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Sample records for hospital central sur

  1. 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.

  2. 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)

  3. 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)

  4. 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)

  5. 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)

  6. 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)

  7. central hospital with acute coronary syndrome

    African Journals Online (AJOL)

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

  8. Colloquium on Central Asia; Colloque sur l'Asie centrale

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This colloquium on Azerbaijan was organized by the direction of international relations of the French Senate and the French center of foreign trade (CFCE). This document gathers the interventions of the participants and the debates with the audience following these interventions. The topics treated concern: - the present day political-economical situation of Central Asia countries (problem of borders, relations with Russia and China); - the economies of Central Asia countries: short term problems and medium-term perspectives; - the relations with the European Union (political, economical, trade and investments, perspectives); - the European energy stakes of Caspian sea (oil and gas reserves, development of hydrocarbon resources, exploitation and transport constraints, stakes for Europe and France); - TotalFinaElf company in Central Asia (Kazakhstan, Azerbaijan, enclavement problem); - the economical impacts of the TRACECA pathway (Transport Corridor Europe Caucasus Asia). (J.S.)

  9. Contenidos de uranio de lavas recientes en el sector sur de los Andes centrales

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    Guerra, N.

    1984-12-01

    Full Text Available We have studied the distribution of U in modern lava -flows of the southern part from the Central Andes (16°-28° S. For a given SiO2, content of the rocks, U abundance increases from west to east in a transects to the Andean Belt, while the depth of the subduction zone increases and the thickness of the continental curst decreases. Besides, U content tends to inerease steadly with the latitude, while the thick of the continental crust and the depth of the seismic zone decreases southward. Thus, on the basis of the available data, we are in a position to suggest that the U behavior in the studied lavas depends on the alkalanity and magmatic history of each volcanic center.

    Se presenta un estudio de distribución de U en lavas modernas del sector sur de los Andes centrales (16°-28° S. Para rocas de contenidos similares en SiO2 la abundancia de U crece de oeste a este en un perfil transversal al cordón andino, mientras que aumenta la profundidad de subducción, y disminuye la potencia de la corteza continental. Además, mientras la potencia de la corteza continental y la profundidad de la zona sísmica de Benioff disminuyen hacia el sur, U tiende a aumentar con la latitud. Así, y basado en los datos disponibles, estamos en posición de sugerir que el comportamiento de U en las rocas estudiadas, depende de la alcalinidad y de la historia magmática de cada centro volcánico.

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

    Directory of Open Access Journals (Sweden)

    Arun Kumar

    2010-03-01

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

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

    African Journals Online (AJOL)

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

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

    Science.gov (United States)

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

    2012-01-01

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

  13. PERCEPCIÓN DEL LIDERAZGO EN LAS(OS) ENFERMERAS(OS) DE UN HOSPITAL DEL SUR DE CHILE

    OpenAIRE

    Quezada Torres,Cyntia; Illesca Pretty,Mónica; Cabezas González,Mirtha

    2014-01-01

    Objetivo: Conocer la percepción del Liderazgo en las(os) Enfermeras(os) de un Hospital del Sur de Chile. Método: Se realizó una investigación cualitativa, descriptiva, exploratoria e interpretativa a través de un estudio de caso único. Los informantes claves fueron seis Enfermeras(os) que se desempeñan en puestos de responsabilidad. La recolección de datos fue mediante grupo focal. El análisis siguió un esquema a través de la reducción progresiva (separación de unidades, agrupamiento, identif...

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

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2017-01-01

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

  15. sexually transmitted diseases at queen elizabeth central hospital

    African Journals Online (AJOL)

    hi-tech

    2000-12-12

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

  18. Hausse des taxes sur le tabac dans trois pays d'Amérique centrale ...

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

    Initiative régionale de recherche visant à lutter contre le tabagisme en Amérique latine et dans les Caraïbes. En mars 2007, le programme Recherche pour la lutte mondiale contre le tabac (RMCT) du CRDI a tenu un atelier interaméricain sur la lutte contre le tabagisme à Colonia, en Uruguay, qui a réuni une.

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

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    Pedro Henrique Comerlato

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

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

    Science.gov (United States)

    Bligh, David; Dingwell, Dylan

    2017-03-01

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

  1. Les monticules micritiques sinemuriens sur la transversale de Midelt-Errachidia (Haut Atlas Central, Maroc)

    National Research Council Canada - National Science Library

    Taj Eddine, K; Souhel, A; Canérot, J; Chafiki, D

    2004-01-01

    In the central High Atlas of Morocco, the Liassic series present different mud-moundtype carbonate buildups, well developed in the Midelt area, towards the boundary between the Lower and the Upper Sinemurian...

  2. 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.

  3. Del Horizonte Medio al Horizonte Tardío en la Costa Sur Central: el caso del valle de Asia

    Directory of Open Access Journals (Sweden)

    2004-01-01

    Full Text Available DE L’HORIZON MOYEN A L’HORIZON RECENT SUR LA COTE CENTRALE : LE CAS DE LA VALLEE DE ASIA. La vallée de Asia, située à quelque 100 km au sud de Lima, a joué un rôle important durant l’Horizon moyen. En effet, les contextes funéraires de la Huaca Malena et les textiles élaborés qui en sont issus, suggèrent d’étroites relations avec Huari, Pachacamac, et les côtes centrale et nord. L’étude des textiles nous permet de voir que la transition de l’Horizon moyen à la période Intermédiaire récent se marque par une croissance des relations avec la côte centrale. Selon les données ethnohistoriques, la vallée de Asia était durant la période Intermédiaire récent habitée par les Coyallo, qui versaient tribut à Pachacamac. À l’Horizon récent, les Incas construisirent d’importants centres administratifs dans la vallée, et durant cette période le matériel céramique montre de fortes relations avec les styles des vallées voisines au nord, comme Mala, Chilca, et la côte aux alentours de Lima. El valle de Asia, situado a 100 kilómetros al sur de Lima, jugó un rol de importancia durante el Horizonte Medio. En efecto, los contextos funerarios de Huaca Malena, así como los finos textiles que los acompañan indican una fuerte relación con Wari, Pachacamac, la Costa Central y la Costa Norte. De acuerdo con la evidencia textil, el tránsito del Horizonte Medio al periodo Intermedio Tardío incrementó las relaciones con la costa central. Para el periodo Intermedio Tardío, de acuerdo a la información etnohistórica, el valle estuvo habitado por los coayllo, quienes tributaban a Pachacamac. Durante el Horizonte Tardío, los incas construyen importantes centros administrativos en el valle, y la cerámica durante este periodo se relacionó fuertemente con los estilos propios de los vecinos valles norteños de Mala, Chilca y la costa de Lima. FROM THE MIDDLE HORIZON TO THE LATE HORIZON ON THE SOUTH CENTRAL COAST: THE CASE OF THE

  4. Les monticules micritiques sinemuriens sur la transversale de Midelt-Errachidia (Haut Atlas Central, Maroc)

    OpenAIRE

    Taj Eddine, K.; Souhel, A.; Canérot, J.; Chafiki, D.

    2004-01-01

    In the central High Atlas of Morocco, the Liassic series present different mud-moundtype carbonate buildups, well developed in the Midelt area, towards the boundary between the Lower and the Upper Sinemurian. Near Foum Tillicht, these structures show a real evolution within the Upper Sinemunan interval, from simple small-scale bodies at the base, up to big and complex forms at the top. Their sedimentological and palaeontological features indicate microbolites and sponge buildings developed in...

  5. Peyrouse Sébastien, Des chrétiens entre athéisme et islam. Regards sur la question religieuse en Asie centrale soviétique et post-soviétique, Paris, Maisonneuve et Larose, Institut Français d’Études sur l’Asie Centrale, 2003, 406 p.

    Directory of Open Access Journals (Sweden)

    Bayram Balci

    2006-01-01

    Full Text Available L’ouvrage de Sébastien Peyrouse est sans doute un des meilleurs travaux parus ces dernières années sur l’Asie centrale post-soviétique. Il s’agit d’un travail de longue haleine, qui, s’appuyant sur de solides enquêtes empiriques menées sur un vaste terrain comprenant les cinq États d’Asie centrale (Kazakhstan, Kirghizstan, Ouzbékistan, Tadjikistan et Turkménistan ainsi que la Russie, combine une approche historique et sociologique et aboutit à une remarquable analyse de la situation passée e...

  6. Performances d’une centrale à concentrateur de Fresnel de moyenne puissance sur sites Algériens

    Directory of Open Access Journals (Sweden)

    H. Beltagy

    2014-03-01

    Full Text Available L’objectif du présent travail est de caractériser une centrale à concentrateur de Fresnel de moyenne puissance (5MWe sur différents sites Algériens (Sahara, ces sites ont été choisis pour comparaison en déplaçant la centrale dans ces derniers, à savoir Hassi-R’mel, Tamanrasset, Béni-Abbes, et El Oued. Une modélisation théorique a permis la détermination du nombre optimum des miroirs à ne pas dépasser pour éviter les effets d’ombre, blocage et l’effet cosinus. Le nombre optimum de miroirs a été estimé à 40 miroirs. Par ailleurs, une simulation a été réalisée à l’échelle horaire : elle concerne l’ensoleillement, le système ‘champ’, et le système ‘récepteur’. Les résultats de la simulation sont représentés en moyenne annuels. Les rendements, la production énergétique annuelle, et le coût du kWh sont évalués. En effet, le calcul du rendement diffère d’un site à un autre avec des valeurs de 15.7%, 11.8%,11.6%, et 10.4% respectivement pour les sites Tamanrasset, El Oued, Béni-Abbes, Hassi R’mel. Les performances thermiques et les résultats technico-économiques sont évalués aussi pour ces mêmes sites.

  7. Les monticules micritiques sinemuriens sur la transversale de Midelt-Errachidia (Haut Atlas Central, Maroc

    Directory of Open Access Journals (Sweden)

    Taj Eddine, K.

    2004-12-01

    Full Text Available In the central High Atlas of Morocco, the Liassic series present different mud-moundtype carbonate buildups, well developed in the Midelt area, towards the boundary between the Lower and the Upper Sinemurian. Near Foum Tillicht, these structures show a real evolution within the Upper Sinemunan interval, from simple small-scale bodies at the base, up to big and complex forms at the top. Their sedimentological and palaeontological features indicate microbolites and sponge buildings developed in deep and open marine conditions, within the subphotic zone, at the lower part of the storm wave interval. These buildups are closely linked to tectonic processes as they grow on the normal synsedimentary faults which affected the central atlasic area during the Lower Liassic period, leading to the breakup of the Early Sinemurian carbonate platform and the induced installation of the Upper Sinemurian subsiding basin. Silting by hemipelagic sediments led to death of buildings. Similar palaeogeographic changes and geodynamic evolution have been recently described from different structures in North Africa, Western Europe and North America.Le Lías du Haut Atlas central marocain présente diverses"bioconstructions carbonatées de type Mud-mound bien développées au passage Sinémurien inférieur- Sinémurien supérieur au Sud de Midelt. Ces structures évoluent très localement, a Foum Tillicht, dans tout l’intervalle Sinémurien supérieur. Elles présentent des formes et des tailles respectivement simples et réduites a la base de la série et deviennent complexes et de grande dimension au sommet. Leurs caractéristiques sédimentologiques et paléontologiques montrent qu’il s’agit de constructions a microbolites et a spongiaires développées dans un milieu marin ouvert et profond, dans la zone subphotique, a la partie inférieure de la zone d’action des vagues de tempête. L’apparition et le grand développement des bioconstructions boueuses sin

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

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    Suliman H Al-Fifi

    2011-01-01

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

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

    Science.gov (United States)

    Beliakin, S A; Frolkin, M N

    2013-05-01

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

    Bernt Lindtjorn

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

  15. Recherches préliminaires en laboratoire sur les céramiques de Piruru (Andes Centrales

    Directory of Open Access Journals (Sweden)

    1985-01-01

    Full Text Available A partir de l'analyse par fluorescence X de 44 tessons de céramique provenant de la fouille de Piruru, et de 11 prélèvements d'argile recueillis tant à Piruru que dans la vallée du Tantamayo, est proposée une classification du matériel qui est représentée par un dendro-gramme. Cette première étude en laboratoire permet de réfléchir sur la validité des types céramiques déjà définis, et d'émettre des hypothèses de travail sur les structures de production et l'origine des céramiques. A partir del análisis por fluorescencia X de 44 tiestos de cerámica procedentes de la excavación de Piruru, y de 11 muestras de arcilla recogidas tanto en Piruru como en el valle del Tantamayo, se propone una clasificación del material que está representada por un dendrograma. Este primer estudio en laboratorio permite reflexionar sobre la validez de los tipos cerámicos ya definidos, y plantear hipótesis de trabajo sobre las estructuras de producción y el origen de las cerámicas.

  16. LA MUERTE CRISTIANA ENTRE LA PASTORAL EVANGELIZADORA Y LAS PRÁCTICAS INDÍGENAS: UN ACERCAMIENTO COMPARATIVO (MÉXICO CENTRAL Y LOS ANDES DEL CENTRO-SUR, SIGLO XVI - PRINCIPIO DEL XVII) / CHRISTIAN DEATH, AS CONCEPTUALIZED BY MISSIONARIES, AS OPPOSED TO NATIVE PRACTICE: A COMPARATIVE STUDY (CENTRAL MEXICO VERSUS CENTRAL AND SOUTHERN ANDES, XVITH - BEGINNING OF THE XVIITH CENTURY)

    National Research Council Canada - National Science Library

    Pierre Ragon

    2012-01-01

    ... en el México central y lo que pasó en los Andes del Centro-Sur. En Nueva España, durante decenios, los religiosos se descuidaron por completo de tal cosa mientras tanto muy temprano averiguaron y denunciaron numerosas desviaciones en los Andes...

  17. 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...

  18. Relaciones craneométricas entre poblaciones prehispánicas de la Región Central del Territorio Argentino y otras del cono Sur de America

    Directory of Open Access Journals (Sweden)

    Fabra, Mariana

    2005-01-01

    Full Text Available Recientes investigaciones realizadas con muestras procedentes de sitios arqueológicos de las Sierras Centrales han propuesto diversas hipótesis para explicar los procesos de poblamiento humano ocurridos en la región. Debido a su carácter de área geográfica intermedia, las poblaciones asentadas en esta región fueron vinculadas con otras procedentes del área andina, y más recientemente, con poblaciones de las regiones de Cuyo, Litoral y sur del país. Para el presente estudio se seleccionó una muestra de 38 individuos masculinos procedentes de diversos sitios arqueológicos de las provincias de Córdoba y San Luis. Esta muestra se comparó, mediante diversas técnicas de análisis (cluster análisis, componentes principales, con poblaciones procedentes de otras regiones del país y Sudamérica publicadas en la literatura, con el objetivo de establecer relaciones biológicas y analizar así posibles vías de poblamiento de la región. Se trabajó con 24 variables morfométricas, pero a los fines comparativos se emplearon aquellas que hubieran sido analizadas en las poblaciones seleccionadas. Los resultados ponen de manifiesto que la serie Córdoba presenta mayor similitud con poblaciones del sur del país, más precisamente de Chubut, y no con poblaciones andinas o de la zona de Cuyo, como se ha postulado. Por otra parte, cuando se la compara con otras poblaciones de Sudamérica, Córdoba ocupa una posición cercana a poblaciones del sur de Brasil, sugiriendo una posible vía de acceso desde el Este. Se discute la influencia de la selección de variables en la definición de las agrupaciones biológicas.

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

  1. 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.

  2. 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 ...

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

    Science.gov (United States)

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

    1995-02-01

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

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

    Science.gov (United States)

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

    2011-10-01

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

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

    DEFF Research Database (Denmark)

    Zhou, Qi; Qian, Hua; Liu, Li

    2018-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Ghacha Reda

    2000-01-01

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

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

    Science.gov (United States)

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

    2015-02-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2003-09-01

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

  10. 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.

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

    OpenAIRE

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

    2014-01-01

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

  12. Etude de la succession secondaire dans le cadre de la pratique des cultures sur brûlis au Menabe central, Madagascar

    OpenAIRE

    Raharimalala, Hanitriaina Olga Jeannine; Gobat, Jean-Michel

    2011-01-01

    Madagascar est connu pour ses richesses en biodiversité et ses écosystèmes uniques. Une forte pression d'origine anthropique entraîne pourtant une destruction rapide des habitats naturels et une perte massive de cette biodiversité. La culture sur brûlis est une des causes de cette pression. Il s’agit d’une pratique traditionnelle et prédominante dans plusieurs régions à Madagascar et notamment dans le Sud-Ouest. La végétation secondaire qui s’installe sur les parcelles anciennement brûlées pu...

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

    Science.gov (United States)

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

    2009-07-01

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

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

    Science.gov (United States)

    Flessa, Steffen; Dung, Nghiem Tran

    2004-01-01

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

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

    Science.gov (United States)

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

    2017-01-01

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

  16. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

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

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

    Science.gov (United States)

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

    2013-09-01

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

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

    Science.gov (United States)

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

    2012-01-01

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

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

    Science.gov (United States)

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

    2016-10-01

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

  20. 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

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Science.gov (United States)

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

    2011-12-01

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

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

    Science.gov (United States)

    Pathak, Ashish; Stålsby Lundborg, Cecilia

    2015-01-01

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

  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. Estimating Monthly Solar Radiation in South-Central Chile Estimación de Radiación Solar Mensual en la Zona Centro Sur de Chile

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    José Álvarez

    2011-12-01

    Full Text Available Solar radiation is a key component in process-based models. The amount of this energy depends on the location, time of the year, and atmospheric conditions. Several equations and models have been developed for different conditions using historical data from weather station networks or satellite measurements. However, solar radiation estimates are too local since they rely on weather stations or have a resolution that is too coarse when working with satellites. In this study, we estimated monthly global solar radiation for the south-central region of Chile using the r.sun model and validated it with observations from automatic weather stations. We analyzed the performance of global radiation results with the Hargreaves-Samani (HS and Bristow-Campbell (BC models. Estimates from a calibrated rsun model accounted for 89% of the variance (r² = 0.89 in monthly mean values for 15 locations in the research area. The model performed very well for a wide area and conditions in Chile when we compared it with the HS and BC models. Our estimates of global solar radiation using the rsun model could be improved through calibration of ground measurements and more precise cloudiness estimates as they become available. With additional procedures, the rsun model could be used to provide spatial estimates of daily, weekly, monthly, and yearly solar radiation.La radiación solar es un componente clave en los modelos basados en procesos. La cantidad de esta energía depende de la ubicación, época del año, y también de las condiciones atmosféricas. Varias ecuaciones y modelos han sido desarrollados para diferentes condiciones, utilizando datos históricos de las redes de estaciones meteorológicas o de las mediciones por satélite. Sin embargo, las estimaciones de la radiación solar son demasiado locales con estaciones meteorológicas, o con una resolución muy gruesa cuando se trabaja con satélites. En el presente estudio se estimó radiación solar global

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

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    Youmbissi Joseph

    2001-01-01

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

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

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    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...

  8. 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)

  9. 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)

  10. 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)

  11. 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.

  12. 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)

  13. Causes of drug-related problems in the emergency room of a hospital in southern Brazil Problemas relacionados con medicamentos en el servicio de urgencias de un hospital en el sur de Brasil

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    Roberta Simone Andreazza

    2011-12-01

    Full Text Available Objective: To assess the frequency and types of drug-related problems (DRPs in patients seeking emergency care in a teaching hospital in southern Brazil and to identify the possible causes and drugs involved in these problems. Method: A cross-sectional study was performed, using a structured questionnaire for data collection. Multivariate logistic regression was used to control for possible confounding factors and to establish an independent association between the presence of DRPs and the amount of medication, patient's age and their educational level. Results: A total of 350 patients were interviewed. The frequency of DRPs was 31.6%. Quantitative ineffectiveness was observed in 30.9% of DRPs and the main cause of the DRP was an inadequate dosing regimen. Sixty-six DRPs (53.7% were caused by the health system or the health professionals. Factors independently influencing the development of DRPs were educational level and the number of drugs being taken. Conclusions: Our data suggest that one-third of the patients attending the emergency room of our hospital had a drug-related problem, highlighting the importance of considering drugs as a possible cause of health problems and the need for their more rational use.Objetivo: Evaluar la frecuencia y el tipo de problemas relacionados con medicamentos que presentan los pacientes que acuden al servicio de urgencias en un hospital universitario del sur de Brasil, e identificar las posibles causas y los fármacos involucrados. Método: La investigación siguió el modelo de estudio transversal, con una encuesta estructurada para la recogida de los datos. Se empleó el análisis de regresión logística múltiple para controlar posibles factores de confusión y establecer una asociación independiente entre la presencia de problemas relacionados con medicamentos y el número de éstos, la edad y el nivel educativo. Resultados: Se entrevistaron 350 pacientes y la frecuencia de problemas relacionados con

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2017-05-01

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

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

    Science.gov (United States)

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

    2011-05-01

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

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

    Science.gov (United States)

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

    2009-02-01

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

  18. The genus Callophyllis (Kallymeniaceae, Rhodophyta from the central-south Chilean coast (33° to 41° S, with the description of two new species El género Callophyllis (Kallymeniaceae, Rhodophyta de la costa central y sur de Chile (33° a 41° S, con la descripción de dos nuevas especies

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    NATALIA ARAKAKI

    2011-12-01

    Full Text Available The taxonomic status of the species in the genus Callophyllis Kützing (Kallymeniaceae, Rhodophyta from central-south Chile (33° to 41° S is examined on the basis of morphological and molecular evidence. Of the four species originally cited for central Chile, C. variegata, C. pinnata, C. atrosanguinea and C. laciniata, only the presence of C. variegata has been confirmed in this study. C. pinnata reported from Chile is found to be different from C. pinnata described from California, and it is here newly described as C. concepcionensis sp. nov. C. atrosanguinea from southern Chile (including C. linguata from the Antarctic Peninsula is distinct from the species called C. atrosanguinea from central-south Chile, the latter which is here described as C. macrostiolata sp. nov. C. variegata, C. concepcionensis and C. macrostiolata are distinguished from one another by their external habit, the nature and distribution of their cystocarps, and the female reproductive morphology. Comparative rbcL sequence analysis corroborates the distinction of these taxa from central-south Chile and their relationships to other species worldwide.Se examina el estatus taxonómico de las especies del género Callophyllis Kützing (Kallymeniaceae, Rhodophyta de la costa centro-sur de Chile (33° a 41° S en base a caracteres morfológicos y moleculares. De las cuatro especies citadas para Chile central, C. variegata, C. pinnata, C. atrosanguinea y C. laciniata, solo la presencia de C. variegata ha sido confirmada en este estudio. C. pinnata de Chile muestra diferencias con C. pinnata descrita para California y con el resto de las especies de Callophyllis hasta ahora conocidas, constituyendo así una nueva especie, C. concepcionensis sp. nov. C. atrosanguinea del sur de Chile (incluyendo C. linguata de la Península Antártica muestra diferencias con la especie llamada C. atrosanguinea de la costa centro-sur de Chile, esta última especie es descrita como C. macrostiolata

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

    Science.gov (United States)

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

    2015-07-01

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

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

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    Frieder Pfäfflin

    2017-01-01

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

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

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    Tamar Akhvlediani

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

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

    Science.gov (United States)

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

    2017-10-01

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

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

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    Lul Raka

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

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

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    Atul Khajuria

    2014-01-01

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

  5. Definición de zonas de recarga y descarga de agua subterránea a partir de indicadores superficiales: centro-sur de la Mesa Central, México

    OpenAIRE

    Liliana A. Peñuela Arévalo; J. Joel Carrillo Rivera

    2013-01-01

    Este trabajo busca delimitar las zonas de recarga y descarga de agua subterránea en la porción centro-sur de la Mesa Central. Este objetivo se logró usando la teoría de los sistemas de flujo la cual ha demostrado ser una herramienta sumamente útil debido principalmente a su visión sistémica del ambiente, y por ende, en la integración de diversos ele- mentos de la naturaleza. Existen diferentes procesos físicos, químicos y biológicos en los que el agua subterránea está involucrada. Procesos qu...

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2009-02-15

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

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

    Science.gov (United States)

    Belo, Celso; Naidoo, Saloshni

    2017-06-08

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

  8. 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.

  9. 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.

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

    Directory of Open Access Journals (Sweden)

    Nghia Ho Dang Trung

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

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

    NARCIS (Netherlands)

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

    2013-01-01

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

  12. 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...

  13. Valoración socioambiental de los recursos naturales: el caso de los recursos minerales en la parte central de Baja California Sur, México

    Directory of Open Access Journals (Sweden)

    Luis F. Beltrán Morales

    2012-02-01

    Full Text Available Se seleccionaron 15 localidades ubicadas en el radio de influencia de dos depósitos evaluados de fosfato, esto con la finalidad de aplicar el método de valoración contingente del recurso y su medio ambiente: el depósito de Tembabichi en el margen del Golfo de California y el depósito de Santo Domingo en la costa del Pacífico en Baja California Sur, México. Se encontró una disposición media a pagar por los habitantes del área de estudio de $29.77 pesos mensuales para colaborar con el medio ambiente de su región. Hipotéticamente se daría una valoración contingente en el total del área de estudio de $227 859.58 pesos mensuales, es decir, $2 734 314.9 pesos anuales. Es una cantidad considerable de recursos para contribuir a mejoras en el medio ambiente por comunidades rurales con signos de marginación socioeconómica.

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

    Directory of Open Access Journals (Sweden)

    Anirban Mandal

    2016-07-01

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

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

    Science.gov (United States)

    Shvarts, Shifra; Doron, Haim; Sherf, Michael

    2010-03-01

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

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

    Science.gov (United States)

    2014-01-01

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

  17. 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

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

    Directory of Open Access Journals (Sweden)

    Paulo Soares

    2009-03-01

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

  19. 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

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

    Science.gov (United States)

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

    2017-06-01

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

  1. Caracterización de Tagetes filifolia del centro-sur de México por morfometría de los aquenios Characterization of Tagetes filifolia from central-south Mexico by morphometric achene traits

    Directory of Open Access Journals (Sweden)

    Carlos A. Núñez-Colín

    2011-06-01

    Full Text Available Tagetes filifolia Lag. es una especie ruderal ampliamente distribuida en México de la cual se empieza a conocer su variabilidad morfológica, como parte de una serie de estudios relacionados con su posible domesticación para obtener biopesticidas. Para ampliar el conocimiento sobre este recurso vegetal se definieron mediante 11 características del aquenio 104 recolecciones del centro-sur de México empleando una técnica digital de imágenes. Se identificaron 5 diferentes grupos morfológicos. El Grupo I presentó recolecciones con aquenios pequeños y anchos; el Grupo II, aquenios grandes y anchos; el Grupo III, aquenios pequeños y alargados; el Grupo IV, aquenios grandes y alargados, y el Grupo V, aquenios grandes pero más alargados que los del Grupo IV. Las variables más discriminantes fueron el índice de alargamiento, índice de compactación, índice de redondez, relación eje menor/ eje mayor para la raíz canónica 1, y perímetro longitudinal y longitud del eje mayor para la raíz canónica 2. La gran variabilidad de las características de la forma y tamaño de los aquenios de T. filifolia se pudo agrupar en 5 morfotipos, los cuales no estuvieron presentes en toda la región centro-sur de México.Tagetes filifolia Lag. is a ruderal species widely distributed in Mexico from which is starting to make knowledge about its morphological variability as a part of a study sequence related with its possible domestication to obtain biopesticides. For acquiring more knowledge on this plant resource, 104 accessions from central-south Mexico were morphologically characterized by 11 achene traits employing a digital images technique. Five different morphologic groups were identified. Group I had accessions with small and wide achenes, group II had big and wide achenes, group III had small and long achenes, group IV had big and long achenes, and group V had big achenes but longer than group IV. The most discriminant variables were elongation

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

    African Journals Online (AJOL)

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

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

    OpenAIRE

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

    2011-01-01

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

  4. Recherches sur les champignons supérieurs dans les hêtraies et les sapinières du Roztocze Central

    Directory of Open Access Journals (Sweden)

    Bogusław Sałata

    2014-11-01

    Full Text Available The paper presents the results of three-year investigations on the flora of higher fungi in beech- and first-forests of the Central Roztocze (south-eastern Poland. In this area there runs the north-eastern border of dense occurrence of Abies alba and Fagus sylvatica. The investigations were carried out on o17 fixed observational surfaces, each of 400m2 (the square of a side 20x20m. Inthe paper there were described the fungi inhabiting the wood of Abies alba and Fagus sylvatica, as well as trrestial fungi against the background of plant communities.

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

    Science.gov (United States)

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

    2013-05-01

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

  6. 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.

  7. 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.

  8. 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.

  9. 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

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

    OpenAIRE

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

    2017-01-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  12. Hospital

    African Journals Online (AJOL)

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

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

    OpenAIRE

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

    2017-01-01

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

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

    Science.gov (United States)

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

    2017-12-08

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

  15. Estudio de 312 niños con meningitis atendidos en un Hospital Universitario en el Sur de Brasil Study of 312 children with meningitis treated at a University Hospital in the South of Brazil

    OpenAIRE

    Antoniuk,Sérgio A.; Marcela Zanon França; Tony Tannous Tahan; Andrea M. Oliveira Rossoni; Suzana Dal-Ri Moreira; Cristina Rodrigues Cruz; Renata Dal-Pra Ducci; Fátima Hamdar; Ariane Tieko Frare Kira

    2009-01-01

    El objetivo de este trabajo fue evaluar los aspectos clínicos, análisis de laboratorio, el perfil etiológico y las características evolutivas de los distintos tipos de meningitis aguda atendidos en un Servicio de Pediatría de un Hospital Público Universitario. Fueron evaluados a partir de un estudio descriptivo y retrospectivo de niños atendidos en el Servicio de Pediatría del Hospital de Clínicas de la Universidad Federal del Paraná, durante el periodo entre enero 2003 a enero 2007, con el d...

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

    Science.gov (United States)

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

    2012-01-01

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

  17. APPROCHES COMPARATIVES SUR LA CONTRIBUTION DES INVESTISSEMENTS DIRECTS L'ECONOMIE: ROUMANIE – MOLDAVIE ET AUTRES PAYS EMERGENTS DE L'EUROPE CENTRALE ET ORIENTALE

    Directory of Open Access Journals (Sweden)

    Natalia BĂNCILĂ

    2016-12-01

    Full Text Available COMPARATIVES APPROACHES ON THE CONTRIBUTION OF DIRECT INVESTMENTS IN ECONOMY: ROMANIA - MOLDOVA AND OTHER EMERGING COUNTRIES OF CENTRAL AND EASTERN EUROPEThe transition towards a market economy in any country of the world requires a restructuring of economic life. The main task of it is the development of the private sector of national economy which would lead to sustainable economic growth. A long-lasting economic revival is possible only in conditions of increase in investment, of maximal use of production capacities. Any economic growth requires funding, too. Investment financing constitutes a significant step in the investment process whereby financial resources are incorporated in the budget of the investment and may be used for payment in order to achieve a project.  Thus, concluding from the introductory ideas of the article, the author proposes to develop a comparative approach of the impact of direct investments in economy of Romania, Republic of Moldova and other emergent countries from Europe. What is certain is that the international measurement and comparison scale of the impact of the foreign direct investment (FDI on economic development is a complicated exercise, taking into consideration the very limited statistical data volume. However, the author manages to draw some conclusions concerning the process of achievement foreign direct investments.ABORDĂRI COMPARATIVE PRIVIND CONTRIBUŢIA INVESTIŢIILOR DIRECTE ÎN ECONOMIE: ROMÂNIA – REPUBLICA MOLDOVA ŞI ALTE ŢĂRI EMERGENTE DIN EUROPA CENTRALĂ ŞI ORIENTALĂÎn orice ţară a lumii, tranziţia spre economia de piaţă impune o restructurare a vieţii economice. Sarcina principală a restructurării este dezvoltarea sectorului privat al economiei naţionale, ceea ce ar duce la o creştere economică durabilă. O relansare economică durabilă este posibilă doar în condiţiile sporirii investiţiilor, utilizării la maximum a capacităţilor de producţie. Orice cre

  18. 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.

