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.

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

African Journals Online (AJOL)

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

Central radiological department of the Jahn Ferenc hospital and medical center

Energy Technology Data Exchange (ETDEWEB)

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

1982-01-01

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

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 ...

El impacto social de League of Legends en Corea del Sur

OpenAIRE

García Callealta, Desiré

2016-01-01

Trabajo de Fin de Máster del Máster en Asia oriental - Estudios japoneses, curso 2015-2016 [ES] Este trabajo consiste en una breve descripción y revisión bibliográfica sobre la historia de los e-Sports y su desarrollo en Corea del Sur. Debido a que se trata del primer videojuego tipo MOBA totalmente gratis que ha alcanzado la máxima popularidad en todo el mundo, League of Legends será el e-Sport central de esta exposición, si bien el impacto social que ha causado en Corea del Sur, la segun...

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.)

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

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

African Journals Online (AJOL)

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

Retour d'expérience sur la co-construction d'un guide sur la gouvernance territoriale

OpenAIRE

Maurel, P.; Barbe, E.; Rey-Valette, H.; Chia, E.; Soulard, C.; Michel, L.; Pinto, M.

2014-01-01

/ La gouvernance territoriale est devenue un enjeu majeur et une question centrale pour la mise en oeuvre des politiques publiques. Dans le cadre du programme de recherche en partenariat PSDR, un collectif hybride composé de chercheurs, de professionnels du développement territorial et d'acteurs locaux s'est réuni au sein du projet Gouv.Innov. En s'appuyant sur plusieurs terrains d'étude, ce collectif a progressivement construit une définition de la gouvernance territoriale ainsi qu'une grill...

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

Science.gov (United States)

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

2009-04-01

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

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

Science.gov (United States)

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

2013-11-01

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

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

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.

Analyse de l'effet de la suréducation sur l'efficacité technique des ...

African Journals Online (AJOL)

de tire-au-flanc, et l'état de santé (Vroom 1964 ; Sheppard & Herrick 1972 ; ... impact négatif significatif de la suréducation sur la satisfaction au travail ; son ..... présence syndicale sur la performance financière de 250 entreprises américaines.

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

Directory of Open Access Journals (Sweden)

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

La cooperación Sur-Sur agrícola argentina con África Subsahariana: una historia que comienza

OpenAIRE

Morasso, Carla

2015-01-01

[es] En la última década Argentina ha sido un actor dinámico de la cooperación Sur-Sur. Sus acciones se han dirigido principalmente hacia América Latina, pero también se han promovido los vínculos con Asia y África. El artículo analiza particularmente la cooperación Sur-Sur entre Argentina y países de África Subsahariana en materia de desarrollo agrícola en el período 2003-2013, donde se destacan los roles del Fondo Argentino de Cooperación Sur-Sur y Triangula...

Les impacts de la guerre du Việt Nam sur les forêts d’A Lưới

OpenAIRE

Robert-Charmeteau, Amélie

2015-01-01

Au cours de la guerre du Việt Nam, l’actuel district d’A Lưới (province de Thừa Thiên Huế, Việt Nam central), traversé par la piste Hồ Chí Minh, subit de nombreux épandages d’herbicides et pilonnages. Les forêts sont une cible privilégiée. Mais les conséquences de ces pratiques militaires sur les sylvosystèmes sont sujettes à controverses. Pour identifier objectivement le poids de la guerre sur les dynamiques paysagères, l’étude se fonde sur une analyse diachronique régressive des paysages et...

Unión del magreb, un caso de regionalismo Sur-Sur

Directory of Open Access Journals (Sweden)

SofianE Bouhdiba

2009-01-01

Full Text Available Se exploran brevemente las fuerzas y limitaciones de la Unión del Magreb (UMA como una experiencia de regionalismo Sur-Sur, en el marco de mayor extensión. Se plantea la necesidad de que la UMA redireccione sus intereses, estrategias y alianzas hacia el sur, puesto que se ha vuelto un instrumento de intercambios comerciales con la Unión Europea y un eje estratégico de lucha contra el terrorismo para Estados Unidos. Además se invita a la misma UMA a que considere los alcances de instituciones de integración en América Latina y Asia a fin de fortalecerse como bloque.

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

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

International Nuclear Information System (INIS)

Chinangwa, Getrude

2016-07-01

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

Más allá de los mitos: análisis de la Cooperación Sur-Sur y Norte-Sur en el Ecuador. Sector Educación, período 2003- 2008

OpenAIRE

Escobar Sánchez, Wladimir Alexander

2012-01-01

La presente tesis de maestría analiza a la cooperación Norte-Sur y Sur-Sur como los dos principales modelos de funcionamiento de la cooperación hoy en día, a través de dos programas de ayuda internacional en el sector educación, en el período 2003-2008. El uno referente a la cooperación Norte-Sur, y el otro a la cooperación Sur-Sur. El propósito que presenta este trabajo académico es explicar a la cooperación internacional al desarrollo tomando en consideración a la teoría real...

Étude sur l'entrepreneuriat dalit : Regard sur 25 % de la population ...

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

Étude sur l'entrepreneuriat dalit : Regard sur 25 % de la population indienne. Cette étude, pilotée par Udit Raj, député du parlement indien, aide à mieux comprendre les contraintes que rencontrent les entrepreneurs dalits. Elle permettra de sonder 12 000 entrepreneurs dalits dans 14 états et de recueillir des données ...

Efectividad del Programa Educativo “Vida Saludable” en el Cambio de Estilos de Vida de Pacientes con Síndrome Metabólico. Hospital I Cono Sur Essalud - Nuevo Chimbote 2015.

OpenAIRE

Rondán Caballero, Nancy Verónica

2016-01-01

El presente estudio de investigación es cuasi-experimental con objetivo Conocer la efectividad del programa educativo “Vida Saludable” en el Cambio de Estilos de Vida de Pacientes con Síndrome Metabólico. Hospital I Cono Sur Essalud - Nuevo Chimbote 2015.Sustentado en Teoría General de Sistemas de Bertalanffy. Muestra 50 pacientes con Síndrome Metabólico, se aplicó un test, un programa educativo y post-test, concluyendo:  El estilo de vida de los pacientes con síndrome metabólico del Hosp...

Patologia molecular do receptor de sulfoniluréia (SUR1)

OpenAIRE

Reis, André F.; Velho, Gilberto

2000-01-01

The sulfonylurea receptor is a subunit of the ATP-sensitive potassium channel, which is expressed in the pancreatic beta cell. The central role of this receptor in glucose-induced insulin secretion was confirmed by description that mutations in this gene might result in hyperinsulinemic hypoglycemia of infancy. The possible role of SUR1 gene variants in the genetic susceptibility for type 2 diabetes mellitus has been studied. In this review, we discuss the results concerning the genetic varia...

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 ...

Sur la plurifonctionnalité du discours direct

OpenAIRE

Cigada Sara

2012-01-01

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...

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

Science.gov (United States)

Briner, Matthias; Manser, Tanja; Kessler, Oliver

2013-04-01

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

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

Science.gov (United States)

Carden, Robert; DelliFraine, Jami L

2005-01-01

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

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.

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)

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)

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

Science.gov (United States)

McPake, Barbara; Hongoro, Charles; Russo, Giuliano

2011-06-02

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

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

Directory of Open Access Journals (Sweden)

Russo Giuliano

2011-06-01

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

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

OpenAIRE

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

2006-01-01

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

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.

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

Science.gov (United States)

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

2013-11-01

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

Dégâts des bruches sur le pouvoir germinatif des graines de quatre ...

African Journals Online (AJOL)

SARAH

29 févr. 2016 ... cultures vivrières de base en Afrique Occidentale et centrale (MULEBA et al., 1997). En RD Congo il est ... correspondant à deux cycles de reproduction, avec des trous ou des œufs sur elles. Les trous ... tout simplement de déterminer le nombre des bruches et leurs espèces à charger dans chaque boite ...

Kir6.2 activation by sulfonylurea receptors: a different mechanism of action for SUR1 and SUR2A subunits via the same residues

Science.gov (United States)

Principalli, Maria A; Dupuis, Julien P; Moreau, Christophe J; Vivaudou, Michel; Revilloud, Jean

2015-01-01

ATP-sensitive potassium channels (K-ATP channels) play a key role in adjusting the membrane potential to the metabolic state of cells. They result from the unique combination of two proteins: the sulfonylurea receptor (SUR), an ATP-binding cassette (ABC) protein, and the inward rectifier K+ channel Kir6.2. Both subunits associate to form a heterooctamer (4 SUR/4 Kir6.2). SUR modulates channel gating in response to the binding of nucleotides or drugs and Kir6.2 conducts potassium ions. The activity of K-ATP channels varies with their localization. In pancreatic β-cells, SUR1/Kir6.2 channels are partly active at rest while in cardiomyocytes SUR2A/Kir6.2 channels are mostly closed. This divergence of function could be related to differences in the interaction of SUR1 and SUR2A with Kir6.2. Three residues (E1305, I1310, L1313) located in the linker region between transmembrane domain 2 and nucleotide-binding domain 2 of SUR2A were previously found to be involved in the activation pathway linking binding of openers onto SUR2A and channel opening. To determine the role of the equivalent residues in the SUR1 isoform, we designed chimeras between SUR1 and the ABC transporter multidrug resistance-associated protein 1 (MRP1), and used patch clamp recordings on Xenopus oocytes to assess the functionality of SUR1/MRP1 chimeric K-ATP channels. Our results reveal that the same residues in SUR1 and SUR2A are involved in the functional association with Kir6.2, but they display unexpected side-chain specificities which could account for the contrasted properties of pancreatic and cardiac K-ATP channels. PMID:26416970

Partenariat entre l'Afrique occidentale et l'Afrique centrale pour la ...

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

Des taux élevés de décès maternels et de grossesses précoces persistent en Afrique occidentale et centrale. Les efforts de recherche et de programmation ne parviennent pas à réduire ces taux de façon durable. Le défi consiste à relier les données sur les interventions en santé utiles avec les données sur l'exécution ...

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

NARCIS (Netherlands)

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

2012-01-01

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

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)

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

International Nuclear Information System (INIS)

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

2010-01-01

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

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

Science.gov (United States)

Calvo, Mónica; Escudero, Maite

2009-01-01

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

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

OpenAIRE

Pasini, J; Marcelino, P

2012-01-01

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

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)

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

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

Agir sur la langue pour agir sur le monde : Micropolitiques linguistiques autogérées du genre dans les brochures libertaires

OpenAIRE

Abbou, Julie

2015-01-01

La dimension agissante de la langue sur le monde entraîne avec elle, comme un appel d'air, l'action sur la langue elle-même, et l'action sur la langue n'est jamais loin de se faire action politique. Les politiques linguistiques de féminisation en sont un exemple, où l'action politique se concentre sur la catégorisation du genre. Dans de nombreux cas, la politique linguistique se fait planification linguistique, cherchant de nouvelles normes. Dans de nombreux cas, mais pas toujours. Il existe ...

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

Institute of Scientific and Technical Information of China (English)

Sameer singhal; Pankaj Banode; Nitish Baisakhiya

2009-01-01

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

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.

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

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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.

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

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Ying Qi

2015-05-01

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

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

Directory of Open Access Journals (Sweden)

Amar Taksande

2016-07-01

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

Établir un consensus sur la prévention de la violence et la sécurité ...

