regarded as safe for the auditory rehabilitation of individuals suffering from profound/severe hearing loss. Complications may arise from the surgery. The complications of implant cochlear surgery reflect the operation complexity, the skill of the surgical team and the inherent risks of the procedure itself. AIM: To establish and discuss the postoperative complications in implanted patients from the Cochlear Implant Program of Rio Grande do Norte - Brazil. STUDY

  14. Central Venous Catheter (Central Line)

    Science.gov (United States)

    ... venous catheter (KATHeter), also known as a central line or CVC, is long, soft, thin, hollow tube ... into a large vein (blood vessel). A central line is much like an intravenous (IV) catheter that ...

  15. Comercio exterior y estructuras productivas en América del Norte

    OpenAIRE

    Aroche-Reyes, Fidel

    2014-01-01

    Este trabajo se propone evaluar el papel del comercio exterior en las estructuras económicas de Estados Unidos y México dentro del proceso de integración, tal como se encontraba alrededor de la firma del Tratado de Libre Comercio de América del Norte. De esta forma, se trata de encontrar indicadores del grado de integración entre esas economías en la década de 1990. La metodología de análisis se enmarca en el modelo insumo-producto. Los resultados indican que estas economías mantienen una rel...

  16. Comercio exterior y estructuras productivas en América del Norte

    OpenAIRE

    Aroche-Reyes, Fidel

    2001-01-01

    Este trabajo se propone evaluar el papel del comercio exterior en las estructuras económicas de Estados Unidos y México dentro del proceso de integración, tal como se encontraba alrededor de la firma del Tratado de Libre Comercio de América del Norte. De esta forma, se trata de encontrar indicadores del grado de integración entre esas economías en la década de 1990. La metodología de análisis se enmarca en el modelo insumo-producto. Los resultados indican que estas economías mantienen una rel...

  17. Percepción de habitantes del Norte de Santander sobre limitaciones del buen gobierno

    OpenAIRE

    Neida Coromoto Albornoz Arias; Rina Mazuera Arias

    2016-01-01

    El presente artículo analiza la percepción de habitantes del Norte de Santander (Colombia) sobre limitaciones del buen gobierno. Se consideran dos elementos del nuevo paradigma de gestión pública, propuestos por el Fondo de las Naciones Unidas para el Desarrollo y el Banco Mundial: ausencia de corrupción y confianza en las instituciones públicas (de todas las ramas del poder, en los ámbitos nacional, departamental y municipal). La percepción de los ciudadanos se obtuvo a través de la aplicaci...

  18. Virtual Visit to the ATLAS Control Room by Federal University of Rio Grande do Norte

    CERN Multimedia

    2013-01-01

    On June 27th, 2013, a Virtual Visit to the ATLAS Experiment at CERN will take place. This Virtual Visit will be presented by Professor Amadeu Albino Jr (IFRN), Anderson Guedes (SEEC/RN) and Denis Damazio (researcher at the ATLAS experiment/CERN). The event will take place in LAPEFA - the Laboratory for Research in Physics and Astronomy Teaching - located in the Department of theoretical and experimental physics of the Federal University of Rio Grande do Norte (UFRN). The event will start at 9 a.m. local time. - See more at: http://atlas-live-virtual-visit.web.cern.ch/atlas-live-virtual-visit/2013/Natal-2013.html

  19. INVESTIGACION Y DESARROLLO DE UNA TECNOLOGIA BASE DE CULTIVO PARA LA COJINOBA DEL NORTE (SERIOLELLA VIOLACEA)

    OpenAIRE

    SILVA A., ALFONSO

    2008-01-01

    El proyecto persigue desarrollar, evaluar y transferir una tecnología base de cultivo para la cojinoba del norte (Seriolella violacea), generando una nueva alternativa de producción acuícola nacional. Aún cuando la oferta de cojinoba está limitada por la captura, que es incierta y está regulada, el recurso ha mostrado una tendencia al incremento de su precio en un 51% en el período 2001-2006. Sus mercados de destino son Japón, España y Portugal, a precios entre US$ 3,2 y US$ 4,5 / Kg. entre l...

  20. Thrips collected in watermelon crops in the semiarid of Rio Grande do Norte, Brazil

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    Ewerton Marinho Costa

    2015-04-01

    Full Text Available The aim of this research was to report the occurrence of two species of thrips in watermelon crops in the semiarid region of Rio Grande do Norte, Brazil. From August to September 2011, we performed weekly sampling of thrips in a commercial watermelon production area with 10,000m2, using 20 Moericke traps. We captured a total of 431 thrips, belonging to Frankliniella schultzei (Trybom (Thripidae and Haplothrips gowdeyi (Franklin (Phlaeothripidae. This is the first report of H. gowdeyi in watermelon crops in Brazil

  1. Libre commercio y desarrollo regional en el norte de México

    NARCIS (Netherlands)

    Leendert de Bell

    2010-01-01

    La buena actuación económica de México en los primeros años después de la firma del Tratado de Libre Comercio de América del Norte (TLCAN) con los Estados Unidos y Canadá ha generado mucho interés como ejemplo para los demás países de América Latina en su transición a una economía dirigida por las

  2. El acuerdo de cooperación laboral de America del Norte (ACLAN)

    OpenAIRE

    Osvaldo Mantero de San Vicente

    2015-01-01

    El antecedente inmediato del Tratado de Libre Comercio de América del Norte, es el Tratado de Libre Comercio entre USA y Canadá de 1987. El mismo era un tratado estrictamente comercial entre dos países pero en el que se contiene ya una referencia a las cuestiones laborales y sociales en cuanto señalaba, como uno de sus objetivos, el logro del pleno empleo y la elevación del standard de vida.Contenido: Antecedentes. El contexto histórico en que se celebraron los acuerdos. El Tratado de libre C...

  3. Estudio Florístico de los Pastizales de la Costa Norte del Perú

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    Oscar Tovar

    2013-05-01

    Full Text Available Se presenta la descripción de 84 especies que forman los pastizales de la costa norte peruana, entre los 3º30’ y 8º latitud S (Tumbes – Trujillo. La comunidad vegetal en su mayor parte es semejante a un bosque sabanero, conformado por el algarrobo Prosopis pallida que es el árbol dominante y las Gramíneas (Poáceas que representan el 80% de las especies. Se presentan claves para identificación de familias, géneros y especies así como comentarios de la distribución geográfica.

  4. Monitoreo de la reforestación en las quebradas en el Norte de Quito

    OpenAIRE

    Anita Argüello; Daniel Arboleda; Jonathan Menoscal; Dennis Maldonado; Santiago Urresta

    2012-01-01

    El Distrito Metropolitano de Quito (DMQ) comprende 61.563 has., las cuales albergan diversasespecies de flora y fauna. Los procesos de acelerada urbanización han dado lugar alestablecimiento de viviendas e invasiones que han presionado a los bosques que existíanespecialmente en las laderas del Pichincha y en las quebradas de la parte norte del distrito. ElMunicipio del Distrito Metropolitano de Quito (MDMQ) en sus Políticas de Patrimonio Natural,contempla la integración, conectividad, manteni...

  5. Acumulación de mercurio en pejerrey (dasilichthys bonariensis): En habitat norte del Lago Titicaca

    OpenAIRE

    Mamani Vilcapaza, Edwin Nelson

    2011-01-01

    Las poblaciones de pescadores de la Zona Norte del Lago Titicaca (Callejón Ramis, Escallani y Huarisani) obtienen gran parte de sus proteínas del pescado que capturan y consumen. Sin embargo, ese alto consumo puede llevar a (as poblaciones de pescadores a situaciones de alto riesgo, ya que las concentraciones de mercurio se están incrementando en el pescado debido a la contaminación de estas zonas por la minería artesanal existente en las partes altas de la cuenca del río Ramis, el mercurio l...

  6. Consideraciones sobre la llamada Literatura del Norte en México

    OpenAIRE

    Víctor Barrera Enderle

    2012-01-01

    Este ensayo reflexiona en torno a la reciente elaboración de una categoría de clasificación literaria: la «Literatura del Norte». La literatura mexicana reciente ha experimentado una serie de transformaciones profundas. La hegemonía de las industrias culturales ha promovido profundos desplazamientos al interior del campo literario. La antigua centralización cultural se vio desplazada por nuevas formas de ordenación y difusión de la literatura. El Estado, antiguo patrocinador cultural, perdió ...

  7. Nuevo orden alimentario y disputa por el agua en el norte de México

    OpenAIRE

    Quintana S., Victor M.

    2014-01-01

    Este artículo pretende tanto mostrar cómo los procesos de agricultura comercial y cambio climático están agotando los mantos acuíferos del estado de Chihuahua en el norte de México, como reconstruir los movimientos, demandas y logros de los agricultores contra la apropiación excluyente de los recursos hídricos. Esto se vincula con un nuevo orden agroalimentario global dominado por el capital financiero con el objeto de especular con alimentos y fuentes de bioenergía, así como con el avance pl...

  8. Encantamento do filme Vento norte atravessa meio século

    Directory of Open Access Journals (Sweden)

    Póvoas, Glênio Nicola

    2001-01-01

    Full Text Available Quando Salomão Scliar filmou em dezembro de 1944 em Capão da Canoa o documentário curto Homens do mar (1945, em contato com os pescadores locais, teve oportunidade de ouvir muitas histórias interessantes. Entre elas a do vento norte, que seca tudo aquilo por lá e gera uma miséria desgraçada. A idéia de tranformar aquelas histórias num filme não me saía da cabeça

  9. Plan de negocio para el establecimiento de un minimarket en Lima Norte

    OpenAIRE

    Mayta Carlos, Juan José

    2014-01-01

    La presente tesis tiene como objetivo demostrar que el plan de negocio para el establecimiento de un minimarket en Lima Norte es viable de implementar. Con la implementación del minimarket se pretende satisfacer la necesidad principal de alimentación de los clientes y sus deseos de ahorrar costos y tiempo en realizar las compras de productos; a la vez, se busca mejorar su calidad de vida. El negocio propuesto expenderá productos de consumo masivo, principalmente alimentos. Su público objet...

  10. Mortalidad por VIH/SIDA en la frontera norte de México: niveles y tendencias recientes

    Directory of Open Access Journals (Sweden)

    Rogelio ZAPATA-GARIBAY

    2014-01-01

    Full Text Available En México, el VIH/SIDA se ha posicionado como una de las principales causas de muerte en ciertos grupos poblacionales y regiones del país, en particular la frontera norte. El objetivo de este artículo es revisar de manera general los niveles y tendencias recientes de la mortalidad por VIH/SIDA en los estados fronterizos del norte mexicano. Para medir la mortalidad se utilizaron los registros de defunciones ocurridas en México en el periodo 2000-2010. En ese periodo, las entidades de la frontera norte del país concentraron alrededor de una quinta parte de las defunciones relacionadas con VIH/SIDA, con una tendencia ascendente y con un comportamiento diferencial al del resto del país en cuanto a la estructura por edad y sexo, similar a la situación registrada en el caso de las infecciones.

  11. Neritic Jellyfishes (Cnidaria: Cubozoa and Scyphozoa from the coast of Rio Grande do Norte state, northeast of Brazil

    Directory of Open Access Journals (Sweden)

    Matthews-Cascon, H.

    2009-01-01

    Full Text Available For the entire Brazilian coast, there are 22 published records of scyphozoans. On the other hand, only 35 species ofcubozoans were described worldwide, four of them reported for the Brazilian coast. However, little is known about thespecies of cubozoans and scyphozoans in the Northeastern states of Brazil. The aim of this study was to perform asurvey of the jellyfish (Cnidaria: Cubozoa and Scyphozoa on the coast of Rio Grande do Norte state, Northeast ofBrazil. Specimens were collected using trawl net on beaches in the counties of Natal (in 2003 and Tibaú (in 2004. Forthe Rio Grande do Norte coast there were few records of large jellyfish, and new records of the following cubozoan andscyphozoan species were verified: Chiropsalmus quadrumanus; Chrysaora lactea; Lychnorhiza lucerna andStomolophus meleagris. The studied species had their distributions expanded in the coast to the State of Rio Grande doNorte.

  12. Propuesta de fortalecimiento socio económico para enfrentar la inseguridad ciudadana en la frontera norte.

    OpenAIRE

    Álvarez F., Silvio, CRNL-POL-EM

    2006-01-01

    Para iniciar el presente trabajo de investigación es necesario conocer los antecedentes históricos de nuestra patria con la finalidad de nutrirnos de la información necesaria para conocer la realidad de nuestro país en lo que concierne a la frontera norte, esta información me permitirá posteriormente realizar una propuesta de “fortalecimiento socio económico para enfrentar la inseguridad ciudadana en la frontera norte. Granizo Mantilla, Magdalena, Dra.

  13. Hospitality and hospitableness | Lashley | Research in Hospitality ...

    African Journals Online (AJOL)

    Research in Hospitality Management. Journal Home · ABOUT · Advanced Search · Current Issue · Archives · Journal Home > Vol 5, No 1 (2015) >. Log in or Register to get access to full text downloads.

  14. ANÁLISIS DE LA LOGÍSTICA DEL CARBÓN EN NORTE DE SANTANDER

    Directory of Open Access Journals (Sweden)

    Jorge Enrique Rodríguez Guevara

    2013-12-01

    Full Text Available Dentro del análisis logístico de la cadena del carbón en Norte de Santander, se resaltar un informe inicial de la industria del carbón a nivel mundial, donde se describen las actividades que componen la cadena logística en Colombia, información que permitirá analizar cuál es el comportamiento del departamento norte de Santander con respecto a los principales departamentos de este sector minero a nivel nacional. El estudio muestra como las ventajas comparativas en cuanto a las reservas, aún no se desarrolla en el sector ventajas competitivas en materia de logística, que permita mitigar los efectos de los bajos precios internacionales del carbón, y el desarrollo de un clúster encadenado tanto con productores, proveedores, comercializadores, transportadores, sector público, que aporten a la cadena de creación y captura de valor en los mercados internacionales, y su aporte al desarrollo regional fronterizo.

  15. El acuerdo de cooperación laboral de America del Norte (ACLAN

    Directory of Open Access Journals (Sweden)

    Osvaldo Mantero de San Vicente

    2015-09-01

    Full Text Available El antecedente inmediato del Tratado de Libre Comercio de América del Norte, es el Tratado de Libre Comercio entre USA y Canadá de 1987. El mismo era un tratado estrictamente comercial entre dos países pero en el que se contiene ya una referencia a las cuestiones laborales y sociales en cuanto señalaba, como uno de sus objetivos, el logro del pleno empleo y la elevación del standard de vida.Contenido: Antecedentes. El contexto histórico en que se celebraron los acuerdos. El Tratado de libre Comercio de América del Norte. Características generales del TLCAN. Estructura y temas tratados en el TLCAN. Características generales del ACLAN. Estructura del ACLAN. El preámbulo. El anexo I. Diferentes grados de aplicación de las materias enumeradas en el anexo 1.Primera parte. Objetivos. Segunda parte. Las obligaciones. La Comisión para la Cooperación Laboral. Cuarta parte. Consultas y evaluaciones para la cooperación. Los Comités Evaluadores de Expertos. Solución de controversias. Instancias para la solución de controversias. Imposición de contribución monetaria y suspensión de beneficios. Experiencias de funcionamiento del ACLAN. El informe sobre cierre de empresas y derechos laborale

  16. A vueltas con 1892. Violencia y milenarismo en la frontera norte de México

    Directory of Open Access Journals (Sweden)

    Bernabéu Albert, Salvador

    1999-08-01

    Full Text Available While Spain and other European and American countries celebrated the IV Centenario del Descubrimiento de América in 1892, the population at the northern part of México knew about the last apache incursion in Mexican territory and the rebelion of the neighbours of the Temochic little town. Both events will be used to analyze the situation of overarching violence in the North and surge of a feeling of freedom, independence and discontentedness among the authorities which would lead to the 1910 Revolution.

    Mientras España y otros países europeos y americanos celebraban el IV Centenario del Descubrimiento de América, en 1892, los habitantes del norte de México conocieron las noticias de la última incursión apache en territorio mexicano y la sublevación de los vecinos del pequeño poblado de Temochic. Ambos sucesos nos sirven para estudiar la situación de la violencia generalizada en el Norte y el nacimiento de un sentimiento de libertad, independencia y malestar entre las autoridades gubernativas que desembocaría en la revolución de 1910.

  17. AGROBIODIVERSIDADE NAS COMUNIDADES GUARANI-NHANDEWA NO NORTE DO PARANÁ: MEMÓRIA E RESGATE

    Directory of Open Access Journals (Sweden)

    Thiago Almeida

    2014-06-01

    Full Text Available O manejo das variedades tradicionais de sementes entre os povos indígenas tem recebido atenção crescente nos últimos anos. Esta pesquisa analisou a agrobiodiversidade na Terra Indígena Laranjinha, habitada por índios Guarani-Nhandewa, na região Norte do Paraná. O estudo analisou aspectos da memória local sobre as diversas sementes indígenas, suas características e usos, bem como as práticas agrícolas empregadas. Foram ainda registradas as intenções dos indígenas em resgatar esta agrobiodiversidade e as principais dificuldades encontradas. A pesquisa mostra que as Feiras de Trocas de Sementes Crioulas e Tradicionais Indígenas, realizadas anualmente desde 2011, na Terra Indígena Pinhalzinho, também no Norte do Paraná, representam uma nova estratégia coletiva para o resgate e revalorização da agrobiodiversidade, pois organizam esforços até então pontuais e difusos para a localização e produção de variedades de arroz, feijão, batata doce, mandioca, milho e outros alimentos. O resgate da agrobiodiversidade fortalece a identidade cultural e contribui para a reconstrução da organização comunitária .

  18. Renealmia alpinia (Rottb.: Maas (Zingiberaceae: planta comestible de la Sierra Norte de Puebla (México

    Directory of Open Access Journals (Sweden)

    Macía, Manuel J.

    2002-06-01

    Full Text Available The edible fruits of Renealmia alpinia are highly valued in the Sierra Norte de Puebla (México where they are managed at a household level. The plant is wild in the región, although a rare species. The aril of the fruit is the edible part. After harvesting, the aril is extracted fresh and processed for local consumption. Sometimes the fruits are commercialized in tradicional markets. Only 19% of the total weight of the fruits is used for food.Los frutos comestibles de Renealmia alpinia son muy apreciados en la Sierra Norte de Puebla (México, en donde son manejados a nivel familiar. La planta crece silvestre en la región, aunque es una especie poco frecuente. La parte comestible es el arilo de los frutos. Tras la cosecha, se extrae en fresco el arilo y se procesa para su consumo familiar. Ocasionalmente los frutos se comercializan en los mercados tradicionales. Solamente el 19 % del peso total de los frutos se aprovecha para alimentación.

  19. Movilidad estudiantil en la subregión fronteriza Táchira-Norte de Santander

    Directory of Open Access Journals (Sweden)

    Jorge Matajira

    2011-06-01

    Full Text Available Este trabajo muestra los resultados del proyecto “Movilidad estudiantil en la subregión fronteriza Táchira - Norte de Santander: Hacia la construcción de una política pública educativa”, financiado por la Escuela Superior de Administración Pública ESAP. La problemática de la investigación indaga la movilidad estudiantil que por múltiples factores, afecta y vulnera el derecho a la educación en esta área geográfica. El objetivo propuesto busca comprender la dinámica de la movilidad estudiantil en el eje Táchira-Norte de Santander, para generar propuestas que fortalezcan una política educativa fundamentada en la condición de frontera y de integración binacional. La investigación muestra un diagnóstico, a partir de una metodología cuanticualitativa, con fuentes estadísticas, institucionales y trabajo de campo. Entre los hallazgos está, el uso consuetudinario de la doble identidad, como medio para saltar los requerimientos oficiales de inmigración, y acceder así a la educación, hecho que posteriormente se convierte en obstáculo de la misma movilidad estudiantil.

  20. Algunas aclaraciones acerca del articulo "Linajes parentales amerindios en poblaciones del norte de Córdoba"

    Directory of Open Access Journals (Sweden)

    Demarchi, Darío Alfredo

    2007-01-01

    Full Text Available En un número anterior de esta revista se publicó el artículo "Linajes parentales amerindios en poblaciones del norte de Córdoba" (García y Demarchi, 2006. En ese estudio se investigó la composición genética de una muestra de habitantes "criollos" de dos poblaciones del norte de Córdoba, a través del análisis de los marcadores del ADN mitocondrial que determinan los 4 principales linajes maternos amerindios y el marcador M3, del cromosoma Y, diagnóstico de linaje paterno amerindio. Se determinó la proporción de los linajes (haplogrupos amerindios que sobreviven en esas localidades, se puso a prueba la existencia de posibles variaciones significativas en la distribución de linajes entre ambas muestras y por último, se establecieron similitudes con otros pueblos originarios del Cono Sur en la distribución de linajes maternos nativos. En el presente número, los lectores de la RAAB encontrarán una nota que se propone descalificar nuestro estudio a través de una serie de críticas. No es nuestro objetivo responder puntualmente a cada una de ellas sino más bien echar luz sobre algunas dudas que puedan surgir en los lectores a partir de las mismas.

  1. Air Pollution Beyond Boundaries: Opportunities for Ecological Modernization in Paso del Norte

    Directory of Open Access Journals (Sweden)

    Ricardo Santes Álvarez

    2002-01-01

    Full Text Available La contaminación del aire en Paso del Norte es un asunto preocupante. Algunos ciudadanos y organismos no gubernamentales compelen a los gobiernos de México y Estados Unidos a buscar soluciones a este problema binacional. El Acuerdo de La Paz y las instituciones que nacieron junto con el Tratado de Libre Comercio representan esfuerzos para confrontar los problemas ambientales fronterizos; sin embargo, varios factores han impedido alcanzar resultados satisfactorios. La lección es que las instituciones han internalizado el problema a través de “programas de aire” y, por consiguiente, no han arribado a su solución. La modernización ecológica es una alternativa a la gestión ambiental tradicional. En este artículo expongo que en Paso del Norte ocurre un proceso de ecomodernización. Concluyo que aunque la modernización ecológica se presenta en la región, su éxito es limitado.

