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Sample records for hospital central norte

  1. 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

    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 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)

  2. 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

    Energy Technology Data Exchange (ETDEWEB)

    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.

  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

    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 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 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)

  5. 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

    Energy Technology Data Exchange (ETDEWEB)

    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)

  6. 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

    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 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)

  7. Síndrome de Burnout en estudiantes de internado del Hospital Universidad del Norte

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    Mariela Borda Pérez

    2007-01-01

    Full Text Available Objetivo: Establecer el comportamiento y los factores de riesgo asociados al Síndrome de Burnout (SB en estudiantes de último año de medicina en en el internado rotatorio I y II, en el Hospital Universidad del Norte en el 2006. Métodos: Estudio descriptivo de la población de 55 estudiantes de último año en internado rotatorio I y II de ambos sexos. Se empleó encuesta autodiligenciada anónima sobre características sociodemográficas, laborales y la escala de Maslach. Se procesaron y presentaron los datos utilizando SPSS. Se efectuó análisis univariado y bivariado para establecer tendencia a la asociación entre la variable dependiente SB y las independientes mediante Chi cuadrado y valor de p <0.05. Resultados: La prevalencia global del SB es de 9.1%; la distribución según dimensiones del SB es: agotamiento emocional: 41.8%, despersonalización: 30.9%, realización personal baja: 12.7%. Se encontró significancia estadística entre SB y relaciones con el equipo de trabajo; asimismo, hubo relación de esta variable con el grado de agotamiento emocional y de realización personal y entre la presencia de hijos y el grado de agotamiento emocional. Conclusiones: El SB es bajo en los internos. Se encontró tendencia a la asociación entre las relaciones con el equipo de trabajo y los grados de agotamiento emocional y de realización personal.

  8. Eventos adversos derivados del cuidado brindado en la Unidad de Cuidados Intensivos Adultos del Hospital Universidad del Norte. Barranquilla (Colombia

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    Elizabeth Villarreal Cantillo

    2014-01-01

    Full Text Available Objetivo: Determinar los eventos adversos derivados del cuidado brindado en la Unidad de Cuidados Intensivos del Hospital Universidad del Norte (en Barranquilla en el periodo enero-diciembre de 2012. Materiales y métodos: Estudio descriptivo transversal retrospectivo. La muestra se obtuvo mediante un muestreo sistemático, a partir de un listado ordenado de todas las personas ingresadas al Hospital Universidad del Norte (HUN en los servicios de Urgencias, Hospitalización, Cirugía, UCI Adultos, UCI Neonatal, Gineco-Obstetricia, Consulta Externa, Radiología y Laboratorio que hubieran sufrido algún evento adverso ocurrido entre enero a diciembre de 2012. La información se obtuvo mediante la base de datos del Hospital Universidad del Norte. Para el análisis se utilizó Microsoft Excel 2010. Resultados: Durante 2012 se presentaron 130 (25 % casos de eventos adversos; siendo el segundo servicio con mayor número de eventos, después de Hospitalización. Las tres primeras causas de eventos adversos fueron: la infección nosocomial, con un 25 %; las úlceras por presión, con en un 18 %, y la neumonía asociada a ventilación mecánica, con un 16 %. Conclusiones: Los eventos adversos que más son reportados en las unidades de cuidados intensivos adultos son aquellos que ocurren cuando hay una mayor intervención en el paciente. Condiciona la aparición de eventos adversos un personal sanitario con déficit de conocimientos y falta de preparación. La ocurrencia de estos eventos adversos pone en peligro la vida de los seres humanos, debido a que empeoran su condición, produce sobrecosto y al profesional le genera sobrecarga laboral y afectiva.

  9. Una frontera casi invisible: los territorios al norte del Sistema Central en la Alta Edad Media (siglos VIII-XI

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    Iñaki MARTÍN VISO

    2009-12-01

    Full Text Available RESUMEN: Los territorios al norte del Sistema Central no estuvieron sujetos a un dominio por parte de una autoridad centralizada entre los siglos VIII a XI. Los instrumentos del poder central, en especial la tributación y la organización episcopal, se descompusieron tras el siglo VIII y asumieron un papel determinante las estructuras de poder local, las cuales deben ser el principal objeto de estudio. A partir de su análisis, se descubre un espacio fronterizo abierto, con un dominio político informal, que es invisible para los poderes centrales. Palabras clave: Poderes Locales. Sitios de Altura. Necrópolis. Frontera. Tributación. Mozárabes.ABSTRACT: The territories at the North of the Iberian Central System were not ruled by any central authority between eighth and eleventh centuries. The main tools of the central power, especially the tribute and the episcopal organization, were broken down after the 8th century and the structures of local power, which must be studied particularly, got a very influential role. The analysis discover an opened frontier area, with an informal political control, that is invisible from the perspective of the central power

  10. 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.

  11. 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.

  12. 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.

  13. Efecto del secado de las muestras sobre la extracción selectiva de Fe y A1 activos en Andisoles del norte de la cordillera central Colombiana.

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    Jaramillo J. Daniel F.

    2000-12-01

    Full Text Available Muestras secadas al aire y sin secar de cinco perfiles de Andisoles del norte de la cordillera central colombiana fueron sometidas a extracción con oxalato ácido de amonio y con pirofosfato de sodio. En los extractos de oxalato se determinaron A1, Fe y Si y en los de pirofosfato A1 y Fe. El secado de las muestras redujo significativamente al 95% la cantidad de A1 y de Fe extraída con oxalato ácido, dificultando la clasificación de los suelos en el orden Andisol utilizando los parámetros de la taxonomía del USDA.

  14. 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...

  15. 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.

  16. Node Ranking Tool - NoRT

    Science.gov (United States)

    2018-03-23

    NoRT) that was developed as part of the Applied Network Science 6.2 base program work unit at NRL, Code 5580. We explain the theory of NoRT and how...to use it. 23-03-2018 Memorandum Report TOPSIS, Social Network, Sensor Network, Centrality, Diffusion, Disease, Virus, Expectation , Pandemic...base program work unit at NRL. We explain the theory of NoRT and how to use it. Index Terms TOPSIS, Social Network, Sensor Network, Centrality, Diffusion

  17. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

    de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

    Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

  18. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

    de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

    2012-01-01

    Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

  19. 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.

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

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    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.

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

    African Journals Online (AJOL)

    The study was a 5 year histopathological survey of endometrial biopsies seen at the University of Ilorin Teaching Hospital , Ilorin, North Central Nigeria from January 1st 1997 to December 31st 2001. It aimed at identifying the morphological patterns of endometrial disorders, prevalence of these disorders and the ...

  2. Prevalence of Neonatal Jaundice on Central Hospital, Warri, Delta ...

    African Journals Online (AJOL)

    Methods: 272 babies (aged 1 – 30 days) the Neonatal Clinic of the Department of Child Health, Central Hospital, Warri, Delta State between June 2009 and June 2010 were examined daily for evidence of jaundice. Those with serum bilirubin ³15mg/100ml were subjected to additional clinical and laboratory investigations to ...

  3. CARACTERÍSTICAS CLÍNICAS Y EPIDEMIOLÓGICAS DE LA ESTRONGILOIDIASIS EN UN HOSPITAL DEL NORTE DEL PERÚ

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    Heber Silva-Diaz

    2018-03-01

    Full Text Available Background: Strongyloides stercoralis infection is a neglected tropical disease in endemic areas such as Peru, with an overall frequency of 6.6%. Four clinical syndromes can be distinguished: acute (AS, chronic (CS, hyperinfection (HS and disseminated strongyloidiasis (DS. Objective: To describe the clinical and epidemiological characteristics of patients diagnosed with strongyloidiasis. Material and methods: 27 clinical charts of patients with estrongioloidiasis admitted from July 2014 to August 2015 at the Hospital Regional Lambayeque, from Peru, were reviewed. Results: The median age was 41 years (Interquartile range: 2 to 84 and 74% (20/27 were males. There were 10 (37.04% cases of CS and 10 cases (37.04% of HS. Of the total, 63% presented eosinophilia, 85.2% anemia and 85.1% diarrhea; 59.3% were some type of immunocompromise and 18.5% died. Conclusions: The majority of patients with strongyloidiasis in this study presented CS and HS, eosinophilia, anemia, diarrhea and some type of immunocompromise. Also, the high frequency of severe strongyloidiasis in patients with immunocompromise reveals the need for a coproparasitological screening with specific methods (Baerman and agar culture to detect and treat previously chronic infection

  4. 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.

  5. O gênero Strangalia Audinet-Serville no Norte e Centro-Oeste do Brasil (Coleoptera, Cerambycidae, Lepturinae The genus Strangalia Audinet-Serville in northern and central Brazil (Coleoptera, Cerambycidae, Lepturinae

    Directory of Open Access Journals (Sweden)

    Marcela L. Monné

    2005-06-01

    Full Text Available As espécies do gênero Strangalia Audinet-Serville do Norte e Centro-Oeste do Brasil são revistas. Strangalia xanthomelaena sp. nov. é descrita de Rondônia e Mato Grosso, Brasil. Dois novos sinônimos são propostos: Ophistomis irene Gounelle, 1911 = Euryptera albicollis Pascoe, 1860; O. paraensis Bates, 1870 = O. bivittatus Bates, 1870. São fornecidas ilustrações e chave para identificação das espécies.The species of the genus Strangalia from northern and central Brazil are revised. Strangalia xanthomelaena sp. nov. is described from Rondônia and Mato Grosso, Brazil. Two new synonyms are proposed: Ophistomis irene Gounelle, 1911 = Euryptera albicollis Pascoe, 1860; O. paraensis Bates, 1870 = O. bivittatus Bates, 1870. Illustrations and key for identification are provided.

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

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    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

  7. Leukaemia at Queen Elizabeth Central Hospital in Blantyre, Malawi.

    Science.gov (United States)

    Mukiibi, J M; Nyirenda, C M; Adewuyi, J O; Mzula, E L; Magombo, E D; Mbvundula, E M

    2001-07-01

    To determine the patterns of leukaemias seen in Malawians at Queen Elizabeth Central Hospital (QECH) and to compare the findings with those from elsewhere. An overview of the problems encountered in the management of leukaemia in developing countries especially those in sub-Saharan Africa are highlighted. Retrospective descriptive analysis of consecutive leukaemia cases seen from January 1994 through December 1998. Of the 95 leukaemia patients diagnosed during the study period, childhood (0-15 years) leukaemia occurred in 27 (28.4%) patients while adulthood (above 15 years) leukaemia accounted for 68 (71.6%) patients. The main leukaemia types were: acute lymphoblastic leukaemia (ALL) 14 (14.7%), acute myeloblastic leukaemia (AML) 25 (26.3%), chronic myeloid (granulocytic) leukaemia (CML) 32 (33.7%), chronic lymphocytic (lymphatic) leukaemia (CLL) 22 (23.2%) and hairy cell leukaemia (HCL) two (2.1%) patients. Most of the acute leukaemia (AL) cases occurred in the six to 15 year age bracket with a male preponderance. In ALL, lymphadenopathy was the commonest presenting feature followed by pallor (92.9%) while in the AML group, pallor occurred in 80% of cases. Abdominal swelling (87.5%) due to splenomegaly (81.3%) were the main clinical features in the CML group whereas lymphadenopathy (63.6%) followed by splenomegaly (59.1%) were the dominant presenting features in CLL. Haematologically, although leucocytosis characterised both acute and chronic leukaemias, most cases of acute leukaemia presented with more severe anaemia (Hb charitable organisations.

  8. Evolución sedimentaria y paleogeográfica durante el Mioceno superior en el borde Norte de la Cuenca de Guadix, Cordillera Bética Central

    Directory of Open Access Journals (Sweden)

    Soria Mingorance, J. M.

    1994-04-01

    Full Text Available The sequence stratigraphy of the upper Miocene in the northern border of the Guadix basin allows to separate four depositional sequences. These records succesive sedimentary and paleogeographic episodes in the evolution of the studied area. The first depositional sequence (lower and upper Tortonian. pro parte represent the shelf and slope marine sedimentation on the southern edge of the North-betic Strait. The two following sequences (upper Tortonian. with plattform and pelagic basin environments. are deposited within the marine Guadix basin. The last sequence (upper Turolian-Ventian is recorded by alluvial deposits after the continentalization of the Guadix basin.La aplicación de la estratigrafía secuencial al registro estratigráfico del Mioceno superior en el borde Norte de la Cuenca de Guadix ha permitido separar cuatro secuencias deposicionales. Estas representan sucesivos momentos en la evolución sedimentaria y paleogeográfica del área estudiada. La primera secuencia deposicional (Tortoniense inferior y superior pro parte representa la sedimentación en el margen meridional del Estrecho Norbético. en condiciones de plataforma marina y de talud. Las dos siguientes (Tortoniense superior se depositaron en el ámbito de la Cuenca de Guadix. con ambientes marinos de plataforma somera y de cuenca pelágica. La cuarta y última (Turoliense superior-Ventiense se depositó tras la retirada del mar de la Cuenca de Guadix. con depósitos continentales aluviales s./.

  9. The species description process of North and Central American Geotrupinae (Coleoptera: Scarabaeoidea: Geotrupidae Proceso de descripción de especies de Geotrupinae norte y centroamericanos (Coleoptera: Scarabaeoidea: Geotrupidae

    Directory of Open Access Journals (Sweden)

    Nuria Trotta-Moreu

    2010-08-01

    Full Text Available The description process for North and Central American species of Geotrupinae was analyzed and compared with that of Western Palaearctic species. This process was fitted to an asymptotic function to explore when the curve stabilized. By means of GLMs, the influence of some variables from 3 different groups (body size, geographic range and location was examined, taking into account both pure and combined effects on the development of the process of species description. The accumulation curve of North and Central American Geotrupinae showed that probably 84-91% of the total number of species is already known and 10-20 species remain yet to be described. Body size has not shown any influence on Geotrupinae species description for either region. The most influential elements were the pure effect of the geographic range, followed by the pure effect of the geographic location, and their combined effect. These same variables were also the most influential in the Western Palaearctic region, although with a different significance. As this species inventory remains yet to be completed, it is possible that some factors, such as distribution, could become progressively more important, as for the Geotrupinae species in the Western Palaearctic region.Se analizó el proceso de descripción de especies de Geotrupinae de América del Norte y Central y se comparó con el de las especies del Paleártico Occidental. Este proceso se ajustó a una función asintótica para explorar cuándo la curva terminaba estabilizándose. A través de GLMs, se examinó la influencia de 3 tipos diferentes de variables (tamaño corporal, rango geográfico y localización en el proceso de descripción, teniendo en cuenta sus efectos puros y combinados. La curva de acumulación de Geotrupinae de América del Norte y Central mostró que probablemente se conoce un 84-91% del número total de especies y que quedarían 10-20 especies por describir. El tamaño corporal no mostró ninguna

  10. 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

    Directory of Open Access Journals (Sweden)

    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

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

    African Journals Online (AJOL)

    East and Central African Journal of Surgery. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 14, No 1 (2009) >. Log in or Register to get access to full text downloads.

  12. Central radiological department of the Jahn Ferenc hospital and medical center

    Energy Technology Data Exchange (ETDEWEB)

    Erdelyi, M Jr [Jahn Ferenc Korhaz-Rendeloeintezet, Budapest (Hungary). Koezponti Radiologia

    1982-01-01

    The design, organisation and functioning of the central X-ray diagnostical unit of the new hospital, inaugurated in December 1980 are reviewed. The experiences of the shortcomings of the planning are summerized, too.

  13. Características clínicas e epidemiológicas da leishmaniose visceral em crianças internadas em um hospital universitário de referência no norte de Minas Gerais, Brasil Clinical and epidemiological characteristics of visceral leishmaniasis in children hospitalized at a reference university hospital in the north of Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Ludmila Mourão Xavier-Gomes

    2009-12-01

    Full Text Available OBJETIVO: Descrever as características clínicas e epidemiológicas e o tratamento das crianças internadas com leishmaniose visceral (LV em hospital universitário de referência no norte de Minas Gerais, Brasil. MÉTODOS: Estudo retrospectivo e documental de crianças de 0 a 12 anos internadas com diagnóstico de LV no Hospital Universitário Clemente de Faria, Montes Claros, MG. Foram analisados os prontuários referentes ao período de janeiro de 2006 a dezembro de 2007. RESULTADOS: Foram identificadas 51 crianças com LV, sendo 51% do sexo feminino e a faixa etária de maior incidência da doença foi em menores de 5 anos (74,5% dos casos. Verificou-se que 31% dessas crianças residiam em Montes Claros e 69% procediam de 20 municípios do norte de Minas Gerais, dos quais 72,5% eram originárias da zona urbana e 21,6% da zona rural. A principal manifestação clínica foi a febre (96,1% e os principais achados clínicos na admissão foram esplenomegalia (98% e hepatomegalia (94%. O tratamento de escolha foi Glucantime (70,6%, Anfotericina B convencional (13,7%, Anfotericina B lipossomal (2% e Glucantime associado a Anfotericina B (15,7%. 35,4% dos casos desenvolveram processos infecciosos durante o período da internação, destacando-se as infecções de pele em 11,8%. O tempo de permanência hospitalar médio foi de 19 dias (DP = ±5,4, 96,1% receberam alta médica e 3,9% evoluíram para óbito. CONCLUSÕES: A partir das características clínicas e epidemiológicas identificadas no estudo, sugere-se uma observação mais eficaz por parte dos profissionais de saúde, visando ao reconhecimento precoce e tratamento adequado da doença e suas complicações.OBJECTIVE: To describe the clinical and epidemiological characteristics and treatment of children admitted with visceral leishmaniasis (VL to a reference university hospital in the northern part of Minas Gerais, Brazil. METHODS: Retrospective study and documentation of children aged 0 to

  14. Prevalence of lens opacity at Queen Elizabeth Central Hospital in ...

    African Journals Online (AJOL)

    Laterality is reported probably for the first time in Central Africa - bilateral cataracts being more common than unilateral ones, and the leading cause of cataracts in adults was senility whereas congenital cataracts were commoner in children. The prevalence increased with age, males being affected more than females.

  15. Eficacia del tratamiento homeopático en pacientes con neumonía bacteriana adquirida en la comunidad. Hospital Infantil Norte de Santiago de Cuba

    OpenAIRE

    Yasel Garcia Leyva; Martha María Leyva Anaya; Rebeca María Massieu Cobas; , Yuneska Rodriguez Ochoa

    2017-01-01

    Objetivo: evaluar la efectividad del tratamiento homeopático en los pacientes con neumonía bacteriana adqui-rida en la comunidad. Método: se realizó un estudio clínico controlado en el que se conformó dos grupos con los niños hospitalizados para evaluar la efectividad del tratamiento homeopático en los principales síntomas de 40 pacientes con neu-monía bacteriana adquirida en la comunidad, que ingresaron en la Unidad de Cuidados Intensivos Polivalentes Pediátricos del Hospital Infa...

  16. Estudio inmunohistoquímico de moléculas de adhesión en placentas de niños de bajo peso al nacer en el Hospital Universidad del Norte, Barranquilla (Colombia

    Directory of Open Access Journals (Sweden)

    Luz Alba Silvera Arenas

    2014-01-01

    Full Text Available Objetivo: Observar la expresión de moléculas de adhesión VCAM-1, ICAM-1 en placentas de niños de bajo peso al nacer. Se estudiaron 21 placentas de pacientes atendidas en el Hospital Universidad del Norte en el periodo de mayo a diciembre de 2006. Materiales y métodos: Se realizó estudio macroscópico de las placentas: forma, peso, diámetro grosor, consistencia, color, olor. Para estudios microscópicos se realizaron 5 cortes de la placa corial, uno del rollo de membrana y otro del cordón umbilical. Los cortes fueron fijados en formol al 10 %, incluidos en parafina, coloreados con hematoxilia - eosina para estudios morfológicos. Para estudios inmunohistoquímicos se usaron anticuerpos monoclonales Nova Castra para ICAM-1, VCAM-1, macrófagos. Resultados: Dieciocho placentas de forma redonda, 3 ovaladas; el peso varió entre 240 - 400 gramos; 3 presentaron infarto en los cotiledones. En la micro 18 presentaron necrosis hialina de la media, hiperplasia de la intima, macrófagos xantomatosos, infiltrado linfocitario en tres. En la inmunohistoquímica se observó expresión de ICAM-1, VCAM-1, en la basal de las vellosidades coriales, en la basal de los vasos sanguíneos y macrófagos en el estroma conjuntivo Conclusiones: En dieciocho de los casos los cambios fueron compatibles con preeclampsia, tres con proceso virales. La expresión de moléculas de adhesión y macrófago en la inmunohistoquímica nos sugiere que estas moléculas son fundamentales en los proceso fisiopatológicos de la placenta.

  17. 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

    Directory of Open Access Journals (Sweden)

    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.

  18. Estructura y composición florística de tres robledales en la región norte de la cordillera central de Colombia

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    Juan D León

    2009-12-01

    Full Text Available La alta diversidad florística que albergan los ecosistemas andinos está siendo amenazada por fuertes presiones de origen antrópico. Uno de estos ecosistemas son los robledales, bosques dominados por la especie Quercus humboldtii, que se encuentra seriamente amenazada en Colombia porque su madera es valiosa comercial y dendroenergéticamente. En este estudio, se caracterizó la composición florística y la estructura de tres robledales de los Andes colombianos, con el fin de determinar su similaridad. En cada sitio, se estableció una parcela permanente (5 000 m² donde se muestrearon todos los árboles con D ≥ 10 cm. En los tres sitios, la especie dominante fue Q. humboldtii, pero la similitud florística entre ellos no fue alta. La estructura por clases de tamaño para los tres sitios fue en forma de J invertida, aunque varió la abundancia de individuos por clase diamétrica. Los resultados indican que los robledales estudiados difieren en su composición florística y estructura a pesar de presentar características biofísicas similares. Las diferencias encontradas se deben posiblemente, a los diferentes factores que interactúan en cada sitio como la historia de uso, intensidad y duración de las perturbaciones antrópicas pasadas, topografía, fauna y clima local, que se ven reflejados en los parámetros estructurales de la vegetación.Structure and floristic composition of three oak forests in the northern region of the Central Cordillera in Colombia. Andean ecosystems harbor a high floristic diversity, which is being threatened by human disturbances such us deforestation and by the expansion of the agricultural frontier. One of these ecosystems are the Andean oak forests dominated by Quercus humboldtii, a threatened species in Colombia. We assessed the floristic composition and structure of three Andean oak forests located in three localities (San Andrés de Cuerquia, Belmira and Guarne of Antioquia. The main goal was to determine

  19. Conexiones entre caudales de algunos ríos de la Costa norte y central del Perú y El Niño

    Directory of Open Access Journals (Sweden)

    1998-01-01

    Full Text Available CONNEXIONS ENTRE LES DÉBITS DE CERTAINS COURS D’EAU DE LA CÔTE NORD ET CENTRALE DU PÉROU ET EL NIÑO-COURANT DU SUD. Plusieurs études ont montré qu’il y avait une relation significative entre El Niño-Oscillation du Sud (ENSO et les débits des bassins qui se trouvent ou non dans le Bassin du Pacifique. Cette relation est essentielle car on peut l’utiliser pour prédire des débits, qui serviront à la mise en place de politiques de gestion de barrages et pour éviter des pertes dues à des inondations, etc. Dans une étude préliminaire, les débits de six cours d’eau péruviens (Chancay, Moche, de la Leche, Chillón, Zaña et Jequetepeque ont été analysés et corrélés avec les divers indices utilisés pour décrire El Niño-Oscillation du Sud : l’Indice d’Oscillation du Sud (SOI, et les températures de surface de l’océan Niño 1, 2, 3 et 4. Le débit total annuel et le débit moyen des trois quadrimestres ont été corrélés avec les moyennes trimestrielles des indices ENSO. Les trois quadrimestres utilisés pour les débits sont janvier-février-mars-avril (JFMA, mai-juin-juillet-août (MJJA et septembre-octobre-novembre-décembre (SOND. Les périodes de calcul des indicateurs de l’ENSO sont octobre-novembre-décembre (OND, septembre-octobre-novembre (SON, août-septembre-octobre (ASO et juillet-août-septembre (JAS de l’année précédente. Les meilleures corrélations correspondent au débit moyen du second quadrimestre (MJJA avec les valeurs des températures de surface de l’océan Niño 1, 2 et 3 pour les rios Moche et Jequetepeque. Ces relations montrent qu’il serait possible de pronostiquer le débit moyen du quadrimestre MJJA à partir des valeurs des Niño 1, 2 et 3 dès le trimestre JAS de l’année antérieure, c’est à dire des prévisions sept mois à l’avance. Diferentes estudios han demostrado que existe una relación significativa entre El Niño - Corriente del Sur (ENSO y los caudales de los ríos de

  20. Splenectomy for hematological diseases: The Qatif Central HospitalExperience

    International Nuclear Information System (INIS)

    Al-Salem, Ahmed H.; Naserullah, Z.; Qaisaruddin, S.; Al-Dabbous, I.; Al-Abkari, H.; Al-Jama, A.; Al-Faraj, A.; Yassin, Yassin M.

    1999-01-01

    In the Eastern Province of Saudi Arabia, an area known for varioushemoglobinopathies, splenectomy is performed rather frequently. This study isan analysis of our experience with splenectomy performed for varioushematological disorders between 1988 and 1997, outlining the indications,complications and outcome. This is a retrospective analysis of all patientswho had splenectomy at our hospital during this period. One hundred andforty-three patients were treated for various hematological disorders at ourhospital. These disorders included sickle cell disease (SCD) (100 patients),sickle thalassemia (S-B-thalassemia) (13 ITP) (5 patients), Gaucher's disease(2 patients), hereditary spherocytosis (1 patient), autoimmune hemolyticanemia (1 patient), thalssemia intermediate (2 patients) and chronic myeloidleukemia (1 patient). The indications for splenectomy in those with SCD andthalassemia were: hypersplenism (26 patients), major splenic sequestrationcrisis (50 patients), splenic abscess (12 patients), and massive splenicinfarction (2 patients). Splenectomy in these patients was beneficial inreducing their transfusion requirements and its attendant risks, eliminatingthe discomfort from mechanical pressure of the enlarged spleen, avoiding therisks of acute splenic sequestration crisis, and managing splenic abscess.For those with Thalassemia, total splenectomy was beneficial in reducingtheir transfusion requirements, while partial splenectomy was beneficial onlyas a temporary measure, as regrowth of splenic remnant in these patientssubsequently led to increase in their transfusion requirements. Those withITP, hereditary spherocytosis, and autoimmune hemolytic anemia showedexcellent response following splenectomy. There was no mortality, and thepostoperative morbidity was 5.6%. With careful perioperative management,splenectomy is both safe and beneficial in a selected group of patients withhematological diseases. (author)

  1. Two-tier charging in Maputo Central Hospital: costs, revenues and effects on equity of access to hospital services.

    Science.gov (United States)

    McPake, Barbara; Hongoro, Charles; Russo, Giuliano

    2011-06-02

    Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total), where capital and drug costs were surprisingly low (2 and 4% respectively). We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a) the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b) because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic operations, rather than the other way around. We conclude that the

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

    Directory of Open Access Journals (Sweden)

    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

  3. 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.

  4. The spectrum of central nervous system infections in an adult referral hospital in hanoi, Vietnam

    NARCIS (Netherlands)

    Taylor, Walter R.; Nguyen, Kinh; Nguyen, Duc; Nguyen, Huyen; Horby, Peter; Nguyen, Ha L.; Lien, Trinh; Tran, Giang; Tran, Ninh; Nguyen, Ha M.; Nguyen, Thai; Nguyen, Ha H.; Nguyen, Thanh; Tran, Giap; Farrar, Jeremy; de Jong, Menno; Schultsz, Constance; Tran, Huong; Nguyen, Diep; Vu, Bich; Le, Hoa; Dao, Trinh; Nguyen, Trung; Wertheim, Heiman

    2012-01-01

    To determine prospectively the causative pathogens of central nervous system (CNS) infections in patients admitted to a tertiary referral hospital in Hanoi, Vietnam. From May 2007 to December 2008, cerebrospinal fluid (CSF) samples from 352 adults with suspected meningitis or encephalitis underwent

  5. 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.

  6. Preliminary report on theNeurology workload ina central hospital in ...

    African Journals Online (AJOL)

    Introduction: Identification of the local pattern of neurological diseases is expected to help setting the priorities for good planning of management and public education. Objectives: To identify the pattern of neurological disorders in a second biggest central hospital in Sudan. Methodology: Review of the diagnosis of 170 ...

  7. 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 ...

  8. Classification of Nortes in the Gulf of Mexico derived from wave energy maps

    Science.gov (United States)

    Appendini, C. M.; Hernández-Lasheras, J.

    2016-02-01

    Extreme wave climate in the Gulf of Mexico is determined by tropical cyclones and winds from the Central American Cold Surges, locally referred to as Nortes. While hurricanes can have catastrophic effects, extreme waves and storm surge from Nortes occur several times a year, and thus have greater impacts on human activities along the Mexican coast of the Gulf of Mexico. Despite the constant impacts from Nortes, there is no available classification that relates their characteristics (e.g. pressure gradients, wind speed), to the associated coastal impacts. This work presents a first approximation to characterize and classify Nortes, which is based on the assumption that the derived wave energy synthetizes information (i.e. wind intensity, direction and duration) of individual Norte events as they pass through the Gulf of Mexico. First, we developed an index to identify Nortes based on surface pressure differences of two locations. To validate the methodology we compared the events identified with other studies and available Nortes logs. Afterwards, we detected Nortes from the 1986/1987, 2008/2009 and 2009/2010 seasons and used their corresponding wind fields to derive the wave energy maps using a numerical wave model. We used the energy maps to classify the events into groups using manual (visual) and automatic classifications (principal component analysis and k-means). The manual classification identified 3 types of Nortes and the automatic classification identified 5, although 3 of them had a high degree of similarity. The principal component analysis indicated that all events have similar characteristics, as few components are necessary to explain almost all of the variance. The classification from the k-means indicated that 81% of analyzed Nortes affect the southeastern Gulf of Mexico, while a smaller percentage affects the northern Gulf of Mexico and even less affect the western Caribbean.

  9. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.

    Science.gov (United States)

    Briner, Matthias; Manser, Tanja; Kessler, Oliver

    2013-04-01

    The study aims to identify key enablers fostering clinical risk management (CRM) in hospitals to guide health care in this vital area of patient safety. A cross-sectional survey was conducted at the national level in 324 Swiss hospitals in 2007-2008 to assess the relationship between key elements and systematic CRM. Therefore, a comprehensive monitoring instrument for CRM was used for the first time. Organizational factors (e.g. strategy, coordination, resources) and structural conditions (e.g. hospital size) were tested as key elements. CRM was assessed by evaluating its maturity (i.e. the level of CRM development) by 12 theoretically derived indices joining together essential aspects of CRM at the hospital level and the service level. Chi-square measures were used to analyse the relationships between organizational factors or structural conditions and maturity of CRM. Participation in this voluntary survey was good, with CRM experts of 138 out of 324 hospitals responding (response rate 43%). Three key enablers for CRM were identified: implementing a function for central CRM coordination, assuring dialogue with and between the different hospital services, and developing strategic CRM objectives. This study offers, for the first time, an assessment of the maturity of hospitals' CRM and identifies key enablers related to CRM. This is a feasible first step in guiding hospitals to shape their CRM and presents a basis for future studies, for example, linking CRM to outcome data. © 2012 Blackwell Publishing Ltd.

  10. Two-tier charging in Maputo Central Hospital: Costs, revenues and effects on equity of access to hospital services

    Directory of Open Access Journals (Sweden)

    Russo Giuliano

    2011-06-01

    Full Text Available Abstract Background Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. Methods A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. Results The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. Discussion While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total, where capital and drug costs were surprisingly low (2 and 4% respectively. We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic

  11. Decentralization and centralization of healthcare resources: investigating the associations of hospital competition and number of cardiologists per hospital with mortality and resource utilization in Japan.

    Science.gov (United States)

    Park, Sungchul; Lee, Jason; Ikai, Hiroshi; Otsubo, Tetsuya; Imanaka, Yuichi

    2013-11-01

    To investigate the associations of hospital competition and number of cardiologists per hospital (indicating the decentralization and centralization of healthcare resources, respectively) with 30-day in-hospital mortality, healthcare spending, and length of stay (LOS) among patients with acute myocardial infarction (AMI) in Japan. We collected data from 23,197 AMI patients admitted to 172 hospitals between 2008 and 2011. Hospital competition and number of cardiologists per hospital were analyzed as exposure variables in multilevel regression models for in-hospital mortality, healthcare spending, and LOS. Other covariates included patient, hospital, and regional variables; as well as the use of percutaneous coronary intervention (PCI). Hospitals in competitive regions and hospitals with a higher number of cardiologists were both associated lower in-hospital mortality. Additionally, hospitals in competition regions were also associated with longer LOS durations, whereas hospitals with more cardiologists had higher spending. The use of PCI was also associated with reduced mortality, increased spending and increased LOS. Centralization of cardiologists at the hospital level and decentralization of acute hospitals at the regional level may be contributing factors for improving the quality of care in Japan. Policymakers need to strike a balance between these two approaches to improve healthcare provision and quality. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  12. Etiologic Agents of Central Nervous System Infections among Febrile Hospitalized Patients in the Country of Georgia

    OpenAIRE

    Akhvlediani, Tamar; Bautista, Christian T.; Shakarishvili, Roman; Tsertsvadze, Tengiz; Imnadze, Paata; Tatishvili, Nana; Davitashvili, Tamar; Samkharadze, Tamar; Chlikadze, Rusudan; Dvali, Natia; Dzigua, Lela; Karchava, Mariam; Gatserelia, Lana; Macharashvili, Nino; Kvirkvelia, Nana

    2014-01-01

    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 cli...

  13. Inadequate ventilation for nosocomial tuberculosis prevention in public hospitals in Central Thailand.

    Science.gov (United States)

    Jiamjarasrangsi, W; Bualert, S; Chongthaleong, A; Chaindamporn, A; Udomsantisuk, N; Euasamarnjit, W

    2009-04-01

    Forty-two community and general hospitals in central Thailand. To examine the adequacy of indoor ventilation for nosocomial tuberculosis (TB) prevention in public hospitals in central Thailand. A cross-sectional survey was conducted among 323 patient care and ancillary areas in the target hospitals. Data on indoor ventilation rate were collected by the tracer gas method and reported as air changes per hour (ACH). The adequacy of the measured ventilation rates were then determined by comparison with the international recommended standard values. Indoor ventilation rates were inadequate in almost half of the studied areas (144/323, 44.6%). The inadequacy was particularly serious in the emergency rooms (ERs) and radiological areas, where 73.8% (31/42 each) of the rooms had ACH below the recommended standards. Detailed analysis showed that most of the rooms with natural ventilation had air exchange rates that exceeded the recommended standards, while the opposite was the case for rooms with air-conditioning, particularly the window or wall-mount type. Indoor ventilation in high-risk nosocomial TB areas in public hospitals in Thailand was inadequate due to the installation of air-conditioning systems in modern buildings.

  14. Development of personnel radiation monitoring program for occupationally exposed workers in Malawian Hospitals : A case study of Kamuzu Central, Bwaila and Mtengo Wa Nthenga Hospitals

    International Nuclear Information System (INIS)

    Chinangwa, Getrude

    2016-07-01

    Malawi became an IAEA member state in 2006 and developed the Atomic Energy Act and Regulations in 2011 and 2012 respectively. However, regulatory authority and personnel monitoring services have not yet been established. As such, hospitals operating radiological services in Malawi do not have personnel monitoring programme. This study aimed at developing the personnel radiation monitoring program for three hospitals in Malawi namely; Kamuzu Central Hospital, Bwaila Hospital, and Mtengo wa Nthenga Hospital. A radiation protection questionnaire was administered to the X-ray Departments involved in the study to investigate radiation protection practices in the hospitals. Dose rate measurements in the facilities were taken using survey meters and doses to individuals were recorded using personal dosimeters. The results showed that the hospitals lack radiation protection program which covers the critical issues of quality assurance and control as well as the personnel dose monitoring. Average ambient dose rate values were 0.39 μSv/hr for Mtengo wa Nthenga Hospital, 5.03 μSv/hr for Bwaila Hospital and 4μSv/hr for Kamuzu Central Hospital. Average monthly dose for workers was 0.247 mSv. The study recommends the establishment of a regulatory authority, consistent dose assessment, quality control tests and structural shielding assessment in these and probably all the diagnostic facilities in Malawi. The personnel monitoring programme developed from this study is intended to guide diagnostic facilities and personnel monitoring service providers in Malawi in tracking and reporting exposure record for their occupationally exposed workers. (au)

  15. 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

  16. 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

  17. Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China:2006-2011

    Directory of Open Access Journals (Sweden)

    Ying Qi

    2015-05-01

    Full Text Available AIM: To complete the data of ocular trauma in central China, as a well-known tertiary referral center for ocular trauma, we documented the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in this region. METHODS: A retrospective study of patients hospitalized for ocular trauma in central China from 2006 to 2011 was performed. RESULTS: This study included 5964 eyes of 5799 patients. The average age was 35.5±21.8y with a male-to-female ratio of 2.8:1. The most common age was 45-59y age group. Most patients were farmers and workers (51.9%. The most common injuries were firework related (24.5%, road traffic related (24.2%, and work related (15.0%. Among the most common causative agents were firecrackers (24.5%, followed by metal/knife/scissors (21.4%. Most injuries occurred in January (14.2%, February (27.0%, and August (10.0%. There were 8.5% patients with ocular injuries combined with other injuries. The incidence of open ocular injuries (4585 eyes, 76.9% was higher than closed ocular injuries (939 eyes, 15.7%. The incidences of chemical and thermal ocular injuries were 1.2% and 0.6%. Ocular trauma score (OTS predicted final visual acuity at non light perception (NLP, 20/200-20/50 and 20/40 with a sensitivity of 100%, and light perception (LP/hand motion (HM and 1/200-19/200 with a specificity of 100%. CONCLUSIONS: This study provides recent epidemiological data of patients hospitalized for ocular trauma in central China. Some factors influencing the visual outcome include time interval between injury and visit to the clinic, wound location, open or closed globe injury, initial visual acuity, and OTS.

  18. 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.

  19. We are family? Spanish law and lesbian normalization in Hospital Central.

    Science.gov (United States)

    Calvo, Mónica; Escudero, Maite

    2009-01-01

    After four decades of a repressive dictatorial regime during which homosexuality was banned and punished with prison sentence and electroshock, Spain became a democratic country in 1978. The social, political, and legal debates previous to the passing of the law on same-sex marriage in June 2005 fueled lesbian visibility in the media. Considering that the emergence of lesbian representation has been linked to these social and political changes, our contribution centers on the ways in which the prime time TV series Hospital Central unravels as a vehicle for the normalization of lesbian relationships and families as addressed to a mostly heterosexual audience.

  20. [Primary lymphoma of the central nervous system: 20 years' experience in a referral hospital].