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

20 avr. 2016 ... ... pratiques prometteuses, modèles d'intervention, méthodologies et politiques publiques qui renforcent la sécurité des jeunes et promeuvent leur inclusion économique au Mexique et en Amérique centrale. Pour en savoir plus sur le Dialogue de Limon : Prevención de la violencia en Centroamérica.

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.

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

International Nuclear Information System (INIS)

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

2001-12-01

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

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

International Nuclear Information System (INIS)

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

2001-10-01

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

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

International Nuclear Information System (INIS)

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

2001-09-01

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

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

International Nuclear Information System (INIS)

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

2001-12-01

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

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

International Nuclear Information System (INIS)

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

2001-12-01

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

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

International Nuclear Information System (INIS)

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

2002-01-01

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

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

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.

2001-09-01

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

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. V. - November of 2001

International Nuclear Information System (INIS)

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

2002-01-01

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

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

International Nuclear Information System (INIS)

Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio

2001-01-01

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

Sexualidad, migraciones y fronteras en contextos de integración sur-sur

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Martha Cecilia Ruiz

Full Text Available Resumen Este artículo se pregunta sobre los procesos de diferenciación, jerarquización e inclusión/exclusión de poblaciones migrantes en contextos migratorios sur-sur, y sobre el rol que juega la sexualidad en estos procesos. Partiendo de un estudio etnográfico sobre las migrantes peruanas y colombianas en el sector del comercio sexual de Ecuador, se analiza la manera en que la sexualidad se convierte en un sitio privilegiado para re-imaginar las diferencias y jerarquías nacionales en un mundo globalizado e integrado regionalmente, y se explica cómo los regímenes de control sobre las migraciones y la sexualidad femenina se articulan entre sí para restablecer el orden idealizado de la nación.

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

Science.gov (United States)

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

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

Effet de la composition de différents substrats culturaux sur ...

African Journals Online (AJOL)

SARAH

31 janv. 2014 ... Effet de la substrats culturaux sur paramètres de croissance ... des graines, mais ce substrat a donné des performances acceptables sur la croissance longitudinale des ..... élevés en conteneurs sur différents types de.

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

OpenAIRE

Cabrera Rioja, Luis Alberto

2007-01-01

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

Ligand binding and conformational changes of SUR1 subunit in pancreatic ATP-sensitive potassium channels.

Science.gov (United States)

Wu, Jing-Xiang; Ding, Dian; Wang, Mengmeng; Kang, Yunlu; Zeng, Xin; Chen, Lei

2018-06-01

ATP-sensitive potassium channels (K ATP ) are energy sensors on the plasma membrane. By sensing the intracellular ADP/ATP ratio of β-cells, pancreatic K ATP channels control insulin release and regulate metabolism at the whole body level. They are implicated in many metabolic disorders and diseases and are therefore important drug targets. Here, we present three structures of pancreatic K ATP channels solved by cryo-electron microscopy (cryo-EM), at resolutions ranging from 4.1 to 4.5 Å. These structures depict the binding site of the antidiabetic drug glibenclamide, indicate how Kir6.2 (inward-rectifying potassium channel 6.2) N-terminus participates in the coupling between the peripheral SUR1 (sulfonylurea receptor 1) subunit and the central Kir6.2 channel, reveal the binding mode of activating nucleotides, and suggest the mechanism of how Mg-ADP binding on nucleotide binding domains (NBDs) drives a conformational change of the SUR1 subunit.

Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003

International Nuclear Information System (INIS)

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

2003-09-01

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

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

International Nuclear Information System (INIS)

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

2002-01-01

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

Geopolítica, economía y solidaridad internacional en la nueva cooperación Sur-Sur: el caso de la Venezuela bolivariana y petrocaribe Geopolitics, economy and international solidarity in the new South-South cooperation: the case of Bolivarian

Directory of Open Access Journals (Sweden)

Daniele BENZI

2013-05-01

Full Text Available En el presente artículo se muestra un panorama del esquema de cooperación energética propuesto en 2005 por la República Bolivariana de Venezuela a los países centroamericanos y caribeños denominado PETROCARIBE. Se plantea que la emergencia de esta propuesta, al igual que otras iniciativas de cooperación Sur-Sur, está claramente vinculada a objetivos estratégicos de política exterior que remiten básicamente a parámetros geopolíticos, económicos, de seguridad y, por último, de solidaridad internacional. En la primera sección se reseñan algunas de las características, debates y principales tendencias de la cooperación Sur-Sur. Se presentan a continuación los rasgos específicos de la política exterior y energética bolivariana. Se ofrece sucesivamente una descripción general de la estructura, mecanismos de funcionamiento y principales proyectos en marcha de PETROCARIBE. Finalmente, tras discutir esta experiencia de cooperación Sur-Sur a la luz de sus alcances, problemas y vulnerabilidades, se esbozan algunas conclusiones.This article aims to show an overview of the energy cooperation scheme called PETROCARIBE, proposed in 2005 by the Bolivarian Republic of Venezuela to the Caribbean and Central American countries. It argues that the emergence of this project, like other South-South cooperation initiatives, is clearly linked to several strategic foreign policy goals, which basically refer to geopolitical, economic, security and, last but not least, international solidarity parameters. The first section outlines some general characteristics of South-South cooperation and current trends and debates. The following presents the peculiar features of the Bolivarian foreign and energy policies. The next presents a general description of the PETROCARIBE framework, working mechanisms and its most important projects. Finally, after a discussion on PETROCARIBE as a South-South cooperation initiative, by highlighting its scopes, problems

Sur terre comme sur mer: organisations spatiales en mer du Nord et mer de Norvège

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Maryvonne LE BERRE

1998-09-01

Full Text Available L'article montre, au moyen de représentations cartographiques et graphiques, les structures spatiales développées en mer pour l'exploitation des hydrocarbures. Malgré les différences de milieu, l'appropriation et l'occupation territoriales du domaine maritime s'effectuent selon les mêmes principes que sur le continent, à ceci près que ce qui s'étale en surface sur le continent se développe à la verticale en mer.

Hausse des taxes sur le tabac et politiques de lutte antitabac au ...

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

Par ailleurs, les études existantes sur les effets des taxes sur le tabac sont fondées sur l'" élasticité de la demande en fonction du prix ", une mesure qui indique l'évolution de la demande globale de cigarettes en réaction à une modification des prix, mais qui ne tient pas compte des effets d'une augmentation des taxes sur ...

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

International Nuclear Information System (INIS)

Khan, S.A.

2017-01-01

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

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

Science.gov (United States)

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

2015-08-01

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

Effets de six composts sur les réponses physiologiques ...

African Journals Online (AJOL)

Les effets de ces six composts sur le potentiel hydrique, la fuite d'électrolyte, la teneur en amidon des feuilles et sur quelques paramètres agronomiques ont été évalués sur les plantes stressées en comparaison avec les plantes témoins. Les résultats indiquent des valeurs du potentiel hydrique foliaire très faibles et une ...

Sur un deplacement de valeurs: traire et tirer

Directory of Open Access Journals (Sweden)

André Burger

1972-12-01

Full Text Available L'étymologie de firer est inconnue. Celie que le regretté W. von Wart burg a ern pouvoir avancer est inacceptable: firer serait sorti de marty rier par la grâce d'une fausse coupure mar tirier. Il est plus qu'improbable que cette «étymologie populaire» eût pu se produire si la langue ne possédait pas au préalable un verbe tirier. Au surplus aucun fait n'appuie cette hypothèse. Le FEW, t. VI, 1, p. 396, donne bien pour firer le sens de «torturer sur un treteam>, au XIIIe siècle, et p. 403, «démembrer en faisant tirer les quatre membles par des chevaux» et «torturer (qn en l'étendant sur un tréteau” au XIVe siècle; ces sens sont évidemment trop tardifs pour permettre des conclusions sur l'origine de firer, d'autant plus qu'ils s'expliquent sans peine par la valeur normale du mot, attesté dès la Chanson de Roland, sans aucun rapport avec martirie, mot savant de clerc, qui, dans le même texte s'applique deux fois sur quatre exemples aux Sarrasins, vv. 501 et 1467, où il ne signifie pas «martyre» mais <sur son étymologie et non sur les textes, que tirer aurait à l'origine »einen starken affektiven unterton« (FEW XIII, 2, p. 185. L'étude des exemples de la Chanson de Roland, confrontés avec ceux de traire, nons amènera à une conclusion toute différente.

Effets de l'audit clinique basé sur des critères sur de la qualité de la ...

African Journals Online (AJOL)

Effets de l'audit clinique basé sur des critères sur de la qualité de la prise en charge de la prééclampsie sévère dans le Département de Gynécologie Obstétrique du Centre Hospitalier Universitaire Yalgado Ouédraogo, Ouagadougou (Burkina Faso). Sibraogo Kiemtoré, Adama Dembélé, Adama Ouattara, Hyacinthe1,2 ...

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.

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

OpenAIRE

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

2014-01-01

OBJECTIVES: There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS) infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. METHODS: Children and adults patients cli...

Correlation between vegetation pattern and microtopography in periglacial areas of the Central Alps

Directory of Open Access Journals (Sweden)

Gerdol, Renato

1990-06-01

, Italie. Il n'y a pas de végétation sur les limites des polygones de pierres, tandis que les zones centrales sont couvertes par espèces pionnières de versants pierreuses. L'évolution morphologique agit plus rapidement sur le bord des polygones que sur les zones centrales. Au contraire, la végétation colonise lentement les bords des polygones, et plus rapidement les zones centrales. Le centre de la plupart des polygones est couvert par un tapis de Salix herbacea. La détermination de l'âge des rejetons de Salix n'a pas été un méthode très utile pour la chronologie, mais il donne information sur le microclimat local.

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 ...

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

Science.gov (United States)

Manyazewal, Tsegahun; Matlakala, Mokgadi C

2018-06-01

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

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...

Le Projet d’Ole Lando sur les Contrats

DEFF Research Database (Denmark)

Holle, Marie-Louise

2017-01-01

En 2016 le projet de recherche le plus important jusqu’à présent sur le droit nordique des contrats a pris fin et un livre, de presque 400 pages, en a marqué l’aboutissement. Le résultat du projet est un « restatement » tel qu’il existe aux États-Unis. Le Restatement porte sur les règles et les...

Droits, justice et réseaux sociaux sur Internet (Amérique latine ...

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

... sur la question de la protection des renseignements personnels sur Internet, ... Derechos y justicia y el movimiento social en internet (5 de agosto de 2009 ... Programme de recherche sur le virus Zika Canada-Amérique latine et Caraïbes.

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

International Nuclear Information System (INIS)

Yolchai Jongjirasiri; Yongyudh Vajaradul

1999-01-01

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

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.

Recherche en partenariat sur la transition nutritionnelle et les ...

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

l'évolution du risque a suivi et a débouché sur une stratégie de prévention ... de recherche ont pu avoir un impact sur les politiques et pro- .... Deux études étaient donc entreprises ..... à la même thématique et de recruter par eux-mêmes les.

Renforcement de l'influence de la recherche sur l'élaboration des ...

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

Réflexions

influent sur les politiques, mais de façons différentes. Le lien entre recherche et influence sur les politiques n'est ... Renforcement de l'influence de la recherche sur l'élaboration des politiques d'adaptation. PA. NOS. /G .... ceux de la CMAE ont dit avoir besoin de soutien technique. Il était malheureusement difficile pour le ...