  19. 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)

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

    Directory of Open Access Journals (Sweden)

    Mateus Sebastião João Fernandes

    2016-04-01

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

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

    Science.gov (United States)

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

    2016-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Neelima Sarkar

    2017-05-01

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

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

    Science.gov (United States)

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

    2017-06-01

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

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

    Science.gov (United States)

    Ngwenya, Solwayo

    2017-10-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2012-01-01

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

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

    Science.gov (United States)

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

    2014-09-01

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

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

    Science.gov (United States)

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

    2009-01-01

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

  9. 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

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

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    R Govender

    2017-03-01

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

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

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

    2017-03-01

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

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

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    Mansour Dabirzadeh

    2017-12-01

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

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

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    Soma T

    2013-07-01

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

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

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

    2015-12-01

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

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

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

    2001-10-01

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

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

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    A. Oliveira

    2003-11-01

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

  17. Hábitos alimentarios de Dosidicus gigas (D' Orbigny, 1835 (Cephalopoda: Teuthoidea frente a la costa centro-sur de Chile Feeding habits of Dosidicus gigas (D'Orbigny, 1835 (Cephalopoda: Teuthoidea in the central-south coast off Chile

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    PATRICIO ULLOA

    2006-12-01

    Full Text Available Se estudiaron los hábitos alimentarios del calamar rojo Dosidicus gigas (D'Orbigny, 1835 frente a la costa de Chile centro-sur, durante el invierno del año 2005. Se examinaron un total de 52 estómagos, en todos los cuales había contenido alimentario. Los ejemplares provenían de pescas efectuadas por la flota arrastrera industrial que opera entre 36°39' S y 38°55'S sobre la merluza común Merluccius gayi (Guichenot 1848 y a una profundidad media de 290 m sobre la plataforma continental. Para la descripción del espectro trófico, alimento principal y el establecimiento de las eventuales diferencias sexuales u ontogenéticas en la frecuencia de aparición de los ítemes presa, se utilizaron los métodos numérico, gravimétrico, de frecuencia de ocurrencia, índice de importancia relativa (IIR e índice de similitud porcentual (ISP. No se observaron diferencias sexuales ni ontogenéticas en la frecuencia de aparición de los ítemes presa. Los resultados muestran que D. gigas es un depredador oportunista, principalmente ictiófago, y secundariamente malacófago (incluye el canibalismo y carcinófago. Se discuten los eventuales motivos e implicancias de tal conductaA study on the feeding habits of the jumbo squid Dosidicus gigas (D'Orbigny, 1835 was carried out during the winter season 2005, in waters of the Chilean central and southern Pacific. A total of 52 jumbo squid stomachs from the fishing of the continental slope were collected and examined, in the Eighth and Ninth regions, between 36°40' S and 38°55'S, at an average depth of 290 m. To determine the trophic spectrum, the feeding preferences and the importance of the sex and ontogenetic condition in the diet, the numeric, gravimetric, frequency of occurrence methods, and the index of relative importance and dietary similarity were utilized. The frequency of the prey did not vary with relation to the sex and ontogenetic conditions, and was besides a hight trophic similarity in such

  18. Estudio de 312 niños con meningitis atendidos en un Hospital Universitario en el Sur de Brasil Study of 312 children with meningitis treated at a University Hospital in the South of Brazil

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    Sérgio A. Antoniuk

    2009-01-01

    Full Text Available El objetivo de este trabajo fue evaluar los aspectos clínicos, análisis de laboratorio, el perfil etiológico y las características evolutivas de los distintos tipos de meningitis aguda atendidos en un Servicio de Pediatría de un Hospital Público Universitario. Fueron evaluados a partir de un estudio descriptivo y retrospectivo de niños atendidos en el Servicio de Pediatría del Hospital de Clínicas de la Universidad Federal del Paraná, durante el periodo entre enero 2003 a enero 2007, con el diagnóstico probable de meningitis basado en manifestaciones clínicas y en alteraciones citológicas y bioquímicas del LCR. Se diagnosticó meningitis viral (MV en 140 niños (45%, meningitis bacteriana (MB en 58 (19% y en 114 la etiología fue indeterminada (36%. Entre las MB el agente etiológico más frecuente fue Neisseria meningitidis (25 casos. Lo datos clínicos predominantes fueron fiebre, vómitos y cefalea. En el LCR de la MB hubo predominio de polimorfonucleares, proteína elevada y glucosa baja. En la MV predominaron los mononucleares. Las complicaciones neurológicas fueron más frecuentes en la MB, siendo la convulsión el hallazgo más común (6/58 pacientes. El óbito ocurrió en un caso en la MV y tres en la MB. Se llegó a la conclusión de que la clásica tríada fue la manifestación clínica más común, las anormalidades citológicas y bioquímicas fueron típicas auxiliando en la diferenciación entre las MB y MV, aunque un gran número de casos haya quedado sin definición etiológica; las complicaciones neurológicas inmediatas y los óbitos han sido pocos frecuentes en esta muestra.The aim of this study is to evaluate the clinical and laboratorial aspects, as well as the etiological profile and the evolution characteristics, of the diverse types of severe meningitis treated at a Pediatric Clinic of a public university hospital. From a descriptive and retrospective study, 312 children at the Pediatric Clinic of the

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

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    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

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

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

    2016-09-01

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

  1. 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.

  2. [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.

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

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

    2003-03-01

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

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

    Science.gov (United States)

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

    2017-05-01

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

  5. 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.

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

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    Vedita Bobde

    2015-02-01

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

  7. [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.

  8. La châine andine du Pérou Central: chronologie, orientation et styles des phases tectoniques du Tertiaire Supérieur - Aperçus sur la Tectonique Quaternaire

    Directory of Open Access Journals (Sweden)

    1975-01-01

    Full Text Available Les phases tectoniques mio-pliocènes sont étudiées dans plusieurs secteurs des Andes Centrales péruviennes. Au sud de Huancavelica (Choclococha, Huachocolpa, Lircay on note une phase de déformation cassante pliocène, selon une direction de raccourcissement N 090 (entre 8 et 4,5 M.A. Une phase miocène récent (entre 14 et 10,5 M. A de direction N 000 dans les Hauts Plateaux et peut-être de direction N 0.45 dans la Cordillère Occidentale donne des déformations cassantes mais avec une légère tectonique souple. La phase miocène ancien (entre 21 et 14 M.A est caractérisée par une direction N 0 45, des structures cassantes et de larges structures souples. La phase oligocène inférieur (entre 21,5 et 40 M.A concerne des efforts beaucoup plus importants dans des structures plus profondes. Les phases miocènes et pliocène sont superposées. L'étude de la faille de Gran-Bretaña confirme ces résultats sans que l'on puisse avoir la preuve de deux phases miocènes il s'agit d'un accident décrochant à faibles rejeux horizontaux. Les failles de la zone La Oroya, Junin, Tarma ont une géométrie semblable à l'accident de Gran-Bretaña: trois phases sont observables sans qu'il soit possible de les dater mais leurs caractéristiques correspondent aux phases pliocène, miocène et oligocène inférieur. Quelques observations dans la Cordillère Blanche semblent se rattacher à celles du Sud de Huancavelica, mais restent à préciser. Le Quaternaire montre une tectonique compressive de directions N 130 pour la Cordillère Blanche et San Ramón, N 000 et N 040 dans le bassin de Huancayo (éventuellement aussi N 075 suivant l'âge de la formation Jauja. Des failles normales n'ont été observées que dans la Cordillère Blanche (distension? montée du massif granitique?. Las fases tectónicas mio-pliocenas son estudiadas en muchos sectores de los Andes Centrales peruanos. Al sur de Huancavelica (en Choclococha, Huachocolpa, Lircay se nota una

  9. Seasonal changes in the photosynthetic performance of two evergreen Nothofagus species in south central Chile Cambios estacionales en el desempeño fotosintético de dos especies siempreverdes de Nothofagus en el centro sur de Chile

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    RAFAEL ZÚÑIGA

    2006-12-01

    Full Text Available The evergreen Nothofagus dombeyi and Nothofagus nitida are important members of the temperate Chilean rainforest. They seldom grow together in nature. Nothofagus nitida is more susceptible to excess light and drought than N. dombeyi. We postulate that the different properties of the photosynthetic apparatus under common garden conditions of these species could explain their contrasting habitat preferences. The two species growing in a common garden in south central Chile were studied. The optimal photochemical efficiency (Fv/Fm of both species remained within normal values (»0.8 with the exception of a decrease in N. dombeyi at midday in summer, suggesting reversible reduction in photochemical efficiency of photosystem II (PSII. During summer the effective photochemical efficiency (F PSII, photochemical quenching (qP, photosynthesis (Amax, stomatal conductance (gs and transpiration rates (E in N. dombeyi were higher than in N. nitida. The highest increments in photoprotective pigments (zeaxanthin + antheraxanthin and lutein contents between predawn and midday were obtained in summer in N. dombeyi. In N. nitida a nocturnal retention of dissipative pigments, without a decrease in Fv/Fm, was found in winter. The results suggest that N. dombeyi showed a better photosynthetic performance than N. nitida under high light, high temperature, and drier conditions. These data support are consistent with the pioneer character of N. dombeyi and the semi-tolerant shade properties and more restricted distribution of N. nitida. These photosynthetic characteristics, along with their freezing and flooding resistance differences, may result from their habitat separationLas siempreverdes, Nothofagus dombeyi y Nothofagus nitida, representantes importantes de los bosques lluviosos templados de Chile, raramente crecen juntos en forma natural. Nothofagus nitida es más sensible al exceso de luz y déficit de agua que N. dombeyi. Se postula que diferentes propiedades

  10. Valinia INIA, a New Early Storage Onion Variety for Central South Chile Valinia INIA, una Nueva Variedad de Cebolla de Guarda Precoz para la Zona Centro Sur de Chile

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    María Inés González A

    2012-03-01

    Full Text Available In Central South Chile, storage onion varieties (Allium cepa L. sold domestically usually begin the maturation process in March, which implies that a large proportion of bulbs do not mature adequately and do not resist prolonged storage. This situation led the Quilamapu vegetable program of the Instituto de Investigaciones Agropecuarias INIA to select an early maturing onion variety. This breeding method involved a recurrent selection with free plant crossing that began in 1994 on a population of 2000 plants of the 'Valenciana' commercial variety. Plants were first selected when they reached physiological maturity (tops down before 28 February, and then for shape, size, storage capacity, and single-centered bulbs. The result of the program was 'Valinia INIA', a type of Valenciana onion variety: early maturing, medium-sized bulb, spherical, yellow, and resistant to sprouting during storage. From the 2001-2002 to the 2008-2009 season, variety assays were carried out to compare 'Valinia INIA' with commercial cultivars, i.e., 'Sintética 14', 'Grano de Oro', and 'Valenciana Cobra'. 'Valinia INIA' precocity exceeded the other varieties in all seasons with a mean of 1.5 wk ahead of 'Sintética 14', which is the earliest commercial variety and more than 2 wk ahead of the other two. Its yield is similar to 'Valenciana Cobra' and higher than the other two varieties. Its storage capacity is similar to 'Grano de Oro' and 'Sintética 14', but greater than 'Valenciana Cobra'.En la zona centro sur de Chile es habitual que las variedades de cebolla (Allium cepa L. de guarda que se comercializan en el pais inicien el proceso de maduración preferentemente en marzo, lo que conlleva a que una gran proporción de bulbos no madure adecuadamente, no resistiendo el almacenaje por un tiempo prolongado. Esta situación llevó al programa de hortalizas del Instituto de Investigaciones Agropecuarias INIA Quilamapu a la selección de una variedad de cebolla de madurez

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

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    Ranbir S. Balgir

    2015-10-01

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

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

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    Salih A Bin Salih

    2011-01-01

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

  13. 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.

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

    Science.gov (United States)

    Beznosik, R V; Savitskiĭ, G G

    2012-03-01

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

  15. Seroprevalence of hepatitis B Sur- face antigen among apparently ...

    African Journals Online (AJOL)

    2012-01-08

    Jan 8, 2012 ... Seroprevalence of hepatitis B Sur- face antigen among apparently healthy primary school pupils in. Batagarawa Local Government area of Katsina State, Nigeria. Accepted: 2017. Habibu B. Department of Paediatrics,. General Hospital Katsina, Nigeria. Email: as.sheik@yahoo.com. Belonwu R, Ibrahim M.

  16. Les jeunes sur Internet

    OpenAIRE

    Gallez, Sarah; Lobet-Maris, Claire

    2013-01-01

    Basée sur une approche ethnographique, cet article présente une typologie originale de profils types de jeunes (12-18 ans) concernant leurs pratiques sociales d’Internet. Cette typologie a été construite au terme d‘un suivi de près d'une année d’un panel de jeunes comprenant des observations participantes, des entretiens en face à face et en ligne et des journaux de bord. Cette typologie, recouvrant divers régimes de signification que revêt Internet pour les jeunes, tend à démontrer que la to...

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

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    Amar Taksande

    2016-07-01

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

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

    OpenAIRE

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

    2014-01-01

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

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

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    Poudel RS

    2017-09-01

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

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

    Science.gov (United States)

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

    2017-07-01

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

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

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    María del Carmen Jiménez Martínez

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

  2. Depositación atmosférica de nitrógeno en un transecto valle longitudinal-cordillera de Los Andes, centro-sur de Chile Atmospheric deposition of nitrogen in a transect from the Central Valley to Cordillera de Los Andes, south-central Chile

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    CARLOS E. OYARZÚN

    2002-03-01

    Full Text Available El aumento de las actividades agrícolas y ganaderas en el centro-sur de Chile puede producir elevadas emisiones de nitrógeno hacia la atmósfera (mayormente NH3. El amoniaco es transportado por corrientes de aire y depositado en el suelo y vegetación. El presente estudio evalúa la depositación atmosférica de compuestos nitrogenados (NO3- y NH4+ en la química de las precipitaciones en un transecto altitudinal de 66 km, desde los alrededores de la ciudad de Osorno (40º 35' S, 72º 57' O, 55 m de altitud hasta la cordillera de Los Andes, Parque Nacional Puyehue (40º 46' S, 72º 11' O, 1.120 m de altitud. En siete sitios, durante el período anual junio-1999 hasta mayo-2000, se registró la precipitación y mensualmente se colectaron muestras de agua para determinar: pH, conductividad y las concentraciones de NO3- y NH4+. La precipitación anual se incrementó desde 1.103 mm en la zona de Osorno hasta 6.799 mm en el sector Antillanca, Parque Nacional Puyehue. Los valores promedio anual del pH registraron escasa variación desde 6,3 en el valle central hasta 5,8 en la cordillera de Los Andes. La conductividad presentó los máximos valores en la proximidad de Osorno (22,9 myS cm-1 para descender a través del transecto en zonas intermedias y alcanzar en la Cordillera de los Andes un valor de 11,3 myS cm-1. Las concentraciones promedio de NO3-Nen la lluvia fluctuaron entre 52,3 myg L-1 en la zona agrícola-ganadera y 6,9 myg L-1 en los bosques del Parque Nacional Puyehue. Las concentraciones de NH4-N variaron entre 699,4 myg L-1 en el sector de Osorno y 37,8 myL-1 en la cordillera de Los Andes. Los valores de N-inorgánico poseen una marcada tendencia estacional en el sector agrícola, con valores máximos en primavera-verano y los mínimos en invierno. Las tasas anuales de depositación atmosférica de NO3-N fluctuaron entre 0,53 y 0,57 kg ha-1 año-1 y las de NH4-N fueron entre 6,4 y 2,8 kg ha-1 año-1 para los sitios agrícola-ganaderos de

  3. Un modelo de la historia de la vegetación de la Cordillera de La Costa de Chile central-sur: la hipótesis glacial de Darwin A model for the history of vegetation of the Coastal Range of central-southern Chile: Darwin's glacial hypothesis

    Directory of Open Access Journals (Sweden)

    CAROLINA VILLAGRÁN

    2001-12-01

    Full Text Available En Chile central-sur, entre los paralelos 37 y 43º S, existen comunidades aisladas de coníferas y tundras magallánicas, cuya distribución principal es altoandina y/o de latitudes altas. De acuerdo a Darwin (1859, en general, estas "islas" corresponderían a los remanentes de poblaciones glaciales, que ocuparon sitios de menor altitud y latitudes más bajas, durante el avance de los hielos. Se desprende de esta hipótesis que, a lo largo de Chile, se habrían producido desplazamientos de la flora austral y andina hacia el Valle Longitudinal, durante la última glaciación, y en sentido inverso, durante el Tardiglacial (14.600-10.000 14C años AP y Holoceno (después de 10.000 14C años AP. Considerando esta hipótesis, en este trabajo se analizan dos secuencias palinológicas, procedentes de las cimas de la Cordillera de la Costa de la Región de los Lagos (cordilleras de Nahuelbuta y de Sarao, y se correlacionan con registros publicados, tanto de otros sitios de cimas de cerros, como de sitios de baja altitud, todos ellos procedentes de las regiones de Los Lagos y de Los Canales. Los registros de las cimas de la Cordillera de La Costa, analizados en este estudio, muestran la siguiente secuencia cronológica: (1 El registro de la Cordillera de Sarao documenta, para el Holoceno temprano, a partir de 9.040 14C años AP, la colonización del elemento de tundras magallánicas y bosque norpatagónico con coníferas, aunque ambas formaciones alcanzan su máximo desarrollo en el Holoceno medio, sucedidas por el elemento de bosque norpatagónico-valdiviano, en el Holoceno tardío. (2 El registro de la Cordillera de Nahuelbuta muestra que la colonización de estos mismos elementos se produce, recién, en el Holoceno medio, alrededor de 5.430 14C años AP. Otros registros de polen de las cimas de la Cordillera de La Costa (Cordillera Pelada y de Piuchué muestran que el desarrollo de ambas formaciones se produjo en el Tardiglacial y Holoceno temprano

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

    Science.gov (United States)

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

    2016-05-01

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

  5. 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

  6. Foire aux questions sur la bourse Regard canadien sur le ...

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

    IDRC CRDI

    Pour ce qui est de la bourse Regard canadien sur le développement international, il y a deux catégories. La première catégorie est destinée à des étudiants du niveau du doctorat intéressés à exécuter des recherches sur les liens existant entre les politiques du Canada en matière d'aide internationale, de commerce ...

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

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    Torbica Aleksandra

    2010-05-01

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

  8. 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

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

    Science.gov (United States)

    Popov, A P

    2015-10-01

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

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

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    Poudel RS

    2016-12-01

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

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

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    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).

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

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    Naiire Salmani

    2016-09-01

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

  13. Un regard sur le quotidien

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    Bernard Zuppinger

    2005-10-01

    Full Text Available Sur la base d’une situation particulière tirée d’une expérience de terrain récente, cette contribution cherche à montrer comment l’observation participante peut, dans le quotidien d’une enquête sur les stratégies foncières des habitants d’un quartier périphérique de Ouagadougou, être porteuse d’ambiguïté et de distance en fonction du changement de statut de l’enquêteur. Et comment cette distance implique de considérer une méthodologie basée sur un empirisme «instruit» pour reprendre le terme de O. Schwartz.

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

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    Sanjay Agrawal

    2012-01-01

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

  15. Typical occupational accidents with employees of a university hospital in the south of Brazil: epidemiology and prevention Accidentes de trabajo típicos de trabajadores de un hospital universitario de la región sur de Brasil: epidemiología y prevención Acidentes de trabalho típicos envolvendo trabalhadores de hospital universitário da região sul do Brasil: epidemiologia e prevenção

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    Iara Aparecida de Oliveira Sêcco

    2008-10-01

    Full Text Available Descriptive epidemiologic study that aimed to analyze the typical occupational accidents notified by employees of a university hospital in the South of Brazil from 1997 to 2002, and to estimate their risk indicators. A total of 717 accidents were registered; 86% of them (616 were typical and presented an annual average risk coefficient of 6.0 per 100 employees. The groups that presented more risks for accidents were cooks, woodworkers and nursing auxiliaries, while hands were the most affected area. Regarding the accidents nature, the greatest risks involved biological material. Hence, it is necessary to orient personnel about the legal aspects of occupational accidents and review work processes, especially those related to employees who perform activities at greater risk of transmissible diseases like AIDS and hepatitis B and C.Se trata de un estudio epidemiológico descriptivo que tuvo como objetivo analizar los accidentes de trabajo típicos notificados por los trabajadores de un hospital universitario de la región sur de Brasil, de 1997 a 2002 y estimar indicadores de riesgo. Fueron notificados 717 accidentes, siendo 86% (616 típicos, cuyo Coeficiente de Riesgo Promedio Anual fue igual a 6,0 accidentes a cada 100 trabajadores. Los equipos que corrieron los mayores riesgos de sufrir tales accidentes fueron los de los cocineros, carpinteros y auxiliares de enfermería, siendo las manos la parte del cuerpo más afectada. En cuanto a la naturaleza de los accidentes, los de mayor riesgo fueron los relacionados a materiales biológicos. Se constató la necesidad de orientar al personal sobre los aspectos legales de los accidentes y revisar los procesos de trabajo desarrollados, especialmente para los que actúan en funciones cuyos riesgos son mayores de contraer enfermedades graves como SIDA y Hepatitis B y C.Estudo epidemiológico descritivo objetivou analisar os acidentes de trabalho típicos notificados pelos trabalhadores de um hospital

  16. Short term effects of the air pollution on hospitalization for acute asthma; ''Effets a court terme de la pollution atmospherique d'ete sur les hospitalisations pour asthme aigu''

    Energy Technology Data Exchange (ETDEWEB)

    Peraldi, J.

    1998-07-01

    This work looks for a relationship between the hospital admissions for asthma and the air pollution in summer, regarding the principle indicators, in particular, ozone. A cohort study has been realised; it considers the hospital admissions for acute asthma, in Strasbourg three following summers 1995, 1996, 1997. These admissions are in correlation with the ozone rates, especially for less than five years old children; This relationship persists in putting back from one to three days the admissions in regard of the pollution peaks. It is not a cause-effect relationship and the statistical power of the study is limited by the methodological device. (N.C.)

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

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    Michel Lelo Tshikwela

    2012-01-01

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

  18. 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.

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

    Science.gov (United States)

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

    2015-01-01

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

  20. Incidence du salaire minimum sur le marché du travail en Amérique ...

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

    Incidence du salaire minimum sur le marché du travail en Amérique centrale - une analyse comparative du Costa Rica, du Salvador et du Nicaragua ... The Impact of Minimum Wage on Labour Markets in Central America : A Comparative Analysis of Costa Rica, El Salvador and Nicaragua, 1 January 2008 - 30 June 2010.

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

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    M Ghimire

    2014-04-01

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

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

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    Kadhim YJ

    2016-11-01

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

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

    Directory of Open Access Journals (Sweden)

    Arati

    2015-09-01

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

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

    Science.gov (United States)

    Chesshyre, Emily L D; Molyneux, Elizabeth M

    2009-06-01

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

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

    Science.gov (United States)

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

    2014-04-01

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

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

    Science.gov (United States)

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

    2017-07-01

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

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

    Science.gov (United States)

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

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

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

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

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    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

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

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    Anna Garus-Pakowska

    2017-08-01

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

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

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    SUHARTONO TAAT PUTRA

    2011-07-01

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

  15. 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.

  16. 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.

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

    Science.gov (United States)

    Kadhim, Yasir Jawad; Farhood, Qasim K

    2016-01-01

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

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

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

    2013-01-01

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

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

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    Elia Nadia

    2009-10-01

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

  1. Prevalence of mycobacterium tuberculosis among professionals in a university hospital, Mato Grosso do Sul, 2004 Existencia de la infección tuberculosis entre profesionales de un hospital universitario en Mato Grosso do Sur, 2004 Prevalência da infecção tuberculosa entre profissionais de um hospital universitário

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    Sandra Maria do Valle Leone de Oliveira

    2007-12-01

    Full Text Available Several studies have demonstrated an elevated prevalence amongst professionals of mycobacterium tuberculosis, both in the rate of infections and illness. This study was carried out in a School Hospital in Campo Grande, MS, Brazil, aiming to establish the prevalence of infection with Mycobacterium tuberculosis. The results of the analysis of 194 subjects showed an overall positivity for the tuberculin test of 38.7%. There was a correlation with smoking (p=0.01, RP=1. 72 (1.20-2.45- Yates's correction. The conclusion is that the establishment of a program of tuberculin screening jointly with the implementation of interventions is necessary in order to reduce the risk of nosocomial transmission.Varios estudios han demostrado la alta prevalencia de infección tuberculosis, y también de la propia enfermedad, entre los profesionales de salud. Este estudio, realizado en un Hospital Universitario ubicado en la ciudad de Campo Grande-MS, tuvo como objetivo conocer la existencia de la infección causada por el Mycobacterium tuberculosis. En el análisis de 194 personas, fue encontrada la existencia de la prueba tuberculinilla del 38,7%. Fue observada una asociación con el tabaquismo (p 0,01, y RP 1,72 (1,20-2,45 corregido por yates. Concluimos que es necesario un programa de selección tuberculinilla de rutina para acompañar el viraje tuberculínico, junto a intervenciones para reducir el riesgo de transmisión nosocomial.Vários estudos têm demonstrado prevalência elevada de infecção tuberculosa, tanto quanto de adoecimento, entre os profissionais de saúde. Este estudo, realizado em um Hospital Universitário, situado na cidade de Campo Grande, MS, teve como objetivo conhecer a prevalência de infecção pelo Mycobacterium tuberculosis entre esses profissionais. Na análise de 194 indivíduos, encontrou-se prevalência global de positividade da prova tuberculínica de 38,7%. Observou-se associação com o tabagismo (p 0,01, e RP 1,72 (1

  2. SUR1-Associated Mechanisms Are Not Involved in Ischemic Optic Neuropathy 1 Day Post-Injury.

    Science.gov (United States)

    Nicholson, James D; Guo, Yan; Bernstein, Steven L

    2016-01-01

    Ischemia-reperfusion injury after central nervous system (CNS) injury presents a major health care challenge with few promising treatments. Recently, it has become possible to reduce edema after CNS injury by antagonizing a sulfonylurea receptor 1 (SUR1) regulated ion channel expressed after injury. SUR1 upregulation after injury is a necessary precondition for the formation of this channel, and has been implicated in white matter injury after clinical spinal cord trauma. Glibenclamide, an SUR1 antagonist, appears to have neuroprotective effect against cerebral stroke in an open-label small clinical trial and great effectiveness in reducing damage after varied experimental CNS injury models. Despite its importance in CNS injuries, SUR1 upregulation appears to play no part in rodent anterior ischemic optic neuropathy (rAION) injury as tested by real-time PCR and immunohistochemical staining of rAION-injured rat optic nerve (ON). Furthermore, the SUR1 antagonist glibenclamide administered immediately after rAION injury provided no protection to proximal ON microvasculature 1 day post-injury but may reduce optic nerve head edema in a manner unrelated to ON SUR1 expression. Our results suggest that there may be fundamental differences between rAION optic nerve ischemia and other CNS white matter injuries where SUR1 appears to play a role.

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

    Science.gov (United States)

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

    2017-01-01

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

  4. Forme mixte de gale grave sur terrain de depigmentation cosmetique volontaire: A propos d’un cas au Centre Hospitalier Universitaire (CHU de Parakou (Benin [Mixed form of grave scabies on voluntary cosmetic depigmation land: About a case at the Parakou (Benin University Hospital Center (UHC

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    Christiane Koudoukpo

    2017-11-01

    Full Text Available Severe forms of scabies are rare. They are more contagious, posing a public health problem during an epidemy in institution. The magnitude of the depigmenting cosmetic practice, a true phenomenon of society today, is at the origin of the recrudescence of certains infectious diseases in their rare forms like severe scaby. We report the first case of mixed form of severe at Parakou University Hospital Center. The body treatment with an antiscabious medicine associated with the disinfection of bedding, led to a total recovering. RÉSUMÉ Les formes graves de la gale sont rares. Elles sont plus contagieuses, posant un problème de santé publique lors d’épidémie en institution. L’ampleur de la pratique cosmétique dépigmentante, véritable phénomène de société de nos jours est à l’origine de la recrudescence de certaines pathologies infectieuses dont des formes rares de gale grave. Nous rapportons le premier cas de forme mixte de gale grave sur terrain de dépigmentation cosmétique volontaire chez une jeune femme de 21 ans au CHU de Parakou. Le traitement corporel par un antiscabieux associé à la désinfection de la literie, a conduit à une guérison totale.

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

    Directory of Open Access Journals (Sweden)

    Renata Mie Oyama Okajima

    2004-05-01

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

  6. 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...

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

    Directory of Open Access Journals (Sweden)

    Sepúlveda E

    2015-04-01

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

  8. Installation and investigation of a cogeneration system in a hospital building at Anieres; Installation et suivi d'un couplage chaleur-force (CCF) sur le site de l'ORT a Anieres

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    A system for combined heat and power generation has been added to the complex energy system of the ORT building of the general hospital at Anieres (canton Geneva, Southwestern Switzerland). Such a system allows both to reduce deficiencies of electric power and to supply the necessary sanitary hot water. The detailed investigation showed that the hydraulic inclusion of the cogeneration unit is of prime importance for obtaining a high number of operating hours, a prerequisite for economic operation. A hydraulic control of the primary loop by a temperature sensor in the return flow has proven to be adequate. Another critical point is the control of the cogeneration unit. The control must be very precisely adjusted if the requirements for electric power and warm water are to be fulfilled without heat dissipation. In this context, the management of the warm water storage tanks plays a decisive role.

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

    Directory of Open Access Journals (Sweden)

    Le Van Tan

    2014-08-01

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

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

    Science.gov (United States)

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

    2013-09-01

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

  11. 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. 

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

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    Karlowsky James A

    2004-03-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  14. 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.

  15. [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.