    Science.gov (United States)

    Calderón-Garcidueñas, A L; Pacheco-Calleros, J; Castelán-Maldonado, E; Nocedal-Rustrián, F C

    Primary central nervous system lymphomas (PCNSL) are rare neoplasms. AIM. To study the clinical aspects and the immuno-phenotype of all cases of PCNSL in a 20 years lapse in a referral hospital in Northeastern Mexico. From January 1986 to December 2005 all PCNSL histologically confirmed were studied. The primary lymphomas were 1% of malignant central nervous system neoplasms. 21 cases were studied (ages from 9-70 years) with male predominance (2:1). 24% patients had immuno-suppression. The more frequent clinical data were: papilledema (71%), headache (62%), paresis (48%) and seizures (33%). 33% of patients died during the first six months after diagnosis. The T lymphomas were 19% of cases and corresponded to small cell type. PCNSL are still a diagnostic challenge. Multicenter studies are required in order to determine the best treatment protocol.

  1. Diagnostic, evaluation and handling of the tumors of soft tissues. Experience in the Central Military Hospital

    International Nuclear Information System (INIS)

    Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio

    2001-01-01

    With the purpose of analyzing the experience of the orthopedics service and traumatology of the central military hospital in the treatment of the tumors of soft tissues, it carries out a descriptive observational study, type series of cases and retrospective. The incidence of the tumors of soft tissues compared with carcinomas and other neoplasia, constitutes less than 1% of all cancerous and the benign ones are more common than the wicked ones in a range of 100:1. The knowledge of the classification, stadification, evaluation strategies, previous biopsy, surgical treatment, radiotherapy y/o chemotherapy is vital for a good final result. 29 clinical histories were included of patient with tumoral lesions in the soft tissues, valued in the central military hospital between March of 1996 and March of 2001. The age average was of 39 years and the pursuit of 24 months. In most of the cases the anatomical commitment belonged to the inferior members (93%), 79% for benign tumors and 21% for wicked tumors. To avoid incorrect diagnoses and inappropriate treatments it is necessary the coordinated evaluation of all multidisciplinary team

  2. Depression in chronic respiratory disorders in a tertiary rural hospital of Central India

    Institute of Scientific and Technical Information of China (English)

    Sameer singhal; Pankaj Banode; Nitish Baisakhiya

    2009-01-01

    Objective: To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.

  3. 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

  4. 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

  5. Compliance with the guidelines of prescription writing in a central hospital in the West Bank.

    Science.gov (United States)

    Tayem, Y I; Ibrahim, M A; Qubaja, M M; Shraim, R K; Taha, O B; Abu Shkhedem, E

    2013-09-01

    This retrospective, cross-sectional study was carried out to evaluate the quality of 2208 outpatient prescriptions in a central hospital in the West Bank, Palestine. The physicians' handwriting was poorly readable or illegible in one-third of the prescriptions. The prescriber's name and signature and patient's name were mentioned in almost all orders whereas the patient's age was stated in 54.9%. The vast majority of physicians (95.5%) prescribed drugs using their trade (brand) names. Drug strength, quantity and dose/frequency were stated in 61.1%, 76% and 73.8% of prescriptions respectively. Only 33 prescriptions (1.5%) contained full directions for use for all drugs. Correlation analysis revealed that the presence of certain prescription elements was statistically significantly associated with the clinic of origin and the number of drugs prescribed. The overall poor legibility and incompleteness of the prescriptions is of concern.

  6. Allogenic bone grafts used at Central Hospital during June 1995 to July 1998

    International Nuclear Information System (INIS)

    Yolchai Jongjirasiri; Yongyudh Vajaradul

    1999-01-01

    Producing and using allogenic bone graft in Thailand began ten years ago. There are approximately 1,000 cases a year on orthopaedic surgery at Central Hospital. For using allogenic bone graft from the Bangkok Biomaterial Center, 66 cases were operated since June 1995. This was generated by 30 in males, 36 in females and by ages between 12-81 years old. After the operation, 43 cases had bone gap from injuries and 19 cases, fusion of spondylolisthesis and scoliosis were done. Four cases had tumor surgery, and 59 out of 66 cases had good bone union that is 89%. Delayed union happened in 6 cases only. Immune response to allogenic bone graft has not been found yet

  7. Arthroplasty of hip resection, handling with external fixation - Experience in the central military hospital

    International Nuclear Information System (INIS)

    Satizabal Azuero, Carlos E; Calderon Uribe, Oscar; Naquira Escobar, Luis F

    2006-01-01

    This is an observational retrospective study series of cases carried out between January 1998 and July 2004 in the central military hospital, 13 patients were treated with Girdlestone arthroplasty with external fixation, with a pursuit average of 53 months. Function, return to the daily activities and associate complications was evaluated. They were as complication; pain in the fixator site, osteitis, and fixator broke. All patients report at the end of the treatment no pain in the hip. Shortening in the patient without lenghting was 3,5 cm and in the group with lenghting was 1.5 cm. the obtained results demonstrate that Girdlestone arthroplasty with external fixation, is option, to improve the patient's pain and function of the hip

  8. 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...

  9. 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)

  10. 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.

  11. 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)

  12. 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)

  13. 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)

  14. Transfusion practice in Helsinki University Central Hospital: an analysis of diagnosis-related groups (DRG).

    Science.gov (United States)

    Syrjälä, M T; Kytöniemi, I; Mikkolainen, K; Ranimo, J; Lauharanta, J

    2001-12-01

    Transfusion data combined with data automatically recorded in hospital databases provides an outstanding tool for blood utilization reporting. When the reporting is performed with an online analytical processing (OLAP) tool, real time reporting can be provided to blood subscribers. When this data is combined with a common patient classification system, Diagnosis-Related Groups (DRG), it is possible to produce statistical results, that are similar in different institutions and may provide a means for international transfusion bench-marking and cost comparison. We use a DRG classification to describe the transfusion practice in Helsinki University Central Hospital. The key indicators include the percentage of transfused patients, the number of transfused units and costs in different DRG groups, as well as transfusion rates per DRG weighted treatment episodes. Ninety-three per cent of all transfusions could be classified into different DRGs. The largest blood-using DRG group was acute adult leukaemia (DRG 473), which accounted for 10.4% of all transfusion costs. The 13 largest blood consuming DRGs accounted for half the total costs in 1998. Currently, there is a lack of an internationally accepted standardized way to report institutional or national transfusion practices. DRG-based transfusion reporting might serve as a means for transfusion benchmarking and thus aid studies of variations in transfusion practice.

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

    Science.gov (United States)

    Pfäfflin, Frieder; Tufa, Tafese Beyene; Getachew, Million; Nigussie, Tsehaynesh; Schönfeld, Andreas; Häussinger, Dieter; Feldt, Torsten; Schmidt, Nicole

    2017-01-01

    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. 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. 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 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 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 hand hygiene is feasible and sustainable in a resource-constrained setting using a multimodal improvement strategy. However, absolute compliance remained low. Strong and long-term commitment by hospital management and

  16. Implementing health care reform: implications for performance of public hospitals in central Ethiopia.

    Science.gov (United States)

    Manyazewal, Tsegahun; Matlakala, Mokgadi C

    2018-06-01

    Understanding the way health care reforms have succeeded or failed thus far would help policy makers cater continued reform efforts in the future and provides insight into possible levels of improvement in the health care system. This work aims to assess and describe the implications of health care reform on the performance of public hospitals in central Ethiopia. A facility-based, cross-sectional study was carried out in five public hospitals with different operational characteristics that have been implementing health care reform in central Ethiopia. The reform documents were reviewed to assess the nature and targets of the reform for interpretive analysis. Adopting dimensions of health system performance as the theoretical framework, a self-administered questionnaire was developed. Consenting health care professionals who have been involved in the reform from inception to implementation filled the questionnaire. Cronbach's alpha was measured to ensure internal consistency of the instrument. Descriptive statistics, weighted median score, χ 2 , and Mann-Whitney U and Kruskal-Wallis tests were used for data analysis. s Despite implementation of the reform, the health care system in public hospitals was still fragmented as confirmed by 50% of respondents. Limited effects were reported in favour of quality (48%), access (50%), efficiency (51%), sustainability (53%), and equity (61%) of care, while poor effects were reported in patient-provider (41%) and provider-management (32%) interactions. Though there was substantial gain in infrastructure and workspace, stewardship of health care resources was less benefited. The predominant hindrances of the reform were the working environment (adjusted Odds Ratio (aOR) = 2.27, 95% confidence interval (CI): 1.15-4.47), financial resources (aOR = 3.54, 95%CI = 1.97-6.33), management (aOR = 2.27, 95% CI = 1.15-4.47), and information technology system (aOR = 3.15, 95% CI = 1.57-6.32). s The Ethiopian

  17. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001

    International Nuclear Information System (INIS)

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

    2001-12-01

    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)

  18. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. II. - August of 2001

    International Nuclear Information System (INIS)

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

    2001-10-01

    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)

  19. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

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

    2001-09-01

    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)

  20. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001

    International Nuclear Information System (INIS)

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

    2001-12-01

    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)

  1. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. III. - September of 2001

    International Nuclear Information System (INIS)

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

    2001-12-01

    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)

  2. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.

    2001-09-01

    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)

  3. Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001

    International Nuclear Information System (INIS)

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

    2002-01-01

    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. V. - November of 2001

    International Nuclear Information System (INIS)

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

    2002-01-01

    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 north central hospital of high speciality, PEMEX. I. - May-June of 2003

    International Nuclear Information System (INIS)

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

    2003-09-01

    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)

  6. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001

    International Nuclear Information System (INIS)

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

    2002-01-01

    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)

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

    Directory of Open Access Journals (Sweden)

    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

  8. Challenges for the surgical capacity building of township hospitals among the Central China: a retrospective study.

    Science.gov (United States)

    Li, Zhong; Yang, Jian; Wu, Yue; Pan, Zijin; He, Xiaoqun; Li, Boyang; Zhang, Liang

    2018-05-02

    China's rapid transition in healthcare service system has posed considerable challenges for the primary care system. Little is known regarding the capacity of township hospitals (THs) to deliver surgical care in rural China with over 600 million lives. We aimed to ascertain its current performance, barriers, and summary lessons for its re-building in central China. This study was conducted in four counties from two provinces in central China. The New Rural Cooperative Medical System (NRCMS) claim data from two counties in Hubei province was analyzed to describe the current situation of surgical care provision. Based on previous studies, self-administered questionnaire was established to collect key indicators from 60 THs from 2011 to 2015, and social and economic statuses of the sampling townships were collected from the local statistical yearbook. Semi-structured interviews were conducted among seven key administrators in the THs that did not provide appendectomy care in 2015. Determinants of appendectomy care provision were examined using a negative binominal regression model. First, with the rapid increase in inpatient services provided by the THs, their proportion of surgical service provision has been nibbled by out-of-county facilities. Second, although DY achieved a stable performance, the total amount of appendectomy provided by the 60 THs decreased to 589 in 2015 from 1389 in 2011. Moreover, their proportion reduced to 26.77% in 2015 from 41.84% in 2012. Third, an increasing number of THs did not provide appendectomy in 2015, with the shortage of anesthesiologists and equipment as the most mentioned reasons (46.43%). Estimation results from the negative binomial model indicated that the annual average per capita disposable income and tightly integrated delivery networks (IDNs) negatively affected the amount of appendectomy provided by THs. By contrast, the probability of appendectomy provision by THs was increased by performance-related payment (PRP). Out

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Digital model of the seabed geomorphology of southern-central Espirito Santo basin and northern Campos basin; Modelo digital da geomorfologia do fundo oceanico do centro-sul da bacia do Espirito Santo e norte da bacia de Campos

    Energy Technology Data Exchange (ETDEWEB)

    Schreiner, Simone; Souza, Mariana Beatriz Ferraz Mendonca de; Migliorelli, Joana Paiva Robalo [Petroleo Brasileiro S. A. (PETROBRAS), Rio de Janeiro, RJ (Brazil). Unidade de Servicos de Exploracao e Producao], Emails: schreiner@petrobras.com.br, mbfms.fototerra@petrobras.com.br, joanamigli.fototerra@petrobras.com.br

    2009-05-15

    That communication brings the result of a bathymetric mosaic of converted in a digital model of the ocean topography, consisting of 17 seismic projects 3D, besides 17 multibeam bathymetry surveys of South-Central Espirito Santo Basin and Northern Campos Basin.

  12. 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

  13. Epidemiology and clinical characteristics of patients hospitalized for ocular trauma in South-Central China.

    Science.gov (United States)

    Wang, Wanpeng; Zhou, Yalan; Zeng, Jun; Shi, Meng; Chen, Baihua

    2017-09-01

    Ocular trauma is a major cause of visual loss, but little is known about its epidemiology and clinical characteristics in China. The aim of this study was to determine the prevalence and clinical characteristics of ocular trauma and assess prognostic factors in Changsha, Hunan, located in South-Central China. A retrospective case series (ICD codes: S05) study of ocular trauma in patients was performed at the Second Xiangya Hospital, Central South University, from 1 January 2010 to 31 December 2014. Demographic information, injury causes, ocular trauma types and initial and final visual acuity (VA) were recorded and analysed. The ocular trauma score (OTS) was calculated to assess the extent of the eye injury, prognosis and factors associated with visual impairment. All patient data were collected from the medical records system. Of the 2009 patients presenting during this 5-year period, 1695 (84.4%) were males and 314 (15.6%) were females. The average age of all patients was 37.0 ± 19.3 years (range from 1 to 87 years). The age distribution showed a peak in the ocular trauma population in the 41- to 50-year age group (24%, n = 482), followed by the 51- to 60-year age group (16.9%, n = 339). Overall, open-globe injuries had a higher frequency (70.7%, n = 1420) than closed-globe injuries (28.6%, n = 575) and thermal/chemical injuries (0.7%, n = 14). Of the open-globe injuries, corneal penetration was the most common injury (32.2%, n = 646) followed by rupture (21.5%, n = 432) and an intraocular foreign body (16.2%, n = 325). Overall, the most frequent ocular trauma setting was the workplace (39.6%, n = 795), followed by the home (28.4%, n = 570), and the most frequent activity was ironwork. Firecracker- and firework-associated ocular trauma was significantly higher during the months of January and February than during other months (50.0%, n = 112, p firework-related ocular trauma occurred during the months adjacent to the Chinese New Year

  14. A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

    International Nuclear Information System (INIS)

    Karagiannidis, A.; Papageorgiou, A.; Perkoulidis, G.; Sanida, G.; Samaras, P.

    2010-01-01

    In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present paper are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.

  15. Micro satellite instability in colorectal cancer stage II. Hospital Central de las fuerzas armadas

    International Nuclear Information System (INIS)

    Della Valle, A; Santander G; Camejo, N; Spera, G.

    2010-01-01

    Introduction: micro satellite instability (MSI) is a good prognostic factor in colorectal cancer (CRC) located. Its value as a predictive marker against adjuvant treatment of chemotherapy (CT) has been shown fluoropyrimidine in various publications. The MSI occurs in 15% of colorectal tumors and sporadic in 90% of tumors in the context of colorectal cancer syndrome hereditary nonpolyposis. In Uruguay there are no studies about this phenomenon. Objective: To determine the incidence of micro satellite instability in a sample of patients using the Hospital Central de las fuerzas armadas oncology service, association with a compatible family history and the histological features of the tumors associated therewith. Methods: The medical records of patients were analyzed with CRC diagnosed stage II between 01/2001 and 12/2009. Data of the patients were analyzed which had complete histology and evolution. Results: 30/52 patients (57.6%) were analyzed. 40% had a detected MSI by kits for Pcr (polymerase chain reaction) to D2S123, D5S250, D17S346, BAT25 and BAT26 according to the Bethesda criteria. In those patients they filed a MSI: the median age was 70 years; 58.3% male. No patient had a family history consistent with HNPCC. 5.6% (3) they received Adjuvant chemotherapy treatment. Regarding tumor characteristics: 75% (9) were T3, and T4 were 25% (3); 8.3% histologic grade I (1) II 58.3% (7) 8.3% III (1) without Data 33% (6). This tumor lymphocyte infiltration was reported in 25% (3), absent 33.3% (4), not reported in 41.6% (5). Conclusions: This is the first analysis of these characteristics carried out in Uruguay. The same has been detected MSI percentage higher than reported in the literature International. In either case a compatible family history met HNPCC

  16. 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.

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

    International Nuclear Information System (INIS)

    Bouzad, Caroline; Duron, Sandrine; Bousquet, Aurore; Arnaud, François-Xavier; Valbousquet, Laura; Weber-Donat, Gabrielle; Teriitehau, Christophe; Baccialone, Jacques; Potet, Julien

    2016-01-01

    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

  18. Etiologic Agents of Central Nervous System Infections among Febrile Hospitalized Patients in the Country of Georgia

    Science.gov (United States)

    Akhvlediani, Tamar; Bautista, Christian T.; Shakarishvili, Roman; Tsertsvadze, Tengiz; Imnadze, Paata; Tatishvili, Nana; Davitashvili, Tamar; Samkharadze, Tamar; Chlikadze, Rusudan; Dvali, Natia; Dzigua, Lela; Karchava, Mariam; Gatserelia, Lana; Macharashvili, Nino; Kvirkvelia, Nana; Habashy, Engy Emil; Farrell, Margaret; Rowlinson, Emily; Sejvar, James; Hepburn, Matthew; Pimentel, Guillermo; Dueger, Erica; House, Brent; Rivard, Robert

    2014-01-01

    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. PMID:25369023

  19. 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.

  20. 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 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.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.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.Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam.

  1. 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

  2. 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

  3. Beyond the bundle: a survey of central line-associated bloodstream infection prevention practices used in US and Canadian pediatric hospitals.

    Science.gov (United States)

    Klieger, Sarah B; Potter-Bynoe, Gail; Quach, Caroline; Sandora, Thomas J; Coffin, Susan E

    2013-11-01

    We surveyed US and Canadian pediatric hospitals about their use of central line-associated bloodstream infection (CLABSI) prevention strategies beyond typical insertion and maintenance bundles. We found wide variation in supplemental strategies across hospitals and in their penetration within hospitals. Future studies should assess specific adjunctive prevention strategies and CLABSI rates.

  4. Evaluation of disaster preparedness for mass casualty incidents in private hospitals in Central Saudi Arabia

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    Abdullah A. Bin Shalhoub

    2017-03-01

    Full Text Available Objectives: To identify and describe the hospital disaster preparedness (HDP in major private hospitals in Riyadh, Saudi Arabia. Methods: This is an observational cross-sectional survey study performed in Riyadh city, Saudi Arabia between December 2015 and April 2016. Thirteen major private hospitals in Riyadh with more than 100 beds capacity were included in this investigation. Results: The 13 hospitals had HDP plan and reported to have an HDP committee. In 12 (92.3% hospitals, the HDP covered both internal and external disasters and HDP was available in every department of the hospital. There were agreements with other hospitals to accept patients during disasters in 9 facilities (69.2% while 4 (30.8% did not have such agreement. None of the hospitals conducted any unannounced exercises in previous year. Conclusion: Most of the weaknesses were apparent particularly in the education, training and monitoring of the hospital staff to the preparedness for disaster emergency occasion. Few hospitals had conducted an exercise with casualties, few had drilled evacuation of staff and patients in the last 12 months, and none had any unannounced exercise in the last year.

  5. A Proposed Solution for Managing Doctor's Smart Cards in Hospitals Using a Single Sign-On Central Architecture

    OpenAIRE

    Mauro, Christian;Sunyaev, Ali;Leimeister, Jan Marco;Schweiger, Andreas;Krcmar, Helmut

    2014-01-01

    This paper describes a single sign-on solution for the central management of health care provider?s smart cards in hospitals. The proposed approach which is expected to be an improvement over current methods is made possible through the introduction of a national healthcare telematics infrastructure in Germany where every physician and every patient will automatically be given an electronic health smart card (for patients) and a corresponding health professional card (for health care provider...

  6. 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...

  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. Range extension for Thomas' Mastiff bat Eumops maurus (Chiroptera: Molossidae in northern, central and southeastern Brazil Distribuição geográfica de Thomas' Mastiff Eumops maurus (Chiroptera: Molossidae na região norte, central e sudoeste do Brasil

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    Miriam M. Sodré

    2008-06-01

    Full Text Available Thomas' Mastiff bat, Eumops maurus (Thomas, 1901 is known from northern South America in Ecuador, Venezuela and Guiana and so it probably occurs in Brazil, yet it has not been reported. Here, we present the first record for E. maurus in Brazil. Captures were from the Brazilian states of Tocantins and Goiás (northern and midwestern Cerrado region of the country, and São Paulo (southeastern Brazil, Atlantic Forest. In the first two locations, all bats were roosting in palm leaves while in the later location, a single animal was found alive in a 15th-storey apartment in the city of São Paulo. This bat inhabits savannas with swamps dominated by the palm Mauritia flexuosa (buriti and gallery forests. This record is the first of E. maurus in an urban area. Brazilian specimens are apparently larger than those from northern South America.Eumops maurus (Thomas, 1901 tem sua ocorrência no norte da América do Sul, no Equador, na Venezuela e na Guiana. O presente estudo descreve a primeira ocorrência de E. maurus para o Brasil, com capturas recentes de espécimes nos estados de Tocantins e Goiás (regiões Norte e Centro-Oeste do país, domínio de Cerrado, e no estado de São Paulo, região sudeste, inserido no domínio da Mata Atlântica. Nos dois primeiros casos, os espécimes estavam no interior de folhas de palmeiras, e último, o indivíduo foi encontrado vivo dentro do quarto de um apartamento na cidade de São Paulo. Dados bibliográficos revelam que esta espécie habita regiões abertas, associada às áreas periodicamente alagadas (no cerrado, veredas dominadas por palmeiras da espécie Mauritia flexuosa (buriti e matas de galeria. Este trabalho ressalta o primeiro registro desse morcego em local urbanizado. Os espécimes brasileiros apresentam dimensões corpóreas maiores que os espécimes provenientes na região norte da América do Sul.

  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. 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....... The results not only give direct evidence to strongly support World Health Organization’s recommendation but also suggest required amendment of the Chinese standard GB 51039-2014 to improve ventilation arrangement in general hospital wards in China. Our findings are useful for improving the future design...... of general hospital wards for airborne infection control....

  11. Estudio sobre la habilidad del cuidado de los cuidadores primarios de personas adultas discapacitadas por enfermedad cerebrovascular, asistentes al servicio de consulta externa del hospital universitario erasmo meoz y centro de rehabilitación del norte de santander

    Directory of Open Access Journals (Sweden)

    Olga Marina Vega-Angarita

    2006-01-01

    Full Text Available This study must like intention it describes the abilities of well-taken care of the primary caretakers of people in situation of chronic disease with secondary discapacidad to disease to cerebrovascular of the North of Santander, by means of the application of instrument CAI (Caring Hability Inventory, Proposed by doctor Ngozi Or Nkongho with the intention of quantifying the degree of ability of taken care of a person to take care of to another one. The design applied in the study was cross-sectional descriptive type with quantitative boarding in 70 participant primary caretakers in the external advisory service of the University Hospital Erasmo Meoz and Center de Rehabilitación. The found results make evident that on the ability of single total care a 30% count on the ability required for the care delivery, remaining percentage 70% present/display deficiencies in the roll.

  12. Eye Donation Awareness and Conversion Rate in Hospital Cornea Retrieval Programme in a Tertiary Hospital of Central India.

    Science.gov (United States)

    Sharma, Bhavana; Shrivastava, Ulka; Kumar, Kavita; Baghel, Rajendra; Khan, Farhana; Kulkarni, Shridhar

    2017-08-01

    Corneal blindness accounts for 6-8 million blinds in the world. In India, it is estimated that there are approximately 6.8 million people who have vision less than 6/60 in at least one eye due to corneal diseases. This study was done to assess the awareness about eye donation amongst attendants of critically ill and deceased patients, their willingness to donate eyes, the efficacy of grief counselling by Eye Donation Counsellors (EDC), its impact on the conversion rate and the reasons for poor donation rate. This prospective hospital based study was done in 554 participants (guardians of critically ill and deceased subjects) to understand the awareness of eye donation. Factors related to willingness for eye donation that influenced conversion to actual donation were evaluated. Data was analysed with tests for statistical significance: Chi square test; pdonation, time taken for motivation remained less than 12 hours, which was statistically significant (Chi square=106. pdonation in comparison to those who were unaware in a ratio of 2:1. Grief counsellors (57.5%) had the most influence among the causes that were facilitators of donation. Utilizing the services of eye donation counsellors is a promising way to motivate the guardians of deceased. Increasing the awareness in society, rendering simple assistances to next of kin and speeding the medico legal formalities can go a long way in increasing the conversion rate and hence actual donation.

  13. [A Survey of the Perception of Nurses Toward the Practice Environment at a Regional Teaching Hospital in Central Taiwan].

    Science.gov (United States)

    Hung, Jui-Tai; Lin, Ching-Wen; Wen, Wei-Chun; Lin, Esther Ching-Lan

    2015-08-01

    The nursing practice environment has been shown to wield significant influence on nursing retention and nursing quality of care. Because a large percentage of Taiwan nurses currently work at regional teaching hospitals, exploring the perception toward the practice environment of nurses working at this type of hospital is important. This study explored the perception of nurses working at a regional teaching hospital in central Taiwan toward their practice environment. A cross-sectional research design with a sample of 474 nurses from a regional hospital in central Taiwan was conducted. Instruments including the demographic data and the Chinese-version Practice Environment Scale-Nursing Work Index (CPES-NWI) were anonymously self-administered. Overall, participants were moderately satisfied with their practice environment, with the greatest dissatisfaction focused on staffing and resource adequacy. Work unit and nursing level, respectively, had significant impacts on perceptions regarding the practice environment. Furthermore, discriminant analysis identified two new compound variables: 1) adequate staffing resources and partnership in the workplace and 2) supportive administrative management environment. Participants who worked in medical and surgical units were significantly more dissatisfied with the adequacy of staffing resources and partnership in the workplace than participants who worked in acute/intensive and special units. Participants at the N2 level were significantly more dissatisfied with the supportive nature of the administrative management environment. These findings support that the nursing practice environment of regional hospitals may be improved using several measures, including: modifying the staffing and resource adequacy of nurses, fostering collaborative nurse-physician relationships, and further involving nurses in administrative management and decision-making.

  14. Dizziness in a community hospital: central neurological causes, clinical predictors, and diagnostic yield and cost of neuroimaging studies.

    Science.gov (United States)

    Ammar, Hussam; Govindu, Rukma; Fouda, Ragai; Zohdy, Wael; Supsupin, Emilio

    2017-03-01

    Objectives : Neuroimaging is contributing to the rising costs of dizziness evaluation. This study examined the rate of central neurological causes of dizziness, relevant clinical predictors, and the costs and diagnostic yields of neuroimaging in dizziness assessment. Methods : We retrospectively reviewed the records of 521 adult patients who visited the hospital during a 12-month period with dizziness as the chief complaint. Clinical findings were analyzed using Fisher's exact test to determine how they correlated with central neurological causes of dizziness identified by neuroimaging. Costs and diagnostic yields of neuroimaging were calculated. Results : Of the 521 patients, 1.5% had dizziness produced by central neurological causes. Gait abnormalities, limb ataxia, diabetes mellitus, and the existence of multiple neurological findings predicted central causes. Cases were associated with gait abnormalities, limb ataxia, diabetes mellitus, and the existence of multiple neurological findings . Brain computed tomography (CT) and magnetic resonance imaging (MRI) were performed in 42% and 9.5% of the examined cases, respectively, with diagnostic yields of 3.6% and 12%, respectively. Nine cases of dizziness were diagnosed from 269 brain scans, costing $607 914. Conclusion : Clinical evaluation can predict the presence of central neurological causes of dizziness, whereas neuroimaging is a costly and low-yield approach. Guidelines are needed for physicians, regarding the appropriateness of ordering neuroimaging studies. Abbreviations : OR: odds ratio; CI: confidence interval; ED: emergency department; CT: computed tomography; MRI: magnetic resonance imaging; HINTS: Head impulse, Nystagmus, Test of skew.

  15. Meliponiculture in Rio Grande do Norte

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    Ulysses Madureira Maia

    2015-12-01

    Full Text Available ABSTRACT. Maia U.M., Jaffe R., Carvalho A.T. & Imperatriz-Fonseca V.L. [Meliponiculture in Rio Grande do Norte.] Meliponicultura no Rio Grande do Norte. Revista Brasileira de Medicina Veterinária, 37(4:327-333, 2015. Departamento de Biologia, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Avenida Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, SP 14040-901, Brasil. E-mail: ummaia@usp.br This study aimed to assess the current status of stingless bee beekeeping (meliponiculture in the State of Rio Grande do Norte, Brazil, with the aid of structured questionnaires made during visits to beekeepers. The results were compared with a previous census made in the state and with a similar study from Australia. Meliponiculture in Rio Grande do Norte is still informal and little standardized. The activity has grown in recent years considering the mean number of nests per beekeeper. Most apiaries are formed of up to 50 colonies, usually distributed in the backyards of homes. Twelve species of stingless bees were reared in the state, and the most common was the “Jandaíra” bee (Melipona subnitida, whose honey is considered medicinal. While many beekeepers already know the importance of bees as pollinators, stingless bees are still not used for crop pollination. Compared to a recent analysis of beekeeping in Australia, meliponiculture in Brazil is more traditional, honey is the main product and the number of colonies per beekeeper is much higher. Our results highlight the need to reinforce knowledge about bees and promote specific training aimed at improving and standardizing management practices.

  16. 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

  17. 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.

  18. 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.

  19. ARTRODESIS TIBIOTALOCALCANEA CON PLACA PHILOS: EXPERIENCIA EN EL HOSPITAL MILITAR CENTRAL. ENERO 2007 A DICIEMBRE DE 2009

    OpenAIRE

    MUÑOZ FALLA, GERARDO ALEXI; DELGADO NEIRA, ALEJANDRO; ENRIQUE GAMBA, CESAR; HERNÁNDEZ PERDOMO, EDGAR

    2011-01-01

    Estudio descriptivo observacional, retrospectivo tipo serie de casos, realizado entre enero de 2007 y diciembre de 2009 en el Hospital Militar Central. Fueron tratados 21 pacientes con artrosis de la articulación tibio talar y subtalar de etiología diversa, con seguimiento mínimo de 6 meses. Se evaluó; la función pre operatoria y post operatoria por medio de la escala AOFAS, el dolor mediante la escala visual análoga, el tiempo de consolidación con controles radiográficos, el tipo de injerto ...

  20. Ultrafine and Fine Particles and Hospital Admissions in Central Europe Results from the UFIREG Study

    Czech Academy of Sciences Publication Activity Database

    Lanzinger, S.; Schneider, A.; Breitner, S.; Stafoggia, M.; Erzen, I.; Dostál, Miroslav; Pastorková, Anna; Bastian, S.; Cyrys, J.; Zscheppang, A.; Kolodnitská, T.; Peters, A.

    2016-01-01

    Roč. 194, č. 10 (2016), s. 1233-1241 ISSN 1073-449X Institutional support: RVO:68378041 Keywords : ultrafine particles * particulate matter * hospital admissions * respiratory Subject RIV: DN - Health Impact of the Environment Quality Impact factor: 13.204, year: 2016

  1. 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.

  2. 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

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

    African Journals Online (AJOL)

    Pathological examination of tissue biopsies with histological confirmation of a correct cancer diagnosis is central to cancer care. Without an accurate and specific ... The oesophagus was the most common biopsied site followed by breast, bladder, bone, prostate, bowel, and cervical lymph node. Malignancies were found in ...

  4. Clinical protein science developments for patient monitoring in hospital central laboratories.

    Science.gov (United States)

    Malm, Johan; Marko-Varga, György

    2016-12-01

    Patient care relies heavily on standardized tests performed in hospital laboratories, typically including clinical chemistry, pathology and microbiology. With the introduction of personalized medicine tremendous efforts have been made to identify new biomarkers of disease with various omics technologies, often including mass spectrometry. In order to validate new biomarkers and perform clinical studies high quality biobank samples are of key importance. In this editorial different aspects of mass spectrometry in future personalized medicine are discussed.

  5. Antibiotic sensitivity pattern of bacteria from diabetic foot infections Haji Adam Malik central general hospital

    Science.gov (United States)

    Bulolo, B. A.; Pase, M. A.; Ginting, F.

    2018-03-01

    Increasing rate of Diabetic Foot Infections (DFIs) caused by multi-drug-resistance pathogens plays a huge role in the duration of hospitalization, morbidity, and mortality of diabetic patients. The aim of the study is to assess the antibiotic sensitivity pattern of bacteria in DFIs and causative microorganisms. Using cross-sectional retrospective study, data were collected from medical records of DFIs patients previously hospitalized atHaji Adam Malik Hospital, Medan from January to July 2017. 33 patients met the criteria and got enrolled in the study. The classification of DFIs was evaluated according to Wagner’s Classification. Evaluation of antibiotic sensitivity and identification of causative microorganisms were performed in standard microbiologic methods. The most common grade of DFIs was Grade-4 (48.5%), followed by Grade-3 (39.4%) and Grade-5 (9.1%). A total of 12 pathogens were identified. The most common infecting microorganism isolated on pus cultures was Klebsiella pneumonia (33.3%), followed by Escherichia coli (24.2%), Acinetobacter baumanni (12.1%), and Staphylococcus aureus (9.1%). Frequent susceptible antibiotics were Amikacin (88.8%), Imipenem (87%), Meropenem (84.6%), Erythromycin (75%), and Cefoperazone/Sulbactam (68.9%). DFIs are polymicrobial infections in this study K. pneumonia was the most common cause microorganism.

  6. Comparision between bed side testing of blood glucose by glucometer vs centralized testing in a tertiary care hospital.

    Science.gov (United States)

    Baig, Ayaz; Siddiqui, Imran; Jabbar, Abdul; Azam, Syed Iqbal; Sabir, Salman; Alam, Shahryar; Ghani, Farooq

    2007-01-01

    To determine the accuracy, turnaround time and cost effectiveness of bedside monitoring of blood glucose levels by non-laboratory health care workers and centralized testing of blood glucose by automated analyzer in a tertiary care hospital. The study was conducted in Section of Chemical Pathology, Department of Pathology and Microbiology and Section of Endocrinology Department of Medicine, Aga Khan University and Hospital Karachi, from April 2005 to March 2006. One hundred and ten patients were included in the study. The blood glucose levels were analyzed on glucometer (Precision Abbott) by finger stick, using Biosensor Technology. At the same time venous blood was obtained to analyze glucose in clinical laboratory on automated analyzer (SYNCHRON CX7) by glucose oxidase method. We observed good correlation between bed side glucometer and laboratory automated analyzer for glucose values between 3.3 mmol/L (60 mg/dl) and 16.7 (300 mg/dl). A significant difference was observed for glucose values less than 3.3 mmol/L (p = 0.002) and glucose values more than 16.67 mmol/l (p = 0.049). Mean Turnaround time for glucometer and automated analyzer were 0.08 hours and 2.49 hours respectively. The cost of glucose testing with glucometer was 48.8% lower than centralized lab based testing. Bedside glucometer testing, though less expensive does not have good accuracy in acutely ill patient with either very high or very low blood glucose levels.

  7. An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

    Science.gov (United States)

    Carden, Robert; DelliFraine, Jami L

    2005-01-01

    The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research.

  8. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

    The challenge could be briefly seen in these terms: hospitals as places for treatment where there’s a technology focus and hospitals for healing where there’s a human focus. In the 60s - 70s wave of new hospital building, an emphasis on technology can be seen. It’s time to move from the technology...... focus. It is not enough to consider only the factors of function within architecture, hygiene, economy and logistics. We also need to look at aspects of aesthetics, bringing nature into the building, art, color, acoustics, volume and space as we perceive them. Contemporary methods and advances...... placed, accessible, provided with plenty of greenery, and maximize sensory impressions, providing sounds, smells, sight and the possibility to be touched. This is a very well documented area I can say. Hygiene, in terms of architecture can give attention to hand wash facilities and their positioning...

  9. 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

    Directory of Open Access Journals (Sweden)

    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

  10. 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

    Directory of Open Access Journals (Sweden)

    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

  11. 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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  13. 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)

  14. Adherence to hand hygiene protocol by clinicians and medical students at Queen Elizabeth Central Hospital, Blantyre-Malawi.

    Science.gov (United States)

    Kalata, N L; Kamange, L; Muula, A S

    2013-06-01

    While communicable diseases are the leading causes of morbidity and mortality in Malawi, the contribution of nosocomial or hospital-acquired infections (HAIs) is unknown but could be substantial. The single most important method of preventing nosocomial infections is hand hygiene. We report a study which was conducted in 2011 to investigate adherence to hand hygiene protocols by clinicians and medical students working at Queen Elizabeth Central Hospital in Blantyre, Malawi. There were two parts to the study: a single blinded arm in which participants were observed without their knowledge by trained nurses; and a second arm which included self-completion of questionnaire after participant consent was obtained. The 2009 World Health Organization hand hygiene technique and recommendations which were adopted by Queen Elizabeth Central Hospital were used to define an opportunity for hand washing and effectiveness of hand washing. Hand hygiene effectiveness was defined as adherence to at least 6 out of 7 steps (80%) of the hand hygiene technique when using alcohol-based formulation or at least 8 out of 10 steps (80%) of the hand hygiene technique when using water and soap formulation before and after having direct contact with patients or their immediate surroundings. Clinicians were found to have disinfected their hands more than medical students (phand sanitizer and hand hygiene practice (p=0.3). Adherence to hand hygiene was found to be 23%. Most of the participants mentioned infection transmission prevention as a reason for disinfecting their hands. Other reasons mentioned included: a routine personal hand hygiene behaviour and discomfort if not washing hands. The top three reasons why they did not disinfect hands were forgetfulness, unavailability of sanitizers and negligence. Adherence to hand hygiene practice was found to be low, with forgetfulness and negligence being the major contributing factors. A hospital-wide multifaceted program aiming at clinicians and

  15. Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001

    International Nuclear Information System (INIS)

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

    2002-01-01

    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)

  16. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001

    International Nuclear Information System (INIS)

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

    2002-01-01

    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)

  17. Tinea faciei in a central Portuguese hospital: A 9-year survey.

    Science.gov (United States)

    Borges, Ana; Brasileiro, Ana; Galhardas, Célia; Apetato, Margarida

    2018-04-01

    Tinea faciei is a relatively uncommon dermatophytosis that affects the glabrous skin of the face. The aim of this study was to analyse the epidemiologic, clinical and mycological features of tinea faciei cases diagnosed at the Dermatology and Venereology Department of Hospital Santo António dos Capuchos (Lisbon, Portugal). Consecutive cases diagnosed between 2008 and 2016 were studied retrospectively. A total of 72 tinea faciei cases have been diagnosed, involving 37 male and 35 female, aged between 8 months and 86 years. The majority were observed in patients younger than 12 years of age (59.72%). Anthropophilic isolates (mainly Microsporum audouinii, Trichophyton soudanense and Trichophyton rubrum) accounted for 75.7% of the identified dermatophytes. One quarter of the patients were also affected by dermatophytosis in other areas, such as the scalp. Only 10 cases were previously treated with topical steroids due to misdiagnosis. Most patients were treated with topical and systemic antifungal therapy with total resolution of skin lesions, without relapse or side effects. In contrast to other European studies, anthropophilic dermatophytes were the main causative agents of tinea faciei. As previously described to tinea capitis, this result is probably due to changes in the epidemiology of dermatophytes worldwide. © 2017 Blackwell Verlag GmbH.