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.

Notes on the Start-Up of the Latina Power Station; Notes concernant le demarrage de la centrale nucleaire de Latina; Zapusk ehlektrostantsii Latina; Notas sobre la puesta en marcha de la central electrica de Latina

Energy Technology Data Exchange (ETDEWEB)

Calabria, G.; Gualtieri, G. [AGIP Nucleare, Milano (Italy)

1963-10-15

Information is given on the start-up of the first Italian nuclear power plant, the Latin Power Station, designed for an electrical output of 200 MW, incorporating a natural uranium-gas-graphite reactor. After a brief description of the main characteristics of the station, details are given on die performance of the final tests of the plant, on the fuel loading and on the sequence of commissioning operations, measurements and controls subsequent to the criticality attained. The operations for the start-up and connection of the station to the electrical network are treated. The organization problems relevant to the station operation including personnel preparation and qualification, safety measures, are also illustrated. (author) [French] Le memoire donne des renseignements sur le demarrage de la premiere centrale nucleaire italienne, la centrale de Latina, dont la puissance electrique est de 200 MW et qui fonctionne avec un reacteur du type uranium naturel-gaz-graphite. Apres une breve description des caracteristiques essentielles de la centrale, des explications detaillees sont donnees sur les resultats des derniers essais auxquels elle a ete soumise, sur le chargement du combustible et sur la serie des operations de mise en service, des mesures et des verifications auxquelles il a ete procede lorsque l'etat critique a ete atteint. Les operations de demarrage et de raccordement de la centrale au reseau electrique sont etudiees dans le memoire, ainsi que les problemes d'organisation que pose l 'exploitation de la centrale, notamment en ce qui concerne la formation du personnel et les mesures de securite. (author) [Spanish] Se comunican datos sobre la puesta en marcha de la primera central nucleoelectrica italiana, en Latina, proyectada para desarrollar una potencia de 200 MW (e), que se basa en un reactor de uranio natural moderado por grafito u refrigerado por gas. Despues de describir brevemente las caracteristicas de la central, se dan detalles sobre el

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

OpenAIRE

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

2014-01-01

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

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

Science.gov (United States)

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

2013-06-01

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

Espacio herido, tiempo acelerado, imaginario conmovido. Interrogantes sobre la postmodernidad del Sur.

Directory of Open Access Journals (Sweden)

Mabel Franzone

2010-11-01

Full Text Available Estableciendo una relación estrecha entre espacio, tiempo e imaginario, este escrito intenta tratar la gran separación Norte- Sur, acaecida con la hipermodernidad y sus consecuencias sobre la destrucción del espacio del Sur ; la cuestión de fondo encara las huellas que puede dejar en los cuerpos y en los imaginarios. Los límites impuestos se tratan en cuatro niveles : históricos, geográficos, económicos- sociales y de la representación. Para una crítica de la modernidad se han tomado parámetros de pensamiento que operan en una trama mediana, forma de pensar propia al Sur y que muestran la necesidad de una epistemología también propia al Sur, que refleje las cuestiones fundamentales y que tenga en cuenta la emancipación y la solidaridad como categorías para repensar el Sur.

Estilos estructurales del Subandino Sur de Bolivia

OpenAIRE

Rocha, Emilio

2013-01-01

El Subandino Sur de Bolivia es una típica faja plegada y corrida de lámina delgada, con una notable regularidad en la geometría de las estructuras. Esta es una característica típica de las fajas plegadas en las que no se involucra el basamento en la deformación. Sin embargo, cuando se analiza en detalle la geometría y evolución de la deformación del Subandino Sur, se verifica que existen numerosas desviaciones de dicha regularidad. En el presente trabajo se estudiaron los diferentes procesos ...

Le lancement canadien du Rapport sur les politiques alimentaires ...

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

1 mai 2018 ... Cet événement sera filmé, puis accessible en ligne sur la chaîne YouTube du CRDI. Le Rapport sur les politiques alimentaires mondiales 2018 passe en revue les principaux faits nouveaux et événements en matière de politiques alimentaires survenus au cours de l'année. D'éminents chercheurs ...

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.

Concilier plaisir et nutrition. Travaux des groupes de travail PNNS sur les lipides et sur le goût

OpenAIRE

Souliac , L.; Bizet, G.; Remy, S.

2010-01-01

Les ministères chargés de l'alimentation et de la santé ont incité les opérateurs à mettre sur le marché des aliments moins riches en lipides, par la signature avec l'État de chartes d'engagement sur la composition nutritionnelle. L'observatoire de la qualité de l'alimentation suit l'évolution de ces efforts. Les lipides ont un rôle technologique et sensoriel important qu'il convient de prendre en considération. Il est aujourd'hui possible d'améliorer le profil nutritionnel des aliments, tout...

Données préliminaires sur le paludisme humain en zones rurale et ...

African Journals Online (AJOL)

SARAH

31 juil. 2017 ... axée sur le diagnostic précoce et la prise en charge rapide des ... recherche investigue sur les connaissances, attitudes et ... paludisme et (vi) sur la source de traitement du paludisme. ... technique ELISA (Burkot et al., 1984).

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

Science.gov (United States)

Oborn, Eivor

2008-04-01

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

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

Science.gov (United States)

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

2017-09-22

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

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...

Une nouvelle ouverture sur le monde pour les femmes | CRDI ...

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

'appellent ailleurs dans le dédale d'étals et d'allées serrés. En plus de son travail sur le marché, Jertrudes est également secrétaire de l'association des femmes qui vendent sur ce marché. Le groupe est un endroit où elles ...

Influence de l'irrigation sur le rendement et sur la qualité des raisins

Directory of Open Access Journals (Sweden)

J. Cerny

1968-12-01

 Le travail présenté résume les résultats de l'expérience avec l'irrigation supplémentaire de la vigne dans le domaine sec du Sud de la Moravie ainsi que son influence sur le rendement et la qualité des raisins.

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

International Nuclear Information System (INIS)

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

2006-01-01

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

Ukrainian-Russian Mixed Speech “Suržyk” within the System of Ukrainian and Russian Interaction

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Salvatore Del Gaudio

2015-12-01

Full Text Available The question of different forms of real and/or presumed mixed speech, a consequence of the interaction between Ukrainian and Russian and widely known as “Suržyk,” remains central in much of contemporary Ukrainian and, more widely, East Slavic sociolinguistic and language contact research. This article pursues a twofold aim: first, I intend to reaffirm my personal hypothesis on the formation process of this mixed speech, which has at times been cited without attribution in the scholarly literature. Second, the paper aims to examine the functioning of Ukrainian-Russian Suržyk within a broader sociolinguistic framework that takes into account other forms of language interaction. Ukrainian-Russian mixed speech in fact has to be assessed and separated from other factors, such as the Ukrainian variety of Russian, dialects, etc. This approach has rarely been applied in previous studies on the topic. The role played by current language ideology is a further essential aspect in establishing which language elements should be attributed to Ukrainian-Russian Suržik. This undoubtedly affects the average speaker’s judgment about the degree of authenticity of Ukrainian forms. One can note a tendency to restrict the synonymic potential of Ukrainian in favor of lexemes and constructions that are dissimilar to Russian. This situation tends to alter the language consciousness of younger generations of Ukrainian speakers, who are likely to perceive as Russian (and therefore part of the Ukrainian-Russian mix elements that are in fact authentic Ukrainian speech elements. These and other related aspects will be the object of my discussion.

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

Chaire de recherche trilatérale Canada – Afrique du Sud sur les ...

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

Le présent projet met l'accent sur les interactions entre l'humain et la faune, notamment sur les pauvres des zones rurales en pays tropical et sur l'effet des changements climatiques que ces derniers subiront. Puisant dans la recherche menée à la station de biologie expérimentale de l'Université Makere, près du parc ...

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

OpenAIRE

Garde Sesma, Idoia

2014-01-01

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

Rapport annuel au Parlement Loi sur la protection des ...

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

Larocque, Samia

1 juil. 1983 ... TBS/SCT 350-63 (Rév. 2011/03). 31/03/2014. 01/04/2013. Période visée par le rapport : Reçues pendant la période visée par le rapport. Total. En suspens à la fin de la période de rapport précédente. Rapport statistique sur la Loi sur la protection des renseignements personnels. Nom de l'institution :.

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

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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.

Earthquakes as collapse precursors at the Han-sur-Lesse Cave in the Belgian Ardennes

Science.gov (United States)

Camelbeeck, Thierry; Quinif, Yves; Verheyden, Sophie; Vanneste, Kris; Knuts, Elisabeth

2018-05-01

Collapse activation is an ongoing process in the evolution of karstic networks related to the weakening of cave vaults. Because collapses are infrequent, few have been directly observed, making it challenging to evaluate the role of external processes in their initiation and triggering. Here, we study the two most recent collapses in the Dôme chamber of the Han-sur-Lesse Cave (Belgian Ardenne) that occurred on or shortly after 3rd December 1828 and between the 13th and 14th of March 1984. Because of the low probability that the two earthquakes that generated the strongest ground motions in Han-sur-Lesse since 1800, on 23rd February 1828 (Mw = 5.1 in Central Belgium) and 8th November 1983 (Mw = 4.8 in Liège) occurred by coincidence less than one year before these collapses, we suggest that the collapses are related to these earthquakes. We argue that the earthquakes accelerated the cave vault instability, leading to the collapses by the action of other factors weakening the host rock. In particular, the 1828 collapse was likely triggered by a smaller Mw = 4.2 nearby earthquake. The 1984 collapse followed two months of heavy rainfall that would have increased water infiltration and pressure in the rock mass favoring destabilization of the cave ceiling. Lamina counting of a stalagmite growing on the 1828 debris dates the collapse at 1826 ± 9 CE, demonstrating the possibility of dating previous collapses with a few years of uncertainty. Furthermore, our study opens new perspectives for studying collapses and their chronology both in the Han-sur-Lesse Cave and in other karstic networks. We suggest that earthquake activity could play a stronger role than previously thought in initiating cave collapses.

[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.

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 ...

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

Les mesures de gel et de confiscation en vertu de la Loi sur les embargos

OpenAIRE

Schnyder, Nicolas

2009-01-01

Etude du mécanisme d'adoption des mesures de gel et de confiscation en vertu de la Loi sur les embargos et leurs conséquences tant sur la personne principalement touchée par ces mesures que sur les tiers.

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 ...

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

OpenAIRE

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

2007-01-01

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

Estimasi Model Seemingly Unrelated Regression (SUR dengan Metode Generalized Least Square (GLS

Directory of Open Access Journals (Sweden)

Ade Widyaningsih

2015-04-01

Full Text Available Regression analysis is a statistical tool that is used to determine the relationship between two or more quantitative variables so that one variable can be predicted from the other variables. A method that can used to obtain a good estimation in the regression analysis is ordinary least squares method. The least squares method is used to estimate the parameters of one or more regression but relationships among the errors in the response of other estimators are not allowed. One way to overcome this problem is Seemingly Unrelated Regression model (SUR in which parameters are estimated using Generalized Least Square (GLS. In this study, the author applies SUR model using GLS method on world gasoline demand data. The author obtains that SUR using GLS is better than OLS because SUR produce smaller errors than the OLS.