  2. Susceptibility to mass movement processes in the municipality of Tlatlauquitepec, Sierra Norte de Puebla

    Directory of Open Access Journals (Sweden)

    Roberto Carlos Borja Baeza

    2011-02-01

    Full Text Available Since historical times, mass movement processes have taken place in the Mexican territory as a result of its topography, heterogeneous lithology, intense rainfall and the impact of anthropic activity, particularly in mountainous areas such as the Sierra Norte de Puebla. In this region, as a result of extremely high rainfall, a large number of landslides occurred in October 1999. These were mainly slides and flows; they affected economic, structural and environmental aspects and caused the loss of dozens of human lives. Among the various approaches to analysis of this type of hazard, cartography is of considerable importance since it allows the understanding and assessment of spatial distribution, as well as of the interactions of elements of the terrain that determine slope instability. Hence, some studies of landslide hazard cartography have been carried out in Mexico; these have mainly been based on the overlaying, against a background of geographic information systems, of layers of information concerning the parameters that are involved in slope instability. However, there is a tendency for this approach to establish similar degrees of influence for all factors, regardless of specific local conditions. The present aim was to consider the influence of the five most important parameters controlling regional slope instability in the Sierra Norte de Puebla (slope, morphogenesis, relief dissection, deforestation and roads, and to validate the results by means of a recurrence index. Multicriteria analysis has allowed a map of susceptibility to mass movement processes to be produced for the municipality of Tlatlauquitepec.

  3. Soils and agriculture in central-west and north Brazil Solos e agricultura no centro oeste e norte do Brasil

    Directory of Open Access Journals (Sweden)

    Stanley W. Buol

    2009-10-01

    Full Text Available Modern soil science, spearheaded by research in Brazil has facilitated the utilization of vast areas of previously uncultivated soil long considered unsuitable for human food production into highly productive agricultural land. Naturally acid soils with high contents of aluminum and iron oxides and low CEC values and organic matter contents long considered insurmountable obstacles to crop production in tropical latitudes could be extremely productive. With continued development of the infrastructure needed by commercial agriculture Brazil has the potential to lead the world in its quest to provide food for growing human populations.A moderna ciência de solo, liderada pelas suas pesquisas no Brasil, tem possibilitado a utilização de vastas áreas de solos, durante muito tempo não cultivados por serem avaliados como inaptos para uma intensiva produção de alimentos. Hoje, ao contrário, constata-se que essas terras são altamente produtivas para a agricultura. Estas pesquisas vêm mostrando que alguns atributos naturais destes solos, como acidez, baixos teores de matéria orgânica, baixa capacidade de troca de cátions, além de altos teores de óxidos de ferro e/ou de alumínio - considerados como obstáculos à produção de boas colheitas em latitudes tropicais - podem ser superados. Com a continuação do desenvolvimento das infra-estruturas necessárias para alavancar ainda mais a agricultura comercial, o Brasil tem potencial para, em breve, liderar o mundo no que tange ao fornecimento de alimentos para as crescentes populações humanas.

  4. Characterization of the Brazilian continental shelf adjacent to Rio Grande do Norte state, NE Brazil

    Directory of Open Access Journals (Sweden)

    Helenice Vital

    2010-01-01

    Full Text Available This study focuses on the analysis of high-resolution seismic profiles, integrated with sedimentological, echosounder, SRTM and satellite image datasets, of the Brazilian continental shelf adjacent to the Rio Grande do Norte State, NE Brazil. Located in the northeast of Brazil, the State of Rio Grande do Norte is bounded by two main coastal and shelf systems: the eastern coastal-shelf, from the Sagi River to the Touros High, and the northern coastal-shelf, extending from Touros High to Tibau. This shelf represents a modern, highly dynamic mixed carbonate-siliciclastic system characterized by reduced width and shallow depths as compared with other parts of the Brazilian shelf. It has an average width of 40 km, the shelf-break lying at a depth of ~ 60 m. This shelf is subject to the full strength of the westerly South Equatorial current combined with high winds and moderate to high tides and waves. A sharply defined stratigraphic boundary, probably between the Pleistocene and Holocene deposits, is clearly to be observed in the seismic record. Incised-valleys extending from the main river mouths (e.g.the Potengi, Açu, and Apodi to the shelf break dominate the area investigated and may indicate periods of lower sea level.Este estudo está direcionado ao conhecimento da plataforma continental brasileira adjacente ao Estado do Rio Grande do Norte, NE do Brasil, através da analise de perfis sismicos de alta resolução integrados a dados sedimentológicos, batimétricos, SRTM e imagens de satélites. O Estado do Rio Grande do Norte, localizado no nordeste do Brasil, apresenta dois sistemas costeiros-plataformais: Setor Este, do Rio Sagi (divisa PB-RN ao Alto de Touros e Setor Norte, do Alto de Touros a Tibau (divisa RN-CE. Esta plataforma representa um sistema plataformal moderno misto (carbonático-siliciclástico, altamente dinâmico. É caracterizado por sua reduzida largura e águas rasas, quando comparado com outras partes da plataforma

  5. Flora útil de los cafetales en la Sierra Norte de Puebla, México Useful plants of the Sierra Norte de Puebla, Mexico

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Martínez

    2007-06-01

    Full Text Available Los cafetales de la Sierra Norte de Puebla son agroecosistemas variados en composición y estructura, donde se pueden encontrar especies vegetales cultivadas y silvestres, nativas e introducidas, y cuya diversidad florística está estrechamente ligada a las condiciones sociales, económicas y ecológicas en las que se inserta la producción del café. En la última década el cultivo de esta planta ha estado en crisis debido a los bajos precios del producto; sin embargo,los agricultores mantienen los cafetales como fuente de ingreso adoptando nuevas estrategias para obtener recursos económicos mediante la introducción o incremento de cultivos de importancia económica, como pimienta, mamey o plantas medicinales, aprovechando la versatilidad y posibilidades de reorganización de estos agroecosistemas. En este trabajo se presenta el inventario de la flora útil encontrada en cafetales de la SNP. A la fecha están registradas 319 especies pertenecientes a 238 géneros y 99 familias; 90 especies son objeto de comercio y pueden representar nuevas fuentes de ingreso; 256 son nativas y 63 introducidas y se han agrupado en 13 categorías antropocéntricas, de las cuales las medicinales y comestibles son las más numerosas.Coffee plantations in the Sierra Norte de Puebla (SNP are agroecosystems with variable composition and structure. These agroecosystems include native and introduced plant species, as well as cultivated and wild ones. Plant diversity in coffee plantations is closely related to the social, economic, and ecological context into which coffee production is inserted. In the last decade, coffee cultivation has been in crisis due to low prices. Nevertheless, farmers of the SNP maintain their plantations as a source of income, with new strategies such as the introduction or increase of plants with economic value, like allspice (Pimenta dioica, mamey (Pouteria sapota, and medicinal plants, taking advantage of the versatility and possibilities

  6. Diagnóstico de la logística del carbón en Norte de Santander

    Directory of Open Access Journals (Sweden)

    Jorge Enrique Rodríguez-Guevara

    2015-01-01

    Full Text Available Background: The participation of Colombian coal in the international market has depended and will depend primarily on price to compete with other potential international suppliers, if the strategy is not changed to compete. Therefore one of the most important factors to consider has to do with the cost of logistics operation, in the case of Norte de Santander. Objective: The main objective of this project is to make the diagnosis of coal logistics operation in Northern Santander. Methods: Basically the methodology used was the application of polls leading experts and entrepreneurs exporters of coal in Norte de Santander. Results: One of the most important aspects that mitigate the possibility of capturing value in foreign trade are high costs in logistics operation. The identified problem occurs in the absence of studies to characterize the international physical distribution of coal in Norte de Santander, the most representative for extraction Municipalities sector. Conclusions: Finally the internationalization of the economy requires productive sectors, to shift from comparative advantages to competitive advantages. These are needed to tap international markets, however, strategic sectors for its potential reserves and features of your product, as the coal sector in Norte de Santander, not yet consolidated elements for their use.

  7. Investigaciones arqueologicas en el norte de la Española. Entre viejos esquemas y nuevos datos

    NARCIS (Netherlands)

    Ulloa, Hung J.; Herrera, Malatesta E.N.

    2015-01-01

    En la historiografía y la arqueología dominicana la trascendencia de la región norte ha estado tradicionalmente ligada a su condición de escenario de importantes acontecimientos vinculados con los inicios de la colonización europea (Arranz Marquez 1991; Cassa 1992; Deagan y Cruxent 2002; Guerrero y

  8. Application of the exploratory analysis of data in the geographical discrimination of okra of Rio Grande do Norte and Pernambuco

    Directory of Open Access Journals (Sweden)

    Francisco Santos Panero

    2009-11-01

    Full Text Available The contents of Cu, Zn, Na, Fe, K, Ca, Mn, Mg, PO43-, Cl- and SO42- were determined in samples of okra of the municipal districts of Caruaru and Vitória de Santo Antão, in Pernambuco, as well as in the municipal districts of Ceará-Mirim, Macaíba and Extremoz in the state of Rio Grande do Norte. The objective of this work is the application of two methods of  exploratory analysis of data: Principal Component Analysis - PCA and Hierarquical Cluster Analysis - HCA in the geographical discrimination of okra originating in the states of Rio Grande do Norte and Pernambuco. The results showed that Cl- and Na were the main elements for the differentiation of the samples of Rio Grande do Norte and, the samples of Pernambuco presented the largest amount of Fe, Cu, Mn, Mg, Ca, Zn, K, PO43-, and SO42-. Boths the methods of exploratory analysis of data investigated are efficient for geographical discrimination of okra originating in Rio Grande do Norte and Pernambuco.

  9. Aportaciones a la flora vascular del norte de la Península Ibérica

    Directory of Open Access Journals (Sweden)

    Fidalgo, E., Llorente, A., Cadiñanos, J.A., Tarruella, J.

    2012-01-01

    Full Text Available Se citan varios taxones nuevos o interesantes de la flora vascular del norte de la Península Ibérica, concretamente de las provincias vascas de Álava, Vizcaya y Guipúzcoa y de las comunidades de Cantabria, Asturias, Castilla-León y Navarra.

  10. Análisis de la competitividad del sector lechero: caso aplicado al norte de Antioquia, Colombia

    National Research Council Canada - National Science Library

    Dursun Barrios Hernández; Martha Olivera Ángel

    2013-01-01

    ... y el análisis de costos y competitividad, se realizó un estudio de carácter descriptivo que incluyó 138 predios y 5.952 vacas, en seis municipios ubicados en la cuenca del altiplano norte del departamento de Antioquia...

  11. 'Hospital ' i _

    African Journals Online (AJOL)

    years and below, who presented at the University of Port Harcourt Teaching' Hospital during a. 12-year period. ... However, the role of malignancies as a cause of death- .University of Port-Harcourt Teaching Hospital,. 'Port-Harcourt . " Department of Anatomical Pathology _ ' '. '''Lecturer ' ' - .... decreasing numerical order.

  12. Willingness to Pay for Dog Rabies Vaccine and Registration in Ilocos Norte, Philippines (2012.

    Directory of Open Access Journals (Sweden)

    Meseret G Birhane

    2016-03-01

    Full Text Available The Philippines is one of the developing countries highly affected by rabies. Dog vaccination campaigns implemented through collaborative effort between the government and NGOs have played an important role in successfully reducing the burden of disease within the country. Nevertheless, rabies vaccination of the domestic animal population requires continuous commitment not only from governments and NGOs, but also from local communities that are directly affected by such efforts. To create such long-term sustained programs, the introduction of affordable dog vaccination and registration fees is essential and has been shown to be an important strategy in Bohol, Philippines. The aim of this study, therefore, was to estimate the average amount of money that individuals were willing to pay for dog vaccination and registration in Ilocos Norte, Philippines. This study also investigated some of the determinants of individuals' willingness to pay (WTP.A cross-sectional questionnaire was administered to 300 households in 17 municipalities (out of a total of 21 selected through a multi-stage cluster survey technique. At the time of the survey, Ilocos Norte had a population of approximately 568,017 and was predominantly rural. The Contingent Valuation Method was used to elicit WTP for dog rabies vaccination and registration. A 'bidding game' elicitation strategy that aims to find the maximum amount of money individuals were willing to pay was also employed. Data were collected using paper-based questionnaires. Linear regression was used to examine factors influencing participants' WTP for dog rabies vaccination and registration.On average, Ilocos Norte residents were willing to pay 69.65 Philippine Pesos (PHP (equivalent to 1.67 USD in 2012 for dog vaccination and 29.13PHP (0.70 USD for dog registration. Eighty-six per cent of respondents were willing to pay the stated amount to vaccinate each of their dogs, annually. This study also found that WTP was

  13. Willingness to Pay for Dog Rabies Vaccine and Registration in Ilocos Norte, Philippines (2012)

    Science.gov (United States)

    Birhane, Meseret G.; Miranda, Mary Elizabeth G.; Dyer, Jessie L.; Blanton, Jesse D.; Recuenco, Sergio

    2016-01-01

    Background The Philippines is one of the developing countries highly affected by rabies. Dog vaccination campaigns implemented through collaborative effort between the government and NGOs have played an important role in successfully reducing the burden of disease within the country. Nevertheless, rabies vaccination of the domestic animal population requires continuous commitment not only from governments and NGOs, but also from local communities that are directly affected by such efforts. To create such long-term sustained programs, the introduction of affordable dog vaccination and registration fees is essential and has been shown to be an important strategy in Bohol, Philippines. The aim of this study, therefore, was to estimate the average amount of money that individuals were willing to pay for dog vaccination and registration in Ilocos Norte, Philippines. This study also investigated some of the determinants of individuals’ willingness to pay (WTP). Methods A cross-sectional questionnaire was administered to 300 households in 17 municipalities (out of a total of 21) selected through a multi-stage cluster survey technique. At the time of the survey, Ilocos Norte had a population of approximately 568,017 and was predominantly rural. The Contingent Valuation Method was used to elicit WTP for dog rabies vaccination and registration. A ‘bidding game’ elicitation strategy that aims to find the maximum amount of money individuals were willing to pay was also employed. Data were collected using paper-based questionnaires. Linear regression was used to examine factors influencing participants’ WTP for dog rabies vaccination and registration. Key Results On average, Ilocos Norte residents were willing to pay 69.65 Philippine Pesos (PHP) (equivalent to 1.67 USD in 2012) for dog vaccination and 29.13PHP (0.70 USD) for dog registration. Eighty-six per cent of respondents were willing to pay the stated amount to vaccinate each of their dogs, annually. This study

  14. Traços laringais em Latundê (Nambikwára do Norte

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    Stella Telles

    Full Text Available Este trabalho reflete o status dos traços laringais na língua Latundê, pertencente ao subgrupo Nambikwára do Norte, da família Nambikwára. Os dados foram coletados in loco pela autora entre os anos 1997-2001. Para a análise, considerou-se também a literatura disponível sobre outras línguas da família. O presente artigo está organizado em cinco seções: na primeira, são fornecidas informações sobre a família Nambikwára e os inventários segmentais de três línguas da família; na segunda, são apresentados os quadros fonológicos (consonantal e vocálico do Latundê; na terceira, encontram-se dados que evidenciam a realização dos traços laringais existentes em consoantes Latundê (glotalização e aspiração e o contraste do traço creaky voice, nas vogais; na quarta, são feitas considerações sobre a variação laringal no Latundê; finalmente, na quinta seção, são apresentadas reflexões sobre a correspondência entre segmentos com traço laringal do Latundê e do Mamaindê, outra língua Nambikwára do Norte. Os resultados do estudo evidenciaram que no Latundê as consoantes neutralizaram os traços laringais, enquanto que as vogais os mantêm contrastivamente. No interior do ramo do Norte, a correspondência entre consoantes Latundê e Mamaindê parece indicar que a primeira língua é mais inovadora no processo de mudança histórica.

  15. El eje fecundatorio norte-sur del Perú: una interpretación psicológica

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    Federico R. León

    1984-06-01

    Full Text Available El eje fecundatorio norte-sur consiste en una relación ordinal entre una dimensión geográfica  (regiones de planificación Norte, Centro y Sur del Perú y el deseo de hijos de la mujer peruana, siendo el deseo mayor entre las norteñas y menor entre las sureñas. Análisis correlacionales, de covarianza, y de regresión fueron ejecutados en el banco de datos de la ENPA (N = 6,437 para determinar en las mujeres con hijos del norte, centro y sur (N = 1, 765 si variables tales como la altura/cultura (costa, sierra, urbanización, educación, ingreso, trabajo, conyugalidad, número de hijos vivos, y número de hijos muertos podrían dar cuenta del eje fecundatorio. El eje fecundatorio probó ser independiente de estas variables, aunque algunas interacciones aproximaron significación estadística. Se propuso una interpretación psicológica de  los resultados. La mujer norteña desearía más hijos debido a su mayor aceptación de un rol femenino dependiente y mayor disposición a satisfacer el machismo de su marido. La mujer sureña desearía menos hijos debido a su posición más autónoma en la vida familiar y mayores expectativas de participación activa en roles ocupacionales.

  16. Comunidad, jóvenes y generación: disputando subjetividades en la Sierra Norte de Oaxaca/Community, young people and generation: Disputing subjectivities in the Sierra Norte of Oaxaca/Comunidade, jovens e geração: contestando subjetividades na Serra Norte de Oaxaca

    National Research Council Canada - National Science Library

    Alejandra Aquino-Moreschi; Isis Contreras-Pastrana

    2016-01-01

      En este artículo analizamos desde una perspectiva etnográfica, de qué forma se construye y experimenta la juventud en diferentes comunidades ayuujk y zapotecas de la Sierra Norte de Oaxaca, México...

  17. Las relaciones sociales en la Meseta Norte de Chubut (1930-1970. Un abordaje desde la perspectiva poscolonial

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    Ana María Troncoso

    2012-01-01

    Full Text Available Nuestro propósito es trabajar con determinados conceptos de la crítica poscolonial para intentar alguna interpretación y explicación acerca de las agencias posibles en los sujetos destinatarios de lo que llamamos «proyecto civilizador» del Estado argentino en la Meseta Central del norte de la provincia del Chubut, Argentina. En el período que proponemos revisar (1930-1970 las familias de la meseta chubutense fueron expuestas a una dinámica importante respecto a los medios de vida (fundamentalmente la tierra, como consecuencia del desarrollo del mercado y de la creciente presencia del estado. Para este trabajo hemos recurrido mayormente a relatos orales, además de documentos oficiales y biografías publicadas, que indican cambios relevantes en la constitución familiar, en especial en lo referente a la conformación de parentelas y a las características de las relaciones familiares y comunitarias. El relevamiento oral ha permitido construir historias de familias tendiendo a la reinterpretación que produce la memoria, con las negociaciones y reevaluaciones de lo acontecido y experimentado, exponiendo la puesta en práctica de racionalidades, estrategias versátiles y resignificaciones en este contexto dinámico, observables en la trama intergeneracional. Mediante los relatos se pueden historizar las comunidades, las parentelas, las familias y los individuos, escapando a la fascinación que producen las fuentes oficiales y sus derivados de sectores dominantes o serviles a él, cuya inercia hacia un enfoque teleológico implica desechar los temas y problemas que parecen estadios inferiores y superados, y que deja al margen a estos pobladores, estereotipándolos, generando un vacío de Historia. Así es que, estas voces legítimas y necesarias relativizan la linealidad de un proceso que supone imposiciones sin contrapuntos obligándonos a reflexionar sobre los posicionamientos y decisiones de grupos sociales subalternos y otrificados sobre

  18. Caracterización de Los Problemas de Aprendizaje en Niños y Adolescentes con Epilepsia Primaria Generalizada en La Liga Central contra la Epilepsia y El Hospital de la Misericordia (Bogotá, Colombia*

    Directory of Open Access Journals (Sweden)

    Lina Marcela Tavera Saldaña

    2011-10-01

    Full Text Available

    * Trabajo ganador del Premio Nacional a la Investigación e Epilepsia Margaret Merz de Fandiño 2011. 

    RESUMEN

    Objetivo: Determinar la prevalencia de los trastornos específicos del aprendizaje (TEA en una serie de pacientes con epilepsia primaria generalizada.

    Materiales y Métodos: Con dicho diagnóstico se estudió un grupo de 32 niños y adolescentes entre 7 y 17 años, a quienes se les realizó una evaluación neuropsicológica con énfasis en habilidades escolares (lecto-escritura y cálculo.

    Resultados: Se encontró que la frecuencia de problemas de aprendizaje en la población epiléptica estudiada fue del 34,38%. Además, se observó una prevalencia de 40,63% de problemas de atención siendo la atención, esta última y la velocidad de procesamiento las variables neuropsicológicas que más se vieron afectadas.

    Conclusión: Es importante reconocer que los TEA son una comorbilidad frecuente en pacientes con epilepsia, se asocian con una alta tasa de fracaso y deserción escolar. En el grupo de pacientes valorados se observó una frecuencia de TEA más alta que la informada en la población general.

    Palabras clave: ENI (Evaluación Neuropsicológica Infantil, epilepsia primaria generalizada, trastornos de aprendizaje, trastornos de lectoescritura, trastornos del cálculo.

    ABSTRACT

    Specific Learning Disorders in Children And Adolescents With Generalized Primary Epilepsy Seen At Central League Against Epilepsy and at Mercy Hospital (Bogota, Colombia 

    Objective:To establish the prevalence of specific learning disorders (SLD in a series of patients with primary generalized epilepsy.

    Materials and Methods: A group of 32 children and adolescents aged 7 to 17 years with above mentioned diagnosis underwent neuropsychological evaluation with emphasis on academic skills (reading, writing

  19. Propostas de desenvolvimento para o Norte-noroeste Fluminense em perspectiva histórica

    Directory of Open Access Journals (Sweden)

    Arthur Soffiati

    2010-05-01

    Full Text Available Este artigo examina a relação entre natureza, projetos e iniciativas de desenvolvimento das regiões Norte e Noroeste do Rio de Janeiro, desde o século 16, com a implantação da Capitania Hereditária de São Tomé, até a atualidade. Nele, empreende-se uma análise comparativa entre os modos de vida dos povos nativos que habitavam a região em estudo e dos conquistadores e colonizadores de origem européia, procurando mostrar como uma economia de subsistência contrastava com uma economia de mercado, que se pretende impor já com a primeira tentativa de colonização. Analisa os grandes projetos de desenvolvimento e a construção histórica do Rio de Janeiro e das duas regiões estudadas.