  18. [Evaluation of central parenteral alimentation in critically ill newborn infants at a provincial pediatric hospital].

    Science.gov (United States)

    Yunes-Zárraga, J L; de la Garza-Garza, G; Velázquez-Quintana, N

    1989-04-01

    A revision was made on files of newborns whom received total parenteral nutrition (TPN) in the neonatal intensive care unit of the Hospital Infantil de Tamaulipas during a two and a half years period. We try to correlate dosage and caloric intake with weight gain, survival and complications. We reviewed the principal indications that motivated the use of total parenteral nutrition. The average period of administration was 15 days and caloric intake average 75 cal. There was significance in weight gain in newborns older than 35 weeks (14.6 g/kg/day) compared with younger than 34 weeks (9.2 g/kg/day) (p less than 0.001). There was no relation between days and dosage in both groups. Only one case showed cholestatic jaundice. Hyperglycemia was present statistically more frequent in the group lesser gestational age. There were no important electrolytic disturbances. Necrotizing enterocolitis was present more frequent in the older group. Some comments are made in relation to sepsis and a discussion of possible causes that do no permit a better assimilation of nutrients in these babies.

  19. Medical store management: an integrated economic analysis of a tertiary care hospital in central India.

    Science.gov (United States)

    Mahatme, Ms; Dakhale, Gn; Hiware, Sk; Shinde, At; Salve, Am

    2012-04-01

    Economic analysis plays a pivotal role in the management of medical store. The main objectives of this study were to consider always better control-vital, essential and desirable (ABC-VED) analysis with economic order quantity (EOQ), comparison of indexed cost and the actual cost, and to assess the expenditure for the forthcoming years. Based on cost and criticality, a matrix of nine groups by combining ABC and VED analysis was formulated. Drug categories were narrowed down for prioritization to direct supervisory monitoring. The subgroups AE and AV of the categories category I and II should be ordered based on EOQ. The difference between the actual annual drug expenditure (ADE) and the derived indexed cost using the cost inflation index (CII) was calculated. Linear regression was used to assess the expenditure for the forth coming years. The total ADE for the financial year of 2010-2011 was Rs. 1,91,44,253 which was only 7.68% of annual hospital expenditure. Using the inflation index, the indexed cost of acquisition of ADE for year 2010-2011 was Rs. 1,95,10,387. The difference between the two was estimated to be 2.11%. Thus, the CII justifies the demand of increased budget for next year and prompts us for cautious use of drugs. By taking into consideration the ADE of last 10 years, we have forecasted the budget for forthcoming years which will help significantly for making policies according to the available budget.

  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. Lineamientos de un plan estratégico para el mejoramiento de la calidad del servicio brindado en el Hospital Militar Central de Lima

    OpenAIRE

    Cabrera Rioja, Luis Alberto

    2007-01-01

    El presente estudio, realizado en el Hospital Militar Central (HMC) de Lima, está dirigido al diseño de los lineamientos de un plan estratégico que permita formular la misión y visión del HMC, analizar el entorno e intorno organizacional y formular objetivos estratégicos orientados al mejoramiento continuo de la calidad del servicio. A fin de superar las dificultades económicas, logísticas y de personal que afronta actualmente el Hospital Militar Central, debido a los recortes presupuestales ...

  2. Prevalencia de displasia y cáncer cervicouterino y factores asociados en el Hospital Central de Chihuahua, México

    OpenAIRE

    Ivonne Salas-Urrutia; Eyra Alejandra Villalobos; Brenda Lizeth Ramírez-Vega

    2006-01-01

    Objetivos: Los objetivos del presente estudio fueron determinar la prevalencia y los factores de riesgo asociados a cáncer cervicouterino en; las mujeres que acuden al Hospital Central de Chihuahua en el 2004 ya que no se cuenta registros de esta entidad en la ciudad de Chihuahua.; Material y Métodos: Se realizó un estudio observacional, transversal, donde se incluyó a mujeres que demandaron realizarse la citología; cervical en el Hospital Central del Estado de Chihuahua, en el año 2...

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

    Directory of Open Access Journals (Sweden)

    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

  4. The Rio Grande do Norte electric power market: the competitiveness that won't come

    International Nuclear Information System (INIS)

    Silva, Neilton Fidelis da; Pernambuco Univ., Recife

    1999-01-01

    The central issue of debate was the need to align the energy sector's options and organization with changing global patterns of economic and social development, characterized by the increasing role played by the private sector, greater integration in the world economy, and new economic and social priorities such as efficiency, decentralization, deregulation, and a closer attention to environmental issues. The aim of the work was to analyze the Rio Grande Norte, a Brazilian state, electric power market after privatization advent based on regulations established by National Agency of Electric Energy

  5. 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

  6. Non-steroidal anti-inflammatory drugs and antibiotics prescription trends at a central west bank hospital.

    Science.gov (United States)

    Tayem, Yasin I; Qubaja, Marwan M; Shraim, Riyad K; Taha, Omar B; Abu Shkheidem, Imadeddin A; Ibrahim, Murad A

    2013-11-01

    We aimed to reliably describe the pattern of outpatient prescription of non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics (ATBs) at a central hospital in the West Bank, Palestine. This was a retrospective, cross-sectional study investigating a cohort of 2,208 prescriptions ordered by outpatient clinics and the emergency room over one year in Beit Jala Hospital in Bethlehem, West Bank. The orders were analysed for the rate and types of NSAIDs and ATBs utilised, and the appropriateness of these drugs to the diagnosis. Of the total prescriptions, 410 contained NSAIDs (18.6%), including diclofenac (40.2%), low dose aspirin (23.9%), ibuprofen (17.8%) and indomethacin (15.1%). A minority of these prescriptions contained a combination of these agents (2.5%). Only one prescription contained cyclooxyeganse-2 inhibitors (0.2%). The appropriateness of NSAID use to the diagnosis was as follows: appropriate (58.3%), inappropriate (14.4%) and difficult to tell (27.3%). The rate of ATB use was 30.3% (669 prescriptions). The ATBs prescribed were amoxicillin (23.3%), augmentin (14.3%), quinolones (12.7%), first and second generation cephalosporins (9.4% and 12.7%, respectively) and macrolides (7.2%). ATB combinations were identified in 9.4%, with the most common being second-generation cephalopsorins and metronidazole (4.3%). Regarding the appropriateness of prescribing ATBs according to the diagnosis, it was appropriate in 44.8%, inappropriate in 20.6% and difficult to tell in 34.6% of the prescriptions. These findings revealed a relatively large number and inappropriate utilisation of ATBs and NSAIDs. An interventional programme needs to be adopted to reinforce physicians' knowledge of the rational prescription of these agents.

  7. Presencia de Circulifer tenellus Baker y Beet mild curly top virus en maleza durante el invierno en el centro norte de México Circulifer tenellus Baker and Beet mild curly top virus presence in weeds during the winter in north-central Mexico

    OpenAIRE

    Rodolfo Velásquez-Valle; Luis Roberto Reveles-Torres; Mario Domingo Amador-Ramírez; María Mercedes Medina-Aguilar; Guillermo Medina-García

    2012-01-01

    Una de las enfermedades más importantes del chile para secado en el norte centro de México es la denominada amarillamientos del chile. Existe poca información acerca de la interacción entre el vector (Circulifer tenellus Baker), el Beet mild curly top virus y la maleza durante el invierno en esta región, consecuentemente el objetivo del trabajo fue identificar maleza de invierno que sirve como refugio para el vector y hospedero del virus en esta región. Entre enero y marzo de 2011 se muestrea...

  8. 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.

  9. [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.

  10. [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.

  11. 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.

  12. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

    Science.gov (United States)

    2015-01-01

    Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients. PMID:26346242

  13. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal.

    Science.gov (United States)

    Parajuli, Ramesh

    2015-01-01

    Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

  14. Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

    Directory of Open Access Journals (Sweden)

    Ramesh Parajuli

    2015-01-01

    Full Text Available Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed. Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis. Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015. Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09% followed by hypertension (27.38%, trauma (15.47%, and coagulopathy (8.33%. Regarding treatment methods, most (52.38% of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38% patients required endoscopic sphenopalatine arterial ligation. Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

  15. 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.

  16. 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

  17. Variation of central corneal thickness in patients with diabetic retinopathy as detected by ultrasonic pachymetry in patients presenting to a tertiary care hospital

    International Nuclear Information System (INIS)

    Khan, S.A.

    2017-01-01

    To compare the central corneal thickness between patients with diabetic retinopathy and non diabetics. Study Design: A cross sectional study. Place and Duration of Study: Lahore General Hospital Lahore, from 1st Dec 2015 to 31st May 2016. Material and Methods: A cross-sectional study was conducted in the ophthalmology outpatient department of Lahore General Hospital. A total of one hundred and fifty subjects from different age groups were selected for the study. An ultrasound pachymeter was used to measure CCT. There were two groups for sample, 75 were patients with diabetic retinopathy and 75 of them were non-diabetic subjects. Results: The diabetic patients had average central corneal thickness of value 554.93 +- 33.73 microns. The average central corneal thickness found in non-diabetic patients was 520.41 +- 26.06 microns. The diabetic patients showed an increased central corneal thickness as compared to non-diabetics. The result of this study was statistically significant (p=0.001). Conclusion: The diabetic patients showed an increased central corneal thickness as compared to non-diabetic patients. (author)

  18. 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.

  19. Propuesta de mejora para el Complejo Hospitalario de Navarra, Hospital D: manual de procedimientos para la Central de Esterilización

    OpenAIRE

    Garde Sesma, Idoia

    2014-01-01

    La esterilización es una ciencia en la que se emplean tecnologías muy variadas con el fin de lograr la destrucción de todos los microorganismos. Una vez que se ha esterilizado todo el material, debe mantenerse esa condición hasta el momento de “uso” de los equipos. La central de esterilización (en adelante CE o Central), es una unidad de vital importancia dentro de la estructura de un hospital. Recibe una enorme cantidad y variedad de instrumental quirúrgico que debe ser recogido, limpiad...

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  2. 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...

  3. 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

  4. 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

    Directory of Open Access Journals (Sweden)

    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.

  5. 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

  6. 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)

  7. 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).

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Calidad del servicio de atención en la Unidad de Laboratorio de Emergencia y Laboratorio Central, Hospital Público de Lima, 2016

    OpenAIRE

    Castillo Acuña, Marissa Gladys

    2016-01-01

    La Calidad en el Servicio de Atención de acuerdo a Camarasa (2004) “La Calidad de los servicios de atención constituyen el conjunto de prestaciones y atenciones que el cliente espera recibir de la organización que los presta”. (p.13) Objetivo: Comparar el nivel de calidad del servicio de atención en la unidad de Laboratorio de Emergencia con respecto a la unidad de Laboratorio Central en un Hospital Público de Lima 2016. Metodología: Estudio de Nivel descriptivo comparativo, tr...

  10. Impacto económico del tratamiento y gestión de los residuos sólidos producidos por el Hospital Militar Central – Lima

    OpenAIRE

    Nava Torres, César Augusto; Nava Torres, César Augusto; Loayza Berrocal, Luis Alberto; Nava Torres, César Augusto

    2012-01-01

    El manejo de los residuos sólidos hospitalarios en nuestro país es uno de los aspectos de la gestión hospitalaria que ha ido tomando importancia e interés en los últimos años. Mediante la presente investigación se pretende evaluar el actual Tratamiento y Gestión de los residuos sólidos en el Hospital Militar Central (HMC) de la ciudad de Lima, analizando los servicios de salud donde los pacientes se hospitalizan y se genere la mayor cantidad de desechos, a fin de determinar las ganancias...

  11. Stepwise introduction of the 'Best Care Always' central-line-associated bloodstream infection prevention bundle in a network of South African hospitals.

    Science.gov (United States)

    Richards, G A; Brink, A J; Messina, A P; Feldman, C; Swart, K; van den Bergh, D

    2017-09-01

    Healthcare-associated infection (HCAI) remains a major international problem. The 'Best Care Always!' (BCA) campaign was launched in South Africa to reduce preventable HCAI, including central-line-associated bloodstream infection (CLABSI). The intervention took place in 43 Netcare Private Hospitals, increasing later to 49 with 958 intensive care units (ICUs) and 439 high-care (HC) beds and 1207 ICUs and 493 HC beds, respectively. Phase 1, April 2010 to March 2011, ICU infection prevention and control (IPC) nurse-driven change: commitment from management and doctors and training of IPC nurses. Bundle compliance and infections per 1000 central-line-days were incorporated as standard IPC measures and captured monthly. Phase 2, April 2011 to March 2012, breakthrough collaborative method: multiple regional learning sessions for nursing leaders, IPC nurses and unit managers. Phase 3, April 2012 to May 2016: sustained goal-setting, benchmarks, ongoing audits. A total of 1,119,558 central-line-days were recorded. Bundle compliance improved significantly from a mean of 73.1% [standard deviation (SD): 11.2; range: 40.6-81.7%] in Phase 1 to a mean of 90.5% (SD: 4.7; range: 76.5-97.2%) in Phase 3 (P = 0.0004). The CLABSI rate declined significantly from a mean of 3.55 (SD: 0.82; range: 2.54-5.78) per 1000 central-line-days in Phase 1 to a mean of 0.13 (SD: 0.09; range: 0-0.33) (P hospitals resulted in significant decreases in CLABSI. Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

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

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    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.

  13. Aetiologies of Central Nervous System Infection in Viet Nam: A Prospective Provincial Hospital-Based Descriptive Surveillance Study

    NARCIS (Netherlands)

    Ho Dang Trung, Nghia; Le Thi Phuong, Tu; Wolbers, Marcel; Nguyen van Minh, Hoang; Nguyen Thanh, Vinh; van, Minh Pham; Thieu, Nga Tran Vu; van, Tan Le; Song, Diep To; Thi, Phuong Le; Thi Phuong, Thao Nguyen; van, Cong Bui; Tang, Vu; Ngoc Anh, Tuan Hoang; Nguyen, Dong; Trung, Tien Phan; Thi Nam, Lien Nguyen; Kiem, Hao Tran; Thi Thanh, Tam Nguyen; Campbell, James; Caws, Maxine; Day, Jeremy; de Jong, Menno D.; van Vinh, Chau Nguyen; van Doorn, H. Rogier; Tinh, Hien Tran; Farrar, Jeremy; Schultsz, Constance; Loi, Tran Quoc; Son, Nguyen Truong; Bay, Phan Van Be; Tham, Nguyen Thi Hong; Phuong, Le Thi; Tri, Le Trung; Binh, Nguyen Thi Nguyet; Du, Doan Cong; Thao, Nguyen Thi Phuong; Tien, Truong Thi My; La, Tran Thi Phi; Cong, Bui Van; Diep, Pham Ngoc; Dong, Duong Phuoc; Lanh, Tran Thi Mong; Dom, Pham Van; Dung, Tran Quang; Tri, Phan Nhut; Ho, Tang Thi; Tai, Nguyen Anh; Luc, Quach Van; Phuoc, Dinh Xuan

    2012-01-01

    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

  14. Effects of dietary pattern and education on glycemic control in patients with type 2 diabetes mellitus at Dr. Sardjito Central General Hospital, Yogyakarta.

    Science.gov (United States)

    Sinorita, Hemi; Saádah; Jazakillah, Setyowati

    2008-04-01

    to recognize the effect of education and diet on glycemic control in patients with type 2 diabetes mellitus at Dr. Sardjito Central General Hospital, Jogjakarta. a cross-sectional study was conducted in 88 patients with type 2 DM who had routine visit to the outpatient clinic in Endocrinology Division of Dr. Sardjito Central General Hospital, Jogjakarta. As inclusion criteria, patients who had routine visit in 3 month continuously with fasting plasma glucose (GDN) 126 mg/dl as poor glycemic control group. Data were recorded which included age, sex, period of DM, daily diet pattern, and education received. we found that glycemic control was not affected by sex (p=0.52) and age (p=0.38), but it was affected by period of DM (p=0.02). Glycemic control in the present study was affected by dietary pattern (p=0.01), but not by education (p=1.00). the present study has found significant correlation between regulation of dietary pattern and glycemic control (p=0.01).

  15. 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.

    Science.gov (United States)

    Tarricone, Rosanna; Torbica, Aleksandra; Franzetti, Fabio; Rosenthal, Victor D

    2010-05-10

    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. 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. 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 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.

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

    Science.gov (United States)

    1993-06-01

    the Yanomami Indians.""’ The potential wealth present in the Calha Norte region has been estimated at over US$134 billion, enough to repay almost all...garimpeiros to remain on Yanomami land was essentially a military decision. The Army’s pro-miner position was highlighted by official statements made by the...Environmental Policy and Military Geopolitics in the Development of the Brazilian Amazon: The Case of the Yanomami ," Development and Change (1992

  17. Clinical and endoscopic profile of the patients with upper gastrointestinal bleeding in central rural India: A hospital-based cross-sectional study

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    Jyoti Jain

    2018-01-01

    Full Text Available Introduction: Acute Upper Gastrointestinal bleeding (UGIB is one of the common causes with which the patients present to emergency. The upper gastrointestinal (UGI endoscopy remains a crucial tool in identification of UGIB. The aim of the present study was to determine the endoscopic profile of UGIB in adult population of rural central India admitted with history of UGIB (hemetemesis and/or malena. Methods: This prospective, cross sectional study was conducted in rural hospital in central India and we enrolled all consecutive patients aged 18 years and above who were admitted in the hospital ward with the history of UGIB. After obtaining the demographic data, all patients underwent clinical examination, laboratory investigations and video-endoscopy. We used Student's t test to compare means, Chi-square test to compare proportions and Mann-Whitney test to compare medians. P value <0.05 will be considered significant. Results: The mean age of our study population (N = 118 was 46.2 years. Among 118 patients who underwent endoscopy, 47.4% had esophageal varices, 27.1% had portal hypertensive gastropathy, 14.4% had gastric erosions, 5.9% each had duodenal ulcers and esophagitis, 5% had gastric ulcer disease, 4.2% each had Mallory-Weiss tear and had gastric malignancy, 1.7% had esophageal malignancy and 16.1% had normal endoscopic findings. Conclusion: Esophageal varices were the most common cause of UGIB in the adult population of rural central India presenting with UGIB, when diagnosed by video-endoscopy.

  18. Potential for lychee crop in Mata Norte Pernambucana - Brazil | Potencial para cultivo de lichia na Mata Norte Pernambucana - Brasil

    Directory of Open Access Journals (Sweden)

    Nina Iris Verslype

    2016-06-01

    Full Text Available Lychee crops occurs mainly in South and Southeast regions of Brazil. In this study, the digital terrain modeling (DTM of the micro-region Mata Norte Pernambucana, was designed to identify the districts that have potential for lychee crop, through the parameters of average altitude, precipitation and temperature. The districts analyzed were Aliança, Buenos Aires, Camutanga, Carpina, Condado, Ferreiros, Goiâna, Itambé, Itaquitinga, Lagoa do Carro, Lagoa do Itaenga, Macaparana, Nazaré da Mata, Paudalho, Timbaúba, Tracunhaém and Vicência. The analysis of climate, wind power and altitude in Mata Norte Pernambucana, has revealed that some districts of the micro-region have potential for lychee crops, which is a product with great financial return, and may contribute to increase economy and quality of life in the micro-region.

  19. [Organization of scientific-methodological work in Central Military Clinical Hospital named after A.A. Vishnevskiĭ].

    Science.gov (United States)

    Beliakin, S A; Fokin, Iu N; Kokhan, E P; Frolkin, M N

    2009-09-01

    There was congested a wide experience of organization and management of scientific work in the 3rd CMCH by Vishnevsky A.A. for a term of more than 40 years. This experience is subjected to generalization, analyze for the purpose of determination of it's priority orientations of improvement. Scientific-methods work in hospital is rated as a complex of measures, organisationaly-planed and coordinated by purpose and reinforcement of scientific schools of the 3rd CMCH by Vishnevsky A.A., as a basis of effective delivery of specialized medical aid. The vector of scientific researches is directed, generally, to solving questions of military and field medicine.

  20. Comparability of Point-of-Care versus Central Laboratory Hemoglobin Determination in Emergency Patients at a Supra-Maximal Care Hospital.

    Science.gov (United States)

    Dolscheid-Pommerich, Ramona C; Dolscheid, Sarah; Grigutsch, Daniel; Stoffel-Wagner, Birgit; Graeff, Ingo

    2016-01-01

    Fulfilling the requirements of point-of-care testing (POCT) training regarding proper execution of measurements and compliance with internal and external quality control specifications is a great challenge. Our aim was to compare the values of the highly critical parameter hemoglobin (Hb) determined with POCT devices and central laboratory analyzer in the highly vulnerable setting of an emergency department in a supra maximal care hospital to assess the quality of POCT performance. In 2548 patients, Hb measurements using POCT devices (POCT-Hb) were compared with Hb measurements performed at the central laboratory (Hb-ZL). Additionally, sub collectives (WHO anemia classification, patients with Hb 85y.) were analyzed. Overall, the correlation between POCT-Hb and Hb-ZL was highly significant (r = 0.96, p2.5g/dl occurred. McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition for male, female and total patients (♂ phemoglobin concentration measurement methods, i.e. POCT devices and at the central laboratory. The results confirm the successful implementation of the presented POCT concept. Nevertheless some limitations could be identified in anemic patients stressing the importance of carefully examining clinically implausible results.

  1. Qualidade da carne maturada de bovinos Red Norte e Nelore Aged meat quality in Red Norte and Nellore cattle

    Directory of Open Access Journals (Sweden)

    Patrícia Lopes Andrade

    2010-08-01

    Full Text Available O objetivo neste trabalho foi avaliar a qualidade da carne do músculo longissimus thoracis de bovinos durante a maturação. Amostras de 22 bovinos Nelore e 22 Red Norte machos, com 24 meses de idade, foram coletadas às 24 horas post mortem, mantidas a 2oC e analisadas aos 1, 7, 14 e 21 dias. Os animais foram terminados em confinamento (112 dias com silagem de milho (50% e concentrado (50% à vontade. Os valores de pH final, perda por cocção, umidade, proteína, gordura e cinzas foram semelhantes entre as amostras de animais Nelore e Red Norte. O teor de vermelho (a* e a intensidade de amarelo (b* foram semelhantes entre as carnes dos dois grupos genéticos, porém a luminosidade (L* foi maior nas amostras de animais Red Norte. A maturação afetou significativamente a luminosidade, o teor de vermelho e amarelo, croma (C*, o ângulo de tonalidade (H* e a percepção subjetiva da cor (ΔE, de forma que as alterações de cor mais importantes ocorreram entre 7 e 14 dias. A força de cisalhamento na carne dos animais Red Norte foi cerca de 0.9 kg inferior às dos animais Nelore. A maturação influenciou a força de cisalhamento ao longo da maturação e determinou reduções de 1,09; 0,21 e 0,56 kg nos períodos de 1 a 7; 7 a 14 e 14 a 21 dias, respectivamente. O índice de fragmentação miofibrilar foi maior na carne dos animais Red Norte e nas amostras maturadas por 21 dias. A carne dos animais Red Norte apresentou maior luminosidade e maciez. A maturação melhora a maciez das carnes, por reduzir a força de cisalhamento, porém modifica a cor, cujas alterações mais importantes acontecem entre 7 e 14 dias. A escolha do tempo de maturação mais adequado para as carnes bovinas depende do atributo a ser valorizado.The objective in this study was to evaluate meat quality of longissimus thoracisi muscle during ageing. Samples from 22 Nelore bovines and 22 Red Norte males at 24 months of age were collected at 24 hours post mortem, kept at 2º

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

    Directory of Open Access Journals (Sweden)

    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

  3. 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.

  4. 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.

  5. Interpreting the improved outcome of patients with central nervous system metastases managed in clinical trials compared with standard hospital practice

    International Nuclear Information System (INIS)

    Tang, J.I; Back, M.; Shakespeare, T.; Lu, J.J.; Mukherjee, R.; Wynne, C.

    2005-01-01

    The aims were to determine the median survival and prognostic factors of patients with central nervous system (CNS) metastases managed with whole-brain radiation therapy (WBRT), and to explore selection criteria in recently published clinical trials using aggressive interventions in CNS metastases. A retrospective audit was performed on patients managed with WBRT for CNS metastases. Potential prognostic factors were recorded and analysed for their association with survival duration. The proportion of patients with these factors was also compared with those of patients managed under three recently reported studies investigating aggressive interventions, such as radiosurgery and chemotherapy for CNS metastases. Seventy-three patients were treated with WBRT for cerebral metastases over a 12-month period. The median survival of the population was 3.4 months (95% confidence interval: 2.7-4.1), with 6- and 12-month survival rates of 30 and 18%, respectively. Significant prognostic factors for prolonged median survival were Eastern Cooperative Oncology Group status 0-2 (P = 0.015), Medical Research Council neurological functional status 0-1 (P = 0.006), and Recursive Partitioning Analysis Class 2 versus Class 3 (P = 0.020). On multivariate analysis, younger patient age (P = 0.02) and better performance status (P<0.01) were associated with improved outcome. When comparing these characteristics with selected published studies, our study cohort demonstrated a higher proportion of patients with poor performance status, a greater number of metastases per patient and a higher incidence of extracranial disease. This reflects the selected nature of patients in these published studies. Central nervous system metastases confer a poor prognosis and, for the majority of patients, aggressive interventions are unlikely to improve survival. The use of potentially toxic and expensive treatments should be reserved for those few in whom these studies have shown a potential benefit

  6. A RETROSPECTIVE ANALYSIS OF ACUTE APPENDICITIS, RUPTURED APPENDICITIS AND THE LEVEL OF LEUKOCYTOSIS IN PAEDIATRIC SURGICAL PATIENTS OF NELSON MANDELA CENTRAL HOSPITAL.

    Science.gov (United States)

    Mtimba, L; Dhaffala, A; Molaoa, S Z

    2017-06-01

    Appendicectomy is the most commonly performed operation worldwide. The diagnosis is predominantly based on clinical findings. Some patients will clinically be unclear if ruptured or acute inflamed appendicitis; the level of white cell count has been used as the predictor for ruptured appendicitis. This was a retrospective chart review of paediatric surgical patients admitted at Nelson Mandela Central Hospital, Mthatha South Africa. A total of 214 patients with a diagnosis of acute appendicitis. Overall, the ruptured appendicitis was 62% and 38% were inflamed appendicitis. Nature of the acute appendicitis: White cell count, Inflamed, Ruptured, Total p-value 30 0 4 4. This study has demonstrated that in patients who are diagnosed with acute appendicitis clinically, the normal white cell count does not necessarily rule out ruptured acute appendicitis. But the risks of ruptured acute appendicitis increase with the increase level of white cell count.

  7. Epidemiology and Outcomes of Bloodstream Infections in Patients With Solid Tumors in a Central American Population at Mexico Hospital, San Jose, Costa Rica

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    Jorge Calvo-Lon

    2017-12-01

    Full Text Available Purpose: Bloodstream infections (BSIs are an important cause of mortality in patients with solid tumors. We conducted a retrospective study to evaluate the epidemiologic profile and mortality of patients with solid tumors who have BSIs and were admitted to Mexico Hospital. This is the first study in Costa Rica and Central America describing the current epidemiologic situation. Methods: We analyzed the infectious disease database for BSIs in patients with solid tumors admitted to Mexico Hospital from January 2012 to December 2014. Epidemiology and mortality were obtained according to microorganism, antibiotic sensitivity, tumor type, and presence of central venous catheter (CVC. Descriptive statistics were used. Results: A total of 164 BSIs were recorded, the median age was 58 years, 103 patients (63% were males, and 128 cases of infection (78% were the result of gram-negative bacilli (GNB. Klebsiella pneumoniae (21%, Escherichia coli (21%, and Pseudomonas aeruginosa (15% were the most common microorganisms isolated. Gram-positive cocci (GPC were found in 36 patients, with the most frequent microorganisms being Staphylococcus aureus (10% and Staphyloccocus epidermidis (6%. With respect to tumor type, BSIs were more frequent in the GI tract (57% followed by head and neck (9% and genitourinary tract (8%. Regarding antibiotic susceptibility, only 17% (GNB expressed extended-spectrum beta-lactamase and 12% (GPC had methicillin resistance. Patients with CVCs (n = 59 were colonized mainly by GNB (78%. Overall the mortality rate at 30 days was about 30%. Conclusion: GNB are the most frequent cause of BSIs in solid tumors and in patients with CVCs. GI cancers had more BSIs than other sites. Mortality and antibiotic sensitivity remained stable and acceptable during this observational period in this Latin American population.

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

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    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.

  9. 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 (pinfluencing vaccine uptake decision were health department guidelines, medical training, social 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.

  10. 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.

  11. 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

  12. Knowledge, Attitude, and Perception of Barriers for Eye Care among Diabetic Persons Registered at Employee Health Department of a Tertiary Eye Hospital of Central Saudi Arabia

    Science.gov (United States)

    Al-Alawi, Abeer; Al-Hassan, Arif; Chauhan, Deepti; Al-Futais, Muneera; Khandekar, Rajiv

    2016-01-01

    Purpose: To evaluate the level of knowledge, attitudes, and barriers to diabetic retinopathy (DR) screening among diabetic healthcare staff at a tertiary eye hospital in central Saudi Arabia. Methods: This was a descriptive survey using a closed-ended questionnaire. A. 5-grade. Likert scale was used for responses to each question. Data were collected on patient demographics and the status of diabetes. Survey responses related to knowledge, attitude, and barriers were grouped. Results: The study sample was comprised of 45 diabetics employed at the hospital. The mean age was 49 ± 11 years and 33 diabetics were males. One-third of the study population was referred to the eye clinic for DR screening. DR screening was performed in 25% of diabetics over the previous year. Twenty-nine (64%; 95% confidence intervals: 50–78) participants had excellent knowledge of eyecare for diabetic complications. Thirteen percent of participants had a positive attitude toward periodic eye checkups. Travel distance to an eyecare unit, no referral from family physicians for annual eye checkups and the lack of availability of gender-specific eyecare professionals were the main perceived barriers. Conclusion: Annual DR screening needs to be promoted to primary healthcare providers and diabetic patients. Barriers should be addressed to improve the uptake of DR screening. PMID:26957842

  13. 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)

    Garus-Pakowska, Anna; Szatko, Franciszek; Ulrichs, Magdalena

    2017-08-10

    (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.

  14. Knowledge, Attitude, and Perception of Barriers for Eye Care among Diabetic Persons Registered at Employee Health Department of a Tertiary Eye Hospital of Central Saudi Arabia.

    Science.gov (United States)

    Al-Alawi, Abeer; Al-Hassan, Arif; Chauhan, Deepti; Al-Futais, Muneera; Khandekar, Rajiv

    2016-01-01

    To evaluate the level of knowledge, attitudes, and barriers to diabetic retinopathy (DR) screening among diabetic healthcare staff at a tertiary eye hospital in central Saudi Arabia. This was a descriptive survey using a closed-ended questionnaire. A. 5-grade. Likert scale was used for responses to each question. Data were collected on patient demographics and the status of diabetes. Survey responses related to knowledge, attitude, and barriers were grouped. The study sample was comprised of 45 diabetics employed at the hospital. The mean age was 49 ± 11 years and 33 diabetics were males. One-third of the study population was referred to the eye clinic for DR screening. DR screening was performed in 25% of diabetics over the previous year. Twenty-nine (64%; 95% confidence intervals: 50-78) participants had excellent knowledge of eyecare for diabetic complications. Thirteen percent of participants had a positive attitude toward periodic eye checkups. Travel distance to an eyecare unit, no referral from family physicians for annual eye checkups and the lack of availability of gender-specific eyecare professionals were the main perceived barriers. Annual DR screening needs to be promoted to primary healthcare providers and diabetic patients. Barriers should be addressed to improve the uptake of DR screening.

  15. 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

  16. 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.

  17. 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.

  18. 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.

  19. El poblamiento temprano de la costa norte de Chile

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    Varela, Héctor Hugo

    2005-01-01

    Full Text Available La costa Norte de Chile estuvo habitada por lo menos desde 10000 AP por pequeños grupos humanos que subsistían de los recursos del mar y la costa. Ellos estaban asociados con la cultura Chinchorro, caracterizada por el tratamiento artificial que le daban a sus muertos. El sitio Caleta Huelén 42 se encuentra ubicado en la desembocadura del río Loa en el Norte de Chile. Constituye una importante conexión hacia el sur, vinculada con la expansión de los grupos de pescadores arcaicos semejantes a Morro 1 y Morro 1-6 y que continúa hacia Punta de Teatinos y El Cerrito. La presente experiencia tiene como objetivo establecer las relaciones biológicas de Caleta Huelén 42 con otros grupos arcaicos costeros. La colección está constituida por 33 individuos y los fechados conocidos la ubican entre el 4780 y el 3780 AP. Las afinidades biológicas con grupos semejantes (Morro 1, Morro 1/6, Morro Uhle, El Cerrito y Punta de Teatinos se analizan mediante el empleo de 29 caracteres métricos del cráneo y la aplicación de diferentes técnicas de análisis multivariado. Se demostró la existencia de dos conglomerados biológicos uno constituido por las muestras del Norte Árido (Morro Uhle, Morro 1, Morro1/6 y Caleta Huelén 42 y el otro por las series del Norte Semiárido (El Cerrito y Punta de Teatinos. Los fundadores de Caleta Huelén 42 son el resultado de la migración hacia el sur de una pequeña banda de cazadores recolectores arcaicos, que conservaron parte de genoma original y características culturales que los conecta con la tradición Chinchorro. Además, es posible que hayan recibido el aporte genético de grupos arcaicos proveniente del interior del continente a través del río Loa.

  20. 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

  1. Prevalence and determinants of erectile dysfunction among diabetic patients attending in hospitals of central and northwestern zone of Tigray, northern Ethiopia: a cross-sectional study.

    Science.gov (United States)

    Seid, Awole; Gerensea, Hadgu; Tarko, Shambel; Zenebe, Yosef; Mezemir, Rahel

    2017-03-15

    The prevalence of erectile dysfunction among diabetic men varies between 35-90%. Although erectile dysfunction is widespread among men with diabetes, the condition often remains undiagnosed and demands appropriate assessment and prompt treatment. Erectile dysfunction can affect all aspects of a patient's life including physical, emotional, social, sexual, and relationships. The main aim of this study is to determine the prevalence and determinants of erectile dysfunction among diabetic patients attending hospitals in the Central and Northwest zone of Tigray, Ethiopia. A hospital based cross-sectional study was conducted on 249 male diabetic patients attending five hospitals in the Central and Northwestern Zone of Tigray, Ethiopia using systematic random sampling. The data was collected from January 1 - February 30, 2016 and was entered and analyzed using SPSS version 20. Correlation and multivariate logistic regression was employed to test associations between independent and outcome variables. The mean age of study participants was 43.39 years and the mean duration of diabetes diagnosis was 6.22 years. The overall prevalence of erectile dysfunction was 69.9%, with 32.9% suffering from mild, 31.7% moderate, and 5.2% severe erectile dysfunction. Multivariate logistic regression revealed that erective dysfunction was significantly predicted by old age (Adjusted Odds Ratio [AOR] =15.013, CI:3.212-70.166), longer duration of diabetes (AOR = 3.77, CI:1.291-11.051), and lower monthly income (AOR = 0.285, CI:0.132-0.615). No association was found with body mass index, co-morbidity, glycemic control, and alcohol consumption. The prevalence of erective dysfunction in this study population was very high. Age, income, and duration of diabetes were the independent predictors of erectile dysfunction. Nearly all of the patients in the sample (97%) had not been screened or treated for erectile dysfunction. Assessment and management of erectile dysfunction in the

  2. Comparability of Point-of-Care versus Central Laboratory Hemoglobin Determination in Emergency Patients at a Supra-Maximal Care Hospital.

    Directory of Open Access Journals (Sweden)

    Ramona C Dolscheid-Pommerich

    Full Text Available Fulfilling the requirements of point-of-care testing (POCT training regarding proper execution of measurements and compliance with internal and external quality control specifications is a great challenge. Our aim was to compare the values of the highly critical parameter hemoglobin (Hb determined with POCT devices and central laboratory analyzer in the highly vulnerable setting of an emergency department in a supra maximal care hospital to assess the quality of POCT performance. In 2548 patients, Hb measurements using POCT devices (POCT-Hb were compared with Hb measurements performed at the central laboratory (Hb-ZL. Additionally, sub collectives (WHO anemia classification, patients with Hb 85y. were analyzed. Overall, the correlation between POCT-Hb and Hb-ZL was highly significant (r = 0.96, p2.5g/dl occurred. McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition for male, female and total patients (♂ p<0.001; ♀ p<0.001, total p<0.001. Hb-ZL resulted significantly more often in anemia diagnosis. In samples with Hb<8g/dl, McNemar´s test yielded no significant difference (p = 0.169. In suprageriatric patients, McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition in male, female and total patients (♂ p<0.01; ♀ p = 0.002, total p<0.001. The difference between Hb-ZL and POCT-Hb with Hb<8g/dl was not statistically significant (<8g/dl, p = 1.000. Overall, we found a highly significant correlation between the analyzed hemoglobin concentration measurement methods, i.e. POCT devices and at the central laboratory. The results confirm the successful implementation of the presented POCT concept. Nevertheless some limitations could be identified in anemic patients stressing the importance of carefully examining clinically implausible results.

  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. Epidemiological profile of acute bacterial meningitis in the state of Rio Grande do Norte, Brazil Perfil epidemiológico da meningite bacteriana aguda no estado do Rio Grande do Norte, Brasil

    Directory of Open Access Journals (Sweden)

    Wallace Andrino da Silva

    2010-08-01

    Full Text Available INTRODUCTION: Acute bacterial meningitis (ABM remains a public health problem in Brazil. To evaluate the epidemiology of ABM cases at Giselda Trigueiro Hospital, Rio Grande do Norte, a descriptive retrospective survey was conducted covering 2005 to 2008. METHODS: Clinical and laboratory data were collected from the epidemiology department of the hospital and analyzed. RESULTS: Out of 168 ABM cases, 24.4%, 10.7%, and 2.4% were, respectively, caused by Streptococcus pneumoniae, Neisseria meningitidis and Haemophilus influenza b, and 5.4% by other bacteria. The mean age was 22.48 ± 18.7 years old. CONCLUSIONS: Streptococcus pneumoniae was the main causative pathogen in the young urban population.INTRODUÇÃO: Meningite bacteriana aguda (MBA permanece um problema de saúde pública no Brasil. Para avaliar a epidemiologia da MBA atendida no Hospital Giselda Trigueiro, Rio Grande do Norte, um estudo retrospectivo-descritivo foi realizado de 2005 a 2008. MÉTODOS: Dados clínicos e laboratoriais foram coletados do departamento de epidemiologia hospitalar e analisados. RESULTADOS: Dos 168 casos de MBA, 24,4%, 10,7% e 2,4% foram, respectivamente, causados por Streptococcus pneumoniae, Neisseria meningitidis e Haemophilus influenzae b e 5,4% por outras bactérias. A média da idade foi 22,48 ± 18,7 anos. CONCLUSÕES: Streptococcus pneumoniae foi o principal patógeno causador na população urbana jovem.