  16. Effect of Compost Application on Some Properties of a Volcanic Soil from Central South Chile Efecto de la Aplicación de Compost sobre Algunas Propiedades de un Suelo Volcánico de La Región Centro-Sur de Chile

    Directory of Open Access Journals (Sweden)

    Pedro José Valarini

    2009-09-01

    Full Text Available Soil compost application is a common soil management practice used by small farmers of Central-South Chile that produces positive effects on soil properties and also promotes presence and activity of arbuscular mycorrhizal fungi (AMF. This fungi form symbiosis with plant roots improving plant nutrition, as well as producing glomalin, a glycoprotein that has been associated with soil aggregation stability. Therefore, the aim of this study was to evaluate, in an Ultisol from Central-South Chile, the effect of different doses of compost on some soil characteristics at the end of the third year of a crop sequence including wheat (Triticum aestivum L., bean (Phaseolus vulgaris L., and grassland (Lolium multiflorum Lam. associated with Trifolium repens L.. Studied soil characteristics included chemical (pH, available-P, organic C, biological (C and N biomass, AMF spore number, root colonization percentage, mycelium length, and glomalin content, as well as physical parameters (water holding capacity [WHC], and water stable aggregates [WSA]. Results showed that, in general, compost application increased soil pH, mycorrizal roots, mycelium length, glomalin levels, and WSA. Significant relationships were found between C and N biomass, C biomass and WSA, C biomass and glomalin, WSA and WHC, among others. Results suggest that compost application to this type of soil is a feasible option as a fertilizer substitute, and a way to avoid soil erosion by small local farmers involved in organic agriculture.La aplicación de compost al suelo, práctica habitual en predios de pequeños agricultores de la región centro-sur de Chile, produce efectos positivos en sus propiedades y promueve la presencia y actividad de los hongos micorrícicos arbusculares (AMF. Estos hongos forman simbiosis con las raíces de las plantas mejorando su nutrición y además producen una glicoproteína llamada glomalina, la cual ha sido relacionada con la estabilidad de los agregados de

  17. La piraterie sur le web

    CERN Multimedia

    2002-01-01

    Les échanges de toutes sortes sont facilités à l'extrême par le web: des forums, des vidéoconférences, le commerce à distance, ou tout simplement la célérité des courriers électroniques ou la convivialité des chats, tout cela participe de la société de communication. Une certaine partie du monde découvre le nouvel horizon des échanges quasi instantanés, mais... les transactions sur le web sont-elles vraiment s res?

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

    Directory of Open Access Journals (Sweden)

    María Teresa Arrronte Alarcón

    2012-01-01

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

  19. Effets du type de fertilisation sur la productivité du Jatropha curcas ...

    African Journals Online (AJOL)

    Effets du type de fertilisation sur la productivité du Jatropha curcas en zone des savanes d'Afrique Centrale cas de la localité de Sanguéré Paul au Nord Cameroun. Adamou Issa, Sali Bourou, Mana Pierre Hamadou, Patrick Prudent, Jean Leroy ...

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

    Directory of Open Access Journals (Sweden)

    Rashid RF

    2016-03-01

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

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

    Science.gov (United States)

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

    2016-06-01

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

  2. 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.

  3. Infraestrutura de biossegurança para agentes biológicos em hospitais do sul do Estado da Bahia, Brasil Infraesctructura de bioseguridad para los agentes biológicos en hospitales del sur del Estado de Bahia, Brasil Biosecurity infrastructure for biological agents in hospitals from the south of Bahia State, Brazil

    Directory of Open Access Journals (Sweden)

    Maridalva de Souza Penteado

    2010-10-01

    Full Text Available O objetivo do estudo foi descrever a infraestrutura de biossegurança em hospitais localizados na Região Sul do Estado da Bahia, Brasil. Tratou-se de um estudo descritivo-exploratório realizado em comissões de controle de infecções hospitalares e comissão institucional de prevenção a acidentes quanto à existência de normas escritas, realização de treinamentos para essas mesmas preconizações, existência de registros institucionais concernentes à biossegurança e existência de práticas de atenção à saúde dos profissionais e isolamentos de pacientes. Os hospitais são comparados segundo a presença de cada um dos itens analisados de acordo com sua classificação por porte, vinculação jurídico-financeira, dentre outras. Conclui-se que a situação geral é precária quanto à presença dos itens investigados, o que impele a considerar a necessidade de que se leve em conta, numa análise de qualidade hospitalar, também o cuidado com a vida dos seus trabalhadores.El objetivo del estudio fue describir la infraestructura de bioseguridad en hospitales de la Región Sur del Estado de Bahia, Brasil. Fue realizada una investigación descriptiva-exploratória en las comisiones de control de infecciones hospitalarios y en las comisiónes institucionales de prevención de accidentes sobre la existencia de normas escritas, la realización de entrenamientos para esas mismas preconizaciones, la existencia de registros institucionales concernientes a la bioseguridad, la existencia de practicas de atención a la salud de los profesionales y apartamiento de pacientes. Los hospitales son son comparados según la presencia de cada uno de los itens analizados en conformidad con su porte, vinculación jurídico financiera, entre otras. Se concluye que la situación general es precaria cuanto a la presencia de los itens investigados, lo que lleva a considerar la necesidad de que se lleve en cuenta, la análisis de la calidad hospitalario, tambi

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

    Science.gov (United States)

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

    2011-08-01

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

  5. IMPACT DE METARHIZIUM ANISOPLIAE VAR ACRIDUM, SUR LES ...

    African Journals Online (AJOL)

    Deux investigations ont porté sur l'impact direct du champignon Metarhizium anisopliae var acridum (IMI-91609 :souche de Zonocerus variegatus) sur la mortalité et sur son impact indirect sur la progéniture de deux hyménoptères : Anagyrus lopezi (De Santis) (Hymenoptera : Encyrtidea) utilisé dans la lutte biologique ...

  6. Sur ical facilities available at district hospitals in

    African Journals Online (AJOL)

    Boiler back-up for autoclave. Do you have a back-up sterilisation system or boiler if your autoclave is broken? ' ' GA facilities. Are there facilities for general anaesthesia ? ' Oxygen concentrator. Is there a working oxygen concentrator in the theat- re? ' Oxygen cylinders. Do you have oxygen cylinders available, with oxygen.

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Science.gov (United States)

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

    2017-09-11

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

  9. EFFET DE LA DENSITE SUR LES PARAMETRES ...

    African Journals Online (AJOL)

    USER

    L'étude vise à déterminer l'effet de l'association légumineuse-cocotier et de la densité des peuplements de Acacia auriculaeformis sur la croissance des arbres et la production de bois. Deux types d'arrangements spatiaux et 3 écartements en plantation ont été étudiés, en zone littorale sur sables quaternaires en Côte.

  10. Spatio-temporal distribution of spionids (Polychaeta-Spionidae in an estuarine system in south-central Chile Distribución espacio-temporal de los espiónidos (Polychaeta-Spionidae en un sistema de estuarios del centro sur de Chile

    Directory of Open Access Journals (Sweden)

    MAURICIO DÍAZ-JARAMILLO

    2008-12-01

    Full Text Available This study is based on the identification and distribution of spionid polychaetes in relation to abiotic characteristics of the environment at the mouth of the Valdivia-Tornagaleones estuary in south-central Chile. Four samplings were carried out in 2005, in which eight species were identified including Aquilaspio peruana, Boccardia polybranchia, Carazziella carrascoi, Dipolydora socialis, Minuspio patagónica, Rhynchospio glutaea, Scolelepis quinquedentata and Spiophanes sp. As it is typical of other estuaries in south central Chile, spionids were an important component of the macroinfauna of the Valdivia estuary. The distribution of the Spionidae family in the system showed higher species richness in the outer reach of the estuary but higher abundance (number of specimens at the inner reach. The distributional pattern of the polychaetes did not vary throughout the year, exhibiting strong spatial zonation with three significantly different assemblages. Minuspio patagónica, A. peruana and C. carrascoi contributed to the similarity between these three groups, as well as to the formation of a general component in the macroinfauna. Sedimentological and depth variables, as well as sedimentary organic material were only marginally related to the distribution of spionids. Results showed that bottom salinity was the environmental variable responsible for spatial differentiation of spionids in the three groups, which permit to differentiate the outer-reach species from those in the internal area of the estuary. The significant contribution of spionids to the total component of macroinfauna in the studied area shows that these species are a significant component of the estuarine and transition areas in the southwest Pacific coast.El estudio se desarrolla en base a la identificación y distribución de Spionidae y su relación con las características abióticas del medio, en la desembocadura del sistema estuarial Valdivia-Tornagaleones (Chile. Se

  11. A instrução pública na França revolucionária: considerações a partir do Essais sur l’enseignement en general et sur celui des mathématiques en particulier, de Sylvestre-François Lacroix - The public instruction in revolutionary France: some remarks accord

    Directory of Open Access Journals (Sweden)

    Antonio Vicente Marafioti Garnica

    2013-04-01

    Full Text Available O artigo aborda o livro Essais sur l'enseignement en général, et sur celui des mathématiques en particulier, de Sylvestre-François Lacroix, publicado originalmente na França em 1805, enfatizando sua primeira parte, na qual o autor discute a instrução pública e, particularmente, as escolas centrais da França revolucionária.Palavras-chave: Sylvestre-François Lacroix (1765-1843, instrução pública, Essais sur l'enseigne-ment en général, et sur celui des mathématiques en particulier, iluminismo, França. The public instruction in revolutionary France: some remarks according to Lacroix’s Essais sur l’enseignement en general et sur celui des mathématiques en particulierAbstractThe article discusses the book Essais sur l'enseignement en général, et sur celui des mathématiques en particulier, by Sylvestre-François Lacroix, originally published in France in 1805. The first part of the book, in which the author discusses public education, and particularly the central schools of revolutionary France, is emphasized.Key-words: Sylvestre-François Lacroix (1765-1843, public instruction, Essais sur l'enseignement en général, et sur celui des mathématiques en particulier, enlightenment, France. Instrucción pública en Francia revolucionaria: consideraciones a la vista del libro Essais sur l’enseignement en general et sur celui des mathématiques en particulier, de Sylvestre-François LacroixResumenEl artículo aborda el libro Essais sur l'enseignement en général, et sur celui des mathématiques en particulier de Sylvestre-François Lacroix, publicado originalmente en Francia, en 1805, haciendo hincapié en su primera parte, en la que el autor habla de la instrucción pública y en particular de las escuelas centrales en Francia en el período revolucionario.Palabras-clave: Sylvestre-François Lacroix (1765-1843, instrucción pública, Essais sur l'enseigne-ment en général, et sur celui des mathématiques en particulier

  12. 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

  13. Un article du Canadian Geographic se penche sur la recherche sur ...

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

    17 mars 2016 ... Manifestants à Kampala marchent vers la cour en 2012 pour livrer plainte sur le retard de la délivrance sur le jugement du cas CEHURD impliquant Sylvia Nalubowa et Jennifer Anguko, deux femmes mortes en accouchant (Photo : CEHURD). Un chercheur subventionné par le CRDI retient l'attention de la ...

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

    Directory of Open Access Journals (Sweden)

    Petr Svobodný

    2007-07-01

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

  15. 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

  16. Efecto de la fragmentación forestal sobre la estructura vegetacional de las poblaciones amenazadas de Legrandia concinna (Myrtaceae del centro-sur de Chile Effect of forest fragmentation on vegetation structure of Legrandia concinna (Myrtaceae threatened populations in south-central Chile

    Directory of Open Access Journals (Sweden)

    ADISON ALTAMIRANO

    2007-03-01

    Full Text Available La fragmentación del hábitat es una de las principales amenazas para la integridad de los ecosistemas. En este estudio se evaluó el efecto de la fragmentación sobre la estructura de la vegetación en poblaciones de la especie arbórea Legrandia concinna en el centro-sur de Chile. Se describió el patrón de ocupación de las poblaciones de Legrandia en fragmentos remanentes de bosques nativos y se evaluaron las relaciones entre índices de paisaje y variables de estructura de la vegetación. Los índices de paisaje (área, índice de proximidad media, forma y distancia al borde de fragmentos fueron aplicados a mapas de cobertura forestal generados a partir de una imagen satelital Landsat ETM+ del año 2001. Los resultados mostraron una alta predominancia de fragmentos de reducido tamaño, altos niveles de aislamiento y formas regulares. El patrón de ocupación de las poblaciones de Legrandia sugiere que las poblaciones ocupan preferentemente fragmentos de menor tamaño y mayor aislamiento. No hubo diferencias significativas entre la distribución de frecuencias de los fragmentos con presencia y sin presencia de Legrandia en cuanto a área y aislamiento. Sin embargo, se obtuvo que el tamaño, aislamiento y la distancia al borde del fragmento se relacionara significativamente con la presencia de la especie. Como medida de conservación de la especie, se recomienda incluir dentro de áreas protegidas a aquellas poblaciones con mayor riesgo a desaparecer, promover su conservación ex situ y establecer un programa de monitoreo. El estudio sienta un precedente respecto a la vinculación entre información a escala de paisaje proveniente de imágenes satelitales e información de estructura de la vegetación medida en terreno, para evaluar el estado de conservación de poblaciones de especies amenazadas que cubren extensiones restringidas de territorio. Esta innovación metodológica ofrece la posibilidad de monitorear los cambios producidos en el

  17. Cambio del uso del suelo en el centro sur de Chile a fines del siglo XX: Entendiendo la dinámica espacial y temporal del paisaje Land use change in the south central Chile at the end of the 20th century: Understanding the spatio-temporal dynamics of the landscape

    Directory of Open Access Journals (Sweden)

    MAURICIO AGUAYO

    2009-01-01

    Full Text Available Los humanos han transformado gran parte de la superficie del planeta en los últimos 300 años. La tala de bosques, las prácticas agrícolas de subsistencia, la intensificación de la producción agrícola y la expansión de los centros urbanos han cambiado drásticamente el paisaje. En el centro y sur de Chile las transformaciones han estado asociadas, en un inicio, a la expansión de la frontera agropecuaria que permitió satisfacer tanto las necesidades internas como la creciente demanda externa por productos agrícolas. Posteriormente, un fuerte incentivo a la forestación, comandado por el Estado, generó un acelerado proceso de desarrollo forestal que explica, en gran medida, la actual configuración del paisaje en esta región. En este trabajo hemos analizados la dinámica espacial de los cambios en el uso del suelo ocurridos durante las últimas décadas en un área de 2.3 millones de hectáreas ubicada entre las regiones del Biobío y La Araucanía. Las coberturas del suelo fueron obtenidas a partir de dos imágenes Landsat correspondientes a los años 1979 y 2000. Los resultados confirman que las principales transformaciones del paisaje son consecuencia del desarrollo forestal, la mantención de los rubros agropecuarios y el crecimiento urbano e industrial. Asimismo, fue posible determinar que la pérdida del bosque nativo se debe, principalmente, a la expansión de las plantaciones forestales hacia los cordones montañosos andinos y costeros.Land use changes have transformed much of the Earth's surface in the last 300 years. Deforestation, intensification of agriculture, and urban sprawl have radically changed the preindustrial landscape. In south-central Chile, landscape change was initially related to the expansión of farming to address national needs and the growing international demand for agricultural products. Subsequently, prívate forestry, subsidized by the State, promoted the accelerated expansión of industrial

  18. Patrones de abundancia, composición trófica y distribución espacial del ensamble de peces intermareales de la zona centro-sur de Chile Abundance, trophic composition and spatial distribution of the intertidal fish assemblage of South-central Chile

    Directory of Open Access Journals (Sweden)

    PABLO A QUIJADA

    2000-12-01

    Full Text Available En las costas de la zona centro-sur de Chile se han realizado una serie de estudios relacionados con la biología de los peces pelágicos de importancia económica. Por el contrario, el conocimiento acerca de los peces litorales es escaso. En el presente trabajo, se estudiaron los patrones de abundancia, distribución y composición trófica del ensamble de peces que habitan en el intermareal rocoso de la costa de la Octava Región. Esta zona fue muestreada periódicamente entre septiembre de 1998 y enero de 1999. Se capturaron un total de 374 individuos pertenecientes a 13 especies y 8 familias. La especie más abundante en esta zona fue el pejesapo Gobiesox marmoratus (Gobiesocidae seguido de Calliclinus geniguttatus (Labrisomidae, las que en conjunto aportaron el 54 % al número total de peces encontrados. Las restantes especies pertenecieron a las familias Blenniidae, Labrisomidae, Clinidae, Bovichthydae, Tripterygiidae, Ophiididae y Nototheniidae. La presencia de ejemplares en estado juvenil, principalmente de G. marmoratus, indica que estas áreas son muy importantes como zonas de reclutamiento. El análisis trófico indica que este ensamble se compone en su mayoría de especies carnívoras que se alimentan principalmente de crustáceos y gastrópodos, con la excepción de los blénidos Scartichthys viridis, el cual es herbívoro, e Hypsoblennius sordidus que presenta una dieta de tipo omnívoraOn the coast of South-central Chile, a number of studies have been undertaken focusing on the biology of economically important pelagic fishes. In contrast, the knowledge of coastal fishes is scarce. In the present study, we analysed the patterns of abundance, distribution and trophic composition of the intertidal fish assemblage that inhabits rocky intertidal areas along the coast of the Eighth Region. This zone was sampled periodically between September 1998, and January 1999. A total of 374 individuals belonging to 13 species and 8 families were

  19. Tendencias en el uso de la tierra y diversidad productiva en establecimientos agropecuarios del centro-sur de la provincia de Buenos Aires (Argentina Tendencies in land use and productive diversity in central-south farms of the Province of Buenos Aires (Argentina

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    E. Requesens

    2011-06-01

    Full Text Available El partido de Benito Juárez, ubicado en el centro-sur de la provincia de Buenos Aires (Argentina, es ambientalmente heterogéneo y productivamente mixto, con tradición predominantemente ganadera. A fin de evaluar las tendencias en el uso de la tierra, se describió la evolución de los diferentes rubros productivos y su diversidad durante el periodo 1998-2007, sobre la base de una selección de 30 establecimientos. El pastizal natural ocupó la mayor proporción de superficie promedio en el período considerado, pero reflejó una pérdida de 23 puntos porcentuales compensada sólo parcialmente por un aumento de pasturas perennes. La suma de ambos recursos forrajeros evidenció una caída en la superficie destinada a ganadería y, al final del periodo, fue ligeramente superada por la superficie destinada a cultivos anuales. Entre éstos, la soja fue el cultivo con mayor expansión pero su participación relativa alcanzó sólo el 11,02%. Paralelamente, la diversidad productiva, estimada mediante una adaptación del índice de diversidad de Shannon, aumentó 30,84%. Aunque es evidente el avance de cultivos anuales en desmedro de pastizales naturales, el reemplazo parcial de estos últimos por pasturas perennes y el aumento en la diversidad productiva limitan los riesgos ambientales potenciales, puestos de manifiesto en otras regiones del país.Benito Juarez county, in the central-south Buenos Aires province (Argentina, is environmentally and productively heterogeneous, with predominance of cattle farming. In order to evaluate the tendencies in land use, the evolution of different productive items and their diversity throughout the period 1998- 2007 were described on the basis of 30 farms selected. The grasslands occupied the greater proportion of the area throughout the period studied, but they reflected a loss of 23 percentage points which was only partially compensated by an increase of perennial pastures. This fact caused a decrease in the

  20. Unplanned Hospital Visits - Hospital

    Data.gov (United States)

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

  1. 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.

  2. Segmentation du muscle pectoral sur une mammographie

    OpenAIRE

    Boucher, Arnaud; Jouve, Pierre; Cloppet, Florence; Vincent, Nicole

    2009-01-01

    National audience; L'objectif de cette étude est la segmentation du muscle pectoral sur une mammographie. Ce travail a pour but de faciliter le recalage géométrique de paires d'images mammographiques par l'extraction fiable de points de repère. La sémantique de l'image est exploitée pour extraire des points de repère basés sur l'anatomie. La technique d'extraction utilisée est basée sur les contours actifs pour lesquels nous proposons de construire différentes énergies.

  3. Patrones de regeneración arbórea en claros a una década de la floración y muerte masiva de Chusquea quila (Poaceae en un remanente de bosque antiguo del valle central en el centro-sur de Chile Tree regeneration patterns in canopy gaps after a decade of Chusquea quila (Poaceae dieback in an old-growth remnant forest in the lake district of south-central Chile

    Directory of Open Access Journals (Sweden)

    ARIEL A MUÑOZ

    2009-06-01

    Full Text Available En bosques de elevaciones bajas del centro-sur de Chile (38-42° S Chusquea quila (Poaceae es la especie del sotobosque de mayor influencia en el proceso de regeneración de especies arbóreas en claros naturales y antropogénicos. Su floración y muerte sincrónica, después de un extenso periodo en estado vegetativo, constituye una alteración de gran escala que puede afectar importantemente la dinámica de regeneración arbórea en claros. El último episodio de muerte masiva de C. quila (1989-1995, que afectó a los escasos remanentes de bosques antiguos dominados por Nothofagus obliqua y especies siempreverdes, ofreció la oportunidad de monitorear la respuesta de la regeneración arbórea en seis claros del dosel entre los años 1994 y 2003. El objetivo central de este estudio fue analizar, luego de 10 años desde dicho evento, los principales patrones de respuesta de la regeneración arbórea en claros. La regeneración avanzada -establecida en los claros previa a la floración y muerte de C. quila- estuvo dominada por las especies tolerantes Aextoxicon punctatum, Laureliopsis philippiana y Amomyrtus luma. Después de 10 años desde la muerte de C. quila en los claros, la mortalidad de la regeneración avanzada fue 42 % y ocurrió principalmente en individuos originados de semillas. Por su parte, la respuesta de los nuevos establecimientos estuvo marcada por la abundante regeneración de N. obliqua, Podocarpus saligna y Aristotelia chilensis durante los primeros años postdisturbio; sin embargo, al cabo de 10 años solo unos pocos individuos de estas especies sobrevivieron a la competencia de la nueva cohorte de C. quila. Los individuos originados por rebrotes de raíces de las especies Eucryphia cordifolia, Gevuina avellana y L. philippiana presentaron mayor sobrevivencia y crecimiento que aquellos originados de semillas. Finalmente, el aumento temporal de recursos asociado a la muerte de C. quila en claros, favorece a especies arb

  4. Cartes sur fonds d'images spatiales

    Directory of Open Access Journals (Sweden)

    Fernand VERGER

    1988-06-01

    Full Text Available La qualité géométrique, la vue synoptique sur de grandes étendues, le caractère souvent expressif des images obtenues à partir de l'espace ont provoqué l'utilisation de fonds d'images spatiales avec des surcharges chorogra phiques. On peut proposer une typologie de ces documents sur fonds d'images satellitaires dont un spécimen au 1/25 000 est présenté à partir des données SPOT.

  5. 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

  6. Un caso de xantismo parcial en Aplodactylus punctatus (Teleostei: Aplodactylidae del sur de Perú

    Directory of Open Access Journals (Sweden)

    Philippe Béarez

    2006-10-01

    Full Text Available Se reporta por primera vez en Ilo, sur del Perú, una jerguilla amarilla (Aplodactylus punctatus. Esa condición de tener una piel de color amarillo se denomina xantismo. Este registro, único, corresponde probablemente a una extensión hacia el norte del rango de distribución de la «jerguilla reina», conocida de la costa central de Chile.

  7. Effets des changements socio-économiques sur les stratégies des ...

    African Journals Online (AJOL)

    Effets des changements socio-économiques sur les stratégies des agriculteurs des zones cotonnières d'Afrique Centrale. ... Cameroon Journal of Agricultural Science ... défensive de diversification des activités monétaires dès qu'un créneau économique peut être exploité, créant ainsi de nouvelles filières économiques.

  8. Répercussions de la migration et des envois d'argent sur la gestion ...

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

    Répercussions de la migration et des envois d'argent sur la gestion des ressources naturelles dans quatre municipalités du département d'Olancho, au Honduras La migration joue un rôle clé dans le développement socioéconomique de l'Amérique centrale, particulièrement au Honduras. Au cours des dernières années, ...

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

    Directory of Open Access Journals (Sweden)

    Tho Dinh Tran

    2017-06-01

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

  10. Geopolitica, economia y solidaridad internacional en la nueva cooperacion Sur-Sur: el caso de la Venezuela Bolivariana y PETROCARIBE

    National Research Council Canada - National Science Library

    Benzi, Daniele; Zapata, Ximena

    2013-01-01

    .... Se plantea que la emergencia de esta propuesta, al igual que otras iniciativas de cooperacion Sur-Sur, esta claramente vinculada a objetivos estrategicos de politica exterior que remiten basicamente...

  11. Divagations sur champ pénal (mars 2004)

    OpenAIRE

    Christian Demonchy

    2007-01-01

    En droit, la divagation d'un animal domestique est le fait que la personne responsable de cet animal le laisse errer sur la voie publique ou sur les biens d'autrui. Les divagations sur champ pénal sont-elles répréhensibles ?

  12. Gestion des agroecosystemes sur le mont agou en zone forestiere ...

    African Journals Online (AJOL)

    L'étude est une contribution à la connaissance du mode de gestion des paysages agraires par les populations locales sur le Mont Agou en zone forestière sur l'Atakora au Togo. Les pratiques agricoles sont fondées sur des conceptions des paysans pour un double objectif : assurer des revenus permanents et garantir une ...

  13. Note sur le post-Taylorisme

    OpenAIRE

    Barrier, Christiane

    1994-01-01

    International audience; Cet article revient sur deux anciens numéros de la revue Sociologie du travail en partie consacrés au post-taylorisme, et avance l'idée d'une insuffisance de l'épistémologie sociologique chez les sociologues du travail français.

  14. Étude du Partenariat de recherche sur l'influenza aviaire en Asie sur ...

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

    Étude du Partenariat de recherche sur l'influenza aviaire en Asie sur l'efficacité des mesures de lutte. L'influenza aviaire hautement pathogène (H5N1) est une grave maladie qui touche la volaille et contamine les êtres humains dans une faible proportion. L'Organisation mondiale de la santé croit que le virus pourrait subir ...

  15. Impact du revêtement sur le comportement à l'usure et sur la ...

    African Journals Online (AJOL)

    Impact du revêtement sur le comportement à l'usure et sur la rugosité de la surface usinée en fraisage frontal de l'acier C18. Mohieddine Benghersallah et Lakhdar Boulanouar. Laboratoire Mécanique des Matériaux et Maintenance Industrielle (LR3MI),. Département de Génie Mécanique,. Université Badji Mokhtar, BP12, ...

  16. Macroalgas varadas sobre la superficie de una playa arenosa del sur de Chile: preferencias alimentarias y de habitat de juveniles y adultos de Orchestoidea tuberculata (Nicolet), (Amphipoda, Talitridae) Stranded algal wracks on a sandy beach of south central Chile: feeding and habitat preferences of juveniles and adults of Orchestoidea tuberculata (Nicolet), (Amphipoda, Talitridae)

    OpenAIRE

    CRISTIAN DUARTE; EDUARDO JARAMILLO; HERALDO CONTRERAS

    2008-01-01

    El anfípodo Orchestoidea tuberculata, es el carroñero numéricamente dominante en los niveles superiores del intermareal de las playas arenosas del centro sur de Chile. La principal fuente de alimento para juveniles y adultos de este anfípodo son las macroalgas varadas en la playa. Con el objetivo de analizar una eventual partición de ese recurso alimentario por parte de esos juveniles y adultos, se realizaron experimentos tendientes a evaluar preferencias alimentarias sobre las tres macroalga...

  17. Raising Tobacco Taxes in Selected Countries of Central America ...

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

    Institution. Interamerican Heart Foundation, Inc. Pays d' institution. United States. Site internet. http://www.interamericanheart.org. Extrants. Rapports. Raising tobacco taxes in selected countries of Central America : final technical report. Contenus connexes. Hausse des taxes sur le tabac dans trois pays d'Amérique centrale.

  18. Asie centrale | Page 66 | CRDI - Centre de recherches pour le ...

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

    Asie centrale. Asie centrale. Read more about Sharing the Benefits from Transportation and Logistics Improvements in the GMS : a Study of the East-West and North-South Corridors. Langue English. Read more about Compétences, gouvernance et nanotechnologies : pleins feux sur l'Inde. Langue French. Read more ...

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

    Directory of Open Access Journals (Sweden)

    Alessandra PECCI, Francesca GRASSI

    2016-01-01

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

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

    Science.gov (United States)

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

    2015-09-01

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

  1. Macroalgas varadas sobre la superficie de una playa arenosa del sur de Chile: preferencias alimentarias y de habitat de juveniles y adultos de Orchestoidea tuberculata (Nicolet, (Amphipoda, Talitridae Stranded algal wracks on a sandy beach of south central Chile: feeding and habitat preferences of juveniles and adults of Orchestoidea tuberculata (Nicolet, (Amphipoda, Talitridae

    Directory of Open Access Journals (Sweden)

    CRISTIAN DUARTE

    2008-03-01

    Full Text Available El anfípodo Orchestoidea tuberculata, es el carroñero numéricamente dominante en los niveles superiores del intermareal de las playas arenosas del centro sur de Chile. La principal fuente de alimento para juveniles y adultos de este anfípodo son las macroalgas varadas en la playa. Con el objetivo de analizar una eventual partición de ese recurso alimentario por parte de esos juveniles y adultos, se realizaron experimentos tendientes a evaluar preferencias alimentarias sobre las tres macroalgas varadas más comunes de estas playas: Durvillaea antárctica, Macrocystis pyrifera y Lessonia nigrescens. Los juveniles prefirieron consumir L. nigrescens, mientras que los adultos mostraron una preferencia significativa por D. antárctica. Similar a lo registrado en condiciones de laboratorio, los resultados de estudios de terreno muestran que los juveniles de O. tuberculata no presentaron preferencias significativas entre D. antárctica y M. pyrifera, en tanto que los adultos prefirieron los restos de D. antárctica por sobre los de M. pyrifera. Esto sugiere que para los adultos, D. antárctica es una fuente importante de alimento y también de habitat. Debido a que L. nigrescens no pudo ser incluida en los experimentos de terreno, la posibilidad de que los juveniles también prefieren a esta macroalga en esas condiciones permanece como una pregunta abierta. Aunque no se conocen las razones para explicar las diferencias en las preferencias alimentarias de juveniles y adultos, pueden proponerse dos posibilidades: cambios ontogénicos en la morfología de las estructuras bucales utilizadas para alimentación y/ o cambios ontogénicos en los requerimientos nutricionales. Sin embargo, el hecho de que los juveniles prefirieron consumir en condiciones de laboratorio, la macroalga con el menor contenido nutricional (L. nigrescens, sugiere otro tipo de explicación a las diferencias observadas. Esta dice relación con el hecho de que al preferir

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

    Science.gov (United States)

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

    2014-12-01

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

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

    Science.gov (United States)

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

    2009-11-01

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

  4. Le dernier Wittgenstein et le dernier Husserl sur le langage

    Directory of Open Access Journals (Sweden)

    Paul Ricoeur

    2014-07-01

    Full Text Available This article presents an edited version of lectures given by Paul Ricœur at Johns Hopkins University in April 1966. Ricœur offers a comparative analysis of Wittgenstein’s and Husserl’s late works, taking the problem of language as the common ground of investigation for these two central figures of phenomenology and analytic philosophy. Ricœur develops his study in two parts. The first part considers Husserl’s approach to language after the Logical Investigations and concentrates on Formal and Transcendental Logic; leaving a transcendental reflection on language behind it re-examines a phenomenological conception, according to which the sphere of logic is not separable from that of experience. The main focus of the second part is Wittgenstein’s later philosophy as it moved on from the conception of an isomorphic relation between language and the world, as set out in the picture theory in the Tractatus Logico-Philosophicus, to the more pragmatic notion of a language-game in the Philosophical Investigations. In order to get beyond the irrevocable differences between the two philosophies and the unresolved theoretical issues on both sides, Ricœur suggests turning to a semiological paradigm based on the Saussurean distinction between “language” and “speaking.” Keyword: Analytic Philosophy, Husserl, Phenomenology, Semiology, Wittgenstein.  Résumé Cet article est une version éditée de conférences données par Paul Ricœur à la Johns Hopkins University en avril 1966. Ricœur propose une analyse comparée des dernières œuvres de Wittgenstein et Husserl, avec le problème du langage comme sol commun d’investigations pour ces deux figures centrales de la phénoménologie et la philosophie analytique. Cette analyse de Ricœur se joue à travers deux parties. La première partie revient sur l'approche du langage chez Husserl depuis Recherches logiques avec une attention particulière aux développements de Logique formelle et

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

    OpenAIRE

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

    2004-01-01

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

  6. Enquêtes sur les soucoupes volantes

    OpenAIRE

    Lagrange, Pierre

    2007-01-01

    La dispute autour du mot « preuve » se réduit à une question : Qu'est-ce qui constitue une preuve ? Faut-il qu'un ovni atterrisse à l'entrée du Pentagone, près des bureaux des chefs d'État-Major ? Ou bien est-ce une preuve quand une station de radar au sol détecte un ovni, envoie un jet l'intercepter, que le pilote du jet le voit et le suit sur son radar pour finir par le voir disparaître à une vitesse phénoménale ? Ou est-ce une preuve quand un pilote tire sur un ovni et maintient son histoi...