Estimasi Model Seemingly Unrelated Regression (SUR dengan Metode Generalized Least Square (GLS

Directory of Open Access Journals (Sweden)

Ade Widyaningsih

2014-06-01

Full Text Available Regression analysis is a statistical tool that is used to determine the relationship between two or more quantitative variables so that one variable can be predicted from the other variables. A method that can used to obtain a good estimation in the regression analysis is ordinary least squares method. The least squares method is used to estimate the parameters of one or more regression but relationships among the errors in the response of other estimators are not allowed. One way to overcome this problem is Seemingly Unrelated Regression model (SUR in which parameters are estimated using Generalized Least Square (GLS. In this study, the author applies SUR model using GLS method on world gasoline demand data. The author obtains that SUR using GLS is better than OLS because SUR produce smaller errors than the OLS.

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.) ...

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

African Journals Online (AJOL)

Dans le but d'une meilleure mise en valeur de l'espace, plusieurs espèces végétales sont cultivées en association essentiellement avec Persea americana. L'approche méthodologique est basée sur des inventaires floristiques et écologiques sur 45 placettes de 25 m x 25 m dans les agrosystèmes. Une diversité de 85 ...

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

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

On s'attend à ce que cette hausse du tabagisme ait d'importantes répercussions sur la santé publique et le développement économique. Il ressort de l'expérience d'autres régions que le moyen le plus efficace de renverser une telle tendance consiste à augmenter les taxes sur les cigarettes. Toutefois, les responsables des ...

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

Science.gov (United States)

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

2017-09-01

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

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

Science.gov (United States)

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

2001-12-01

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

Leukaemia at Queen Elizabeth Central Hospital in Blantyre, Malawi.

Science.gov (United States)

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

2001-07-01

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

Influence du système de logement sur quelques performances ...

African Journals Online (AJOL)

Les effets de deux systèmes de logement (batterie de cages et sol sur litière) sur les performances zootechniques et économiques des poules pondeuses ont été évalués en zone tropicale humide, au sud du Benin. Un total de 180 poules pondeuses (Isa Brown) de 26 semaines d'âge était réparti en deux groupes de 108 et ...

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

Delphine Serre, Les coulisses de l'Etat social. Enquête sur les signalements d'enfant en danger

OpenAIRE

Giraud, Frédérique

2011-01-01

A partir de l'analyse de la manière dont les assistantes sociales réalisent leur mission de protection de l'enfance, par le signalement à la justice des enfants « en danger », Delphine Serre souhaite explorer les coulisses de l'Etat social, en prenant pour objet d'étude central, les assistantes sociales. Le signalement d'enfants en danger est ici pris comme point d'entrée pour étudier le « fonctionnement réel de l'Etat social aujourd'hui » (p 13), en centrant le regard sur un mode d'intervent...

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

OpenAIRE

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

2011-01-01

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

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.

Reconfiguración de la Cooperación Sur-Sur en la región latinoamericana y la participación internacional de los actores subnacionales

Directory of Open Access Journals (Sweden)

Mariana Calvento

2015-01-01

Full Text Available El presente trabajo describe y analiza las actua-les características de la Cooperación Sur-Sur en América Latina, especialmente el papel de los actores subnacionales en dicha dinámica. A su vez, analiza las modalidades que adquiere esta cooperación en el contexto político regio-nal de la última década, donde se evidencia un importante avance de la integración de los países latinoamericanos. Finalmente, estudila relación existente entre los principios de la Cooperación Sur-Sur con la participación in-ternacional de los actores subnacionales a partir de la relevancia que adquieren algunas de es-tas formas de cooperación, como es el caso de la Red mercociudades, el Foro Consultivo de Municipios, Estados Federados, Provincias y Departamentos del mercosur (fccr mer-cosur y la Federación Latinoamericana de Ciudades, Municipios y Asociaciones de Go-biernos Locales (flacma, que nuclean a estos actores y promueven mecanismos institucionales que favorecen la participación de las ciudades a través de diferentes instrumentos de intercambio y cooperación.

Controverses sur les sucres [Controversies about sugars

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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.

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

Science.gov (United States)

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

2017-03-01

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

La estrategia de liderazgo regional de la India a través de la cooperación sur-sur (2003-2012)

OpenAIRE

Jaime Garzón, Carlos Felipe

2014-01-01

La presente investigación tiene como objetivo analizar en qué medida la estrategia de liderazgo regional de la India ha sido impulsada a través de los programas y proyectos de cooperación sur-sur ofrecidos por este país en el periodo de 2003-2012. De igual forma se pretende indagar sobre el papel histórico que ha jugado la India en el establecimiento y posterior evolución de esta nueva forma de cooperación que ha sido vista por la mayoría de los académicos como un complemento de la cooperació...

Enjeux de territoires sur une frontière méconnue

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Françoise Grenand

2012-11-01

Full Text Available « J’ai travaillé dans le temps sur le chantier d’un pont sur le Zambèze. Je me suis toujours demandé pourquoi ils avaient décidé de faire un pont à cet endroit : c’est la même chose sur les deux rives… ». Humphrey Bogart, in African Queen, de John Huston, 1951.Il y a encore quatre décennies, la Guyane ignorait superbement qu’elle eût un voisin nommé Brésil. Une frontière en commun ? Et même la plus longue frontière terrestre de la France ? Les deux seules librairies du département ne proposai...

SurF: an innovative framework in biosecurity and animal health surveillance evaluation.

Science.gov (United States)

Muellner, Petra; Watts, Jonathan; Bingham, Paul; Bullians, Mark; Gould, Brendan; Pande, Anjali; Riding, Tim; Stevens, Paul; Vink, Daan; Stärk, Katharina Dc

2018-05-16

Surveillance for biosecurity hazards is being conducted by the New Zealand Competent Authority, the Ministry for Primary Industries (MPI) to support New Zealand's biosecurity system. Surveillance evaluation should be an integral part of the surveillance life cycle, as it provides a means to identify and correct problems and to sustain and enhance the existing strengths of a surveillance system. The surveillance evaluation Framework (SurF) presented here was developed to provide a generic framework within which the MPI biosecurity surveillance portfolio, and all of its components, can be consistently assessed. SurF is an innovative, cross-sectoral effort that aims to provide a common umbrella for surveillance evaluation in the animal, plant, environment and aquatic sectors. It supports the conduct of the following four distinct components of an evaluation project: (i) motivation for the evaluation, (ii) scope of the evaluation, (iii) evaluation design and implementation and (iv) reporting and communication of evaluation outputs. Case studies, prepared by MPI subject matter experts, are included in the framework to guide users in their assessment. Three case studies were used in the development of SurF in order to assure practical utility and to confirm usability of SurF across all included sectors. It is anticipated that the structured approach and information provided by SurF will not only be of benefit to MPI but also to other New Zealand stakeholders. Although SurF was developed for internal use by MPI, it could be applied to any surveillance system in New Zealand or elsewhere. © 2018 2018 The Authors. Transboundary and Emerging Diseases Published by Blackwell Verlag GmbH.

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

African Journals Online (AJOL)

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

Los rubios. Recherche sur les différents états de la mémoire et sur la reconstruction d’une identité

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Marta Mariasole Raimondi

2010-11-01

Full Text Available Los rubios, Argentina, 2003. Réalisation : Albertina Carri. Interprètes : Analìa Couceyro, Albertina Carri. Durée : 89 min. Noir & blanc et couleurs. Langue espagnole. Introduction Mélange de souvenirs, d’anecdotes, de fragments et d’imagination. Los rubios [trad. Les Blonds] ne se présente pas comme un film de dénonciation ou comme un documentaire historique sur les detenidos-desparecidos. Dans ce film, Albertina Carri propose plutôt sa vision personnelle sur la disparition de ses parents. L...

Sur la plurifonctionnalité du discours direct

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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

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

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

Science.gov (United States)

Sinorita, Hemi; Saádah; Jazakillah, Setyowati

2008-04-01

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

GSTAR-SUR Modeling With Calendar Variations And Intervention To Forecast Outflow Of Currencies In Java Indonesia

Science.gov (United States)

Akbar, M. S.; Setiawan; Suhartono; Ruchjana, B. N.; Riyadi, M. A. A.

2018-03-01

Ordinary Least Squares (OLS) is general method to estimates Generalized Space Time Autoregressive (GSTAR) parameters. But in some cases, the residuals of GSTAR are correlated between location. If OLS is applied to this case, then the estimators are inefficient. Generalized Least Squares (GLS) is a method used in Seemingly Unrelated Regression (SUR) model. This method estimated parameters of some models with residuals between equations are correlated. Simulation study shows that GSTAR with GLS method for estimating parameters (GSTAR-SUR) is more efficient than GSTAR-OLS method. The purpose of this research is to apply GSTAR-SUR with calendar variation and intervention as exogenous variable (GSTARX-SUR) for forecast outflow of currency in Java, Indonesia. As a result, GSTARX-SUR provides better performance than GSTARX-OLS.

Dans le labyrinthe de verre. La négociation sur l'effet de serre

OpenAIRE

Hourcade , Jean Charles

2002-01-01

National audience; En parcourant les étapes principales de la « négociation climat », on fait apparaître le jeu de miroirs qui se déroule entre Europe et États-Unis, dans un contexte historique caractérisé par les débats sur la mondialisation, la volonté de leadership de l'Union européenne sur ce thème, la montée aux États-Unis d'inquiétudes sur le maintien de leur suprématie.On montre aussi pourquoi ce jeu, après avoir masqué des possibilités réelles de compromis, a débouché en 2000 sur l'éc...

Sur les lherzolites et ophites des Pyrénées

NARCIS (Netherlands)

Zwart, H.J.

1953-01-01

Depuis longtemps on trouve dans la littérature sur la géologie des Pyrénées des discussions sur les lherzolites et les ophites, concernant leur origine, leur âge et leur mode de formation. En général ces discussions ont rendu difficile l'éclaircissement de ce problème et un résumé de toute la

L'incidence des pesticides sur les producteurs de pommes de terre ...

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

27 janv. 2011 ... De 1990 à 1993, lui et Charles Crissman du Centre international de la pomme de terre (CIP) en Équateur ont participé à une étude appelée Tradeoffs qui portait sur les effets des pesticides sur la santé, l'environnement et la productivité. Tous deux sont chargés de la direction des recherches du projet ...

Turismo en Segovia sur. Análisis y propuestas de mejora

OpenAIRE

Herranz Marcos, María

2015-01-01

Este trabajo hace un análisis sobre el turismo rural y sostenible. El cual se basa en el territorio de Segovia sur. Segovia sur tiene un gran potencial turístico, que en algunas zonas es menos conocido. Por ello la creación de una serie de propuestas (senderismo, cicloturismo) que de forma sostenible potencien el desarrollo del turismo en esa zona. Grado en Turismo

Etude des répercussions de la pollution industrielle sur la riziculture ...

African Journals Online (AJOL)

Les industries spécialisées dans le textile déversent leurs eaux usées dans le ... sur les sols, les compositions chimiques des plants de riz et sur la production. ... The effluents quality varies on day, the pH from 3.9 to 10.6 and the electrical ...