  5. 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.

  6. Cancro do pulmão no norte de Portugal: um estudo de base hospitalar

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    V. Hespanhol

    2013-11-01

    Full Text Available Resumo: Introdução: O cancro do pulmão é o cancro que mais mortalidade determina em todo mundo. Em Portugal a doença mantém-se a principal causa de morte por cancro no sexo masculino. Objetivo: Neste estudo pretendeu-se avaliar as características demográficas e clínicas dos doentes com cancro do pulmão diagnosticados e tratados nos hospitais do norte de Portugal entre os anos 2000-2010. Doentes e métodos: Doze hospitais contribuíram para este estudo. Foram analisadas as características demográficas e clínicas dos doentes com cancro do pulmão registados em cada hospital, entre os anos 2000-2010, nos hospitais do norte de Portugal, bem como os padrões de ocorrência da doença. Resultados: Ao longo de um período de 11 anos (2000-2010, 9.767 doentes com cancro do pulmão foram registados nos hospitais participantes. Identificamos um importante aumento no número de doentes registados em relação aos registados em 2000. No sexo feminino observou-se uma elevação da ocorrência atingindo os 30%, o que é significativo, apesar do cancro do pulmão nas mulheres, em Portugal, ser muito menos frequente que nos homens e nesta série representar apenas 20% dos casos. Um número elevado de doentes, 3.117 (48,6%, tinha mau estado geral na altura que recorreram aos cuidados de saúde. O adenocarcinoma foi-se tornando a histologia mais preponderante ao longo do período de estudo. A maior parte dos doentes, 7.206 (77,8%, foi diagnosticada em estádios avançados (IIIB, IV da doença. A quimioterapia foi o tratamento escolhido para 3.529 (40,4% dos doentes, por outro lado, a cirurgia foi possível em 1.301 (14,9% dos casos. Conclusão: Um elevado número de doentes com cancro do pulmão é diagnosticado e tratado nos hospitais do norte de Portugal. A incidência no sexo feminino tem vindo a aumentar. A esmagadora maioria dos tumores foi diagnosticada em estádio avançado, tendo sido possível, apesar disso, tratar cirurgicamente 14,9% dos

  7. Distribution of 226Ra, 232Th, and 40K in soils of Rio Grande do Norte (Brazil)

    International Nuclear Information System (INIS)

    Malanca, A.; Pessina, V.; Dallara, G.

    1996-01-01

    A survey programme aimed at studying the environmental radioactivity in the Brazilian state of Rio Grande do Norte was undertaken. Fifty-two soil samples, together with two rock and two uraniferrous ore samples were collected from the eastern and central regions of this state. Concentrations of radioelements in samples were determined by γ-ray spectrometry. The average concentrations of 226 Ra, 232 Th, and 40 K in the surveyed soils were 29.2 ± 19.5 (SD), 47.8 ± 37.3, and 704 ± 437 Bq kg -1 , respectively. Higher values were found in the rock samples. The distributions of 226 Ra and 232 Th were fitted by log-normal curves. Radiological measurements carried out with a portable scintillometer at the sampled sites revealed an average absorbed dose rate of 55 ± 27 (SD) nGy h -1 . Computed dose rates obtained through the Beck formula ranged from 15-179 nGy h -1 , with a mean value of 72.6 ± 38.7 (SD) nGy h -1 , and their distribution fitted a log-normal curve. An annual average effective dose equivalent of 552 μSν (range: 117-1361 μSν) was estimated for 51 sites in Rio Grande do Norte. (author)

  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. 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.

  10. Characterization of patients diagnosed with central precocious puberty starting treatment with leuprolide acetate, at the Hospital Nacional de Ninos in the period January 2004 to December 2009

    International Nuclear Information System (INIS)

    Viquez Viquez, Natalia

    2013-01-01

    Clinical characteristics and laboratory and cabinet findings (hormone levels, bone age, pelvic ultrasound) were determined in a sample of 39 patients diagnosed with central precocious puberty (CPP) who started treatment with leuprolide acetate (LPA). The cross-sectional observational study was developed at the Hospital Nacional de Ninos 'Dr. Carlos Saenz Herrera' during the period 2004 and 2009. The chronological age of patients with CPP was specified at the time of diagnosis and to start treatment with LPA. Epidemiological characteristics (sex, origin) were described in patients with CPP. Bone age with respect to chronological age was identified in patients with CPP. Sexual maturity of patients with CPP was established by the Tanner scale. The hormone levels of estrogen, testosterone, luteinizing hormone and follicle stimulating hormone were specified in patients with CPP. The etiology was determined in patients with CPP treated with LPA. The adverse effects of treatment with LPA were described. Anthropometric measurements were detailed. The heredo-familial antecedents of precocious puberty were established in patients with diagnosis of CPP. The size of the pelvic organs was evaluated by pelvic ultrasound [es

  11. [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.

  12. Hepatitis C as a risk factor for diabetes type 2: lack of evidence in a hospital in central-west Brazil

    Directory of Open Access Journals (Sweden)

    Luce Marina Freires Corrêa da Costa

    Full Text Available In order to assess the importance of HCV infection as a possible risk factor for type 2 diabetes mellitus, a case-control study was conducted, comparing the prevalence of HCV infection among diabetic and non-diabetic patients. Diabetic outpatients attending to a University Hospital in Central-West Brazil were evaluated between April and October 2005. A control group composed by patients from the same institution was matched by gender and age. Candidates to control group were included only if fasting glucose measures were under 100 mg/dL. Diabetics and controls had blood samples taken in order to test for antibodies against HCV (anti-HCV by enzyme-immunoassay. Polymerase chain reaction and immunoblot were performed to confirm the anti-HCV status. Each group included 206 participants. Despite of the groups were in general comparable. The diabetics had a greater body mass average and smaller family income. The prevalence of confirmed anti-HCV in the diabetic group was of 1.4%, which was similar to the controls (1%. Finding statistical difference may have been hampered by the low frequency of HCV infection in both groups. It was not possible to demonstrate a role of HCV as an etiologic factor in type 2 diabetes, since HCV infected patients represented a small portion of the overall diabetes cases. This finding does not allow to recommend regular screening for HCV infection in type 2 diabetics in this region.

  13. 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.

  14. The Prevalence of and Factors Associated with Neck, Shoulder, and Low-Back Pains among Medical Students at University Hospitals in Central Saudi Arabia.

    Science.gov (United States)

    Algarni, Abdulrahman D; Al-Saran, Yazeed; Al-Moawi, Ahlam; Bin Dous, Abdullah; Al-Ahaideb, Abdulaziz; Kachanathu, Shaji John

    2017-01-01

    The study aim was to determine the prevalence of neck, shoulder, and low-back pains and to explore the factors associated with musculoskeletal pain (MSP) among medical students at university hospitals in central Saudi Arabia. This cross-sectional study was conducted at a government institution using an online self-administered, modified version of the Standardised Nordic Questionnaire in the English language. A total of 469 students responded to our survey. The prevalence of MSP in at least one body site at any time, in the past week, and in the past year was 85.3%, 54.4%, and 81.9%, respectively. Factors significantly associated with MSP in at least one body site at any time were being in the clinical year ( P = 0.032), history of trauma ( P   =  0.036), history of depressive symptoms ( P < 0.001), and history of psychosomatic symptoms ( P < 0.001). On multivariable regression analysis, factors associated with MSP were history of trauma ( P = 0.016) and depressive ( P = 0.002) or psychosomatic symptoms ( P = 0.004). MSP among Saudi medical students is high, particularly among those in the clinical years and those with history of trauma and with depressive or psychosomatic symptoms. Medical institutions should be aware of this serious health issue and preventive measures are warranted.

  15. Pre-cambrian geochronology in Rio Grande do Norte, Brazil

    International Nuclear Information System (INIS)

    Galindo, A.C.

    1981-08-01

    The Precambrian region polyciclic caracter, in the Rio Grande do Norte State has make difficulties to its geochronological and geological studies. Four importants tectonometamorphic occurences identified dissimulate the original isotopic composition of the rocks. Is much defined the presence of three geochronological events wich left vestiges in the differents Serido litological units. The first event is related with Jequie cicle (2,7 b.y) and related with the Caico Group rocks. The second important event define the Transamazonic cicle (2.1 b.y). The third is correlated with Brazilian Cicle, when occurred the granitoids and pegmatites bodies formation. This third event was the last in this region and affect the other units too. (C.D.G.) [pt

  16. Corea del Norte: vientos favorables para el cambio

    Directory of Open Access Journals (Sweden)

    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

  17. Abasto del agua en la frontera norte de Tamaulipas

    Directory of Open Access Journals (Sweden)

    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.

  18. 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)

  19. Hospital, en Uazán

    Directory of Open Access Journals (Sweden)

    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.

  20. 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

  1. P02.05 Peripheral Nerve Sheath Tumor Epidemiology in the South Central Hospital of High Specialty from PEMEX in Mexico

    Science.gov (United States)

    Guerra Mora, J.; Cordoba Mosqueda, M.; Hernandez Resendiz, R.; Loya Aguilar, I.; Vicuña Gonzalez, R.; Garcia Gonzalez, U.

    2016-01-01

    Abstract Introduction: The peripheral sheath tumors are part of a large group of neoplasms that range from biologically benign with minimal disorders in life quality to highly malign with life quality deterioration and high mortality. There are subtypes with high prevalence like Schwannomas and some much rarer like the intracranial peripheral nerve sheath tumor which happen to have very bad prognosis. The aim of this study is to describe the epidemiologic and clinical characteristics of patients with peripheral nerve sheat tumors in a hospital of high specialty. Method and materials: Observational study with patients from March 1999 to March 2016 with confirmed diagnosis of peripheral nerve sheath tumor in the electronic files of the South Central Hospital of High Specialty PEMEX. A statistical analysis is made through the SPSS Statistics of the disease in this Institution program. Results: There were 84 patients with the diagnosis of peripheral nerve sheath tumor with a median age of 48.04 years, 65.5% were males, the most common histological type found was the Schwannoma with a 72.6%, followed by senescent Schwannoma 13.1%, neurofibroma 8.3%, and malign peripheral nerve sheath tumor 2.4%. The most frequent location was at the site of cranial nerves, followed by cervical level 27.4%, lumbar 16.7% and thoracic 9.5%. The most common initial symptom was pain in 23.8% of the patients, and the time of the onset of symptoms to the diagnosis was 31.6 months. From the total of patients 8.3% had neurofibromatosis type 1, 6.0% neurofibromatosis type 2. Conclusions: We realized in our series of reported cases that the frequency is similar to those reported in worldwide population; nevertheless the time between the onset of symptoms and the diagnosis is much higher in our cases as well as the population of patients with neurofibromatosis. This study justifies the need of attention quality improvement and the knowledge of this information the medical doctor of first

  2. Proyecto MOP: "Concesión de defensas fluviales y carretera Ribera Norte Río Bío-Bío, sector Chiguayante-Puente Viejo"

    Directory of Open Access Journals (Sweden)

    Roberto Lira Olmo

    2000-08-01

    Full Text Available Como se indica en la Editorial, el tema central a tratar en esta edición es la perspectiva urbana en relación a los "frentes de agua" de la región y de la intercomuna Concepción-Talcahuano; y particularmente uno de los programas más emblemáticos que se están proyectando actualmente en la región: el de "Defensas Fluviales y Carretera Ribera Norte del río Bío-Bío, Chiguayante-Puente Viejo".

  3. Aporte a la geología del Alto de Mogna, al norte de la depresión del Tulum, provincia de San Juan

    OpenAIRE

    J.J. Zambrano; G. Suvires

    2005-01-01

    El Alto de Mogna, elevación estructural situada en la parte central de la provincia de San Juan, entre las provincias geológicas de las Sierras Pampeanas y la Precordillera Oriental, tiene rumbo este-oeste, transversal a las estructuras de las mencionadas cadenas montañosas, y separa dos depresiones tectónicas regionales: el valle del Bermejo, al norte, y la depresión de Tulum, al sur. En esta elevación estructural afloran fallas y pliegues, cuyo rumbo es prácticamente este-oeste, salvo en la...

  4. Point-of-care lactate and creatinine analysis for sick obstetric patients at Queen Elizabeth Central Hospital in Blantyre, Malawi: A feasibility study.

    Science.gov (United States)

    Glasmacher, S A; Bonongwe, P; Stones, W

    2016-03-01

    To achieve good outcomes in critically ill obstetric patients, it is necessary to identify organ dysfunction rapidly so that life-saving interventions can be appropriately commenced. However, timely access to clinical chemistry results is problematic, even in referral institutions, in the sub-Saharan African region. Reliable point-of-care tests licensed for clinical use are now available for lactate and creatinine. We aimed to assess whether implementation of point-of-care testing for lactate and creatinine is feasible in the obstetric unit at the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, by obtaining the opinions of clinical staff on the use of these tests in practice. During a two-month evaluation period nurse-midwives, medical interns, clinical officers, registrars, and consultants were given the opportunity to use StatStrip® and StatSensor® (Nova Biomedical, Waltham, USA) devices, for lactate and creatinine estimation, as part of their routine clinical practice in the obstetric unit. They were subsequently asked to complete a short questionnaire. Thirty-seven questionnaires were returned by participants: 22 from nurse-midwives and the remainder from clinicians. The mean satisfaction score for the devices was 7.6/10 amongst clinicians and 8.0/10 amongst nurse-midwives. The majority of participants stated that the obstetric high dependency unit (HDU) was the most suitable location for the devices. For lactate, 31 participants strongly agreed that testing should be continued and 24 strongly agreed that it would influence patient management. For creatinine, 29 strongly agreed that testing should be continued and 28 strongly agreed that it would influence their patient management. Twenty participants strongly agreed that they trust point-of-care devices. Point-of-care clinical chemistry testing was feasible, practical, and well received by staff, and was considered to have a useful role to play in the clinical care of sick obstetric patients at

  5. P12.01 Epidemiology in spinal tumors treated surgically at the South Central Hospital of High Specialty from PEMEX in Mexico

    Science.gov (United States)

    Hernandez Resendiz, R.; Cordoba Mosqueda, M.; Guerra Mora, J.; Loya Aguilar, I.; Garcia Gonzalez, U.

    2016-01-01

    Abstract Introduction: The spinal tumors are rare neoplasms, they can be primary or metastatic; in the literature they are divided in extradural and intradural, extramedullary and intramedullary, from which extradural tumors are the most frequent and are usually metastatic, the intramedullary are generally gliomas. From the primary tumors up to 78% are benign and 22% malign, the histological stripe and the involvement to the spinal compartments are of great importance for the results and the treatment which is mainly surgical, individualized and meticulously planned with the support of technological resources such as the electrophysiological monitoring during the surgery. Methods and Materials: Observational study with a range of patients from March 1999- March 2016 to whom surgical resection of the spinal tumor was performed and reported on the Electronic Files of the South Central Hospital of High Specialty PEMEX. A Statistical analysis is made with the SPSS Statistic of disease of the Institution program. Results: 23 patients with spinal tumor surgical resection were found. The median age was 53 ± 10 years. The most common clinical manifestation was radiculopathy (65%). The Karnofsky scale was used for initial evaluation where a 43% of patients had a 90 score at the moment of the diagnosis, while 65% had an ECOG 1. The most frequent tumor was the Spinal Shwannoma (39%), followed in prevalence by the Condroid Cordoma (17%), where the intradural extramedullary location was the most prevalent (78%). The medium rate of survival after the surgical procedure was from 11 months. Conclusions: Our cases and the international statistics coincide. Radiculopathy as high prevalence initial manifestation conceals us to dismiss in the sixth decade of life any possibility for spinal tumor presentation. Most of spinal tumor patients do not have any clinical deterioration in their basal state, which indicates that performing a successful surgical procedure and the right

  6. Performance of a Modern Glucose Meter in ICU and General Hospital Inpatients: 3 Years of Real-World Paired Meter and Central Laboratory Results.

    Science.gov (United States)

    Zhang, Ray; Isakow, Warren; Kollef, Marin H; Scott, Mitchell G

    2017-09-01

    Due to accuracy concerns, the Food and Drug Administration issued guidances to manufacturers that resulted in Center for Medicare and Medicaid Services stating that the use of meters in critically ill patients is "off-label" and constitutes "high complexity" testing. This is causing significant workflow problems in ICUs nationally. We wished to determine whether real-world accuracy of modern glucose meters is worse in ICU patients compared with non-ICU inpatients. We reviewed glucose results over the preceding 3 years, comparing results from paired glucose meter and central laboratory tests performed within 60 minutes of each other in ICU versus non-ICU settings. Seven ICU and 30 non-ICU wards at a 1,300-bed academic hospital in the United States. A total of 14,763 general medicine/surgery inpatients and 20,970 ICU inpatients. None. Compared meter results with near simultaneously performed laboratory results from the same patient by applying the 2016 U.S. Food and Drug Administration accuracy criteria, determining mean absolute relative difference and examining where paired results fell within the Parkes consensus error grid zones. A higher percentage of glucose meter results from ICUs than from non-ICUs passed 2016 Food and Drug Administration accuracy criteria (p meter results with laboratory results. At 1 minute, no meter result from ICUs posed dangerous or significant risk by error grid analysis, whereas at 10 minutes, less than 0.1% of ICU meter results did, which was not statistically different from non-ICU results. Real-world accuracy of modern glucose meters is at least as accurate in the ICU setting as in the non-ICU setting at our institution.

  7. 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.

  8. 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

  9. REESTRUTURAÇÃO PRODUTIVA NO RIO GRANDE DO NORTE

    Directory of Open Access Journals (Sweden)

    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.

  10. 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.

  11. Conflictos sindicales en la maquila de la frontera norte

    Directory of Open Access Journals (Sweden)

    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.

  12. específico en la sierra norte de Sevilla

    Directory of Open Access Journals (Sweden)

    Rafael Garzón García

    2008-01-01

    Full Text Available La primera parte del artículo ofrece una visión panorámica de la política de fomento del uso público en la Red de Espacios Naturales Protegidos de Andalucía desde su origen hasta nuestros días, con especial incidencia en cuestiones tales como el papel preponderante asumido por la figura de Parque Natural, el desequilibrio territorial de las intervenciones planteadas, o la necesaria ordenación y planificación de la actividad. Ello conforma el contexto idóneo para abordar, en segunda instancia, un análisis particularizado de la gestión del uso público en el Parque Natural Sierra Norte de Sevilla. La elección de este ámbito territorial se fundamenta tanto en sus especiales condicionantes para el fomento de esta línea de acción (privilegiada situación, existencia de una demanda tradicional asociada a determinados enclaves, propiedad de la tierra… como en la singular gestión desarrollada desde la declaración del parque, destacando las nuevas perspectivas e incertidumbres que parecen despertarse a partir del impulso y aprobación de una planificación específica

  13. 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.

  14. Contrabando en la frontera norte : ¿un problema de seguridad ciudadana? (Tema central)

    OpenAIRE

    Espín M., Johanna

    2011-01-01

    Partiendo de la idea de que el contrabando constituye un problema social para el Ecuador, y más aún en las zonas de frontera, el propósito de este estudio es contribuir, con un primer esfuerzo, hacia una mejor comprensión de este fenómeno. Para esto, a lo largo de este artículo se realiza un breve diagnóstico de carácter cualitativo sobre la dinámica del contrabando en el país. En el mismo se analiza algunos de los principales actores involucrados, las lógicas del contrabando, los métodos em...

  15. Hydrocarbon source apportionment for the 1996 Paso del Norte Ozone Study.

    Science.gov (United States)

    Fujita, E M

    2001-08-10

    The 1996 Paso del Norte (PdN) ozone study was conducted to improve current understanding of the significant meteorological and air quality processes that lead to high concentrations of ozone in El Paso, Texas (USA) and Ciudad Juárez, Chihuahua (Mexico). Two-hour canister samples were collected five times daily at 05.00-07.00 h, 07.00-09.00 h, 09.00-11.00 h, 11.00-13.00 h, and 15.00-17.00 h MST during intensive study periods at one urban and one rural site on each side of the border. An automated gas chromatograph was operated at one site in central El Paso. Source profiles (the fractional chemical composition of emissions) from motor vehicles, gasoline, liquefied petroleum gas, and commercial natural gas were combined with source profiles from other studies for input to the Chemical Mass Balance (CMB) receptor model to apportion the measured non-methane hydrocarbons (NMHC) to sources. On-road vehicle emissions accounted for one-half to two-thirds of the NMHC in Ciudad Juárez and El Paso with the highest contributions occurring during the morning and afternoon commute periods. Emissions from diesel exhaust contributed approximately 2-3% of NMHC in Ciudad Juárez and less than 2% in El Paso. The average sum of liquid gasoline and gasoline vapor increased during the day in Ciudad Juárez from 2% at 06.00 h to approximately 12% at 16.00 h. Diurnal and day-of-the-week patterns in the liquid gasoline contributions are essentially identical to the corresponding patterns for motor vehicle exhaust, which suggest that a large fraction of the liquid gasoline contribution may be associated with tailpipe emissions rather than evaporative emissions from motor vehicles or industrial sources. Including the sum of the two sources put the upper limit for tailpipe contributions at 60-70% of NMHC.

  16. Hydrocarbon source apportionment for the 1996 Paso del Norte Ozone Study

    Energy Technology Data Exchange (ETDEWEB)

    Fujita, E.M. [Desert Research Institute, 2215 Raggio Parkway, Reno, NV 89506-0220 (United States)

    2001-08-10

    The 1996 Paso del Norte (PdN) ozone study was conducted to improve current understanding of the significant meteorological and air quality processes that lead to high concentrations of ozone in El Paso, Texas (USA) and Ciudad Juarez, Chihuahua (Mexico). Two-hour canister samples were collected five times daily at 05.00-07.00 h, 07.00-09.00 h, 09.00-11.00 h, 11.00-13.00 h, and 15.00-17.00 h MST during intensive study periods at one urban and one rural site on each side of the border. An automated gas chromatograph was operated at one site in central El Paso. Source profiles (the fractional chemical composition of emissions) from motor vehicles, gasoline, liquefied petroleum gas, and commercial natural gas were combined with source profiles from other studies for input to the Chemical Mass Balance (CMB) receptor model to apportion the measured non-methane hydrocarbons (NMHC) to sources. On-road vehicle emissions accounted for one-half to two-thirds of the NMHC in Ciudad Juarez and El Paso with the highest contributions occurring during the morning and afternoon commute periods. Emissions from diesel exhaust contributed approximately 2-3% of NMHC in Ciudad Juarez and less than 2% in El Paso. The average sum of liquid gasoline and gasoline vapor increased during the day in Ciudad Juarez from 2% at 06.00 h to approximately 12% at 16.00 h. Diurnal and day-of-the-week patterns in the liquid gasoline contributions are essentially identical to the corresponding patterns for motor vehicle exhaust, which suggest that a large fraction of the liquid gasoline contribution may be associated with tailpipe emissions rather than evaporative emissions from motor vehicles or industrial sources. Including the sum of the two sources put the upper limit for tailpipe contributions at 60-70% of NMHC.

  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. RESCUE OF Cucurbita spp. GERMPLASM IN RIO GRANDE DO NORTE

    Directory of Open Access Journals (Sweden)

    GRACE KELLY LEITE DE LIMA

    2016-01-01

    Full Text Available Com objetivo de resgatar germoplasma de Cucurbita spp. da agricultura familiar do estado do Rio Grande do Norte, quantificar a variabilidade fenotípica e identificar as principais espécies cultivadas, foram organizadas 17 expedições para coleta de acessos, nos municípios de Baraúna, Rio do Fogo e Touros (principais fornecedores de frutos para o comercio estadual e de mais oito municípios de diferentes microrregiões do Estado (Apodi, Caraúbas, Ceará Mirim, Cerro Corá, Currais Novos, João Câmara, Lagoa Nova e Macaíba. Cada acesso coletado foi composto por um fruto ou aproximadamente vinte sementes fornecidas pelo próprio agricultor. Todos os acessos foram identificados quanto à espécie botânica e realizados os procedimentos de acondicionamento, identificação e armazenamento das sementes em câmara fria para preservação do material. Uma amostra dos acessos coletados como frutos e uma pequena parte dos acessos obtidos como sementes da espécie C. moschata foram multiplicados usando-se autofecundação das plantas. Plantas e frutos foram caracterizados preliminarmente com auxílio de descritores morfológicos. Resgatou-se acessos em todos os municípios visitados, sendo 112 de C. moschata e 50 de C. maxima. Verificou-se predominância do cultivo da espécie C. moschata bem como constatou-se grande variabilidade para vários descritores de planta e fruto nos acessos que foram caracterizados.

  19. Evaluation of the coal properties of Norte de Santander

    International Nuclear Information System (INIS)

    1987-07-01

    The Project Characterization of Coal of Norte de Santander, concluded in the second semester of 1986 with the presentation of the 4 final reports of the participant entities: Universidad Nacional de Colombia - Bogota, Universidad Francisco de Paula Santander, Instituto de Investigaciones Technologicas (I.I.T.), and Instituto de Investigaciones geologico Mineras - INGEOMINAS. In each Institution some common aspects were worked - analytic part and other specific topics, that which believes the necessity to develop a study that unified the parts worked jointly with the elaboration of a new chart of data, and it allowed this way to assemble the analytic base with the studies of some technological properties and of benefit. Initially it is made a summary of the most excellent aspects in the Geology, mining and Commercialization of the Coal of the department and later on with reference to all the available analytic information, new data were obtained with base in averages among Institutions, checkups of differing results, correlate and discard of rusty samples. For the chemical and physicochemical analyses, the plastic properties, the petrographic results, the chemical analysis of the ashes, they were made statistical and correlative new treatment discriminating against the different sectors and formations inside the area (the Formation Catatumbo was excepted). For the analyses more used as range indicators and others of quality were carried out three-dimensional graphic that summarize in a visual form the variation of the parameter through the study area and the sectors inside this being obtained the iso-values curves equally. The study of some properties of the coal related with technological processes like coking, liquefaction and of benefit they supplement the analytic characterization being able to obtain several practical conclusions as for the use of these coal and remarking some concrete problems to solve with the objective of improving the quality of the

  20. Evaluation of the coal properties of Norte de Santander; Evaluacion de las propiedades de los carbones de Norte de Santander

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1987-07-01

    The Project Characterization of Coal of Norte de Santander, concluded in the second semester of 1986 with the presentation of the 4 final reports of the participant entities: Universidad Nacional de Colombia - Bogota, Universidad Francisco de Paula Santander, Instituto de Investigaciones Technologicas (I.I.T.), and Instituto de Investigaciones geologico Mineras - INGEOMINAS. In each Institution some common aspects were worked - analytic part and other specific topics, that which believes the necessity to develop a study that unified the parts worked jointly with the elaboration of a new chart of data, and it allowed this way to assemble the analytic base with the studies of some technological properties and of benefit. Initially it is made a summary of the most excellent aspects in the Geology, mining and Commercialization of the Coal of the department and later on with reference to all the available analytic information, new data were obtained with base in averages among Institutions, checkups of differing results, correlate and discard of rusty samples. For the chemical and physicochemical analyses, the plastic properties, the petrographic results, the chemical analysis of the ashes, they were made statistical and correlative new treatment discriminating against the different sectors and formations inside the area (the Formation Catatumbo was excepted). For the analyses more used as range indicators and others of quality were carried out three-dimensional graphic that summarize in a visual form the variation of the parameter through the study area and the sectors inside this being obtained the iso-values curves equally. The study of some properties of the coal related with technological processes like coking, liquefaction and of benefit they supplement the analytic characterization being able to obtain several practical conclusions as for the use of these coal and remarking some concrete problems to solve with the objective of improving the quality of the

  1. Demanda y distribución de agua en el norte de Sinaloa.

    OpenAIRE

    Torres Sombra, Jesús

    2013-01-01

    La disminución de los niveles de almacenamiento de agua en las presas de la región norte de Sinaloa y el incremento en su demanda para uso agrícola y residencial hacen urgente establecer políticas que promuevan la distribución y uso eficiente. Para conocer los factores que explican el comportamiento de la demanda de agua en los sectores residencial, agrícola, pecuario, industrial y comercial del norte de Sinaloa, México, se estimó un modelo de ecuaciones simultáneas, compuesto de diez ecuaci...

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

    OpenAIRE

    Jorge Enrique Rodríguez Guevara

    2013-01-01

    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...

  3. 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

  4. 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

  5. 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

  6. Propuesta de implementación de una guía de procedimientos para mejorar la eficiencia en los procesos de la Central de Esterilización del Hospital "Dr. Teodoro Maldonado Carbo" de la ciudad de Guayaquil.

    OpenAIRE

    Payez Freire, Eva Cristina

    2015-01-01

    La presente investigación se desarrolló en la central de esterilización del Hospital Teodoro Maldonado Carbo de la ciudad de Guayaquil, perteneciente al Instituto Ecuatoriano de Seguridad Social, con la finalidad de evaluar el nivel de aplicación de los procedimientos obligatorios de esterilización y su relación con el nivel de eficiencia en los resultados obtenidos. Para el logro de los objetivos planteados se desarrolló una investigación de campo aplicando encuestas y entrevistas al...

  7. Turismo y arquitectura moderna en el reconocimiento de los territorios desérticos del norte de Chile: El Consorcio Hotelero Nacional y Honsa

    Directory of Open Access Journals (Sweden)

    Claudio Galeno-Ibaceta

    2013-12-01

    Full Text Available La modernidad arquitectónica del norte chileno ha sido un tema poco investigado, y menos aún han sido los estudios sobre la revaloración de su paisaje como destino turístico. Hasta el momento las publicaciones que se ha realizado se han centrado más bien en el paisaje de la zona central y del sur del Chile. Por lo tanto indagar en las relaciones entre arquitectura moderna, paisaje desértico y cultura del turismo permite detenerse sobre iniciativas que desencadenaron obras de interés en su mayoría asentadas en el borde marítimo del desierto. Una serie de sucesos principian el proceso, por ejemplo en 1944 fue fundado el Consorcio Hotelero, que declaró su voluntad de construir hoteles en el norte chileno y desde fines de los años 50, el Consorcio y la Organización Nacional Hotelera fueron anexados a la Hotelera Nacional S.A. (HONSA.

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

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    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.

  9. 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.

  10. Delay in presentation to the hospital and factors affecting it in breast cancer patients attending tertiary care center in Central India.

    Science.gov (United States)

    Thakur, N A; Humne, A Y; Godale, L B

    2015-01-01

    Despite lower incidence of breast cancer in India, the total number of cases and the net mortality is high. To reduce this increasing load of mortality due to breast cancer we need to lay emphasis on early detection and increased use of systemic therapy. Early detection itself depends on early presentation to a health facility; thus, it is important to identify factors affecting delay in a presentation to hospital. To study the clinico-social profile of breast carcinoma patients attending a tertiary care hospital and to study the time lag since detection of lump by women and presentation to the hospital and factors affecting them. A total of 120 primary breast cancer patients visiting a tertiary care hospital over a period of 7 months (August 2010 to February 2011) were taken up for study. A detailed retrospective analysis of patients was done according to planned proforma. Maximum study subjects were in the age group of 41-50 years. Right and left breasts were equally affected. The most common histo-pathological type of breast carcinoma observed was invasive ductal carcinoma (NOS) in 105 (87.50%) cases. Majority of the cases were in stage III or stage II. The median time lag self-detection of lump in the breast by women and presentation to the hospital was 6 months. Women living in a rural area, those with lower socio-economic status and those with older age tend to assess health-care late. Carcinoma of the breast is a common cancer affecting young to middle age group with invasive ductal carcinoma being the most common histological type. Delay in presentation and late stage presentation is a major concern. Hence, proper awareness and screening programmers are needed to identify, inform and educate these categories of women.

  11. 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

  12. Monocyclic supracrustals at far west of Rio Grande do Norte, in Brazil

    International Nuclear Information System (INIS)

    Sa, E.F.J. de; Macedo, M.H.F.; Sa, J.M.

    1986-01-01

    A geochronological study of supracrustals and intrusive rocks from Rio Grande do Norte, in Brazil, is presented. Leucogranites and felsic metavolcanics were dated by Rb-Sr method. A summary of geologic relationship is given to supply the geochronological interpretation. (M.C.K.) [pt

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

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    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.

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

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    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.

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

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    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.

  16. Assessment of seasonal influenza vaccine effectiveness in patients from a central Italy reference hospital: pitfalls and intricacies from a pilot case-control study

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    Katleen de Gaetano Donati

    2014-07-01

    Full Text Available Objectives: Influenza vaccination protects high-risk populations from severe outcomes. We assessed the feasibility of testing influenza vaccine effectiveness against hospitalization with laboratory-confirmed influenza.Methods: All hospitalized patients with influenza-like illness within 14 days, were swabbed. Cases were positive at RT-PCR for influenza A/B. Results: AtRome “GemelliHospital” (Season 2011-2012 104 patients were contacted and 62 recruited. Considering total sample and target group (n= 47, 76%, only 29% and 38% had been vaccinated. Eighteen patients were laboratory-confirmed for influenza.Conclusions: RecruitedILI patients and prevalence of vaccinated subjects were less than expected. Larger numbers are warranted to study vaccine effectiveness against severe influenza outcomes.  

  17. Delay in presentation to the hospital and factors affecting it in breast cancer patients attending tertiary care center in Central India

    OpenAIRE

    N A Thakur; A Y Humne; L B Godale

    2015-01-01

    Introduction: Despite lower incidence of breast cancer in India, the total number of cases and the net mortality is high. To reduce this increasing load of mortality due to breast cancer we need to lay emphasis on early detection and increased use of systemic therapy. Early detection itself depends on early presentation to a health facility; thus, it is important to identify factors affecting delay in a presentation to hospital.Aim And Objectives: To study the clinico-social profile of breast...

  18. Prevalência de hemoglobinas anormais em recém-nascidos da cidade de Natal, Rio Grande do Norte, Brasil Prevalence of abnormal hemoglobins in newborns in Natal, Rio Grande do Norte, Brazil

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    Maria Cristina Pignataro Emerenciano de Araújo

    2004-02-01

    Full Text Available As hemoglobinopatias estão incluídas dentre as doenças hereditárias mais freqüentes nas populações humanas. Estudos realizados em diferentes regiões do Brasil têm demonstrado que as hemoglobinas anormais S e C são as mais prevalentes. Com o objetivo de investigar a prevalência de hemoglobinas anormais no período neonatal, foram analisadas 1.940 amostras de sangue de cordão umbilical provenientes de recém-nascidos de três maternidades da cidade de Natal, Rio Grande do Norte. Todas as amostras foram submetidas à eletroforese de hemoglobina em acetato de celulose utilizando tampão Tris-EDTA-Borato pH 8,5. As amostras que apresentaram hemoglobinas anormais foram submetidas à eletroforese em gel de ágar pH 6,2 para confirmação. Foram identificadas 37 (1,91% amostras com hemoglobinas anormais, das quais 29 (1,50% com traço falciforme (Hb FAS, 06 (0,31 % com Hb C, uma (0,05 % com anemia falciforme (Hb FS e uma (0,05 % apresentou Hb Bart's, sugerindo alfa talassemia. Os resultados encontrados evidenciam a necessidade de implantação da triagem de hemoglobinopatias em recém-nascidos na nossa população.Hemoglobinopathies are among the most prevalent hereditary diseases in humans. Studies in different areas of Brazil have identified the prevalence of S and C abnormal hemoglobins. The study analyzed 1,940 cord blood samples of newborns from maternity hospitals in Natal, Rio Grande do Norte State, to investigate the prevalence of abnormal hemoglobins. All samples were submitted to cellulose acetate electrophoresis using a Tris-EDTA-borate buffer at pH 8.5. Electrophoresis in agar gel pH 6.2 was performed on samples presenting abnormal hemoglobin. Some 37 (1.91% of the newborns presented hemoglobinopathies, as follows: 29 (1.50% sickle cell trait (Hb FAS, 6 (0.31% heterozygous Hb C (Hb FAC, one (0.05% homozygous Hb S (Hb FS, and one (0.05% Hb Barts suggestive of alpha thalassemia. The results show the need to implement screening for

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

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    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.

  20. Visita interprofissional da cardiologia: uma estratégia de educação interprofissional na área da saúde na Universidade Federal do Rio Grande do Norte

    OpenAIRE

    Paula, Carla Suely Souza de

    2015-01-01

    A educação interprofissional ainda representa um grande desafio para a educação em saúde. O objetivo deste estudo foi implementar a Visita Interprofissional da Cardiologia (VIC) como estratégia de ensino da educação interprofissional na graduação e pós-graduação da Universidade Federal do Rio grande do Norte (UFRN). Trata-se de um estudo tipo pesquisa-ação, exploratório, prospectivo realizado de março de 2013 a novembro de 2014, no Serviço de Cardiologia do Hospital Universi...

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

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    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.

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

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    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.

  3. Central Diabetes Insipidus, Central Hypothyroidism, Renal Tubular ...

    African Journals Online (AJOL)

    readmitted to the hospital because of jaundice and failure to thrive, for which he was investigated and diagnosed to have central congenital hypothyroidism. Shortly thereafter, he was admitted to our institute with a history of vomiting, decreased oral intake, polyuria, and dehydration having lasted 5 days. He was investigated ...