  7. Sur la proximité de Dieu.

    Directory of Open Access Journals (Sweden)

    Dominic Desroches

    2009-10-01

    Full Text Available Il n’est pas impertinent, quelque temps après la visite du pape en Terre sainte, de réfléchir à nouveaux frais sur la rencontre des trois grandes religions monothéistes (judaïsme, christianisme et islam et sur leur destin commun. Le moment est peut-être d’autant mieux choisi qu’on peut le faire aujourd’hui dans le sillage de Peter Sloterdijk, qui s’est livré, dès 2007, à ce genre d’exercice dans son ouvrage Gottes Eifer , traduit en français par Olivier Mannoni en 2008 ...

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

    Directory of Open Access Journals (Sweden)

    Paulo Soares

    2009-03-01

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

  9. Dépollution des eaux usées sur un support naturel Chitosane-Bentonite

    OpenAIRE

    BENOSMAN, ASMA

    2011-01-01

    L'eau est l'élément central de tous les processus socio-économiques, quel que soit le degré de développement de la société. L'augmentation des activités agro-industrielles engendre une pression grandissante sur les réserves en eau douce de la planète. En effet, ces activités génèrent une grande diversité de produits chimiques qui se déversent dans le cycle de l'eau, mettant en péril le fragile équilibre naturel qui a permis à la vie de se développer sur la terre. Souvent, les s...

  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. Maintenance sur les infrastructures de surface

    CERN Document Server

    Chevret, P

    2000-01-01

    L'objet de ce document est de dresser le bilan de l'activité du Groupe Technical Facilities Management dans le domaine de la maintenance. Ce bilan couvre les activités techniques du génie civil, du chauffage-climatisation et de l'électricité, s'appliquant dans une large majorité au seul secteur tertiaire, tant sur le plan préventif que correctif. Les principaux paramètres indicateurs de l'activité sont situés dans leur évolution au cours des dernières années. Les auteurs abordent également les principaux projets complémentaires de maintenance, qui sont conduits pour maintenir l'état du patrimoine en dépit des restrictions budgétaires, faire face aux problèmes d'obsolescence, de défaillances récurrentes sur certains matériels, et satisfaire aux normes de sécurité. L'incidence positive de ces actions sur le nombre d'interventions de maintenance corrective est également montrée. Enfin, des perspectives de progrès sont dégagées, visant à une gestion davantage prévisionnelle de la ma...

  12. Controverses sur les sucres [Controversies about sugars

    Directory of Open Access Journals (Sweden)

    Malika BOUCHENAK

    2016-12-01

    Full Text Available La surconsommation de sucres ajoutés et leurs effets putatifs sur diverses pathologies cardiométaboliques continuent de susciter des controverses. Dans les années 1950, le taux élevé de maladies cardiovasculaires (MCV, chez les hommes Américains a conduit à des études sur le rôle des facteurs alimentaires, tels que le cholestérol, les phytostérols, l'excès de calories, les acides aminés, les graisses, les glucides, les vitamines et les minéraux, à influencer le risque de MCV. Dans les années 60, deux éminents physiologistes, plaidant pour des hypothèses causales divergentes de MCV, John Yudkin a identifié les sucres ajoutés comme agent primaire, tandis que Ancel Keys identifiait les graisses totales, les graisses saturées et le cholestérol alimentaire. Cependant, dans les années 80, peu de scientifiques croyaient que les sucres ajoutés jouaient un rôle important dans la maladie coronarienne, et les premiers conseils nutritionnels de 1980 (1980 Dietary Guidelines for americans étaient axés sur la réduction des graisses totales, des graisses saturées et du cholestérol alimentaire pour la prévention des MCV.

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

    Science.gov (United States)

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

    2016-03-01

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

  14. El (los Sur buscando al Sur. Una construcción entre estereotipos y realidad.

    Directory of Open Access Journals (Sweden)

    Mabel Franzone

    2010-11-01

    Full Text Available Todas las lecturas que podamos hacer del Sur, de sus propias representaciones, de aquellas vehiculizadas por el Norte, de sus creaciones, de sus reacciones, de su búsqueda constante de identidad, son lecturas de múltiples situaciones, que llaman a cruces insoslayables entre pueblos, entre distintas etnias, entre disciplinas, entre sentimientos que van desde el rechazo hasta la atracción casi magnética entre los dos hemisferios. Nuestra intención primera era la de reunir de manera aproximativa las problemáticas actuales de los Sur, ligadas a lo imaginario.

  15. El renovado auge de la Cooperación Sur-Sur : La experiencia iberoamericana

    OpenAIRE

    Xalma, Cristina

    2013-01-01

    El presente artículo revisa y caracteriza el renovado auge que la Cooperación Sur-Sur ha experimentado en los últimos años a partir de una experiencia concreta: la protagonizada por los países miembros de la Conferencia Iberoamericana y, en particular, por los diecinueve latinoamericanos de habla española y portuguesa (desde México hasta Chile, incluyendo a Cuba y República Dominicana), más España y Portugal. Busca entender una cooperación que crece y se expande bajo distintas fórmulas y dime...

  16. Regroupement des statistiques sur le secteur des TIC et analyse ...

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

    Regroupement des statistiques sur le secteur des TIC et analyse axée sur les politiques. La présence et l'influence des technologies de l'information et de la communication (TIC) continuent de s'élargir et de s'accroître, tout comme leurs répercussions sur le développement économique. Toutefois, il reste encore beaucoup ...

  17. Effets de la réglementation du marché du travail sur la situation sur ...

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

    Effets de la réglementation du marché du travail sur la situation sur le marché et sur la répartition des revenus en Colombie et au Chili ... plus en plus ces inégalités aux changements majeurs que connaît la demande en main-d'oeuvre dans un contexte de restructuration économique et d'ouverture aux marchés mondiaux.

  18. Critical hospitality management research

    OpenAIRE

    Lugosi, Peter; Lynch, Paul; Morrison, Alison

    2009-01-01

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

  19. Cooperación SurSur: Regionalismos e integración en América Latina. Bruno Ayllon; Tahina Ojeda; Javier Surasky

    OpenAIRE

    Solano-Mercado, Ixhel; Benemérita Universidad Autónoma de Puebla (BUAP), México.

    2015-01-01

    Review of the book "Cooperación SurSur: Regionalismos e integración en América Latina" by Bruno Ayllon; Tahina Ojeda; Javier Surasky Reseña del libro "Cooperación SurSur: Regionalismos e integración en América Latina" escrito por Bruno Ayllon; Tahina Ojeda; Javier Surasky.

  20. 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.

  1. 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...

  2. 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...

  3. Investissements directs étrangers au Maroc : impact sur la ...

    African Journals Online (AJOL)

    cette composante pour expliquer l'effet de l'IDE sur les performances d'une économie. ... investissements originaires des pays ayant un fort impact sur la performance ..... financier ;. • LnCF AP : le logarithme des dépenses de la consommation finale des administrations publiques en % du PIB comme mesure de la taille.

  4. TRITERPENE COMPOUNDS FROM THE LATEX OF FICUS SUR I ...

    African Journals Online (AJOL)

    Two pentacyclic triterpenoids of oleanane and ursene structures have been isolated from the latex of the Ficus sur. The compounds isolated from the latex are naturally acetylated in the 3-position and their structures have been elucidated on the basis of spectroscopic studies. KEY WORDS: Latex, Ficus sur, Moraceae, ...

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

    African Journals Online (AJOL)

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

  6. Adolescence et pornographie sur la toile

    Science.gov (United States)

    Haza, Marion

    2012-01-01

    Dans cet article, nous abordons la question de l’accès à la pornographie sur Internet par les adolescents. Nous déclinons plusieurs facettes de ces rencontres: la rencontre «fortuite», quand les adolescents sont confrontés à des images intempestives, des publicités ou spams avec des contenus pornographiques; la rencontre «spectatrice», quand les adolescents cherchent activement des vidéos ou photos mettant en scène la sexualité; et enfin la rencontre «actrice», quand les adolescents se mettent en scène eux-mêmes, seuls ou à plusieurs, de façon pornographique sur le Net. A partir d’exemple, nous réfléchissons aux enjeux de ces rencontres virtuelles précoces de la sexualité adulte par rapport au développement adolescent et à la représentation de leur propre sexualité en construction. PMID:22876261

  7. Étude sur l'escalade de la violence faite aux femmes en Amérique ...

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

    21 juin 2016 ... En Amérique centrale, on assiste à une escalade de la violence faite aux femmes et du nombre de meurtres de femmes (ou femicides). Or, il y a des lacunes sur le plan du signalement. Primo, malgré les efforts déployés par les organisations féministes, les groupes de défense des droits de la personne, les ...

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

    African Journals Online (AJOL)

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

  9. The interstices of hospitality

    African Journals Online (AJOL)

    jane.b

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

  10. predictors for hospital admission

    African Journals Online (AJOL)

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

  11. Litterfall, litter decomposition and nitrogen mineralization in old-growth evergreen and secondary deciduous Nothofagus forests in south-central Chile Aporte, descomposición de hojarasca y mineralización de nitrógeno en bosques siempreverdes de antiguo crecimiento y bosques secundarios deciduos, centro-sur de Chile

    Directory of Open Access Journals (Sweden)

    JEROEN STAELENS

    2011-03-01

    mineralization rates in the present study.Los ecosistemas forestales del sur de Chile presentan un gran valor ecológico pues constituyen una de las mayores áreas del hemisferio Sur con existencias de bosques templados lluviosos. Están sometidos a procesos de deforestación, invasión de especies exóticas, fragmentación e incremento de depositación de nitrógeno (N atmosférico. Para apoyar su manejo sustentable se requiere de mayor conocimiento en el ciclo de nutrientes de estos ecosistemas. Se estudia la dinámica de nutrientes en cuatro sitios de bosques lluviosos valdivianos de la precordillera de los Andes, centro-sur de Chile: un bosque siempreverde de antiguo crecimiento prístino y otro alterado, un bosque caducifolio secundario con manejo silvícola y otro sin. Durante el período octubre 2002 -septiembre 2006, se estimaron (i masa de la hojarasca (cuatro años y contenido de nutrientes de la hojarasca (un año, (ii descomposición y dinámica de nutrientes de hojarasca (un año y de la corteza de Saxegothaea conspicua, y (iii mineralización neta de nitrógeno (N-min en el suelo in situ (un año. El aporte de hojarasca en los cuatro sitios fluctúa desde 3.5 hasta 5.8 ton ha-1 año-1, y es temporalmente menor en bosque caducifolio manejado, respecto del caducifolio sin manejo. Además, presentan una estacionalidad en los siempreverdes que es diferente, respecto de los deciduos. La hojarasca se descompone más rápidamente (promedio 32 % pérdida de masa después de un año que la corteza (8 %, pero no se presentaron diferencias significativas en la hojarasca. El N neto en la hojarasca de los bosques siempreverdes disminuye durante la descomposición, pero se incrementa en la hojarasca de los deciduos. La N-mineralización neta del suelo fue completa en el bosque siempreverde prístino, intermedia en los bosques deciduos y el más baja en el bosque siempreverde alterado. Dada la ausencia de réplicas en las parcelas, no puede ser demostrado el impacto definido del

  12. Exclusion, violence, and community responses in Central American ...

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

    Its field presence throughout Central America, understanding of the context, will also help ensure that research is conducted in a secure and ethical fashion. Institutional coordinates: Lead Institution Facultad Latinoamericana de las Ciencias Sociales (FLACSO), Sede Costa Rica 200 metros sur, 25 este de Plaza del Sol

  13. Effects of ambient air pollution on non-elderly asthma hospital admissions in Seattle, Washington, 1987-1994; Effets de la pollution atmospherique ambiante sur les admissions hospitalieres pour asthme de personnes agees de moins de 65 ans a Seattle (Washington), 1987-1994

    Energy Technology Data Exchange (ETDEWEB)

    Sheppard, L.; Levy, D.; Norris, G.; Larson, T.V.; Koenig, J.Q.

    2001-01-01

    This study concerns the short-dated relations between the variations of ambient levels of three particulates, carbon monoxide, ozone and sulfur dioxide measures and the variations of non-elderly people (less than 65 years old) daily admissions, in Seattle surrounding hospitals, for essentially asthma. (A.L.B.)

  14. Neuropsychological Counseling in Hospital Settings.

    Science.gov (United States)

    Larson, Paul C.

    1992-01-01

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

  15. Enquête LMD sur le web

    Directory of Open Access Journals (Sweden)

    Colette Cauvin

    2003-02-01

    Full Text Available En relation avec la mise en place des LMD, une enquête sur le web a été entreprise en janvier 2003 afin de connaître les orientations et les choix des diverses universités délivrant des diplômes de géographie ou d’une discipline similaire. Grâce à R. Schlumberger (laboratoire Image et Ville de nombreux sites ont été consultés et analysés. Qu’elle en soit remerciée.   Cependant, la lecture des informations a été plus malaisée que prévue en raison, en particulier, de la multiplicité des langue...

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

    Directory of Open Access Journals (Sweden)

    Jean Joel R Bigna

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

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

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2005-04-01

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

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

    Directory of Open Access Journals (Sweden)

    Patrícia Alves Evangelista

    2008-04-01

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

  19. Late Cardiac Events after Childhood Cancer: Methodological Aspects of the Pan-European Study PanCareSurFup.

    Directory of Open Access Journals (Sweden)

    Elizabeth A M Feijen

    Full Text Available Childhood cancer survivors are at high risk of long-term adverse effects of cancer and its treatment, including cardiac events. The pan-European PanCareSurFup study determined the incidence and risk factors for cardiac events among childhood cancer survivors. The aim of this article is to describe the methodology of the cardiac cohort and nested case-control study within PanCareSurFup.Eight data providers in Europe participating in PanCareSurFup identified and validated symptomatic cardiac events in their cohorts of childhood cancer survivors. Data on symptomatic heart failure, ischemia, pericarditis, valvular disease and arrhythmia were collected and graded according to the Criteria for Adverse Events. Detailed treatment data, data on potential confounders, lifestyle related risk factors and general health problems were collected.The PanCareSurFup cardiac cohort consisted of 59,915 5-year childhood cancer survivors with malignancies diagnosed between 1940 and 2009 and classified according to the International Classification of Childhood Cancer 3. Different strategies were used to identify cardiac events such as record linkage to population/ hospital or regional based databases, and patient- and general practitioner-based questionnaires.The cardiac study of the European collaborative research project PanCareSurFup will provide the largest cohort of 5-year childhood cancer survivors with systematically ascertained and validated data on symptomatic cardiac events. The result of this study can provide information to minimize the burden of cardiac events in childhood cancer survivors by tailoring the follow-up of childhood cancer survivors at high risk of cardiac adverse events, transferring this knowledge into evidence-based clinical practice guidelines and providing a platform for future research studies in childhood cancer patients. .

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

    Directory of Open Access Journals (Sweden)

    Cristiane Gonzales Rossi

    2001-09-01

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

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

    Directory of Open Access Journals (Sweden)

    Krzysztof T Niemiec

    2008-04-01

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

  2. Central Venous Catheter (Central Line)

    Science.gov (United States)

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

  3. Clasificación acústica de anchoveta (Engraulis ringens y sardina común (Strangomera bentincki mediante máquinas de vectores soporte en la zona centro-sur de Chile: efecto de la calibración de los parámetros en la matriz de confusión Acoustic classification of anchovy (Engraulis ringens and sardine (Strangomera bentincki using support vector machines in central-southern Chile: effect of parameter calibration on the confusion matrix

    Directory of Open Access Journals (Sweden)

    Hugo Robotham

    2012-03-01

    Full Text Available Se clasificó la anchoveta (Engraulis ringens y sardina común (Strangomera bentincki detectadas mediante equipos acústicos en la zona centro-sur de Chile, mediante el método de Máquinas de Vectores Soporte (SVM. Para esto se utilizaron descriptores de cardúmenes extraídos desde ecogramas, que fueron clasificados como morfológicos, batimétricos, energéticos y posicional espacial. Para lograr clasificaciones precisas mediante la utilización de esta metodología, fue necesario optimizar parámetros correspondientes al Kernel-Gaussiano, γ y de penalización del modelo C, mediante el análisis del efecto de la calibración sobre las matrices de confusión resultantes de la clasificación de las especies analizadas. El método SVM ajustó correctamente el 95,3% de los cardúmenes de anchoveta y sardina común. Los parámetros óptimos del Kernel-Gaussiano γ y de penalización C obtenidos mediante la metodología propuesta fueron γ = 450 y C = 0,95, respectivamente. Los parámetros mencionados incidieron de manera importante en la matriz de confusión y los porcentajes de clasificación final, por lo que se sugiere establecer, en aplicaciones futuras de este método, un protocolo experimental de calibración. La sardina común fue la especie con menor error de clasificación en el conjunto de las matrices de confusión. El descriptor correspondiente a profundidad del fondo fue el más sensible al SVM, la segunda variable en importancia es el descriptor distancia a la costa.The support vector machines (SVM method was used to classify the anchovy (Engraulis ringens and common sardine (Strangomera bentincki species detected in south-central Chile by means of acoustic equipment. For this, descriptors of fish schools (morphology, bathymetry, energy, spatial position extracted from ecograms were used. In order to obtain precise classifications using this methodology, it was necessary to optimize the parameters Gaussian-Kernel γ and penalty term

  4. Mineralización del nitrógeno, carbono y actividad enzimática del suelo en un bosque de Nothofagus obliqua (Mirb Oerst y una plantación de Pinus radiata D. Don. del centro-sur de Chile Nitrogen and carbon mineralization and enzyme activity in soils of Nothofagus obliqua (Mirb Oerst stands and Pinus radiata D. Don plantation in south-central Chile

    Directory of Open Access Journals (Sweden)

    YESSICA RIVAS

    2009-03-01

    Full Text Available En Chile, el establecimiento de plantaciones comerciales de rápido crecimiento ha sido sostenido en las últimas décadas mediante la sustitución de bosques nativos y conversión de suelos agrícolas. Pinus radiata D. Don es la principal especie productiva, debido a su crecimiento acelerado y adaptabilidad al clima y los suelos. En el presente estudio se plantea que la actividad biológica del suelo es variable a través del año, en respuesta a variaciones de precipitación, temperatura y contenido de humedad de suelo y que el cambio de uso de suelo desde un bosque templado de Nothofagus obliqua (Mirb Oerst a una plantación con coniferas exóticas, modifica la química del suelo y consecuentemente los procesos de N-min, C-min y la actividad biológica del suelo. Esta hipótesis fue examinada en un bosque de N. obliqua y una plantación de P. radiata del centro-sur de Chile (40°07' S, 72° O. Se evaluó mensualmente la tasa mineralización de nitrógeno (N-min, cabono (C-min y la actividad enzimática potencial del suelo (ureasa, proteasa e hidrólisis de la fluoresceína diacetato entre septiembre 2003 y mayo 2005. Los resultados demuestran que los niveles de las variables de actividad biológica del suelo fueron significativamente diferentes entre las parcelas de bosque y plantación (Lambda de Wilk = 0,022; F 5,80 = 733; P In Chile, commercial forests plantations have increased during the last decades due in part to replacement of native forests and conversion of agricultural soils. Pinus radiata D. Don has been the main tree planted, due to its rapid growth and adaptability. In the present study we proposed that biological activity varies along the year due to changes of precipitation, temperature and soil water content and mainly because the conversion of native forest to exotic P. radiata plantations alters the soil chemistry, N and C mineralization and the potential enzymatic activity in these soils. This hypothesis was examined in a

  5. Influence des systemes agraires sur la dynamique de regeneration ...

    African Journals Online (AJOL)

    Influence des systemes agraires sur la dynamique de regeneration naturelle du karite: Vitellaria paradoxa CF gaernt (Sapotaceae) en Côte D'Ivoire. N Diarrassouba, J Lfofana, A Bakayoko, AK Nguessan, A Sangare ...

  6. Quelques commentaires sur les personnages de fiction

    Directory of Open Access Journals (Sweden)

    Umberto Eco

    2010-06-01

    Full Text Available L’auteur met en place des observations et développe des analyses sur le statut des personnages de fiction, mettant à contribution les ressources de l’histoire, de la littérature, de la sémiotique, de la logique et de la narratologie. De quelle vie particulière vivent les personnages de roman, qui fait que nous sommes capables de les tenir pour plus réels que des personnages réels, et que nous sommes enclins à éprouver les sentiments qu’ils éprouvent, même si nous savons qu’ils n’existent pas ? Comment ces personnages de fiction existent-ils, selon quelle « partition » leur existence se développe-t-elle au point d’interférer avec la nôtre ? L’interrogation porte sur la nature de ce flux émotionnel qui s’écoule du lecteur vers les personnages de fiction et les investit de valeur, sur ce qui se projette de la vie vers le roman, entraînant avec lui le lecteur qui se trouve de la sorte impliqué malgré lui dans l’histoire, et se trouve pris dans le mécanisme de l’identification et de la vie fictive.Some commentaries about fiction charactersPutting into form a number of observations and developing an analysis on the status of fiction characters, the author draws on resources coming from history, literature, semiotic, logic et narration. What is that particular life lived by fiction characters that enable us to consider them as being more real than real characters, and to experience the feelings that they experience, even though we know that they do not exist? How do these characters exist? In other words, according to what “script” does their existence develop to the point of interfering with ours? The questioning centres on the nature of the emotional flux which flows from the reader towards the fictional characters thus giving them value, and on what it is which is projected from real life towards the novel and which is capable of sweeping up the reader who, without having particularly intended to do

  7. Professorat de recherche sur les droits de la personne reconnus ...

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

    Le professeur Ron mènera des recherches sur les difficultés que pose le renforcement des droits de la personne dans les pays en développement. Il aura l'occasion de donner des exposés au personnel du Centre sur ses travaux et de contribuer directement à des programmes tels que le Fonds pour la bonne gouvernance ...

  8. EFFETS D'UN DEFICIT HYDRIQUE SUR CERTAINS ...

    African Journals Online (AJOL)

    AISA

    les effets de ce facteur chez la variété STAM129A de cotonnier vulgarisée au Togo. L'étude porte sur certains ... la croissance en hauteur des plantes à partir du 65ème jour après levée et du taux de rétention des capsules sur certaines branches ... en eau est le facteur abiotique le plus limitant pour la productivité et le ...

  9. Taxes sur les cigarettes en Tanzanie | IDRC - International ...

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

    Taxes sur les cigarettes en Tanzanie. De 2002 à 2007, le tabagisme a connu une hausse de 20 % en Tanzanie, une augmentation qui devrait atteindre 46 % en 2016 si la tendance se maintient. On s'attend à ce que cette hausse du tabagisme ait d'importantes répercussions sur la santé publique et le développement ...

  10. Taxes sur les cigarettes en Tanzanie | CRDI - Centre de recherches ...

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

    Taxes sur les cigarettes en Tanzanie. De 2002 à 2007, le tabagisme a connu une hausse de 20 % en Tanzanie, une augmentation qui devrait atteindre 46 % en 2016 si la tendance se maintient. On s'attend à ce que cette hausse du tabagisme ait d'importantes répercussions sur la santé publique et le développement ...

  11. Influence de la recherche sur les politiques (2009) | CRDI - Centre ...

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

    4 mars 2003 ... Des connaissances aux politiques. Le CRDI et la conception des politiques publiques : évaluation stratégique de l'influence de la recherche sur les politiques publiques. Cette évaluation vise à préciser et à documenter ce que le CRDI entend par «influence sur les politiques», à examiner de plus près dans ...

  12. Hybrid Model GSTAR-SUR-NN For Precipitation Data

    OpenAIRE

    Agus Dwi Sulistyono; Waego Hadi Nugroho; Rahma Fitriani; Atiek Iriani

    2016-01-01

    Spatio-temporal model that have been developed such as Space-Time Autoregressive (STAR) model, Generalized Space-Time Autoregressive (GSTAR), GSTAR-OLS and GSTAR-SUR. Besides spatio-temporal phenomena, in daily life, we often find nonlinear phenomena, uncommon patterns and unidentified characteristics of the data. One of current developed nonlinear model is a neural network. This study is conducted to form a hybrid model GSTAR-SUR-NN to develop spatio-temporal model that has better prediction...

  13. EFFETS DE LA TEMPERATURE SUR LA GERMINATION ET LA ...

    African Journals Online (AJOL)

    EFFETS DE LA TEMPERATURE SUR LA GERMINATION ET LA CROISSANCE DE CLADOSPORIUM MUSAE EN VUE D'UNE ETUDE DES RELATIONS ... Une souche du champignon isolée sur le cultivar Figue sucrée et nommée Cl2 dans la mycothèque du laboratoire de Physiologie Végétale a été utilisée en vue ...

  14. Sept Articles sur le Conflit en Afrique

    African Journals Online (AJOL)

    sociaux, et re—inventer une cité plus ouverte et démocratique. La série de textes proposée dans ce numéro est une invitation à une prise de conscience collective sur les enjeux théorique que pose à la sociologie africaine, les crises qui surviennent sur le continent. Les périodes de crise font toujours émerger la structure ...

  15. Analyse technico–économique des Aliments densifies sur les ...

    African Journals Online (AJOL)

    Une étude portant sur l'influence des aliments densifiés sur la performance de croissance des boucs roux de Maradi a été conduite entre juillet 2016 à septembre 2016. Quarante deux (42) boucs ont été répartis au hasard en six lots de sept individus. Chaque lot correspond à un aliment ou traitement préparé à partir des.

  16. Effet De La Complementation Avec Des Blocs Multinutritionnels Sur ...

    African Journals Online (AJOL)

    Dans le but d'évaluer l'effet des blocs multinutritionnels sur l'utilisation fourrages pauvres (paille de sorgho (PS) et foin de Pennisetum pedicellatum, Trin.(Pp)), une étude de dégradation « in sacco » a été conduite sur des béliers munis de canules de rumen. Quatre traitements expérimentaux : T1, PS + bloc sans ...

  17. Effets de la fertilisation potassique des sols ferrugineux tropicaux sur ...

    African Journals Online (AJOL)

    L'étude a été conduite pendant deux années, dans deux stations expérimentales situées à l'Ouest et à l'Est du Burkina Faso, pour évaluer l'efficacité de la fertilisation potassique sur les rendements du cotonnier et ses effets sur les caractéristiques technologiques de la fibre de coton. Les traitements étaient constitués par la

  18. Des pratiques culturales influent sur les attaques de deux ravageurs ...

    African Journals Online (AJOL)

    La culture de tomate est attaquée par plusieurs ravageurs dont Helicoverpa armigera et Tuta absoluta. Dans le but d'évaluer l'effet des pratiques culturales de la tomate sur ces principaux ravageurs dans les Niayes (Sénégal), un échantillonnage de 98 parcelles est effectué, sur quatre cycles de culture en saison sèche, de ...

  19. Report on the control of the safety and security of nuclear facilities. Part 2: the reconversion of military plutonium stocks. The use of the helps given to central and eastern Europe countries and to the new independent states; Rapport sur le controle de la surete et de la securite des installations nucleaires. Deuxieme partie: la reconversion des stocks de plutonium militaire. L'utilisation des aides accordees aux pays d'Europe centrale et orientale et aux nouveaux etats independants

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C

    2002-07-01

    This report deals with two different aspects of the safety and security of nuclear facilities. The first aspect concerns the reconversion of weapon grade plutonium stocks: the plutonium in excess, plutonium hazards and nuclear fuel potentialities, the US program, the Russian program, the actions of European countries (France, Germany), the intervention of other countries, the unanswered questions (political aspects, uncertainties), the solutions of the future (improvement of reactors, the helium-cooled high temperature reactor technology (gas-turbine modular helium reactor: GT-MHR), the Carlo Rubbia's project). The second aspect concerns the actions carried out by the European Union in favor of the civil nuclear facilities of central and eastern Europe: the European Union competencies through the Euratom treaty, the conclusions of the European audit office about the PHARE and TACIS nuclear programs, the status of committed actions, the coming planned actions, and the critical analysis of the policy adopted so far. (J.S.)

  20. Evaluation des connaissances sur le transport a distance des polluants atmospheriques et sur les depots acides: partie 1 : resume administratif

    National Research Council Canada - National Science Library

    1986-01-01

    A l'automne de 1984, le Comite federal-provincial de coordination de la recherche et de la surveillance dans le domaine des pluies acides a decide d'evaluer l'etat des connaissances sur le transport...

  1. De l'avant au Zimbabwe : dialogue sur les politiques fondé sur des ...

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

    Avec la formation d'un gouvernement inclusif en mars 2009, le Zimbabwe émerge de dix ans de déclin socioéconomique marqués par des taux de pauvreté, de chômage et d'inflation élevés, de même que par la prestation de services médiocres sur le plan de l'éducation, de la santé et des infrastructures. Le Centre for ...

  2. Le quatrième Symposium mondial sur la recherche sur les systèmes ...

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

    13 janv. 2017 ... Les flambées de maladies infectieuses et d'épidémies ont des conséquences similaires : les conséquences de la maladie à virus Ebola sur la santé des mères et des enfants d'Afrique de l'Ouest en sont un exemple. Il s'agit là de certains des sujets abordés lors des discussions dirigées par des chercheurs ...

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

    African Journals Online (AJOL)

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

  4. Réflexions sur la science contemporaine

    CERN Document Server

    Darriulat, Pierre

    2007-01-01

    L'auteur y brosse à grands traits un tableau de la science contemporaine : réductionnisme, déterminisme, abstraction, méthodes, mécanismes de validation et interactions entre observation et théorie... ainsi qu'un portrait de ses artisans et une critique des stéréotypes les plus courants (philistin, iconoclaste, apprenti sorcier...) L'accent est mis sur le fait que la science, dont une des missions consiste à dénoncer les illusions du sens commun, ne poursuit pas une quête de vérité absolue mais se contente aujourd'hui d'une vérité simplement meilleure que celle d'hier. La circularité de la science lui interdit de répondre à des questions essentielles comme «Pourquoi ce monde plutôt que rien ?» Pour tenter d'y répondre, le physicien Pierre Darriulat entreprend, avec candeur et bienveillance, un voyage chez les philosophes. Comment la métaphysique s'évade-t-elle du cercle ? Quelle connaissance autre que scientifique nous propose-t-elle ? La circularité condamnant la science au silence...