  20. Capacidad de reserva de agua en los suelos del Borde Norte de Bogotá

    OpenAIRE

    Yolima del C. Agualimpia Dualiby; Carlos Enrique Castro Méndez

    2013-01-01

    La información aquí presentada corresponde a resultados parciales de la investigación que se adelanta sobre procesos hidrodinámicos que afectan los suelos de la sabana de Bogotá -Colombia y cuyo propósito principal es el cálculo e interpretación de la capacidad de reserva hídrica en los suelos de la reserva forestal borde norte de Bogotá, con el fin de investigar sobre la susceptibilidad a la desertificación que presentan las aproximadamente 1.600 hectáreas que la componen. El análisis se rea...

  1. O marketing religioso como estratégia de crescimento do Louvor Norte.

    OpenAIRE

    Giovana Ferreira

    2012-01-01

    A presente pesquisa tem como tem como objetivo fazer uma análise a cerca do gospel na região metropolitana de Belém-PA. O estudo visa fazer uma reflexão sobre a relação entre o as praticas do marketing religioso e o Louvor Norte evento já tradicional na cidade, que ocorre desde 1988 e é organizado pelo Pastor e promotor de eventos Lourival Pereira. Esta produção é construída a partir de entrevistas e pesquisa de campo e refleti sobre a relação que é colocada em prática a partir dos discursos ...

  2. Sociedades religiosas y organizaciones privadas de beneficencia en la frontera norte (Tijuana: Un primer acercamiento

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    Víctor Clark Alfaro

    1991-01-01

    Full Text Available A partir de la década de los setenta se da un crecimiento importante de organizaciones religiosas en América Latina y del que la frontera norte no ha sido ajeno.El propósito de esta investigación es dar una visión aproximada de la presencia cada vez más numerosa de sociedades religiosas y organizaciones privadas de beneficencia y su impacto social en distintos ámbitos de la ciudad de Tijuana con una breve referencia a la zona rural (San Quintín. La información que se ofrece fue recopilada antes de la reforma al artículo 130 de la Constitución de los Estados Unidos Mexicanos.

  3. Primeros registros de Tarentola mauritanica (L. 1758 para el centro y norte de Álava

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    Conrado Tejado, María E. Potes.

    2011-01-01

    Full Text Available Se aportan los primeros registros de Tarentola mauritanica (L. 1758 para la provincia de Álava, recopilados entre los años 2006 y 2009. Todos ellos corresponden a observaciones de ejemplares aislados localizados en medios muy humanizados (muros en las proximidades de estaciones ferroviarias, edificios urbanos o ejemplares atropellados en carretera. La especie fue citada en el año 2000 en el Valle del Ebro, en el límite meridional alavés. Las citas en el centro y norte de la provincia (Llanada alavesa y Amurrio, en zonas que soportan inviernos fríos y climas lluviosos atlánticos, suponen un significativo ascenso latitudinal experimentado por la especie en las últimas décadas.

  4. On the taxonomy and distribution of Callinectes Stimpson (Crustacea, Decapoda, Portunidae in Rio Grande do Norte

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    C. Sankarankutty

    1991-01-01

    Full Text Available A faunistic survey of the species of Callinectes Stimpson, 1871 carried out in the coastal and estuarine regions of the State of Rio Grande do Norte yielded five species: C. bocourti A. Milne Edwards, 1879; C. danae Smith, 1869; C. exasperatus (Gerstaecker, 1856; C. larvatus Ordway, 1863 and C. ornatus Ordway, 1863. Specimens examined consist of those collected on a monthly basis from three fixed stations within the estuary of Potengi, Natal during a period of two years and those obtained from other localities. Among the species occuring in the region, C. danae is more abundant and has a wider range of tolerance of salinity while C. larvatus is restricted to the marine habitat. Though C. danae sustains important artisan fishery, C. bocourti of large size also contribute to the fishery.

  5. ASPECTOS CLIMÁTICOS DE LAS ZONAS ÁRIDAS DEL NORTE DE LA ALTIPLANICIE MEXICANA

    OpenAIRE

    Enriqueta García; Rosalia Vidal; Ma. Engracia Hernández

    2017-01-01

    Se analizan, para la región conocida como mesa del norte (desierto chihuahuense), algunos elementos climáticos tales como la precipitación, temperaturas medias, máximas y mínimas, heladas y oscilación térmica, entre otros. Se aplica la función Gamma en el cálculo de la probabilidad de la precipitación y de los valores más frecuentes de la lluvia anual (moda); se utilizan gráficas ombrotérmicas modificadas para diversos regímenes pluviométricos, a fin de cuantificar el número de meses secos...

  6. Energia eólica: entre ventos, impactos e vulnerabilidades socioambientais no Rio Grande do Norte

    OpenAIRE

    Hofstaetter, Moema

    2016-01-01

    O estado do Rio Grande do Norte (RN) estimulado pelo Governo Federal, através da sua política de diversificação da matriz energética, investe na implantação de parques de energia eólica, criando novas dinâmicas econômicas e de ocupação em seus municípios. O objetivo desse trabalho é demonstrar, a partir da observação da relação entre o discurso de energia limpa e as condições de vulnerabilidade com as quais nos deparamos, os impactos socioambientais nas comunidades do entorno dos parques eóli...

  7. Los aspectos socioculturales de la migración en la frontera norte

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    Oscar Priego Hernández

    2011-12-01

    Full Text Available México se considera el país de emigrantes más importante del mundo y Estados Unidos el principal país de inmigrantes. Su posición geográfica en la frontera Norte lo convierten atractivo para los flujos migratorios de los países centroamericanos. Hoy enfrenta los retos de la crisis financiera internacional de los últimos años que afecta las economías y las relaciones bilaterales. Este trabajo consiste en realizar un estudio de la problemática de los aspectos socioculturales provocada por la migración de personas, analizar fortalezas y debilidades, identificar los nuevos aspectos de la migración y proponer alternativas para mejorar las condiciones de vida de los migrantes mexicanos.

  8. Una nueva especie de Salvia (Lamiaceae del Norte de Perú

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    Abundio Sagástegui Alva

    2012-11-01

    Full Text Available Se describe e ilustra una nueva especie de Salvia L. (Lamiaceae, denominada Salvia vargas-llosae Sagást. & E. Rodr. sp. nov. perteneciente a la sección Cylindriflorae (Epling Epling, procedente de los andes del Norte del Perú (provincia Celendín, departamento Cajamarca, típica de la jalca Sendamal-Kumulca-Challuayaco sobre los 3000 m de altitud y aparentemente endémica a esta parte del país. Se discute con sus relacionadas y adicionalmente se presentan datos sobre su distribución geográfica, ecológica y estado de conservación.

  9. Rodolfo Fierro: el "otro" Centauro del Norte (Historia, literatura y mito

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    Alfredo Rosas Martínez

    2011-01-01

    Full Text Available La figura mítica del Centauro ha sido atribuida por los historiadores a Francisco Villa, sin embargo, la literatura ha mostrado un interés especial por Rodolfo Fierro. En los cuentos "La fiesta de las balas" de Martín Luis Guzmán y "Oro, caballo y hombre" de Rafael F. Muñoz, Rodolfo Fierro transita de la historia a la literatura y, de aquí, al mito por medio de la figura mítica del jinete de la llanura. La estética y lo patético de la figura del hombre sobre una bestia, y lo artístico a la hora de cometer un crimen máximo, lo hacen merecer, en el ámbito de la literatura y el mito, el nombre de el "otro" Centauro del Norte.

  10. Reclasificación histopatológica de los tumores de sistema nervioso central tratados en el Hospital Eugenio Espejo de Quito. En el período 2003-2007

    OpenAIRE

    Ortíz Galarza, Dorys Malena; Quishpe Defaz, Maritza Llovana

    2015-01-01

    Contexto: La Organización Mundial de la Salud realizó una revisión de la Clasificación de los Tumores del Sistema Nervioso Central, publicada en el año 2007, que incluyó nuevas entidades para encasillar a aquellas referidas como inclasificables. Objetivo: Determinar las características histopatológicas y de gradación de las Neoplasias del Sistema Nervioso Central de acuerdo a la Clasificación de Tumores del Sistema Nervioso Central de la Organización Mundial de la Salud publicada en el año 20...

  11. Déficit de vivienda y satisfacción residencial. Un comparativo entre la frontera norte de México y el país, 2014

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    Guadalupe Tejeda Parra

    2018-01-01

    Full Text Available En este artículo se evaluó y comparó el déficit de vivienda y la satisfacción residencial de la población del país y de la frontera norte de México, en 2014. En las últimas décadas la franja fronteriza ha experimentado procesos de urbanización intensos debido al crecimiento y dinamismo económico y poblacional. La pregunta central fue, ¿existen diferencias en el déficit de vivienda y la satisfacción residencial entre dicha región y el resto del país? La metodología utilizada se basó en el análisis estadístico, con pruebas de hipótesis para probar significancias en la evaluación comparativa de los dos aspectos. En los resultados destacaron las diferencias entre ellos en ambas zonas, que favorecieron, en mayor medida, a la fronteriza.

  12. ESTRUCTURA ESPACIAL DE Eucinostomus argenteus (PISCES: GERREIDAE EN LA ZONA NORTE DEL CARIBE COLOMBIANO

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    MARIA PACHECO

    2010-01-01

    Full Text Available Esta investigación se llevó a cabo para determinar la distribución espacial de la densidad (captura por unidad de área - CPUA y de la estructura de tallas de Eucinostomus argenteus y su relación con las variables ambientales en la zona norte del Caribe colombiano. Los datos se tomaron durante un crucero de investigación realizado en la época seca (febrero de 2006 entre Puerto Estrella (La Guajira y Santa Marta (Magdalena. Las muestras biológicas se recolectaron con una red de arrastre (en estratos de profundidad < 50 m y 50-100 m siguiendo un diseño de muestreo sistemático. Los individuos ma- duros y de tallas mayores se encontraron distribuidos principalmente entre Manaure y Punta Gallinas (La Guajira, donde la plataforma continental es muy ancha y la oceano- grafía local está modulada por la surgencia estacional. Los peces juveniles, se distribu- yeron al sur del área de estudio, entre Boca Camarones (La Guajira y el río Buritaca (Magdalena, cerca de la costa. En este sector la plataforma es muy estrecha y con alta productividad biológica por la presencia de ríos, manglares y pastos marinos, sirviendo como zona de alimentación y refugio para E. argenteus. En general, los resultados sugieren que las variables ambientales son importantes para la distribución espacial de la abundancia y las tallas de E. argenteus en la zona norte del Caribe colombiano, siendo la temperatura y la profundidad las variables que predijeron mejor la distribución espacial de la especie.

  13. Amanita viscidolutea, a new species from Brazil with a key to Central and South American species of Amanita section Amanita.

    Science.gov (United States)

    Menolli, Nelson; Capelari, Marina; Baseia, Iuri Goulart

    2009-01-01

    We described and illustrated Amanita viscidolutea sp. nov. from specimens collected in the state of Rio Grande do Norte, northeastern Brazil. The main characteristics of the new species are its yellow pileus with white margin, the viscidity of the pileal surface, an exannulate stipe and inamyloid basidiospores. We also present an artificial dichotomous key to Central and South American species of Amanita (subgenus Amanita) section Amanita.

  14. MODELOS DE INVESTIGACIÓN Y DESARROLLO EN INSTITUCIONES DE EDUCACIÓN SUPERIOR EN COLOMBIA: EL CASO DE LA UNIVERSIDAD DEL NORTE EN LA REGIÓN CARIBE DE COLOMBIA

    Directory of Open Access Journals (Sweden)

    Raimundo Abello Llanos

    2014-01-01

    Full Text Available La idea central de este artículo es identificar los patrones de gestión de la investigación universitaria de acuerdo con los modelos más sobresalientes que caracterizan las estructuras de Investigación y Desarrollo (I+D en universidades de Colombia. En él se analizan las formas de administración de investigación más características de países de baja absorción científica, y se hace énfasis en el caso de la Universidad del Norte, ubicada en Barranquilla (Colombia.

  15. Hospital Inspections

    Data.gov (United States)

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

  16. Soroprevalência de Babesia bigemina em bovinos na mesorregião Norte Fluminense Seroprevalence of Babesia bigemina in cattle in the "Norte Fluminense" mesoregion

    Directory of Open Access Journals (Sweden)

    José Carlos P. Souza

    2000-03-01

    Full Text Available Investigou-se a soroprevalência de anticorpos anti Babesia bigemina em bovinos de nove municípios na mesorregião Norte Fluminense, estado do Rio de Janeiro. Realizou-se o ensaio de imunoadsorção enzimática (ELISA indireto em 532 amostras de soro de bovinos. A análise soroepidemiológica revelou que 371 (69,74% foram reagentes positivos ao ELISA indireto, dos quais: 32,33% com título de 1:500, 22,56% com título de 1:1000, 10,90% com título de 1:2000, 3,38% com título de 1:4000, 0,38% com título de 1:8000, 0,19% com título de 1:16000 e 30,26% foram negativos. A análise da prevalência segundo a faixa etária foi realizada dividindo-se em três grupos etários: 1 a 3 anos (n= 110, 3 a 6 anos (n= 241 e maior que 6 anos (n= 181, onde 73,64%, 69,30% e 67,95% dos animais foram positivos, respectivamente. Segundo a aptidão zootécnica 68,47% dos bovinos com aptidão para corte (n= 444 e 76,14% dos bovinos com aptidão para leite (n= 88 foram positivos. Em relação ao sexo, 69,82% das fêmeas (n= 497 e 68,57% dos machos (n= 35 foram positivos. Não houve diferença significativa entre os grupos etários, entre as aptidões e entre os sexos (P>0,05. A prevalência entre os municípios diferiu significativamente (PSerumprevalence of antibodies against Babesia bigemina were evaluated by the indirect Enzyme-Linked Immunosorbent Assay (ELISA. Sera samples from 532 bovines of nine municipalities in the "Norte Fluminense" mesoregion, Rio de Janeiro state, were analysed. The results showed that 371 (69.74% were positive by indirect ELISA, of which 32.33% were with a titre of 1:500, 22.56% of 1:1000, 10.90% of 1:2000, 3.38% of 1:4000, 0.38% of 1:8000, 0.19% of 1:16000, and 30.26% were negative. The prevalence analysis was done within three age groups: 1 to 3 years (n= 110, 3 to 6 years (n= 241 and > 6 years (n= 181, of which 73.64%, 69.30% and 67.95% were positive, respectively. According to the breed, 68.47% of beef cattle (n= 444 and 76.14% of

  17. Soroprevalência de Babesia bovis em bovinos na mesorregião Norte Fluminense Seroprevalence of Babesia bovis in cattle in the "Norte Fluminense" mesoregion

    Directory of Open Access Journals (Sweden)

    Cleber O. Soares

    2000-06-01

    Full Text Available Estudou-se a soroprevalência de anticorpos anti Babesia bovis em bovinos de nove municípios na mesorregião Norte Fluminense do estado do Rio de Janeiro. Realizou-se o ensaio de imunoadsorção enzimática (ELISA indireto em 532 amostras de soro de bovinos. A análise soroepidemiológica revelou 484 (90,98% animais reagentes positivos ao ELISA indireto, dos quais: 20,30% com título de 1:500, 35,72% com título de 1:1000, 20,87% com título de 1:2000, 7,33% com título de 1:4000, 2,82% com título de 1:8000, 2,63% com título de 1:16000, 0,56% com título de 1:32000, 0,75% com título de 1:64000 e 9,02% foram negativos. A análise da prevalência segundo a faixa etária foi realizada dividindo-se em três grupos etários: 1 a 3 anos (n= 110, 3 a 6 anos (n= 241 e maior que 6 anos (n= 181, onde 98,18%, 90,87% e 86,74% dos animais foram positivos, respectivamente. Houve diferença significativa (P0,05. A prevalência entre os municípios diferiu significativamente (PSerumprevalence of antibodies against Babesia bovis were studied by the indirect Enzyme-Linked Immunosorbent Assay (ELISA. Sera samples from 532 bovines of nine municipalities in the "Norte Fluminense" mesoregion, state of Rio de Janeiro, were analysed. The results showed that 484 (90.98% were positive by indirect ELISA, of which were: 20.30% with a titre of 1:500, 35.72% of 1:1000, 20.87% of 1:2000, 7.33% of 1:4000, 2.82% of 1:8000, 2.63% of 1:16000, 0.56% of 1:32000, 0.75% of 1:64000, and 9.02% were negative. The prevalence analysis was done within three age groups: 1 to 3 years (n= 110, 3 to 6 years (n= 241 and > 6 years (n= 181, of which 98.18%, 90.87% and 86.74% were positive, respectively. There were significant differences (P 0.05. There were significant differences (P < 0.0001 between the prevalence in the different municipalities. The infection by B. bovis in this mesoregion is heterogeneous, although the seroprevalence showed that the region has to be considered enzootically

  18. Diversity, origin and tectonic significance of the Mesoarchean granitoids of Ourilândia do Norte, Carajás province (Brazil)

    Science.gov (United States)

    da Silva, Luciano Ribeiro; de Oliveira, Davis Carvalho; dos Santos, Maria Nattânia Sampaio

    2018-03-01

    This study investigates the diversity, origin and tectonic significance of the Ourilândia do Norte Mesoarchean granitoids, emplaced near Rio Maria-Carajás domains boundary, southeastern Amazonian Craton (Brazil). In this area, previous works has identified sanukitoids (∼2.87 Ga), (quartz) diorites of BADR affinity and undifferentiated leucogranites, with charnockites cross-cutting the other granitoids. New geological mapping data allowed to differentiate three new groups of granitoids: (i) biotite monzogranites (BMzG); (ii) epidote-biotite granodiorites (EBGd); and (iii) porphyritic granitoids (pGrt). Thus, this paper aims to define their classification, nature, formation processes and deformation aspects, and discuss the relations between plutonism and deformation for the Ourilandia do Norte granitoids. The petrographic data showed that each one of these groups can be subdivided into two facies. The BMzG is differentiated into equigranular (eBMzG) and heterogranular (hBMzG) and the EBGd into heterogranular (hEBGd) and sparsely porphyritic (spTEBGd). These granitoids constitute two batholiths separated by a rock strip of sanukitoid and BADR affinities. Both are largely dominated by BMzG rocks, with less abundant EBGd lenses. The pGrt is individualized in porphyritic granodiorites (pBHGd) and trondhjemites (pEBTd), which occur as smaller bodies. Structurally, the central portions these plutons represent lower strain domains, while their borders are marked by large-scale shear zones, where occur submagmatic and mylonitic fabrics of ENE-WSW main direction and subvertical dip, respectively. The meso- and microstructural data indicate that the rocks studied are syn-to late-tectonic and were affected by high temperature deformation (>500 °C) and low differential stress, in a sinistral transpression regime, indicating that both fabrics are related to the a same deformational event. Geochemically, except the pEBTd facies that has sodic affinity, the Ourilândia do

  19. Designing a modern hospital pharmacy.

    Science.gov (United States)

    Kay, B G; Boyar, R L; Raspante, P S

    1986-02-01

    Cooperation between the pharmacy director and the hospital's architects in planning a modern hospital pharmacy is described. The pharmacy director at an 870-bed voluntary nonprofit institution and the hospital's architects planned the design for a new 3250-square foot pharmacy department. They developed a preliminary floor plan based on the following functions that the pharmacy would perform: centralized unit dose drug distribution; compounding; bulk and unit dose prepackaging; preparation of sterile products; controlled substance storage; outpatient and employee prescription dispensing; reserve stock storage; purchasing, receiving, and inventory control; drug information services; and administrative services. A final floor plan was designed that incorporated these functions with structural and utility requirements, such as placement of the computer system and dispensing and lighting fixtures. By integrating modern material management concepts with contemporary hospital pharmacy practice, the pharmacy director and the hospital's architects were able to plan and construct a pharmacy that receives, processes, and dispenses medication efficiently.

  20. Amputación del miembro inferior por pie diabético en hospitales de la costa norte peruana 1990 - 2000: características clínico-epidemiológicas

    Directory of Open Access Journals (Sweden)

    David Escalante Gutiérrez

    2003-07-01

    Full Text Available Objetivo: Identificar las características clínico-epidemiológicas de la amputación del miembro inferior por pie diabético en pacientes de la costa norte peruana durante los años 1990-2000. Materiales y métodos: Estudio descriptivo, retrospectivo, basado en recolección de información de pacientes atendidos en cinco hospitales de cuatro capitales de departamento de la costa norte peruana. Se recolectaron datos demográficos y de la enfermedad (diagnóstico y manejo. Resultados: Se incluyeron 250 pacientes procedentes de: Hospital JAMO de Tumbes 8,4%, Hospital Cayetano Heredia de Piura 40,0%, Hospital Regional Docente Las Mercedes de Lambayeque 18,0%, Hospital Belén 24,4% y Hospital Regional Docente de La Libertad 9,2%. El 61,2% fueron varones y la edad promedio fue 63,5±10 años. El 98,4% presentaron diabetes mellitus tipo 2, 56,5% sufrieron amputaciones mayores (p<0,05 y 10,4% amputaciones mayores secuenciales. El tiempo de reamputación fue ≤ 24 meses en 71,3% (p<0,05. Se identificó estadiaje de pie diabético según Wagner en 44 (11,8%, con un cuarto grado en 45,0%. El tiempo con enfermedad de los pacientes hasta la primera amputación fue entre 11 y 20 años (31,2%, destacando 13,6% casos con pie diabético como primera forma de presentación de DM y 2,5% con sintomatología de larga data pero que carecían de diagnóstico de diabetes mellitus. De las amputaciones, sólo el 8,3% fueron sometidas a debridaciones y el 4,4% a revascularización. Conclusiones: Se encontró una frecuencia importante de pie diabético. Los problemas detectados fueron: carencia de ayuda diagnóstica complementaria, falta de aplicación de procedimientos de salvataje previos a la amputación y no fueron evaluados integralmente los pacientes. Estos problemas deben ser resueltos para mejorar la calidad de vida y reducir las amputaciones innecesarias.