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

Directory of Open Access Journals (Sweden)

Jyoti Jain

2018-01-01

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

Cooperación Sur-Sur para el fortalecimiento de los laboratorios de control de medicamentos de la Comunidad del Caribe (CARICOM

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José María Parisi

Full Text Available RESUMEN Objetivo Describir los beneficios obtenidos a través de la cooperación Sur-Sur y Triangular, como una potencial herramienta para el fortalecimiento en el control de la calidad de los medicamentos en los Laboratorios Oficiales de Control de Medicamentos (LOCM de la Región de las Américas. Métodos Estudio descriptivo del proyecto para el fortalecimiento en el control de la calidad de los medicamentos en los LOCM de la Comunidad del Caribe (CARICOM. Resultados La capacitación fue desarrollada por profesionales de la Administración Nacional de Medicamentos, Alimentos y Tecnología Médica (ANMAT de Argentina, a profesionales de Guyana, Jamaica, Surinam y Trinidad y Tobago. El proyecto contó con financiamiento del Fondo Argentino de Cooperación Sur-Sur y Triangular (FO.AR y coordinación de la Organización Panamericana de la Salud (OPS. Se revisaron los documentos de Buenas Prácticas de Laboratorio (BPL de la Organización Mundial de la Salud (OMS y de la Red Panamericana para la Armonización de la Reglamentación Farmacéutica (Red-PARF y se fortaleció el área de controles físicos químicos, principalmente en relación a medicamentos para el tratamiento de la tuberculosis, la malaria y el VIH/sida, todos de importancia estratégica para esos países. Conclusión Este tipo de colaboraciones permiten transferir experiencia, optimizar los recursos, armonizar procedimientos y regulaciones y reforzar capacidades en término de recursos humanos, y constituyen una herramienta valiosa en la reducción de las asimetrías que pudieron establecerse en diferentes áreas entre diferentes países de nuestra región.

Experiments with the SUR 100 training reactor

International Nuclear Information System (INIS)

Milicic, B.

1984-06-01

This paper contains a compilation of various experiments using the SUR - 100 reactor for training purposes, which have been widly proved in practical work at the School for Nuclear Technology of the Karlsruhe Research Center. (orig.) [de

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

Science.gov (United States)

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

2007-01-01

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

L'Avenir de la Vie sur la Terre

CERN Document Server

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...

La Convention de Rio sur la diversité biologique

OpenAIRE

Maljean-Dubois , Sandrine

2016-01-01

International audience; Du 3 au 14 juin 1992, en écho à la première grande conférence onusienne sur l'environnement et le développement, celle de Stockholm organisée en 1972, se tenait à Rio de Janeiro la Conférence des Nations Unies sur l'environnement et le développement (CNUED), dite aussi Sommet de la Terre. Cette conférence marquait une étape dans la perception des enjeux environnementaux et suscitait de vifs espoirs. Un programme d'action pour le XXI ème siècle, Action 21, dont le chapi...

Bâle 3 : Quels impacts sur le financement des pays émergents ?

OpenAIRE

Figuet, Jean-Marc; Humblot, Thomas; Lahet, Delphine

2013-01-01

La persistance de crises bancaires démontre l'incapacité des établissements de crédit à s'autoréguler. De ce fait, le Comité de Bâle étend largement le périmètre de la nouvelle règlementation prudentielle. Sur la base de la littérature sur les déterminants des flux de capitaux transfrontières et d'un GMM système, cet article analyse l'impact potentiel de l'accord Bâle 3 sur les flux de capitaux bancaires provenant des banques de 16 pays industrialisés à destination d'un panel de 30 pays émerg...

Effets du travail du sol sur le comportement chimique et biologique ...

African Journals Online (AJOL)

SARAH

31 juil. 2017 ... RESUME. Objectif : L'objectif de cette étude est de comparer les effets de six techniques culturales de mise en place du blé tendre sur certaines propriétés chimiques et biologiques du sol et les conséquences sur le rendement grain et ses composantes dans la région «non chernozem» en 7ème années ...

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

Sur?Surva - the Forgotten God [In Bulgarian

Directory of Open Access Journals (Sweden)

G. Simeonova

2014-12-01

Full Text Available Тhis paper deals with the neglected god – Sur/Surva. The author considers in full detail this problem, finding an evidence for the statements proposed by a new perusal of Stefan Verkovich’s Veda Slovena.

Perception du risque et vulnérabilité des milieux humides sur la côte ...

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

Ils repéreront et évalueront les facteurs de stress associés aux changements climatiques pour ensuite analyser les facteurs qui influent sur la gestion des milieux humides et sur la perception des risques au sein des collectivités locales. Cette analyse débouchera sur l'élaboration de lignes directrices pour encourager les ...

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.

Sur le discours et l’histoire en foucault. Entretien avec Jacques Guilhaumou

Directory of Open Access Journals (Sweden)

Welisson Marques

2013-08-01

Full Text Available Dans cet entretien inédit, Jaques Guilhaumou parle sur la question du discours et de l´histoire dans la pensée de Michel Foucault en regardant telles questions à partir du belvédère de l’Analyse du Discours selon la perception française. Il commence en présentant un panorama de ses travaux plus actuels et souligne ensuite le rôle décisif de Foucault dans le établissement de une nouvelle relation entre le discours et l´histoire. Dans cette direction, il donne des détails sur quelques influences épistémologiques de la pensée foucaultienne qui viennent surtout de Nietzsche et Koselleck. Comme un grand étudiant de la pensée marxiste, Guilhaumou parle aussi sur le concept de l´ideologie et ses plusières métamorphoses conceptuelles dans autres champs jusqu´au moment de parler sur la question du pouvoir. Il parle quand même sur la problématique de l´analyse des images dans l´Analyse du Discours, une question favorable pour beaucoup des analystes du discours qui s´occupent avec le syncrétisme sémiotique des ses objets dans l´actualité. Enfin, il indique l´existence de une théorie du discours diluée dans la pensée du philosophe.

Pouvoir et sexualité. Le discours féministe sur la prostitution en France (1968-1986.

Directory of Open Access Journals (Sweden)

Damien Simonin

2010-07-01

Full Text Available Cette recherche porte sur les discours sur la prostitution dans la presse féministe, entre 1968 et 1986 en France. Durant cette période, le mouvement féministe est composé de courants conflictuels (courants réformistes et révolutionnaires, différentialistes et universalistes et il porte des discours hétérogènes (informations sur la prostitution, analyses théoriques et politiques, témoignages de prostituées. Pourtant, ces discours s'accordent sur la revendication d'une libération des rapport...

Altiplano Sur de Bolivia

OpenAIRE

Alvarez-Flores, Ricardo; Bommel, Pierre; Bourliaud, Jean; Chevarria Lazo, Marco; Cortes, Geneviève; Cruz, Pablo; Del Castillo, C.; Gasselin, Pierre; Joffre, Richard; Leger, Francois; Nina Laura, Juan Peter; Rambal, Serge; Rivière, Gilles; Tichit, Muriel; Tourrand, Jean-François

2014-01-01

Alimento de base de las poblaciones andinas desde hace milenios, la quinua se ha convertido hoy en un producto apreciado en el mercado internacional de alimentos dietéticos, orgánicos y equitativos. Este cambio lo iniciaron los mismos productores del Altiplano Sur de Bolivia hace aproximadamente unos 40 años. En medio de un desierto de altura, ellos lograron desarrollar una floreciente producción agrícola de exportación. Aunque cuentan con lucrativos nichos de mercado, los productores de quin...

Marín E. y Romero M. (Eds., Cuando el Sur piensa el Sur. Los giros de la cooperación al desarrollo, Bogotá: Universidad Externado de Colombia, 364 pp.

Directory of Open Access Journals (Sweden)

Daniel Vargas

2016-07-01

Full Text Available El marco introductorio del libro indica que los Estados ubicados en África, Asia y América del Sur, comparten algunas características climáticas, geológicas, biotípicas, económicas e históricas como fuentes inagotables de diversidades identitarias. Es por esto que cobran sentido y adquieren eco las palabras de la líder Leonor Zalabata de la etnia Arhuaca de Colombia transcritas en el epígrafe de la presente reseña, quien al preguntársele por el futuro de los pueblos originarios respondió: “somos y seguiremos siendo”. Lo que significa que, al considerar que los pueblos indígenas y autóctonos son un actor común en los continentes del Sur, y afianzados en la defensa de su identidad, promueven el autodesarrollo, convirtiéndose así en un actor político relevante en los procesos de cooperación Sur-Sur.

Effets du stress salin sur la germination des graines de Gossypium ...

African Journals Online (AJOL)

SARAH

31 août 2014 ... herbeuses et vives tandis que 40 % des graines ont germé sur tanne arbustive en milieu réel. Conclusion et application: l'objectif général de cette étude menée en milieu contrôlé (application des doses de sel) et en milieu réel (tannes) était de montrer les effets du stress salin sur la germination des graines.

Apprentissage en ligne et sur le tas au Mexique | CRDI - Centre de ...

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

Laura Dávila est de retour sur les bancs de l'école. Installée à son bureau dans la classe virtuelle @Campus Mexico, cette fonctionnaire mexicaine se renseigne sur son propre gouvernement — ses ministères et son cadre juridique, les lois qui encadrent l'accès à l'information et la responsabilité de la fonction publique, ...

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. Dans l'espoir de faire obstacle aux politiques visant à réduire la demande de produits du tabac, les compagnies de tabac font valoir que ces politiques auront des répercussions négatives sur l'emploi et l'économie des pays ...

Incidence des prix et des taxes sur la consommation de produits du ...

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

Incidence des prix et des taxes sur la consommation de produits du tabac en Argentine, en Bolivie et au Chili. Partout en Amérique du Sud, les adultes et les enfants font une grande consommation de tabac. Un nouveau projet de recherche se penchera sur les avantages et les limites des stratégies de fixation des prix et de ...

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 ...

AREAS OF ENDEMISM IN THE SOUTHERN CENTRAL ANDES

Directory of Open Access Journals (Sweden)

Lone Aagesen

2012-01-01

Full Text Available Este trabajo analiza la distribución de especies de plantas vasculares endémicas de la porción sur de los Andes centrales (sudoeste de Bolivia y noroeste de Argentina. En el análisis se incluyeron 540 especies endémicas de la región estudiada (aproximadamente 720.600 km2. La mayoría de las especies endémicas se halla en ambientes semiáridos, entre 1500-3500 m s.m., encontrándose principalmente en valles, laderas y mesetas del topográficamente complejo sur de los Andes centrales. Las áreas de endemismos aquí halladas se presentan consecuentemente en ambientes áridos y no en ambientes húmedos subtropicales de las Yungas tucumano-bolivianas, a pesar de que en esta última región la diversidad de plantas vasculares es mayor. Se identificaron un total de 17 patrones de distribución bien definidos, y parcialmente solapados. El patrón de distribución más amplio define un área general de endemismos para los Andes centrales. Esta área se extiende a lo largo de casi toda la región y está delimitada por especies que se distribuyen en ambientes desérticos a sub-húmedos en laderas, valles o regiones altoandinas. Casi todas las restantes áreas de endemismo se encuentran anidadas dentro del patrón de distribución amplio antes citado, superponiéndose en el sentido norte-sur a lo largo de pendientes y valles de los Andes y de las Sierras Pampeanas. A pesar del sesgo observado en la distribución hacia ambientes áridos, aproximadamente la mitad de las especies endémicas están restringidas a unas pocas áreas de alto endemismo, las que se encuentran en yuxtaposición con las zonas más lluviosas de la región. Estas áreas de alto endemismo incluyen los rangos de hábitat más amplios de la región en términos de altitud y precipitación, siendo las especies endémicas igualmente variables en sus requerimientos de humedad y elevación. Las unidades fitogeográficas previamente definidas por diversos autores no fueron encontradas

Quelques noddees sur l’ecologie de la vedetation des dunes et sur la fonction de l’enraciment dans l’edification de dunes a la Cote Mediterraneenne de la France. I

NARCIS (Netherlands)

Boterenbrood, A.J.; Donsellaar-Ten Bokkel Huinink, van W.A.E.; Donselaar, van J.