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

    Science.gov (United States)

    Khandekar, Rajiv; Al Hassan, Arif; Al Dhibi, Hassan; Al Bahlal, Abdullah; Al-Futais, Muneera

    2015-01-01

    Background: To estimate the magnitude and determinants of diabetic retinopathy (DR) among persons with diabetes registered at the employee health department of King Khaled Eye Specialist Hospital (KKESH). Methods: A retrospective review of medical records was conducted in 2013–14 at KKESH. The case record review extracted demographic, profile of diabetes, diabetic complications, and different blood indices to determine the status of potential risk factors. Ocular profile, especially DR was also noted. Results: Our cohort had 94 staff with diabetes. Eye examination was carried out in 51 (54.8%) of them. The rate of DR was 52% (95% confidence interval (CI) 28–66). Sight-threatening diabetic retinopathy (STDR) (proliferative DR and/or diabetic macular edema) was present in 40% of those examined. Good glycemic control was noted in 42% of participants. Duration of diabetes was associated with DR (P = 0.04). Good glycemic control was negatively associated to DR (odds ratio = 0.2 [95% CI 0.04–0.6]). The coverage of eye screening was 55% only. Laser treatment was given to 80% of STDR cases. The lens opacity and glaucoma rate was 15% and 8.3%, respectively. 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. PMID:26903721

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

    Science.gov (United States)

    Khandekar, Rajiv; Al Hassan, Arif; Al Dhibi, Hassan; Al Bahlal, Abdullah; Al-Futais, Muneera

    2015-01-01

    To estimate the magnitude and determinants of diabetic retinopathy (DR) among persons with diabetes registered at the employee health department of King Khaled Eye Specialist Hospital (KKESH). A retrospective review of medical records was conducted in 2013-14 at KKESH. The case record review extracted demographic, profile of diabetes, diabetic complications, and different blood indices to determine the status of potential risk factors. Ocular profile, especially DR was also noted. Our cohort had 94 staff with diabetes. Eye examination was carried out in 51 (54.8%) of them. The rate of DR was 52% (95% confidence interval (CI) 28-66). Sight-threatening diabetic retinopathy (STDR) (proliferative DR and/or diabetic macular edema) was present in 40% of those examined. Good glycemic control was noted in 42% of participants. Duration of diabetes was associated with DR (P = 0.04). Good glycemic control was negatively associated to DR (odds ratio = 0.2 [95% CI 0.04-0.6]). The coverage of eye screening was 55% only. Laser treatment was given to 80% of STDR cases. The lens opacity and glaucoma rate was 15% and 8.3%, respectively. 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.

  6. 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.

  7. APLICACIONES DE LA TELEDETECCIÓN AL LEVANTAMIENTO DEL USO DE LA TIERRA EN LA ZONA CAFETALERA NORTE DE LA CIUDAD DE ALAJUELA, COSTA RICA

    OpenAIRE

    Hernández Z., Eduardo

    2011-01-01

    El presente es un trabajo de aplicación de la teledetección con el apoyo de la cartografía topográfica y de las fotografías aéreas para el levantamiento del uso del suelo en la zona cafetalera norte de la ciudad de Alajuela, Costa Rica.  La zona de estudio está situada en el Valle Central de Costa Rica.  Se trata de una zona agrícola destinada al cultivo del café, de la caña de azúcar, de pastos extensivos e intensivos y a la horticultura.  Las partes altas de montañas y cañones de ríos son c...

  8. O Código Filipino, as Normas Camarárias e o comércio: mecanismo de vigilância e regulamentação comercial na Capitania do Rio Grande do Norte

    OpenAIRE

    Dias,Thiago Alves

    2014-01-01

    O artigo propõe apresentar algumas considerações acerca das normas metropolitanas encetadas pelo Código Filipino e sua relação com a atuação do poder local municipal representado pelas Câmaras, notadamente, nos aspectos relacionados à vigilância e à regulamentação das práticas comerciais cotidianas. Partindo dos registros das Câmaras Municipais da Capitania do Rio Grande do Norte, evidenciamos a relação entre poder central e poderes locais com base nas normas, na vigilância e na regulamentaçã...

  9. Comparação entre os modelos norte-americano (ACSI) e europeu (ECSI) de satisfação do cliente: um estudo no setor de serviços

    OpenAIRE

    Lopes, Humberto Elias Garcia; Pereira, Camila Cristina de Paula; Vieira, Ana Flávia Santos

    2009-01-01

    O objetivo central deste trabalho é comparar os modelos norte-americano (ACSI) e europeu (ECSI) de satisfação do cliente, preservando as relações estruturais entre as variáveis latentes tal como originalmente estabelecidas. Para tanto, optou-se por uma abordagem quantitativa, centrada na modelagem de equações estruturais por meio da análise fatorial confirmatória. Foram pesquisados 2.145 clientes de empresas do setor de serviços, atuantes no Estado de Minas Gerais. Os principais resultados in...

  10. FREQUÊNCIA DE OCORRÊNCIA E CARACTERÍSTICAS MORFOLÓGICAS EXTERNOS DE PEIXES MARINHOS DE CAIÇARA DO NORTE, RIO GRANDE DO NORTE, BRASIL

    Directory of Open Access Journals (Sweden)

    Marcelo Moreira Carvalho

    2014-08-01

    Full Text Available O litoral de Caiçara do Norte é considerado uma área de maior produção pesqueira artesanal do Rio Grande do Norte, Brasil. O objetivo deste estudo foi verificar a frequência de ocorrência, as características morfológicos externos de peixes marinhos de Caiçara do Norte, RN. Durante o período de julho de 2012 a agosto de 2013, foi registrada a ocorrência de cinco ordens (Beloniformes, Clupeiformes, Mugiliformes, Perciformes, Siluriformes, 13 famílias (Ariidae, Exocoetidae, Carangidae, Clupeidae, Coryphaenidae, Haemulidae, Hemiramphidae, Istiophoridae, Lutjanidae, Mugilidae, Sparidae, Serranidae,  Scombridae e 29 espécies de peixes marinhos. Os resultados do presente trabalho podem enriquecer o conhecimento da ictiofauna das águas costeiras de Caiçara do Norte, além de fornecer informações para o futuro planejamento da gestão e conservação dos recursos pesqueiros do litoral do Rio Grande do Norte, Brasil. Palavras chave: Águas costeiras; pesca artesanal; recursos pesqueiros; litoral norte do RN. DOI: http://dx.doi.org/10.18561/2179-5746/biotaamazonia.v4n2p55-63

  11. Outbreak by ventilator-associated ST11 K. pneumoniae with co-production of CTX-M-24 and KPC-2 in SICU of a tertiary teaching hospital in central China

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    Longhua Hu

    2016-08-01

    Full Text Available The emergence of carbapenem-resistant Klebsiella pneumoniae (CRKP often responsible for numerous hospital-associated outbreaks has become an important public health problem. From January 2013 to February 2014, a total of 41 non-duplicate K. pneumoniae isolates with carbapenem resistance, were collected at a tertiary teaching hospital in Nanchang, central China. Among 41 K. pneumoniae isolates, 28 were isolated from hospitalized patients including 19 from the patients in surgery intensive care unit (SICU and 13 were isolated from ventilators. Twenty-four of 28 patients infected by CRKP have been submitted to mechanical ventilation using ventilator. More than 95% of the CRKP isolates were resistant to 13 antimicrobials tested.All CRKP isolates were confirmed as carbapenemase producer and were positive for blaKPC-2, with one positive for both blaKPC-2 and blaNDM-1. All carbapenemase-producing isolates harbored at least one of extended spectrum βlactamase genes tested, among which95.1% (39/41 of the tested isolates were found to harbor both blaCTX-M-24 and blaKPC-2, Of note, one isolate harbored simultaneously two carbapenemase genes (blaKPC-2 and blaNDM-1 and two ESBL genes (blaCTX-M-3 and blaTEM-104 . To the best of our knowledge, coexistence of blaKPC-2 and blaCTX-M-24 in one isolate is first reported. MLST results showed that 41 CRKP isolates belonged to 4 sequence types (STs including ST11, novel ST1854, novel ST1855 and ST1224. PFGE results displayed 3 PFGE clusters. Thirty-eight ST11 CRKP isolates (92.7%, 38/41 including all 13 isolates from ventilators and 25 isolates from patients from 7 wards (18 from是ICU belonged to same PFGE cluster, indicating these isolates were clonally related. Fifteen isolates have an identical undistinguished pattern (100% similarity forming a single clonal population. Moreover, this clone was exclusively linked to the cases attended in SICU and linked to the Ventilators. Additionally, the other SICU cases were

  12. Knowledge, attitude and practice about breast cancer and breast self-examination among women seeking out-patient care in a teaching hospital in central India.

    Science.gov (United States)

    Siddharth, Rao; Gupta, D; Narang, R; Singh, P

    2016-01-01

    Breast cancer (BC) continues to be a major cause of morbidity and mortality throughout the world. Early detection of BC and early treatment increases the chance of survival. According to Breast Health Global Initiative guidelines for low and middle income countries, diagnosing BCs early by promoting breast self-awareness; clinical breast examination (CBE) and resource adapted mammographic screening will reduce BC mortality. There is a paucity of data on the knowledge and awareness of BC and self-breast examination in India. We designed this hospital based cross sectional descriptive study to evaluate the current status of knowledge, awareness and practices related to BC and breast self-examination in the female rural population attending a teaching hospital. We did a random sampling to identify and enroll 360 women and their female relatives. We excluded a participant from the study if she had already undergone a screening mammography or had had a BC. The data was collected by a self-administered questionnaire in vernacular language. Our study population included 360 women with a mean age of 45.81 (±10.9) years. Only 5 (1.38%) females had a family history of BC. A whopping 81% of women did not have any knowledge about BC. All the women thought that CBE by doctors was the only way for screening BC. We concluded that with the results of this study, it is imperative to increase awareness about BC and its detection methods in the community through health education campaigns. We should have major policy changes to increase future screening programs and health education programs which would have an overall positive impact on reducing the disease burden.

  13. Knowledge of the mothers of hospitalized children in a university hospital regarding diarrhea

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    Ana Paula do Rego

    2014-04-01

    Full Text Available This qualitative research aimed at identifying the knowledge of the mothers regarding diarrhea. It was conducted with eight mothers of hospitalized children in a university hospital located in Santa Cruz, Rio Grande do Norte, Brazil, in 2012. Data were collected through open interviews and the analysis was based on Bardin. The categories emerging from the analysis were: understanding diarrhea and preventing/treating diarrhea. Regarding the understanding of diarrhea, mothers conceptualize and understand it from the symptoms, habits/eating mistakes and/or cultural beliefs. Concerning the prevention and treatment of the disease, the mothers highlight hygiene and home cleaning as preventive measures, as well the importance of home and hospital care measures. The interviewees have basic knowledge of pathology, further studies are necessary in order to define the current gap between the knowledge of mothers and recurrence of diarrhea cases, resulting in hospitalization and expenses with unnecessary treatment.

  14. Effect of Intravitreal Injection of Bevacizumab on Acute Central Serous Chorioretinopathy Patients who Visited Feiz Hospital during 2014–2015 Period

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    Mohamad Reza Akhlaghi

    2017-01-01

    Full Text Available Background: Aim of this clinical trial is the evaluation of the effect of intravitreal injection of bevacizumab on acute central serous chorioretinopathy (CSC. Materials and Methods: In a nonrandomized clinical trial, 36 CSC eyes (with <1-month disease history were examined. Initially, all the patients underwent posterior and anterior segment examinations as well as complete eye examination to evaluate the best spectacle-corrected visual acuity (BSCVA. Then, optical coherence tomography was performed to confirm the diagnosis. The patients were divided to the two groups each of 18 subjects, which 18 patients received intravitreal injection of bevacizumab (1.25 mg and the rest of them did not receive any treatment (control group. The patients were health checked by the end of the 1st and 3rd months. Significance level was considered as P < 0.05. Results: In the BSCVA, no significant difference in visual improvement was observed in baseline vision compared to each other (P = 0.481. There was also no significant difference in the vision of intervention and control groups 1 and 3 months after injection (P = 0.379 and P = 0.557. A significant decrement existed in the intervention group compared with the control group in the maximum central macular thickness at 1 month after injection (P = 0.001; however, the difference was not significant when comparing the two groups at baseline and 3 months after injection (P = 0.925 and P = 0.338. Conclusion: In general, according to the results of this study, intravitreal injection of bevacizumab was not effective in improvement of patients with acute CSC, although it had no side effects.

  15. Effect of Intravitreal Injection of Bevacizumab on Acute Central Serous Chorioretinopathy Patients Who Visited Feiz Hospital during 2014–2015 Period

    Science.gov (United States)

    Akhlaghi, Mohamad Reza; Nasrollahi, Cobra; Namgar, Seyed Mohamad; Kianersi, Farzan; Dehghani, Ali Reza; Arefpour, Reza

    2017-01-01

    Background: Aim of this clinical trial is the evaluation of the effect of intravitreal injection of bevacizumab on acute central serous chorioretinopathy (CSC). Materials and Methods: In a nonrandomized clinical trial, 36 CSC eyes (with the patients underwent posterior and anterior segment examinations as well as complete eye examination to evaluate the best spectacle-corrected visual acuity (BSCVA). Then, optical coherence tomography was performed to confirm the diagnosis. The patients were divided to the two groups each of 18 subjects, which 18 patients received intravitreal injection of bevacizumab (1.25 mg) and the rest of them did not receive any treatment (control group). The patients were health checked by the end of the 1st and 3rd months. Significance level was considered as P the BSCVA, no significant difference in visual improvement was observed in baseline vision compared to each other (P = 0.481). There was also no significant difference in the vision of intervention and control groups 1 and 3 months after injection (P = 0.379 and P = 0.557). A significant decrement existed in the intervention group compared with the control group in the maximum central macular thickness at 1 month after injection (P = 0.001); however, the difference was not significant when comparing the two groups at baseline and 3 months after injection (P = 0.925 and P = 0.338). Conclusion: In general, according to the results of this study, intravitreal injection of bevacizumab was not effective in improvement of patients with acute CSC, although it had no side effects. PMID:29142888

  16. Rate and time to develop first central line-associated bloodstream infections when comparing open and closed infusion containers in a Brazilian Hospital

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    Margarete Vilins

    Full Text Available The objective of the study was to determine the effect of switching from an open (glass or semi-rigid plastic infusion container to a closed, fully collapsible plastic infusion container (Viaflex® on rate and time to onset of central lineassociated bloodstream infections (CLABSI. An open-label, prospective cohort, active healthcare-associated infection surveillance, sequential study was conducted in three intensive care units in Brazil. The CLABSI rate using open infusion containers was compared to the rate using a closed infusion container. Probability of acquiring CLABSI was assessed over time and compared between open and closed infusion container periods; three-day intervals were examined. A total of 1125 adult ICU patients were enrolled. CLABSI rate was significantly higher during the open compared with the closed infusion container period (6.5 versus 3.2 CLABSI/1000 CL days; RR=0.49, 95%CI=0.26- 0.95, p=0.031. During the closed infusion container period, the probability of acquiring a CLABSI remained relatively constant along the time of central line use (0.8% Days 2-4 to 0.7% Days 11-13 but increased in the open infusion container period (1.5% Days 2-4 to 2.3% Days 11-13. Combined across all time intervals, the chance of a patient acquiring a CLABSI was significantly lower (55% in the closed infusion container period (Cox proportional hazard ratio 0.45, p= 0.019. CLABSIs can be reduced with the use of full barrier precautions, education, and performance feedback. Our results show that switching from an open to a closed infusion container may further reduce CLABSI rate as well as delay the onset of CLABSIs. Closed infusion containers significantly reduced CLABSI rate and the probability of acquiring CLABSI.

  17. 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.

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

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    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.

  19. Especies bentónicas de Opisthobranchia (Mollusca: Gastropoda presentes en el litoral del norte peruano

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    Katia Nakamura

    2013-05-01

    Full Text Available El presente trabajo muestra las especies bentónicas de Opisthobranchia registradas para el norte del Perú. El trabajo se basa en la recopilación de la literatura científica disponible para el área de interés. Se presentan las 17 especies reportadas para dicha zona, clasificadas dentro del Grupo Informal Opisthobranchia en 6 clados, 12 familias y 14 géneros. A pesar del alto potencial de diversidad que se le otorga a la costa norte peruana, el número de especies registradas es bajo, debido principalmente al escaso número de exploraciones e investigaciones realizadas.

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

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    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.

  1. Pensando el “diálogo académico” norte/sur

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    Chris Krueger

    2011-11-01

    Full Text Available Este trabajo aborda la compleja relación entre las instituciones norteamericanas dedicadas a la producción de conocimiento sobre Bolivia y sus homólogas bolivianas, destacando el hecho de que hoy día en Bolivia no sólo existe una inmensa riqueza intelectual plenamente establecida, sino también un escenario de conocimientos emergentes cuyas  reflexiones y desafíos ameritan una difusión a gran escala en el norte.  Autorizar en el norte el potecial teórico de los debates generados en Bolivia haría más dinámico y responsable el conocimiento que el norte produce sobre Bolivia. Inversamente, se discutirá también la importancia de que en Bolivia se inicien estudios conducentes a dimensionar la complejidad de las instituciones y sociedades del norte, que no son ni homogéneas ni estáticas, menos aún automáticamente reproductoras del imperialismo.This work approaches the complex relation between North American institutions dedicated to the production of knowledge on Bolivia and its homologous Bolivians, emphasizing the fact that nowadays in Bolivia not only an immense intellectual wealth totally established exists, but also a field of emergent knowledge whose reflections and challenges deserve a diffusion in the north. To authorize in the north the theoretical potecial of the debates generated in Bolivia would make the knowledge produced on Bolivia a lot more dynamic and responsible. Inversely, I will also  discuss the importance to initiate in Bolivia studies that will lead to understand the complexity of the institutions and societies of the north, that are not neither homogenous nor static, less still automatically reproductive of imperialism. 

  2. 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

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

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    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.

  4. Economía y Empresa en el Norte de España [book review

    OpenAIRE

    Houpt, Stefan

    1996-01-01

    Este artículo reseña: MARTÍN ACEÑA Pablo y GÁRATE OJANGUREN, Montserrat (eds). Economía y Empresa en el Norte de España : una aproximación histórica, San Sebastián. Cuadernos de Economía y Empresa, Sección Historia, 1994, 386 pp.

  5. EFFECT OF EDUCATIONAL INTERVENTION MEASURES ON KNOWLEDGE ABOUT RABIES AND ITS PREVENTIVE MEASURES AMONG FINAL YEAR NURSING STUDENTS OF A TERTIARY CARE HOSPITAL IN CENTRAL INDIA

    Directory of Open Access Journals (Sweden)

    Sanjay Dixit

    2012-03-01

    Full Text Available Background: Rabies continues to be a major public health challenge with around 55,000 deaths every year. Amongst the health care providers nursing personnel are often the first point of contact and hence need to be well trained in the management of rabies cases. Methods: The present study was an educational intervention study conducted among 100 final year nursing students of a Medical College Hospital to assess the knowledge regarding rabies and its transmission, first aid measures undertaken, and pre and post exposure prophylaxis measures employed to prevent the infection. Results: 66% of the students knew about the signs and symptoms of the disease, post intervention this increased to 87%. Knowledge regarding animal bites which transmit rabies improved by 86 % mode of transmission by 49 % and first aid measures undertaken following an animal bite by 12%. 15% of the students knew about the correct site and route of PEP; post intervention 91% knew about it, 87% increase was observed as regards the dose of vaccine to be administered and 73% students correctly knew about the PEP schedule post educational intervention. Knowledge regarding groups / individuals who need to receive pre-exposure prophylaxis increased by 33% and that of the schedule of pre-exposure prophylaxis by 53%. The mean pre-intervention score was 6.95 and mean post-intervention score was 13.51; the results being statistically significant. Conclusion: Substantial improvement in knowledge about the disease was noted amongst the nursing students following the educational intervention session.

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

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    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.

  7. Flare up rate related to root canal treatment of asymptomatic pulpally necrotic central incisor teeth in patients attending a military hospital.

    Science.gov (United States)

    Al-Negrish, Abdul Rohman Salem; Habahbeh, Riyad

    2006-10-01

    This prospective study was conducted to determine the flare up rate related to root canal treatment of asymptomatic non vital maxillary central incisor teeth performed in one and two appointments and the relationship, if any between pain and number of treatment visits. The frequency of postobturation pain and swelling was recorded and evaluated over an observation period of 1 week in a 120 consecutive patients undergoing root canal treatment. The patients were assigned randomly into one of two groups of 60 patients each. The canals of all teeth were prepared and filled using the step-back preparation and lateral condensation filling techniques. The data were analyzed statistically using Mann-Whitney test. Eight of the 120 patients were excluded from the analysis as they failed to attend for postoperative reviews. Out of the 112 patients involved in the study 90 patients had no pain, 9 patients had slight pain, 8 patients had moderate pain, and 5 patients had severe pain after 2 days. After 7 days 104 patients had no pain, 4 patients had slight pain, 3 patients had moderate pain and 1 patient had severe pain. No statistically significant difference in the incidence and degree of postoperative pain was found between one and two visit Endodontic procedures. The rate of post obturation flare up in asymptomatic Endodontically treated non vital maxillary centarl incisors was 11.6 and 3.6% after 2 and 7 days, respectively.

  8. P17.05 Epidemiology and clinical in patients with primary and secondary lymphomas with a nervous system condition in the South Central Hospital of High Specialty from PEMEX in Mexico

    Science.gov (United States)

    Cordoba Mosqueda, M.; Guerra Mora, J.; Hernandez Resendiz, R.; Loya Aguilar, I.; Vicuña Gonzalez, R.; Ibarra de la Torre, A.; Garcia Gonzalez, U.

    2016-01-01

    Abstract Introduction: Primary lymphomas of the central nervous system are a type of Non Hodgkin Lymphoma with high morbidity and mortality. They are frequently associated with HIV infection, nevertheless the prevalence in non HIV patients has been tripled recently without any justified cause. In occasions it is difficult to identify the difference between primary and secondary origin in the central nervous system, this is crucial since the prognosis also changes. Method and Materials: Observational study with a range of patients from March 1999- March 2016 with reported diagnosis of Non Hodgkin Lymphoma with Central Nervous System involvement inside the electronic files of the South Central Hospital of High Specialty PEMEX. A statistical analysis is made through the SPSS Statistics of the Disease in this Institution program. Results: There were a total of 20 patients found with the diagnosis of Non Hodgkin Lymphoma with Central Nervous System involvement with a media of 57.7 ± 16 years of age, 60% males. 45% were classified as primary; multiple variables were analyzed such as the histological subtype from which the most common was Giant B cell types in a 40%. Within the symptoms the most common was headheach and pyramidal syndrome with 25%. At the time of diagnosis we found that with most prevalence ECOG of the population was of 1 reported case of 55 % of patients, nevertheless the survival rate after diagnosis had a global media of 40.3 ± 21 months, being of 56 months in secondary lymphoma and of 16 months in primary lymphoma, there were no significant statistical differences in both groups. Conclusions: The clinical and epidemiological characteristics in both groups were similar to the ones reported in the literature, nonetheless compared with the time of diagnosis based on the ECOG the overall rate of survival in both groups is low, which brings a great challenge for medical and surgical management. It is important to denote that the clinical

  9. Clinico-pathological pattern, classification and staging of urinary bladder carcinomas - a five years experience at a tertiary care hospital in central punjab

    International Nuclear Information System (INIS)

    Naeem, A.

    2015-01-01

    In Pakistan, urinary bladder carcinoma is the 8th commonest malignancy while being the fourth commonest cancer in men. The relative occurrence of a particular histological type of bladder carcinoma depends on the clinical setting. Both grade and stage of these cancers are highly correlated with recurrence, progression and patient survival rates. Methods: This cross-sectional study comprised of 122 patients with newly diagnosed operable primary bladder carcinomas who underwent cystoscopy associated transurethral resection of bladder tumour at the Urology Department of Punjab Employees Social Security Hospital, Lahore. All participants completed a detailed questionnaire and underwent an in-depth interview to obtain data. The surgical specimens were referred to the Pathology department. Gross observations of the tumour recorded. Result: A total of 114 cases, classified according to WHO/ISUP criteria, low-grade papillary lesions, comprising Papillary Urothelial Neoplasm of Low Malignant Potential (PUNLMP) and Papillary Low Grade carcinomas, accounted for 43% of tumours. Male to female ratio being 5.3:1 (74%). Lateral walls were involved in 44%, posterior wall in 25.3%, trigone in 10.7%, bladder neck in 7.2%, dome in 5.8%, ureteric orifice in 4.13%, anterior wall in 2% and left ureter in 0.87% cases. Tumour staging revealed an overall 11.5% of tumours with stage Ta and 31.5% with stage T3-4. About 29% tumours were non invasive. About n=13 of low-grade carcinomas and n=68 of high-grade carcinomas were invasive. For tumours classified by WHO/ISUP criteria, the percentage of women was larger for PUNLMP than for the other categories of urothelial tumours (p-value 0.006); no statistically significant difference was found by age or gender with respect to tumour stage (p-value 0.138 and 0.452). Conclusion: Transitional Cell Carcinoma (TCC) is the commonest among middle aged men. (author)

  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. Incidence and Antimicrobial Sensitivity Profiles of Normal Conjunctiva Bacterial Flora in the Central Area of China: A Hospital-Based Study

    Directory of Open Access Journals (Sweden)

    Hua Tao

    2017-05-01

    Full Text Available Objective: To study the distribution and patterns of resistance to antimicrobial agents of normal conjunctival bacteria.Materials and Methods: Conjunctival specimens were collected from 8,224 patients and then cultured, which underwent antimicrobial susceptibility test following standard methods. Patients with infectious symptoms such as erythema or oedema and those using systemic or topical antibiotics within 1 month were excluded.Results: In this study, the incidence of isolated bacteria was 24.2%. The middle aged group of 41–65 years presented the lowest rate of bacterial isolation which was 19.4%, while the highest isolation rate (83.1% was found in patients in the age range of 0–6 years. In every age group, the incidence of bacterial isolation in men was higher than that in women. The top 3 most commonly isolated micro-organisms were Staphylococcus epidermidis (39.7%, Streptococcus pneumoniae (4.5%, and Staphylococcus aureus (2.7%, of which about 83.1% S. aureus were isolated in the group of 0-6 years. We found that coagulase-negative Staphylococcus (CONS were more resistant to penicillin, macrolides, clindamycin and sulfonamides with the rate ranging from 57.9 to 90.8%, which were highly susceptible to vancomycin, linezolid, rifampin, tetracyclines, and aminoglycosides. Contrasting to CONS, the general resistance rate of S. aureus was significantly lower. Additionally, Streptococcus was susceptible well to the majority of antimicrobial agents, while highly resistant to macrolides and tetracyclines with the rate >80%.Conclusions: In conclusion, our study revealed the incidence and antimicrobial sensitivity profiles of normal conjunctiva bacterial flora in the central area of China, which could be useful in the prevention of ocular infections. Importantly, our data could be used to guide the selection of appropriate prophylactic agents.

  12. 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

  13. PARQUE AMBIENTAL LAGOAS DO NORTE: SANEAMENTO E CONSERVAÇÃO DO AMBIENTE ENTRE OS BAIRROS MATADOURO E SÃO JOAQUIM, TERESINA, PIAUÍ, BRASIL

    Directory of Open Access Journals (Sweden)

    Leilson Alves Dos Santos

    2015-07-01

    Full Text Available O artigo discute aspectos socioambientais relativos ao saneamento e à conservação de bairros da zona norte da cidade de Teresina, Piauí, a partir da implementação do Parque Ambiental Lagoas do Norte. A questão central que norteia este trabalho refere-se à caracterização e análise dos impactos resultantes (positivos e negativos da implantação desse parque para o ambiente e para a população local, destacando a relação do natural com o construído em parques urbanos. Utilizaram-se as abordagens quantitativas e qualitativas, envolvendo os aspectos teóricos, a observação direta, entrevistas não estruturadas e a aplicação de questionários. Os principais resultados demonstraram que a implantação desse Parque possibilitou o início de uma nova relação sociedade/natureza, resgatando valores sociais e ambientais, vez que proporcionou uma melhoria considerável no ambiente e na qualidade de vida da população daquela área, além de contribuir para a elevação de sua autoestima. Percebeu-se, no entanto, que para atingir os objetivos propostos de forma plena, ainda se torna necessária a implementação de programas de educação ambiental continuada, além de outras ações, sobretudo voltadas para a arborização, a segurança pública e a conservação dos equipamentos em funcionamento e outros a serem instalados nesse parque.

  14. 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

  15. 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

  16. 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)

  17. 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.

  18. 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...

  19. 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...

  20. 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

  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. Liquens brasileiros: novas descobertas evidenciam a riqueza no Norte e Nordeste do país

    OpenAIRE

    Marcela Eugenia da Silva Cáceres; Edvaneide Leandro de Lima Nascimento; André Aptroot; Robert Luecking

    2014-01-01

    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 Nordes...

  3. Factores asociados a mastitis en vacas de la microcuenca lechera del altiplano norte de Antioquia, Colombia

    OpenAIRE

    Ramírez Vásquez, Nicolás; Arroyave Henao, Ofelia; Cerón-Muñoz, Mario; Jaramillo, Manuel; Cerón, Juan; Palacio, Luis Guillermo

    2011-01-01

    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 ...

  4. Sociedades religiosas y organizaciones privadas de beneficencia en la frontera norte (Tijuana): Un primer acercamiento

    OpenAIRE

    Víctor Clark Alfaro

    1991-01-01

    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 an...

  5. Del territorio a la empresa: conocimientos productivos entre los ingenieros del norte de México

    OpenAIRE

    Hualde Alfaro, Alfredo

    2001-01-01

    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, l...

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

    OpenAIRE

    Jorge Matajira; Eimer Barajas

    2011-01-01

    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 ...

  7. Characterization of ceramic product of the Apodi region in Rio Grande do Norte, Brazil

    International Nuclear Information System (INIS)

    Sousa, Maria R.; Freire, Juvenise T.C.

    2011-01-01

    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

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

    Directory of Open Access Journals (Sweden)

    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

  9. Gastrointestinal parasites of sheep, municipality of Lajes, Rio Grande do Norte, Brazil

    OpenAIRE

    Souza,Maria de Fátima de; Pimentel-Neto,Manoel; Silva,Rízia Maria da; Farias,Albeísa Cleyse Batista; Guimarães,Marcos Pezzi

    2012-01-01

    This study investigated the gastrointestinal parasitism by helminths and protozoa in sheep (Ovis aries) Santa Inês breed, municipality of Lajes, Rio Grande do Norte. Monthly, from April 2005 to August 2007, stool samples were collected from two tracer lambs in the first day of the experiment and performed a necropsy of these animals in 44th day. A total of 64 lambs were sampled, but only 62 lambs were slaughtered. The fecal samples were examined by sedimentation in water. The contents of the ...

  10. Oscilaciones en la central hidroeléctrica Futaleufú : Diagnóstico y solución del problema

    OpenAIRE

    Molina Milyus, Roberto D.; Mastronardi, Jorge L.; Lo Giudice, G.; Belkenoff, P.; Beroqui, Mario César; Agüero, Jorge Luis

    2007-01-01

    La Central Hidroeléctrica Futaleufú (4 x 118 MW) constituye la Planta de generación más importante del Sistema Interconectado Patagónico (SIP). Se vincula a la E.T. Puerto Madryn mediante una doble terna de 330 kV de 550 km de longitud. El SIP es un sistema eléctrico radial dividido en dos áreas, norte y sur, interconectadas mediante una larga LAT de 132 kV de 300 km de longitud. En el pasado, con elevados flujos de potencia entre el norte y sur del SIP, era común observar oscilaciones en ...

  11. Sacerdotisas, Curanderas, Parteras y Guerreras: Mujeres de élite en la costa norte del Perú Antiguo

    OpenAIRE

    Alvarado Escudero, Alicia

    2015-01-01

    Los hallazgos arqueológicos en la costa norte peruana durante las últimas décadas han permitido constatar que el género femenino tuvo un peso muy importante en las estructuras regionales de poder. Se ha descubierto que las mujeres ocuparon cargos especiales en el mundo político-religioso, lo cual significa una importante contribución al actual análisis de la sociedad prehispánica en la costa norte del Perú. Este artículo analiza cuatro de estos cargos ocupados por mujeres de élite y argumenta...

  12. Evolución geológica del margen Norte de la Placa del Caribe, República Dominicana

    OpenAIRE

    Pérez-Estaun, Andrés; Tavares, I.; García-Cortés, Ángel; Hernaiz Huerta, P. P.

    2002-01-01

    La Isla La Española se encuentra situada en la actualidad en la parte septentrional de la Placa del Caribe. Conjuntamente con Puerto Rico, constituye una unidad que puede interpretarse como una microplaca, limitada al Norte por una zona de subducción oblicua, con una fuerte componente de salto en dirección, y al Sur por otra zona de subducción incipiente a la que se asocia la Fosa de los Muertos. El margen Norte de la Placa del Caribe ha evolucionado desde constituir un límite contro...

  13. HMV Ingenieros Ltda : un modelo de internacionalización para entrar en el mercado Triángulo Norte

    OpenAIRE

    Marín Cadavid, Carolina

    2012-01-01

    Esta investigación por medio de un estudio de caso estudia el proceso de internacionalización que debería seguir HMV ingenieros Ltda, con el objetivo de ingresar en el mercado Triángulo Norte. Un paso a paso es el modelo que debe llevarse a cabo como guía para incursionar en dicho mercado. Con la experiencia de HMV Ingenieros Ltda, se concluye que presenta una fortaleza para establecer presencia comercial (modo 3) en el mercado de Triángulo Norte. Adicionalmente acorde con las tendencias de l...

  14. American Hospital Association

    Science.gov (United States)

    ... Central Office-Coding Resources AHA Team Training Health Career Center Health Forum Connect More Regulatory Relief The regulatory burden faced by hospitals is substantial and unsustainable. Read the report . More AHA Opioid Toolkit Stem the Tide: Addressing the Opioid Epidemic More ...

  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. Prosavana: Instrumento de Cooperação Internacional (Norte-Sul-Sul

    Directory of Open Access Journals (Sweden)

    Andre de Paiva Toledo

    2016-06-01

    Full Text Available Diante da crise energético-alimentar de 2008, a África passa a ser vista pelas instituições internacionais como território de expansão da fronteira agrícola, isto é, local de inserção do agronegócio. Apesar das contestações quanto ao caráter improdutivo do modelo tradicional de produção local, diversos Estados africanos têm estabelecido acordos internacionais de investimento com vistas à modernização de sua agricultura. Nesse contexto, surge o acordo trilateral entre Japão, Brasil e Moçambique, que possibilitará a implementação neste país do Prosavana, o programa de desenvolvimento agrícola da Savana moçambicana. Justificado como resultado da cooperação internacional Sul-Sul em contraposição ao tradicional mecanismo Norte-Sul, verificar-se-á que, na realidade, o Prosavana é um instrumento de cooperação (Norte-Sul-Sul, pelo qual são garantidos determinados interesses incompatíveis com a horizontalidade da cooperação Sul-Sul.

  17. Assistive Technology and specific care in the granting of wheelchairs in Rio Grande do Norte state

    Directory of Open Access Journals (Sweden)

    Cláudia Regina Cabral Galvão

    2013-04-01

    Full Text Available The Orthesis and Prosthesis Grant Program from Rio Grande do Norte State was restructured by a team of occupational and physical therapists specialized in Assistive Technology. The sector has a showroom for the equipment, prepares prescriptions, and makes deliveries after individual assessment made by the team. The work is developed in conjunction with orthopedic workshop technicians to adjust and adapt the wheelchairs when necessary. Social workers guide and follow the bureaucratic processes of documentation and purchasing, which allows the handing in of wheelchairs throughout the year. This program is considered distinctive compared to programs from other states. In this work, a study was conducted to characterize the demand for locomotion assistance devices, such as wheelchairs, and describe the delivery and acquisition process of the Orthesis and Prosthesis Grant Program from Rio Grande do Norte State. The study was carried out after analyzing and correlating information on the wheelchair delivery process in the past three years. A discussion on the organizational structure, operation, and acquisition facilities of this program is presented in order to promote the social inclusion of people with special needs.

  18. 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.

  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. ANÁLISIS DE LA LOGÍSTICA DEL CARBÓN EN NORTE DE SANTANDER

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    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.

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

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    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.

  2. 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

  3. 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

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    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

  4. Aportaciones a la flora vascular del norte de la Península Ibérica

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    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.

  5. Application of the exploratory analysis of data in the geographical discrimination of okra of Rio Grande do Norte and Pernambuco

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    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.

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

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    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. Energy consumption and economic growth: an analysis for Rio Grande do Norte, Brazil, in the period 1980-1994

    International Nuclear Information System (INIS)

    Teixeira, Pedro Helio Gomes; Santos, Sara Macedo dos

    1999-01-01

    The aim of this work is to introduce and to analyze the energetic content of the gross domestic product of Rio Grande do Norte (a Brazilian state) economy in the period 1980-1994. Analysis plans, energy supply structure, energy consumption sectorial structure, and economic activity profile are presented. Just the qualitative evaluation is presented

  9. Human migration, railways and the geographic distribution of leprosy in Rio Grande do Norte State – Brazil

    Science.gov (United States)

    Nobre, Mauricio Lisboa; Dupnik, Kathryn Margaret; Nobre, Paulo José Lisboa; De Souza, Márcia Célia Freitas; Dűppre, Nádia Cristina; Sarno, Euzenir Nunes; Jerŏnimo, Selma Maria Bezerra

    2016-01-01

    Summary Introduction Leprosy is a public health problem in Brazil where 31,044 new cases were detected in 2013. Rio Grande do Norte is a small Brazilian state with a rate of leprosy lower than other areas in the same region, for unknown reasons. Objectives We present here a review based on the analysis of a database of registered leprosy cases in Rio Grande do Norte state, comparing leprosy's geographic distribution among municipalities with local socio-economic and public health indicators and with historical documents about human migration in this Brazilian region. Results The current distribution of leprosy in Rio Grande do Norte did not show correlation with socio-economic or public health indicators at the municipal level, but it appears related to economically emerging municipalities 100 years ago, with spread facilitated by railroads and train stations. Drought-related migratory movements which occurred from this state to leprosy endemic areas within the same period may be involved in the introduction of leprosy and with its present distribution within Rio Grande do Norte. Conclusions Leprosy may disseminate slowly, over many decades in certain circumstances, such as in small cities with few cases. This is a very unusual situation currently and a unique opportunity for epidemiologic studies of leprosy as an emerging disease. PMID:26964429

  10. 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

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    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.

  11. 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

    2016-03-01

    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 influenced by

  12. Willingness to Pay for Dog Rabies Vaccine and Registration in Ilocos Norte, Philippines (2012.

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    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. 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.

  14. Epidemiologic Profile of Patients Transplanted With Hematopoietic Stem Cells in a Reference Service in the State of Rio Grande do Norte, Brazil.

    Science.gov (United States)

    Campos de Azevedo, I; Ferreira Júnior, M A; Pereira de Aquino, L A; de Oliveira, A A; Cruz, G K P; de Queiroz Cardoso, A I; Ivo, M L; Santos, V E P

    2018-04-01

    Hematopoietic stem cell transplantation (HSCT) consists of the intravenous infusion of healthy hematopoietic stem cells to restore the medullary and immunologic function of patients affected by a series of hematologic, oncologic, immunologic, malignant and nonmalignant inherited or acquired diseases, with the possibility of cure or increase of disease-free survival. To characterize the epidemiologic profile and the cases of death of patients who underwent HSCT. This is a cohort quantitative study, nested with a retrospective, descriptive, and analytical study of a hospital-based cohort that included the patients who underwent HSCT at a referral service in the state of Rio Grande do Norte, a region of northeastern Brazil. There was a slight male prevalence (52.94%), the age of the patients ranged from 2 to 73 years old, 18.38% were brown, 47.06% were married, 15.07% were students, 78.31% had a diagnosis of multiple myeloma, 93.38% developed gastrointestinal toxicities, all patients received chemotherapeutic treatment, 54.78% had allogeneic HSCT, and the cause of the most recorded deaths was septic shock (48.19%). This study showed relevant scientific evidence on the clinical and epidemiologic profile of patients who underwent HSCT. In general, sociodemographic data are similar to national and international research results. Copyright © 2018 Elsevier Inc. All rights reserved.