  1. Bases para la Planeación Regional del Norte Chico: Provincias de Atacama y Coquimbo. / Basis for Region Planning of the “Norte Chico”: Atacama and Coquimbo provinces.

    Directory of Open Access Journals (Sweden)

    Guillermo Ulriksen Becker

    2008-06-01

    Full Text Available Memoria compuesta de estudios sobre la demografía, migración, estadística agrícola-ganadera-agropecuaria, sobre el carácter del comercio interior y exterior de la región, sobre la renta regional, sobre los proyectos de regadío, sobre la experiencia en sentido negativo y positivo en la realización del "Plan de Fomento y Urbanización de las Provincias de Chile" aplicado al Norte Chico y especialmente a la ciudad de la Serena, sobre la flora, etc., y, un estudio final en calidad de conclusiones./ The thesis contain studies on: demography, migration, local agriculture and livestock, local and international trade, irrigation projects, the local flora, analysis of the "Plan de Fomento y Urbanización de las Provincias de Chile" in the Norte Chico, and others; concluding with a final study with conclusions.

  2. Enterprise resource planning for hospitals

    NARCIS (Netherlands)

    van Merode, Godefridus G.; Groothuis, Siebren; Hasman, Arie

    2004-01-01

    Integrated hospitals need a central planning and control system to plan patients' processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the

  3. The Mantodea (Dictyoptera: Insecta of Rio Grande do Norte, Brazil: First List of Species and Geographical Records

    Directory of Open Access Journals (Sweden)

    Raphael Heleodoro

    2016-12-01

    Resumo. Este trabalho apresenta a primeira lista de espécies de louva-a-deus do Rio Grande do Norte, bem como sua distribuição dentro do Estado. Os registros das espécies são oriundos de espécimes depositados na Coleção Entomológica “Adalberto Antonio Varela Freire”, localizada na Universidade Federal do Rio Grande do Norte. Essa coleção possui um total de 1.816 espécimes de Mantodea depositados, representando 30 espécies distribuídas em 16 gêneros.

  4. Checklist of Mosquito Species (Diptera: Culicidae) in the Rio Grande do Norte State, Brazil-Contribution of Entomological Surveillance.

    Science.gov (United States)

    Lázaro Silva Inácio, Cássio; Hilário Tavares da Silva, José; César de Melo Freire, Renato; Antonaci Gama, Renata; Brisola Marcondes, Carlos; de Fátima Freire de Melo Ximenes, Maria

    2017-05-01

    The distribution of mosquito species in Rio Grande do Norte state, Brazil, was compiled from published data mid-2016 and a review of specimens deposited in the entomological collection of the Entomology Laboratory of the Federal University of Rio Grande do Norte. The existing records exist for 40 of the 167 municipalities in the state. The specimens in the Entomology Laboratory were collected using Shannon traps and by active search for immature individuals and from aquatic habitats using standard methods, in preserved Atlantic Forest and Caatinga remnants, located in urban and rural areas of the state. In total were recorded 76 species distributed into 25 subgenera, 15 genera, nine tribes, and two subfamilies, in addition to 15 new species records for the state. © The Authors 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  5. A Computerized Hospital Patient Information Management System

    Science.gov (United States)

    Wig, Eldon D.

    1982-01-01

    The information processing needs of a hospital are many, with varying degrees of complexity. The prime concern in providing an integrated hospital information management system lies in the ability to process the data relating to the single entity for which every hospital functions - the patient. This paper examines the PRIMIS computer system developed to accommodate hospital needs with respect to a central patient registry, inpatients (i.e., Admission/Transfer/Discharge), and out-patients. Finally, the potential for expansion to permit the incorporation of more hospital functions within PRIMIS is examined.

  6. Manifestações estomatológicas, contagem de linfócitos T-CD4+ e carga viral de crianças brasileiras e norte-americanas infectadas pelo HIV

    Directory of Open Access Journals (Sweden)

    GRANDO Liliane Janete

    2002-01-01

    Full Text Available A prevalência de manifestações estomatológicas associadas à infecção pelo HIV foi avaliada em 184 crianças de ambos os sexos, da faixa etária de zero a 13 anos de idade, atendidas nos Ambulatórios de AIDS Pediátrica do Hospital São Lucas (HSL da PUCRS, e do Hospital de Clínicas de Porto Alegre (HCPA da UFRGS, ambos em Porto Alegre, RS, Brasil e no Centro Pediátrico para Doenças Infecciosas do Hospital Universitário e Departamento de Odontopediatria da Faculdade de Odontologia da Universidade Estadual de Nova Iorque (SUNY em Stony Brook, Nova Iorque, EUA, no período de janeiro de 1999 a maio de 2000. A freqüência de crianças brasileiras (72,73% e norte-americanas (53,66% com manifestações estomatológicas associadas à infecção pelo HIV foi estatisticamente significativa, com destaque para linfadenopatia cérvico-facial, aumento de volume das parótidas, candidíase eritematosa, petéquias, gengivite, xerostomia e queilite angular. As crianças com manifestações estomatológicas apresentaram contagens médias de linfócitos T-CD4+ próximas à normalidade e carga viral alta.

  7. SMS TECHNOLOGY AS DISASTER WARNING AND ALERT SYSTEM AS PERCEIVED BY SELECTED CONSTITUENTS OF DAVAO DEL NORTE

    OpenAIRE

    Dr. Mervin Jay Z. Suaybaguio

    2016-01-01

    Anchored on Davis’ (1989) Technology Acceptance Model, three hundred constituents representing the three cities and eight municipalities of Davao del Norte were randomly surveyed on their perceptions about the use of Short Message Service (SMS) technology as a tool for sending disaster warning and alert messages. 145 males and 155 females answered the survey. Tagum City had the highest number of respondents (78) while the municipalities of San Isidro (8) and Talaingod (8) had the least. Resul...

  8. Reforma al plan de estudios del Programa de Derecho de la Universidad del Norte (Colombia: una experiencia liberadora

    Directory of Open Access Journals (Sweden)

    Luis Alberto Gómez Araujo

    2004-01-01

    Full Text Available Dentro del marco de la autonomía universitaria consagrada constitucionalmente y el régimen general de estándares de calidad definidos por el gobierno nacional, el Programa de Derecho de la Universidad del Norte encuentra las condiciones adecuadas para redireccionar su curriculo, atendiendo su misión: formar abogados integrales en lo jurídico, lo humanístico y lo ético.

  9. CARACTERÍSTICAS FÍSICO-QUÍMICAS DE MEL PRODUZIDO EM LIMOEIRO DO NORTE DURANTE O ARMAZENAMENTO

    OpenAIRE

    KELLY DE FÁTIMA NOGUEIRA LIMA SILVA; ALEXANDRE JOSÉ DE MELO QUEIROZ; ROSSANA MARIA FEITOSA DE FIGUEIREDO; CHARLES TELES SANTOS SILVA; KARLA DOS SANTOS MELO DOS SANTOS MELO

    2009-01-01

    Honey samples produced in Limoeiro do Norte, state of Ceará, were stored during 180 days in two types of container, plastic and metallic, and its characteristics were monitored during the storage period by means of moisture content, HMF, reducers sugars, apparent sucrose, ash, free acidity, insoluble solids in water, diastatic activity, pH and oBrix. Moisture and free acidity have been determined matching the methodology recommended by AOAC. HMF, reducers sugars and apparent sucrose have been...

  10. Central Solenoid

    CERN Multimedia

    2002-01-01

    The Central Solenoid (CS) is a single layer coil wound internally in a supporting cylinder housed in the cryostat of the Liquid Argon Calorimeter. It was successfully tested at Toshiba in December 2000 and was delivered to CERN in September 2001 ready for integration in the LAr Calorimeter in 2003. An intermediate test of the chimney and proximity cryogenics was successfully performed in June 2002.

  11. Europa central

    Directory of Open Access Journals (Sweden)

    Karel BARTOSEK

    2010-02-01

    Full Text Available La investigación francesa continúa interesándose por Europa Central. Desde luego, hay límites a este interés en el ambiente general de mi nueva patria: en la ignorancia, producto del largo desinterés de Francia por este espacio después de la Segunda Guerra Mundial, y en el comportamiento y la reflexión de la clase política y de los medios de comunicación (una anécdota para ilustrar este ambiente: durante la preparación de nuestro coloquio «Refugiados e inmigrantes de Europa Central en el movimiento antifascista y la Resistencia en Francia, 1933-1945», celebrado en París en octubre de 1986, el problema de la definición fue planteado concreta y «prácticamente». ¡Y hubo entonces un historiador eminente, para quién Alemania no formaría parte de Europa Central!.

  12. Demanda regional de trabajo en la industria maquiladora de exportación en los estados de la frontera norte

    Directory of Open Access Journals (Sweden)

    Cuauhtémoc Calderón Villarreal

    2000-01-01

    Full Text Available El presente estudio tiene como finalidad el desarrollar un modelo econométrico que permita evaluar y comparar los factores que influyen en la demanda de trabajo de la industria maquiladora de exportación (IME, de los estados de la frontera norte de México. Se construye una función de demanda de trabajo que considera como variables explicativas a: las remuneraciones, la actividad industrial en los Estados Unidos como "proxi" del ingreso y las economías de aglomeración derivadas de la especialización y concentración industrial. En el estudio se considera que los factores de localización regional relacionados con el mercado de trabajo son elementos determinantes de la demanda de trabajo y explicativos de los incrementos salariales de la IME en los estados de la frontera norte. Los resultados del trabajo muestran que el nivel salarial, el tamaño medio de las plantas maquiladoras y la especialización de la producción de la IME determinan a la demanda de trabajo de la IME, en estados de la frontera norte de México .

  13. A devastação ecológica em cinzas do norte de Milton Hatoum

    Directory of Open Access Journals (Sweden)

    Marcos Reigota

    2014-12-01

    Full Text Available Este artigo procura relacionar Cinzas do Norte, de Milton Hatoum, com o pensamento ecologista de Félix Guattari e Ana Godoy. Cinzas do Norte é uma narrativa sobre dois amigos de Manaus, cuja amizade se inicia em 1964, numa escola pública, e que segue até o final da ditadura civil-militar. Procuramos situar a obra de Milton Hatoum em relação à ecocrítica, em textos de autoria de Félix Guattari e Ana Godoy, e observar como a obra de Milton Hatoum colabora com a proposta de educação ambiental como produtora de sentidos. Afirmamos que a literatura, e particularmente Cinzas do Norte, contribui para a ampliação do repertório das práticas sociais e pedagógicas ecologistas no cotidiano. Trata-se de artigo resultante de pesquisa apoiada pelo CNPq sobre a obra de Milton Hatoum e suas relações com a educação ambiental pós-moderna e com os estudos culturais (ecocrítica.

  14. The Ilocos Norte Communities against Rabies Exposure Elimination Project in the Philippines: Epidemiological and Economic Aspects

    Directory of Open Access Journals (Sweden)

    Anna Charinna B. Amparo

    2017-04-01

    Full Text Available As canine rabies control in Africa and Asia transitions from research-led proof-of-concept studies to government-led programs for elimination, experience and evidence of their impact and costs must be shared for the benefit of future programs. The Ilocos Norte Communities against Rabies Exposure project was implemented in April 2012 by the provincial veterinary and health offices and supported by many other partners. It delivered a comprehensive dog vaccination program and increased awareness of the need for postexposure prophylaxis (PEP, aiming to eliminate human and animal rabies cases from Ilocos Norte by 2015. Prior to the intervention, confirmed rabies cases in dogs were between 19 and 50 per year (2008–2011. The primary outcome of the project was a reduction in rabies cases in both dogs and humans to 0 in 2014 and 2015, which has subsequently been maintained. Animal bite consultations increased significantly during the project. Economic data for the dog vaccination and PEP components of the project were collated for two sites: Laoag City (an urban setting and Dingras Municipality (a rural setting between 2012 and 2014. The average programmatic cost of vaccinating each dog was $4.54 in Laoag City and $8.65 in Dingras, and costs fell as the project reached more dogs. The average costs of providing PEP were $69.72 per patient and $49.02 per patient for the two sites, respectively, again falling as the project reached more people. External donor contributions contributed less than 20% of dog vaccination costs and less than 1% of PEP costs. The project demonstrated that rabies elimination can be achieved in a short period of time, with concerted effort across multiple sectors. A lack of clear dog population estimates hampered interpretation of some aspects of the programme. From 2016, the provincial government has assumed complete responsibility for the programme and must now continue the vaccination and surveillance efforts. Although

  15. Anisákiasis en pescados frescos comercializados en el norte de Córdoba

    Directory of Open Access Journals (Sweden)

    Rafaela de la Torre Molina

    2000-01-01

    Full Text Available Fundamento: La anisakiasis es una zoonosis parasitaria producida por larvas vivas de nematodos de la Familia Anisakidae, que se localizan en la cavidad corporal y el sistema muscular de peces teleósteos y moluscos cefalópodos. El hombre las ingiere accidentalmente al consumir pescado infestado crudo o poco cocinado. El cuadro clínico está caracterizado por síndrome gástrico-intestinal. El objetivo del presente trabajo es conocer la frecuencia de parasitación por larvas de anisákidos en pescados frescos comercializados en el norte de la provincia de Córdoba. Métodos: Durante un período de 9 meses se tomaron muestras de las especies más comercializadas de pescados marinos en todas los establecimientos del sector. El análisis parasitológico se realizó en el Laboratorio de Salud Pública de Peñarroya mediante el método de la disección. Se analizaron un total de 1.261 muestras de 18 especies distintas. Resultados: La frecuencia total de parasitación fue del 15,8%. La especie más parasitada fue la bacaladilla (Micromesistius poutassou, con un porcentaje de parasitación del 42%, y se detectaron también larvas de Anisakidos en: pijota (Merlucius merlucius un 27,5%, pescadilla (Merlucius sp. un 26%, Caballa (Scomber scombrus un 20,6%, brótola (Phycis blennoides un 6,2%, boquerón (Engraulis encrasicolus un 5,6% y faneca (Trisopterus luscus un 5,5% de muestras parasitadas. La distribución mensual de los resultados refleja un aumento de la parasitación en los meses de primavera, descendiendo progresivamente hasta los últimos meses del año. Conclusiones: Existe una incidencia significativa de infestación por anisakidos en las especies de pescados comercializadas en el norte de Córdoba. No obstante, la dificultad para detectar el parásito, la valoración imprecisa del grado de parasitación tolerable o inaceptable que señala el marco normativo, la circunstancia de que algunos platos tradicionales elaborados con pescado crudo

  16. Estructura espacial de Eucinostomus argenteus (Pisces: Gerreidae en la zona norte del Caribe colombiano

    Directory of Open Access Journals (Sweden)

    Sanchez Claudia

    2010-04-01

    Full Text Available Esta investigación se llevó a cabo para determinar la distribución espacial de la densidad (captura por unidad de área – CPUA y de la estructura de tallas de Eucinostomus argenteus y su relación con las variables ambientales en la zona norte del Caribe colombiano. Los datos fueron se tomaron durante un crucero de investigación realizado en  la época seca (febrero de 2006 entre  Puerto Estrella (La Guajira y Santa Marta (Magdalena. Las muestras biológicas se colectaron con una red de arrastre (en estratos de profundidad < 50 m y 50-100 m siguiendo un diseño de muestreo sistemático. Los individuos maduros y de tallas mayores se encontraron distribuidos principalmente entre Manaure y Punta Gallinas, donde la plataforma continental es muy ancha y la oceanografía local esta modulada por la surgencia estacional. Los peces juveniles, se distribuyeron al sur del área de estudio, entre Boca Camarones y el Río Buritaca, cerca de la costa. En este sector la plataforma es muy estrecha y con alta productividad biológica por la presencia de ríos, manglares y pastos marinos, sirviendo como zona de alimentación y refugio para E. argenteus. En general los resultados sugieren que las variables ambientales son importantes para la distribución espacial de la abundancia y las tallas de

  17. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  18. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  19. Neo-adjuvant chemotherapy followed by radiotherapy adapted to the tumour response in the primary seminoma of the central nervous system: experience of the Pitie-Salpetriere Hospital and review of literature; Chimiotherapie neoadjuvante suivie d'une radiotherapie adaptee a la reponse tumorale dans les tumeurs germinales seminomateuses du systeme nerveux central: experience de l'hopital de la Pitie-Salpetriere et revue de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Calugaru, V.; Taillibert, S.; Lang, P.; Simon, J.M.; Mazeron, J.J. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Radiotherapie Oncologique, 75 - Paris (France); Taillibert, S.; Delattre, J.Y. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Neuro-Oncologie, 75 - Paris (France)

    2007-05-15

    Purpose. Retrospective analysis of ten cases of germinoma of the central nervous system treated in Pitie Salpetriere Hospital, Paris. Patients and methods- - Ten male patients were treated from 1997 to 2005 for histologically verified primary seminoma of the central nervous system. The median age was 27 years (range 18 0 years). Our option for the treatment was the association of 3 cycles of neo-adjuvant chemotherapy (cisplatin and etoposide) to radiotherapy. Five patients received a craniospinal radiotherapy of 30 Gy (for one patient 36 Gy) followed by a tumoral boost from 20 to 24 Gy. For five patients, irradiated volume was limited to the tumour, total dose from 24 to 54 Gy (for three patients the total dose was from 24 to 30 Gy). Surgery was used for five patients, but only in one case was macroscopic complete. Results. Six patients were in situation of complete remission after neo-adjuvant chemotherapy. All the patients were in situation of complete remission after the irradiation. All the patients were alive free of disease with a median follow-up 46 months (range 13 0 months). Conclusion. In spite of the fact that the intracranial germinal tumours are not the subject of a consensual treatment strategy, this retrospective analysis pleads in favour of chemotherapy followed by limited dose and volume irradiation. (authors)

  20. Vigilancia de infecciones nosocomiales en un hospital de cardiología Nosocomial infections surveillance in a cardiology and thoracic diseases hospital

    OpenAIRE

    Julio D. Molina-Gamboa; Héctor Garza-Moreno

    1999-01-01

    OBJETIVO. Describir los resultados de la vigilancia de las infecciones nosocomiales en un hospital de cardiología y neumología del norte de México en sus primeros meses de actividad. MATERIAL Y MÉTODOS. Informe retrospectivo de los hallazgos de la vigilancia de infecciones nosocomiales realizado por el equipo de control, con búsqueda directa de la información mediante la revisión de pacientes, expedientes y notas médicas y de enfermería, reportes de bacteriología y reportes del personal encar...

  1. Central sleep apnea

    Science.gov (United States)

    Sleep apnea - central; Obesity - central sleep apnea; Cheyne-Stokes - central sleep apnea; Heart failure - central sleep apnea ... Central sleep apnea results when the brain temporarily stops sending signals to the muscles that control breathing. The condition ...

  2. central t

    Directory of Open Access Journals (Sweden)

    Manuel R. Piña Monarrez

    2007-01-01

    Full Text Available Dado que la Regresión Ridge (RR, es una estimación sesgada que parte de la solución de la regresión de Mínimos Cuadrados (MC, es vital establecer las condiciones para las que la distribución central t de Student que se utiliza en la prueba de hipótesis en MC, sea también aplicable a la regresión RR. La prueba de este importante resultado se presenta en este artículo.

  3. Violencia e inseguridad en la frontera norte de México

    Directory of Open Access Journals (Sweden)

    Julia Estela Monárrez Fragoso

    2008-01-01

    Full Text Available La importancia creciente de la problemática de inseguridad ciudadana en México ha comenzado a desarrollar un interés en la academia por los temas de violencia e inseguridad pública que privan en distintas partes de la geografía nacional. Este artículo aborda la complejidad de estas dimensiones de la violencia social siguiendo dos ejes: el abstracto y el concreto. Con el primero de ellos pone en la mesa de discusión la reflexión teórica de las conceptualizaciones de violencia e inseguridad que enmarcan este trabajo; y con relación a lo concreto, muestra a través del análisis de documentos oficiales y bases de datos, las cifras de la violencia en los estados fronterizos del norte de México, con seis elementos de análisis: victimización, homicidios, robos, denuncia de los delitos, confianza en las corporaciones policiacas y la percepción de la seguridad de esta población del territorio nacional.

  4. Coplas de Chauen (norte de Marruecos. Temática y lenguaje formulaico

    Directory of Open Access Journals (Sweden)

    Francisco Moscoso García

    2015-04-01

    Full Text Available ABSTRACT: We present in this article the theme and the formulaic language of the four-line stanzas collected in Chauen by the Spanish Governor Carlos Pereda Roig. These stanzas belong to the genre of the poetry and traditional songs from the Yebala region (northern Morocco. The language employed is the Moroccan Arabic. They are divided into the following sections: repeated stanzas, stanzas with variations, stanzas with different verses but a common metric structure and repeating verses. RESUMEN: Recogemos en este artículo la temática y el lenguaje formulaico de las coplas de Chauen que recogió el interventor español Carlos Pereda Roig. Estas pertenecen al género de la poesía cantada tradicional de la región de Yebala (norte de Marruecos y la lengua en la que se entonan es el árabe marroquí. Están divididas en los siguientes apartados: coplas idénticas, coplas con variantes, coplas con algún verso diferente y versos que se repiten.

  5. Gobernanza y gestión comunitaria de recursos naturales en la Sierra Norte de Oaxaca

    Directory of Open Access Journals (Sweden)

    José Gasca Zamora

    2014-01-01

    Full Text Available en la Sierra Norte de Oaxaca se ubican municipios que han desarrollado estrategias organizativas y producti - vas, donde los actores sociales y sus instancias de gobier - no comunal se han posicionado como agentes clave. Estas experiencias se llevan a cabo en territorios que, además de contar con recursos forestales, han “redescubierto” nue - vas formas de aprovechamiento de sus recursos hídricos y paisajísticos, entre otros. Se trata de espacios habitados principalmente por poblaciones de ascendencia indígena, que tienen regímenes comunales de tenencia de la tierra, y que mediante empresas comunitarias usan y usufructúan sus principales recursos naturales. En este trabajo se explo - ra el contexto en que surgió esta modalidad productiva, y se propone identificar y explicar los factores que intervie - nen en su funcionamiento. Sobre todo interesa destacar tres ejes: los espacios de gobernanza y gestión social de re - cursos; el trabajo cooperativo y las estrategias de reciproci -dad y la construcción de una racionalidad socioecológica, que prefigura determinadas estrategias de conservación en regiones de alto valor ambiental.