  5. Impact de la preparation des anodes crues et des conditions de cuisson sur la fissuration dans des anodes denses

    Science.gov (United States)

    Amrani, Salah

    classifier les differentes fissurations en plusieurs categories en se basant sur certains criteres tels que le type de fissures (horizontale, verticale et inclinee), leurs localisations longitudinales (bas, milieu et haut de l'anode) et transversales (gauche, centrale et droite). Les effets de la matiere premiere, les parametres de fabrication des anodes crues ainsi que les conditions de cuisson sur la fissuration ont ete etudies. La fissuration des anodes denses en carbones cause un serieux probleme pour l'industrie d'aluminium primaire. La realisation de ce projet a permis la revelation de differents mecanismes de fissuration, la classification de fissuration par plusieurs criteres (position, types localisation) et l'evaluation de l'impact de differents parametres sur la fissuration. Les etudes effectuees dans le domaine de cuisson ont donne la possibilite d'ameliorer l'operation et reduire la fissuration des anodes. Le travail consiste aussi a identifier des techniques capables d'evaluer la qualite d'anodes (l'ultrason, la tomographie et la distribution de la resistivite electrique). La fissuration des anodes en carbone est consideree comme un probleme complexe, car son apparition depend de plusieurs parametres repartis sur toute la chaine de production. Dans ce projet, plusieurs nouvelles etudes ont ete realisees, et elles permettent de donner de l'originalite aux travaux de recherches faits dans le domaine de la fissuration des anodes de carbone pour l'industrie de l'aluminium primaire. Les etudes realisees dans ce projet permettent d'ajouter d'un cote, une valeur scientifique pour mieux comprendre le probleme de fissuration des anodes et d'un autre cote, d'essayer de proposer des methodes qui peuvent reduire ce probleme a l'echelle industrielle.

  6. Hybrid Model GSTAR-SUR-NN For Precipitation Data

    Directory of Open Access Journals (Sweden)

    Agus Dwi Sulistyono

    2016-05-01

    Full Text Available Spatio-temporal model that have been developed such as Space-Time Autoregressive (STAR model, Generalized Space-Time Autoregressive (GSTAR, GSTAR-OLS and GSTAR-SUR. Besides spatio-temporal phenomena, in daily life, we often find nonlinear phenomena, uncommon patterns and unidentified characteristics of the data. One of current developed nonlinear model is a neural network. This study is conducted to form a hybrid model GSTAR-SUR-NN to develop spatio-temporal model that has better prediction. This research is conducted on ten-daily rainfall data at 2005 - 2015 for Blimbing, Singosari, Karangploso, Dau, and Wagir region. Based on the results of this research, indicated that the accuracy of GSTAR ((1, 1,2,3,12,36-SUR model used cross-covariance weight has relatively similar to GSTAR ((1, 1,2,3 , 12.36-SUR-NN (25-14-5 for  Blimbing and Singosari region with 5% error level. While Karangploso, Dau, and Wagir, GSTAR ((1, 1,2,3,12,36-SUR-NN (25-14-5 model has better accuracy in predicting the precipitation at three locations with the value of R2prediction for each location is 0.992, 0.580, and 0.474.

  7. Réponse de deux variétés de tournesol (Helianthus sp. à la fertilisation à base de fiente de poule sur un Hapli-Humic Ferralsol du Yongka Western Highlands Research Garden Park (YWHRGP Nkwen-Bamenda, Cameroun, Afrique centrale

    Directory of Open Access Journals (Sweden)

    Yerima, BPK.

    2014-01-01

    Full Text Available Response of Two Sunflower (Helianthus sp. Varieties to Poultry Manure Fertilization on a Hapli-Humic Ferralsol at the Yongka Western Highlands Research Garden-Park (YWHRGP Nkwen-Bamenda, Cameroon, Central Africa. An experiment on a Hapli-Humic Ferralsol was conducted at the YWHRGP, Nkwen-Bamenda, to evaluate the response of two sunflower varieties (Helianthus sp. to five levels of poultry manure (0; 1.2; 2.8; 4.2 and 5.6 Tons/ha. Italian White and African Giant varieties were used. The experiment was laid out in a randomized complete block design with three and six replications for African Giant and Italian White varieties, respectively. Poultry manure was analyzed and growth, development and yield parameters were collected. The acid soil (pH≤5.5 showed nutrient deficiencies. The poultry manure (pH=7.8 is rich in essential nutrients and had a significant effect on sunflower growth parameters. The 4.2 Tons/ha manure level maximised growth and yield parameters of the African Giant variety. For the Italian White variety, 5.6 Tons/ha manure level gave a head weight yield (0.74 Tons/ha lower than that of the African Giant (1.33 Tons/ha. Significant differences were also observed between the two varieties. However, the African Giant variety appears to be more adapted for seed production, while the Italian White variety appears to be best indicated for use as an ornamental plant or to produce cut flowers.

  8. 'Hospital ' i _

    African Journals Online (AJOL)

    years and below, who presented at the University of Port Harcourt Teaching' Hospital during a. 12-year period. ... However, the role of malignancies as a cause of death- .University of Port-Harcourt Teaching Hospital,. 'Port-Harcourt . " Department of Anatomical Pathology _ ' '. '''Lecturer ' ' - .... decreasing numerical order.

  9. Evaluation d'impact sur la santé et évaluation d'impact sur l'équité en santé : éventail de pratiques et questions de recherche.

    Science.gov (United States)

    Villeval, Mélanie; Bidault, Elsa; Lang, Thierry

    2016-09-01

    L'Evaluation d'Impact sur la Santé (EIS) se développe au niveau international et est encore au stade émergent en France. Elle vise à évaluer les effets positifs et négatifs potentiels d'un projet, d'un programme ou d'une politique sur la santé. L'objectif est de produire des recommandations en direction des décideurs, afin d'en maximiser les effets positifs et d'en diminuer les effets négatifs. L'EIS est un moyen particulièrement intéressant d'action sur les déterminants de la santé au-delà des comportements individuels et du système de santé. Les politiques de logement, de transport, de solidarité, économiques, etc. ont, en effet, des impacts souvent non prévus sur la santé. Au-delà des effets sur la santé, l'EIS doit aussi permettre d'apprécier la distribution de ces effets dans la population.Si la préoccupation pour l'équité en santé est centrale dans l'EIS, elle reste cependant difficilement traduite en pratique. Face à cette difficulté, des démarches d'évaluation d'impact ont été développées pour renforcer la prise en compte de l'équité à chaque étape de l'EIS ou « Equity Focused Health Impact Assessment », ou prendre en compte les impacts sur les inégalités de santé de façon spécifique. Ainsi, l'Evaluation de l'Impact sur l'Equité en Santé (EIES) semble, par exemple, particulièrement intéressante pour évaluer l'impact sur les inégalités de projets dans le champ sanitaire.L'EIS et l'EIES posent de nombreuses questions de recherche, notamment autour de la réunion, dans une même démarche, du politique, du citoyen et de l'expert. La participation des populations vulnérables potentiellement affectées par la politique évaluée est une valeur centrale de l'EIS, mais pose des questions d'acceptabilité sociale. La collaboration avec les décideurs politiques est également un enjeu majeur. Les difficultés méthodologiques, notamment de quantification des impacts, peuvent constituer des freins à la promotion

  10. Malnutrition and associated factors in elderly hospitalized.

    Science.gov (United States)

    Lara-Pulido, A; Guevara-Cruz, M

    2012-01-01

    To investigate the frequency of malnutrition and associated factors in patients over 65 years of age in a hospital. We conducted an observational, crosssectional and descriptive study. Department of Nutritional Support, Hospital Medica Sur, Mexico, we evaluated patients over 65 years of age within the first 24 hours of admission. We evaluated 769 patients, 49% of whom were women and 51% were men, with an average age of 75.3 ± 7.7 years. Among the patients evaluated, 53.6% exhibited an altered nutritional state. In addition, 9% were diagnosed as obese and 15% as overweight. Their risk of malnutrition was determined to be 22.5%, and at the time of admission, 7% were malnourished. The prevalence of malnutrition in hospitalized patients over 65 years of age was high. Thus, the early diagnosis of patients who are at risk for malnutrition or who are malnourished is essential and allows for prompt treatment.

  11. ESP : l'ouverture sur un monde en mutation

    OpenAIRE

    Brouzeng, Evelyne

    2013-01-01

    Au moment où chacun reconnaît la complexité de l’évolution de nos sociétés et l’interdépendance entre les nations, le moment semble venu de réfléchir sur le rôle de l’apprentissage des langues et en particulier sur le rôle de la langue 2 dans la formation des techniciens et des ingénieurs. Notre réflexion sur l’interculturalité participe de cette nécessaire réévaluation de nos pratiques et de nos objectifs. At a time when international economic factors are changing rapidly all over the wor...

  12. Sur le concept d’engagement

    Directory of Open Access Journals (Sweden)

    Howard S. Becker

    2006-10-01

    Full Text Available Le terme « engagement » connaît un succès grandissant dans les débats sociologiques. Dans ce texte, l’auteur examine les utilisations du concept d'engagement afin de comprendre les raisons de sa popularité grandissante, il signale la nature d'un des mécanismes sociaux auquel le terme se réfère implicitement, et développe une théorie embryonnaire des conditions et des processus sociaux impliqués dans le fonctionnement de ce mécanisme. Étant donné la variété sémantique du terme, il s'avère infructueux de spéculer sur son « véritable » sens. Une des images évoquées par « l'engagement » a été retenue pour en préciser la signification.On the Concept of CommitmentThe term "commitment" is experiencing a growing success in sociological debates. In this article, the author examines the uses of the concept of commitment in order to understand the reasons for its growing popularity. He also points out the nature of one of the social mechanisms to which the term implicitly refers, and he develops a preliminary theory of the social conditions and processes implied in the functioning of this mechanism. Given the semantic variety of the term, it proves useless to speculate on its “true” meaning. In order to clarify the meaning of the term, the author adopts one of the images evoked by “commitment”.Sobre el concepto de compromisoEl término “compromiso” goza de un éxito creciente en los debates sociológicos. En este texto el autor analiza las utilizaciones de este concepto con el fin de comprender las razones de esta creciente popularidad e indica la naturaleza de uno de los mecanismos sociales indicados por ese término, desarrollando seguidamente una teoría embrionaria de las condiciones y de los procesos sociales inherentes a este mecanismo. Teniendo en cuenta la variedad semántica del término es inútil especular acerca de su “verdadero” significado. Con el fin de precisar su significado, el autor

  13. Caracterización de Los Problemas de Aprendizaje en Niños y Adolescentes con Epilepsia Primaria Generalizada en La Liga Central contra la Epilepsia y El Hospital de la Misericordia (Bogotá, Colombia*

    Directory of Open Access Journals (Sweden)

    Lina Marcela Tavera Saldaña

    2011-10-01

    Full Text Available

    * Trabajo ganador del Premio Nacional a la Investigación e Epilepsia Margaret Merz de Fandiño 2011. 

    RESUMEN

    Objetivo: Determinar la prevalencia de los trastornos específicos del aprendizaje (TEA en una serie de pacientes con epilepsia primaria generalizada.

    Materiales y Métodos: Con dicho diagnóstico se estudió un grupo de 32 niños y adolescentes entre 7 y 17 años, a quienes se les realizó una evaluación neuropsicológica con énfasis en habilidades escolares (lecto-escritura y cálculo.

    Resultados: Se encontró que la frecuencia de problemas de aprendizaje en la población epiléptica estudiada fue del 34,38%. Además, se observó una prevalencia de 40,63% de problemas de atención siendo la atención, esta última y la velocidad de procesamiento las variables neuropsicológicas que más se vieron afectadas.

    Conclusión: Es importante reconocer que los TEA son una comorbilidad frecuente en pacientes con epilepsia, se asocian con una alta tasa de fracaso y deserción escolar. En el grupo de pacientes valorados se observó una frecuencia de TEA más alta que la informada en la población general.

    Palabras clave: ENI (Evaluación Neuropsicológica Infantil, epilepsia primaria generalizada, trastornos de aprendizaje, trastornos de lectoescritura, trastornos del cálculo.

    ABSTRACT

    Specific Learning Disorders in Children And Adolescents With Generalized Primary Epilepsy Seen At Central League Against Epilepsy and at Mercy Hospital (Bogota, Colombia 

    Objective:To establish the prevalence of specific learning disorders (SLD in a series of patients with primary generalized epilepsy.

    Materials and Methods: A group of 32 children and adolescents aged 7 to 17 years with above mentioned diagnosis underwent neuropsychological evaluation with emphasis on academic skills (reading, writing

  14. Reclasificación histopatológica de los tumores de sistema nervioso central tratados en el Hospital Eugenio Espejo de Quito. En el período 2003-2007

    OpenAIRE

    Ortíz Galarza, Dorys Malena; Quishpe Defaz, Maritza Llovana

    2015-01-01

    Contexto: La Organización Mundial de la Salud realizó una revisión de la Clasificación de los Tumores del Sistema Nervioso Central, publicada en el año 2007, que incluyó nuevas entidades para encasillar a aquellas referidas como inclasificables. Objetivo: Determinar las características histopatológicas y de gradación de las Neoplasias del Sistema Nervioso Central de acuerdo a la Clasificación de Tumores del Sistema Nervioso Central de la Organización Mundial de la Salud publicada en el año 20...

  15. perceptions paysannes sur la double riziculture et les variétés de riz ...

    African Journals Online (AJOL)

    Irrigation et intensification de la production agricole au Sahel : perceptions paysannes sur la double riziculture et les variétés de riz utilisées sur les aménagements hydro - agricoles au Niger.

  16. Influence de la rotation culturale, fertilisation et du labour sur l ...

    African Journals Online (AJOL)

    Influence de la rotation culturale, fertilisation et du labour sur l'infestation des racines de sorgho ( sorghum bicolor ) par le nématode Pratylenchus brachyurus et l'effet sur le rendement de la culture au Burkina Faso.

  17. Benefits of task-shifting HIV care to nurses in terms of health-related quality of life in patients initiating antiretroviral therapy in rural district hospitals in Cameroon [Stratall Agence Nationale de Recherche sur le SIDA (ANRS) 12110/Ensemble pour une Solidarité Thérapeutique Hospitalière en Réseau (ESTHER) substudy].

    Science.gov (United States)

    Suzan-Monti, M; Blanche, J; Boyer, S; Kouanfack, C; Delaporte, E; Bonono, R-C; Carrieri, P M; Protopopescu, C; Laurent, C; Spire, B

    2015-05-01

    The World Health Organization (WHO) recommends task-shifting HIV care to nurses in low-resource settings with limited numbers of physicians. However, the effect of such task-shifting on the health-related quality of life (HRQL) of people living with HIV (PLHIV) has seldom been evaluated. We aimed to investigate the effect of task-shifting HIV care to nurses on HRQL outcomes in PLHIV initiating antiretroviral therapy (ART) in rural district hospitals in Cameroon. Outcomes in PLHIV were longitudinally collected in the 2006-2010 Stratall trial. PLHIV were followed up for 24 months by nurses and/or physicians. Six HRQL dimensions were assessed during face-to-face interviews using the WHO Quality of Life (WHOQOL)-HIV BREF scale: physical health; psychological health; independence level; social relationships; environment; and spirituality/religion/personal beliefs. The degree of task-shifting was estimated using a consultant ratio (i.e. the ratio of nurse-led to physician-led visits). The effect of task-shifting and other potential correlates on HRQL dimensions was explored using a Heckman two-stage approach based on linear mixed models to adjust for the potential bias caused by missing data in the outcomes. Of 1424 visits in 440 PLHIV (70.5% female; median age 36 years; median CD4 count 188 cells/μL at enrolment), 423 (29.7%) were task-shifted to nurses. After multiple adjustment, task-shifting was associated with higher HRQL level for four dimensions: physical health [coefficient 0.7; 95% confidence interval (CI) 0.1-1.2; P = 0.01], psychological health (coefficient 0.5; 95% CI 0.0-1.0; P = 0.05), independence level (coefficient 0.6; 95% CI 0.1-1.1; P = 0.01) and environment (coefficient 0.6; 95% CI 0.1-1.0; P = 0.02). Task-shifting HIV care to nurses benefits the HRQL of PLHIV. Together with the previously demonstrated comparable clinical effectiveness of physician-based and nurse-based models of HIV care, our results support the WHO recommendation

  18. La fachada sur en clima mediterráneo

    OpenAIRE

    Soro Espín, Mikel

    2013-01-01

    Esta tesina investiga la fachada Sur del clima mediterráneo y los elementos constructivos flexibles que hacen que esta fachada tenga un correcto funcionamiento térmico durante los diferentes periodos climáticos del año. Concretamente, la tesina ha centrado la investigación en la fachada Sur de edificios residenciales plurifamiliares del clima Mediterráneo. Se ha definido la función térmica de la fachada, sus requerimientos térmicos en diferentes periodos del clima Mediterráneo ...

  19. Hacia una Psicología Social Comunitaria del Sur

    OpenAIRE

    German Rozas

    2015-01-01

    Este artículo tiene como objetivo proponer algunos caminos hacia un ámbito que hemos llamado simbólicamente una “Psicología Social Comunitaria del Sur”, es decir una disciplina que deje atrás los planteamientos venidos desde los países desarrollados, dado que alojan principalmente una mirada eurocéntrica. La referencia del Sur, es una propuesta metafórica, que no tiene un asidero geográfico, sino que apela a un otro, los del Sur, que significan la relación entre países de una manera diferente...

  20. L'IMPACT DES DEPENSES D'INFRASTRUCTURES SUR LA ...

    African Journals Online (AJOL)

    Administrateur

    l'économétrie, dans l'analyse de l'impact des dépenses d'infras- tructures sur la croissance économique, nous a donné des résul- tats qui ne sont pas concluants faisant du réseau téléphonique le seul facteur ayant un impact positif sur la croissance à long terme de l'économie algérienne Zakane (2004). Ceci nous a.

  1. Commission des Nations Unies sur les produits indispensables aux ...

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

    Étude des soins de santé primaires dispensés dans les pays du cône Sud. Les pays membres du Réseau de recherche sur les systèmes et services de santé dans les pays du cône Sud (Red de Investigación en Sistemas y Servicios de Salud en el Cono Sur) ont des systèmes de... Voir davantageÉtude des soins de santé ...

  2. Chaire en écosanté sur la santé des humains et des animaux dans ...

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

    Ce projet contribuera à l'établissement d'une chaire en écosanté sur la santé des humains et des animaux dans les écosystèmes protégés afin d'améliorer la durabilité des zones de conservation et la santé des collectivités locales, du bétail et de la faune en Afrique centrale et en Afrique de l'Est. Menaces pour les habitats ...

  3. ESTRUCTURACIÓN DEL TERRITORIO PRODUCTIVO DE LA ZONA SUR DE LA CIÉNEGA DE CHAPALA EN EL VIRREINATO

    OpenAIRE

    QUINTERO DUARTE, ALINE DENEB

    2012-01-01

    En la presente investigación se aborda la estructura del territorio productivo de la zona sur de la ciénega de Chapala generada en la época prehispánica y en el virreinato. Esta región contaba con los recursos naturales óptimos para el desarrollo de actividades agrícolas y ganaderas, por lo que el territorio fue utilizado y aprovechado hasta conformar un sistema productivo por medio de las haciendas Guaracha y Buenavista. El objetivo central del trabajo es explicar los procesos que llevar...

  4. Regionalización morfoestructural de la Sierra Madre del Sur, México

    Directory of Open Access Journals (Sweden)

    José Ramón Hernández Santana

    1995-06-01

    Full Text Available Using an genetic and regional geomorphological approach and using the methods of morphostructural analysis in established the reliefs regionalization of the oceanic–continental interplate marginal transitional suture zone Cocos–North America, divided into territorial units (macroblocks, mesoblocks, blocks, morphostructural alignments (first, second and third rank and morphostructural knots. As a first result, the territory of Sierra Madre del Sur has nine macrounits: Jalisco, Colima, Michoacán, Guerrero occidental, Guerrero oriental, Oaxaca occidental, Oaxaca oriental, Tehuantepec and Chiapas. The geologo–gcomorphological correlative study revealed the longitudinal character of the northern units (Jalisco to Guerrero occidental and the ratational outline of the central part (Oaxaca occidental and Oaxaca oriental, as well as the transversal transpresive model of Tehuantepec and longitudinal of Chiapas, to the South, just in the interplate triple joint Cocos–North America, under the subductive geotectonic mechanism and the left–flatted lateral movement deformations of the Caribe–Borth America interplate suture zone.

  5. Hospital Inspections

    Data.gov (United States)

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

  6. La dieta y la fauna de parásitos metazoos del torito Bovichthys chilensis Regan 1914 (Pisces: Bovichthydae en la costa de Chile centro-sur: variaciones geográficas y ontogenéticas Diet and metazoan parasite fauna of the thornfish Bovichthys chilensis Regan 1914 (Pisces: Bovichthydae on the coast of central-south Chile: geographical and ontogenetic variations

    Directory of Open Access Journals (Sweden)

    GABRIELA MUÑOZ

    2002-12-01

    variación geográfica del parasitismo de los toritos adultos, para dilucidar si en esta especie de hospedador el eje ontogenético es o no más importante que el geográfico para explicar las variaciones de la fauna parasitaria.Knowledge on what, how much, when and where hosts eat and live should help to understand the changes that occur in parasite communities because transmission of endoparasites is tightly linked to diet composition as well as ectoparasites are to the use that hosts make of the habitat. Thus, geographical and ontogenetic variations in diet and parasite fauna of the thornfish Bovichthys chilensis are described, and discussed taking into account the ontogenetic shifts in this host's niche. A total 122 individuals: 108 juveniles collected from the intertidal zone at four localities along the south-central coast of Chile (between 33º and 40º S, and 14 adults collected from the shallow subtidal at a fifth locality (36º S, were examined for food contents and parasite infracommunities. Food items were encountered in almost 70 % of fish examined with 25 prey items being recognized. Only one of the prey items was found in both juvenile and adult fish. The diet of juvenile fish consisted mainly of amphipods and while that of adults was mainly composed of crustacean decapods. Almost 40 % of fish examined harbored parasites with a total of 624 individuals and belonging to 16 taxa being identified, four of which were shared between juvenile and adult fish. Prevalence, total intensity, richness, and diversity of parasites was similarly low among juvenile fish sampled at four different localities, while significant differences in total prevalence, dietary and parasite infracommunity composition among localities were found. Absence of a clear relationship among juvenile fish between the composition of the diet and of infracommunities may be due to the fact that parasitoses are necessarily recent. Adult hosts had infracommunities with greater total prevalence

  7. Incidences d'un rejet thermique en milieu fluvial sur les mouvements des populations ichtyologiques

    Directory of Open Access Journals (Sweden)

    LEYNAUD G.

    1974-10-01

    Full Text Available En vue d'évaluer les effets des rejets thermiques sur les populations de poissons, une étude a été réalisée sur la Seine au niveau de la Centrale Thermique de Montereau avec le concours d'E.D.F. Des captures périodiques ont été réalisées dans le canal de rejet de la Centrale au moyen de l'électricité et de nasses. Les opérations de marquage et de recaptures en Seine et le concours des pêcheurs amateurs ont permis de préciser certains déplacements. Les effectifs capturés dans le canal de rejet subissent des fluctuations importantes (maxima au printemps et à l'automne, minima en hiver et en été ainsi que la structure des populations (augmentation de la proportion de Cyprinidés en période chaude. Le barbeau (Barbus barbus est éliminé pendant la période chaude tandis que le black-bass (Micropterus salmoïdes se développe à la faveur du réchauffement. Certains invertébrés (gammaridés sont également éliminés pendant l'été. Des travaux sont actuellement en cours afin de mieux cerner l'impact écologique global du réchauffement des eaux.

  8. Finding the SurPriSe: A Case Study of a Faculty Learning Community

    Science.gov (United States)

    Michel, Roberta M.

    2014-01-01

    This article details a faculty learning community (FLC) that started in 2009 on the campus of a Midwestern University and has evolved into an interdisciplinary research, teaching and social community of practice and learning called SurPriSe. SurPriSe is an acronym that reflects the interest area of the FLC; Sur for surveillance, Pri for privacy,…

  9. Remesas internacionales sur-sur y norte-sur en Paraguay: patrones sociodemográficos, destino de los fondos y medios de circulación

    Directory of Open Access Journals (Sweden)

    Pablo Sebastián Gómez

    2016-01-01

    Full Text Available El análisis de las remesas internacionales en los países receptores es un tema ampliamente debatido en la literatura especializada. Sin embargo, en las diferentes perspectivas analíticas y metodológicas no hay consenso sobre la dirección, magnitud e implicancias de estos procesos. Este artículo examina evidencia empírica con base en microdatos de la Encuesta Permanente de Hogares de Paraguay. En primer lugar, se analizan de manera comparativa los patrones sociodemográficos de los hogares receptores del sur y del norte, y de los no perceptores. En segundo lugar, se detallan los mecanismos de circulación y usos de las remesas internacionales en los diferentes circuitos migratorios. Los resultados obtenidos destacan las especificidades de los macrosistemas migratorios vinculados al sur y al norte globales.

  10. Designing a modern hospital pharmacy.

    Science.gov (United States)

    Kay, B G; Boyar, R L; Raspante, P S

    1986-02-01

    Cooperation between the pharmacy director and the hospital's architects in planning a modern hospital pharmacy is described. The pharmacy director at an 870-bed voluntary nonprofit institution and the hospital's architects planned the design for a new 3250-square foot pharmacy department. They developed a preliminary floor plan based on the following functions that the pharmacy would perform: centralized unit dose drug distribution; compounding; bulk and unit dose prepackaging; preparation of sterile products; controlled substance storage; outpatient and employee prescription dispensing; reserve stock storage; purchasing, receiving, and inventory control; drug information services; and administrative services. A final floor plan was designed that incorporated these functions with structural and utility requirements, such as placement of the computer system and dispensing and lighting fixtures. By integrating modern material management concepts with contemporary hospital pharmacy practice, the pharmacy director and the hospital's architects were able to plan and construct a pharmacy that receives, processes, and dispenses medication efficiently.

  11. Mining activities and arsenic in a Baja California Sur watershed

    Science.gov (United States)

    Alejandro Naranjo-Pulido; Alfredo Ortega-Rubio; Baudillo Acost-Vargas; Lia Rodriguez-Mendez; Marcos Acevedo-Beltran; Cerafina Arguelles-Mendez

    2000-01-01

    Mining is one of the most important sources of income for the Baja California Sur state. This state is the second most important area for mineral (gold, silver, copper) and non-mineral (salt) mining activities in the Mexican Republic. In the San Antonio-El Triunfo region, mineral-mining activities flourished during the 19th century. Tons of debris containing a high...

  12. Ouvrage collectif sur l'Inde et le ...

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

    Alors que les investissements pour l'accès public aux TIC augmentent, des questions surgissent concernant l'impact sur le plan social et économique de ce ...... This research project will strengthen health systems research capacity through training and research for staff at the Instituto Nacional de Saude (INS) and the ...

  13. Connaissances et attitudes des manipulateurs radio du Togo sur l ...

    African Journals Online (AJOL)

    Objectif : Evaluer les connaissances et les attitudes des manipulateurs togolais sur l'irradiation médicale des grossesses. Matériels et Méthode : Etude transversale menée en Avril 2011 chez 72 manipulateurs de radiologie des structures sanitaires publiques et privées du Togo. Résultats : Le quart des manipulateurs ...

  14. IMPACT DU SECTEUR FINANCIER SUR L'ACTIVITE ...

    African Journals Online (AJOL)

    affectation des ressources. L'objet de notre étude est d'évaluer les implications de la politique financière sur la production, la distribution des revenus, l'épargne et l'investissement. Il s'agit précisément de quantifier l'impact de l'activité des banques ...

  15. Programme de bourses de recherche sur le changement climatique ...

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

    Au cours de la phase I (projet no 104391) du Programme de bourses de recherche sur le changement climatique en Afrique (ACCFP), 16 bourses dans le domaine des politiques, 13 dans celui de la recherche doctorale, 13 dans celui de la recherche postdoctorale et 3 dans celui de l'enseignement ont été octroyées à 45 ...

  16. lNTERACTION GENOTYPE-ENVIRONNEMENT SUR LES ...

    African Journals Online (AJOL)

    IDSA109 et Petomech ont montré d'assez bonnes performances, surtout au niveau du rendement, sur l'ensemble des milieux d'étude. Mots clés : Héritabilité, interaction génotype x environnement, rendement, tomate, Lycopersicon esculentum MilL, Côte d'lvoire. ABSTRACT. GENOTYPE—ENVIRONMENT INTERACTION ...

  17. Coastal management at Ojo de Liebre, Baja California Sur

    Science.gov (United States)

    Frederico Salinas-Zavala; Alfredo Ortega-Rubio; Diego Valez-Zamudio; Aradit. Castelanos-Vera

    2000-01-01

    We analyzed the biotic, abiotic, and human components interacting at the coastal zone of the Ojo de Liebre Lagoon, Baja California Sur, Mexico. Using geographic information systems, satellite images, and the main biological, physical, and socioeconomic components, we developed an environmental characterization of the zone. According with the natural features of the...

  18. lAhoratoire Arago, Banyuls-sur-mer, France

    African Journals Online (AJOL)

    LOUIS-PHILIPPE KNOEPPPLER. lAhoratoire Arago, Banyuls-sur-mer, France. ABSTRACT. In Gaboon, the frog Aub,iD subsigillata. at least at certain periods of the ~,eats fishes of the genus. Epiplatys. The fish are caught when they jump out ofthc water to escape their aquatic predators, or to look for different surroundings.

  19. Perceptions paysannes et impacts des changements climatiques sur ...

    African Journals Online (AJOL)

    Perceptions paysannes et impacts des changements climatiques sur la production et la diversité variétale de l'igname dans la zone aride du nord-ouest du Bénin. ... cultivars tolérants, sécheresse, stratégies d'adaptation, variabilité climatique.

  20. Analyse des politiques sur la grippe aviaire | IDRC - International ...

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

    L'objectif du projet est de mieux comprendre le processus d'élaboration de politiques nationales concernant deux questions importantes : la vaccination de la volaille et les médicaments antiviraux pour les humains. Les chercheurs se pencheront sur le contenu, le contexte et les processus liés aux politiques relatives aux ...

  1. Synopsis des données biologiques sur Garra rufa

    National Research Council Canada - National Science Library

    Jarvis, Peter L

    2011-01-01

    Pour comprendre l'écologie d'une espèce, il faut effectuer une synthèse de sa biologie. Le présent document résume l'information sur Gara rufa, un petit poisson de la famille des carpes et des...

  2. Synoposis des données biologiques sur Garra rufa

    National Research Council Canada - National Science Library

    Jarvis, Peter L; Jarvis, Peter Lloyd

    2011-01-01

    Pour comprendre l'écologie d'une espèce, if faut effectuer une synthèse de sa biologie. Le présent document résume l'information sur Garra rufa, un petit poisson de la famille des carpes et des...

  3. Initiative de recherche internationale sur l'adaptation aux ...

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

    C'est ce manque de connaissances que l'Initiative de recherche internationale sur l'adaptation aux changements climatiques (IRIACC) vise à combler en ... urgent relié aux changements climatiques et s'efforcent de trouver des solutions et des stratégies qui aideront les collectivités à composer avec la variabilité du climat.

  4. Recherche sur l'adaptation aux changements climatiques

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

    Corey Piccioni

    adaptation aux changements climatiques. Le CRDI est un bailleur de fonds essentiel et un pionnier de la recherche sur l'adaptation aux changements clima- tiques dans les pays en développement. Le Centre a géré un budget de programmes ...

  5. Partage de connaissances sur l'adaptation aux changements ...

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

    africains ou personnes basées en Afrique ; l'appui à neuf petits projets innovants de communication et de partage des connaissances ; et la création de JotoAfrica, une note sur la recherche et les pratiques d'adaptation à l'intention des ...