  15. “Corte Transversal”: una mega escultura entre el río Mapocho y la autopista Costanera Norte en Santiago de Chile/ “Corte Transversal”: a mega sculpture between the Mapocho River and the Costanera Norte toll road in Santiago de Chile

    Directory of Open Access Journals (Sweden)

    Revista de Urbanismo, Departamento de Urbanismo de la Facultad de Arquitectura y Urbanismo de la Universidad de Chile. (Reportaje de M.I.PavezR.- M.P.Henríquez.O

    2008-12-01

    Full Text Available “Corte Transversal”: una mega escultura entre el río Mapocho y la autopista Costanera Norte en Santiago de Chile/“Corte Transversal”: a mega sculpture between the Mapocho River and the Costanera Norte toll road in Santiago de Chile

  16. Las relaciones sociales en la Meseta Norte de Chubut (1930-1970. Un abordaje desde la perspectiva poscolonial

    Directory of Open Access Journals (Sweden)

    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

  17. AS FRONTEIRAS DO NORTE DO BRASIL E O ACESSO AOS DIREITOS SOCIAIS

    OpenAIRE

    Silva, João Carlos Jarochinski; Universidade Federal de Roraima; Jubilut, Liliana Lyra; Universidade Católica de Santos

    2015-01-01

    Fruto das percepções e análises obtidas durante a pesquisa de campo para o projeto “Pensando o Direito: Desafios à efetividade dos direitos fundamentais” – “Mapeamento institucional, normativo e estrutural e análise dos obstáculos para efetivação do atendimento e acesso dos migrantes, apátridas e refugiados aos serviços públicos no Brasil: subsídios para o aperfeiçoamento de políticas públicas” em algumas áreas de fronteira da Região Norte do Brasil, o texto procura refletir sobre a realidade...

  18. Demand for woodfuels by households in the Province of Ilocos Norte, Philippines

    Energy Technology Data Exchange (ETDEWEB)

    Hyman, E

    1985-12-01

    This paper presents the results of a survey on woodfuel consumption conducted in the Province of Ilocos Norte, the Philippines. The survey examined household consumption of wood and other fuels such as coconut shells and husks, rice hulls and stems, bagasse, bamboo, animal dung, charcoal, kerosene, liquefied petroleum gas and electricity. The author describes the various pressures on the woodfuel supply in the province and patterns of consumption, collection and ways in which consumers are trying to compensate for their relatively high levels of fuelwood consumption by reafforestation and turning to other fuels. The author concludes with a number of policy options. These include an extensive tree planting program, the introduction of more fuel-efficient wood-stoves, and the increased substitution of other fuels such as bamboo or kerosene. 2 tables.

  19. Sulfide geochemical survey in Dawahan, Larap, Camarines Norte (Southern Luzon), Philippines

    International Nuclear Information System (INIS)

    Santos, G. Jr.

    1979-07-01

    Sulfide geochemical activation analysis survey was conducted in Southern Luzon, Philippines. Trace elements in the rocks of Dawahan, Larap, Camarines Norte, particularly in the sulfide fraction of the rocks were determined and correlated in the search for mineral deposits in the project area. The study has shown that the Cu, V, Co, Pb, Mn, Zn, Ni, Au, Ag and As distributions in Dawahan are log normal with Cu, As and V having an excess of low values. There is a direct relationship between the mineralizations of Ag and Pb with Cu mineralization. Fair geochemical correlations were observed between Cu-Zn, Cu-As and Cu-Co. Low negative or inverse correlation exists between Cu-Mn, Cu-V and Cu-Au. Silver is a good pathfinder for copper deposits in Dawahan and adjacent areas and most probably including the Paracale mining district

  20. Discursos sobre normas relativas a sexualidad en jóvenes del norte de Chile

    Directory of Open Access Journals (Sweden)

    Jimena Silva-Segovia

    2015-01-01

    Full Text Available Resumen: Esta investigación tuvo por objetivo conocer los discursos institucionales de la sexualidad y el autocuidado juvenil. Los participantes fueron hombres y mujeres jóvenes de entre 15 y 19 años, pertenecientes a establecimientos educativos públicos, privados y universitarios de la ciudad de Antofagasta, en el norte de Chile. Se trabajó con una metodología cualitativa, aplicando entrevistas en profundidad a 24 sujetos. Los principales hallazgos sugieren una relación flexible del sujeto joven con las normativas institucionales, en algunos casos adscribiéndose a sus mandatos y, en otros, ejerciendo disidencias. Asimismo, se advirtió una implementación deficiente de programas en educación sexual, constituyendo una problemática transversal en establecimientos privados y públicos, aunque con mayores repercusiones sociales en estos últimos.

  1. Comparative study of ceramic blocks for masonry produced in Paraiba and Rio Grande do Norte

    International Nuclear Information System (INIS)

    Santos, R.C. dos; Melo, O.B. de; Macedo, R.S. de; Silva, B.J. da; Goncalves, W.P.; Santana, L.N.L.

    2011-01-01

    The aim of this study to analyze the properties of ceramic blocks produced by the states of Paraiba and Rio Grande do Norte. For this, the raw materials used in the fabrication of these blocks were characterized using the techniques of chemical, granulometry and mineralogical analysis and determination of the plasticity index of mixture ceramic. The properties of the ceramic blocks were determined by evaluating the geometric and visual characteristics and determining the water absorption and compressive strength, according to technical recommendations ABNT NBR 15270. It can be observed that samples have chemical compositions with a predominance of SiO 2 and Al 2 O 3 and Fe 2 O 3 and they are composed of mica, kaolinite, quartz, feldspar and goethite. It was also noted that all blocks showed compressive strength less than 1.5 MPa. (author)

  2. Aproveitamento de Água de Chuva em unidades Educacionais do Rio Grande do Norte, Brasil

    OpenAIRE

    Xaila Sant Anna Amaral; Ceres Virgínia da Costa Dantas; Carlos Antonio Lira Felipe Neto; Cícero Onofre de Andrade Neto; André Luís Calado Araújo

    2017-01-01

    Com este estudo objetivou-se avaliar os sistemas de aproveitamento de água de chuva em unidades educacionais do Rio Grande do Norte. Inicialmente, foi realizado um levantamento de informações sobre os sistemas de aproveitamento de água de chuva dos campi do IFRN. Em seguida, os campi foram visitados para validação das informações colhidas e verificação de outros elementos pertinentes (áreas da superfície de captação, tipos e volumes de reservatórios, estado físico das instalações, condições o...

  3. Analysis and characterization of kaolinitic clay Rio Grande do Norte for use in refractory

    International Nuclear Information System (INIS)

    Medeiros, A.L.; Souza Junior, C.F.; Silva, C.L. Mendes da

    2011-01-01

    This work aims to characterize clays from the State of Rio Grande do Norte for use in the manufacture of refractory bricks. Initially, we analyzed the X-ray fluorescence and X-ray diffraction on samples of clay to obtain the components of the starting materials and their microstructures. The test samples were fabricated by uniaxial pressure of 20 MPa, and then were sintered between 1000 ° C and 1200 ° C, with a landing sintering for 1 hour. Tests including thermal shrinkage, water absorption and apparent porosity. Initial results of the analysis indicate the presence of clay minerals kaolinite, montmorillonite and muscovite, as well group minerals of quartz, dolomite, calcite and calcium silicate in the samples tested. (author)

  4. Sociedades religiosas y organizaciones privadas de beneficencia en la frontera norte (Tijuana: Un primer acercamiento

    Directory of Open Access Journals (Sweden)

    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.

  5. Os ciganos do Rio Grande do Norte : caminhos e trânsitos

    Directory of Open Access Journals (Sweden)

    Lisabete Coradini

    2014-01-01

    Full Text Available According to the first registers made by partnerships between research groups and support, such as the Federal University of Rio Grande do Norte (RN and the Pastoral of the Nomads of Brazil (Pastoral dos Nômades do Brasil, the state of RN has a Gypsy population of around 5 400 people. This population is distributed in twelve cities in the state, where 70% of this total are sedentary Gypsies. The aim of this study is to provide an initial mapping, drawing a picture of the situation in which they are. For this, we used qualitative methods, including present observation, as well as interviews and audiovisual registration along with the Gypsy comunities on the periphery of the city of Natal and in the interior of RN.

  6. 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.

  7. Assessment of potential Rio Grande do Norte, Brazil, clays when subjected to high rates of heating

    International Nuclear Information System (INIS)

    Filgueira, R.L.; Pereira, L.M.; Dutra, R.P.S.; Nascimento, R.M.

    2009-01-01

    In this work we study three clays of the state of Rio Grande do Norte, Brazil, to evaluate the potential them when subjected to high rates of heating. The samples were formed by pressing and subject to rates of 5 deg C / min, 10 deg C / min and 15 deg C / min, with temperature of 950 deg C. This study determined the technological properties of the samples. The mineralogical composition was identified by X-ray diffraction. The chemical composition was determined by Xray fluorescence. The Atterberg limits, were used to classify the samples on the plasticity. Were also performed: dilatometry, size analysis and scanning electron microscopy. The examination of the processing variables and the intrinsic characteristics of each material indicates that the RX clay showed the best results for the manufacture of blocks and tiles. The techniques used in this study were efficient and the initial objectives were achieved. (author)

  8. Gastrointestinal parasites of sheep, municipality of Lajes, Rio Grande do Norte, Brazil.

    Science.gov (United States)

    de Souza, Maria de Fátima; Pimentel-Neto, Manoel; da Silva, Rízia Maria; Farias, Albeísa Cleyse Batista; Guimarães, Marcos Pezzi

    2012-01-01

    This study investigated the gastrointestinal parasitism by helminths and protozoa in sheep (Ovis aries) Santa Inês breed, municipality of Lajes, Rio Grande do Norte. Monthly, from April 2005 to August 2007, stool samples were collected from two tracer lambs in the first day of the experiment and performed a necropsy of these animals in 44th day. A total of 64 lambs were sampled, but only 62 lambs were slaughtered. The fecal samples were examined by sedimentation in water. The contents of the abomasum, small intestine and large intestine were examined for the recovery of helminths. The parasitological examination revealed eggs of the following groups of helminths: Strongyloidea, Strongyloides sp., Trichuris sp., and Moniezia sp. Also were found oocysts of Eimeria spp., cysts of Entamoeba ovis and Giardia duodenalis. The helminths identified from examining the contents were: Haemonchus contortus, Cooperia pectinata, Cooperia punctata, Trichostrongylus colubriformis, Moniezia expansa, Oesophagostomum sp. Skrjabinema ovis and Trichuris sp.

  9. Estructura espacial de Eucinostomus argenteus (Pisces: Gerreidae en la zona norte del Caribe colombiano

    Directory of Open Access Journals (Sweden)

    Jorge Paramo

    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 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  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.

  10. 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.

  11. Research ethics review at University Eduardo Mondlane (UEM)/Maputo Central Hospital, Mozambique (2013-2016): a descriptive analysis of the start-up of a new research ethics committee (REC).

    Science.gov (United States)

    Sacarlal, Jahit; Muchanga, Vasco; Mabutana, Carlos; Mabui, Matilde; Mariamo, Arlete; Cuamba, Assa Júlio; Fumo, Leida Artur; Silveira, Jacinta; Heitman, Elizabeth; Moon, Troy D

    2018-05-23

    Mozambique has seen remarkable growth in biomedical research over the last decade. To meet a growing need, the National Committee for Bioethics in Health of Mozambique (CNBS) encouraged the development of ethical review processes at institutions that regularly conduct medical and social science research. In 2012, the Faculty of Medicine (FM) of University Eduardo Mondlane (UEM) and the Maputo Central Hospital (MCH) established a joint Institutional Committee on Bioethics for Health (CIBS FM & MCH). This study examines the experience of the first 4 years of the CIBS FM & MCH. This study provides a descriptive, retrospective analysis of research protocols submitted to and approved by the CIBS FM & MCH between March 1, 2013 and December 31, 2016, together with an analysis of the Committee's respective reviews and actions. A total of 356 protocols were submitted for review during the period under analysis, with 309 protocols approved. Sixty-four percent were submitted by students, faculty, and researchers from UEM, mainly related to Master's degree research (42%). Descriptive cross-sectional studies were the most frequently reviewed research (61%). The majority were prospective (71%) and used quantitative methodologies (51%). The Departments of Internal Medicine at MCH and Community Health at the FM submitted the most protocols from their respective institutions, with 38 and 53% respectively. The CIBS's average time to final approval for all protocols was 56 days, rising to 161 for the 40 protocols that required subsequent national-level review by the CNBS. Our results show that over its first 4 years, the CIBS FM & MCH has been successful in managing a constant demand for protocol review and that several broad quality improvement initiatives, such as investigator mentoring and an electronic protocol submission platform have improved efficiency in the review process and the overall quality of the protocols submitted. Beyond Maputo, long-term investments in training

  12. 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

  13. Répteis squamata de remanescentes florestais do Campus da Universidade Federal do Rio Grande do Norte, Natal-RN, Brasil

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    De Sales, Raul Fernandes Dantas

    2009-09-01

    Full Text Available Inventários faunísticos são fundamentais para o conhecimento da biodiversidade e, conseqüentemente, para o planejamento e tomada de decisões sobre estratégias de conservação. Para conhecer a diversidade e composição dos répteis Squamata, assim como a distribuição das espécies por microhábitat em três fragmentos florestais na área do Campus da Universidade Federal do Rio Grande do Norte (UFRN, efetuaram-se excursões quinzenais diurnas, de março a junho de 2008. As buscas ativas foram realizadas ao longo de transecções percorridas aleatoriamente, efetuando-se os registros das espécies, dos microhábitats e do horário de observação. Um total de 92 espécimes, correspondentes a 10 espécies, foi coletados nas três áreas estudadas. A consulta da Coleção Herpetológica da UFRN possibilitou adicionar outras oito espécies, totalizando 18 espécies para o Campus da UFRN. As espécies mais abundantes foram Mabuya heathi, Hemidactylus mabouia e Tropidurus hispidus. O coeficiente de similaridade faunística binário de Sorensen mostrou 59 % de similaridade com os Squamata do Parque Estadual das Dunas do Natal (PEDN, área de conservação contígua com a área estudada. Apesar do grande adensamento urbano, os fragmentos florestais do Campus Central da UFRN abrigam espécies de formações abertas e de áreas florestadas, com destaque para os primeiros registros de Coleodactylus natalensis e de Amphisbaena heathi nessa vegetação relictual, fatos que justificam a preservação desses fragmentos em prol da manutenção destas espécies endêmicas do Rio Grande do Norte. Fauna inventories are crucial for increasing knowledge of biodiversity as well as for planning and conservation strategies. To assess the taxonomic composition and microhabitat distribution of squamate reptiles in three forest fragments on the campus of the Universidade Federal do Rio Grande do Norte (UFRN, field collections were carried out quarterly from March

  14. Aporte a la geología del Alto de Mogna, al norte de la depresión del Tulum, provincia de San Juan A contribution to the Geology of the Mogna High, to the North of the Tulum depression, Province of San Juan

    OpenAIRE

    J.J. Zambrano; G. Suvires

    2005-01-01

    El Alto de Mogna, elevación estructural situada en la parte central de la provincia de San Juan, entre las provincias geológicas de las Sierras Pampeanas y la Precordillera Oriental, tiene rumbo este-oeste, transversal a las estructuras de las mencionadas cadenas montañosas, y separa dos depresiones tectónicas regionales: el valle del Bermejo, al norte, y la depresión de Tulum, al sur. En esta elevación estructural afloran fallas y pliegues, cuyo rumbo es prácticamente este-oeste, salvo en la...

  15. Hospital staffing and hospital costs.

    Science.gov (United States)

    Andrew, R R

    1976-08-07

    A comparative study of costs per bed per day in teaching hospitals affiliated with Monash University compared with large non-teaching metropolitan hospitals (1964 to 1974) shows they are much higher in teaching hospitals. There is no evidence that this is due to the additional costs arising from the clinical schools. Research in the teaching hospitals and the accompanying high professional standards and demands on services are major factors accounting for the difference. Over the decade studied, the resident staff have increased by 77% and other salaried staff by 24%. The index of expenditure for the three teaching hospitals in the decade has increased by 386%.

  16. New K-Ar ages of altered rocks from Paramillos Sur and Norte: Interpretation of the results; Nuevas edades K-Ar de las rocas alteradas de Paramillos Sur y Norte: Interpretacion de los resultados

    Energy Technology Data Exchange (ETDEWEB)

    Koukharsky, Magdalena; Brodtkorb, Alejo [Buenos Aires Univ. (Argentina). Facultad de Ciencias Exactas y Naturales; Munizaga, Francisco [Chile Univ., Santiago (Chile). Dept. de Geologia

    1998-07-01

    The whole-rock K-Ar dates from porphyry copper prospects of Paramillos Sur (phyllic and potasic alteration zones) and Paramillos Norte (propilitic zone) are reported. Radiometric data yielded 17,8 {+-} 0,9 Ma, 15,8 {+-} 1,0 Ma and 15,2 {+-} 0,5 Ma in Paramillos Sur, and 17,3 {+-} 0,7 Ma in Paramillos Norte, which can be added to an previously reported age of 16,4 {+-} 0,3 Ma. These data are in agreement with isotopic ages from non altered or non mineralized magmatic rocks of the region. When the isotopic ages and petrographic characteristics of the dated rocks are considered, two alteration-mineralization events are suggested for Paramillos Sur prospect. However this possibility needs to be confirmed by means of future studies, in view of the reduced interval between these events when compared with the analytical errors. (author)

  17. 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.

  18. 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.

  19. NUEVO REGISTRO DE LA NUTRIA MARINA Lontra felina (MOLINA, 1782) AL NORTE DE SU DISTRIBUCIÓN ACTUAL

    OpenAIRE

    Alfaro-Shigueto, Joanna; University of Exeter, Penyrn, Cornwall, TR10 9EZ, United Kingdom.; Valqui, Juan; Centro de Ornitología y Biodiversidad (CORBIDI). Calle Santa Rita 105 Of. 202, Lima 33, Perú.; Mangel, Jeffrey C.; University of Exeter, Penyrn, Cornwall, TR10 9EZ, United Kingdom.

    2011-01-01

    La nutria marina Lontra felina es una especie en peligro de extinción cuyo rango de distribución es controversial, siendo considerada el área de Chimbote (9°10´S) como el límite norte de su distribución actual. Aquí se documenta por primera vez su presencia a 115 km al norte de Chimbote, en el puerto artesanal de Huanchaco (08°04´S). La discusión de esta nota científica busca promover la generación de investigaciones que esclarezcan tanto los factores que determinan la presencia de la nutria ...

  20. New K-Ar ages of altered rocks from Paramillos Sur and Norte: Interpretation of the results

    International Nuclear Information System (INIS)

    Koukharsky, Magdalena; Brodtkorb, Alejo; Munizaga, Francisco

    1998-01-01

    The whole-rock K-Ar dates from porphyry copper prospects of Paramillos Sur (phyllic and potasic alteration zones) and Paramillos Norte (propilitic zone) are reported. Radiometric data yielded 17,8 ± 0,9 Ma, 15,8 ± 1,0 Ma and 15,2 ± 0,5 Ma in Paramillos Sur, and 17,3 ± 0,7 Ma in Paramillos Norte, which can be added to an previously reported age of 16,4 ± 0,3 Ma. These data are in agreement with isotopic ages from non altered or non mineralized magmatic rocks of the region. When the isotopic ages and petrographic characteristics of the dated rocks are considered, two alteration-mineralization events are suggested for Paramillos Sur prospect. However this possibility needs to be confirmed by means of future studies, in view of the reduced interval between these events when compared with the analytical errors. (author)

  1. Paganismo y religiosidad en la arquitectura popular mexicana: De Aztlán al norte de California

    Directory of Open Access Journals (Sweden)

    Myriam Mahiques

    2012-12-01

    De las obras de arquitectura popular en América, las mexicanas requieren especial consideración, ya que a pesar de la ubicación geográfica de México en América del Norte, su cultura permanece fuertemente arraigada. Esta suerte de independencia en hábitos y ritos se refleja en la arquitectura mexicana vernácula, lo que nos da la oportunidad de analizarla como un fenómeno cultural extendido desde México al Norte de California. Veremos aquí que las raíces del imaginario mexicano se hunden en la Conquista española y surgen en la actualidad dando como resultado una "nueva" estética arquitectónica.

  2. 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.

  3. Legitimacy of hospital reconfiguration: the controversial downsizing of Kidderminster hospital.

    Science.gov (United States)

    Oborn, Eivor

    2008-04-01

    This paper examines the contested organizational legitimacy of hospital reconfiguration, which continues to be a central issue in health care management. A qualitative study which focuses on the controversial downsizing of Kidderminster Hospital, a highly publicized landmark case of district general hospital closure. Rhetorical strategies are analysed to examine how legitimacy was constructed by stakeholder groups and how these strategies were used to support or resist change. Stakeholders promoting change legitimized re-organization pragmatically and morally arguing the need for centralization as a rational necessity. Stakeholders resisting change argued for cognitive and moral legitimacy in current service arrangements, contrasting local versus regionalized aspects of safety and provision. Groups managed to talk past each other, failing to establish a dialogue, which led to significant conflict and political upheaval. Stakeholders value hospitals in different ways and argue for diverse accounts of legitimacy. Broader discourses of medical science and democratic participation were drawn into rhetorical texts concerning regionalization to render them more powerful.

  4. Quality of Life at Work: the case of penitentiary agents in a Temporary Detention Center in Rio Grande do Norte

    OpenAIRE

    Emerson de França Fagundes; Juliherme Carlos da Costa; Tabita Aija Silva Moreira

    2017-01-01

    Prison officers, due to the nature of their profession, are subject to various factors of risk, tension, physical and mental exhaustion. This study is a research carried out at a Provisional Detention Center (CDP) in Rio Grande do Norte (RN), with the objective of analyzing Quality of Life at Work (QWL), as perceived by prison The model of Walton (1973). The method adopted was a field research, of an exploratory and descriptive character where the data were collected through a questionnaire w...

  5. O que restou de tudo isso? Signos da arte e da memória em 'Cinzas do Norte'

    Directory of Open Access Journals (Sweden)

    Julio Pimentel Pinto

    2016-10-01

    Full Text Available O texto identifica a construção de três perfis distintos de artistas no romance Cinzas do Norte, de Milton Hatoum, e, por meio deles, reflete sobre a relação entre ficção e história, sobre a evocação do passado, o trabalho da memória e os sentidos da arte.

  6. Diversity and distribution Patterns of the infralittoral green macroalgae from Potiguar basin, Rio Grande do Norte, Northeastern Brazil

    OpenAIRE

    Cocentino,Adilma de Lourdes Montenegro; Fujii,Mutue Toyota; Reis,Thiago Nogueira de Vasconcelos; Guimarães-Barros,Nathalia Cristina; Rocha,Marcia de França; Neumann-Leitão,Sigrid

    2010-01-01

    Diversity and distribution pattern of the infralittoral green macroalgae at Potiguar basin, Rio Grande do Norte, Northeastern Brazil were analyzed from material collected at depths varying from 2 to 100 m. Collections were carried out with two types of dredges during four campaigns: July 2002, May and November 2003 and May 2004 at 43 stations. Chlorophyta is represented by 54 species, five varieties and three forms. The most representative family is Caulerpaceae, and the most diverse genus is...

  7. 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.

  8. 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 .

  9. GANANCIA GENÉTICA ESPERADA EN Acacia mangium EN LOS CHILES, ZONA NORTE DE COSTA RICA

    Directory of Open Access Journals (Sweden)

    Benjam\\u00EDn Pavlotzky-Blank

    2012-01-01

    Full Text Available Ganancia genética esperada en Acacia mangium en Los Chiles, zona norte de Costa Rica. Con el objetivo de seleccionar los materiales de mayor crecimiento y calidad de fuste en Acacia mangium, se evaluó un ensayo de progenie de Acacia mangium Willd. conformado por veinticinco familias. El ensayo fue establecido en Los Chiles, zona norte de Costa Rica, en 2006 con evaluaciones en el 2007 y en 2010. Se utilizó material genético seleccionado por la Cooperativa de Conservación y Mejoramiento Genético Forestal "GENFORES", en Costa Rica y Colombia. Cada familia estuvo representada por 48 progenies, plantadas en cuatro parejas distribuidas en forma aleatoria dentro de cada uno de los seis bloques del ensayo. Se evaluó el diámetro a la altura de pecho "DAP", incremento en DAP, adaptabilidad al sitio, número de trozas comerciales, bifurcación, altura de bifurcación, calidad de las primeras cuatro trozas. Se determinó el volumen de madera comercial por árbol y hectárea. Los datos fueron analizados por medio del software SELEGEN de EMBRAPA para obtener los parámetros genéticos. Todos los caracteres registraron valores de heredabilidad media familiar superiores a 0,68. Si se seleccionaran los dos mejores individuos dentro de las mejores doce familias, se obtendría una ganancia genética del 40,8% en volumen comercial/ha a los cuatro años de edad. Esta ganancia corresponde a un volumen comercial de 91,65 m3/ha, a una tasa de 22,9 m3/ha/año. Las dos procedencias derivadas de Colombia son signifi cativamente superiores a los demás materiales evaluados. El análisis de correlación genética entre caracteres muestra que la tasa de crecimiento diamétrico se expresa desde temprana edad en esta especie, lo que podría ser utilizado a futuro en una selección a menor edad.

  10. 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

  11. 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.

  12. 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*

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    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

  13. Central corneal thickness among glaucoma patients attending ...

    African Journals Online (AJOL)

    AAU_CHS

    ocular pressure measurement and is different among different ethnic population and subtypes of glaucoma. The central corneal thickness of different subtypes of glaucoma at Menelik II Hospital ... Intraocular pressure is a key element in the.

  14. 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.

  15. INTERCAMBIO EDUCATIVO VIRTUAL: UNA CLASE VIRTUAL COMPARTIDA NORTE – SUD SOBRE DESARROLLO SOSTENIBLE

    Directory of Open Access Journals (Sweden)

    Augusta Abrahamse

    2012-07-01

    Full Text Available Las competencias globales son, cada vez más, habilidades importantes que se deben adquirir desde pregrado. Un intercambio internacional representa un reto y es inviable para muchos estudiantes, por tanto, existe la necesidad de desarrollar e implementar medios alternativos para introducir experiencias internacionales e interculturales en las aulas de pregrado. En este trabajo se presenta un programa basado en intercambios virtuales, en el que se creó una materia virtual de un semestre, entre la Universidad Privada Boliviana en Bolivia y la Universidad de Siena en los Estados Unidos de Norte América, sobre desarrollo sostenible. La clase proveyó una experiencia multidisciplinaria e intercultural relevante tanto para los estudiantes de las carreras de ciencias puras e ingeniería como para los de ciencias sociales, sin la necesidad de viajar. Además, el proceso de aprendizaje, basado en la investigación y en la resolución de problemas, se fortaleció a través de la incorporación del servicio social que se realizó en colaboración con una organización rural boliviana, Unidad Académica Campesina Carmen Pampa. Los resultados de este emprendimiento muestran que los cursos virtuales compartidos pueden proveer experiencias internacionales a estudiantes de pregrado.

  16. PEDOLOGIA APLICADA À CONSTRUÇÃO CIVIL NO ESTADO DO RIO GRANDE DO NORTE

    Directory of Open Access Journals (Sweden)

    Alexandre da Costa Pereira

    2007-12-01

    Full Text Available O presente artigo tem como objetivo fundamental a discussão sobre a aplicação de características geomorfológicas e pedológicas de solos do Estado do Rio Grande do Norte relacionadas com comportamentos geotécnicos de interesse particular ao setor da Construção Civil. A metodologia empregada se baseia nos estudos de fatores pedológicos condicionantes de propriedades dos solos importantes para o projeto e construção de obras de engenharia civil, sendo realizada a análise dos distintos tipos pedológicos de solos e de mapas da geomorfologia e pedologia do Estado. Conclue-se que as informações baseadas nos estudos de características pedológicas dos solos podem ser úteis para a análise de macro-zonas com riscos potenciais de erosão, permeabilidade, colapsividade e expansividade de solos. Com o estudo feito, foram elaborados alguns mapas que podem ajudar no planejamento adequado do uso dos solos a fim de se evitar eventuais problemas geotécnicos. Palavras-chave: Construção Civil, Solos, Geomorfologia e Pedologia.

  17. La industria lechera en los estados del norte, desarrollo y limitaciones

    Directory of Open Access Journals (Sweden)

    M. del Carmen del Valle Rivera

    1986-05-01

    Full Text Available Este trabajo tiene por objeto presentar una caracterización del proceso de producción y consumo de leche y sus derivados, e identificar algunos problemas sobresalientes. Se tratará de plantear algunos aspectos relevantes de la expresión de dicho proceso en los estados fronterizos del norte del país. Esta problemática se centra en la insatisfacción del consumo; lo cual tiene su origen, por una parte en que la producción interna es deficitaria, por lo que las importaciones de este producto han aumentado de manera notable. En las ciudades fronterizas se presenta un volumen representativo de importaciones de alimento debido a la desarticulación de la zona con los centros productores, por no haber restricciones para su importación y por las ventajas en cuanto a calidad. Por otro lado, no se trata sólo de un problema de oferta, sino que el bajo consumo de este alimento está estrechamente relacionado con el ingreso de la población.

  18. 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.

  19. Gobernanza y gestión comunitaria de recursos naturales en la Sierra Norte de Oaxaca

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    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.

  20. Aproveitamento de Água de Chuva em unidades Educacionais do Rio Grande do Norte, Brasil

    Directory of Open Access Journals (Sweden)

    Xaila Sant Anna Amaral

    2017-12-01

    Full Text Available Com este estudo objetivou-se avaliar os sistemas de aproveitamento de água de chuva em unidades educacionais do Rio Grande do Norte. Inicialmente, foi realizado um levantamento de informações sobre os sistemas de aproveitamento de água de chuva dos campi do IFRN. Em seguida, os campi foram visitados para validação das informações colhidas e verificação de outros elementos pertinentes (áreas da superfície de captação, tipos e volumes de reservatórios, estado físico das instalações, condições operacionais e destino da água armazenada. Posteriormente, 4 unidades educacionais foram selecionadas e monitoradas mensalmente entre março e setembro de 2014 a fim de caracterizar a água de chuva armazenada, físico-química e microbiologicamente. Os resultados revelam que a água armazenada apresentou qualidade compatível para irrigação de áreas verdes, apesar de descuidos operacionais e sanitários. Conclui-se que sistemas de captação e armazenamento podem compatibilizar o uso racional, eficiente e sanitário da água de chuva no Semiárido brasileiro.

  1. Mercado de trabajo e industria maquiladora en Sonora y la frontera norte

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    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.

  2. Dating the Late Archaic occupation of the Norte Chico region in Peru.

    Science.gov (United States)

    Haas, Jonathan; Creamer, Winifred; Ruiz, Alvaro

    2004-12-23

    The Norte Chico region on the coast of Peru north of Lima consists of four adjacent river valleys--Huaura, Supe, Pativilca and Fortaleza--in which archaeologists have been aware of a number of apparently early sites for more than 40 years (refs 1- 3). To clarify the early chronology in this region, we undertook fieldwork in 2002 and 2003 to determine the dates of occupation of sites in the Fortaleza and Pativilca valleys. Here we present 95 new radiocarbon dates from a sample of 13 of more than 20 large, early sites. These sites share certain basic characteristics, including large-scale monumental architecture, extensive residential architecture and a lack of ceramics. The 95 new dates confirm the emergence and development of a major cultural complex in this region during the Late Archaic period between 3000 and 1800 calibrated calendar years bc. The results help to redefine a broader understanding of the respective roles of agricultural and fishing economies in the beginnings of civilization in South America.

  3. 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

  4. 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

  5. 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.

  6. Adolescente "infrator": Pensares e fazeres no Rio Grande do Norte dos governos militares ao ECA

    Directory of Open Access Journals (Sweden)

    Carmem Plácida Sousa Cavalcante

    Full Text Available Resumo O objetivo é analisar registros da imprensa escrita do Rio Grande do Norte de iniciativas do poder público e manifestações de seus representantes sobre adolescente pobre, em conflito com a lei. Sintetiza-se quadro nacional das políticas na área e foca-se realidade social e contexto institucional da capital, Natal, melhor atendida pela mídia, entre a implementação da Fundação Nacional do Bem Estar do Menor, em 1964, e a Constituição de 1988. Revela-se a mobilização de representantes dos governos, do judiciário, do ministério público e das polícias, para atender demandas sociais de contenção dos "infratores", suas ações e proposições e suas opiniões sobre o tema. Em geral, as concepções sintonizavam com as iniciativas institucionais, marcadas pela repressão e discriminação, inclusive na nomenclatura usada para designar o adolescente. Analisado com base no materialismo histórico-dialético e na psicologia histórico-cultural, o material revela sintonia do quadro local com o nacional, das condições históricas com as concepções emitidas.

  7. Modos de decir la noticia en la prensa gráfica del norte de Argentina

    Directory of Open Access Journals (Sweden)

    César Arrueta Parraga

    2013-11-01

    Full Text Available El objetivo de este trabajo es analizar los modos de decir la noticia de tres diarios del norte de Argentina (Pregón, El Tribuno de Salta y El Liberal, considerando un primer nivel estilístico y un segundo nivel netamente gráfico-espacial. A partir de ello, se propone una reflexión crítica sobre los mecanismos y las modalidades aplicadas sobre la superficie redaccional, identificando necesidades y desafíos pendientes en el contexto de las demandas del mundo digital y la transformación de los hábitos de consumo de medios. Como principales resultados se observa un predominio textual clásico/conservador sobre formas visuales innovadoras; una preponderancia gráfica de la pauta publicitaria y las prioridades editoriales sobre los marcos noticiosos; una disociación estética entre las demandas del público y la propuesta del medio; un complejo y tenso proceso de transición/ negociación entre el formato clásico papel y las propuestas online de cada uno de los pe-riódicos estudiados.

  8. Ornitofauna en cuatro ecosistemas naturales del laboratorio natural Snaki-URACCAN, Costa Caribe Norte de Nicaragua

    Directory of Open Access Journals (Sweden)

    Rudy A Salas Tathum

    2018-02-01

    Full Text Available El estudio se realizó en el laboratorio natural Snaki ubicado en el la comunidad de Moss, municipio de Waspam, Región Autónoma de la Costa Caribe Norte. Se ha diagnosticado la ornitofauna en los ecosistemas bosque ripario, bosque latifoliado, área agrícola y área pecuaria del laboratorio natural Snaki-URACCAN. Se realizaron transectos lineales y entrevistas informales a cazadores de la zona que permitió crear un listado de aves y su estado de conservación. Los resultados de los diferentes ecosistemas re ejaron la existencia de 49 diferentes especies de aves, pertenecientes a 23 familias y 12 órde- nes. Las especies representativas son: Aratinga nana, Cyanocorax Morio, Ramphocelus Passerinii, Quiscalus nicaraguensis, Procnias tricarunculata, Tachyponus rufus. Al com- parar los índices de diversidad, Shannon y Simpson encontraron similitudes en sus resultados, existiendo una diversidad considerable en el bosque, principalmente en el de galería.

  9. La cultura política desde la frontera norte de México

    Directory of Open Access Journals (Sweden)

    Tonatiuh Guillén López

    1994-07-01

    Full Text Available El objetivo del ensayo es analizar las principales tendencias de la cultura política en México, relacionándola con el proceso de transición democrática y desde la experiencia política electoral de la frontera norte durante los últimos diez años. Se parte de un concepto histórico de la cultura, que permite plantear como objetos de análisis tanto su contenido como, particularmente, a sus actores sociales, sujetos ambos a una dinámica de evolución. Con esta perspectiva, el ensayo argumenta que en el país los contenidos liberales de la cultura política y sus actores todavía se encuentran en proceso de construcción y sujetos a una interacción conflictiva con los contenidos culturales, prácticas e instituciones tradicionales del poder político.

  10. Multidrug-resistant pulmonary tuberculosis in Los Altos, Selva and Norte regions, Chiapas, Mexico.

    Science.gov (United States)

    Sánchez-Pérez, H J; Díaz-Vázquez, A; Nájera-Ortiz, J C; Balandrano, S; Martín-Mateo, M

    2010-01-01

    To analyse the proportion of multidrug-resistant tuberculosis (MDR-TB) in cultures performed during the period 2000-2002 in Los Altos, Selva and Norte regions, Chiapas, Mexico, and to analyse MDR-TB in terms of clinical and sociodemographic indicators. Cross-sectional study of patients with pulmonary tuberculosis (PTB) from the above regions. Drug susceptibility testing results from two research projects were analysed, as were those of routine sputum samples sent in by health personnel for processing (n = 114). MDR-TB was analysed in terms of the various variables of interest using bivariate tests of association and logistic regression. The proportion of primary MDR-TB was 4.6% (2 of 43), that of secondary MDR-TB was 29.2% (7/24), while among those whose history of treatment was unknown the proportion was 14.3% (3/21). According to the logistic regression model, the variables most highly associated with MDR-TB were as follows: having received anti-tuberculosis treatment previously, cough of >3 years' duration and not being indigenous. The high proportion of MDR cases found in the regions studied shows that it is necessary to significantly improve the control and surveillance of PTB.

  11. Myrtaceae da restinga no norte do Espírito Santo, Brasil

    Directory of Open Access Journals (Sweden)

    Augusto Giaretta

    2015-01-01

    Full Text Available Myrtaceae está entre as famílias mais ricas em espécies nas restingas do Espírito Santo. Este estudo objetivou fazer o inventário e a caracterização das espécies de Myrtaceae ocorrentes na vegetação de restinga no norte do Espírito Santo. Foram registradas 52 espécies distribuídas em 10 gêneros. O gênero mais representado foi Eugenia (19 espécies, seguido de Myrcia (12, Marlierea (6, Psidium (4, Myrciaria (3, Calyptranthes (2, Campomanesia (2, Neomitranthes (2, Blepharocalyx (1 e Plinia (1. Foram registradas duas  espécies endêmicas (Eugenia inversa e Myrcia limae. As formações vegetais  com maior número de espécies foram a florestal não inundável (40 espécies,  seguida da arbustiva fechada não inundável (19 e florestal inundável (19. São apresentadas chaves para identificação das espécies, descrições, comentários,  distribuição geográfica e ilustrações dos caracteres diagnósticos.

  12. 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.

  13. 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.

  14. 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.