  6. Raw materials for the ceramics industry from norte de santander. I. Mineralogical, chemical and physical characterization

    Directory of Open Access Journals (Sweden)

    Leonardo Cely-Illera

    2016-01-01

    Full Text Available El presente trabajo estudia las principales características de una arcilla utilizada para la fabricación de piezas cerámicas de construcción del área metropolitana de San José de Cúcuta. La investigación se llevó a cabo utilizando una muestra arcillosa de tipología rojiza de la formación Guayabo de la región del Zulia en Norte de Santander. El material se molió por vía seca y se realizó el procedimiento de preparación adecuado para el desarrollo de los análisis de caracterización como fueron difracción de rayos X (DRX, fluorescencia de rayos X (FRX, granulometrías por tamizado en seco y por la técnica del hidrómetro 152 H. Se determinó su relación arcilla/cuarzo, su plasticidad y su comportamiento en el proceso de secado y cocción. El proceso de conformado utilizado fue el de extrusión. Los resultados de la investigación mostraron que el material es apto para fabricar productos estructurales y de revestimiento para pisos y paredes, además de arrojar excelentes propiedades para fabricar productos refractarios.

  7. Mercado de trabajo e industria maquiladora en Sonora y la frontera norte

    Directory of Open Access Journals (Sweden)

    Eliseo Díaz González

    2009-01-01

    Full Text Available En el presente trabajo se analiza el mercado laboral en Sonora y los demás estados de la frontera norte de México, a partir de la evolución de la industria maquiladora y su relación con el empleo y los salarios regionales. Para una economía de bienes comercializables y no comercializables, que utiliza un modelo en el que el comercio internacional influye sobre el empleo y los salarios de la región, y con base en una estimación con datos de panel, se estudia el efecto de la demanda del empleo y los salarios provenientes de la demanda de exportaciones de bienes manufacturados sobre el sector no maquilador, de 1997 a 2004, con énfasis en la etapa de cierre de empresas maquiladoras en 2001 y 2003. Los resultados sugieren que, para este periodo en particular, el empleo en los sectores distintos a la maquila determina el equilibrio en el mercado de trabajo, y que los salarios de las maquiladoras son influidos por el equilibrio en la oferta y demanda de dichos sectores.

  8. Migración y fuerza de trabajo en la frontera norte de México

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    Guadalupe Beatriz Acuña de Peña

    1983-09-01

    Full Text Available Este estudio nos revela un aspecto de las relaciones internacionales entre México y Estados Unidos en el ámbito fronterizo, lo cual nos permite entender la dinámica de dichas relaciones. El centro de esta investigación son los transmigrantes residentes de Mexicali que realizan labores agrícolas en el Valle Imperial, California, ya que la agricultura es la actividad económica fundamental de la región y, coincidentemente, de todos los transmigrantes a lo largo de la frontera. Este tema, poco abordado en las investigaciones de la frontera, nos parece indispensable conocerlo para comprender la vida fronteriza del norte de México, pues más del 85% de la mano de obra agrícola empleada en este valle proviene de la ciudad de Mexicali (Baja California, México. Del estudio de la transmigración (commuting se derivan prácticas inherentes a cada zona fronteriza que afectan y actúan de manera diferente a ambos lados de la frontera. Finalmente, la transmigración nos descubre una nueva fuerza de trabajo importante no sólo para los Estados Unidos, sino también para México, especialmente en los momentos de crisis que atraviesa el país.

  9. TUBERCULOSIS IN THE POPULATIONS OF TWO PRISONS STATE OF RIO GRANDE DO NORTE

    Directory of Open Access Journals (Sweden)

    Hamilton Leandro Andrade

    2011-11-01

    Full Text Available Objetivo: descrever o nível de infecção pelo bacilo da tuberculose na população prisional em duas Penitenciárias Estaduais do Rio Grande do Norte. Método: Estudo Descritivo acerca da situação da tuberculose prisional nas Penitenciárias Estaduais de Parnamirim e do Seridó no ano de 2009. Resultados: obteve-se um total de 84% de reatores fortes para a tuberculose nos apenados da Penitenciária Estadual de Parnamirim e 77% para os apenados da Penitenciária Estadual do Seridó. Conclusões: é imperativo vencer as dificuldades organizacionais, logísticas e políticas para que seja factível a aplicação de estratégias como o Tratamento de Curta Duração Diretamente Observável (DOTS nas prisões, assegurando uma melhor qualidade de vida para os presos e um controle mais efetivo da tuberculose dentro e fora das prisões. Descritores: Prisões. Qualidade de vida. Tuberculose.

  10. Functional types sensitivity to climate change in Sierra Norte of Oaxaca, Mexico

    Directory of Open Access Journals (Sweden)

    Leopoldo Galicia

    2009-10-01

    Full Text Available Temperature raise and changes in precipitation expected under climate change scenarios will impact on species distribution at regional al global level; although in Mexico few studies of plant species vulnerability exist. The objectives of this study were: a to determine plant functional types of plants based on life forms; b to determine biogeography distribution and actual climate and altitude gradients and, c to define vulnerability of plant functional types under climate change scenarios in Sierra Norte of Oaxaca (SNO. Potential response of functional groups was based on an ensemble of eight general circulation models with four emissions scenarios at global scale and, a Japanese model of very high regional resolution (20 x 20 km. To characterize groups of climate response, dominant species were defined for seven vegetation types in SNO. Climate change scenarios ensemble suggested an increment of temperature between 1.5 and 2.5º C, and a change in precipitation between +5 and –10 %. Sensitivity analysis suggested that for climate change scenarios in 2050 genera like Abies and Pinus would diminish their geographic distribution. Results of this study can help to define conservation strategies and manage of those species less tolerant to perturbation in actual and future climate at regional scales.

  11. ENVOLVIMENTO DE adolescentes do Norte de Portugal com o álcool

    Directory of Open Access Journals (Sweden)

    Isabel Amorim Gonçalves

    2016-01-01

    Full Text Available Objetivo : analizar la relación entre las variables sociodemográficas y el involucramiento de los adolescentes con el alcohol. Método : se realizó un estudio descriptivo-correlacional y transversal de enfoque cuantitativo, con una muestra de 378 estudiantes que asisten al colegio regular en el condado de Chaves, Norte de Portugal. Como instrumento de recolección de datos se utilizó un cuestionario que incluía la escala del Involucramiento de los Adolescente con el Uso de Alcohol. resultados : la mayoría de los estudiantes de la muestra eran mujeres (60,8%, pertenecían al grupo de edad de 17-18 años (53,2% y entraron en la categoría de “bebedor habitual sin problemas” (79,9%. Los hombres mostraron un mayor involucramiento con las bebidas alcohólicas (Mann-Whitney: p=0,010. conclusiones : el involucramiento con el alcohol parece estar en un nivel intermedio, siendo relacionado con el sexo, edad, grado y práctica de una religión. Estos resultados justifican realizar intervenciones en la comunidad, para prevenir el consumo.

  12. Del territorio a la empresa: conocimientos productivos entre los ingenieros del norte de México

    Directory of Open Access Journals (Sweden)

    Alfredo Hualde Alfaro

    2001-01-01

    Full Text Available El crecimiento del empleo industrial con el aumento de la inversión extranjera ha producido un incremento de los mercados profesionales de ingenieros en las ciudades del norte de México. En los casos a los que el artículo se refiere, dicho crecimiento es mucho más importante en Tijuana que en Hermosillo. En una época de valoración creciente del conocimiento, la pericia y las competencias para el desarrollo local y regional, es necesario preguntarse por la naturaleza de dichos conocimientos, la forma de transmisión de los mismos y los actores e instituciones que intervienen en la producción y reproducción de los conocimientos productivos. El artículo toma el caso de las maquiladoras de Tijuana y de la empresa Ford de Hermosillo con el objetivo de reflexionar acerca de la forma en que dichos conocimientos constituyen (o no nexos de articulación entre las empresas y el territorio.

  13. Sensitivity modeling study for an ozone occurrence during the 1996 Paso Del Norte Ozone Campaign.

    Science.gov (United States)

    Lu, Duanjun; Reddy, Remata S; Fitzgerald, Rosa; Stockwell, William R; Williams, Quinton L; Tchounwou, Paul B

    2008-12-01

    Surface ozone pollution has been a persistent environmental problem in the US and Europe as well as the developing countries. A key prerequisite to find effective alternatives to meeting an ozone air quality standard is to understand the importance of local anthropogenic emissions, the significance of biogenic emissions, and the contribution of long-range transport. In this study, an air quality modeling system that includes chemistry and transport, CMAQ, an emission processing model, SMOKE, and a mesoscale numerical meteorological model, WRF, has been applied to investigate an ozone event occurring during the period of the 1996 Paso del Norte Ozone Campaign. The results show that the modeling system exhibits the capability to simulate this high ozone occurrence by providing a comparable temporal variation of surface ozone concentration at one station and to capture the spatial evolution of the event. Several sensitivity tests were also conducted to identify the contributions to high surface ozone concentration from eight VOC subspecies, biogenic VOCs, anthropogenic VOCs and long-range transportation of ozone and its precursors. It is found that the reductions of ETH, ISOP, PAR, OLE and FORM help to mitigate the surface ozone concentration, and like anthropogenic VOCs, biogenic VOC plays a nonnegligible role in ozone formation. But for this case, long-range transport of ozone and its precursors appears to produce an insignificant contribution.

  14. Canto y plaquitas grabadas del norte de Cáceres (Extremadura, España

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    Soledad CORCHÓN RODRÍGUEZ

    2009-12-01

    Full Text Available RESUMEN: Se presentan cinco documentos mobiliares de gran interés arqueológico, recogidos en superficie en el Valle de Ambroz (Norte de Cáceres. Aunque los trabajos de prospección, en curso, probablemente permitirán precisar su contexto arqueológico inmediato, el estudio preliminar de sus relaciones y paralelismos con otros objetos mobiliares sugiere varias hipótesis interpretativas. Se analiza su vinculación con las tradiciones artísticas del Megalitismo, y también la hipótesis de su relación con contextos de Neolítico pre-megalítico, en el marco de tardías pervivencias de tradiciones enraizadas en el Paleolítico final-Mesolítico.ABSTRACT: Five portable documents of great archeologial interest found on the surface in the Valley of Ambroz (northern Caceres, Spain are presented. Although prospection work now being carried out will probably allow us to know their immediate archeological context more precisely, a preliminary study of their relationships and parallelisms with other portable objects suggests several hypotheses for interpretation. Their link with the artistic traditions of Megalithism is analysed, as well as the hypothesis of their relationship to pre-Megalithic Neolithic settings, within the framework of late remains of traditions rooted in the final Paleolithic-Mesolithic

  15. Feeding habits of the Guiana dolphin, Sotalia guianensis (Cetacea: Delphinidae, in Norte Bay, southern Brazil

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    Fábio G. Daura-Jorge

    2011-02-01

    Full Text Available The stomach contents of 18 Guiana dolphins stranded or accidentally caught by fishing around Norte Bay of Santa Catarina Island between 1990 and 2006 were examined. The small population of Guiana dolphins studied showed a varied diet, and prey was caught disproportionately. The stomach contents of these dolphins consisted of 448 prey remains coming from 18 species and 10 families. Their diet primarily consisted of fish, but also shrimp and squid. The most important species were cutlass fish (Trichiurus lepturus and white mouth croaker (Micropogonias furnieri, which together comprised 75% of the total biomass. Although prey size ranged widely from 1.4 to 92.8 cm, a prevalence of prey smaller than 20 cm was observed. There was a predominance of prey living in moderate or large schools. The prey also had a wide vertical distribution in the water column. Our results support the opportunistic feeding habit of the Guiana dolphin, since its diverse diet was clearly guided by the availability and accessibility of resources in its habitat.

  16. La imagen de la migración calificada en América del Norte

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    Camelia TIGAU

    2015-01-01

    Full Text Available Este artículo analiza la migración calificada en América del Norte desde la perspec-tiva de la comunicación de riesgo, con base en el análisis narrativo de 241 artículos publicados en el 2012-2013 en periódicos mexicanos, estadounidenses y canadien-ses. Mientras que los medios mexicanos advierten sobre los riesgos de la migración calificada, los estadounidenses construyen la imagen de los inmigrantes como una posible amenaza para la economía del país. Los medios canadienses destacan la es-casez de mano de obra calificada en Canadá, a la vez que lamentan los efectos de la fuga de cerebros en ese país. De esta forma, la comunicación de riesgo sobre la fuga de cerebros crea una agenda de problemas a ser considerados en las políticas públicas nacionales y los acuerdos regionales.

  17. INSECT DIVERSITY IN AN EXPERIMENTAL VINEYARD IN THE STATE OF RIO GRANDE DO NORTE, BRAZIL

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    JEFFERSON BRUNO CARVALHO SOARES

    2016-01-01

    Full Text Available The objective of this work was to survey the entomofauna in an experimental vineyard ( Vitis spp. in the semiarid of the State of Rio Grande do Norte (RN, Brazil. The survey was conducted from November 2012 to January 2013 at the Rafael Fernandes experimental farm of the Universidade Federal Rural do Semi - Árido (UFERSA, Mossoró, RN, in an area of 2,500 m 2 , cultivated with the Italia , Niagara Rosada and Isabel grapevine varieties. The insect collection was performed weekly during the grapevine flowering and fruiting periods, through a passive method, using four Pitfall traps, and an active method, collecting insects from the tree canopies (branches, leaves, flowers and fruits using entomological net, tweezers and brushes. In the passive collection, 1,598 insects from five orders and 25 families were collected, especially from the Formicidae (83%, Dolichopodidae (5.9% and Cicadellidae (1.9% families, which were the most abundant. In the active collection, 288 insects from five orders and 14 families were collected, especially from the Vespidae (160 specimens and Apidae (78 specimens families, which were the most abundant, representing 82.7% of the total collected insects. The greater diversity (13 families and greater number of insects collected (186 specimens were observed in the grapevine variety Isabel.

  18. ENERGÉTICO EÓLICO NO RIO GRANDE DO NORTE, BRASIL

    Directory of Open Access Journals (Sweden)

    Marcelo Motta de Freitas

    2016-01-01

    Full Text Available Wind power generation has a reputation for being environmentally friendly. However, beyond its clean and renewable aspects, the exploration fields can also be assessed in its relationship with the geographical space, as the risks involved in this activity can be identified in all project phases, going from its implementation to the final moment where the actual energy generation takes place. This article provides a description of the risks related to the physical environment of the wind power generation fields of Macambira I and II, Baixa do Feijão and Aventura, all located in the state of Rio Grande do Norte, Brazil. Although the research focuses on the physical context of the generation fields, it also indicates that social relationships are affected by it. Particularly, the geology mapping demonstrates that there are risks related to the presence of caves. This morphology can be seen on the Jandaíra Formation limestone, which is marked by a subterranean tunnel network that occurs in plain terrains. Beyond the geotechnical aspect, which exposes the wind power towers to some risk, there are environmental concerns regarding the regional hidrogeology and the speleological patrimony, as well as the fossil layers that are present on the sedimentary formations. Furthermore, the regional seismic context can also offer risks to the installation of wind power generation towers.

  19. Correlates of Queen Pineapple (AnanascomosusLinn Farming Practices in Camarines Norte, Philippines

    Directory of Open Access Journals (Sweden)

    Sonia S. Carbonell

    2015-12-01

    Full Text Available This study aimed to provide valuable information about the realities of the Queen pineapple (QP farmers in Camarines Norte, highlighting their farming practices and worldview about sustainable development. Most of the respondents are owner-operator having a mean farm size of 1.33 hectares devoted to queen pineapple farming and crop diversification with two to seven crops combined to augment income. Cropping pattern employed by most of the respondents is multiple cropping, specifically intercropping, rotational cropping, and fallowing. Soil nutrient and weed management of most respondents is conventional: inorganic fertilizers and chemical based, respectively. However, pest control management by most of the respondents is of the alternative method. Overall, QP farmer respondents were found to be practicing alternative farming methods. The problems cited by the respondents were mainly production, marketing and communication-related. The respondents showed that they have moved towards alternative farming. However, more attention should be given to soil nutrient and weed management practices. Strengthening communication-related activities, improved technology, and ensured availability of resources is necessary to have good avenue for change. These findings should make agencies concerned to promote alternative farming and sustainable agriculture. The significant attributes of the QP farmer respondents can be used as entry point for any development program to fully advocate alternative farming among the local people as a social movement.

  20. Conflictos entre linajes y comunidades de vecinos en el norte de Navarra en el siglo XVII

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    Fernando Mikelarena Peña

    1989-01-01

    Full Text Available En el período que cubre los siglos xvi y xvii, los valles montañeses del norte de Navarra atestiguaron una agudizada conflictividad social entre los linajes o «parientes mayores» y las comunidades de vecinos de cada localidad o valle por la cual éstas discutieron los privilegios de los primeros en un intento —conseguido casi siempre— de cercenar cualquier proceso tendente a la señorialización. Los rasgos tipológicos de esa conflictividad muestran la presencia de una triplicidad de variantes según el ámbito concreto de lo dirimido en cada pleito: conflictos por preferencias en las iglesias, conflictos por diezmos y construcción de molinos y conflictos por alcaldías perpetuas y concesiones jurisdiccionales. No obstante, la circunstancia de que en la mayoría de los casos que se describen a continuación consten dos o tres de esas variantes prueba el carácter para nada anecdótico de esas diferencias.

  1. The genus Geranium L. (Geraniaceae in Nort America. I. Annual species

    Directory of Open Access Journals (Sweden)

    Aedo, Carlos

    2000-06-01

    Full Text Available Annual species of Geranium from North America north of Mexico are revised. Eleven species are accepted, of which six belong in subg. Geranium and five belong in subg. Robertium. Geranium bicknelli, G. carolinianum, and G. texanum are the only native species, whereas G. aequale, G. columbinum, G. dissectum, G. lucidum, G. molle, G. pusillum, G. robertianum, and G. rotundifolium were introduced from the Old World. Geranium sphaerospermum, sometimes accepted in current literature, is considered to be a synonym of G. carolinianum. Nomenclature for all species is reviewed, and eight lectotypes are designated. Descriptions, key, distribution maps, and illustrations are included.Se revisan las especies anuales de Geranium de Norteameiica al norte de Mexico. Se aceptan once especies de las cuales seis pertenecen al subg. Geranium y cinco al subg. Robertium. Geranium bicknelli, G. carolinianum, y G. texanum son las linicas especies autoctonas, mientras que G. aequale, G. columbinum, G. dissectum, G. lucidum, G. molle, G. pusillum, G. robertianum y G. rotundifolium fueron introducidas desde el Viejo Mundo. Geranium sphaerospermum, a veces aceptado en la literature reciente, es considerado como sinonimo de G. carolinianum. Se revisa la nomenclature de todas las especies y se designan ocho lectotipos. Se incluyen descripciones completas, una clave, mapas de distribucion e ilustraciones.

  2. Los manglares de Costa Rica: el Pacífico norte

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    Priscilla Zamora-Trejos

    2009-09-01

    Full Text Available Costa Rica tiene bosques de manglar en las costas Caribe y Pacífica. El 99% de los manglares del país se encuentran en la costa Pacífica. En este trabajo recopilamos la información disponible sobre los manglares del Pacífico norte de Costa Rica, desde la frontera con Nicaragua hasta la Reserva Absoluta de Cabo Blanco, en la punta sur de la Península de Nicoya. La ubicación de los manglares y cualquier información disponible para cada manglar es resumida. El clima de esta región es seco con estaciones de lluvia y sequía muy bien definidas. Los manglares del norte son relativamente pequeños en extensión y tamaño de árboles, y de baja diversidad comparados con los del Pacífico sur de Costa Rica. Las principales especies de mangle son: Rhizophora mangle, Rhizophora racemosa a lo largo de los bordes de los canales, seguido por Avicennia germinans, y más tierra adentro Avicennia bicolor, Laguncularia racemosa y Conocarpus erectus. En el manglar de Potrero Grande se informa de una población saludable de la especie de Pelliciera rhizophorae, especies muy poco abundante. Reconocemos 38 comunidades de manglares en el Pacífico norte de Costa Rica basado en el Inventario Nacional de Humedales, artículos publicados, observaciones de campo, tesis, informes técnicos y los mapas 1: 50 000 del Instituto Geográfico Nacional. Se pudo encontrar información relativamente detallada pero fragmentada de únicamente cinco manglares (los descritos en esta publicación, de 14 solamente hay listas preliminares e incompletas de plantas y en algunos casos de animales, de nueve manglares más hay información todavía más limitada, y de otros nueve se conoce solamente su ubicación, que en algunos casos se comprobó que era incorrecta. Trabajos de mapeo detallado, caracterización de la vegetación y la fauna, estudios fisiológicos, análisis de procesos biogeoquímicos, evaluaciones económicas, y determinación del estado de salud de los manglares

  3. El kusiyai: chamanismo entre las poblaciones yumanas del norte de Baja California

    Directory of Open Access Journals (Sweden)

    Michael Winkelman

    2006-01-01

    Full Text Available Las prácticas curativas de los grupos yumanoparlantes del norte de Baja California estuvieron bajo el liderazgo del kusiyai, una figura desvanecida en los modernos estudios etnográficos, pero cuyas actividades pueden ser reconstruidas a partir de los reportes de etnógrafos, geógrafos y exploradores de principios del siglo veinte. Es posible observar en esas actividades ciertos patrones similares a los que siguen las prácticas curativas del chamanismo. Más aún, esas actividades pueden ser reconstruidas en más detalle si utilizamos el paradigma chamánico para organizar los diversos tipos de material relacionado. Cabe señalar, por otra parte, que esta perspectiva ofrece en lo particular la expectativa de un posible resurgimiento futuro de esta tradición cultural. La perspectiva moderna sobre los universales del chamanismo y sobre los aspectos innatos de las actividades chamánicas es congruente con las creencias tradicionales de que los chamanes eran autodidactas en el desarrollo de sus relaciones con los poderes y lugares espirituales.