  6. Conférence sur l'efficacité

    CERN Document Server

    Jullien, François

    2005-01-01

    Philosophe et sinologue, François Jullien présente ici une conférence qu'il a prononcée auprès de chefs d'entreprise et dans le milieu du management. D'un côté, la conception européenne de l'efficacité est liée à la modélisation comme à la finalité et revendique l'action jusqu'à l'héroïsme ; de l'autre, la pensée chinoise de l'efficience, indirecte et discrète, s'appuie sur le potentiel de situation et induit des " transformations silencieuses ", sans éclat ni même événement. Par-delà cet écart, il s'agira d'interroger la nature de l'effectivité ; ou comment l'intervention humaine réussit à se brancher sur la propension des choses et s'y laisse intégrer. Ce propos se garde donc de séparer tant soit peu l'art d'opérer sur des situations et l'exercice de la philosophie ; en résultent des effets de lecture portant sur l'histoire du XXe siècle ainsi que la géopolitique - et géoéthique - à venir.

  7. 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

  8. CARACTERIZACIÓN DEL CONSUMO DE HORTALIZAS EN LAS FAMILIAS DEL SUR-SUR DE COSTA RICA

    Directory of Open Access Journals (Sweden)

    Alexis Villalobos-Monge

    2013-01-01

    Full Text Available El objetivo de este trabajo fue determinar los diferentes aspectos cuantitativos y cualitativos que explican la cultura de consumo actual de hortalizas en las familias residentes en la zona sur-sur de Costa Rica. Este trabajo expone resultados relacionados a la caracterización realizada en el 2011 en familias residentes en la denominada zona sur-sur de Costa Rica sobre la cultura de consumo de productos hortícolas. Se aplicaron cuestionarios a una muestra estratificada de familias; lo que permitió establecer la valoración de los precios de mercado, por parte de las familias, para consumir estos alimentos, donde se determinó un valor máximo de US$1,74 millones por semana. Los principales rubros de consumo de acuerdo al valor pagado fueron el tomate, la papa, el plátano, la cebolla y el brócoli, para citar los cinco principales. También fue posible establecer valoraciones cualitativas sobre el consumo de estos productos; por ejemplo se determinó que para el 71,2% de las familias, la frescura representa la característica de mayor valor, además, el principal sitio donde los núcleos familiares realizan las compras de estos alimentos corresponde a supermercados (38,4% de los casos.

  9. 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.

  10. Colloquium on Caucasus; Colloque sur le Caucase

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This document is the proceedings of a colloquium organized by the French senate on Caucasus. Caucasus encompasses three countries: Armenia, Azerbaijan and Georgia. In their presentations, the different participants stress on some particular political-economical aspects of this region: present day economic status, role in the development of central Asia, political stability of South Caucasus, influence of foreign countries (Russia, USA), relations with the European Union, the energy, road and rail paths, the stakes of Azerbaijan on the petroleum scene (hydrocarbons production and transit), hydrocarbons exploitation in Azerbaijan (regional cooperation, foreign investments, profits), experience of foreign companies working in Caucasus countries (beverage industry), juridical framework of investments made in Caucasus countries, business reality in these countries. (J.S.)

  11. Central Solenoid

    CERN Multimedia

    2002-01-01

    The Central Solenoid (CS) is a single layer coil wound internally in a supporting cylinder housed in the cryostat of the Liquid Argon Calorimeter. It was successfully tested at Toshiba in December 2000 and was delivered to CERN in September 2001 ready for integration in the LAr Calorimeter in 2003. An intermediate test of the chimney and proximity cryogenics was successfully performed in June 2002.

  12. 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!.

  13. Bourse de recherche postdoctorale sur l'Amérique centrale et les ...

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

    Opportunities in CARICOM Migration : Brain Circulation, Diasporic Tourism, and Investment. Between 1965 and 2000, about 12% of the Caribbean labour force moved to Canada and other developed countries, making the Caribbean the largest per capita source of emigrants in the world. View moreOpportunities in ...

  14. Hausse des taxes sur le tabac dans trois pays d'Amérique centrale

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

    Cette dernière est considérée comme étant l'une des mesures les plus efficaces, sinon la plus efficace. Les mesures doivent être adaptées en fonction de la structure fiscale, du cadre juridique et du marché du pays. Ainsi, il importe d'ef- fectuer des études de la demande de tabac dans chaque pays afin d'avoir une assise ...

  15. Bourse de recherche postdoctorale sur l'Amérique centrale et les ...

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

    Études. Universalismo y política social en México : el caso del Seguro Popular. Téléchargez le PDF. Documents. Descentralización, democracia y desarrollo local : una exploración del FAISM en los municipios de México. Téléchargez le PDF. Rapports. Universalismo y política social en México : el caso del Seguro Popular.

  16. Hausse des taxes sur le tabac dans trois pays d'Amérique centrale ...

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

    Amérique ... Evaluating Tax and Benefits in Latin America. Since the end of the debt crisis of the 1980s, Latin American governments have reduced deficits, lowered fiscal volatility, increased public expenditure and pioneered fiscal innovations.

  17. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

    A project was conducted at College of the Canyons (Valencia, California) to initiate a new 2-year hospitality program with career options in hotel or restaurant management. A mail and telephone survey of area employers in the restaurant and hotel field demonstrated a need for, interest in, and willingness to provide internships for such a program.…

  18. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

    Academic hospitality is a feature of academic life. It takes many forms. It takes material form in the hosting of academics giving papers. It takes epistemological form in the welcome of new ideas. It takes linguistic form in the translation of academic work into other languages, and it takes touristic form through the welcome and generosity with…

  19. Neo-adjuvant chemotherapy followed by radiotherapy adapted to the tumour response in the primary seminoma of the central nervous system: experience of the Pitie-Salpetriere Hospital and review of literature; Chimiotherapie neoadjuvante suivie d'une radiotherapie adaptee a la reponse tumorale dans les tumeurs germinales seminomateuses du systeme nerveux central: experience de l'hopital de la Pitie-Salpetriere et revue de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Calugaru, V.; Taillibert, S.; Lang, P.; Simon, J.M.; Mazeron, J.J. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Radiotherapie Oncologique, 75 - Paris (France); Taillibert, S.; Delattre, J.Y. [Groupe Hospitalier de la Pitie-Salpetriere, APHP, Service de Neuro-Oncologie, 75 - Paris (France)

    2007-05-15

    Purpose. Retrospective analysis of ten cases of germinoma of the central nervous system treated in Pitie Salpetriere Hospital, Paris. Patients and methods- - Ten male patients were treated from 1997 to 2005 for histologically verified primary seminoma of the central nervous system. The median age was 27 years (range 18 0 years). Our option for the treatment was the association of 3 cycles of neo-adjuvant chemotherapy (cisplatin and etoposide) to radiotherapy. Five patients received a craniospinal radiotherapy of 30 Gy (for one patient 36 Gy) followed by a tumoral boost from 20 to 24 Gy. For five patients, irradiated volume was limited to the tumour, total dose from 24 to 54 Gy (for three patients the total dose was from 24 to 30 Gy). Surgery was used for five patients, but only in one case was macroscopic complete. Results. Six patients were in situation of complete remission after neo-adjuvant chemotherapy. All the patients were in situation of complete remission after the irradiation. All the patients were alive free of disease with a median follow-up 46 months (range 13 0 months). Conclusion. In spite of the fact that the intracranial germinal tumours are not the subject of a consensual treatment strategy, this retrospective analysis pleads in favour of chemotherapy followed by limited dose and volume irradiation. (authors)

  20. 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 ...

  1. 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.

  2. Key species and impact of fishery through food web analysis: A case study from Baja California Sur, Mexico

    Science.gov (United States)

    Rocchi, Marta; Scotti, Marco; Micheli, Fiorenza; Bodini, Antonio

    2017-01-01

    Ecosystem-Based Management (EBM) aims to support the protection of natural ecosystems and to improve economic activities. It requires considering all of the actors interacting in social-ecological systems (e.g., fish and fishers) in the understanding that their interplay determines the dynamic behavior of the single actors as well as that of the system as a whole. Connections are thus central to EBM. Within the ecological dimension of socio-ecological systems, interactions between species define such connections. Understanding how connections affect ecosystem and species dynamics is often impaired by a lack of data. We propose food web network analysis as a tool to help bridge the gap between EBM theory and practice in data-poor contexts, and illustrate this approach through its application to a coastal marine ecosystem in Baja California Sur, Mexico. First, we calculated centrality indices to identify which key (i.e., most central) species must be considered when designing strategies for sustainable resource management. Second, we analyzed the resilience of the system by measuring changes in food web structure due to the local extinction of vulnerable species (i.e., by mimicking the possible effect of excessive fishing pressure). The consequences of species removals were quantified in terms of impacts on global structural indices and species' centrality indices. Overall, we found that this coastal ecosystem shows high resilience to species loss. We identified species (e.g., Octopus sp. and the kelp bass, Paralabrax clathratus) whose protection could further decrease the risk of potential negative impacts of fishing activities on the Baja California Sur food web. This work introduces an approach that can be applied to other ecosystems to aid the implementation of EBM in data-poor contexts.

  3. Sur le nombre de points rationnels des variétés abéliennes et des Jacobiennes sur les corps finis

    DEFF Research Database (Denmark)

    Aubry, Yves; Haloui, Safia; Lachaud, Gilles

    2012-01-01

    Nous établissons de nouvelles majorations et minorations pour le nombre de points rationnels des variétés abéliennes et des Jacobiennes sur un corps fini. Nous déterminons de plus les nombres maximum et minimum de points rationnels des surfaces Jacobiennes sur un corps fini donné. We give upper a...

  4. Cours sur le droit de vote des étrangers

    OpenAIRE

    Andres, Hervé

    2008-01-01

    I. Tout d'abord : sur l'importance de la question. 4II. Les données et les termes du débat 7a) Données sociodémographiques 7b) Données juridiques 11c) Histoire 18d) Arguments 22III. Les enjeux théoriques de la question 23a) La démocratie, enjeu fondamental du droit de vote des étrangers 23Démocratie ? Une conception substantielle de la démocratie, basée sur le conflit 24Droit de vote et démocratie : une relation nécessaire mais pas évidente 25La lutte pour le droit de vote des étrangers : une...

  5. L’action directe du milieu sur les plantes

    OpenAIRE

    2015-01-01

    Il ne fait pas de doute que les espèces puissent être grandement modifiées par l’action directe du milieu. J’ai quelque excuse pour n’avoir pas insisté plus fortement sur ce point dans mon Origine des espèces, dans la mesure où la plupart des faits les plus pertinents ont été observés depuis sa publication. (Darwin, Life and Letters, iii. 232) Lorsque nous jetons un regard général sur le travail accompli pendant le dernier demi-siècle en rapport avec la théorie de l’évolution, nous constatons...

  6. Evaluation des incertitudes de mesure sur le banc à rouleaux

    OpenAIRE

    BEILS, S

    2003-01-01

    Le but de cette étude est de déterminer l'incertitude des mesures d'émissions des polluants en g/km sur le dispositif expérimental du banc à rouleaux. L'étude porte sur les mesures d'émissions moyennes avec une attention particulière pour le dioxyde de carbone. L'objectif est de quantifier l'influence de chaque élément de la chaîne de mesure et de déterminer les causes réelles de la dispersion des mesures constatée. Après une approche statistique du problème, on procède à une mise en équation...

  7. Hospital gets IAQ checkup

    Energy Technology Data Exchange (ETDEWEB)

    Gill, K.E. (HDR, Inc., Dallas, TX (United States)); Wozniak, A.L. (Pure Air Control Services, Inc., Clearwater, FL (United States))

    1993-08-01

    Findings and remediation efforts performed over the past year in a large hospital are presented. Recommended practice in new design and retrofit to reduce the potential for microbial growth in HVAC systems in discussed. The request for a building health check at a large, central Florida hospital was prompted by concern for the welfare of employees and patients. This facility consists of approximately 830,000 sq ft of building with 985 patient beds and was constructed over the past 40 years with a diversity of mechanical systems ranging from fan-coils to multizone air handlers to dual-duct built up air handlers serving over 100,000 sq ft. All air distribution systems are served by a chilled-water and hot-water four-pipe system from a central chiller/boiler plant. Air filtration systems range from 20 percent throwaway panel filters to 40 percent prefilters and 95 percent final air handler filters. Outside air quantities range from 25 cfm per person to 100 percent outside air once-through systems.

  8. Evaluación de la eficacia del Sistema de Triage Manchester como herramienta para valorar y clasificar las urgencias pediátricas del Hospital Universitario Central de Asturias

    OpenAIRE

    García Artime, Marta

    2014-01-01

    Estudio observacional, descriptivo y retrospectivo, cuyo objetivo principal es: "Valorar la eficacia del Sistema de Triage Manchester en una unidad de Urgencias de Pediatría de un hospital de tercer nivel analizando la correlación entre el nivel de prioridad de MTS y los recursos utilizados e ingreso hospitalario" y objetivos secundarios: valoración específica en subcategorías definidas(Fiebre, dolor abdominal, Llanto o irritabilidad, Menores de 3 meses) y evaluación de los indicadores de ca...

  9. Un projet gagnant sur tous les tableaux : les moustiquaires ...

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

    15 juil. 2011 ... Aujourd'hui, la Tanzanie est sur le point de devenir le premier pays d'Afrique à instaurer une stratégie nationale pour qu'un plus grand nombre de gens puissent dormir en paix sous des moustiquaires imprégnées d'insecticide. Ces progrès ont été réalisés en fort peu de temps. « En 1990, nous n'avions ...

  10. Playa de sol: La cabaña del sur

    Directory of Open Access Journals (Sweden)

    Adel López Gómez

    1964-01-01

    Full Text Available La "Cabaña del Sur" no ha cambiado nada durante mis dos años de ausencia. Ahí está, en la playa de Bocagrande, con su alta techumbre de paja, a cuarenta o cincuenta metros del mar, con su pequeño mirador y sus ventanas abiertas sobre la inmensidad del Pacífico, al final del pequeño caserío negro.

  11. Plateforme de recherche sur la protection sociale, l'inclusion ...

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

    Plateforme de recherche sur la protection sociale, l'inclusion financière et les TIC financée par plusieurs bailleurs de fonds. Le fait de ne pas avoir d'économies ou de ne presque pas en avoir peut être désastreux pour les familles pauvres. En situation de crise, ce manque de ressources peut forcer les ménages à réduire ...

  12. Analyse des politiques sur la grippe aviaire | CRDI - Centre de ...

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

    Le Partenariat de recherche sur l'influenza aviaire en Asie (APAIR) regroupe des organismes de recherche nationaux ainsi que des ministères de la Chine, du Cambodge, de l'Indonésie, de la Thaïlande et du Vietnam, et il jouit du soutien du CRDI et de l'Agence de la santé publique du Canada (ASPC). Ce partenariat a ...

  13. Influence du systeme de riziculture intensif (SRI) sur les attaques ...

    African Journals Online (AJOL)

    Cette étude sur le Système de Riziculture Intensif (SRI) a été conduite au cours de la saison humide 2013 avec quatre champs paysans par site. Deux traitements mis en comparaison par champ paysan ont été retenus. L'une comporte le SRI et l'autre la pratique paysanne (PP). Des sondages aléatoires en parcelle ont été ...

  14. Recherche sur l'impartition des processus administratifs | IDRC ...

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

    L'impartition des processus administratifs (IPA), qui représente plus 130 milliards de dollars dans le monde, offre à un pays en développement des possibilités économiques considérables sur le plan de la production de la richesse et de la création d'emplois. C'est d'abord vers l'Inde que se tournent habituellement les ...

  15. Foire aux questions sur la bourse du CRDI aux chercheurs ...

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

    IDRC CRDI

    Vous devrez signer un contrat quand vous serez prêt à entreprendre vos travaux sur le terrain. Pour que le CRDI puisse préparer le contrat, vous devrez fournir une preuve officielle de votre ... rattachement faisant état de la modification des dates d'exécution de vos travaux de recherche. 17) J'aimerais commencer mes ...

  16. SECTION 4 : BUDGET Remarque : Pour en savoir plus sur les ...

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

    (anonymous)

    SECTION 4 : BUDGET. Remarque : Pour en savoir plus sur les restrictions budgétaires, consulter l'appel à propositions et la foire aux questions. Inscrire toutes les sommes en dollars canadiens. 4.1 Indiquez toutes les dépenses prévues (en CAD). Inscrire une valeur numérique sans caractères, ni espaces, ni virgules (p. ex ...

  17. Regroupement des statistiques sur le secteur des TIC et analyse ...

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

    La présence et l'influence des technologies de l'information et de la communication (TIC) continuent de s'élargir et de s'accroître, tout comme leurs répercussions sur le développement économique. Toutefois, il reste encore beaucoup de travail à faire avant de pouvoir comprendre d'une manière systématique et ...

  18. Protection des droits communautaires sur le savoir traditionnel ...

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

    Les régimes de propriété intellectuelle existants protègent les droits des personnes en ce qui a trait aux bénéfices commerciaux, mais ils ne conviennent pas, bien souvent, à la protection du patrimoine collectif des peuples autochtones et des collectivités locales dont les moyens de subsistance reposent sur l'accès à la ...

  19. Variation diurne de la composition chimique et influence sur les ...

    African Journals Online (AJOL)

    Les taux de certains constituants comme β-caryophyllène et β-sélinène croissent avec l'ensoleillement contrairement à ceux du carvacrol, p-cymène. Cette variation diurne perturbe la synergie d'action des constituants de l'huile qui présentent une forte activité inhibitrice (0,38 à 7,19 mg/ml) sur Staphylococcus aureus ...

  20. Sur les estimateurs du maximum de vraisemblance dans les mod& ...

    African Journals Online (AJOL)

    Nous nous int´eressons `a l'existence et `a l'unicit´e des estimateurs du maximum de vraisemblance des param`etres dans les mod`eles de Poisson multiplicatif et binomial n´egatif multiplicatif. Suite `a ses travaux sur le mod`ele de Poisson multiplicatif sans r´ep´etition `a deux facteurs, Haberman [8] a donn´e une condition ...

  1. Aperçu sur l'adaptation

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

    notés au niveau des champs gérés collectivement avaient dissuadé les membres de continuer à y participer. La Gestion intégrée de la fertilité des sols (GIFS), qui associe les technologies basées sur les ressources biologiques locales riches en éléments nutritifs, les engrais inorganiques, les mesures visant la conservation ...

  2. La nephrolithotomie sur rein unique: a propos de vingt cas

    Directory of Open Access Journals (Sweden)

    O. Ghoundale

    2013-06-01

    Conclusion: La NLPC sur rein unique est entourée d’une grande sécurité et les résultats sont comparables avec ceux obtenus devant deux reins fonctionnels, en particulier la fonction rénale n’est pas dégradée à moyen et à long terme. Notre série vient corroborer les résultats des séries publiées.

  3. Recherche-action mondiale sur les droits forestiers | CRDI - Centre ...

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

    Et enfin, quels types d'alliance pourraient aider la population locale à défendre sa cause ? Les incidences escomptées sont les suivantes : une gestion ... Répercussions de la migration causée par les réformes agraires sur la gestion des ressources naturelles au Zimbabwe. De récentes réformes agraires ont entraîné un ...

  4. Soutien institutionnel à des organismes de recherche sur les ...

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

    Financée par plusieurs bailleurs de fonds, l'Initiative Think tank du CRDI a pour objet de renforcer des organismes indépendants voués à la recherche sur les politiques (" think tanks ") établis dans les pays en développement de façon à permettre à ces organismes de produire des recherches rigoureuses qui serviront à ...

  5. CONFECTION D'UNE COLOSTOMIE DE MAYDL (SUR BAGUETTE ...

    African Journals Online (AJOL)

    Received 19/02/2009. Accepted in revised form 27/03/2009) Clin Mother Child Health 2009; Vol 6, N° 1 :1055-1056. RESUME: Nous avions présenté une procédure simplifiée et reproductible de réalisation d'une colostomie sur baguette de Maydl, en conditions de précarité. Il s'agissait d'utiliser une seringue stérile de 10 ...

  6. IMPACT DE TROIS METHODES DE CONSERVATION SUR LES ...

    African Journals Online (AJOL)

    Administrateur

    Face aux nombreuses difficultés qu'éprouvent les paysans des zones Nord, Centre et Nord-Est de la Côte d'Ivoire dans l'approvisionnement en semences de bonne qualité, à moindre coût, et dans des délais raisonnables, trois méthodes simples de conservation de semences ont été testées sur 3 variétés de soja.

  7. Recherches sur la flore pliocène de Java

    NARCIS (Netherlands)

    Crié, M.L.

    1888-01-01

    En publiant ces premières recherches sur les plantes pliocènes de Java, c’est un plaisir pour moi de remercier le savant directeur du musée géologique de Leyde, monsieur K. Martin, qui m’a fait l’honneur de m’en confier l’étude. Un tel sujet ne pouvait être traité prématurément, et j’ai dû

  8. Notre continent, notre avenir : Perspectives africaines sur l ...

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

    Influence des technologies d'information et de la communication sur les mutations du marché du travail au Sénégal. Les technologies d'information et de la communication (TIC) sont devenues un élément-clé des stratégies de développement économique et réduction de la pauvreté au Sénégal. Voir davantageInfluence ...

  9. Etude Des Lesions Rencontrees Sur Des Carcasses De Petits ...

    African Journals Online (AJOL)

    Sur les 277 saisies de poumons, il y a 12 suspicions de tuberculose, 101 de parasitoses, 96 de pneumopathies et 68 dues à des abcès divers. Les lésions suspectées de tuberculose sont très rares (0;15 et 0,07%) respectivement chez les ovins et caprins. La tuberculose des petits ruminants à ce niveau de prévalence

  10. Protection des droits communautaires sur le savoir traditionnel ...

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

    La phase III permettra à des chercheurs chinois, indiens et péruviens d'aborder des questions ayant trait à la biodiversité agricole, en accordant une place de choix au riz, au maïs et à la pomme de terre. D'autres chercheurs, en Inde, au Kenya et au Panama, se pencheront sur les plantes médicinales traditionnelles dans le ...

  11. Connaissance et attitude pratique des sages femmes sur la ...

    African Journals Online (AJOL)

    ... des SF sur la PTME sont moyennement bonnes. La pratique de la PTME par les SF serait influencée par la charge de travail. Très peu de mères Ag HBs positif étaient suivies en milieu spécialisé après accouchement. Mots clés : Connaissance, Attitude, Prevention de la transmission mère-enfant, hépatite B, Sage-femme ...

  12. Notre Continent, Notre Avenir: Perspectives africaines sur l ...

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

    Introduction. Pendant près de deux décennies, les pays de l'Afrique subsaharienne ont mis en œuvre des programmes d'ajustement structurel. Au seuil d'un nouveau millénaire, l'Afrique, région ayant ..... part de l'investissement en disent long sur l'histoire africaine et expliquent en grande partie le déclin relatif du continent.

  13. Bilan du programme autrichien de recherche sur les paysages

    Directory of Open Access Journals (Sweden)

    Karolina Begusch-Pfefferkorn

    2009-03-01

    Full Text Available Austrian Landscape Research, a programme of the Austrian Ministry of Science, has created scientific foundations for the sustainable development of Austrian landscapes and regions (plus bordering regions. Landscapes and regions were to be explored from different angles; implementing the research findings was to be part of the research work. The programme was designed to make room for science open to society, for unconventional ideas, methods, and courses of action. Programmatic targets and research principles supported this intent. The results of the programme met with national and international approval. The ALR knowledge balance is an attempt at presenting and assessing the achievements of this comprehensive contract research programme.Le programme du Ministère autrichien des Sciences, intitulé « Recherche sur le paysage autrichien », visait à construire les fondements scientifiques d’un développement durable des paysages et des régions de l’Autriche et des territoires limitrophes. Les paysages et les régions ont été étudiés selon différentes approches disciplinaires et la mise en pratique des résultats de cette étude était partie prenante du programme de recherche. La vocation de ce programme était de faire la place à une science ouverte sur la société, à des idées, méthodes et pratiques non conventionnelles. Les objectifs du programme et les principes de recherche vont dans le sens de ces exigences. Les résultats du programme ont été reconnus sur le plan national et international. Le bilan des connaissances du programme de recherche sur le paysage autrichien (KLF a pour but de présenter et d’évaluer les performances de ce vaste programme de recherche.

  14. Suivi sur le programme de mentorat de journalistes scientifiques des ...

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

    12 oct. 2010 ... Il doit rédiger un article sur l'éducation et les droits de l'homme. Mais les chercheurs refusent de communiquer leurs informations, le journaliste doit présenter une requête par écrit. Ce qu'il fait. Godefroy Chabi n'obtiendra jamais de réponse. Une entrave intolérable aux libertés d'accès à l'information ?

  15. impacts du changement climatique sur les ressources en eau en ...

    African Journals Online (AJOL)

    AISA

    Les modèles de circulation générale GFD3 et UK89 ont été choisis parmi six modèles (GFD3, UK89, CCCM,. GISS, GF01 et CLIM) avec le modèle hydrologique (WATBAL) pour étudier les impacts du changement climatique sur les ressources en eau du bassin versant du Bandama. Les simulations prédisent en l'an.

  16. 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.

  17. Leprosy in Nkhotakota District Hospital | Chisi | East African Medical ...

    African Journals Online (AJOL)

    Objective: To study the profile of leprosy cases at Nkhotakota District Hospital in Central Region of Malawi. Design: Retrospective cross-sectional study of all registered cases of leprosy from records over a nine year period (January 1992 to April 2001) Setting: Nkhotakota District Hospital-Central Region of Malawi. Results: ...

  18. L'Avenir de la Vie sur la Terre

    CERN Multimedia

    CERN. Geneva

    2007-01-01

    Notre planète va mal : réchauffement climatique, épuisement des ressources naturelles, pollutions des sols et de l'eau provoquées par les industries civiles et guerrières, disparité des richesses, malnutrition des hommes, taux d'extinction effarant des espèces vivantes, etc. La situation est-elle vraiment dramatique ? Que penser des thèses qui contestent ce pessimisme ? À partir des données scientifiques les plus crédibles - et de leurs incertitudes -, Hubert Reeves dresse un bilan précis des menaces qui pèsent sur la planète. Son diagnostic est alarmant : si la vie sur Terre est robuste, c'est l'avenir de l'espèce humaine qui est en cause. Le sort de l'aventure humaine, entamée il y a des millions d'années, va-t-il se jouer en l'espace de quelques décennies ? Notre avenir est entre nos mains. Il faut réagir, et vite, avant qu'il ne soit trop tard. Auteur de nombreux ouvrages sur l'odyssée cosmique tel Patience dans l'azur ou Poussières d'étoiles, Hubert Reeves est astrophysicien et dire...

  19. La vérite sur ce qui nous motive

    CERN Document Server

    Pink, Daniel H

    2011-01-01

    Voici enfin la traduction française du best-seller international DRIVE ! Qu'est-ce qui nous motive vraiment ? Dans quels cas sommes-nous les plus performants et les plus enthousiastes ? La plupart d'entre nous sommes persuadés que les récompenses (salaire, primes...) sont notre meilleure motivation. La logique de la carotte et du bâton finalement... Et si nous faisions fausse route ? En s'appuyant sur quatre décennies d'études scientifiques et psychologiques sur la motivation humaine, Pink démontre que les entreprises dirigent très mal leurs équipes avec d'énormes conséquences sur notre vie (absence d'ambition, lassitude, morosité). Le secret de la performance (et de la satisfaction) dans les entreprises, l'enseignement ou dans notre vie personnelle , c'est le besoin profondément humain de diriger sa propre vie, d'apprendre, de créer de nouvelles choses et de s'améliorer. Dans ce livre, Pink examine les 3 éléments de la motivation, l'autonomie, la maîtrise et le besoin de donner un sens ...

  20. Identificar factores de riesgos laborales de los trabajadores de la central de esterilización del Hospital eugenio Espejo, para mitigar sus efectos en el personal, en el año 2007-2008

    OpenAIRE

    Jácome Montúfar, Amada Lucía

    2011-01-01

    198 p.: il.; + CD 1413. La Central de Esterilización es el área más importante de la Institución, donde se realizan procedimientos esenciales que son la base de la calidad de atención en el área Hospitalaria. Mediante esta investigación se aspira mejorar las condiciones de vida de los trabajadores, estableciendo cuales son los riesgos y factores de riesgos a los que están expuestos. Se identificó diferentes tipos de riesgo tales como: Biológicos, Físicos, Químicos, Ergonómicos y Psicosocia...

  1. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology......The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... adoption, these concepts help us appreciate and put special emphasis on particular aspects of the adoption process: the mutual and co-constitutive relationship between the users and the technology and the continued coexistence of both positive and negative attitudes among the users. The findings suggest...

  2. Effets des electrons secondaires sur l'ADN

    Science.gov (United States)

    Boudaiffa, Badia

    Les interactions des electrons de basse energie (EBE) representent un element important en sciences des radiations, particulierement, les sequences se produisant immediatement apres l'interaction de la radiation ionisante avec le milieu biologique. Il est bien connu que lorsque ces radiations deposent leur energie dans la cellule, elles produisent un grand nombre d'electrons secondaires (4 x 104/MeV), qui sont crees le long de la trace avec des energies cinetiques initiales bien inferieures a 20 eV. Cependant, il n'y a jamais eu de mesures directes demontrant l'interaction de ces electrons de tres basse energie avec l'ADN, du principalement aux difficultes experimentales imposees par la complexite du milieu biologique. Dans notre laboratoire, les dernieres annees ont ete consacrees a l'etude des phenomenes fondamentaux induits par impact des EBE sur differentes molecules simples (e.g., N2, CO, O2, H2O, NO, C2H 4, C6H6, C2H12) et quelques molecules complexes dans leur phase solide. D'autres travaux effectues recemment sur des bases de l'ADN et des oligonucleotides ont montre que les EBE produisent des bris moleculaires sur les biomolecules. Ces travaux nous ont permis d'elaborer des techniques pour mettre en evidence et comprendre les interactions fondamentales des EBE avec des molecules d'interet biologique, afin d'atteindre notre objectif majeur d'etudier l'effet direct de ces particules sur la molecule d'ADN. Les techniques de sciences des surfaces developpees et utilisees dans les etudes precitees peuvent etre etendues et combinees avec des methodes classiques de biologie pour etudier les dommages de l'ADN induits par l'impact des EBE. Nos experiences ont montre l'efficacite des electrons de 3--20 eV a induire des coupures simple et double brins dans l'ADN. Pour des energies inferieures a 15 eV, ces coupures sont induites par la localisation temporaire d'un electron sur une unite moleculaire de l'ADN, ce qui engendre la formation d'un ion negatif transitoire

  3. La gouvernance axée sur la collaboration : une solution pour la ...

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

    23 mai 2013 ... Le présent article porte sur le projet Gouvernance axée sur la collaboration : gestion des risques associés aux inondations et à l'élévation du niveau de la mer dans la ville du Cap, financé dans le cadre du programme Changements climatiques et eau du CRDI. De plus amples renseignements sur les ...

  4. Recherche sur la concurrence pour le développement économique ...

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

    Ce projet, qui fait fond sur le succès d'un projet précédent sur les enjeux de la concurrence dans le secteur de la distribution (no 103430), permettra de recueillir de nouvelles données empiriques combien nécessaires sur les avantages possibles que présenterait, pour la société, la réduction des pratiques attribuables aux ...

  5. Examen des répercussions des acquisitions massives de terres sur ...

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

    À l'heure où nous en apprenons davantage sur l'incidence que les acquisitions massives de terres ont sur les moyens de subsistance des collectivités touchées, force est de constater qu'on dispose jusqu'à maintenant de peu de données probantes sur les différences selon que l'on est un homme ou une femme.

  6. Incidence de la hausse des taxes sur le tabac et du prix des produits ...

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

    Ce projet de recherche permettra d'évaluer la façon dont différentes formes de taxation du tabac se répercuteront sur la consommation de cigarettes, la prévalence du tabagisme, les revenus tirés de la taxe d'accise sur le tabac et la contrebande de tabac, ces éléments ayant tous une influence directe ou indirecte sur la ...