  15. Central Chile

    Science.gov (United States)

    2002-01-01

    The beginning of spring in central Chile looked like this to SeaWiFS. The snow-covered Andes mark the country's eastern border, and phytoplankton blooms and river sediment plumes fill the waters off its west coast. A large eddy due west of Concepcion is highlighted by the phytoplankton it contains.

  16. Afrique Centrale

    African Journals Online (AJOL)

    PR BOKO

    (Afrique Centrale) : peuplement de protozoaires ciliés et macro invertébrés ... Le lac d'Obili est un écosystème aquatique situé en plein cœur de Yaoundé en ...... électrique des eaux est assez stable, autour de 200 ; ce qui suppose que la ...

  17. 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...

  18. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  19. Decentralization or centralization: striking a balance.

    Science.gov (United States)

    Dirschel, K M

    1994-09-01

    An Executive Vice President for Nursing can provide the necessary link to meet diverse clinical demands when encountering centralization--decentralization decisions. Centralized communication links hospital departments giving nurses a unified voice. Decentralization acknowledges the need for diversity and achieves the right balance of uniformity through a responsive communications network.

  20. Hospitable radiopharmaceuticals

    International Nuclear Information System (INIS)

    Gonzalez, M.B.

    1994-01-01

    Two types of hospitalary radiopharmaceutical was given in Nuclear Medicine: the centralized and hospitalary radiopharmaceuticals. The good practice in the use, instrumentation and quality control of radiopharmaceuticals are used in nuclear medicine for diagnostic and therapy diseases

  1. 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!.

  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. Enterprise resource planning for hospitals

    NARCIS (Netherlands)

    Merode, van G.G.; Groothuis, S.; Hasman, A.

    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

  4. 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.

  5. Variables ambientales que afectan la densidad de diez especies forestales en la Sierra Norte de Oaxaca

    Directory of Open Access Journals (Sweden)

    Patricia Bautista-Santiago

    2018-05-01

    Full Text Available Caracterizar las condiciones ambientales en las que se desarrollan las especies forestales es importante, porque permite conocer parte de su hábitat; información útil para tomar decisiones encaminadas a un aprovechamiento integral de los bosques, que incluya medidas preventivas que contrarresten su degradación o su extinción. El objetivo de este estudio fue identificar las variables ambientales que afectan significativamente la abundancia de 10 especies arbóreas que crecen en los bosques templados de Santiago Comaltepec, al norte de Oaxaca, México. Para ello, se utilizaron tres métodos de análisis: 1 componentes principales, 2 coeficientes de correlación no paramétrica, y 3 modelos lineales generalizados. Se evaluaron un total de 23 variables medioambientales, principalmente, registros de temperaturas mínimas y máximas; precipitaciones en el verano, en invierno y en primavera; así como atributos fisiográficos que incluyeron la pendiente, la exposición y la altitud. Todas mostraron una correlación significativa (p<0.001 con al menos tres especies, varias con coeficientes de correlación superior a 0.90. Se identificaron tres taxa que son más sensibles a las variables de temperatura, en particular, a la temperatura mínima, la superior a 5 °C, y al índice de aridez; otras tres que parecen tener mayor sensibilidad a la cantidad de lluvia registrada en la primavera, en el verano, en el invierno y en las precipitaciones de abril a septiembre.

  6. A GESTÃO DO TERRITÓRIO PELO CAPITAL SUCROALCOOLEIRO NO NORTE DO PARANÁ

    Directory of Open Access Journals (Sweden)

    Marcos Antonio de Souza

    2013-02-01

    Full Text Available Toda produção econômica possui uma determinada territorialidade, cuja gestão deste território está orientada no desenvolvimento de estratégias que primem pela rentabilidade da produção, prioritariamente em patamares diferenciais. Partindo-se da premissa de que o território não é uma mera localização, a agroindústria canavieira não se localiza pura e simplesmente em uma base física qualquer. Antes, há uma seletividade espacial marcada pelas disputas territoriais e a partir destas há o exercício do controle sob os elementos necessários para realizar a sua produção, subordinando a terra, a força de trabalho, os recursos naturais ao seu negócio que prima pela reprodução ampliada do capital. Trata-se na verdade de um conjunto de estratégias espaciais, onde o poder econômico ao controlar o território, reserva para si a gestão deste no âmbito do pacto social engendrado pelos grupos hegemônicos, resultando em um território gerido e ordenado pelo capital que aí se territorializou. Nesse contexto, este trabalho busca apresentar as principais estratégias espaciais dos agroindustriais do setor canavieiro desenvolvidas nas últimas três décadas no Norte do Paraná.

  7. ENERGY POTENTIAL OF SPECIES FROM FOREST MANAGEMENT PLAN FOR THE RIO GRANDE DO NORTE STATE

    Directory of Open Access Journals (Sweden)

    Rosimeire Cavalcante dos Santos

    2013-06-01

    Full Text Available http://dx.doi.org/10.5902/198050989293The objective was to evaluate the energy potential of woods of species under forest management plan from Seridó region in the Rio Grande do Norte state. It was used the wood species Jurema Preta, Pereiro, Marmeleiro, Catingueira, Mororó, Imburana, Jurema Branca and Mofumbo, at 20 years old, originated from the Dominga´s farm in the Caicó/RN municipality. The density, the content of volatiles, the ash and fixed carbon, calorific value, elemental composition and carbon/nitrogen (C/N and carbon/hydrogen (C/H analysis were carried out in the wood. Additionally, the amount of energy produced in kW.h.m-3 and kW.h.ha-1 for all species was estimated. The experiment was conducted in a completely randomized design with eight treatments (species, four replicates (sample trees, adding up to 32 sampling units. There were significant differences, at 5% significance between treatments for all variables, except for hydrogen percentage and C/H ratio. It was concluded that Mororó´s wood shows high energy potential, and along with Jurema Preta, presents higher energy generation per m3, and provides greater economy for the same productivity. The energy potential Jurema Preta wood´s stands out among the species. Pereiro´s wood stands for energy production per hectare. Marmeleiro and Jurema Branca´s woods are indicated as direct burning potential and Imburana´s wood is not recommended for power generation.

  8. Identidad sexual en jóvenes gay del norte de Chile

    Directory of Open Access Journals (Sweden)

    Jaime Eduardo Barrientos Delgado

    Full Text Available Resumen La investigación en la que se funda este artículo tuvo como objetivo comprender cómo se construye la identidad sexual en hombres gay jóvenes, entre 18 y 29 años de edad, de la ciudad de Antofagasta, en el norte de Chile. El enfoque de la investigación fue cualitativo y la selección de los participantes fue de carácter intencional. La técnica de producción de información fue la entrevista semi-estructurada. Se identificaron tres categorías que inciden en la construcción de la identidad sexual de los jóvenes entrevistados: a la socialización de género; b la discriminación; y c la "salida del armario" (revelación de la orientación sexual a otros. Los ejes mencionados son importantes en cómo los entrevistados perciben, viven y aceptan (o no su orientación sexual. Igualmente, un hallazgo importante es la significación otorgada por los jóvenes entrevistados a la homofobia internalizada, proceso que se sustenta en la construcción e internalización de rígidos roles de género, siendo este tipo de homofobia una de las causas de la discriminación y auto-discriminación que existe entre homosexuales.

  9. 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.

  10. As variantes lexicais de carne-seca no norte mato-grossense

    Directory of Open Access Journals (Sweden)

    Manoel Mourivaldo Santiago-Almeida

    2015-05-01

    Full Text Available Este artigo apresenta um estudo de cunho sócio-geolinguístico fundamentado na teoria da variação laboviana, na concepção de norma de Coseriu (1979 e nas noções de estatística lexical de Muller (1968, e se propõe a refletir sobre a variedade do português falado em quatro pontos da região norte mato-grossense. São apresentados, para tanto, registros e análise das variantes lexicais do tema carne-seca. O resultado dessa análise sugere que as influências regionais que constituíram e ainda constituem o português falado nesse espaço geográfico são oriundas do contato de todos os dialetos e idioletos trazidos pelos migrantes de suas regiões de origem. Trata-se, portanto, de um recorte da linguagem utilizada nessa comunidade para representar o mundo sociocultural que a cerca. This article presents a socio-geolinguistic study founded on the Labovian variation theory, on the principle conception by Coseriu (1979 and on the lexical statistics notions by Muller (1968. It aims to ponder about the variety of the Portuguese language spoken in four sites of the North region of Mato Grosso. Records and analysis of the variants are presented about the theme jerked beef. The result of this analysis suggests that the regional influences that have constituted the spoken Portuguese in that geographical space are resultant of the contact with all the dialects and idiolects brought by migrants from their original regions. Therefore, it is all about a language cutting used in that community to represent the socio-cultural world that surrounds it.

  11. 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.

  12. Phlebotomine sandflies (Diptera: Psychodidae) in a sub-Andean forest from the Norte de Santander, Colombia.

    Science.gov (United States)

    Hoyos-López, Richard; Bolaños, Rafael; Contreras-Gutierrez, MarIa; Carrero-Sarmiento, Diego

    2016-03-01

    The recognition of communities of arthropods with medical importance in natural systems constitutes an important step in the prediction of possible epidemic events and/or emergence of infectious diseases in the human population. This is due to anthropogenic impact in natural areas and landscape modification, which changes the dynamics of pathogenic agents, reservoirs, and vector insects. In this study, an inventory was compiled of species of the genus Lutzomyia present in sub-Andean forest from the confluence of the Pamplonita River basin. CDC-light and Shannon traps were used for collecting adult phlebotomine sandflies during the month of October 2013 in a sub-Andean forest from river basin Pamplonita. All specimens were identified using morphological keys. The epidemiological relevance of each species was reported using a literature review about natural infection or vector incrimination with Leishmania species or other pathogens microorganism. A total of 2755 specimens belonging to eight species of the genus Lutzomyia were collected. Out of the eight species, seven belonged to the group verrucarum (Lutzomyia sp--townsendi series, L. ovallesi, L. spinicrassa, L. serrana, L. townsendi, L. nuneztovari and L. pia), while one belonged to the subgenus Helcocyrtomyia (L. hartmanni). A new registry of L. townsendi was observed for the Norte de Santander department. The appreciable diversity of the verrucarum group observed in this area suggest further investigation on the biogeography and evolution of this group, and epidemiological risk for human populations around this area, as there are reports of Leishmania natural infection and favourable conditions for domestication of phlebotomines in rural towns.

  13. 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.

  14. 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.

  15. 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 ...

  16. Las empresas de Norte de Santander y su perspectiva acerca de la seguridad y salud en el trabajo

    OpenAIRE

    Oscar Yesid Guerrero Jaimes; Ruth Mayerly Guerrero Jaimes

    2017-01-01

    Colombia viene afrontando un proceso, de transición del programa de salud ocupacional, al sistema de gestión de seguridad y salud en el trabajo (SG-SST), acompañado con nuevas legislaciones en esta materia. El objetivo de esta investigación fue medir el grado de conocimiento, que tienen las empresas legalmente constituidas  de Norte de Santander,  con respecto a este tema de la seguridad laboral, con la finalidad de tener un panorama claro que pueda determinar las posibles estrategias que fac...

  17. Desempenho empresarial em setores concentrados : um estudo comparativo nas salinas do estado do Rio Grande do Norte

    OpenAIRE

    Valdevino, Rosângela Queiroz Souza

    2014-01-01

    Na atual conjuntura competitiva, os acompanhamentos administrativos e financeiros são essenciais para o estabelecimento dos requisitos necessários a uma eficiente tomada de decisão. Neste sentido, o presente trabalho tem por objetivo conhecer mais profundamente o setor salineiro do Rio Grande do Norte, no período de 2010/2011, e comparar o seu desempenho com os setores de mineração e serviços hospitalares que também apresentam elevado grau de concentração segundo classificação bas...

  18. Estudio de mercado para el desarrollo y lanzamiento de mobiliario de hogar minimalista al norte de Quito

    OpenAIRE

    Izurieta Guevara, Mónica Gioconda

    2007-01-01

    El propósito de esta Tesis fue realizar la investigación de mercado que permita principalmente evaluar la aceptación de nuevo mobiliario de hogar minimalista entre jóvenes adultos mayores al norte de la ciudad de Quito; de igual manera se pretendió descubrir las necesidades, hábitos de compra y uso, conocimiento de marcas de la categoría y otros aspectos relacionados a la vivienda y sus ambientes. Ese proyecto parte de un breve análisis de la industria de muebles de Hogar e...

  19. Desafíos migratorios de carácter multidimensional en el norte de África

    OpenAIRE

    Klaauw, Johannes van der

    2007-01-01

    Dado que el control de las fronteras europeas es ahora más estricto, cada vez son más los refugiados y solicitantes de asilo procedentes de los países subsaharianos que deambulan por el norte de África. En ausencia de estructuras estatales eficaces que les den cobertura y debido al incremento en el número de solicitudes, ACNUR está trabajando para reforzar la capacidad de protección en la región, especialmente en Marruecos.

  20. Imágenes transitorias. Globalización y modificaciones urbanas en ciudades del norte de México

    OpenAIRE

    Eloy Méndez Sainz

    1996-01-01

    Las expectativas mexicanas de inserción en los mercados globales, han sido puestas en las ciudades. Aunque frente a limitaciones de fondo, emerge el mercado de la imagen, uno de los renglones de mayor agresividad competitiva. En el escenario urbano, las interrogantes en torno al qué y cómo vender se anteponen por regla a políticas orientadas al bienestar social. En el ámbito particular de la Frontera Norte, formada por ciudades de crecimiento acelerado con ritmo sostenido a lo largo ...

  1. 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....

  2. Relaciones entre China y Corea del Norte en la era de Deng Xiaoping (1978-1997), Las

    OpenAIRE

    Gomà Pinilla, Daniel

    2006-01-01

    El período que comprende el último cuarto del siglo XX es una época de profundos cambios en las relaciones entre los regímenes comunistas de Pekín y Pyongyang. La llegada de Deng Xiaoping al poder en 1978 y su política reformista en China alteraron de manera sustancial la naturaleza de sus relaciones con Corea del Norte. En esta tesis se ha analizado el período 1978-1997, conocido en China como los años de Deng, de las relaciones sino-norcoreanas tanto desde el punto de vista de la relación b...

  3. Las relaciones entre China y Corea del Norte en la era de Deng Xiaoping (1978-1997)

    OpenAIRE

    Gomà, Daniel

    2006-01-01

    [spa] El período que comprende el último cuarto del siglo XX es una época de profundos cambios en las relaciones entre los regímenes comunistas de Pekín y Pyongyang. La llegada de Deng Xiaoping al poder en 1978 y su política reformista en China alteraron de manera sustancial la naturaleza de sus relaciones con Corea del Norte. En esta tesis se ha analizado el período 1978-1997, conocido en China como los años de Deng, de las relaciones sino-norcoreanas tanto desde el punto de vista de la rela...

  4. Macroinfauna en playas arenosas de la costa del Norte Grande de Chile sometidas a diferentes presiones antrópicas

    OpenAIRE

    Acuña, Emilio O; Jaramillo, Eduardo

    2015-01-01

    Las playas arenosas urbanas son afectadas por limpieza artificial y recreación, lo que resulta en perturbación de los sedimentos y la macroinfauna. Durante octubre 2012, se muestrearon 3 playas urbanas y 4 no urbanas a lo largo de la costa del norte de Chile (ca., 20-21°S), para evaluar la estructura comunitaria de la macroinfauna intermareal. Se replicaron 4 transectos perpendiculares a la línea de costa extendidos entre el intermareal superior y el nivel de la marea baja, para recolectar mu...

  5. 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.

  6. Registro de la perdiz veracruzana o Chivizcoyo (Dendrortyx barbatus Gould en la sierra norte de Oaxaca, México

    Directory of Open Access Journals (Sweden)

    Sergio H. Aguilar-Rodríguez

    2015-06-01

    Full Text Available Se describe el primer registro de la Perdiz Veracruzana o Chivizcoyo (Dendrortyx barbatus en la Sierra Norte de Oaxaca. Los métodos usados para obtener su registro así como la vegetación del área son descritos. Se menciona el conocimiento local autóctono de ave y su importancia económica, pese a no haber sido anteriormente registrada por ornitólogos. Se discuten evidencias que agregan certeza al registro y se menciona la importancia de éste para la ampliación de su rango de distribución.

  7. Tectónica Activa y Geodinámica en el Norte de Centroamérica

    OpenAIRE

    Álvarez Gómez, José Antonio

    2016-01-01

    El norte de Centroamérica puede ser entendido geográficamente como el área comprendida por Nicaragua, Honduras, El Salvador, Guatemala y el sur de México (Chiapas). Geológicamente es un bloque de corteza continental soldado parcialmente a la placa de Caribe, el bloque de Chortís, siendo su extremo nor-occidental. Este bloque limita con dos placas litosféricas, al noroeste con la placa de Norteamérica a través de la zona de desgarre siniestra de Motagua – Polochic – Transformante de la Isla de...

  8. Características dos Sistemas de Controle em Fazendas de Soja no Norte de Mato Grosso

    OpenAIRE

    Ivan Canan; Daniel Luis Schrader

    2016-01-01

    Este trabalho investigou os sistemas de controle utilizados nas fazendas de soja no norte de Mato Grosso, a partir da perspectiva dos gestores. Aceitou-se, com base na literatura, que organizações dessa natureza tentem a ser empresas familiares que assumem a configuração de estruturas organizacionais simples. A partir dessa definição, e com base no que a literatura aponta como variáveis estratégicas críticas que agem sobre o agronegócio da soja, um roteiro de entrevistas que busco...

  9. Memórias sociais de juventude entre quilombolas do norte do Espírito Santo

    OpenAIRE

    Valentim,Renata; Trindade,Zeidi Araújo; Menandro,Maria Cristina Smith

    2010-01-01

    Buscando um conjunto etário que tivesse vivido sua juventude entre as populações remanescentes de quilombos do norte do Estado do Espírito Santo e ainda na presença da Mata Atlântica, esta pesquisa teve como objetivo principal identificar as memórias sociais de juventude nessas comunidades, relacionando as representações desse passado compartilhado às mudanças ambientais e sociais que recentemente impactaram a sua região. Foram entrevistadas 11 pessoas, homens e mulheres, com idade entre 40 e...

  10. La transformación de los medios forestales en el Norte de Argentina. Implicaciones sociales y ambientales.

    OpenAIRE

    Cuadra, Dante Edin

    2016-01-01

    En el Norte de Argentina se encuentran las mayores extensiones de bosques nativos del país. Se trata de un ámbito subtropical con marcadas variaciones pluviométricas, resultantes de la dinámica atmosférica, los tipos y disposiciones del relieve y la distancia al mar, factores que han posibilitado el desarrollo de formaciones vegetales diferenciadas como las selvas de riberas y mesetas en el Este, los bosques húmedos y xerófilos en el centro y las selvas serranas en el Oeste. Las primeras ...

  11. Passado, presente e futuro dos princípios contábeis norte-americanos - US GAAP Lições para contabilidade brasileira

    Directory of Open Access Journals (Sweden)

    João Henrique Pederiva

    2009-10-01

    Full Text Available Como se estruturam as normas contábeis adotadas para registrar as atividades econômicas norte-americanas - United States Generally Accepted Accounting Principles - US GAAP (Princípios Contábeis Geralmente Aceitos Norte Americanos, quais os seus principais eixos de desenvolvimento doutrinário e que interesse há nesse conhecimento para a contabilidade brasileira? A relevância de obter respostas a esses questionamentos resulta da importância econômica dos Estados Unidos da America para as demais nações. Afinal, os recentes problemas nos mercados de capitais norte-americanos comprometeram, em dois anos e meio, US$ 7,7 trilhões da poupança destinada a aposentadoria dos trabalhadores daquele país. Atente-se que muitos países, inclusive o Brasil, buscam recursos nesses mercados de capitais.

  12. 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…

  13. 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.

  14. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    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...... 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...

  15. Craniofacial chronological microdifferentiation of human prehistoric populations of the Azapa valley, northern Chile Microdiferenciación cronológica craneofacial de poblaciones humanas prehistóricas del Valle de Azapa, norte de Chile

    Directory of Open Access Journals (Sweden)

    FRANCISCO ROTHHAMMER

    2002-03-01

    Full Text Available Archeological evidence suggest that the cultural developments occurred in the highlands around lake Titicaca in the Central Andes, exerted influence on the cultural elaborations of the human groups that peopled the valley of Azapa, close to the city of Arica, and the Pacific coast of northern Chile. In this communication we show by means of a distance analysis, that a craniofacial differentiation accompanied the process of cultural evolution in the valley. The biological influence of Tiwanaku is partially reflected in craniofacial morphology, providing preliminary evidence that cultural changes were associated to intermittent gene flow from the highlands, specially during the Alto Ramírez and San Miguel phasesLos desarrollos culturales ocurridos en el altiplano en el área circumtiticaca en los Andes centrales, ejercieron influencia sobre las elaboraciones culturales de los grupos humanos que poblaban el Valle de Azapa cercano a la ciudad de Arica y la costa del norte de Chile. En esta comunicación presentamos un análisis de distancias que demostró que una diferenciación craniofacial acompaño en el valle el proceso de evolución cultural. La influencia biológica de Tiwanaku se refleja parcialmente en la morfología craniofacial, proporcionando evidencia preliminar de que los cambios culturales en el valle se realizaron acompañados de flujo génico intermitente desde el altiplano, especialmente durante las fases Alto Ramírez y San Miguel

  16. La economía ecológica y las formas de propiedad del manglar de la zona norte de Esmeraldas

    OpenAIRE

    Rosales Estupiñan, Mauricio

    1995-01-01

    Hay dos problemas urgentes por resolver en la zona norte de Esmeraldas: La pobreza de las comunidades locales, y la conversión (destrucción) de los manglares a camaroneras y sus externalidades. En la zona norte de Esmeraldas se encuentra el sistema de manglar comprendido entre los ríos Mataje y los alrededores de la desembocadura del río Santiago, con un extensión aproximada de 50.000 ha. Los manglares son un sistema ecológico abierto que interactúa con el mar, los estuarios, los esteros y la...

  17. Respuesta de la demanda de agua a cambios en el precio: un estudio por tipo de consumidor en el norte de Sinaloa, México

    OpenAIRE

    Torres-Sombra, Jesús; García-Salazar, José A.; García-Mata, Roberto; Matus-Gardea, Jaime; González-Estrada, Elizabeth; Pérez-Zamorano, Abel

    2013-01-01

    La disminución del nivel de almacenamiento de agua en las presas en el norte de Sinaloa, México, y el incremento de la demanda agrícola y residencial hacen urgente establecer políticas que promuevan la distribución y uso eficiente. Para conocer los factores que explican el comportamiento de la demanda de agua en los sectores residencial, agrícola, pecuario, industrial y comercial del norte de Sinaloa, se estimó un modelo de ecuaciones simultáneas, compuesto de diez ecuaciones y tres identidad...

  18. VARIABILIDAD TEMPORAL DE LA SURGENCIA Y LA ZMO, Y SU EFECTO SOBRE LA PRODUCTIVIDAD BIOLOGICA EN UN SISTEMA COSTERO DEL NORTE DE LA CORRIENTE DE HUMBOLDT

    OpenAIRE

    GUIÑEZ ARAYA, MARCOS IGNACIO

    2012-01-01

    Mejillones del Sur (23ºS), es una bahía orientada hacia el norte y ubicada a orillas del desierto más seco del planeta (Atacama). Esta bahía es parte del centro de surgencia de Punta Angamos, localizado en la zona norte del sistema de corrientes de Humboldt. En la bahía de Mejillones se han registrado valores de producción primaria media de 3170 mg C m-2 d-1 y una abundante diversidad fitoplanctónica. En esta bahía se han realizado una serie de estudios sobre la composición y estructura de...

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

    OpenAIRE

    María Yira Figueroa Olvera

    2008-01-01

    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 profe...

  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. 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.

  2. Geochronology Intermediary Laboratory implantation at the Rio Grande do Norte Federal University: the dating of the Serrinha Granitoid (RN) and the correlate Brasiliana extensional deformation

    International Nuclear Information System (INIS)

    Macedo, Maria Helena F.; Sa, Emanuel F. Jardim de; Souza, Zorano S.; Mendes, Franklin S.; Ramalho, Karlos A.C.

    1997-01-01

    The article describes the activities developed by the Geochronology Intermediary Laboratory at the Federal University of the Rio Grande do Norte, a Brazilian university, where there were the preoccupation of establishing strategies for a geochronological development. It relates the Rubidium-Strontium (Rb/Sr) and Samarium-Neodymium (Sm/Nd) methods, describing the analysis realized in these methodologies. Afterward, it presents the geological and petrographic situation of the Granitoide de Serrinha, located at Rio Grande do Norte State, Brazil and its geochronological data

  3. Pós-colheita de mamão híbrido UENF/CALIMAN 01 cultivado no Rio Grande do Norte Postharvest shelf life of papaya UENF/CALIMAN 01 produced in Rio Grande do Norte

    Directory of Open Access Journals (Sweden)

    Patrícia Lígia Dantas de Morais

    2007-01-01

    Full Text Available No Brasil, foi desenvolvido um novo híbrido de mamão obtido através de melhoramento do cruzamento entre um progenitor do Grupo Formosa e um progenitor do Grupo Solo. Recentemente, os produtores de mamões do Rio Grande do Norte introduziram o cultivo desse híbrido em seus pomares: no entanto, os estudos acerca do potencial de conservação desses frutos restringem-se aos testes realizados nas próprias empresas. O presente trabalho propôs-se a avaliar a vida útil pós-colheita do mamão híbrido UENF/Caliman 01 cultivado no Estado do Rio Grande do Norte. Os frutos foram provenientes de um plantio comercial, localizado no município de Ceará-Mirim-RN. Os mamões foram colhidos no estádio de maturação I (menos de 15% da superfície da casca amarela. No galpão de embalagem, os frutos passaram por lavagem, seleção, tratamentos hidrotérmico, imersão em fungicida e cera. No laboratório da Universidade Federal Rural do Semi-Árido (Mossoró-RN, os frutos foram armazenados à temperatura de 25º C ± 2º C e umidade relativa de 55% ± 5%. Aos 0; 2; 4; 6; 8 e 10 dias de armazenamento, realizaram-se avaliações sobre as seguintes variáveis: aparência externa e interna, coloração da casca, perda de massa, firmeza, sólidos solúveis, acidez titulável, pH e açúcares. Esse híbrido apresenta características fenotípicas do Grupo Formosa, com frutos alongados, massa média de 1,28 kg, polpa com espessura de 2,74 cm, coloração vermelha e conteúdo elevado de sólidos solúveis (13,65% e açúcares (10,53%. As variáveis de qualidade analisadas limitaram a vida útil pós-colheita do híbrido UENF/Caliman 01 em oito dias.A new papaya hybrid was developed in Brazil obtained by breeding with the crossing of progenitors from Solo x Formosa groups. Recently, in the state of Rio Grande do Norte, Brazil, this hybrid was introduced by the farmers in their orchards. However, the studies concerning to the conservation potential of these fruits

  4. Central hypothyroidism

    Directory of Open Access Journals (Sweden)

    Vishal Gupta

    2011-01-01

    Full Text Available Central hypothyroidism is defined as hypothyroidism due to insufficient stimulation by thyroid stimulating hormone (TSH of an otherwise normal thyroid gland. It has an estimated prevalence of approximately 1 in 80,000 to 1 in 120,000. It can be secondary hypothyroidism (pituitary or tertiary hypothyroidism (hypothalamus in origin. In children, it is usually caused by craniopharyngiomas or previous cranial irradiation for brain tumors or hematological malignancies. In adults, it is usually due to pituitary macroadenomas, pituitary surgeries or post-irradiation. Fatigue and peripheral edema are the most specific clinical features. Diagnosis is established by the presence of normal to low-normal TSH on the background of low-normal thyroid hormones, confirmed by the thyrotropin releasing hormone stimulation test. Therapy includes use of levothyroxine titrated to improvement in symptomology and keeping free T4 in the upper limit of normal reference range.

  5. 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

  6. 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

  7. Liquens brasileiros: novas descobertas evidenciam a riqueza no Norte e Nordeste do país

    Directory of Open Access Journals (Sweden)

    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.

  8. Factores asociados a mastitis en vacas de la microcuenca lechera del altiplano norte de Antioquia, Colombia

    Directory of Open Access Journals (Sweden)

    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.

  9. Correlation between somatic cell count and chemical composition of cooled raw milk in properties of Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Adriano Henrique do Nascimento Rangel

    2014-06-01

    Full Text Available Due to the damage caused by subclinical mastitis in loss of production and quality of milk, the present study aimed to verify the correlation between somatic cell count (SCC and the chemical composition of cooled raw milk collected in the Agreste region of Rio Grande do Norte, Brazil, in drought and rain seasons. Samples were collected in seven dairy farms during morning time, between January 2010 and March 2012, and sent to the Brazilian et of Milk Quality Laboratory (ESALQ/USP. The contents of protein, fat, lactose, casein, total solids, nonfat dry extract and urea nitrogen, besides of SCC and total bacterial count were performed. Data were submitted to analysis of variance, correlation analysis and comparison of means by Tuckey test , 5%. The average SCC was 604,000 cells/mL and had significant variation in the dry period (558 000 cells/mL and rainy (650 000 cells/mL. The SCC was positively correlated with fat and total solids but negatively with the lactose cow’s milk of bulk tank, regardless of the season in the Agreste of Rio Grande do Norte.

  10. Factores influyentes en la primiparidad precoz en Santa Cruz del Norte durante 10 años

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    Jonathan Hernández Núñez

    Full Text Available Introducción: el embarazo en la adolescencia es una de las preocupaciones médicas más importantes derivadas de la conducta sexual de las jóvenes. Objetivo: identificar los factores de riesgo que influyen en el embarazo en la adolescencia en el municipio Santa Cruz del Norte. Métodos: se realizó un estudio de casos y controles sobre los factores predisponentes del embarazo en adolescentes de Santa Cruz del Norte, del año 2002 al 2011. El universo fue de 336 pacientes, escogiéndose una muestra de 252 al azar que conformó el grupo estudio, se dispuso de un grupo control de 252 pacientes primíparas no adolescentes. Los datos se recolectaron mediante encuesta y para el análisis estadístico se empleó la media, desviación estándar, porcentaje, Chi Cuadrado y Odds Ratio. Resultados: las adolescentes fueron mayormente amas de casa, la edad de inicio de las relaciones sexuales fue más precoz en el grupo estudio; la mayoría de las adolescentes no utilizaban métodos anticonceptivos; la crianza de éstas no fue realizada por ambos padres y se desarrollaron en un medio familiar disfuncional mayoritariamente. Conclusiones: existen múltiples factores de riesgo para el embarazo en adolescentes susceptibles de ser modificados desde la atención primaria de salud.

  11. Intoxicação por Ipomoea asarifolia em bovinos e ovinos no Rio Grande do Norte

    Directory of Open Access Journals (Sweden)

    Fabricio K. de L. Carvalho

    2014-11-01

    Full Text Available Ipomoea asarifolia é uma das principais plantas tóxicas para ruminantes nas regiões Norte e Nordeste. A intoxicação ocorre na época das secas quando há escassez de forragem e é mais frequente em ovinos do que em outras espécies, porem casos espontâneos também são relatados em caprinos, bovinos e búfalos. Este trabalho relata a ocorrência de 18 surtos de intoxicação em bovinos por I. asarifolia que ocorreram de agosto de 2012 a fevereiro de 2013 no estado do Rio Grande Norte. De um total de 1704 bovinos, 202 (11,8% adoeceram e 34 (2% morreram. Em seis propriedades onde havia ovinos estes também se intoxicaram. Foram observados também sinais clínicos em bezerros e cordeiros confinados, sem acesso às pastagens, que se intoxicaram pela ingestão do leite das mães que ingeriam I. asarifolia a pasto.

  12. Sacerdotisas, Curanderas, Parteras y Guerreras: Mujeres de élite en la costa norte del Perú Antiguo

    Directory of Open Access Journals (Sweden)

    Alicia Alvarado Escudero

    2015-08-01

    Full Text Available Los hallazgos arqueológicos en la costa norte peruana durante las últimas décadas han permitido constatar que el género femenino tuvo un peso muy importante en las estructuras regionales de poder. Se ha descubierto que las mujeres ocuparon cargos especiales en el mundo político-religioso, lo cual significa una importante contribución al actual análisis de la sociedad prehispánica en la costa norte del Perú. Este artículo analiza cuatro de estos cargos ocupados por mujeres de élite y argumenta que, posiblemente, tengan una vinculación directa entre ellos mediante un fuerte sentido de espiritualidad donde los mundos político, religioso y social aparecen fuertemente vinculados.   Archaeological findings on the Northern coast of Peru in recent decades, have allowed for bringing to light the important role played by women in the power structures in the coast. The acknowledgement that women occupied special positions in the political and religious worlds, means a significant contribution to the current analysis of pre-Hispanic society in the Northern coast of Peru. Therefore, this article looks at four of these positions occupied by elite women, and argues that they may be intertwined by means of a strong sense of spirituality in which the political, the religious and the social worlds can't be dissociated from one another.

  13. 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.

  14. CONSIDERAÇÕES SOBRE A REGIONALIZAÇÃO DO TURISMO NO "MEIO-NORTE" BRASILEIRO

    Directory of Open Access Journals (Sweden)

    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.

  15. Creencias sobre estereotipos de género de jóvenes universitarios del norte de México

    Directory of Open Access Journals (Sweden)

    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.

  16. Bibliometric analysis of undergraduate final research projects in Nutrition courses in the state of Rio Grande do Norte, Brazil

    Directory of Open Access Journals (Sweden)

    Taiana Brito MENÊZES

    2016-02-01

    Full Text Available ABSTRACT Objective: To evaluate the profile of academic production of undergraduates in Nutrition courses in the state of Rio Grande do Norte, Brazil. Methods: The bibliometric study was conducted with undergraduate final research projects from five courses in Nutrition in the state of Rio Grande do Norte during 2013 and 2014. The following variables were collected: institution, title of project, number of authors, academic degree of the advisor, study design, area of study interest, type of study, study setting, submission to the ethics committee, and keywords. Pearson's Chi-square test was used to assess the variable area of study interest with a significance level at p≤0.05 and 95% confidence interval. Results: Of the 195 projects analyzed, 79.0% were developed at universities. We found a higher frequency of academic articles (68.2% developed by a single student (65.6%, advised by a professor with a Masters degree (57.9%, with a cross-sectional study design (48.2%, and without submission to the research ethics committee (49.2%. The mean adequacy of keywords was 50.0%. Conclusion: The quantitative approach was the most predominant characteristic of the final research projects and the most frequently researched area of knowledge was public health. The methodological approaches of the research projects were considered weak, which suggests the need to improve the quality of scientific methodology during undergraduate studies, considering the important benefits derive from researches as an active methodology.

  17. Molecular confirmation of ovine herpesvirus 2-induced malignant catarrhal fever lesions in cattle from Rio Grande do Norte, Brazil

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    Selwyn A. Headley

    2012-12-01

    Full Text Available Molecular findings that confirmed the participation of ovine herpesvirus 2 (OVH-2 in the lesions that were consistent with those observed in malignant catarrhal fever of cattle are described. Three mixed-breed cattle from Rio Grande do Norte state demonstrated clinical manifestations that included mucopurulent nasal discharge, corneal opacity and motor incoordination. Routine necropsy examination demonstrated ulcerations and hemorrhage of the oral cavity, corneal opacity, and lymph node enlargement. Significant histopathological findings included widespread necrotizing vasculitis, non-suppurative meningoencephalitis, lymphocytic interstitial nephritis and hepatitis, and thrombosis. PCR assay performed on DNA extracted from kidney and mesenteric lymph node of one animal amplified a product of 423 base pairs corresponding to a target sequence within the ovine herpesvirus 2 (OVH-2 tegument protein gene. Direct sequencing of the PCR products, from extracted DNA of the kidney and mesenteric lymph node of one cow, amplified the partial nucleotide sequences (423 base pairs of OVH-2 tegument protein gene. Blast analysis confirmed that these sequences have 98-100% identity with similar OVH-2 sequences deposited in GenBank. Phylogenetic analyses, based on the deduced amino acid sequences, demonstrated that the strain of OVH-2 circulating in ruminants from the Brazilian states of Rio Grande do Norte and Minas Gerais are similar to that identified in other geographical locations. These findings confirmed the active participation of OVH-2 in the classical manifestations of sheep associated malignant catarrhal fever.

  18. 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. 

  19. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

    Malnutrition seen in hospitals usually occurs as some form of protein-energy malnutrition (PEM). Primary PEM results from an acute or chronic deficiency of both protein and calories. Secondary PEM, or cachexia, results from a disease or medical condition such as cancer or gastrointestinal disease that alters requirements or impairs utilization of nutrients. This record was migrated from the OpenDepot repository service in June, 2017 before shutting down.

  20. Elaboración de los procedimientos técnico administrativos de enfermería en base a estándares de calidad en la Central de Esterilización del Hospital Eugenio Espejo

    OpenAIRE

    Chumbi Quito, Ruth Emperatriz

    2016-01-01

    En la actualidad resulta indispensable mantener la disciplina laboral en las instituciones como método de lograr el cumplimiento de los objetivos propuestos, de allí la necesidad de realizar el correcto manejo de los recursos materiales, tecnológicos, económicos y en primer lugar el recurso humano como formador de bienes. El presente trabajo posee el objetivo de elaborar los procedimientos técnico administrativos de enfermería en base a estándares de calidad en la Central de Esterilización de...

  1. Estudio hidroclimático de la región del Caribe, Norte colombiano

    Directory of Open Access Journals (Sweden)

    1977-01-01

    Full Text Available L'étude hydro-climatique de la région de la plaine des Caraïbes (Nord Colombien présente deux caractéristiques principales quant à ses objectifs et à la méthode employée: travailler dans le sens d'une climatologie plus globale, faisant appel à des variables et aspects climatiques peu connus ou peu utilisés en Colombie, mais présenter aussi une étude qui puisse servir de base à une planification régionale agricole. C'est pour cette raison que l'on a insisté sur la cartographie d'éléments agro-climatiques comme les pluies d'hiver, les besoins en eau d'irrigation et les relations complexes de l'évapotranspiration comme expression numérique de la sécheresse. La partie cartographique a particulièrement été soignée selon des techniques en partie empruntées à l'école de Grenoble mais adaptées au milieu tropical. L'article ci-après se veut essentiellement une présentation rapide des trois cartes en annexe: la carte pluviothermique, la carte des régimes et fréquences pluviométriques et celle de l'évapotranspiration et des bilans hydriques. Enfin la comparaison des trois documents permet l'ébauche d'une synthèse climatique qui classe le Nord colombien en dix régions aux conditions climatiques propres pouvant servir de base à l'étude du milieu naturel et de l'écologie de l'espace étudié. El estudio hidroclimático de la región del Caribe (Norte colombiano presenta dos características principales en cuanto a sus objetivos y el método empleado. Es un trabajo en el sentido de una climatología más global, tratando variables y aspectos climáticos poco conocidos o poco utilizados en Colombia: también es un trabajo que se quiere aplicado para servir a un ordenamiento regional agrícola. Por esta razón, el estudio enfoca la cartografía de elementos agroclimáticos como son las lluvias de invierno, los requerimientos en agua de riego y las relaciones complejas de evapotranspiración como expresión numérica de la

  2. [Central diabetes insipidus: diagnostic difficulties].