  4. Hospital gets IAQ checkup

    Energy Technology Data Exchange (ETDEWEB)

    Gill, K.E. (HDR, Inc., Dallas, TX (United States)); Wozniak, A.L. (Pure Air Control Services, Inc., Clearwater, FL (United States))

    1993-08-01

    Findings and remediation efforts performed over the past year in a large hospital are presented. Recommended practice in new design and retrofit to reduce the potential for microbial growth in HVAC systems in discussed. The request for a building health check at a large, central Florida hospital was prompted by concern for the welfare of employees and patients. This facility consists of approximately 830,000 sq ft of building with 985 patient beds and was constructed over the past 40 years with a diversity of mechanical systems ranging from fan-coils to multizone air handlers to dual-duct built up air handlers serving over 100,000 sq ft. All air distribution systems are served by a chilled-water and hot-water four-pipe system from a central chiller/boiler plant. Air filtration systems range from 20 percent throwaway panel filters to 40 percent prefilters and 95 percent final air handler filters. Outside air quantities range from 25 cfm per person to 100 percent outside air once-through systems.

  5. Evaluación de la eficacia del Sistema de Triage Manchester como herramienta para valorar y clasificar las urgencias pediátricas del Hospital Universitario Central de Asturias

    OpenAIRE

    García Artime, Marta

    2014-01-01

    Estudio observacional, descriptivo y retrospectivo, cuyo objetivo principal es: "Valorar la eficacia del Sistema de Triage Manchester en una unidad de Urgencias de Pediatría de un hospital de tercer nivel analizando la correlación entre el nivel de prioridad de MTS y los recursos utilizados e ingreso hospitalario" y objetivos secundarios: valoración específica en subcategorías definidas(Fiebre, dolor abdominal, Llanto o irritabilidad, Menores de 3 meses) y evaluación de los indicadores de ca...

  6. Performance and carcass traits of Nellore and Red Norte steers finished in feedlot Desempenho e características de carcaça de novilhos das raças Nelore e Red Norte terminados em confinamento

    Directory of Open Access Journals (Sweden)

    Otávio Rodrigues Machado Neto

    2011-05-01

    Full Text Available The objective of this work was to evaluate average daily gain (ADG and carcass traits in Nellore and Red Norte steers, finished in feedlots and to evaluate performance predictions by using the systems BR-CORTE, CNCPS 5.0 and NRC (2000. It was used 41 steers: 19 Nelore animals with initial body weight of 361 ± 31 kg and 22 Red Norte animals with initial body weight of 367 ± 30 kg. Adaptation period lasted 28 days. Animal performance evaluation was composed of three 28 day period, totaling 84 days. At the end of each period, animals were weighed after a 16-hour feeding fast. Average gain weight of Red Norte steers was greater than Nellore breed animals (1.43 vs. 1.81 kg/day, respectively. Red Norte animals also presented greater loin eye area (75.41 cm² vs. 68.67 cm². It was not observed any differences on subcutaneous fat thickness and on rump fat among the genetic groups. None of the nutritional requirement system evaluated were efficient in predicting animal performance. For Nellore breed, daily average gain observed was 1.53kg/day, with values of 1.53, 1.70 and 1.82 kg/day predicted by NRC, CNCPS and BR-CORTE systems. Although average values and predicted by NRC were similar, according to the regression equation, intercept and inclination were different from zero and one. For Red Norte breed, performance observed was 1.88 kg/day with values of 1.50, 1.66 and 1.72 predicted by the systems NRC, CNCPS and BR-CORTE, probably because database of those systems is based mainly on results obtained from Angus bovines.Objetivou-se avaliar o ganho médio diário (GMD e as características de carcaça em novilhos das raças Nelore e Red Norte, não-castrados, terminados em confinamento e avaliar as predições do desempenho pelos sistemas CNCPS 5.0, NRC (2000 e BR-CORTE. Utilizaram-se 41 novilhos: 19 do grupo Nelore com peso vivo inicial de 361 ± 31 kg e 22 do grupo Red Norte com peso vivo inicial de 367 ± 30 kg. O período de adaptação teve dura

  7. Leprosy in Nkhotakota District Hospital | Chisi | East African Medical ...

    African Journals Online (AJOL)

    Objective: To study the profile of leprosy cases at Nkhotakota District Hospital in Central Region of Malawi. Design: Retrospective cross-sectional study of all registered cases of leprosy from records over a nine year period (January 1992 to April 2001) Setting: Nkhotakota District Hospital-Central Region of Malawi. Results: ...

  8. A new species of Charinus Simon, 1892 from northeastern Brazil with comments on the potential distribution of the genus in Central and South Americas (Arachnida: Amblypygi: Charinidae).

    Science.gov (United States)

    Vasconcelos, Ana Caroline Oliveira; Giupponi, Alessandro Ponce De Leão; Ferreira, Rodrigo Lopes

    2013-11-21

    A new species of the genus Charinus Simon, 1892 is described from caves in the Rio Grande do Norte, Brazil. This is the first record of the genus for the state. This paper presents a map of the Charinus species distribution in Brazil with new records and a map of potential distribution of the genus in South and Central Americas. An updated key for Charinus species from Brazil is also presented.

  9. Identificar factores de riesgos laborales de los trabajadores de la central de esterilización del Hospital eugenio Espejo, para mitigar sus efectos en el personal, en el año 2007-2008

    OpenAIRE

    Jácome Montúfar, Amada Lucía

    2011-01-01

    198 p.: il.; + CD 1413. La Central de Esterilización es el área más importante de la Institución, donde se realizan procedimientos esenciales que son la base de la calidad de atención en el área Hospitalaria. Mediante esta investigación se aspira mejorar las condiciones de vida de los trabajadores, estableciendo cuales son los riesgos y factores de riesgos a los que están expuestos. Se identificó diferentes tipos de riesgo tales como: Biológicos, Físicos, Químicos, Ergonómicos y Psicosocia...

  10. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology......The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... adoption, these concepts help us appreciate and put special emphasis on particular aspects of the adoption process: the mutual and co-constitutive relationship between the users and the technology and the continued coexistence of both positive and negative attitudes among the users. The findings suggest...

  11. Vigilancia de infecciones nosocomiales en un hospital de cardiología

    OpenAIRE

    Molina-Gamboa Julio D.; Garza-Moreno Héctor

    1999-01-01

    OBJETIVO. Describir los resultados de la vigilancia de las infecciones nosocomiales en un hospital de cardiología y neumología del norte de México en sus primeros meses de actividad. MATERIAL Y MÉTODOS. Informe retrospectivo de los hallazgos de la vigilancia de infecciones nosocomiales realizado por el equipo de control, con búsqueda directa de la información mediante la revisión de pacientes, expedientes y notas médicas y de enfermería, reportes de bacteriología y reportes del personal encar...

  12. Lithologic controls on mineralization at the Lagunas Norte high-sulfidation epithermal gold deposit, northern Peru

    Science.gov (United States)

    Cerpa, Luis M.; Bissig, Thomas; Kyser, Kurt; McEwan, Craig; Macassi, Arturo; Rios, Hugo W.

    2013-06-01

    The 13.1-Moz high-sulfidation epithermal gold deposit of Lagunas Norte, Alto Chicama District, northern Peru, is hosted in weakly metamorphosed quartzites of the Upper Jurassic to Lower Cretaceous Chimú Formation and in overlying Miocene volcanic rocks of dacitic to rhyolitic composition. The Dafne and Josefa diatremes crosscut the quartzites and are interpreted to be sources of the pyroclastic volcanic rocks. Hydrothermal activity was centered on the diatremes and four hydrothermal stages have been defined, three of which introduced Au ± Ag mineralization. The first hydrothermal stage is restricted to the quartzites of the Chimú Formation and is characterized by silice parda, a tan-colored aggregate of quartz-auriferous pyrite-rutile ± digenite infilling fractures and faults, partially replacing silty beds and forming cement of small hydraulic breccia bodies. The δ34S values for pyrite (1.7-2.2 ‰) and digenite (2.1 ‰) indicate a magmatic source for the sulfur. The second hydrothermal stage resulted in the emplacement of diatremes and the related volcanic rocks. The Dafne diatreme features a relatively impermeable core dominated by milled slate from the Chicama Formation, whereas the Josefa diatreme only contains Chimú Formation quartzite clasts. The third hydrothermal stage introduced the bulk of the mineralization and affected the volcanic rocks, the diatremes, and the Chimú Formation. In the volcanic rocks, classic high-sulfidation epithermal alteration zonation exhibiting vuggy quartz surrounded by a quartz-alunite and a quartz-alunite-kaolinite zone is observed. Company data suggest that gold is present in solid solution or micro inclusions in pyrite. In the quartzite, the alteration is subtle and is manifested by the presence of pyrophyllite or kaolinite in the silty beds, the former resulting from relatively high silica activities in the fluid. In the quartzite, gold mineralization is hosted in a fracture network filled with coarse alunite

  13. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

    Full Text Available This hospital is built on the circular system. This arrangement has economic and functional advantages. The nurses walk 40 % less distance than in a hospital of similar size, of conventional layout. The rooms are situated along the external perimeter and the beds are orientated towards the corridor, rather than towards the window. However, the patients can see out of doors by turning on their side. The hospital is most carefully fitted out, and is very comfortable. There is air conditioning, and patients can control their own TV sets. There are also curtains separating each bed form the rest, thus providing maximum independence. Warm colours have been adopted in the decoration of rooms facing north, whilst those facing south are painted in cooler tones. The circular design arrangement makes the distribution far more flexible, and it will be easier to include further units later on; by adding small adjustments to the central building. To reduce external noise, and to improve the surrounding landscape, small sand hills have been provided in the garden, and the parking site also serves to partially absorb the noise.Presenta esta solución de unidades circulares numerosas ventajas de tipo económico, ahorra espacio y da eficiencia a la circulación— las enfermeras recorren un 40 por 100 menos de camino que en otro hospital de dimensiones similares—. Las habitaciones están distribuidas a lo largo del perímetro exterior y tienen las camas orientadas hacia los corredores, en lugar de hacia las ventanas, pero de tal modo que los pacientes puedan contemplar el exterior al volverse sobre uno de sus costados. Están cuidadosamente diseñadas y dotadas de las máximas comodidades: aire acondicionado y aparatos de televisión controlados por el paciente; así como cortinas divisorias que le proporcionan el grado de aislamiento deseado.

  14. LA COMPLEJIDAD DE LOS ECOSISTEMAS DEL NORTE DE LA PROVINCIA DE MENDOZA

    Directory of Open Access Journals (Sweden)

    Moria Alessandro

    2008-12-01

    Full Text Available El trabajo apunta al estudio de los ecosistemas como entidades complejas y jerárquicas, desde el punto de vista escalar y de su diversidad estructural, en el norte de la provincia de Mendoza, hasta los 34o de latitud sur. Se enfoca el estudio espacial jerárquico desde diferentes escalas de análisis: micro, meso y macroescala. La macroescala (macroecositema equivale a los biomas de Mendoza, (Altos Andes y Monte; la mesoescala, a los ecosistemas definidos por la diferenciación geomorfológica (mesoecosistema; y la microescala, a los sub-ecosistemas que surgen de las diferenciaciones topográficas y edáficas vinculadas con las formaciones vegetales y su ambiente (microecosistema. Para este trabajo se aplican los métodos: geográfico y el de factores de control, ambos conducen el análisis y la identificación de los ecosistemas. Las diferenciaciones jerárquicas espaciales de los ecosistemas están basadas en: el clima zonal, las unidades geomorfológicas que lo modifican; la topografía y el suelo con su disponibilidad de agua, modificadores del microclima. Los objetivos generales se basan en la identificación y localización de los ecosistemas jerárquicos y su análisis multiescalar integrado. Las hipótesis planteadas afirman que, en las escalas de ecosistemas, el clima es el denominador común que organiza la distribución de los mismos; y que existen agentes degradadores en todos los niveles de análisis. En el análisis, se aplican los métodos deductivo-inductivos vinculando las escalas jerárquicas de los ecosistemas y los estudios de casos. Con este trabajo se pretende profundizar el conocimiento de la complejidad de los ecosistemas mendocinos, con un enfoque original.

  15. Encomienda, hacienda y orden rural en el norte argentino: Jujuy 1850-1900

    Directory of Open Access Journals (Sweden)

    Paz, Gustavo L.

    2004-12-01

    Full Text Available This paper is aimed at studying the relationship between large rural estates (haciendas and encomiendas in northern Argentina (Jujuy and the establishment of order in the countryside by te State in the second half of the nineteenth century. Even though encomiendas had been abolished in Argentina by Republican legislation at the beginning of that century, an interesting and anachronistic debate developped in Jujuy on the continuity of encomienda and the rights it bestowed upon land ownership. This debate was resolved by the Federal Justice which gave to the provincial State the chance of exerting its control on vast rural areas as well as benefitting from the eventual sale of fiscal lands. The State’s policies favoured the reconstitution of haciendas and, with few exceptions, hindered the peasants’ access to land ownership.

    El presente trabajo estudia la relación entre la hacienda y la encomienda en el norte argentino (Jujuy y el establecimiento del orden rural por parte del estado en la segunda mitad del siglo XIX. Si bien las encomiendas habían sido abolidas en Argentina por la legislación republicana a comienzos de ese siglo, en Jujuy se dio un interesante y anacrónico debate sobre la continuidad de la encomienda y los derechos que otorgaba a la propiedad de la tierra. Este debate fue resuelto por la justicia federal, que abrió la posibilidad al Estado provincial de ejercer su autoridad sobre vastas regiones rurales y, eventualmente, obtener recursos de la venta de tierras fiscales. La política estatal benefició la reconstitución de las haciendas y, con escasas excepciones, frenó el acceso de los campesinos a la propiedad de la tierra.

  16. Impacto da responsabilidade social sob a óptica empresarial do norte litoral de Portugal

    Directory of Open Access Journals (Sweden)

    Valentin Alejandro Martínez Fernández

    2014-01-01

    Full Text Available La responsabilidad social surge en la literatura del siglo XIX y desde entonces ha ganado una mayor expresión, atención e interés de los estudiosos, empresarios y público en general, debido a su impacto en particular. Por lo tanto, la responsabi- lidad social ha tenido en las últimas décadas una fuerte expansión que ha llevado a su aplicabilidad en la estrategia empresarial. Hoy, académicos y hombres de negocios van juntos tratando nuevas estrategias que incluyen nuevas variables en un estudio propiciado por la aparición de nuevas formas de actividad empresarial y por la creación de redes sociales. Ante esta nueva situación, el propósito de este artículo es comprobar si hay un impacto en la adopción de prácticas de respon- sabilidad social de las empresas de Maia y, en caso afirmativo, si afecta positiva o negativamente a la imagen corporativa de las empresas en el litoral norte de Portugal. Este artículo se estructura en dos secciones. La primera consiste en una revisión de la literatura sobre el tema, presentando el tema principal de los marcos conceptuales para el análisis. La segunda parte consiste en un estudio empírico que utiliza un análisis multivariado factorial que permite la activación de las primeras conclusiones sobre el impacto de la responsabilidad social en Portugal, sobre todo en las empresas objeto de estudio. Se encontró en el estudio que la práctica de la responsabilidad social crea impacto en las acciones de las empresas, pero no se produce de manera significativa en sus resultados económicos.

  17. Cattle milk quality in the Semiarid region of Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Marcone Macêdo Tôrres Angicano

    2015-08-01

    Full Text Available The aim of this study was to evaluate the composition and quality of raw milk that was refrigerated in tanks, according to the farm structures, bovine diet, and production levels of the dairy producers that provide milk for the Association of Small-Scale Ranchers of the Angicos Wilderness (ASRAW. Data were collected from 47 dairy farmers from different cities of the state of Rio Grande do Norte who are associated with ASRAW. Twenty-three tanks were sampled throughout the month of June 2013, with two collections per week and five samples per tank, for a total of 920 samples. The properties were characterized according to the type of tank (private or community, the food provided during milk collection (voluminous or voluminous and concentrated, the structure of the dairy producer (family producer or non-family producer, and the amounts of each component. Analyses of fat content, total protein, casein levels, lactose levels, total solids, degreased dry extract (DDE, freezing point, urea levels, somatic cell counts (SCC, and antibiotic residues were performed. Statistical analyses were conducted for each group, and the means were compared by Tukey tests, with a critical significance level of 5% probability calculated with the PROC GLM procedure of the SAS® program. Most components differed significantly for each parameter. The highest difference was noted between the urea and SCC levels, which was probably due to the wide variety of dairy producer profiles. The SCC values exhibited the largest amplitude variations. Most milk components significantly differed according to the strata, producer, food, and tank. These changes probably had little influence on the animal’s physiology and productivity. Therefore, despite the small variations in the components of the milk supplied by ASRAW, the different types of milk storage tank, milk volume produced, and type of dairy producer affected the overall milk quality.

  18. Geoquímica de solos do pantanal norte, Mato Grosso

    Directory of Open Access Journals (Sweden)

    Elaine de Arruda Oliveira Coringa

    2014-12-01

    Full Text Available A caracterização e análise geoquímica de solos permitem compreender os processos de migração, dispersão e concentração de elementos químicos no perfil, embasando a correlação dos atributos deles com as classes de solos formadas, o que possibilita inferências acerca das gêneses desses solos. Esta pesquisa teve por objetivos caracterizar e interpretar a composição geoquímica total de elementos maiores e menores em classes de solos representativas do Pantanal norte, na sub-região de Barão de Melgaço, Mato Grosso, Brasil. Foram selecionados 20 perfis das principais classes de solos do Pantanal e analisadas amostras dos horizontes A e B (ou C quanto à concentração de óxidos totais por espectrometria de fluorescência de raios-X, além das caracterizações física, química e mineralógica. Os solos subdividiram-se em dois tipos geoquímicos: um composto por textura arenosa a franco-arenosa com teores relativamente elevados de SiO2 e predominância de caulinita e quartzo, com menor teor de bases e elementos-traço; e outro composto por textura mais argilosa, geoquimicamente heterogêneos e com teores significativos de minerais 2:1, Al2O3, óxidos de Fe e Mn, bases e elementos-traço.

  19. Fauna asociada a la nacra Pinna nobilis (Mollusca: Bivalvia) en la costa norte y este de Túnez

    OpenAIRE

    Lotfi Rabaoui; Sabiha Tlig-Zouari; Andrea Cosentino; Oum Kalthoum Ben Hassine

    2009-01-01

    Se investigaron las comunidades de la epifauna asociadas a la nacra Pinna nobilis Linnaeus, 1758 a lo largo de la costa de Túnez. Se realizaron análisis univariantes y multivariantes a diferentes escalas espaciales en cinco poblaciones situadas en diferentes localidades, tres del norte y dos del este de Túnez. La talla de Pinna nobilis no fue el factor que más afectó la estructura de los organismos asociados, que parecieron más influenciados por (a) lagunas marinas y (b) gradientes biogeográf...

  20. La inversión extranjera directa en América del Norte: intersecciones del libre comercio

    OpenAIRE

    Michael J. Twomey

    1993-01-01

    Este trabajo analiza las experiencias de Canadá, México y Estados Unidos con la inversión extranjera directa. Si bien la perspectiva de un acuerdo sobre el Tratado de Libre Comercio para América del Norte motiva este tipo de estudio comparativo, existen también varios paralelos insospechados entre los casos de México y Canadá, no sólo por los efectos que causa en ellos su vecino común, sino también por la importancia de las materias primas en la estructura de producción de estos países....

  1. Trazas, mojones y poblados del norte de Traslasierra: elementos para la definición de una estructura territorial

    OpenAIRE

    Díaz Terreno, Fernando

    2010-01-01

    Entendiendo la estructura formal, la imagen física y la construcción histórica de un territorio como fuentes para nuevas líneas de acción y de oportunidad proyectual, este trabajo indaga estas cuestiones en el Norte de Traslasierra, en Córdoba, Argentina. La traza, el mojón y los poblados son elementos que, surgidos de la adecuación mutua entre el mandato cultural de la ocupación y las condiciones que la geografía impone permiten inferir pautas para el diseño de una estructura territorial. ...

  2. Renealmia alpinia (Rottb.): Maas (Zingiberaceae): planta comestible de la Sierra Norte de Puebla (México)

    OpenAIRE

    Macía, Manuel J.

    2002-01-01

    The edible fruits of Renealmia alpinia are highly valued in the Sierra Norte de Puebla (México) where they are managed at a household level. The plant is wild in the región, although a rare species. The aril of the fruit is the edible part. After harvesting, the aril is extracted fresh and processed for local consumption. Sometimes the fruits are commercialized in tradicional markets. Only 19% of the total weight of the fruits is used for food.Los frutos comestibles de Renealmia alpinia son m...

  3. Caracterización de montes del centro norte de Entre Ríos y propuesta de manejo silvopastoril

    OpenAIRE

    Sabattini, Rafael Alberto; Dorsch, Arturo Fabián; Wilson, Marcelo Germán; Muzzachiodi, Norberto; Mathern, C. I.

    2000-01-01

    p.99-104 Actualmente la superficie ocupada por montes se encuentra en franca disminución en la región centro-norte de Entre Ríos, debido a la reconversión de áreas para la agricultura, generalmente sin planificación previa. Los montes presentan diversos signos de deterioro provocados por el manejo de pastoreo continuo de la ganadería que altera su estructura y com posición. El manejo de montes para la producción silvopastoril ha generado creciente atención en los últimos años, por sus posi...