  7. Les effets des antibiotiques administrés en bas âge sur la fonction ...

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

    -déterminer les répercussions à long terme d'une perturbation, en bas âge, de la flore intestinale sur la chimie du cerveau et sur le comportement en rapport avec ... Ce projet vise à combler le manque de données quantitatives et qualitatives sur l'emploi chez les diplômés d'un programme de premier cycle et des cycles ...

  8. 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.

  9. Renforcement des systèmes d'information nationaux sur la ...

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

    L'accent sera donc mis sur le contrôle de la qualité, la maintenance et la collecte d'information sur l'utilisation de la page HRWeb. En revanche, le Mali ne dispose actuellement que de très peu d'information sur la recherche en santé, et il lui faudra donc se concentrer sur la collecte de données. Les défis relevés et les ...

  10. Intracranial germ cell tumors. The experience of the Bordeaux University Hospital and a literature review; Les dysgerminomes du systeme nerveux central. Experience du centre hospitalier universitaire de Bordeaux et analyse de la litterature

    Energy Technology Data Exchange (ETDEWEB)

    Bonichon, N.; Dahan, O.; Maire, J.P.; Caudry, M. [Hopital Saint-Andre, 33 - Bordeaux (France); San Galli, F.; Dautheribes, M.; Perel, Y. [Hopital Pellegrin, 33 - Bordeaux (France)

    1999-08-01

    Retrospective analysis of 17 patients with intracranial germ cell tumors treated in a multidisciplinary consultation at the Bordeaux University Hospital a and literature review. Seventeen consecutive patients were treated from 1978 to 1995 for a primary intracranial germ cell tumor. Median age was 14 (range 3-29 years). There were two malignant teratoma, six proved germinoma and nine presumed germinoma (diagnostic based on biological, radiological and treatment criteria). All received radiotherapy from 30 to 60 Gy (median 40 Gy) in different volumes. Chemotherapy was administered in 15 cases, three after surgery and 12 after radiotherapy. All tumours were in complete remission after initial treatment. The two malignant teratomas recurred in non-irradiated area after nine and 48 months, and the patients died. None of the germinoma recurred within a follow-up period of two to 17 years (median 65 months). Five and 10 year actuarial overall survival rates were the same: 84 % for all histories and 100 % for germinomas. Only two patients developed school difficulties and six presented an hypopituitarism, of which one was consecutive to radiotherapy. Chemotherapy was well tolerated. This retrospective study and literature analysis are in favor of limited dose and volume of radiation therapy associated with chemotherapy. (authors)

  11. Hospitality and prosumption | Ritzer | Research in Hospitality ...

    African Journals Online (AJOL)

    Hospitality and the hospitality industry need to be reevaluated in the era of the new prosumer and smart prosuming machines. Traditional notions of hospitality hearken back to an earlier era and ongoing changes are forcing us to reconsider them. Among those changes are the decline of settings that offer hospitality; the ...

  12. Le livre sur le livre traité de documentation

    CERN Document Server

    Otlet, Paul

    2015-01-01

    Paul Otlet est considéré comme le père des sciences de l'information. Ouvrage fondateur et fondamental, le Traité de documentation. Le livre sur le livre (1934) est l'aboutissement de son travail inlassable pour rassembler, classer et partager les connaissances. Otlet y propose une remarquable synthèse du savoir sur le livre et le document en même temps qu'il anticipe Internet et l'hypertexte. La réédition du Traité de documentation, 70 ans après la disparition de son auteur, coïncide avec la réouverture du Mundaneum à Mons, où le fabuleux héritage documentaire légué par Paul Otlet et Henri La Fontaine est conservé. « Ici, la table de travail n'est plus chargée d'aucun livre. À leur place se dresse un écran et à portée un téléphone. Là-bas, au loin, dans un édifice immense, sont tous les livres et tous les renseignements. De là, on fait apparaître sur l'écran la page à lire pour connaître la réponse aux questions posées par téléphone. » Préfaces de Benoît Peeters (éc...

  13. Actualités sur la vitamine D*

    Directory of Open Access Journals (Sweden)

    Souberbielle Jean-Claude

    2014-05-01

    Full Text Available Le déficit et l’insuffisance en vitamine D, définis respectivement par des concentrations sériques de 25 hydroxyvitamine D (25OHD inférieures à 20 ng/ml et entre 20 et 30 ng/ml, sont des situations très fréquentes qui sont associées à une augmentation du risque de développer différentes pathologies, pas seulement osseuses. Les effets d’une supplémentation en vitamine D sur la diminution du risque de fractures et de chutes sont documentés par différentes études d’intervention. Les autres effets potentiels extra-osseux de la vitamine D sont principalement documentés par des études observationnelles et expérimentales. Même s’il n’existe pas encore de consensus sur les besoins en vitamine D, tous les experts s’accordent pour considérer que les AJR (200 UI/J en France sont très insuffisants et doivent être augmentés. Cet article aborde successivement le métabolisme de la vitamine D et ses effets, la définition du statut vitaminique D basée sur la concentration sérique de 25OHD, les indications du dosage de la 25OHD (qui ne doit pas être prescrit à tout le monde et propose des modalités de traitement.

  14. Benthic marine algae of Loreto Bay, Baja California Sur, Mexico

    OpenAIRE

    Sánchez Rodríguez, Ignacio; Aguilar-Rosas, L.E.; R Aguilar-Rosas

    2010-01-01

    Ten sites in the Loreto Bay, Baja California Sur, Mexico, were sampled seasonally during 1996 and 1997, in the center zone of the Gulf of California. The collections of the species was manually in the intertidal and subtidal (3 m, SCUBA) zone in the localities distributed in the bay and surroun ding islands. A total of 62 taxa of benthic marine algae were determined. Rhodophyceae was represen ted by 62 species, Phaeophyceae by 15 species and Chlorophyceae by 7 species. The families with best ...

  15. GRABADOS RUPESTRES EN EL SUR DE LA PROVINCIA DE LUGO

    Directory of Open Access Journals (Sweden)

    Begoña González Aguiar

    2011-10-01

    Full Text Available En este artículo se plasman los resultados obtenidos tras el estudio de cincuenta estaciones rupestres ubicadas, todas ellas, en el sur de la provincia de Lugo. En un primer momento se llevaron a cabo labores de prospección y análisis de las estaciones, para su posterior estudio descriptivo, simbólico y espacial. Tales trabajos confirman la existencia de representaciones en una “zona marginada” como es la provincia de Lugo, frente a Pontevedra y A Coruña. Además, se han catalogado veinte estaciones inéditas, desconocidas hasta la fecha.

  16. Zoom on India | Gros plan sur l’Inde

    Directory of Open Access Journals (Sweden)

    2012-05-01

    Full Text Available Indian Energy Production and Consumption (in Million Tonnes of Oil EquivalentProduction et consommation d’énergie en Inde (en millions de tonnes d’équivalent pétroleSource: World Bank, World Bank Development Indicators, 2010.Indian Oil, Gas and Coal Imports (in Million Tonnes of Oil Equivalent, 2008*Importations indiennes de pétrole, de gaz et de charbon (en millions de tonnes d’équivalent pétrole, 2008** 2009 for coal data | 2009 pour les données sur le charbon.Sources: British Petroleum...

  17. La grande vitesse est-elle toujours sur les rails ?

    OpenAIRE

    Libourel, Eloïse; Ruggeri, Charlotte; Schorung, Matthieu

    2016-01-01

    National audience; Depuis le milieu du XXème, la grande vitesse ferroviaire est considérée comme une innovation révolutionnaire pour le transport de voyageurs. Elle renvoie une image de modernité à tous les acteurs institutionnels et à la société civile, et elle permet également aux États d’afficher une image de puissance technique et industrielle. L’objectif est de capitaliser sur l’objet « grande vitesse » pour valoriser l’avancée technologique d’un pays, d’une région, et pour promouvoir de...

  18. IMPACT DES EAUX SOUTERRAINES SUR LE PATRIMOINE BÂTI

    OpenAIRE

    Fouché, O.

    2009-01-01

    31 p.; International audience; Dans les relations entre la ville et les eaux naturelles, l'attention des gestionnaires et des scientifiques a été focalisée par l'impact de l'urbanisation sur les eaux de surface, en particulier l'aggravation du pic de ruissellement et la détérioration de la qualité des cours d'eau due au lessivage des surfaces urbaines et aux rejets. Cependant, l'urbanisation affecte aussi la recharge des aquifères (terrains poreux et perméables, i.e. aptes à l'écoulement de l...

  19. Arte y acciones sostenibles al Sur de Iberia

    OpenAIRE

    Andreu-Lara, Carmen; Lara-Barranco, Paco; Arregui-Pradas, Rocío; Albelda, José Luis; Arregui Montero, María; Oliveira, Genoveva

    2015-01-01

    El proyecto, Arte y acciones sostenibles al sur de Iberia, pretende ser una semilla más que un árbol, una indicación más que una meta. No pocos teóricos y pensadores, de reconocido prestigio, avalan la actividad artística como una disciplina capaz de generar grandes aportaciones en el asunto de la sostenibilidad, al fomentar el pensamiento crítico y adoptar una postura de reflexión y sensibilización social en sus propuestas. Son diversas y reconocidas las voces (Gardner, Eisner, Guattari) que...

  20. Observations sur l’indéterminabilité

    Directory of Open Access Journals (Sweden)

    Narcis Zărnescu

    2009-06-01

    Full Text Available Pour Aristote, une proposition est vraie si elle correspond à un fait. Pour les Stoïciens, un raisonnement est valide si et seulement s’il est conforme à la forme canonique d’un trope. Mais affirmer cela c’était oublier que la vérité résulte toujours d’un processus de recherche, souvent long et complexe, qui repose sur l’interrogation, le questionnement, bref le dialogue. Alors qu’en logique standard, la proposition excluait toute dimension énonciative pour se réduire à un simple porteur de valeur de vérité, en logique dialogique chaque proposition est véritablement une proposition émanant d’un interlocuteur qui s’engage sur elle par un acte d’assertion. De plus, un tel acte de discours prend place dans un jeu dialogique (dialogspiel entre proposant et opposant. Dès lors, chaque proposition prend sens en fonction de son utilisation opératoire dans le jeu dialogique. On ne pense plus en termes d’axiomes, mais de système opératoire. On a là un développement remarquable du paradigme actionnel inauguré notamment par le Frege des Recherches logiques.Notre intention est donc de démontrer comment en théorie standard des modèles la décision sur la valeur de vérité d’un connecteur ou d’une proposition atomique dans un univers de discours donné reste une décision extra-logique. Dès lors une modélisation adéquate de la dimension dialogique de l’indéterminabilité ou de la véridicité consiste à articuler de façon adéquate validité et vérité, cohérence interne du dialogue et sanction attestée de façon externe. L’indéterminabilité, ainsi que la véridicité, sera le résultat d’un accord dialogique qui suppose au niveau interactionnel que les interlocuteurs reconnaissent leur consistance mutuelle et au niveau transactionnel qu’ils acceptent mutuellement le jugement d’un tiers qui atteste de la vérité des propositions atomiques sur le monde en question.

  1. Effet Du Potassium Et Du Deficit Hydrique Modere Sur La ...

    African Journals Online (AJOL)

    Le comportement de 6 génotypes de cette plante, sous deux régimes hydriques, avec ou sans apport de potassium, a été suivi dans des tubes en PVC. Le potassium a été apporté sous forme de KCl ou de K2SO4. Il n\\'y a pas de différence entre les effets du KCl et du K2SO4 sur la transpiration par mg de feuilles sèches ...

  2. Influence des actions anthropiques sur la dynamique spatio ...

    African Journals Online (AJOL)

    Sci-Nat

    2.2. Matériel. La dynamique du paysage peut être décrite par des changements dans le temps de sa composition et de sa structure spatiale. L'application des méthodes de l'écologie du paysage (calcul d'indices de structure spatiale) est basée sur la relation d'interdépendance entre les trois éléments clés de tout système.

  3. Recherche de polluants inorganiques sur un ancien site de ...

    African Journals Online (AJOL)

    Les déchets ménagers des pays en développement ne connaissent pas en général des tris. Les poubelles des ménages reçoivent les déchets de tout genre et il en est de même des décharges publiques qui sont par voie de conséquence potentiellement polluées et polluantes. Ce travail porte sur l'évaluation du degré de ...

  4. Effets du rationnement alterne sur les performances de croissance ...

    African Journals Online (AJOL)

    Cette étude a été réalisée dans la ferme Maluchévo de Raminsky ( banlieue de Moscou ), sur 27 génisses de race pie-noire, âgées de 9 à 14 mois et réparties en trois lots numérotés de 1 à 3. Les génisses du lot 1 (témoin) ont reçu une ration constante pendant 6 semaines d'essai. Celles du lot 2 ont été soumises à une ...

  5. Etude D'une liaison Radio sur fibre

    OpenAIRE

    Hamedi, Yasmine-Djazia

    2014-01-01

    Notre mémoire est divisé en trois chapitres. Dans le premier chapitre, nous allons décrire différents composants qui entrent dans le cadre de la réalisation des liaisons de transmission par fibre optique et un rappel sur les différents types de sources optiques, le principe de quelques formats de modulation ainsi que les principaux éléments constituants le module de réception, l’origine des principales dégradations subies par le signal au cours de sa transmission. Le second chapitre, nous ...

  6. « Destin d’une sentence… sur le destin »

    OpenAIRE

    Paré-Rey, Pascale

    2017-01-01

    International audience; Nous nous proposons d’étudier le « Destin d’une sentence… sur le destin ». Nous suivrons le trajet d’une sentence de Sénèque (Agunt uolentem fata, nolentem trahunt, « Le destin conduit celui qui acquiesce et entraîne celui qui refuse », Ep. 107, 11) en partant du contexte de son insertion dans la correspondance du philosophe latin et en essayant de dégager les sources de cette pensée. Puis nous poserons quelques jalons de sa réception, très riche, en essayant de compre...

  7. Faulkner: Un escritor dentro del Renacimiento del Sur

    Directory of Open Access Journals (Sweden)

    Luis LÓPEZ JIMÉNEZ

    2009-08-01

    Full Text Available Si tomamos como fechas de referencia para el Renacimiento Literario del Sur de los Estados Unidos las de king en su libro A Soutern Renaissance: the Cultural Awakening of the South, 1930-1955, vemos que las obras más importantes de William Faulkner están publicadas dentro del período comprendido entre esas dos fechas o apenas antecediéndolo, alcanzando su cumbre en 1949 cuando se le concedió el Premio Nobel de Literatura

  8. Réflexions sur l’interactivité

    OpenAIRE

    Cornillon, Claire

    2017-01-01

    Si la notion d’interactivité est au cœur des enjeux des productions médiatiques contemporaines, fictionnelles ou non fictionnelles, et en particulier en contexte transmédia, elle ne recouvre pas toujours les mêmes discours et les mêmes pratiques pour l’industrie et les créateurs, pour les chercheurs et pour les publics. Ce dossier se propose donc d’interroger la notion à travers divers cas d’études et dans une approche pluridisciplinaire. Il s’ouvre ainsi sur la traduction d’un article d’Ann...

  9. Soutien au Programme de recherche du CGIAR sur les racines ...

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

    Il vise à donner un meilleur accès aux ressources génétiques, à renforcer les capacités de recherche portant sur ces cultures, à améliorer la réceptivité des ... Les résultats visés sont, entre autres, une meilleure sécurité alimentaire, une résilience accrue des systèmes de production, une empreinte écologique réduite et une ...

  10. Donner la parole aux femmes - bourse de recherche sur la ...

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

    Les deux plus grands États d'Asie du Sud, qui sont voisins, sont équipés d'armes nucléaires et ont été engagés dans quatre guerres. La plupart des pays de la région possèdent une armée importante qui est fréquemment utilisée pour étouffer toute contestation politique. Les menaces qui pèsent sur les personnes vivant ...

  11. The Mozzafari Hospital of Shiraz, Persia.

    Science.gov (United States)

    Golshani, Alireza; Bosmia, Anand N; Ahmadi, Aida; Adloo, Sara; Tubbs, R Shane; Bayazidi, Ali; Golshani, Amir-Hossin; Shoja, Mohammadali M

    2014-05-01

    This article discusses three significant hospitals that were constructed in medieval Persia, specifically in the city of Shiraz, which is located in central present-day Iran. The first of these three hospitals is the Azodi Hospital, which was constructed during the Buyid dynasty. The second hospital was constructed during the Salghurid dynasty and is referred to as the Mozzafari Hospital by a primary source written by Qutb al-Din Shirazi, a physician who worked there. The third hospital is also referred to as the Mozzafari Hospital and was constructed during the Mozzafarid dynasty. Recent efforts have yielded archaeological evidence that marks the location in present-day Shiraz of this third hospital or an area south of its location. The evidence consists of the gravesite for Seyed Sharaf al-Din Jorjani, a prominent theologian who was employed by Shah Shoja of the Mozzafarid dynasty in the fourteenth century CE. at the compound containing the third hospital. The gravesite for Sharaf al-Din Jorjani in present-day Shiraz marks the site of the remains of the Mozzafari Hospital built during the reign of Shah Shoja of the Mozzafarid dynasty or an area south of Shah Shoja's Mozzafari Hospital.

  12. Enterprise resource planning for hospitals.

    Science.gov (United States)

    van Merode, Godefridus G; Groothuis, Siebren; Hasman, Arie

    2004-06-30

    Integrated hospitals need a central planning and control system to plan patients' processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the potential of enterprise resource planning (ERP) systems for healthcare delivery organizations. First ERP systems are explained. An overview is then presented of the characteristics of the planning process in hospital environments. Problems with ERP that are due to the special characteristics of healthcare are presented. The situations in which ERP can or cannot be used are discussed. It is suggested to divide hospitals in a part that is concerned only with deterministic processes and a part that is concerned with non-deterministic processes. ERP can be very useful for planning and controlling the deterministic processes.

  13. C1. Pneumonia adquirida na comunidade (PAC num hospital central – comparação de um grupo de doentes idosos com um grupo de não idosos

    Directory of Open Access Journals (Sweden)

    S. Moreira

    2003-11-01

    Full Text Available O objectivo do nosso estudo foi comparar as características clínicas, agentes etiológicos e mortalidade da PAC entre um grupo de doentes idosos e não idosos.Efectuámos um estudo retrospectivo comparativo com 257 doentes internados no nosso serviço com PAC. Consideramos dois grupos: grupo I, doentes com idade igual ou superior a 65 anos (111 doentes e grupo II com idade inferior a 65 anos (146 doentes.A idade média no grupo I foi de 77.3 anos vs. 44.7 anos no grupo II. Foram encontradas diferenças significativas nas características clínicas da pneumonia: febre (54.1% no grupo I vs. 81.5% no grupo II e dor torácica: (27.0% vs 50.0%, respectivamente.O agente causal foi identificado nas culturas da expectoração em 31.6% e do sangue em 6.2% no grupo I vs. 29.1% e 13.9% no grupo II. O Streptococcus pneumoniae foi isolado em 8.8% das amostras de expectoração e 3.1% das hemoculturas dos idosos vs. 17.5% e 10.2% no grupo dos não-idosos. O isolamento de gram-negativos entéricos foi significativamente mais frequente no grupo I (57.1% vs. 8.3%.A duração média de internamento (13.1 vs. 11.1 dias e a mortalidade (10.8% vs. 0.7% foi superior no grupo I.Concluímos que no doente idoso hospitalizado a etiologia da PAC difere da dos outros grupos etários, apresenta pior prognóstico e requere maiores recursos de saúde. : The aim of our study was to compare CAP clinical attributes, etiologic agents and mortality between a group of elderly and a non-elderly patients.We performed a retrospective study analysing clinical data from 257 patients admitted to our hospital with CAP. Two groups were considered: group I with 65 years and over (111 patients and group II with less then 65 years (146 patients.Average age in group I was 77.3 years vs. 44.9 years in group II. Significant differences were found between two clinical characteristics: fever (54.1% in group I vs. 81.5% in group II and chest pain

  14. The politics of local hospital reform: a case study of hospital reorganization following the 2002 Norwegian hospital reform

    Science.gov (United States)

    2009-01-01

    Background The Norwegian hospital reform of 2002 was an attempt to make restructuring of hospitals easier by removing politicians from the decision-making processes. To facilitate changes seen as necessary but politically difficult, the central state took over ownership of the hospitals and stripped the county politicians of what had been their main responsibility for decades. This meant that decisions regarding hospital structure and organization were now being taken by professional administrators and not by politically elected representatives. The question raised here is whether this has had any effect on the speed of restructuring of the hospital sector. Method The empirical part is a case study of the restructuring process in Innlandet Hospital Trust (IHT), which was one of the largest enterprise established after the hospital reform and where the vision for restructuring was clearly set. Different sources of qualitative data are used in the analysis. These include interviews with key actors, observational data and document studies. Results The analysis demonstrates how the new professional leaders at first acted in accordance with the intentions of the hospital reform, but soon chose to avoid the more ambitious plans for restructuring the hospital structure and in fact reintroduced local politics into the decision-making process. The analysis further illustrates how local networks and engagement of political representatives from all levels of government complicated the decision-making process surrounding local structural reforms. Local political representatives teamed up with other actors and created powerful networks. At the same time, national politicians had incentives to involve themselves in the processes as supporters of the status quo. Conclusion Because of the incentives that faced political actors and the controversial nature of major hospital reforms, the removal of local politicians and the centralization of ownership did not necessarily facilitate

  15. A Study to Assess the Factors and Out of Pocket Expenditures in the Patients of Road Traffic Accidents Admitted in a Tertiary Care Hospital in a Central India District

    Directory of Open Access Journals (Sweden)

    Srivastava DK

    2014-12-01

    Full Text Available Background: Road traffic injuries are estimated to be the eighth leading cause of death globally, with an impact similar to that caused by many communicable diseases, such as malaria. road traffic injuries are estimated to cost low- and middle-income countries between 1–2 % of their Gross Domestic Product (GDP, an estimate of about US$ 100 billion a year. Objectives: To study the epidemiological profile of Road Traffic Injuries among the patients admitted in a tertiary care centre and too find out the various out of pocket expenditure in the patients of Road Traffic Accidents. Material and Method: The present study was a hospital based Descriptive Prospective Study. A list of all the patients admitted due to Road Traffic Accident in last one week was obtained from the ward sisters of Orthopedic Department. All the selected participants were interviewed on the two fixed days. A pre tested structured open ended questionnaire was used for data collection. Results: Of the 48 participants interviewed, 34male and 14 females. Most common age group affected was 21-25 years followed by 16-20 years. The rate of accidents was most common on the weekends. The rate of accidents was more in users of two wheelers. Majority of the expenditure in the First week of admission was on the purchase of medicines followed by diagnosis. Majority of the victims also suffered huge financial loss due to loss of salary, closure of shop, loss due to daily wages etc. Conclusion: The present study hereby concludes that there is an urgent need for creating awareness about Road Traffic Accident. The study also concludes that majority of the out of pocket expenditure in the first week of admission is on the medication.

  16. Complication rates among peripherally inserted central venous catheters and centrally inserted central catheters in the medical intensive care unit.

    Science.gov (United States)

    Nolan, Matthew E; Yadav, Hemang; Cawcutt, Kelly A; Cartin-Ceba, Rodrigo

    2016-02-01

    There are limited contemporary data describing the rates of catheter-related deep vein thrombosis (CRDVT) and central line-associated bloodstream infection for peripherally inserted central venous catheters (PICCs) and centrally inserted central venous catheters (CICCs) in the medical intensive care unit (ICU). We performed a retrospective cohort study of 200 PICCs (dual/triple lumen) and 200 CICCs (triple/quadruple lumen) placed in medical ICU adults at Mayo Rochester between 2012 and 2013. Central lines were followed from insertion time until hospital dismissal (primary analysis) or ICU discharge (secondary analysis). Symptomatic CRDVT was determined by Doppler ultrasound. Central line-associated bloodstream infection was defined according to federal reporting criteria. During 1730 PICC days and 637 CICC days, the incidence of CRDVT when followed until hospital dismissal was 4% and 1% (4.6 and 3.1 per 1000 catheter-days), respectively, P = .055. When censored at the time of ICU dismissal, the rates were 2% and 1% (5.3 and 3.7 per 1000 catheter-days), P = .685. Only 1 central line-associated bloodstream infection occurred in a PICC following ICU dismissal, P > .999. Thrombotic and infectious complications were uncommon following PICC and CICC insertion, with no significant difference in complication rates observed. Half of PICC DVTs occurred on the general floor, and like all central catheters placed in the ICU, PICCs should be aggressively discontinued when no longer absolutely needed. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. INTELIGENCIA COMPETITIVA: PROPUESTA DE MODELO SISTEMICO COMO CAMBIO ORGANIZACIONAL PARA LOS HOSPITALES DEL SUR DEL BRASIL

    Directory of Open Access Journals (Sweden)

    Nilda, Tañski

    2011-01-01

    Full Text Available El éxito de una organización depende cada vez más, de la estrategia de su negocio. Un componente estructural de la estrategia es el ajuste entre sus actividades primarias y sus actividades de soporte. Y así como en la industria, en un hospital, una nueva estrategia para ser implementada en general implica revisar procesos de negocios o introducir nuevas formas de ejecutar las operaciones de la empresa. Sin embargo, organizaciones que tengan problemas de alienación entre la estrategia de negocios con su infraestructura de Tecnología de Información tendrán dificultades de implantar un modelo sistémico del proceso de inteligencia competitiva. Se cree que el segmento hospitalario privado tiene problemas de sincronismo entre la estrategia de negocios con la infraestructura de Tecnología de la Información (TI. Por lo tanto, se puede cuestionar: ¿Un modelo sistémico de Inteligencia Competitiva para el segmento hospitalario privado, puede ser un modelo conceptual del proceso de cambio, pasible de ser implementado en este tipo de organización? El objetivo principal de este trabajo de investigación es proponer un Modelo Sistémico del proceso de Inteligencia Competitiva versión 2, en los hospitales privados de la región sur de Brasil.

  18. The architecture of enterprise hospital information system.

    Science.gov (United States)

    Lu, Xudong; Duan, Huilong; Li, Haomin; Zhao, Chenhui; An, Jiye

    2005-01-01

    Because of the complexity of the hospital environment, there exist a lot of medical information systems from different vendors with incompatible structures. In order to establish an enterprise hospital information system, the integration among these heterogeneous systems must be considered. Complete integration should cover three aspects: data integration, function integration and workflow integration. However most of the previous design of architecture did not accomplish such a complete integration. This article offers an architecture design of the enterprise hospital information system based on the concept of digital neural network system in hospital. It covers all three aspects of integration, and eventually achieves the target of one virtual data center with Enterprise Viewer for users of different roles. The initial implementation of the architecture in the 5-year Digital Hospital Project in Huzhou Central hospital of Zhejiang Province is also described.

  19. Malnutrition and associated factors in elderly hospitalized Desnutrición y factores asociados en adultos mayores hospitalizados

    OpenAIRE

    A. Lara-Pulido; M. Guevara-Cruz

    2012-01-01

    Objectives: To investigate the frequency of malnutrition and associated factors in patients over 65 years of age in a hospital. Methods: We conducted an observational, crosssectional and descriptive study. Department of Nutritional Support, Hospital Medica Sur, Mexico, we evaluated patients over 65 years of age within the first 24 hours of admission. Results: We evaluated 769 patients, 49% of whom were women and 51% were men, with an average age of 75.3 ± 7.7 years. Among the patients evaluat...

  20. Influencia de ENOS sobre las variaciones interanuales de ciertos ríos en América del Sur

    Directory of Open Access Journals (Sweden)

    1998-01-01

    Full Text Available INFLUENCE DE L’ENSO SUR LES VARIATIONS INTERANNUELLES DE CERTAINS COURS D’EAU D’AMERIQUE DU SUD. On a étudié les réponses des cours d’eau sud-américains aux stimulations des phases de El Niño/Oscillation du Sud en les classant en trois catégories : El Niño (EN, Anti-Niño (AN et années normales. Les cours d’eau de la côte Nord du Pérou, de l’Équateur et du Sud de la Colombie ont des débits élevés au cours des étés avec EN et des débits faibles avec AN. Les débits sont normaux les autres années. Les rivières des Andes péruviennes et de l’Altiplano ont des débits faibles en situation de l’EN et des débits normaux le reste du temps. Les cours d’eau du Chili central et des Andes de l’Argentine ont des débits élevés en situation EN et faible en situation AN. En Patagonie, et au sud du Chili, on observe une indépendance par rapport aux phases de l’ENSO, et l’on observe les débits les plus élevés au cours des années normales. Les rivières de la Pampa, les parties basses du bassin de la Plata et l’extrême sud du Brésil ont des débits élevés au cours de l’EN et faibles durant l’AN. Les cours d’eau de la côte centrale du Brésil semblent indépendants du phénomène. Dans le Nordeste du Brésil, les débits sont très faibles au cours des EN et élevés durant les AN. Le bassin de l’Amazone réagit de différentes façons : dans sa partie centrale, les fleuves ont des débits déficitaires au cours de certains EN, alors que les affluents des Andes fournissent des débits élevés, au cours de certains EN. Les cours d’eau des Guyanes, du Venezuela, et de la partie de la Colombie qui donne sur les Caraïbes ont des débits faibles au cours des EN et de forts volumes au cours des AN. Dans les Andes du Sud de la Colombie et de l’Équateur il y a un mélange : certains cours d’eau ont des débits élevés au cours des très forts EN, d’autres au cours des AN. Cette région est le point de rencontre des

  1. Central diffractive resonance production at the LHC

    Science.gov (United States)

    Fiore, Roberto; Jenkovszky, Laszlo; Schicker, Rainer

    2016-07-01

    Central production of resonances resulting from the scattering of Pomerons in the central rapidity region of proton-proton scattering is studied. Estimates for relevant cross sections are presented. L.J. gratefully acknowledges an EMMI visiting Professorship at the University of Heidelberg for completion of this work. He is grateful to the organizers of this meeting for their hospitality and support. His work was supported also by DOMUS, Hungarian Academy of Sciences

  2. The big sur ecoregion sudden oak death adaptive management project: ecological monitoring

    Science.gov (United States)

    Allison C. Wickland; Kerri M. Frangioso; David M. Rizzo; Ross K. Meentemeyer

    2008-01-01

    The Big Sur area is one of the most ecologically diverse regions in California. Land preservation efforts are well established in Big Sur, including numerous preserves, state parks and the Los Padres National Forest. However, there are still many conservation threats that cut across these areas including exotic species (plants, animals, and pathogens) and alterations...

  3. Effets du travail du sol sur le comportement chimique et biologique ...

    African Journals Online (AJOL)

    Effets du travail du sol sur le comportement chimique et biologique du sol et les conséquences sur le rendement d'un blé tendre (Triticum aestivum L.) dans la région « non chernozem » de la fédération de Russie.

  4. Action de l'acide phosphoreux in vitro sur Phytophthora katsurae ...

    African Journals Online (AJOL)

    Lfaction in vitro de lfacide phosphoreux sur quatre souches de Phytophthora katsurae provenant de trois regions Sud de production du cocotier en Cote dfIvoire a ete evaluee. Lfetude fongitoxique de lfacide phosphoreux et la capacite de redeveloppement des souches ont ete respectivement realisees sur milieu Ribeiro ...