1956-01-01

Dans la végétation des dunes du Languedoc J. BRAUN-BLANQUET (1952) distingue trois associations, à savoir; 1) l’Agropyretum mediterraneum parmi et sur les premières dunes basses; 2) l’Ammophiletum arundinaceae sur les dunes plus hautes; et 3) le Crucianelletum maritimae dans les dépressions et en

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

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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

Plateforme régionale sur les ordinateurs personnels, déchets ...

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

Institution. SUR Corporación de Estudios Sociales y Educación. Pays d' institution. Chili. Contenus connexes. Un numéro spécial de la revue met en lumière les conclusions d'une étude financée par le CRDI sur le travail rémunéré des femmes. Policy in Focus publie un numéro spécial présentant des données probantes ...

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)

Benefiting from networks by occupying central positions: an empirical study of the Taiwan health care industry.

Science.gov (United States)

Peng, Tzu-Ju Ann; Lo, Fang-Yi; Lin, Chin-Shien; Yu, Chwo-Ming Joseph

2006-01-01

At issue is whether network resources imply some resources available to all members in networks or available only to those occupying structurally central positions in networks. In this article, two conceptual models, the additive and interaction models of the firm, are empirically tested regarding the impact of hospital resources, network resources, and centrality on hospital performance in the Taiwan health care industry. The results demonstrate that: (1) in the additive model, hospital resources and centrality independently affect performance, whereas network resources do not; and (2) no evidence supports the interaction effect of centrality and resources on performance. Based on our findings in Taiwanese practices, the extent to which the resources are acquired externally from networks, we suggest that while adopting interorganizational strategies, hospitals should clearly identify those important resources that reside in-house and those transferred from network partners. How hospitals access resources from central positions is more important than what network resources can hospitals acquire from networks. Hospitals should improve performance by exploiting its in-house resources rather than obtaining network resources externally. In addition, hospitals should not only invest in hospital resources for better performance but should also move to central positions in networks to benefit from collaborations.

Effet sur la compétitivité des réglementations relatives à la gestion des effluents

DEFF Research Database (Denmark)

Andersen, Mikael Skou

2004-01-01

Grâce à un regard approfondi sur le secteur laitier dans les pays de l'OCDE, cette étude permet de mieux analyser l'impact des subventions à l'agriculture et des politiques de l'environnement sur l'environnement et sur la compétitivité internationale des produits laitiers. Ce chapitre étudie les ...

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

Science.gov (United States)

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

2016-01-01

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

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.

EFFET DU GETTERING SUR LA LONGUEUR DE DIFFUSION DES PLAQUETTES DE SILICIUM SEMICRISTALLIN "SOPLIN"

Directory of Open Access Journals (Sweden)

A MOUHOUB

2003-06-01

Full Text Available L’effet des diffusions du phosphore à haute température (T = 900°C sur la longueur de diffusion (Ln des plaquettes de silicium semicristallin SOPLIN (SOlidification by PLanar INterface est déterminé par la mesure de la réponse spectrale de la photopile réalisée sur le matériau traité. L’influence de ces recuits sur les paramètres photovoltaïques est enregistrée dans les caractéristiques courant - tension sous éclairement simulé et la réponse spectrale.

Une méthodologie d'analyse des effets de la globalisation sur les systèmes régionaux locaux

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Silvana Lombardo

1999-06-01

Full Text Available Ce travail a pour but d'enrichir les études concernant les répercussions du changement de l'économie de l'entreprise au niveau global sur les modèles d'organisation territorial au niveau local les entreprises. La recherche part du constat d'une insuffisance du cadre d'étude et d'un manque d'information systématique généralisé. Dans ce but nous avons essayé d'approfondir certains aspects théoriques relatifs d'une part au modèle de réseau que relie les composantes du système territorial, et d'autre part aux effets de globalisation de l'entreprise.Nous avons abordé l'analyse des systèmes industriels de deux régions de l'Italie - les Abbruzes et le Lazio - très peu étudiées mais qui, dans les années dernières, ont montré de grands changements, notamment en ce qui concerne les PME et la formation de véritables systèmes locaux organisés afin de répondre d'une façon très active aux mutations du système économique global.L'analyse s'appuie sur une enquête directe par questionnaire adressée à un échantillon d'entreprises. La loi sur "la privacy" nous a contraintes à employer les données traditionnelles de l'Institut Central de Statistiques et de l'Union des Chambres de Commerce, à partir desquelles nous avons défini l'univers statistique et construit un échantillon représentatif.Les connaissances produites par l'analyse des données permettent de déterminer les formes des questions et d'identifier les aspects devant être approfondis. Les premières conclusions portent en particulier sur les facteurs principaux des choix de localisation de l'entreprise.

Influencia del fenómeno ENSO sobre la precipitación nival en el sector andino de Chile central durante el invierno

Directory of Open Access Journals (Sweden)

1998-01-01

Full Text Available INFLUENCE DU PHÉNOMÈNE ENSO SUR LES PRÉCIPITATIONS NEIGEUSES DANS LE CENTRE DU CHILI ANDIN AU COURS DE L’HIVER AUSTRAL. On analyse l’influence du phénomène El Niño/Oscillation du Sud (ENSO sur les précipitations nivales dans les Andes du Chili central au cours de l’hiver. Pour cela, on a utilisé l’information obtenue sur des sites spécifiques (routes de neige situées entre 30° et 38° S et les anomalies de Température de Surface de la Mer (TSM du bloc Niño 3, comme indicateur de l’importance des événements chauds ou froids dans le Pacifique équatorial central. Au nord de 35°S, l’accumulation de neige tend à être supérieure à la normale quand l’anomalie moyenne de TSM dépasse +1°C au cours de la période mai-août. Dans ce même secteur, on enregistre une précipitation inférieure à la normale les hivers caractérisés par une anomalie de TSM inférieure à -0,5°C. Dans la zone située au sud de 35° S, l’influence du phénomène ENSO sur l’accumulation de neige n’est plus significative. Se analiza la influencia del fenómeno El Niño/Oscilación del Sur (ENSO sobre la precipitación nival en los Andes de Chile central durante el invierno. Para esto, se utiliza información de rutas de nieve localizadas entre 30° y 38° S, y de anomalías de temperatura superficial del mar (TSM en la región Niño 3 como un indicador de la magnitud de los eventos cálidos y fríos en el Pacífico ecuatorial central. En la región al norte de 35° S, la acumulación de nieve durante el invierno tiende a ser superior a lo normal cuando la magnitud de la anomalía media de TSM en el periodo mayo-agosto supera +1,0° C. En este mismo sector se verifica que durante los inviernos caracterizados por una anomalía de TSM inferior a -0,5° C, suele registrarse una precipitación nival inferior a lo normal. En el sector al sur de los 35° S, la influencia del fenómeno ENSO sobre la acumulación de nieve durante el invierno no es

L'objectivation et la perfection des femmes dans la publicité. La perception des consommateurs vis-à-vis des femmes représentées dans des campagnes publicitaires et ses effets sur la marque et sur eux-mêmes.

OpenAIRE

Van Dessel, Sophie; Loir, Estelle

2017-01-01

Depuis son apparition, la publicité contribue consciemment ou inconsciemment au changement de perception du corps de la femme. Dans la société occidentale, utiliser le corps de la femme pour inciter à l’achat d’un produit est une pratique commune dans le marketing. Un ensemble d’effets en tous genres sont à observer sur la perception des consommateurs à propos du produit et sur la marque, sur leur perception vis-à-vis des mannequins et des femmes en général et finalement sur la perception qu’...

Renforcement des capacités de recherche sur les TIC-D au Moyen ...

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

La recherche sur les incidences et les impacts des technologies de l'information et de la communication (TIC) sur le développement social et humain est embryonnaire au Moyen-Orient et en Afrique du Nord (région MOAN). Ce projet vise à encourager les chercheurs de la région MOAN à entreprendre des recherches ...

L'urbanisation sur le plateau d'allada au sud-Benin, agent des ...

African Journals Online (AJOL)

La méthodologie adoptée pour mener à bien cette étude est basée d'une part, sur la revue documentaire et d'autre part, sur les enquêtes de terrain menées dans toutes les communes du département de l'Atlantique. La recherche documentaire a permis de cerner les contours de l'urbanisation et d'évaluer son ampleur ...

Produire des données probantes sur l'agriculture sexospécifique ...

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

Le secteur agricole joue un rôle clé dans le tissu social et l'économie de ... il est important de comprendre la façon dont la dynamique sexospécifique influe sur ... aux ressources et le contrôle de celles-ci; l'emploi du temps et la main-d'œuvre; ... IWRA/CRDI sur les changements climatiques et la gestion adaptive de l'eau.

Recherches sur les courants ésotériques occidentaux modernes

OpenAIRE

Faivre, Antoine

2009-01-01

Conférences de la première heure Elles ont porté principalement sur deux ouvrages récents relevant de la spécialité. Le premier, de Helmut Zander (Anthroposophie in Deutschland. Theosophische Weltanschauung und gesellschaftliche Praxis 1884‑1945, 2 vol., Vandenhoeck & Ruprecht, Göttingen 2007), fort documenté, nous a donné l’occasion de faire le point sur l’état actuel de la recherche en matière d’Anthroposophie steinerienne et de Société Théosophique. Mais nous avons commenté surtout un sous...

Tuberculosis patients hospitalized in the Albert Schweitzer Hospital, Lambaréné, Gabon-a retrospective observational study

NARCIS (Netherlands)

Stolp, S. M.; Huson, M. A. M.; Janssen, S.; Beyeme, J. O.; Grobusch, M. P.

2013-01-01

Epidemiological data on tuberculosis in Central Africa are limited. We performed a retrospective observational study on clinical characteristics of 719 hospitalized tuberculosis patients in Lambaréné, Gabon. Human immunodeficiency virus (HIV) co-infection rate was high (34%) and in-hospital

Rapport annuel au Parlement Loi sur l'accès à l'information Centre ...

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

leonardi

accès à l'information. Source. Nombre de demandes. 0. Médias. 1. Rapport statistique sur la Loi sur l'accès à l'information. Nom de l'institution : Centre de recherches pour le développement international. Période visée par le ...

Inmigración alemana en el sur de Chile, siglo XIX

OpenAIRE

Winkler, Lisette

2009-01-01

Presentación (en español) Durante aproximadamente un mes de trabajo de campo en Chile, Lisette Winkler (EScoM-FMSH) ha grabado una serie de entrevistas que les hizo a los descendientes de los colonos alemanes quienes se instalaron en los alrededores del lago Llanquihue en el siglo XIX. Los documentos audiovisuales fueron recopilados en dos aldeas del sur del país, Frutillar y Puerto Octay. Recogen tanto testimonios orales de los descendientes como tomas panorámicas de los paisajes del sur, qu...