  4. ANÁLISIS GENÉTICO DE LA POBLACIÓN DE GATOS DEL NORTE Y SUR DE CALI, COLOMBIA

    Directory of Open Access Journals (Sweden)

    Andrés F. PEÑA-CRUZ

    2015-01-01

    Full Text Available Los marcadores genéticos del pelaje y malformaciones óseas han permitido caracterizar el perfil genético de más de 400 poblaciones del gato doméstico alrededor del mundo. Hace 15 años se estableció dicho perfil en la ciudad de Cali (Colombia. En este estudio se determinó si el norte y sur de Cali se comportan como subpoblaciones y se comparó el perfil total con el estudio pasado. Se encontró una disminución de la frecuencia alélica de a ( no-agouti y d ( dilution , pero un aumento en cinco, especialmente en l ( longhair y c s ( siamese . Dichas diferencias pueden atribuirse a la selección humana de características más atractivas y por el flujo génico resultante del crecimiento demográfico de la ciudad, lo que explicaría también el primer reporte de los alelos inhibitor y ticked abyssinian . Se evaluó el equilibrio Hardy-Weinberg para el norte, sur y las dos zonas juntas, usando los loci white spotting y orange , encontrándose desequilibrio en este último para las tres zonas evaluadas debido a un déficit de heterocigotos. Norte y sur se dividieron en dos, y cada sub-muestra presentó equilibrio Hardy-Weinberg, aunque las diferencias en las frecuencias alélicas y heterocigosidades resaltaron microestructura geográfica y una relación entre tiempo de fundación del barrio y heterocigosidad. Norte y sur resultaron ser una población y no subpoblaciones (F ST = 0,0004, D= 0,0017, al igual que las nueve poblaciones colombianas con las que se comparó la presente ciudad. Se sugiere realizar un análisis microgeográfico de flujo génico y la definición de posibles colonias de gatos en Cali.

  5. MODELOS DE DESARROLLO ECONOMICO PRODUCTIVO DEL SECTOR LECHERO EN LA REGION CENTRO NORTE DEL ESTADO DE MICHOACAN

    OpenAIRE

    RAMÍREZ GONZÁLEZ, RAQUEL ENEIDA

    2012-01-01

    El objetivo del trabajo de investigación que está presente en esta tesis doctoral fue elaborar una propuesta de modelos de desarrollo económico-productivos del sector lechero en la región centro norte del estado de Michoacán, a partir de la identificación de las condiciones técnicas, comerciales y económicas actuales con las que operan las unidades de producción para proponer modelos que contribuyan a ser más eficientes económicamente las actividades productivas de los pr...

  6. Diseño de las obras de derivación del proyecto Río Norte 2

    OpenAIRE

    Calahorrano Verdezoto Paola Magali

    2016-01-01

    This work is about people´s necessity to increase and develop of agricultural irrigation. The designs of ¨Obras de derivación del proyecto RÍO NORTE 2¨ has a set of hydraulic constructions that it lets to satisfy the objective that we mention before. In general, the design has: a diversion dam with a landfill; a sand trap with two purge chambers and it’s located on the river next to the dam, and upstream it lets to wash all sediments with diameter equal or higher than 0.2mm, these sediments a...

  7. ECTOPARÁSITOS EN CANINOS DE LOS DISTRITOS DE LA ZONA CLIMÁTICA NORTE DE LIMA METROPOLITANA.

    OpenAIRE

    Estares P., Luis; Practica Privada; Chávez V., Amanda; Laboratorio de Parasitología, Facultad de Medicina Veterinaria, Universidad Nacional Mayor de San Marcos, Lima.; Casas A., Eva; Laboratorio de Parasitología, Facultad de Medicina Veterinaria - Universidad Nacional Mayor de San Marcos. Apdo. 41-0068 Lima - Perú

    2014-01-01

    Se estudiaron un total de 400 perros hembras y machos seleccionados al azar de 1 a 16 meses de edad para determinar la prevalencia de ectoparásitos en el Distrito de San Juan de Lurigancho, San Martín de Porres, Comas y los distritos de Independencia, del norte de Lima. El muestreo se llevó a cabo durante el verano austral desde diciembre 1998 hasta febrero 1999, cuando la temperatura ambiente y la humedad relativa osciló entre 18 a 26.7 ºC y 79-99%. Prevalencia Ectoparasitos era extremadamen...

  8. El patrimonio urbano moderno en el norte de México: las nuevas poblaciones y colonias del siglo xix

    OpenAIRE

    Alejandro González Milea

    2016-01-01

    En este artículo se sugiere que para discutir los valores del patrimonio moderno –en términos de arquitectura y urbanismo–, es necesario revisar lo sucedido con la fundación de ciudades en el siglo xix. Se describen las raíces de la planificación moderna tanto a partir de diversos tipos de proyectos para el establecimiento de poblados, como de ejemplos de “colonias militares y civiles”, con énfasis en el norte de México. Se explica por qué no es posible despre...

  9. Factors that influence leadership of the financial sector managers in the city of Cucuta, Norte de Santander

    Directory of Open Access Journals (Sweden)

    Geli Pautt Torres

    2012-08-01

    Full Text Available Rev.esc.adm.neg This paper shows the results of an empirical research, whose purpose is to identify three leadership factors: the leader´s personality, the perception of followers, and the organizational culture in managers of the financial sector in the city of Cucuta, Norte de Santander. Finally, those three aspects formerly mentioned have exerted a huge influence upon executive leadership due to the fact that the comparative frequency between the amount of employees and executives that are in agreement is relatively high.

  10. Intracranial germ cell tumors. The experience of the Bordeaux University Hospital and a literature review; Les dysgerminomes du systeme nerveux central. Experience du centre hospitalier universitaire de Bordeaux et analyse de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Bonichon, N.; Dahan, O.; Maire, J.P.; Caudry, M. [Hopital Saint-Andre, 33 - Bordeaux (France); San Galli, F.; Dautheribes, M.; Perel, Y. [Hopital Pellegrin, 33 - Bordeaux (France)

    1999-08-01

    Retrospective analysis of 17 patients with intracranial germ cell tumors treated in a multidisciplinary consultation at the Bordeaux University Hospital a and literature review. Seventeen consecutive patients were treated from 1978 to 1995 for a primary intracranial germ cell tumor. Median age was 14 (range 3-29 years). There were two malignant teratoma, six proved germinoma and nine presumed germinoma (diagnostic based on biological, radiological and treatment criteria). All received radiotherapy from 30 to 60 Gy (median 40 Gy) in different volumes. Chemotherapy was administered in 15 cases, three after surgery and 12 after radiotherapy. All tumours were in complete remission after initial treatment. The two malignant teratomas recurred in non-irradiated area after nine and 48 months, and the patients died. None of the germinoma recurred within a follow-up period of two to 17 years (median 65 months). Five and 10 year actuarial overall survival rates were the same: 84 % for all histories and 100 % for germinomas. Only two patients developed school difficulties and six presented an hypopituitarism, of which one was consecutive to radiotherapy. Chemotherapy was well tolerated. This retrospective study and literature analysis are in favor of limited dose and volume of radiation therapy associated with chemotherapy. (authors)

  11. Hospitality and prosumption | Ritzer | Research in Hospitality ...

    African Journals Online (AJOL)

    Hospitality and the hospitality industry need to be reevaluated in the era of the new prosumer and smart prosuming machines. Traditional notions of hospitality hearken back to an earlier era and ongoing changes are forcing us to reconsider them. Among those changes are the decline of settings that offer hospitality; the ...

  12. Cor e propriedades mecânicas de algumas argilas do Rio Grande do Norte para uso em cerâmica branca Color and mechanical properties of some clays found in Rio Grande do Norte State for whiteware

    Directory of Open Access Journals (Sweden)

    M. A. F. Melo

    2002-12-01

    Full Text Available O interesse crescente no uso de argilas para a produção de cerâmica no Rio Grande do Norte requer a caracterização técnica das matérias primas. Este trabalho mostra algumas propriedades de cinco argilas encontradas nesta região, tais como coloração após queima a 950 ºC, 1250 ºC e 1450 ºC, retração linear e resistência à flexão. A queima de argilas regionais resultaram em uma variedade de faixas de tonalidades do branco ao creme. As propriedades gerais dos produtos da queima são melhores que as reportadas na literatura, demonstrando o potencial tecnológico das argilas da região estudada.The growing interest in the use of clay minerals for the production of whiteware in Rio Grande do Norte demands the technological characterization of local raw materials. The present study reports some properties of five different clay minerals found in the region, such as tone upon firing at 950 ºC, 1250 ºC and 1450 ºC, linear shrinkage and flexural strength. Firing regional clays resulted in a variety of ranging from white to cream. The overall properties of the resulting products exceeded literature values, showing the technological potential of the regional clays investigated herein.

  13. Disfagia orofaríngea neurogênica: análise de protocolos de videofluoroscopia brasileiros e norte-americanos

    Directory of Open Access Journals (Sweden)

    Patrícia Dorotéia de Resende

    2015-10-01

    Full Text Available Resumo: Este artigo tem por objetivo analisar e comparar o uso de protocolos brasileiros e norte-americanos para videofluoroscopia da deglutição em pacientes com histórico de acidente vascular encefálico. Trata-se de uma revisão bibliográfica de artigos brasileiros e norte-americanos. Foram selecionados artigos com descrição de procedimentos para videofluoroscopia da deglutição em sujeitos que sofreram acidente vascular encefálico, publicados entre 2003 e 2013. Os procedimentos descritos para realização de videofluoroscopias foram analisados de forma quantitativa e qualitativa. Consideraram-se as variáveis: posicionamento para o exame, consistências e quantidades de oferta de bolo, tipos de utensílios e utilização de protocolos Foram encontrados 16 artigos que atenderam aos critérios supracitados, sendo nove (56,25% norte-americanos e sete (43,75% brasileiros. Observou-se que quatro dos estudos nacionais (57,14% não relatam as quantidades oferecidas, enquanto todos os artigos norte-americanos detalharam as quantidades, que variaram entre 2 e 15 mL; os tipos de alimento e suas consistências foram detalhadas em todos os estudos nacionais e norte-americanos, porém os nacionais o fizeram de forma genérica, sem identificação dos alimentos. Quanto à posição do paciente durante o exame, 57,14% dos artigos nacionais não relataram e todos os artigos norte-americanos o fizeram. Os utensílios para oferta do bolo são citados em 55,55% dos artigos norte-americanos e em apenas 14,28 % dos nacionais. Quanto à utilização de protocolos para avaliação 33% dos estudos norte-americanos não os citam, comparados aos 71,42% dos nacionais. Observou-se a necessidade de padronização dos procedimentos e terminologias utilizadas na videofluoroscopia da deglutição, de modo a facilitar a intercompreensão e reprodutibilidade dos estudos.

  14. El derecho de los pueblos indígenas a resistir al derecho-manejo del agua en el norte de Chile

    OpenAIRE

    Madaleno, Isabel María

    2009-01-01

    Agua es fuente de vida y se valora aún más cuando falta. El extremo norte de Chile suele ser marcado por paisajes de extrema aridez, con ausencia casi absoluta de precipitaciones y temperaturas extremas. El articulo busca determinar en qué medida la acción del hombre ha contribuido para dañar aún más vastas áreas del extremo norte chileno a lo largo del tiempo, dando mayor énfasis al estudio de las normativas de manejo del agua recientes, fundamentales a la gestión ambiental de región tan vul...

  15. SOLDADOS DO NORTE NAS GUERRAS DO SUL: O RECRUTAMENTO MILITAR NA BAHIA E EM PERNAMBUCO PARA A COLÔNIA DO SACRAMENTO

    Directory of Open Access Journals (Sweden)

    Paulo César Possamai

    2011-05-01

    Full Text Available O Norte do Estado do Brasil contribuiu com a formação e defesa da Colônia do Sacramento. Este artigo abordará o recrutamento militar nas capitanias do Norte, especialmente na Bahia e em Pernambuco durante o século XVIII. Daremos ênfase ao período do cerco de 1735 a 1737, quando foi feito um intenso recrutamento em Portugal e em várias capitanias brasileiras visando a impedir a conquista de Sacramento pelos espanhóis, assim como fortificar o Rio Grande de São Pedro, de onde poucos homens conseguiram voltar para casa.

  16. La reconstrucción de las identidades juveniles indígenas en la Sierra Norte de Puebla, México

    OpenAIRE

    Avalos Aguilar, Spencer Radames

    2010-01-01

    El presente trabajo se llevo a cabo en la Sierra Norte de Puebla, donde se identificó que los cambios en las políticas del Estado mexicano en los años ochenta hacia el campo y el sector agropecuario impactó negativamente en la producción de café, el principal cultivo de la región. A partir de ese momento las comunidades de la Sierra Norte entraron en un periodo de crisis económica que repercutió en su dinámica sociocultural. Una de las repercusiones derivadas de dicha crisis ha sido la reconf...

  17. Migración a la frontera norte de México y su relación con el mercado de trabajo regional

    Directory of Open Access Journals (Sweden)

    María Eugenia Anguiano Téllez

    1998-01-01

    Full Text Available El trabajo intenta mostrar la estrecha relación entre el crecimiento demográfico de la frontera norte y la dinámica demanda del mercado laboral regional. Se analiza el crecimiento poblacional regional y el desarrollo de la actividad económica, así como información generada por la Encuesta sobre Migración en la Frontera Norte de México, que ilustra la dinámica de la demanda y la oferta, características de los mercados laborales y su relación con la migración interna e internacional.

  18. Influencia de la "ciudadanización" en los medios impresos de México: los consejos editoriales en El Norte y Reforma

    OpenAIRE

    Santoyo Caamal, Mirna Leticia

    2012-01-01

    La investigación titulada “Influencia de la “ciudadanización” en los medios impresos de México: los consejos editoriales en El Norte y Reforma” tiene como objeto determinar el alcance de los procesos de “ciudadanización” en los medios impresos de México, en los casos de los consejos editoriales de El Norte y Reforma, que han sido pioneros en su implantación. La investigación muestra cómo, a partir de los procesos de participación de los ciudadanos en los consejos editoriales, se ha conseguido...

  19. Después de cruzar la frontera se llega al límite: "Norte", de Edmundo Paz Soldán

    OpenAIRE

    Sánchez López, Pablo Felipe

    2016-01-01

    Norte, de Edmundo Paz Soldán, es un intento de replantear la narrativa de frontera mexicano-estadounidense a partir de casos excepcionales que escapan a las usuales coordenadas sociohistóricas de ese subgénero narrativo. La pluralidad de identidades migrantes de la novela presenta fórmulas anómalas e impredecibles de respuesta psicológica y asimilación cultural que discuten los modelos previos de transculturación. Norte, by Edmundo Paz Soldan, is an attempt to rethink Mexican border’s narr...

  20. Cosmovisión Aymara y su Aplicación Práctica en un Contexto Sanitario del Norte de Chile.

    OpenAIRE

    Valdivia, María Paz

    2006-01-01

    El Aymara es un pueblo andino milenario dedicado al pastoreo y a la agricultura, que tiene su origen alrededor del lago Titicaca, comprendiendo lo que en la actualidad es parte de Bolivia y Perú, norte de Chile y norte de Argentina. Todo lo relevante al orden Aymara se vincula con sus creencias que se manifiestan en ritos y ceremonias. En el mundo andino, el concepto de salud no se restringe sólo al bienestar físico y psíquico, sino que incluye el equilibrio y bienestar social y económico de...

  1. The Mozzafari Hospital of Shiraz, Persia.

    Science.gov (United States)

    Golshani, Alireza; Bosmia, Anand N; Ahmadi, Aida; Adloo, Sara; Tubbs, R Shane; Bayazidi, Ali; Golshani, Amir-Hossin; Shoja, Mohammadali M

    2014-05-01

    This article discusses three significant hospitals that were constructed in medieval Persia, specifically in the city of Shiraz, which is located in central present-day Iran. The first of these three hospitals is the Azodi Hospital, which was constructed during the Buyid dynasty. The second hospital was constructed during the Salghurid dynasty and is referred to as the Mozzafari Hospital by a primary source written by Qutb al-Din Shirazi, a physician who worked there. The third hospital is also referred to as the Mozzafari Hospital and was constructed during the Mozzafarid dynasty. Recent efforts have yielded archaeological evidence that marks the location in present-day Shiraz of this third hospital or an area south of its location. The evidence consists of the gravesite for Seyed Sharaf al-Din Jorjani, a prominent theologian who was employed by Shah Shoja of the Mozzafarid dynasty in the fourteenth century CE. at the compound containing the third hospital. The gravesite for Sharaf al-Din Jorjani in present-day Shiraz marks the site of the remains of the Mozzafari Hospital built during the reign of Shah Shoja of the Mozzafarid dynasty or an area south of Shah Shoja's Mozzafari Hospital.

  2. Enterprise resource planning for hospitals.

    Science.gov (United States)

    van Merode, Godefridus G; Groothuis, Siebren; Hasman, Arie

    2004-06-30

    Integrated hospitals need a central planning and control system to plan patients' processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the potential of enterprise resource planning (ERP) systems for healthcare delivery organizations. First ERP systems are explained. An overview is then presented of the characteristics of the planning process in hospital environments. Problems with ERP that are due to the special characteristics of healthcare are presented. The situations in which ERP can or cannot be used are discussed. It is suggested to divide hospitals in a part that is concerned only with deterministic processes and a part that is concerned with non-deterministic processes. ERP can be very useful for planning and controlling the deterministic processes.

  3. C1. Pneumonia adquirida na comunidade (PAC num hospital central – comparação de um grupo de doentes idosos com um grupo de não idosos

    Directory of Open Access Journals (Sweden)

    S. Moreira

    2003-11-01

    Full Text Available O objectivo do nosso estudo foi comparar as características clínicas, agentes etiológicos e mortalidade da PAC entre um grupo de doentes idosos e não idosos.Efectuámos um estudo retrospectivo comparativo com 257 doentes internados no nosso serviço com PAC. Consideramos dois grupos: grupo I, doentes com idade igual ou superior a 65 anos (111 doentes e grupo II com idade inferior a 65 anos (146 doentes.A idade média no grupo I foi de 77.3 anos vs. 44.7 anos no grupo II. Foram encontradas diferenças significativas nas características clínicas da pneumonia: febre (54.1% no grupo I vs. 81.5% no grupo II e dor torácica: (27.0% vs 50.0%, respectivamente.O agente causal foi identificado nas culturas da expectoração em 31.6% e do sangue em 6.2% no grupo I vs. 29.1% e 13.9% no grupo II. O Streptococcus pneumoniae foi isolado em 8.8% das amostras de expectoração e 3.1% das hemoculturas dos idosos vs. 17.5% e 10.2% no grupo dos não-idosos. O isolamento de gram-negativos entéricos foi significativamente mais frequente no grupo I (57.1% vs. 8.3%.A duração média de internamento (13.1 vs. 11.1 dias e a mortalidade (10.8% vs. 0.7% foi superior no grupo I.Concluímos que no doente idoso hospitalizado a etiologia da PAC difere da dos outros grupos etários, apresenta pior prognóstico e requere maiores recursos de saúde. : The aim of our study was to compare CAP clinical attributes, etiologic agents and mortality between a group of elderly and a non-elderly patients.We performed a retrospective study analysing clinical data from 257 patients admitted to our hospital with CAP. Two groups were considered: group I with 65 years and over (111 patients and group II with less then 65 years (146 patients.Average age in group I was 77.3 years vs. 44.9 years in group II. Significant differences were found between two clinical characteristics: fever (54.1% in group I vs. 81.5% in group II and chest pain

  4. The politics of local hospital reform: a case study of hospital reorganization following the 2002 Norwegian hospital reform

    Science.gov (United States)

    2009-01-01

    Background The Norwegian hospital reform of 2002 was an attempt to make restructuring of hospitals easier by removing politicians from the decision-making processes. To facilitate changes seen as necessary but politically difficult, the central state took over ownership of the hospitals and stripped the county politicians of what had been their main responsibility for decades. This meant that decisions regarding hospital structure and organization were now being taken by professional administrators and not by politically elected representatives. The question raised here is whether this has had any effect on the speed of restructuring of the hospital sector. Method The empirical part is a case study of the restructuring process in Innlandet Hospital Trust (IHT), which was one of the largest enterprise established after the hospital reform and where the vision for restructuring was clearly set. Different sources of qualitative data are used in the analysis. These include interviews with key actors, observational data and document studies. Results The analysis demonstrates how the new professional leaders at first acted in accordance with the intentions of the hospital reform, but soon chose to avoid the more ambitious plans for restructuring the hospital structure and in fact reintroduced local politics into the decision-making process. The analysis further illustrates how local networks and engagement of political representatives from all levels of government complicated the decision-making process surrounding local structural reforms. Local political representatives teamed up with other actors and created powerful networks. At the same time, national politicians had incentives to involve themselves in the processes as supporters of the status quo. Conclusion Because of the incentives that faced political actors and the controversial nature of major hospital reforms, the removal of local politicians and the centralization of ownership did not necessarily facilitate

  5. A Study to Assess the Factors and Out of Pocket Expenditures in the Patients of Road Traffic Accidents Admitted in a Tertiary Care Hospital in a Central India District

    Directory of Open Access Journals (Sweden)

    Srivastava DK

    2014-12-01

    Full Text Available Background: Road traffic injuries are estimated to be the eighth leading cause of death globally, with an impact similar to that caused by many communicable diseases, such as malaria. road traffic injuries are estimated to cost low- and middle-income countries between 1–2 % of their Gross Domestic Product (GDP, an estimate of about US$ 100 billion a year. Objectives: To study the epidemiological profile of Road Traffic Injuries among the patients admitted in a tertiary care centre and too find out the various out of pocket expenditure in the patients of Road Traffic Accidents. Material and Method: The present study was a hospital based Descriptive Prospective Study. A list of all the patients admitted due to Road Traffic Accident in last one week was obtained from the ward sisters of Orthopedic Department. All the selected participants were interviewed on the two fixed days. A pre tested structured open ended questionnaire was used for data collection. Results: Of the 48 participants interviewed, 34male and 14 females. Most common age group affected was 21-25 years followed by 16-20 years. The rate of accidents was most common on the weekends. The rate of accidents was more in users of two wheelers. Majority of the expenditure in the First week of admission was on the purchase of medicines followed by diagnosis. Majority of the victims also suffered huge financial loss due to loss of salary, closure of shop, loss due to daily wages etc. Conclusion: The present study hereby concludes that there is an urgent need for creating awareness about Road Traffic Accident. The study also concludes that majority of the out of pocket expenditure in the first week of admission is on the medication.

  6. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit.