  5. Rendement des entreprises en Asie - utilisation de données sur les ...

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

    'essor si rapide de ces entreprises à haut rendement. ... de pays à revenu intermédiaire d'Asie à partir de données sur les entreprises et portant sur le rendement des petites entreprises par rapport à celui de grandes unités de production.

  6. Test du Module BECKHOFF (BK7420) Entrées/Sorties deportees sur FIPIO de SCHNEIDER

    CERN Document Server

    Palluel, J; CERN. Geneva. AB Department

    2004-01-01

    Cette note présente le test du nouveau coupleur I/O déporté sur FIPIO de Beckhoff référencé BK7420 (voir photo ci-dessous), et notamment son évaluation sur différentes longueurs par rapport à un module semblable de Schneider (Momentum 170 FNT 110 01).

  7. Synthèse de la recherche sur les moyens de subsistance pouvant ...

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

    Synthèse de la recherche sur les moyens de subsistance pouvant remplacer la culture du tabac ... Qui plus est, les effets néfastes de la culture du tabac sur le plan environnemental et socioéconomique rendent les cultures de remplacement désirables, tant du point de ... IDRC renews food security partnership with ACIAR.

  8. Fonds canadien de recherche sur la sécurité alimentaire ...

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

    ACDI) et le CRDI, le Fonds canadien de recherche sur la sécurité alimentaire internationale (FCRSAI) est doté 61 654 707 CAD (ACDI : 50 000 000 CAD; CRDI : 11 654 707 CAD). Il servira à financer l'exécution de recherche appliquée sur le ...

  9. DECISIONS ET COMPETITIVITE SUR LE MARCHE UNIQUE EUROPEEN

    Directory of Open Access Journals (Sweden)

    Sirghi Nicoleta

    2008-05-01

    Full Text Available L’un des traits importants du marché unique européen, a comme source le męme énoncé du principal objectif de l’intégration européenne ainsi que: l’harmonisation des niveaux du développement des Etats Membres et l’augmentation du niveau de vie dans l’ensemble de la communauté. Pour le marché unique européen, cet aspect se traduit par une permanente et soutenue augmentation de la demande. Cet ouvrage présente au début une analyse des éléments spécifiques du marché européen. Ensuite on identifie les opportunités et les risques au niveau macroéconomique adjointes aux perspectives du marché unique européen. Comme fondement on présente des stratégies du développement réalisables au niveau microéconomique que puissent assurer l’augmentation du niveau sur la compétitivité des sociétés sur le marché unique européen.

  10. Entretien sur la psychanalyse: réflexions en marge

    Directory of Open Access Journals (Sweden)

    Giuseppe Martini

    2016-08-01

    Full Text Available L’auteur propose ici un commentaire sur les points les plus importants de son entretien de février 2003 avec Paul Ricœur consacré aux rapports entre herméneutique et psychanalyse. Bien que le philosophe se situe dans une réelle continuité par rapport à sa contribution de 1965, il enrichit toutefois sa réflexion philosophique sur la psychanalyse en proposant plusieurs innovations, en ce qui concerne plus particulièrement les thèmes du récit, du soi et de l’éthique. Dans les conclusions de son commentaire, l’auteur souligne l’importance des concepts d’“irreprésentable” et d’“intraduisible”: non seulement, en effet, ces concepts sont dans la ligne de nombreuses contributions de la psychanalyse contemporaine, mais la profondeur de la réflexion ricœurienne augmente en outre leur potentiel théorique et même clinique.

  11. SurR9C84A protects and recovers human cardiomyocytes from hypoxia induced apoptosis

    Energy Technology Data Exchange (ETDEWEB)

    Ashok, Ajay [Nanomedicine-Laboratory of Immunology and Molecular Biomedical Research (NLIMBR), School of Medicine (SoM), Faculty of Health, Centre for Molecular and Medical Research - C-MMR, Deakin University, Waurn Ponds, Victoria 3216 (Australia); Department of Pathology, Case Western Reserve University, 2103 Cornell Rd. WRB 5128, Cleveland, OH 44106-7288 (United States); Kanwar, Jagat Rakesh [Nanomedicine-Laboratory of Immunology and Molecular Biomedical Research (NLIMBR), School of Medicine (SoM), Faculty of Health, Centre for Molecular and Medical Research - C-MMR, Deakin University, Waurn Ponds, Victoria 3216 (Australia); Krishnan, Uma Maheswari [Centre for Nanotechnology & Advanced Biomaterials (CeNTAB), School of Chemical & Biotechnology (SCBT), SASTRA University, Thanjavur 613401 (India); Kanwar, Rupinder Kaur, E-mail: rupinder.kanwar@deakin.edu.au [Nanomedicine-Laboratory of Immunology and Molecular Biomedical Research (NLIMBR), School of Medicine (SoM), Faculty of Health, Centre for Molecular and Medical Research - C-MMR, Deakin University, Waurn Ponds, Victoria 3216 (Australia)

    2017-01-01

    Survivin, as an anti-apoptotic protein and a cell cycle regulator, is recently gaining importance for its regenerative potential in salvaging injured hypoxic cells of vital organs such as heart. Different strategies are being employed to upregulate survivin expression in dying hypoxic cardiomyocytes. We investigated the cardioprotective potential of a cell permeable survivin mutant protein SurR9C84A, for the management of hypoxia mediated cardiomyocyte apoptosis, in a novel and clinically relevant model employing primary human cardiomyocytes (HCM). The aim of this research work was to study the efficacy and mechanism of SurR9C84A facilitated cardioprotection and regeneration in hypoxic HCM. To mimic hypoxic microenvironment in vitro, well characterized HCM were treated with 100 µm (48 h) cobalt chloride to induce hypoxia. Hypoxia induced (HI) HCM were further treated with SurR9C84A (1 µg/mL) in order to analyse its cardioprotective efficacy. Confocal microscopy showed rapid internalization of SurR9C84A and scanning electron microscopy revealed the reinstatement of cytoskeleton projections in HI HCM. SurR9C84A treatment increased cell viability, reduced cell death via, apoptosis (Annexin-V assay), and downregulated free cardiac troponin T and MMP-9 expression. SurR9C84A also upregulated the expression of proliferation markers (PCNA and Ki-67) and downregulated mitochondrial depolarization and ROS levels thereby, impeding cell death. Human Apoptosis Array further revealed that SurR9C84A downregulated expression of pro-apoptotic markers and augmented expression of HSPs and HTRA2/Omi. SurR9C84A treatment led to enhanced levels of survivin, VEGF, PI3K and pAkt. SurR9C84A proved non-toxic to normoxic HCM, as validated through unaltered cell proliferation and other marker levels. Its pre-treatment exhibited lesser susceptibility to hypoxia/damage. SurR9C84A holds a promising clinical potential for human cardiomyocyte survival and proliferation following hypoxic injury

  12. EL COMERCIO Y EL CORREO EN EL SUR, DURANTE LOS AÑOS DE LA INDEPENDENCIA

    Directory of Open Access Journals (Sweden)

    Lydia Inés Muñoz Cordero

    2010-07-01

    Full Text Available El estudio histórico denominado “El Comercio y el Correo en el Sur, durante los años de la Independencia”, recoge una versión original sobre ese otro lado de la guerra, cual es la vida cotidiana que supone trabajo, comercio, transporte, la dependencia de aquellos que portan mensajes, cartas de amor romántico o filial, valijas llenas de barras de oro o macuquinas, o quizá guedejas de cabellos para relicarios en pequeños cofres sellados. Se trata de examinar qué se comerciaba en aquella época, cómo se aplicaba el derecho de alcabalas y por qué el oficio de “correista” solo recaía en personas honestas, ciudadanos de comprobada “probidad” y el de ser adictos al régimen republicano. A partir de fuentes documentales del Archivo Central del Cauca y del Archivo Nacional de Historia del Ecuador, intenta reconstruir esa memoria sobre la vida cotidiana de aquellos lejanos tiempos.

  13. Lignes directrices simplifiées sur les lipides

    Science.gov (United States)

    Allan, G. Michael; Lindblad, Adrienne J.; Comeau, Ann; Coppola, John; Hudson, Brianne; Mannarino, Marco; McMinis, Cindy; Padwal, Raj; Schelstraete, Christine; Zarnke, Kelly; Garrison, Scott; Cotton, Candra; Korownyk, Christina; McCormack, James; Nickel, Sharon; Kolber, Michael R.

    2015-01-01

    Résumé Objectif Produire un guide de pratique clinique comportant une approche simplifiée à la prévention primaire des maladies cardiovasculaires (MCV), en insistant sur l’estimation du risque de MCV et la prise en charge des profils lipidiques à l’intention des cliniciens de soins primaires et leurs équipes; nous avons recherché la contribution de professionnels des soins primaires qui n’avaient que peu ou pas de conflits d’intérêts et nous nous sommes concentrés sur les données probantes de la plus haute qualité accessibles. Méthodes Neuf professionnels de la santé (4 médecins de famille, 2 internistes, 1 infirmière praticienne, 1 infirmière autorisée et 1 pharmacienne) et 1 membre non votant (pharmacienne gestionnaire de projet) formaient le comité principal appelé le Lipid Pathway Committee (le comité). La sélection des membres s’est fondée sur la profession, le milieu de pratique et son emplacement. Les membres ont divulgué tous leurs conflits d’intérêts potentiels ou réels. Le processus d’élaboration des lignes directrices était itératif et s’appuyait sur des affichages en ligne, une révision détaillée des données probantes, des réunions par téléphone et en ligne. Le comité a cerné 12 questions prioritaires à répondre. Le groupe de révision des données probantes a répondu à ces questions. À la suite d’un examen des réponses, les principales recommandations ont été formulées par consensus du comité. Nous avons produit une ébauche des lignes directrices qui a ensuite été peaufinée, distribuée à un groupe de cliniciens (médecins de famille, autres spécialistes, pharmaciens, infirmières et infirmières praticiennes) et à des patients pour obtenir de la rétroaction, la réviser en conséquence et le comité l’a ensuite finalisée. Recommandations Des recommandations sont présentées concernant le dépistage et les analyses, les évaluations du risque, le suivi, de même que le r

  14. Sur la plurifonctionnalité du discours direct

    Directory of Open Access Journals (Sweden)

    Cigada Sara

    2012-07-01

    Full Text Available La comparaison entre les résultats de nombreux travaux sur le dialogue dans le texte littéraire, sur l’attestation linguistique de la subjectivité, sur la fonction argumentative des émotions dans le discours et sur les effets de polyphonie, suggère que la structure sémiotique et linguistique du discours direct (DD se trouve au croisement stratégique de plusieurs axes de la construction discursive. Nous étudions donc l’insertion du DD dans le discours (cf. Rosier 2008: Le discours rapporté en français; Kerbrat 2005: Le Discours en interaction et Id. 2008: Le Dialogue comme objet d’analyse linguistique; Maingueneau 2010: Manuel de linguistique pour le texte littéraire en tant que phénomène de rupture sémiotique (Genette 1972: Figures III et Id. 1983: Nouveau discours du récit, dans ses fonctions discursives plurielles, tantôt émotives (Tannen 1989: Talking Voices; Plantin-Traverso-Vosghanian 2008: Parcours des émotions en interaction, tantôt argumentatives (Doury 2001: La Fonction argumentative des échanges rapportés; Stati 1990: Le transphrastique. Du point de vue méthodologique, nous nous proposons de revisiter empiriquement, par l'étude de corpus, les traits linguistiques structuraux qui caractérisent l’insertion du DD dans un récit à l'écrit, en les comparant systématiquement aux traits de l’insertion du DD dans un récit à l'oral. Une analyse parallèle est possible en ce qui concerne les fonctions discursives, que le DD typiquement déroule dans les récits. Les fonctions du DD décrites à partir de l'étude des corpus sont plurielles: on reconnaît des fonctions fortement argumentatives d'autres plus typiquement narratives, tandis que d'autres encore amalgament les deux fonctions. Le « contrat de littéralité », qui selon Genette ne porterait jamais que sur la teneur du discours, doit donc être fortement nuancé selon les contextes, tandis que l'effet de sens le plus directement lié à la

  15. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...

  16. Diversidad de maiz en la sierra sur de Oaxaca, México: conocimiento y manejo tradicional.

    Directory of Open Access Journals (Sweden)

    Beatriz Rendón-Aguilar

    2015-07-01

    Full Text Available El estado de Oaxaca representa un importante acervo de maíz en México. Estudios previos han indicado la presencia de muchas variedades locales y razas agronómicas en la Sierra Norte y Valles Centrales. La Sierra Sur ha sido poco estudiada a pesar de la presencia de comunidades indígenas zapotecas, las cuales cultivan maíz, entre otras especies, y han preservado las variedades locales. El presente estudio responde a las siguientes preguntas: ¿cuál es la diversidad de maíz en términos de variedades tradicionales y razas agronómicas en la región zapoteca de Los Loxicha?, ¿la diversidad de maíz sigue un patrón de distribución a lo largo de un gradiente altitudinal?, ¿cuáles prácticas promueven y mantienen esta diversidad? Para contestar estas preguntas se realizó un estudio en cinco municipios de la Sierra Sur de Oaxaca. Durante 2007 se aplicaron entrevistas estructuradas a 930 agricultores para describir el proceso de manejo de semilla. La caracterización morfológica de las razas agronómicas se basó en muestras de mazorcas obtenidas en 375 milpas, con 20 plantas por milpa. Se encontraron altos niveles de diversidad local de maíz, con 36 variedades tradicionales correspondientes a 10 razas agronómicas. Las razas exhibieron diferencias en términos de variación fenotípica, distribución altitudinal y algunas muestran adaptación local. Los agricultores practican algunas formas de manejo ancestral para la selección de mazorcas y semillas, manteniendo, así, ciertos niveles de diferenciación entre las variedades y las razas agronómicas. Sin embargo, al sembrar diferentes variedades dentro de la misma parcela, se promueve el flujo génico y la introgresión entre ellas, manteniendo y promoviendo la diversidad fenotípica y genética.

  17. Paléo-anthropologie en Afrique centrale : un bilan de l'archéologie au Cameroun

    OpenAIRE

    Delneuf, Michèle; Essomba, J.M.; Froment, Alain

    1998-01-01

    Parmi tous les pays de la sous-région d'Afrique centrale, le Cameroun est celui qui compte le plus grand nombre d'archéologues et la plus longue tradition de recherche. Plusieurs ouvrages traitant d'archéologie lui ont déjà été consacrés. Celui-ci actualise les travaux menés sur le terrain, sous forme notamment de synthèses régionales. Outre les descriptions classiques en ce domaine, ce livre met l'accent sur la contribution des sciences de l'environnement et la reconstitution des paysages e...

  18. Central Cord Syndrome

    Science.gov (United States)

    ... You are here Home » Disorders » All Disorders Central Cord Syndrome Information Page Central Cord Syndrome Information Page What research is being done? Our understanding of central cord syndrome has increased greatly in recent decades as ...

  19. Clinical study of central taste disorders and discussion of the central gustatory pathway.

    Science.gov (United States)

    Onoda, Keiko; Ikeda, Minoru; Sekine, Hiroki; Ogawa, Hisashi

    2012-02-01

    The aim of this work is to examine the clinical findings of patients with taste disorders due to central lesions and also to study the central gustatory pathway in humans. We conducted a retrospective review of 13 patients with central taste disorders that visited Nihon University Itabashi Hospital. An additional 25 cases with central taste disorders previously reported in the literature were assessed in the study. We examined 38 patients with taste disorders due to central lesions. The sites of the central lesions and their frequencies, the laterality of taste disorders relative to the central lesions, and prognosis of taste disorders were studied. We identified the following taste-related regions in the central nervous system: the medulla, pons, midbrain, thalamus, internal capsule, putamen, corona radiata, and cerebral cortex. As for the laterality of the taste disorders, we observed more ipsilateral cases for lesions located from the medulla to the pons. We observed ipsilateral, contralateral, and bilateral cases for lesions located above the midbrain, but bilateral cases were more frequently detected. Taste disorders of 80% of the patients improved by 24 weeks. The prognoses of central taste disorders appeared to be good. We identified eight central regions supposed to be relate to taste disorders. From the laterality of the taste disorders relative to the central lesions, it was suggested that the central gustatory pathway ascends ipsilaterally from the medulla to the pons, branches at the upper pons, and then ascends bilaterally from the midbrain to the cerebral cortex.

  20. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the availability of structural measures at that hospital. A structural measure reflects the environment in which hospitals care for patients....

  1. Patient survey (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...

  2. The where, what and how of paediatric central venous access

    African Journals Online (AJOL)

    2012-04-17

    Apr 17, 2012 ... disturbances or congenital heart disease, these may be sustained. Electrolyte ... Specialist Anaesthetist, Red Cross Children's Hospital, University of Cape Town ... Keywords: central venous catheter, children, acute complications, infection, thrombosis, subclavian vein, femoral vein, internal jugular vein.

  3. Central nervous system tuberculomata presenting as internuclear ...

    African Journals Online (AJOL)

    Central nervous system (CNS) tuberculoma can have variable presentation depending upon the site and number of tuberculomata. We are reporting a rare case of a 15 years old girl who presented to our hospital with binocular diplopia on right gaze. Clinical examination revealed left sided internuclear ophthalmoplegia ...

  4. SEXUALIDAD Y GÉNERO EN EL SUR DE VERACRUZ

    Directory of Open Access Journals (Sweden)

    Rocío Ochoa García

    2016-01-01

    Full Text Available En este trabajo abordo las prácticas sexuales de las mujeres, en el contexto del orden de género, en una localidad campesina del sur de Veracruz. Explico tales prácticas como producto de las normas morales de la sexualidad hegemónica en la que el orden social-sexual requiere el control de la sexualidad femenina. Describo que la sexualidad es una construcción social y un producto histórico y cambiante, por lo que las transgresiones a las normas morales sexuales están presentes como elementos que prefiguran cambios en las representaciones y el imaginario femenino sobre el “deber ser”. Asimismo, las prácticas sexuales disidentes se entienden como una manifestación de que el ideal sexual, que la normatividad moral local ha construido, no corresponde con lo que sucede en el nivel de las acciones.

  5. Livre blanc sur les standards du e-learning

    OpenAIRE

    Fernandes, Emmanuel; Dunand, Nicolas; Spang Bovey, Nadia

    2006-01-01

    Rapport de Recherche - Réseau d'Excellence Européen Kaleidoscope; L'article suivant propose un tour d'horizon sur les différents standards émergents du secteur de l'eLearning. Comme toute nouvelle technologie, l'eLearning et ses différentes fonctionnalités doivent pouvoir disposer d'un schéma de référence standard. L'existence d'un tel standard est indispensable au développement d'une nouvelle technologie, en le sens qu'il permet l'interopérabilité de ressources vouées autrement à être incomp...

  6. Avis 6 sur la formation à et par la recherche

    OpenAIRE

    Centre de Coopération Internationale en Recherche Agronomique pour le Développement

    2015-01-01

    La formation à et par la recherche s’appuie sur la démarche scientifique, les savoirs, les connaissances à transmettre, tout autant que l’acquisition de compétences en gestion de projet, de capacités au travail en équipe, d’une ouverture d’esprit qui favorisera la créativité. Elle doit permettre de prendre conscience de la responsabilité endossée par la communauté scientifique vis-à-vis de la société et de l’environnement, mais aussi préparer l’avenir professionnel de celle ou de celui qu...

  7. Commentaires sur la valeur piscicole du Canal de Roubaix (Nord

    Directory of Open Access Journals (Sweden)

    ARRIGNON J.

    1970-10-01

    Full Text Available La population piscicole du Canal de ROUBAIX a été inventoriée par pêche électrique. Trois passages, suivis chacun de l'enlèvement des poissons capturés, ont été opérés dans chacun des trois Secteurs d'inventaire. Le peuplement le plus probable ainsi estimé (par la méthode De Lury,est en rapport avec le degré de pollution du canal. On constate aussi queles poissons se cantonnent le long des berges, sur une largeur de 2 à 3mètres.L'estimation à l'hectare représente donc en réalité le stock d'une zone n'ayant que 25 % de la surface totale du Canal. Les poissons contrôlés sont pour la plupart des poissons de repeuplement.

  8. Vent d’Irlande sur lettres d’oc

    OpenAIRE

    Forêt, Jean-Claude

    2014-01-01

    Vent d’Irlande sur lettres d’oc... Le titre ne tiendra guère ses promesses. On a vite fait le compte des auteurs occitans pour qui la littérature irlandaise du xxe siècle a vraiment compté. Personne ou presque, à part Max Rouquette. Denis Saurat, le poète cathare, inspiré par la littérature écossaise, Mac Diarmid en tête ? Peut-être a-t-il subi l’influence de Yeats, de sa fascination pour l’occultisme, ce qui reste à prouver... Antoine Dubernard, le dramaturge et paysan limousin ? L’influence...

  9. Réflexions sur la figuration du livre comme ruine

    OpenAIRE

    Ouvry-Vial, Brigitte

    2016-01-01

    Dans N’espérez pas vous débarrasser des livres, un livre d’entretiens avec Umberto Eco, Jean-Claude Carrière rapporte qu’un futurologue interrogé au sommet de Davos 2008 sur les phénomènes allant « bouleverser l’humanité dans les quinze prochaines années », en avait cité quatre principaux et tenus pour assurés, le quatrième étant la disparition du livre. Umberto Eco reformule la proposition sous forme de question – « Le livre va-t-il disparaître du fait de l’apparition d’Internet ? », questio...

  10. Un copiste inattendu à Vic-sur-Cère (Cantal

    Directory of Open Access Journals (Sweden)

    Renaud Benoit-Cattin

    2012-02-01

    Full Text Available A Vic-sur-Cère, petit bourg du Cantal, l’hôtel du Pont et du Parc abrite au rez-de-chaussée une salle de restaurant dont les quatre murs sont ornés de dix-sept peintures d’un caractère peu ou prou monumental. Leur hauteur est d’environ 1,50 m, leur largeur variant de 0,6 à 3,5 m. Quatorze d’entre elles ont été exécutées par Antoine Cayrol entre 1909 et 1914, les trois dernières par son petit-fils, Roger Cayrol, en 1954.Le grand-père, Antoine, né en 1864, est élevé à Paris. Après son service m...

  11. Lumières sur Bagdad !

    Directory of Open Access Journals (Sweden)

    Roman Stadnicki

    2009-02-01

    Full Text Available Bagdad Arts déco apparaît comme un ouvrage important pour deux raisons au moins : d’abord parce qu’il constitue tout simplement la première étude d’ensemble sur Bagdad paraissant en langue française depuis le début de la guerre en Irak, ensuite parce que l’entrée choisie par l’auteur — qui poursuit un doctorat d’histoire urbaine à l’ Ehess parallèlement à son travail de chef de projet aux Éditions du Patrimoine — n’est pas seulement architecturale, comme ...

  12. The Production of the Pastora in Camarines Sur, Philippines

    Directory of Open Access Journals (Sweden)

    JIYE A. MARGATE

    2014-04-01

    Full Text Available The purpose of the study was to document the pastora, a song-dance performance during Christmas season that calls to celebrate the birth of Jesus Christ in two towns of Camarines Sur, Philippines. Specifically, it focused on its production aspect. The categories include: the handing down of oral traditions which influenced the trainers' casting, choreography, costumes, props, musical accompaniment, and performances. The researcher made use of real time data: videotaped pastora dances, observer’s notes, ex post facto data: stimulated recall and interviews. There were similarities and differences in the production of these pastora. Both of the trainers were exposed to this activity at a young age. At present, their granddaughters are members of their respective pastora groups—one way of handing down the oral tradition to the younger generations. Both groups have dresses made of silks and laces. With regard to the choice of colors, Mimay prefers to use light colors such as white, light blue, and pink while Rita favors loud colors such as red, green, and golden yellow. At present they use only one kind of musical instrument in their pastora. Pastora Baao uses a saxophone while pastora Bombon uses a guitar. The trainers also differ in standards for recruiting members. Mimay prefers to invite girls with good singing voice, good dancing ability, and good physical appearance, while Rita believes that willingness is the most important quality of a pastora. The similarities in the production of these pastora reveal the possibility that pastora in Camarines Sur came from one source. The similarities also revealed the impact of pastora in maintaining religiosity and the socio-cultural environment. The differences are influenced by the tradition handed down to trainers, the trainers’ personal outlook, geographical locations, and economic condition.

  13. The Market for Hospital Medicine in Denmark

    DEFF Research Database (Denmark)

    Hostenkamp, Gisela

    2012-01-01

    Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market for h...... and the introduction of new medicines in the hospital sector. Centralised tendering may therefore have important implications for competition and industry structure in the long run....... for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised...

  14. Components of SurA required for outer membrane biogenesis in uropathogenic Escherichia coli.

    Directory of Open Access Journals (Sweden)

    Kristin M Watts

    2008-10-01

    Full Text Available SurA is a periplasmic peptidyl-prolyl isomerase (PPIase and chaperone of Escherichia coli and other Gram-negative bacteria. In contrast to other PPIases, SurA appears to have a distinct role in chaperoning newly synthesized porins destined for insertion into the outer membrane. Previous studies have indicated that the chaperone activity of SurA rests in its "core module" (the N- plus C-terminal domains, based on in vivo envelope phenotypes and in vitro binding and protection of non-native substrates.In this study, we determined the components of SurA required for chaperone activity using in vivo phenotypes relevant to disease causation by uropathogenic E. coli (UPEC, namely membrane resistance to permeation by antimicrobials and maturation of the type 1 pilus usher FimD. FimD is a SurA-dependent, integral outer membrane protein through which heteropolymeric type 1 pili, which confer bladder epithelial binding and invasion capacity upon uropathogenic E. coli, are assembled and extruded. Consistent with prior results, the in vivo chaperone activity of SurA in UPEC rested primarily in the core module. However, the PPIase domains I and II were not expendable for wild-type resistance to novobiocin in broth culture. Steady-state levels of FimD were substantially restored in the UPEC surA mutant complemented with the SurA N- plus C-terminal domains. The addition of PPIase domain I augmented FimD maturation into the outer membrane, consistent with a model in which domain I enhances stability of and/or substrate binding by the core module.Our results confirm the core module of E. coli SurA as a potential target for novel anti-infective development.

  15. 26 CFR 1.501(e)-1 - Cooperative hospital service organizations.

    Science.gov (United States)

    2010-04-01

    ... performs, on a centralized basis, one or more of the following services and only such services: data...-hospitals), warehousing, billing and collection, food, clinical (including radiology), industrial...

  16. Potential gains from hospital mergers in Denmark.

    Science.gov (United States)

    Kristensen, Troels; Bogetoft, Peter; Pedersen, Kjeld Moeller

    2010-12-01

    The Danish hospital sector faces a major rebuilding program to centralize activity in fewer and larger hospitals. We aim to conduct an efficiency analysis of hospitals and to estimate the potential cost savings from the planned hospital mergers. We use Data Envelopment Analysis (DEA) to estimate a cost frontier. Based on this analysis, we calculate an efficiency score for each hospital and estimate the potential gains from the proposed mergers by comparing individual efficiencies with the efficiency of the combined hospitals. Furthermore, we apply a decomposition algorithm to split merger gains into technical efficiency, size (scale) and harmony (mix) gains. The motivation for this decomposition is that some of the apparent merger gains may actually be available with less than a full-scale merger, e.g., by sharing best practices and reallocating certain resources and tasks. Our results suggest that many hospitals are technically inefficient, and the expected "best practice" hospitals are quite efficient. Also, some mergers do not seem to lower costs. This finding indicates that some merged hospitals become too large and therefore experience diseconomies of scale. Other mergers lead to considerable cost reductions; we find potential gains resulting from learning better practices and the exploitation of economies of scope. To ensure robustness, we conduct a sensitivity analysis using two alternative returns-to-scale assumptions and two alternative estimation approaches. We consistently find potential gains from improving the technical efficiency and the exploitation of economies of scope from mergers.

  17. Dark humic alluvial paleosols in Central and Southern Mexico: Micromorphological indicators of Late Pleistocene megafauna habitats Paleosuelos aluviales con humus oscuro en el Centro y Sur de México: indicadores micromorfológicos de los hábitats de la megafauna del Pleistoceno tardío Paleosolos aluviais com húmus escuro no Centro e Sul do México: indicadores micromorfológicos dos habitats da megafauna do Pleistocénico tardio

    Directory of Open Access Journals (Sweden)

    Rosa E. Tovar

    2013-11-01

    formas de megafauna, hoy extinta. Sin embargo, los ecosistemas que habitaron y determinados nichos ecológicos que ocupaban son poco conocidos. Los hallazgos más numerosos de la megafauna del Pleistoceno han sido en depósitos aluviales, los cuales son registros paleoecológicos importantes que representan una excelente oportunidad para ser estudiados. Los paleosuelos aluviales regularmente son poco desarrollados, sin embargo, el análisis micromorfológico proporciona información relevante sobre el grado de desarrollo del suelo a una microescala, permitiendo discriminar entre los procesos edafogenéticos y sedimentarios; ayudando con ello a la identificación de la configuración del medio ambiente en el que se formaron. Nosotros analizamos la micromofología de seis unidades edafogenéticas en las secuencias de Santa Cruz Nuevo y Axamilpa, en el sur de Puebla y Huexoyucan, en el estado de Tlaxcala. Estas edafosecuencias corresponden a la segunda mitad de la etapa isotópica marina 3 (MIS3, etapa isotópica marina 2 MIS2 y al Holoceno Temprano. Todas las unidades estudiadas se caracterizan por una fuerte pigmentación con humus oscuro. El análisis micromorfológico de los paleosuelos de MIS3 revela condiciones acuáticas con evidencias de biota de agua dulce, como también microlaminaciones de precipitación de carbonatos hidrogénicos y procesos redoximórficos. Los paleosuelos oscuros de MIS2 y el Holoceno Temprano muestran fuerte agregación coprogénica, intemperismo y pocos rasgos gleycos, presentando fuertes diferencias con los suelos modernos. Los suelos modernos se formaron en condiciones aireadas, con un mejor drenaje que excluyen los procesos redoximórficos. Llegamos a la conclusión de que las unidades de paleosuelos del Pleistoceno de color oscuro son indicativos de diferentes paleopaisajes: humedales pantanosos en la MIS3 y praderas húmedas desde MIS2 hasta el Holoceno Temprano. Los ecosistemas pantanosos podrían representar un importante h

  18. Effet de l'engrais organique liquide «Dragon 1», sur le ...

    African Journals Online (AJOL)

    Une étude sur la fertilisation minérale et organique liquide, a été faite sur la tomate en petite saison de pluie au Sud et au Centre-Ouest de la Côte d'Ivoire sur deux années afin, d'améliorer le developpement de la tomate. Mais de manière spécifique, il a s'agit d'évaluer les effets de différentes doses de Dragon 1, ...

  19. Effet du compost à base de Calotropis procera (Aiton) W.T. Aiton sur ...

    African Journals Online (AJOL)

    Objectifs: Une étude à base de compost de Calotropis procera a été menée afin de mesurer l'effet sur la production de l'arachide sur de sols pauvres. Méthodologie et résultats: L'essai a été conduit sur le site de Doyaba au niveau des zones marginales du Tchad avec la variété fleur 11 d'arachide (Arachis hypogaea L.) ...

  20. Effet du stockage sur la vigueur et la viabilité des semences de deux ...

    African Journals Online (AJOL)

    Les effets du stockage ont été étudiés sur des semences de blé dur (Triticum durum). L'objectif repose sur l'évaluation de différentes altérations observées au cours du stockage. Celles-ci portent sur l'indice de viabilité et de vigueur des semences de deux variétés, conservées durant 6 mois, 1 an et 2 ans dans des ...