Effets du Cloud computing sur les relations inter-organisationnelles dans la supply chain en France

OpenAIRE

AGHHAVANI-SHAJARI, Benyamin

2016-01-01

National audience; Le cloud computing (CC) est en train de changer la façon dont les entreprises déploient et exploitent leur système d’information. 55% des entreprises françaises utilisent le Service Cloud type Software as a service (Saas). Les recherches se sont surtout focalisées sur la question de l'adoption du CC (ACC) dans une organisation ou encore sur les difficultés techniques et informatiques. À notre connaissance il existe peu de recherches portant sur l'ACC au niveau de la supply ...

Decentralization or centralization: striking a balance.

Science.gov (United States)

Dirschel, K M

1994-09-01

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

14 Oxydation du phenol sur un catalyseur à base de Fer supporté ...

African Journals Online (AJOL)

AKA BOKO

Oxydation du phenol sur un catalyseur à base de Fer supporté sur une argile marocaine. Noura LAHBABI1*, Zakia RAIS2, M. HAJJAJI 3 et S. KACIM3. 1 Laboratoire d'ingénierie des matériaux organométalliques et moléculaire. Faculté des. Sciences Dhar El Mehrez, Fès, Maroc. 2 Laboratoire d'analyses physico-chimiques ...

Les articles de 2017 à lire absolument sur CRDI.ca | CRDI - Centre ...

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

Les articles de 2017 à lire absolument sur CRDI.ca. 02 janvier 2018. Le contenu le plus populaire publié cette année sur notre site Web offre un bon aperçu des défis en matière de développement revêtant une importance capitale pour nos lecteurs. Il démontre également la diversité du travail effectué par le CRDI de même ...

Perceptions of the hospital ethical environment among hospital social workers in the United States.

Science.gov (United States)

Pugh, Greg L

2015-01-01

Hospital social workers are in a unique context of practice, and one where the ethical environment has a profound influence on the ethical behavior. This study determined the ratings of ethical environment by hospital social workers in large nationwide sample. Correlates suggest by and compared to studies of ethical environment with nurses are explored. Positive ratings of the ethical environment are primarily associated with job satisfaction, as well as working in a centralized social work department and for a non-profit hospital. Religiosity and MSW education were not predictive. Implications and suggestions for managing the hospital ethical environment are provided.

Urbanismo y arquitectura moderna en madera en el sur de Chile: 1930-1970

Directory of Open Access Journals (Sweden)

Gonzalo Cerda Brintrup

2005-07-01

Full Text Available La investigación que se presenta tiene como objetivos estudiar el desarrollo de la arquitectura moderna en madera en el sur de Chile; indagar acerca de como esta se incerta en la tradición maderera de la arquitectura del sur; investigar su relación con el desarrollo de una identidad arquitectónica local;localizar y analizar sus ejemplos más significativos. El área de estudio es desde la VIII hasta la X Región, específicamente desde la Provincia de Concepción hasta Chiloé, por cuanto allí se concentra la mayor parte de la arquitectura en madera del sur del país.

Les différences culturelles et leur impact sur la relation soignant-soigné

OpenAIRE

Uysal, Ayse; Matter, Catherine

2011-01-01

Ce travail porte sur les différences culturelles et leur impact sur la relation soignant-soigné lors d’une hospitalisation. Ainsi la problématique de recherche est centrée sur l’identification des difficultés et des spécificités présentes lorsque le soignant entre en relation avec un patient d’une culture différente. Le but de cette étude est d’identifier les difficultés et les obstacles liés à la culture, présents dans la relation soignant-soigné. Le deuxième but est de mettre en évidence le...

Influence intra-blogosphérique et visibilité sur les réseaux sociaux

Directory of Open Access Journals (Sweden)

Damien Renard

2015-10-01

Full Text Available Cette recherche vise à mieux comprendre le fonctionnement des blogueurs influents et leur rôle dans la diffusion de la connaissance culinaire sur les réseaux sociaux numériques. Nous construisons un modèle pour observer le processus d’influence, de la position du blogueur à l’intérieur de la communauté jusqu’au partage du contenu sur Facebook. A partir de l’étude quantitative de 952 blogs culinaires, nous montrons que l’influence intra-blogosphérique conditionne la stratégie éditoriale du blogueur mais également sa visibilité sur les réseaux sociaux.

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.

Immigration Enforcement, Parent-Child Separations, and Intent to Remigrate by Central American Deportees.

Science.gov (United States)

Amuedo-Dorantes, Catalina; Pozo, Susan; Puttitanun, Thitima

2015-12-01

Given the unprecedented increase in the flow of migrants from El Salvador, Guatemala, and Honduras to the United States, this article analyzes the impact of U.S. interior enforcement on parent-child separations among Central American deportees, along with its implications for deportees' intentions to remigrate to the United States. Using the EMIF sur survey data, we find that interior enforcement raises the likelihood of parent-child separations as well as the likelihood that parents forcedly separated from their young children report the intention to return to the United States, presumably without documents. By increasing parent-child separations, interior enforcement could prove counterproductive in deterring repetitive unauthorized crossings among Central American deportees.

Inmigración alemana en el sur de Chile, siglo XIX

Directory of Open Access Journals (Sweden)

Lisette Winkler

2009-01-01

Full Text Available Presentación (en español Durante aproximadamente un mes de trabajo de campo en Chile, Lisette Winkler (EScoM-FMSH ha grabado una serie de entrevistas que les hizo a los descendientes de los colonos alemanes quienes se instalaron en los alrededores del lago Llanquihue en el siglo XIX. Los documentos audiovisuales fueron recopilados en dos aldeas del sur del país, Frutillar y Puerto Octay. Recogen tanto testimonios orales de los descendientes como tomas panorámicas de los paisajes del sur, qu...

American Hospital Association

Science.gov (United States)

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

Impact de la restructuration de la taxe d'accise sur le tabac aux ...

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

Aux Philippines, le taux de tabagisme est élevé et les taxes sur les produits du tabac, peu élevées. La meilleure façon de redresser la situation consiste à adopter des lois qui aug- mentent considérablement les taxes. Une loi restructurant les taxes sur les produits du tabac, qui comporte une forte hausse de la taxe d'accise ...

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.

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...

The Sur7 protein regulates plasma membrane organization and prevents intracellular cell wall growth in Candida albicans.

Science.gov (United States)

Alvarez, Francisco J; Douglas, Lois M; Rosebrock, Adam; Konopka, James B

2008-12-01

The Candida albicans plasma membrane plays important roles in cell growth and as a target for antifungal drugs. Analysis of Ca-Sur7 showed that this four transmembrane domain protein localized to stable punctate patches, similar to the plasma membrane subdomains known as eisosomes or MCC that were discovered in S. cerevisiae. The localization of Ca-Sur7 depended on sphingolipid synthesis. In contrast to S. cerevisiae, a C. albicans sur7Delta mutant displayed defects in endocytosis and morphogenesis. Septins and actin were mislocalized, and cell wall synthesis was very abnormal, including long projections of cell wall into the cytoplasm. Several phenotypes of the sur7Delta mutant are similar to the effects of inhibiting beta-glucan synthase, suggesting that the abnormal cell wall synthesis is related to activation of chitin synthase activity seen under stress conditions. These results expand the roles of eisosomes by demonstrating that Sur7 is needed for proper plasma membrane organization and cell wall synthesis. A conserved Cys motif in the first extracellular loop of fungal Sur7 proteins is similar to a characteristic motif of the claudin proteins that form tight junctions in animal cells, suggesting a common role for these tetraspanning membrane proteins in forming specialized plasma membrane domains.

The Sur7 Protein Regulates Plasma Membrane Organization and Prevents Intracellular Cell Wall Growth in Candida albicans

Science.gov (United States)

Alvarez, Francisco J.; Douglas, Lois M.; Rosebrock, Adam

2008-01-01

The Candida albicans plasma membrane plays important roles in cell growth and as a target for antifungal drugs. Analysis of Ca-Sur7 showed that this four transmembrane domain protein localized to stable punctate patches, similar to the plasma membrane subdomains known as eisosomes or MCC that were discovered in S. cerevisiae. The localization of Ca-Sur7 depended on sphingolipid synthesis. In contrast to S. cerevisiae, a C. albicans sur7Δ mutant displayed defects in endocytosis and morphogenesis. Septins and actin were mislocalized, and cell wall synthesis was very abnormal, including long projections of cell wall into the cytoplasm. Several phenotypes of the sur7Δ mutant are similar to the effects of inhibiting β-glucan synthase, suggesting that the abnormal cell wall synthesis is related to activation of chitin synthase activity seen under stress conditions. These results expand the roles of eisosomes by demonstrating that Sur7 is needed for proper plasma membrane organization and cell wall synthesis. A conserved Cys motif in the first extracellular loop of fungal Sur7 proteins is similar to a characteristic motif of the claudin proteins that form tight junctions in animal cells, suggesting a common role for these tetraspanning membrane proteins in forming specialized plasma membrane domains. PMID:18799621

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

Science.gov (United States)

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

2013-09-01

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

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...

TeleSUR: la creación televisiva de “lo latinoamericano”

Directory of Open Access Journals (Sweden)

Günther Maihold

2014-06-01

Full Text Available Nueva Televisión del Sur C. A. (Tele-SUR es el nombre de la empresa interestatal que ha iniciado sus transmisiones en el año 2005, en el marco de las nuevas iniciativas integracionistas del presidente venezolano Hugo Chávez, enfocada fundamentalmente al área noticiera para el continente americano. Concebida por su director general, el periodista uruguayo Aram Aharonian, como “alternativa a la hegemonía comunicacional, al pensamiento y la imagen únicas”, TeleSUR es parte de un proceso político más amplio, recubierto de barniz bolivariano, para reencontrar, a través de los medios electrónicos, la unidad e identidad latinoamericana frente a las grandes cadenas y corporaciones informativas internacionales, entre las cuales cuentan CNN en español, Fox News, ESPN y la BBC, con sus programas en castellano, y las grandes empresas nacionales como Televisa de México, Globo en Brasil y tanto el grupo Cisneros en Venezuela como Clarín en Argentina.

Rapport de 2010 sur l'état de l'évaluation du développement en Inde ...

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

En Inde, des données empiriques donnent à penser que l'évaluation du développement est en déclin, tant sur le plan du nombre que de la qualité des évaluations. Toutefois, il existe très peu de données écrites, voire aucune, sur la situation de l'évaluation en Inde, ni sur les facteurs en cause. Ce projet permettra donc de ...

Regard sur les Lazarets en Terre Canadienne

Directory of Open Access Journals (Sweden)

Jean Milot

2008-01-01

Full Text Available Puisant dans les nombreuses références qu’offrent les publications médicales canadiennes du milieu du XIXe siècle à nos jours, l’auteur fait découvrir l’existence de lazarets en terre canadienne, décrit l’impact de la maladie sur les conditions vie des lépreux qui y étaient confinés et en souligne les contrecoups tant sur le plan physique et psychologique que social. Il présente un bref aperçu de la maladie, ses symptômes, ses signes ainsi que ses complications oculaires et rappelle les premiers moyens thérapeutiques à base d’huile de chaulmoogra introduits dans la colonie de Tracadie vers 1901. Il illustre son propos en évoquant la vie dans les lazarets de l’île de Sheldrake (1844–1848 et de Tracadie (1848–1965 au Nouveau-Brunswick, puis dans ceux des îles D’Arcy (1891–1924 et de Bentinck (1924–1957 en Colombie-Britannique.