    Science.gov (United States)

    Nolan, Matthew E; Yadav, Hemang; Cawcutt, Kelly A; Cartin-Ceba, Rodrigo

    2016-02-01

    There are limited contemporary data describing the rates of catheter-related deep vein thrombosis (CRDVT) and central line-associated bloodstream infection for peripherally inserted central venous catheters (PICCs) and centrally inserted central venous catheters (CICCs) in the medical intensive care unit (ICU). We performed a retrospective cohort study of 200 PICCs (dual/triple lumen) and 200 CICCs (triple/quadruple lumen) placed in medical ICU adults at Mayo Rochester between 2012 and 2013. Central lines were followed from insertion time until hospital dismissal (primary analysis) or ICU discharge (secondary analysis). Symptomatic CRDVT was determined by Doppler ultrasound. Central line-associated bloodstream infection was defined according to federal reporting criteria. During 1730 PICC days and 637 CICC days, the incidence of CRDVT when followed until hospital dismissal was 4% and 1% (4.6 and 3.1 per 1000 catheter-days), respectively, P = .055. When censored at the time of ICU dismissal, the rates were 2% and 1% (5.3 and 3.7 per 1000 catheter-days), P = .685. Only 1 central line-associated bloodstream infection occurred in a PICC following ICU dismissal, P > .999. Thrombotic and infectious complications were uncommon following PICC and CICC insertion, with no significant difference in complication rates observed. Half of PICC DVTs occurred on the general floor, and like all central catheters placed in the ICU, PICCs should be aggressively discontinued when no longer absolutely needed. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. The architecture of enterprise hospital information system.

    Science.gov (United States)

    Lu, Xudong; Duan, Huilong; Li, Haomin; Zhao, Chenhui; An, Jiye

    2005-01-01

    Because of the complexity of the hospital environment, there exist a lot of medical information systems from different vendors with incompatible structures. In order to establish an enterprise hospital information system, the integration among these heterogeneous systems must be considered. Complete integration should cover three aspects: data integration, function integration and workflow integration. However most of the previous design of architecture did not accomplish such a complete integration. This article offers an architecture design of the enterprise hospital information system based on the concept of digital neural network system in hospital. It covers all three aspects of integration, and eventually achieves the target of one virtual data center with Enterprise Viewer for users of different roles. The initial implementation of the architecture in the 5-year Digital Hospital Project in Huzhou Central hospital of Zhejiang Province is also described.

  8. O litoral do Rio Grande do Norte: dinâmica e modelo espacial

    Directory of Open Access Journals (Sweden)

    Andrea de Castro Panizza

    2008-07-01

    Full Text Available Le littoral du nordeste brésilien est en proie à de rapides changements d'usages et d'occupation des terres. La croissance des villes, l'activité touristique et l'élevage de crevettes sont, entre autre, les principaux éléments responsables de ces transformations qui modifient en profondeur les systèmes naturels ce qui affecte la qualité de vie des populations. Ce travail est issu d'une partie des résultats de recherche menés durant un post-doctorat réalisé au laboratoire COSTEL (Climat et Occupation du Sol par Télédétection de l'Université de Rennes 2 (France et financé par le CNRS (Centre National de la Recherche Scientifique, France durant les années 2005 et 2006. Nous présentons une étude sur la dynamique du paysage des municípios d'Extremoz, Natal et Parnamirim (Etat du Rio Grande do Norte, Brésil. Les images des satellites Landsat TM5 et ETM+7 sont les principales sources utilisées pour extraire les données spatiales utilisées dans ce travail. Nous avons utilisés plusieurs images acquises en 1992, 2001 et 2003 pour mieux détecter et quantifier les changements d'occupation des terres. Les résultats montrent que les zones urbaine et résidentielle n'ont pas cessé de croître durant la période étudiée, représentant une expansion considérable de près de 62 Km². A l'inverse, les surfaces occupées par les différentes formations végétales ont été considérablement réduites. Les données statistiques de l'IBGE portant sur le nombre de résidences principales et secondaires complètent l'analyse de la croissance urbaine des municípios étudiés. Ces informations ont permis la construction d'un modèle spatial (Brunet, 1980, 1990 qui distingue les structures élémentaires de l'espace géographique. Le modèle spatial proposé pour distinguer les formes et structures spatiales permet de mieux comprendre la dynamique de cet espace. Il montre notamment qu'un arc de fragmentation s'est mis en place autour des

  9. EFECTO DEL ENCALADO EN EL CULTIVO DE NARANJA VALENCIA EN LA ZONA NORTE DE COSTA RICA

    Directory of Open Access Journals (Sweden)

    Eloy Molina

    2005-01-01

    Full Text Available Se evaluó el efecto del encalado en el ren- dimiento de naranja Valencia y en la fertilidad de un Ultisol de la Zona Norte de Costa Rica. Se utilizó 3 materiales de encalado: CaCO3 de granulometría gruesa; CaCO3 de granulometría fina; y una mezcla física de 85% de CaCO3 y 15% de óxido de magnesio, cada uno de ellos en dosis de 1, 2 y 3 t ha-1, y un testigo sin cal, en un diseño de Bloques Completos al Azar y 4 repeticiones. Se hicieron 4 cosechas de fruta entre 1994 y 1998, y 3 muestreos de suelo y tejido foliar (6, 12 y 24 meses después de aplicar la cal. La aplicación de cal tuvo un efecto significativo en la fertilidad del suelo; al aumentar la dosis se incrementó el contenido de Ca intercambiable, y se redujo la acidez del suelo y la saturación d acidez. La mezcla de CaCO3 + MgO aumentó significativamente el contenido de Mg intercam- biable, siendo el efecto más marcado con la dosis de 3 t ha-1. La respuesta de la cal se presentó en forma lineal en los 4 años de cosecha evaluados, con un incremento en el rendimiento de fruta y sólidos solubles al elevarse la dosis. El tratamiento de 3 t ha-1 de cal presentó el rendimiento más alto con los 3 materiales evaluados en las 4 cosechas, lo que indica la posibilidad de obtener respuesta a una dosis mayor. No hubo diferencias significativas entre las 3 fuentes de cal en las variables de suelo y rendimiento, lo que indica que las variaciones en calidad química y física de los materiales no afectaron los resultados. Sin embargo, la mezcla CaCO3 + MgO presentó el valor más bajo de acidez, el más alto de Mg en el suelo y en las hojas, y los rendimientos más altos de fruta y sólidos solubles.

  10. Un proyecto de escuela ambiental en el extremo norte del Perú

    Directory of Open Access Journals (Sweden)

    1999-01-01

    Full Text Available UN PROJET D'ECOLE ENVIRONNEMENTALE DANS L'EXTREME NORD DU PEROU. Nous avons constaté que l’actuel système d’éducation forme des individus qui se reproduisent le dos tourné à l’histoire régionale de la relation entre la nature et la société. Nous avons donc tenté de créer une école dans laquelle divers représentants de la société régionale, avec des chercheurs en sciences naturelles et sociales, spécialistes de l’extrême nord du Pérou, tenteraient d’élaborer une histoire environnementale. Cette vision partagée du passé vers l’avenir permettrait, en consolidant la conscience d’une identité régionale, la définition de projets de développement décentralisés qui prennent en compte les divers aspects des multiples réalités locales. Constatamos que el actual sistema de educación forma individuos que se reproducen de espaldas a la historia regional de la relación entre la naturaleza y la sociedad. Intentamos entonces crear una escuela donde diversos representantes de la sociedad regional, junto con investigadores en ciencias naturales y sociales especialistas del extremo norte del Perú, intentarían elaborar una historia ambiental. Esta visión compartida del pasado con miras al porvenir permitiría, fortaleciendo la conciencia de una identidad regional, definir proyectos de desarrollo descentralizados que tomen en cuenta los diversos aspectos de las múltiples realidades locales. A PROJECT OF ENVIRONMENTAL EDUCATION IN THE NORTHERN PERU. We show here that the current education system forms individuals that tend to ignore the historical relation at the regional level between nature and society. For that reason, we attempt to create a school where diverse representatives of the regional society in the extreme north of Peru can communicate with researchers from both the social and natural sciences who have specialized in that region, to create an environmental history of that area. This shared vision of the past with

  11. Monitoreo de la reforestación en las quebradas en el Norte de Quito

    Directory of Open Access Journals (Sweden)

    Anita Argüello

    2012-12-01

    Full Text Available El Distrito Metropolitano de Quito (DMQ comprende 61.563 has., las cuales albergan diversasespecies de flora y fauna. Los procesos de acelerada urbanización han dado lugar alestablecimiento de viviendas e invasiones que han presionado a los bosques que existíanespecialmente en las laderas del Pichincha y en las quebradas de la parte norte del distrito. ElMunicipio del Distrito Metropolitano de Quito (MDMQ en sus Políticas de Patrimonio Natural,contempla la integración, conectividad, mantenimiento, recuperación, y rehabilitación deespacios naturales priorizados para seguridad ambiental del Distrito, cuya aplicación tienecomo objetivo específico el disminuir la afectación antrópica progresiva a ecosistemas yespacios naturales de conservación del Distrito. Con estos antecedentes se realiza unacontratación para la reforestación de once quebradas en la Administración Zonal La Delicia, lamisma que se realiza en los meses de abril – junio del presente año (2012 en un total de 43has. con el compromiso de siembra de 37.152 plantas. Para realizar el seguimiento a esteproceso se plantea un monitoreo inicial para conocer el estado de la reforestación y el impactocausado en las quebradas seleccionadas. Mediante recorridos y mapeo de sitio, se contabilizanlas plantas sembradas y supervivientes en cada una de las quebradas y se constata elcumplimiento de solo el 5,05% de la reforestación planteada.Abstract:The Metropolitan District of Quito covers 61.563 has., containing many species of flora andfauna. Accelerated urbanization processes have led to illegal housing and human invasions,putting pressure on existing forests, especially on the slopes of Pichincha and the ravines of thenorthern part of the District. The Metropolitan District of Quito, in its Natural Heritage Policy,prioritizes the integration, connectivity, maintenance, recovery and rehabilitation of naturalareas, to support the District environmental security. Focus is put on

  12. PROGRESSO TEMPORAL E CONTROLE DA ANTRACNOSE EM BANANA NO SEMIÁRIDO NORTE MINEIRO

    Directory of Open Access Journals (Sweden)

    LAIS MAIA E SILVA

    2016-02-01

    Full Text Available RESUMO A antracnose é uma das principais doenças pós-colheita em bananas. O trabalho teve como objetivos avaliar, durante dez meses, a intensidade da antracnose e o efeito da lavagem e sanitização das frutas no controle da doença em pós-colheita de bananas. O experimento foi realizado de setembro de 2013 a junho de 2014. As coletas dos frutos foram realizadas, mensalmente, em cinco propriedades comerciais localizadas nos municípios de Jaíba, Janaúba e Nova Porteirinha, cultivadas com banana ‘Prata-Anã’. As pencas foram subdivididas em buquês de três frutos, o delineamento experimental foi o inteiramente casualizado em esquema fatorial e submetidos aos tratamentos: frutos sem a realização da lavagem (testemunha; frutos lavados na propriedade; frutos lavados no laboratório com hipoclorito de sódio a 2%; frutos lavados no laboratório com hipoclorito de sódio a 2% seguido de aplicação com fungicida Imazalil. As avaliações foram realizadas em 10 épocas e os tratamentos repetidos cinco vezes. Calculou-se área abaixo da curva de progresso da intensidade (AACPI e área abaixo da curva de progresso da severidade (AACPS. Os resultados obtidos foram submetidos à análise de variância e as médias comparadas através do teste de Scott-Knott, a 5% de probabilidade. A maior intensidade de antracnose em bananas no Norte de Minas ocorre nos meses de novembro de 2013 a março de 2014. A menor intensidade ocorre nos meses de setembro e outubro de 2013 e abril a junho de 2014. Nos meses de novembro a março, época de maior intensidade de doença, a lavagem dos frutos com detergente neutro e hipoclorito de sódio a 2% seguida de aplicação do fungicida Imazalil é a técnica mais eficiente de controle. A lavagem dos frutos, apenas com detergente neutro pode favorecer o aparecimento de antracnose, pela degradação da cutícula.

  13. Factores asociados a mastitis en vacas de la microcuenca lechera del altiplano norte de Antioquia, Colombia

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    Nicolás Ramírez Vásquez

    2011-12-01

    Full Text Available Se efectuó un estudio de corte sobre la prevalencia de mastitis bovina en una muestra representativa de las granjas lecheras del altiplano norte de Antioquia, Colombia. Se evaluaron los resultados del California Mastitis Test (CMT, Recuento de Células Somáticas (RCS y cultivo bacteriológico de leche, y se analizaron los factores de riesgo asociados a mastitis bovina. El análisis estadístico de la información se efectuó por medio de estadística descriptiva, análisis de razón de prevalencias y regresión logística multinivel. Con la prueba de CMT se detectó un 20% de cuartos afectados con mastitis, la prevalencia de mastitis subclínica por vaca fue del 39,5% y la de mastitis clínica fue del 1,7%. Se efectuaron 648 cultivos de muestras de leche, de las cuales 23,9% fueron negativas, 34% positivas a Streptococcus agalactiae y 10,2% a Estafilococo coagulasa negativo. El análisis de regresión reveló que las vacas que tuvieron más de seis meses de lactancia presentaron una Odds Ratio (OR de 2,65 en comparación con las de un mes de lactancia (p < 0,05. Se halló un OR de 1,24 para la asociación de la edad y la mastitis (p < 0,05. Para el lavado de manos se encontró un OR de 0,36 en comparación con no hacerlo (p < 0,05. En conclusión, se halló una alta frecuencia de mastitis por vaca. El microorganismo más hallado fue el Streptococcus agalactiae. El trauma podría ser una causa importante de mastitis dado que no se observó crecimiento bacteriano en 23,9% de los cultivos de muestras de leche de cuartos con mastitis.

  14. UMA PRÁTICA DE PLANEJAMENTO PARTICIPATIVO DESENVOLVIDA NO INSTITUTO FEDERAL DO RIO GRANDE DO NORTE

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    F. C. M. Fernandes

    2012-05-01

    Full Text Available Este artigo descreve uma prática de planejamento participativo vivenciada no Instituto Federal de Educação, Ciência e Tecnologia do Rio Grande do Norte (IFRN, a partir de teorias e conceitos generalistas concebidos por estudiosos da ciência da administração acerca da função planejamento, constituindo-se como uma sistematização de referência operacional concreta. Trata-se de um modelo construído com base nos princípios de gestão democrática, tendo como principais instrumentos norteadores: o Projeto Político Pedagógico (PPP unificado, trabalhado nos diversos Campi do IFRN com metodologia que integra os segmentos (discentes, docentes e técnico-administrativos institucionais na definição de objetivos, metas e ações, consonantes com a função social do Instituto; o Plano de Desenvolvimento Institucional (PDI, também elaborado com a participação da comunidade e que representa o esforço da Instituição em pensar seu desenvolvimento, em curto e médio prazo, de uma forma planejada coletivamente; e parâmetros oriundos de órgãos superiores (CONSUP, Ministério da Educação e órgãos de controle interno e/ou externo, além de avaliação diagnóstica da situação institucional. Nesse contexto, o Plano de Ação resulta, pois, de um processo de construção coletiva, envolvendo todos os Campi e a Reitoria, e cuja execução passa por monitoramento, acompanhamento e controle, com o objetivo de garantir a consecução dos objetivos propostos através das metas estabelecidas e, se necessário, corrigir rumos e superar eventuais dificuldades.

  15. Liquens brasileiros: novas descobertas evidenciam a riqueza no Norte e Nordeste do país

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    Marcela Eugenia da Silva Cáceres

    2014-10-01

    Full Text Available A maioria das espécies não descritas de fungos é esperada em áreas pouco estudadas, como as florestas tropicais ou habitats pouco explorados como fungos que vivem em insetos, plantas, ou liquens. O Filo Ascomycota apresenta o maior número de espécies dentro do Reino Fungi, sendo que cerca da metade destas espécies são liquenizadas, ou seja, associam-se a algas e/ou cianobactérias e formam os liquens. Estes fungos liquenizados, de maneira geral, têm sido muito pouco estudados no Norte e Nordeste brasileiros, no que diz respeito à sua taxonomia e ecologia. Recentemente, estudos mais completos sobre a diversidade de liquens em remanescente de Mata Atlântica e em algumas áreas da Amazônia resultaram no registro de uma grande quantidade de espécies novas para a ciência, reforçando a importância de uma caracterização mais acurada da biodiversidade de uma área para favorecer à sua conservação. No âmbito do projeto Sisbiota, foi realizado um extenso inventário de espécies de liquens corticícolas crostosos e microfoliosos no estado de Rondônia, representando a Floresta Amazônia, e no estado de Sergipe, que apresenta apenas pequenos remanescentes de Mata Altântica. Os resultados obtidos evidenciam a riqueza destas duas áreas, nas suas devidas proporções, visto que em ambas foi encontrado um número significativo de novas espécies para ciência, com 75 espécies publicadas para Rondônia, e 10 espécies novas para Sergipe. Com isso, atualmente, o número de espécies conhecidas para Rondônia passou de 31 para 502, sendo apresentados aqui 104 novos registros para o estado, sendo 10 novos registros para o Brasil e sete para o hemisfério sul.

  16. El paisaje arqueológico de la costa centro-norte de Yucatán

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    Miguel Covarrubias Reyna

    2015-12-01

    Full Text Available Las planicies del norte de la península de Yucatán son aparentemente uniformes, pero en realidad existen diferencias medioambientales que definen distintos nichos ecológicos. El ser humano ha sido capaz de adaptarse a estos microambientes optimizando sus asentamientos para poder aprovechar los recursos que se encuentran en cada uno de éstos. Este trabajo se enfoca en la zona costera del centro-norte de Yucatán y su trayectoria hacia el interior, donde linealmente se puede hallar una sucesión de tales nichos y donde con base en la información arqueológica obtenida mediante varios proyectos de prospección y salvamento arqueológico en la región, se pueden identificar diferencias importantes en el patrón de asentamiento y las características de las  estructuras. Dichos datos a la vez, brindan la pauta para comprender el tipo de relaciones que los habitantes de la zona mantuvieron con el entorno y la forma como se han adaptado a través del tiempo.

  17. Rastros de memória e fagulhas da criação em Cinzas do Norte

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    Roniere Silva Menezes

    2016-12-01

    Full Text Available O presente trabalho objetiva investigar o emprego do conceito de memória no processo criativo do romance Cinzas do Norte, de Milton Hatoum. São estabelecidas relações entre a vida do autor e a sua obra, a partir do conceito de “biografema” estabelecido por Roland Barthes. Relações entre vivência, memória, esquecimento e invenção serão abordadas, assim como diálogos entre literatura, memória, corpo e História contemporânea do Brasil. A estrutura do enredo de Cinzas do Norte reflete a perspectiva de trabalhos fragmentários com a memória. A mescla entre cartas, relatos e foco narrativo reconfiguram modalidades mais tradicionais do gênero memorialístico. Todavia, o discurso ainda se prende a um posicionamento ligado, em última instância, à voz do narrador, responsável este por reorganizar os diversos textos e gêneros que se alternam no livro. 

  18. Creencias sobre estereotipos de género de jóvenes universitarios del norte de México

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    María José Cubillas Rodríguez

    2016-01-01

    Full Text Available El objetivo de este estudio fue analizar las valoraciones sociales de género presentes en las creencias de la población estudiantil universitaria del norte de México, con el fin de conocer los cambios que se van produciendo en relación a este fenómeno. Se aplicó una escala de creencias estereotipadas de género a 1921 estudiantes de ambos sexos de dos universidades públicas del norte de México, localizadas en las ciudades de Hermosillo, Sonora y Saltillo, Coahuila. Se exploraron cinco dimensiones: feminidad/masculinidad, roles de maternidad/paternidad, sexualidad, competencias y capacidades y expresiones de emotividad/ agresividad. Los resultados indican un mayor arraigo a posturas tradicionales en varones y en los estudiantes provenientes de la división académica de ingeniería. En general, los estudiantes de semestres avanzados tienen los mismos prejuicios de género que los de recién ingreso a la institución. Se recomienda transversalizar la perspectiva de género en las instituciones de educación superior a través de programas de sensibilización y capacitación.

  19. O Norte do Paraná: do café à cana do açucar

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    Messias Passos

    2012-06-01

    Full Text Available Este artigo aborda o processo de povoamento do norte do Paraná, pilotado pela empresa britânica Paraná Plantation ltd., que, no período de 1930 a 1950 implantou cidades, definiu um modelo de estrutura fundiária de pequenos lotes, motivou a forte cafeicultura do norte do Paraná, mas que não resistiu às crises de mercado, às intempéries do clima e à política brasileira de reordenamento do espaço rural e sucumbiu. Após sucessivas tentativas de sustentar o desenvolvimento regional, a partir do binômio soja-trigo e da policultura se observa, a partir do PROÁLCOOL (1974, a expansão da cana-de-açúcar para produção de etanol. Para diagnosticar as dinâmicas territoriais a partir da implantação da Usina Santa Terezinha no município de Terra Rica/Noroeste do Paraná utilizamos as imagens LANDSAT TM 5 dos anos de 2000, 2005, 2008 e 2011. As imagens foram corrigidas geometricamente e manipuladas no Spring 5.06.

  20. CONSIDERAÇÕES SOBRE A REGIONALIZAÇÃO DO TURISMO NO "MEIO-NORTE" BRASILEIRO

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    Fábio de Oliveira Matos

    2013-07-01

    Full Text Available Este trabalho apresenta algumas considerações sobre a regionalização do turismo que vem sendo desenvolvida no Nordeste brasileiro, em especial nos estados do Ceará, Piauí e Maranhão através do Plano de Desenvolvimento Sustentável da Região Turística (PDSRT do Meio-Norte. Este plano é uma iniciativa do Governo Federal, em parceria com os governos de cada um dos estados integrantes e tem como objetivo o desenvolvimento regional sustentável dessa sub-região brasileira que apresenta um dos mais elevados níveis de pobreza no país. Para o enfrentamento desse problema, o PDSRT faz do turismo uma ferramenta de combate da miséria dessa região. Assim, faremos uma reflexão sobre a proposta do plano, trazendo à tona a discussão entre o turismo e a elaboração/implementação dessa política pública voltada para o contexto regional, em especial, para a região Meio-Norte. Ao final são colocadas algumas das ações que estão sendo propostas pelo Plano, para assim visualizarmos a sua importância para o desenvolvimento regional.