    Science.gov (United States)

    Matoussi, N; Aissa, K; Fitouri, Z; Hajji, M; Makni, S; Bellagha, I; Ben Becher, S

    2008-06-01

    Central diabetes insipidus is rare in children. Characteristic features include polyuria and polydipsia due to arginine vasopressin deficiency. The differential diagnosis of polyuric states may be difficult. Etiologic diagnosis of central diabetes insipidus may be an equally difficult task. To specify the difficulties encountered in the diagnosis of central diabetes insipidus and to point out features of the etiologic work-up and of long-term follow-up of children with idiopathic central diabetes insipidus. A retrospective study of 12 children admitted with a polyuria/polydipsia syndrome to the pediatric - consultation and emergency unit of the children's hospital of Tunis between 1988 and 2005. Children with acquired nephrogenic central diabetes insipidus were excluded. Fourteen-hour fluid restriction test and/or desmopressin test were used without plasma vasopressin measurement. Eight patients were classified as having central diabetes insipidus, which was severe in seven children and partial in one girl. One patient was classified as having primary polydipsia. The diagnosis remains unclear in three patients. The etiological work-up in eight patients with central diabetes insipidus enabled the identification of Langerhan's-cell histiocytosis in two patients and neurosurgical trauma in one. The cause was considered idiopathic in five patients. The median follow-up of the five patients with idiopathic central diabetes insipidus was five years two months plus or minus six years seven months (range five months, 14.5 years). During this follow-up, neither brain magnetic resonance imaging scans findings nor anterior pituitary function have changed. Fluid restriction and desmopressin tests did not enable an accurate distinction between partial diabetes insipidus and primary polydipsia. Regular surveillance is warranted in patients with idiopathic central diabetes insipidus to identify potential etiologies.

  3. Survival in adult patients with diagnosis of high-grade glioma located in the central nervous system, who were treated with radiotherapy and temozolamide at Hospital Mexico during the period from January 2009 to December 2011

    International Nuclear Information System (INIS)

    Chaves Porras, Jorge Alvaro

    2013-01-01

    The impact of survival is determined by the incorporation of the chemotherapeutic temozolamide into the therapy regimen of patients with high grade gliomas. Overall survival is determined in patients with high grade gliomas. The investigation is performed with the total of patients with high grade gliomas, with treatment of radiotherapy and temozolamide. Progression-free survival is determined in the population with high-grade gliomas at Hospital Mexico, from January 2009 to December 2011. The diagnosis of glioblastoma is given in 86% and astrocytoma grade III in 14% of the cases. The concomitance of radiotherapy with temozolomide is received by 33 of 37 patients. Seventy-six percent of patients completed the 6 cycles of adjuvant therapy. The overall survival rate was 14.39 months. Patients with grade III gliomas have had a better prognosis [es

  4. Modular organization and hospital performance.

    Science.gov (United States)

    Kuntz, Ludwig; Vera, Antonio

    2007-02-01

    The concept of modularization represents a modern form of organization, which contains the vertical disaggregation of the firm and the use of market mechanisms within hierarchies. The objective of this paper is to examine whether the use of modular structures has a positive effect on hospital performance. The empirical section makes use of multiple regression analyses and leads to the main result that modularization does not have a positive effect on hospital performance. However, the analysis also finds out positive efficiency effects of two central ideas of modularization, namely process orientation and internal market mechanisms.

  5. International overview of hospital procurement.

    Science.gov (United States)

    Ferrier, Maud; Lariviere, David; Laurent, Claire; Roque, Eric

    2011-01-01

    This article was written by four French hospital director students at the Ecole des Hautes Etudes en Santé Publique (EHESP-School of Public Health) from a study conducted jointly with students at the Grenoble School of Management to present an international overview of hospital procurement methods in ten countries. An analysis of these methods showed that there was a general trend towards group purchasing, with some common aims in terms of costs and performance and some differences in legislation (competition), size of the public sector and centralization or decentralization.

  6. The central Iowa project.

    Science.gov (United States)

    Allen, H M

    1994-10-01

    This project developed and tested a population-based survey, the HS Form, to examine health and health care in the Central Iowa community. Data from this new collection of proven sets of items were used to compare competing health plans, doctor offices, hospitals, and to develop preliminary norms of the community's insured, in two areas: system performance and health burden. The results showed that the survey: (1) was both feasible and efficient in delivering a comprehensive and generic assessment of consumers and patients; (2) revealed consistent, noteworthy differences between plans and between providers across both sets of criteria; and (3) indicated that there is substantial room for improvement in Central Iowa's health care delivery system from the public's perspective. Recommendations for next steps include: (1) following through on the June 1993 community forum (held to discuss the project's methods and results with local decision makers); (2) broadening the evaluation design to increase sample representativeness; and (3) implementing a pre/post approach to measure changes in plan and provider performance.

  7. Béne wha lhall, béne lo ya'a : identidad y etnicidad en la sierra norte Zapoteca de Oaxaca

    NARCIS (Netherlands)

    Ríos Morales, Manuel de Jesús

    2011-01-01

    The aim of this doctoral thesis is to contribute to a better understanding of the issue of ethnic identity of the Zapotecs in the Sierra Norte of the Mexican State of Oaxaca, and to contribute to an indigenous criticism aiming at decolonizing cultural memories and social realities in México and the

  8. Reconstrucción del límite superior del bosque en la parte norte del Ecuador: algunos resultados del proyecto RUFLE

    NARCIS (Netherlands)

    Sevink, J.; Tonneijck, F.; Jansen, B.; Hooghiemstra, H.; Cuesta, F.; Sevink, J.; Llambí, L.D.; De Bièvre, B.; Posner, J

    2014-01-01

    Resumen Se estudiaron los suelos, los registros de polen y los marcadores biológicos en transectos entre bosque y páramo en la reserva natural Guandera al norte del Ecuador para reconstruir el límite superior del bosque y establecer sus características y dinámicas. Se encontró que los suelos estaban

  9. “Glorioso templo de sabedoria”: o Lyceu Provincial e a Instrução Secundária na Parahyba do Norte

    Directory of Open Access Journals (Sweden)

    Nayana Rodrigues Cordeiro Mariano

    2017-12-01

    Full Text Available FERRONATO, Cristiano de Jesus. (2014. Das Aulas Avulsas ao Lyceu Provincial: As primeiras configurações da instrução secundária na província da Parahyba do Norte (1836-1884. Aracaju: EDISE/Edunit.

  10. Geochemistry of rare earths and oxygen isotopes in granitic rocks from Monte das Gameleiras and Dona Ines, Rio Grande do Norte-Paraiba border, Brazil

    International Nuclear Information System (INIS)

    Sial, A.N.

    1984-01-01

    The study of oxygen isotopes and rare earth elements in granitic plutons of Monte das Gameleiras and Dona Ines, Rio Grande do Norte-Paraiba border, in Brazil, to define the nature of source rock of progenitor magmas, is presented. (M.C.K.) [pt

  11. Modified Team-Based Learning Strategy to Improve Human Anatomy Learning: A Pilot Study at the Universidad Del Norte in Barranquilla, Colombia

    Science.gov (United States)

    Martínez, Emilio G.; Tuesca, Rafael

    2014-01-01

    As part of an institutional program sponsored by the Centre for Teaching Excellence at the Universidad del Norte, Barranquilla, Colombia, we developed an educational research study on two sessions of human anatomy in which we combined team-based learning (TBL) and the use of iPads. Study data included the TBL, assessments applied during the…

  12. Densidad y morfología de células del endotelio corneal en adultos jóvenes del norte de México

    Directory of Open Access Journals (Sweden)

    Rocío Guadalupe Contreras-Corona

    2014-07-01

    Conclusiones: Los resultados en nuestro estudio son similares a los reportados en la literatura, pero deben ser interpretados en el contexto de una población adulta joven, siendo conveniente ampliar el tamaño de la muestra y catalogarlo por edades, para generalizarlos en la población del norte de México.

  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. Assessment of potential Rio Grande do Norte, Brazil, clays when subjected to high rates of heating; Avaliacao da potencialidade de argilas do Rio Grande do Norte quando submetidas a elevadas taxas de aquecimento

    Energy Technology Data Exchange (ETDEWEB)

    Filgueira, R L; Pereira, L M; Dutra, R P.S.; Nascimento, R M [Universidade Federal do Rio Grande do Norte (DEMat/CT/UFRN), Natal, RN (Brazil). Centro de Tecnologia. Dept. de Engenharia de Materiais

    2009-07-01

    In this work we study three clays of the state of Rio Grande do Norte, Brazil, to evaluate the potential them when subjected to high rates of heating. The samples were formed by pressing and subject to rates of 5 deg C / min, 10 deg C / min and 15 deg C / min, with temperature of 950 deg C. This study determined the technological properties of the samples. The mineralogical composition was identified by X-ray diffraction. The chemical composition was determined by Xray fluorescence. The Atterberg limits, were used to classify the samples on the plasticity. Were also performed: dilatometry, size analysis and scanning electron microscopy. The examination of the processing variables and the intrinsic characteristics of each material indicates that the RX clay showed the best results for the manufacture of blocks and tiles. The techniques used in this study were efficient and the initial objectives were achieved. (author)

  15. Early discharge hospital at home.

    Science.gov (United States)

    Gonçalves-Bradley, Daniela C; Iliffe, Steve; Doll, Helen A; Broad, Joanna; Gladman, John; Langhorne, Peter; Richards, Suzanne H; Shepperd, Sasha

    2017-06-26

    Early discharge hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care. This is an update of a Cochrane review. To determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care. We searched the following databases to 9 January 2017: the Cochrane Effective Practice and Organisation of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, and EconLit. We searched clinical trials registries. Randomised trials comparing early discharge hospital at home with acute hospital inpatient care for adults. We excluded obstetric, paediatric and mental health hospital at home schemes.   DATA COLLECTION AND ANALYSIS: We followed the standard methodological procedures expected by Cochrane and EPOC. We used the GRADE approach to assess the certainty of the body of evidence for the most important outcomes. We included 32 trials (N = 4746), six of them new for this update, mainly conducted in high-income countries. We judged most of the studies to have a low or unclear risk of bias. The intervention was delivered by hospital outreach services (17 trials), community-based services (11 trials), and was co-ordinated by a hospital-based stroke team or physician in conjunction with community-based services in four trials.Studies recruiting people recovering from strokeEarly discharge hospital at home probably makes little or no difference to mortality at three to six months (risk ratio (RR) 0.92, 95% confidence interval (CI) 0.57 to 1.48, N = 1114, 11 trials, moderate-certainty evidence) and may make little or no difference to the risk of hospital readmission (RR 1.09, 95% CI 0.71 to 1.66, N = 345, 5 trials, low-certainty evidence). Hospital at home may lower the risk of living in institutional setting at six months (RR 0.63, 96% CI

  16. A North Sea approach for Mexico?; El marco Mar del Norte para Mexico?

    Energy Technology Data Exchange (ETDEWEB)

    Baker, George [ENERGIA.com, United States (United States)

    2006-11-15

    este se han dado en otras partes del globo terraqueo y es precisamente la intencion de este articulo mostrar como puede aplicarse en el caso de Mexico el arreglo acordado sobre el Mar del Norte. Las caracteristicas bilaterales de este arreglo conformado por incentivos y aperturas al mercado, requieren de la cooperacion de diferentes oficinas y sectores gubernamentales del gobierno federal para hacer posibles una serie de estipulaciones que regulen el trato y permitan a distintas empresas petroleras una interaccion sustanciosa que reditue para los duenos de ambas fronteras. En Mexico la responsabilidad de echar a andar proyectos de este tipo corresponde al poder legislativo en complicidad con las secretarias de asuntos externos y del trabajo. Los actuales modelos de accion y el monopolio Petroleos Mexicanos (PEMEX) en Mexico solo han logrado estancar el desarrollo del pais en este sector y mantener el desarrollo petrolifero en un nivel mediocre y deteriorado. Los beneficios de un tal arreglo se extenderian mas alla de lograr un desarrollo bilateral para los paises involucrados; sin embargo, recordemos que el gobierno de los Estados Unidos no esta al compas de los gobiernos pro-unificacion de fronteras. Para comenzar la unificacion de las regiones fronterizas Mexico debe documentar la ubicacion de los pozos fronterizos, sin embargo aun cuando se llegara a algun acuerdo deberan pasar anos antes que PEMEX desarrolle la tecnologia apropiada para explotar su parte de los yacimientos.

  17. Investigaciones sobre la Fertilidad de los Suelos de Tres Regiones del Norte de Colombia

    Directory of Open Access Journals (Sweden)

    Rodríguez J. Manuel

    1962-09-01

    Full Text Available Se hizo el estudio sobre la fertilidad de los suelos de tres regiones en el norte de Colombia a saber: San Jorge, Bajo Cauca y Ayapel. Se tomaron muestras en los lugares que se consideraron más representativos, para hacer análisis químicos detallados yen, sayos de invernadero. Los ensayos de invernadero se hicieron siguiendo la técnica de Jenny con algunas variaciones que consistieran en lo siguiente: a adicionar dos tratamientos más, uno completo más elementos menores y otro completo más cal; b hacer dos siembras de lechuga en la misma maceta, agregando en la primera todos los elementos, pero en la segunda sólo N y K; c usar el sistema del análisis de variancia para comparar los resultados obtenidos. En los análisis químicos se encontró que los suelos de San Jorge son casi neutros (pH 6,7 mientras que los del Bajo Cauca y Ayapel son frecuentemente ácidos (pH 5.38 y 5.10 respectivamente. El contenido de materia orgánica está entre 1.70 y 2,67%, El P soluble extraído por el método de Olsen es bajo en los tres suelos estudiados, pero especialmente en los del Bajo Cauca y Ayapel (2,8 y 4,2 mg./ kg, respectivamente. Al analizar los resultados por el sistema de la variancia se encontró, para los suelos de San Jorge, que el N y el K disminuyen los rendimientos y que esta disminución es estadísticamente significativa para una de las siembras. Que la aplicación de elementos menores alimenta los rendimientos en las dos siembras y que en una de ellas es estadísticamente significativa. Para el suelo del Bajo Cauca, la aplicación de P o de elementos menores aumenta en las dos siembras los rendimientos y en una de ellas en forma estadísticamente significativa. En los suelos de Ayapel se encontró que la cal o los elementos menores alimentaron los rendimientos en las dos siembras y en una de ellas el aumento fue estadísticamente significativo. En general, se puede observar por el rendimiento del testigo de los tres suelos, que el

  18. The effects of hospital reforms on the management of public hospitals in Tanzania: Challenges and lessons learnt.

    Science.gov (United States)

    Shwekerela, Byera

    2014-01-01

    Although hospital reforms are being advocated internationally as part of a solution to hospital management problems in developing countries, studies have shown that they do give rise to some challenges. A study was undertaken that used in-depth interviews, focus group discussion and document review to examine hospital reforms. The article examines the effects of reforms on the management of Level II public hospitals in Tanzania and documents the related challenges and lessons Learnt. It is shown that hospital reforms have mixed effects in resource-strained hospitals, and that hospital reform actions may have replaced the bureaucratic inefficiencies associated with hospitals being managed from the central level (MoHSW) with the equally bureaucratic inefficiencies that characterize the management of these hospitals from a supposedly local level, the office of the Regional Administrative Secretary (RAS). Managing hospitals from this level seems to cause many hospital management problems to be left unattended.

  19. Tempo de protrombina e de tromboplastina parcial ativada em caprinos criados extensivamente no Estado do Rio Grande do Norte Prothrombin time and activated partial thromboplastin time in goats raised extensively at Rio Grande do Norte State, Brazil

    Directory of Open Access Journals (Sweden)

    Benito Soto-Blanco

    2009-03-01

    Full Text Available Neste trabalho objetivou-se estabelecer os padrões de normalidade para tempo de protrombina (TP e tempo de tromboplastina parcial ativada (TTPA em caprinos criados extensivamente no estado do Rio Grande do Norte. Foram utilizados 40 caprinos SRD, 13 machos e 27 fêmeas, adultos, com idades entre 1 e 6 anos, todos clinicamente sadios. As amostras sanguíneas foram coletadas por venopunção jugular em tubos contendo citrato de sódio a 3,8%. O plasma foi imediatamente separado por centrifugação e refrigerado a ± 4ºC e, posteriormente, submetido às determinações de TP e TTPA por meio de métodos manuais utilizando kits comerciais. Os valores obtidos para caprinos da região, de 25,4 ± 0,90 e 39,5 ± 1,41 segundos para TP e TTPA, respectivamente, estavam dentro da normalidade.This study aimed to establish normal pattern for the prothrombin time (PT and activated partial thromboplastin time (APTT in goats extensively raised at Rio Grande do Norte state, Brazil. A total of 40 clinically healthy adult goats (13 males and 27 females aged 1 to 6 years-old was used. Blood samples were collected from jugular vein in tubes containing 3.8% of sodium citrate. The plasma was immediately separated by centrifugation and refrigerated at ± 4ºC and after submitted to PT e APTT determinations through manual methods using commercial kits. The results for goats in the region of 25.4 ± 0.90 and 39.5 ± 1.41 seconds, respectively, for PT and APTT were in an adequate range.

  20. Escarabajos coprófagos (Coleoptera, Scarabaeoidea del Parque Nacional Los Estoraques (Norte de Santander, Colombia Coprophagous scarab beetles (Coleoptera, Scarabaeoidea of Los Estoraques National Park (Norte de Santander, Colombia

    Directory of Open Access Journals (Sweden)

    Jesus Orozco

    2008-01-01

    Full Text Available En este trabajo se presenta información sobre los escarabajos coprófagos del Área Natural Única Los Estoraques (ANUE, Departamento de Norte de Santander, Colombia. Los muestreos fueron realizados durante los meses de febrero a diciembre del año 2002 en cuatro sitios con diferente grado de intervención, suministrando la captura de 10,538 individuos. Los sitios muestreados correspondieron a bosque seco premontano y bosque montañoso húmedo con diferentes grados de intervención. 16 especies de Scarabaeinae conformaron el 89% de las ejemplares colectados, el 11% restante (3 especies fue conformado por Hibosóridos. La totalidad de las especies se completo en el quinto muestreo. Se registró diferencia significativa en la riqueza y abundancia entre los sitios (P Information on the diversity and abundance of the coprophagous scarab beetles of Los Estoraques National Park (ANUE in Colombia is presented. Beetles were collected monthly from February to December 2002 with pitfall traps baited with human excrement. Four environments where sampled including montane dry forests and montane humid forests with different degrees of disruption. A total of 10,538 specimens representing 19 species were collected. All the species were collected by the fifth month. The Scarabaeinae represented 89% of the collected species (16; the remaining 11% were in Hybosoridae (3. An ANOVA analysis showed significant differences in richness and abundance between some of the sites. No correlation between precipitation and abundance was found for any of the sites sampled. For Norte de Santander, seven species are recorded for the first time, and the known altitudinal distribution in Colombia is expanded for four species.

  1. La Puerta del Perú: Paita y el extremo norte costeño, 1600-1615

    Directory of Open Access Journals (Sweden)

    1993-01-01

    Full Text Available LA PUERTA DEL PERÚ : PAITA ET L'EXTREME NORD COTIER, 1600-1615. Cet article fait parti d’un travail de recherche sur le port de Paita et son rôle dans l’histoire régionale de l’extrême nord du Pérou (Glave, 1991. On présente l’histoire du port, depuis sa fondation jusqu’au début du XVII siècle. Les sources principales sont les comptes de la Caja Real de Paita sur l’almojarifazgo (ancien droit de douane et comptes détaillés de 1600 à 1611. À partir de ces documents ainsi que d’autres informations directes, on analyse les réseaux d'échange et la circulation de biens qui transitaient par le port, le volume et la nature des revenus fiscaux et les dépenses qui se faisaient, en particulier pour approvisionner les premiers chantiers navals des Andes qui se trouvaient à Guayaquil. Parallèlement à cette histoire portuaire, d’économie maritime et régionale, l’intérêt de cet article est d’étudier le rôle joué par la société indienne dans le système économique maritime et régional. L’apport des indios balseros est mis en évidence, ainsi que le contrôle exercé par les personnes originaires de la région sur la pèche, ce qui permettait d’articuler l’économie locale aux réseaux d’échange régionaux. Este artículo es parte de una investigación mayor sobre el puerto de Paita y su papel en la historia regional del extremo norte peruano (Glave, 1991 trata de la época inicial del establecimiento del puerto, hasta inicios del siglo XVII. La documentación central corresponde a las cuentas de la Caja Real de Paita, entre 1600 y 1611. Se analiza, en base a esa documentación -almojarifazgo y cuentas por menudo- y otras informaciones de primera mano, las redes de intercambio y la circulación de bienes por el puerto, el volumen y naturaleza de los ingresos fiscales y los gastos que se hacían, fundamentalmente para el abasto de la fábrica de los primeros barcos andinos que se construyeron en Guayaquil. Junto con

  2. Clinical estimation of intraocular pressure with a non-contact tonometer and Goldman applanation tonometer as a tool for mass screening and its correlation with central corneal thickness: A comparative hospital based study

    Directory of Open Access Journals (Sweden)

    Anshulee Sood

    2015-01-01

    Full Text Available Purpose To assess the mean difference between intra-ocular pressure measurement by Goldmann applanation tonometer and Non Contact tonometer to determine the suitability of tonometer for community or mass screening and the variation in intra-ocular pressure between the two devices with respect to CCT. Material and Methods The proposed study was conducted on 300 eyes of 150 patients. The IOP assessment with the Goldmann applanation tonometer was always subsequent to that with the air-puff noncontact tonometer (AT-555. An average of three readings taken 15 seconds apart, with each method was taken to get final intraocular pressure reading for each eye. The central corneal thickness (CCT measurements were performed using the pachymeter. Results Majority of the eyes were found to be in the 12-24 mmHg group i.e. 51 % eyes in the right eye and 64 % in the left eye. 3. Mean IOP measured with NCT was 22.30±10.149 mmHg and with GAT was 18.31±7.427 mmHg, thus showing a difference of 3.99 mmHg. In patients where IOP was 24mm Hg the difference in the mean IOP for right eye was 5.69mmHg and for left eye 7.84mmHg (p<0.001. Both the methods of IOP measurement showed positive correlation with central corneal thickness. The NCT was more influenced by CCT than GAT; for every 10 micron CCT change, the IOP change expected with NCT was 0.47 mmHg and GAT was 0.29 mmHg. Conclusion Thus we can conclude that NCT can be used as a screening procedure in tertiary care centres catering to a large number of patients wherein it is not possible to do Goldmann applanation tonometry on all patients.. However, intraocular pressure readings may require adjustment, especially when measured with NCT in those patients who have a CCT that is significantly different from population mean.

  3. Evolution of Brasiliano-age granitoid types in a shear-zone environment, Umarizal-Caraubas region, Rio Grande do Norte, northeast Brazil

    Science.gov (United States)

    Galindo, A. C.; Dall'Agnol, R.; McReath, I.; Lafon, J. M.; Teixeira, N.

    1995-01-01

    A sequence of Brasiliano-age granitoid types is exposed in a small area near the cities of Umarizal and Caraúbas in Rio Grande do Norte State, Northeast Brazil. Porphyritic K-alkali-calcic monzogranite is an important facies of the oldest Caraúbas intrusion (RbSr whole rock isochron age of ca. 630 Ma), which suffered solid-state deformation due to movements on a major NE-trending shear zone. The intrusion of the Prado and part of the Quixaba bodies was probably controlled by the shear zone. These two bodies include mafic/intermediate rocks, some of which contain two pyroxenes, and have hybrid, partly alkaline and partly shoshonitic geochemical characteristics. Rock types and ages are similar to those of some Pan-African occurrences in southwestern Nigeria. The Tourão body, intruded at ca. 590 Ma, presents preferred mineral orientations which are probably largely magmatic, since little evidence is found for widespread solid-state deformation. On the other hand, its intrusion may have been facilitated by the presence of the shear-zone faults. The rocks form a monomodal felsic K-alkali-calcic suite. With the exception of the Quixaba body, all these earlier granitoids are magmatic epidote- and magnetite-bearing porphyritic monzogranites with trace element geochemical characteristics of modern syn-collisional granites. The latest intrusion at ca. 545 Ma is mainly represented by potassic quartz syenites and related rocks, some of which contain fayalite or ferrohypersthene. These rocks possess neither well developed mineral orientations of magmatic origin nor signs of solid-state deformation. They are mineralogically similar to, but younger than some of the "bauchites" of central Nigeria. Geochemical signatures are comparable with those of modern within-plate granites. All granitoids present high ( 87Sr/ 86Sr)i ratios which range from 0.708 to 0.712, and increase with decreasing age. Such ratios are compatible with important or dominant crustal contributions. On the

  4. O terror e a mídia: o neoconservadorismo norte-americano e o islã radical

    OpenAIRE

    Ortunes, Leandro

    2013-01-01

    Esta dissertação tem como objeto de estudo a construção da imagem do neoconservadorismo norte-americano e do Islã radical na mídia. Através de uma fundamentação teórica sobre os choques culturais e os confrontos armados entre Ocidente e Oriente, mais precisamente entre Estados Unidos e países com grande atuação islâmica na forma de governo; apresentaremos os pontos de divergência e possíveis similaridades destes dois grupos. Com esta fundamentação, observaremos as divergências e as superficia...

  5. Comunidad, jóvenes y generación: disputando subjetividades en la Sierra Norte de Oaxaca

    Directory of Open Access Journals (Sweden)

    Alejandra Aquino-Moreschi

    2016-01-01

    Full Text Available 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. En el centro del análisis ubicamos los conflictos generacionales por la definición de subjetividades, en particular, las tensiones que tienen que ver con el cuerpo, las identidades y las apuestas de vida individuales y colectivas. A partir de material etnográfico y entrevistas en profundidad mostramos cómo, si bien los sujetos jóvenes son herederos de las luchas de sus predecesores y mantienen en su mayoría un fuerte compromiso comunitario, también están planteando otras formas de ser joven que desestabilizan las subjetividades y las prácticas establecidas al interior de sus pueblos.

  6. Study on coinfecting vector-borne pathogens in dogs and ticks in Rio Grande do Norte, Brazil

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    Luiz Ricardo Gonçalves

    Full Text Available Since dogs presenting several vector borne diseases can show none or nonspecific clinical signs depending on the phase of infection, the assessment of the particular agents involved is mandatory. The present study aimed to investigate the presence of Babesia spp., Ehrlichia spp., Anaplasma spp., Hepatozoon spp. and Leishmania spp. in blood samples and ticks, collected from two dogs from Rio Grande do Norte showing suggestive tick-borne disease by using molecular techniques. DNA of E. canis, H. canis and L. infantum were detected in blood samples and R. sanguineus ticks collected from dogs. Among all samples analyzed, two showed the presence of multiple infections with E. canis, H. canis and L. infantum chagasi. Here we highlighted the need for molecular differential diagnosis in dogs showing nonspecific clinical signs.

  7. Social organization of a colony of bats Carollia brevicauda in artificial shelter, Bochalema, Norte de Santander, Colombia

    International Nuclear Information System (INIS)

    Gallardo, Arley O; Lizcano, Diego J

    2014-01-01

    We studied the social organization of a colony of the fruit bat Carollia brevicauda in an artificial shelter in Bochalema, Norte de Santander Colombia. Using a new type of marking and by focal sampling, one colony was observed from September 2007 to September 2008. It was determined that the social structure in the colony was integrated by four groups, which did not vary in structure over time. It was established that females were more faithful to the shelter than males. We assessed time budget dayly and there was that individual's hadx a 73.9 % time without any activity, followed by grooming with a 26.6 %, and females had higher activity than males, especially in dry season. We found that C. brevicauda has differences with records of C. perspicillata such as the fidelity of females and non-influence of lunar light over the hour of emergence from the refuge.

  8. Crescimento urbano e poluição hídrica na zona norte de Londrina – PR

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    Fábio César Alves da CUNHA

    1999-12-01

    Full Text Available Estudou-se neste trabalho o crescimento urbano que se efetivou na área drenada pelos ribeirões Quatí e Lindóia, localizados na zona norte da cidade de Londrina, assim como verificou-se a poluição hídrica por efluentes residenciais e industriais nesses dois ribeirões. A questão da carência de saneamento básico nessa porção da cidade também foi tratada. Os dados obtidos permitiram um zoneamento hídrico-ambiental dos cursos hídricos envolvidos e a elaboração de algumas propostas objetivando minimizar os problemas levantados.

  9. Crescimento urbano e poluição hídrica na zona norte de Londrina – PR

    OpenAIRE

    Fábio César Alves da CUNHA

    1999-01-01

    Estudou-se neste trabalho o crescimento urbano que se efetivou na área drenada pelos ribeirões Quatí e Lindóia, localizados na zona norte da cidade de Londrina, assim como verificou-se a poluição hídrica por efluentes residenciais e industriais nesses dois ribeirões. A questão da carência de saneamento básico nessa porção da cidade também foi tratada. Os dados obtidos permitiram um zoneamento hídrico-ambiental dos cursos hídricos envolvidos e a elaboração de algumas propostas objetivando mini...

  10. Estigma territorial y gentrificación post desastre 2014. El caso de las poblaciones pericentrales norte de Iquique

    Directory of Open Access Journals (Sweden)

    Gricel Maria Labbé Céspedes

    2016-06-01

    Full Text Available La gentrificación en ciudades intermedias como Iquique, es un fenómeno incipiente. Sin embargo, la velocidad de esta dinámica ha llevado al capital inmobiliario y al gobierno local a mirar espacios históricos, devaluados debido al estigma territorial con el que cargan, así como al deterioro causado en los últimos desastres naturales, para emplazar nuevas ofertas inmobiliarias. Es por esto que el caso de las poblaciones pericentrales norte de Iquique ayuda a profundizar el estudio sobre la gentrificación en un escenario post desastre, donde los sujetos potencialmente desplazados son los habitantes más vulnerables de la ciudad. En dicho escenario, gentrificar el área post desastre representa una oportunidad para el gobierno local de hacer limpieza social, y a su vez permite a los agentes inmobiliarios capitalizar con los desastres.

  11. El patrimonio urbano moderno en el norte de México: las nuevas poblaciones y colonias del siglo xix

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    Alejandro González Milea

    2016-01-01

    Full Text Available 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 despreciar dichas realizaciones, sólo por ser de escala pequeña, pues fueron parte de la reflexión, ilustrada y decimonónica sobre el ordenamiento del territorio y la ciudad moderna.

  12. Soroepidemiologia da leptospirose canina na região metropolitana de Natal, estado do Rio Grande do Norte

    OpenAIRE

    Annielle Regina da Fonseca Fernandes; Ademilde Gomes Fernandes; Vinicius José Apropriano Araújo; Severino Silvano dos Santos Higino; Maria Luana Cristiny Rodrigues Silva; Clebert José Alves; Sérgio Santos de Azevedo

    2013-01-01

    Objetivou-se com este estudo determinar a frequência de cães soropositivos para anticorpos anti-Leptospira spp. no município de Natal e região metropolitana, estado do Rio Grande do Norte, e identificar fatores de risco associados à infecção. Foram examinadas 365 amostras de soro sanguíneo de cães atendidos na rotina de diversas clínicas veterinárias durante o período de março a novembro de 2011. O diagnóstico sorológico da leptospirose foi realizado pela técnica de soroaglutinação microscópi...

  13. Formas de hierro y aluminio en suelos con diferentes usos en la zona norte del departamento del Magdalena, Colombia

    Directory of Open Access Journals (Sweden)

    José Rafael Vásquez Polo

    2014-12-01

    Full Text Available En el estudio se evaluaron las diferentes formas de hierro (Fe y aluminio (Al presentes en suelos cultivados y en áreas de bosque de la zona norte del departamento del Magdalena (Colombia. Se seleccionaron seis zonas de muestreo localizadas entre 0 y 1000 m.s.n.m. Se utilizaron tres técnicas selectivas de extracción de Fe y Al con los agentes extractantes: pirofosfato de sodio, oxalato ácido de amonio, y ditionito citrato bicarbonato. Los contenidos totales de Fe y Al fueron determinados mediante un ataque ácido y cuantificación por absorción atómica. El análisis de varianza multivariado mostró diferencias significativas (P 3% del Al total, lo que sugiere que un alto contenido de Al forma parte de estructuras cristalinas.

  14. España en el norte de África. El caso de las islas Chafarinas

    Directory of Open Access Journals (Sweden)

    Jesús Verdú Baeza

    2014-06-01

    Full Text Available Los distintos territorios españoles en el Norte de África, persistentemente reclamados por Marruecos, presentan características específicas que ponen de manifiesto su gran vulnerabilidad como ha quedado patente en las últimas crisis de inmigración ilegal. Salvo Ceuta y Melilla, citadas expresamente en la Constitución, sus títulos y naturaleza jurídica han de reafirmarse caso por caso y es muy poca la legislación que determina claramente su aplicación a estos territorios. En el caso de las Islas Chafarinas, la aplicación de la normativa ambiental europea en un espacio terrestre y marino protegido proporciona una oportunidad valiosa y única de cooperación internacional con Marruecos que podría ampliarse en relación con la coordinación del control de los flujos migratorios

  15. MUNDOS DE FRONTERA. LA FRONTERA NORTE DE MÉXICO Y LA FRONTERA COLOMBO-VENEZOLANA. UNA MIRADA

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    Elizabeth Zamora Cardozo

    2012-06-01

    Full Text Available La frontera entre Tijuana y los Estados Unidos de Norteamérica, es la más transitada del mundo. Le sigue en América la colombo-venezolana, especialmente la conformada por el eje San Antonio-Ureña-Norte de Santander. El objetivo de este artículo es presentar algunos aspectos que identifican a dos espacios caracterizados por su diversidad, dinamismo y pluralidad. Me detengo en situaciones relativas al cruce hacia los Estados Unidos, así como en aspectos relacionados con los modos de vida y el mundo cotidiano de los habitantes de estas fronteras. También hago alusión al tema de la violencia, así como al papel de San Toribio Romo, de Juan Soldado y de Jesús Malverde quienes se han convertido en importantes referentes religiosos para quienes emprenden la aventura de cruzar hacia los Estados Unidos.

  16. A estrutura da paisagem do mosaico de unidades de conservaçao do litoral norte do Paraná

    OpenAIRE

    Grise, Mayssa Mascarenhas

    2013-01-01

    A elevada taxa de extinções de espécies no Planeta deve-se principalmente à perda, fragmentação e degradação de hábitats naturais. A melhor maneira de se evitar a extinção de espécies é a preservação in situ, que se faz pela proteção de áreas naturais. O Estado do Paraná possui a maior área contínua de remanescente de Floresta Atlântica do país, bioma este entre os mais ameaçados do mundo. Esta área abrange o litoral norte do Estado e compreende uma série de unidades de conservação de diferen...

  17. Baja California dentro del contexto de la migración de la frontera norte de México

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    Margarita Barajas Tinoco

    1993-01-01

    Full Text Available En este trabajo se destaca el papel del fenómeno migratorio en la conformación poblacional de la frontera norte de México (PNM en general y de Baja California en particular. Se describe el panorama de la inmigración interna a Baja California, haciendo especial énfasis en el perfil de la inmigración de la década de los ochenta, misma que se encuentra asociada con las oportunidades económicas de empleo que la entidad presentó en un periodo de crisis nacional. Las fuentes de información utilizadas son el Censo de Población, 1990, para Baja California y La Encuesta Continua de Migración de Baja California (ECMBC, 1989

  18. Análisis epidemiológico de la diarrea en Santander y Norte de Santander

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    María del Pilar Gallardo-Lizarazo

    2015-01-01

    Full Text Available Acute diarrheal disease (ADD, globally, is established as the second cause of death, affecting mainly children under 5 years without ignoring the chronological other ethnic groups without distinguishing characteristics. In Colombia it ranks second in morbidity and mortality in the population under five years, especially in the municipalities with the highest percentage of unmet basic needs; therefore they have identified strategies to educate mothers and caregivers about the proper management at home and health centers looking for first-rate care and timely implementation of appropriate hydration practices, for which the strategy of Integrated Management was established Prevalent Childhood Illness (IMCI that aims to reduce mortality from prevalent childhood diseases specifically in children under 5 years. In the present article is to establish the epidemiological situation of ADD in the departments of Santander and Norte de Santander and beliefs, habits and knowledge among mothers and caregivers about the signs of alarm in ADD in children under 5 years of age.

  19. Study of four plants with traditional medicinal use cultivated in the Huetar Norte and Atlantica regions of Costa Rica

    International Nuclear Information System (INIS)

    Moreira-Gonzalez, Ileana; Arnaez Serrano, Elizabeth; Murillo-Masis, Renato; Quesada Mora, Silvia; Castro Araya, Victor; Zamora Ramirez, William; Navarro-Hoyos, Mirtha; Cordero-Hernandez, Meliza; Loaiza-Cardenas, Jorge

    2014-01-01

    The advance in the domestication process of Phyllanthus niruri (chanca stone), Senna reticulata (Saragundi), Pettiveria alliaceae (Garlic) and Phyllanthus acuminatus (Chilillo) is highlighted, also phytochemistry and biological potential using techniques towards the establishment of protocols that ensure the proper use. At the same time, in a systematic way, good specific farming practice were introduced for the four species in groups of communities from the Huetar Norte and Huetar Atlantica regions. The purpose has been to support the use of these plants in a sustainable way. The transfer of results regarding good practices as well as knowledge on polyphenol contents and biological potential to the target groups has sought to support capacity building looking to improve their insertion in productive chains within communities, as an alternative livelihood, thus providing, in addition to academic scientific development through basic research results, socioeconomic and environmentally sustainable development. (author) [es

  20. Characterization of Enzymatic profiles of Aedes aegypti strains from the State of Rio Grande do Norte, Brazil

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    Renan Flávio de França Nunes

    2016-01-01

    Full Text Available Abstract This study was conducted in four strains of Aedes aegypti mosquitoes to evaluate the enzymatic activity profiles in the city of Mossoró, Rio Grande do Norte, and correlate them with biochemical mechanisms of resistance to insecticides. Mosquitos were used to quantify the following detoxification enzymes: Mixed-Function Oxidase (MFO, PNPA-esterase (PNPA-EST, and Acetylcholinesterase (AChE. The profiles were compared statistically with profiles from the Rockefeller strain, through the Kruskal-Wallis test and Dunn's multiple comparisons (p 15% and 50%. The statistical analysis revealed significant differences in the MFO and AChE profiles, which are fundamental in the determination of profiles of resistance to insecticides. Three populations were classified as “Substantially changed” for MFO. The altered enzymatic activity showed that the changes could have an important role in exposing resistance to insecticides.