Institutions de recherche sur les politiques et ODD liés à la santé ...

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

Institutions de recherche sur les politiques et ODD liés à la santé ... Ce projet permettra de tirer des enseignements sur l'utilité des think tanks pour soutenir la sensibilisation et la mobilisation des citoyens eu égard à la mise en ... Site internet.

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

Directory of Open Access Journals (Sweden)

Torbica Aleksandra

2010-05-01

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

Efficacité de l'agent antagoniste Trichoderma harzianum sur ...

African Journals Online (AJOL)

Efficacité de l'agent antagoniste Trichoderma harzianum sur Fusarium oxysporum f. sp. lycopersiciagent pathogène de la tomate. LS Gnancadja, DHE Tonon, EMO Faton, KO Douro Kpindou, E Dannon, A Akoegninou ...

Le point sur les données ouvertes : réflexion sur leur rôle en ...

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

L'ouverture de portails gouvernementaux de données ouvertes aux États-Unis et au Royaume-Uni en 2009 a été le fer de lance d'un mouvement mondial qui, près de dix ans plus tard, a été adopté par des dirigeants du monde entier, comme le montrent les objectifs de développement durable, l'accord de Paris sur le ...

La discussion pacifique comme rapport à la langue Française sur wikilf

Directory of Open Access Journals (Sweden)

Léda Mansour

2017-07-01

Full Text Available Cet article veut participer aux études sur le rapport des locuteurs à leur propre langue, ici la langue française. Alors que les études sur la langue pointent un lien “passionnel” qui prendra plusieurs formes: rapport puriste (parler sans faire des fautes, rapport a­ ectif (les mythes de beauté, d’ordre et de clarté, rapport idéologique (défendre sa langue, il existe, ailleurs, des lieux “pacifi ques” où la langue n’est pas disputée mais discutée. Nous avons choisi de travailler sur le site de création langagière WikiLf; c’est en créant un nouveau mot que l’on est le plus exposé à notre façon de voir/penser notre langue. Notre analyse se centre sur l’usage du métalangage laissant émerger un certain savoir sur la langue capable de traduire autrement le rapport à sa propre langue. Nous avons démontré qu’il existe un rapport plutôt spontané des locuteurs francophones qui semble dénué de toute passion, éloigné des postures normatives. Les wikistes donnent l’exemple d’une communauté qui pacifi quement met en discussion la langue française, ce qui représente d’abord un objet de réfl exion, mais encore un choix de recherche perme ant de nous positionner afi n de rendre compte (prendre en compte d’une relation plus souple des usagers de la langue française.

Mild hypothermia as a treatment for central nervous system injuries: Positive or negative effects.

Science.gov (United States)

Darwazeh, Rami; Yan, Yi

2013-10-05

Besides local neuronal damage caused by the primary insult, central nervous system injuries may secondarily cause a progressive cascade of related events including brain edema, ischemia, oxida-tive stress, excitotoxicity, and dysregulation of calcium homeostasis. Hypothermia is a beneficial strategy in a variety of acute central nervous system injuries. Mild hypothermia can treat high intra-cranial pressure following traumatic brain injuries in adults. It is a new treatment that increases sur-vival and quality of life for patients suffering from ischemic insults such as cardiac arrest, stroke, and neurogenic fever following brain trauma. Therapeutic hypothermia decreases free radical produc-tion, inflammation, excitotoxicity and intracranial pressure, and improves cerebral metabolism after traumatic brain injury and cerebral ischemia, thus protecting against central nervous system dam-age. Although a series of pathological and physiological changes as well as potential side effects are observed during hypothermia treatment, it remains a potential therapeutic strategy for central nervous system injuries and deserves further study.

Programa de hipertensión arterial. hospital el carmen de santafé de bogotá

OpenAIRE

Chiappe, Félix M.; Bottia, Luis E.

2010-01-01

El presente trabajo es el producto de la participación de docentes y estudiantes de pre y post-grado de la Facultad de Enfermería de la Universidad Nacional de Bogotá, en el desarrollo del programa de hipertensión arterial en el hasta hace algunos días llamado Hospital El Carmen, hoy Cami II El Carmen Sur, de Santafé de Bogotá, durante más de 14 años.

Rendimiento de semilla y sus componentes en frijol bajo condiciones de acidez y sequía terminal en el sur de Veracruz.

OpenAIRE

Morales Rivera, Aurelio

2014-01-01

Se estudió la variabilidad en rendimiento de semilla y sus componentes, y producción de biomasa aérea en un grupo de variedades de frijol de color negro, nativas del sur de Veracruz y un grupo del tipo “Flor de Mayo”, introducidas del Altiplano, y la región central de México, en condiciones de acidez edáfica y sequía terminal en el Municipio de Juan Rodríguez Clara, Veracruz, en el ciclo otoño-invierno 2012-13. Se incluyeron ocho variedades comerciales liberadas por el INIFAP, un criollo de M...

The Southern Central Andes vertical axis tectonic rotations: relations with the deformation pattern Rotaciones tectónicas según ejes verticales en los Andes Centrales del Sur: relaciones con el patrón de deformación

Directory of Open Access Journals (Sweden)

Claudia Prezzi

2012-05-01

Full Text Available Along the Central Andes a pattern of vertical axis tectonic rotations has been paleomagnetically identified. Such rotations are counterclockwise north of Arica Deflection (~19°S and clockwise to the south. Different hypothesis and models have been proposed to explain the Central Andean Rotation Pattern (CARP. However, the CARP is a subject of ongoing debate. Recently, the quantity, quality, and geographic distribution of paleomagnetic data have expanded greatly. Such expansion has been accompanied by an increase in the knowledge of the deformation periods in the Andes, allowing a more detailed analysis of the temporal and spatial distribution of the detected rotations. We compiled and analyzed the available Cenozoic paleomagnetic data for the region extending between 19° and 27.5°S. The results suggest the possible existence of different rotational domains with distinct characteristics. We propose that in the Southern Central Andes, a close correlation would exist between the style and the temporal and spatial pattern of deformation and the amount of recorded vertical axis rotations. However, in order to further investigate such relationship, new paleomagnetic studies are necessary, particularly in the Eastern Cordillera domain, in Paleogene rocks cropping out in the Altiplano-Puna and in Neogene rocks of the forearc.En los Andes Centrales se ha identificado un patrón de rotaciones tectónicas según ejes verticales a través de estudios paleomagnéticos. Dichas rotaciones son en sentido antihorario al norte del codo de Arica (~19°S y en sentido horario hacia el sur. Distintos autores han propuesto diferentes hipótesis y modelos para tratar de explicar el Patrón de Rotaciones de los Andes Centrales (PRAC. Sin embargo, el PRAC sigue siendo objeto de debate. Recientemente, la cantidad, calidad y la distribución geográfica de los datos paleomagnéticos ha aumentado de manera notable. Dicho incremento ha sido acompañado por un importante

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 .... montre que les politiques budgétaires de relance peuvent avoir un impact à long terme ...... Sciences Economiques et Sciences de Gestion Université d'Alger.

South Pacific Nuclear Free Zone Treaty; Tratado Sobre La Zona Desnuclearizada Del Pacifico Sur

Energy Technology Data Exchange (ETDEWEB)

NONE

1986-02-15

On 6 August 1985 the South Pacific Forum, a body comprising the independent and self-governing countries of the South Pacific (Australia, the Cook Islands, Fiji, Kiribati, Nauru, New Zealand, Niue, Papua New Guinea, the Solomon Islands, Tonga, Tuvalu, Vanuatu and Western Samoa), endorsed the text of the South Pacific Nuclear Free Zone Treaty and opened it for signature [Spanish] El 6 de agosto de 1985 el Foro del Pacifico Sur, organo compuesto por los paises independientes y autonomos del Pacifico Sur (Australia, Fiji, Islas Cook, Islas Salomon, Kiribati, Nauru, Niue, Nueva Zelandia, Papua Nueva Guinea, Samoa Occidental, Tonga, Tuvalu, y Vanuatu), aprobo el texto del Tratado sobre la Zona Desnuclearizada del Pacifico-Sur y lo abrio a la firma.

Effet de la nutrition minérale azotée sur le gain en biomasse de l'if du canada et sur le contenu en taxanes

OpenAIRE

Jollez, Pierre-Antoine

2008-01-01

Dans le cadre d'un vaste programme de domestication de l'if du Canada (Taxus canadensis Marsh.) à des fins de production de taxanes, de jeunes plants en première, deuxième ou troisième années de culture en contenants ont été soumis à différentes sources d'azote (nitrate d'ammonium, nitrate de calcium, nitrate de sodium, sulfate d'ammonium et urée), appliquées à différentes doses, et à divers pH du substrat pour étudier leur influence sur la croissance des plants, sur la teneur en éléments min...

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?

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.

The Sur7 Protein Regulates Plasma Membrane Organization and Prevents Intracellular Cell Wall Growth in Candida albicans

OpenAIRE

Alvarez, Francisco J.; Douglas, Lois M.; Rosebrock, Adam; Konopka, James B.

2008-01-01

The Candida albicans plasma membrane plays important roles in cell growth and as a target for antifungal drugs. Analysis of Ca-Sur7 showed that this four transmembrane domain protein localized to stable punctate patches, similar to the plasma membrane subdomains known as eisosomes or MCC that were discovered in S. cerevisiae. The localization of Ca-Sur7 depended on sphingolipid synthesis. In contrast to S. cerevisiae, a C. albicans sur7Δ mutant displayed defects in endocytosis and morphogenes...

Sur: uma minoria cosmopolita na periferia ocidental Sur: a cosmopolitan minority on the western periphery

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Maria Teresa Gramuglio

2007-06-01

Full Text Available Este artigo explora as condições e as disposições que tornaram possível o surgimento da revista Sur e a formação do grupo cultural de mesmo nome. Propõe critérios para uma periodização que leve em conta, junto com os indícios materiais, as circunstâncias históricas e culturais cambiantes pelas quais a publicação passou durante sua longa vida (1931-1991. Assinala alguns dos principias temas ideológicos e estéticos que foram abordados em suas páginas. Caracteriza o projeto inicial e as transformações imprimidas pela vontade de sua diretora, Victoria Ocampo, e as mudanças nas relações e problemáticas do campo intelectual.This article explores the conditions and dispositions that enabled the emergence of the magazine Sur and the formation of the cultural group of the same name. It sets out the criteria for a periodization that takes into account, along with material factors, the shifting historical and cultural circumstances experienced by the publication over its 60-year life-span (1931-1991. The text highlights some of the main ideological and aesthetic themes to have filled the magazine's pages. It describes the original project and the transformations introduced by its chief editor, Victoria Ocampo, as well as the changes in the relations and problematics of the intellectual field.

Comparative study of the ionic exchange of Ca{sup ++}, Sr{sup ++}, and Ba{sup ++} cations on resins and inorganic exchangers; Etude comparative de l'echange ionique des cations Ca{sup ++}, Sr{sup ++} et Ba{sup ++} sur resine et sur echangeurs mineraux

Energy Technology Data Exchange (ETDEWEB)

Sanchez Batanero, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1969-03-01

With a view to applying the results to certain problems related to chemical separations in activation analysis, a study has been made, of the possibilities of separating the alkaline-earth elements Ca, Sr and Ba on organic resins and inorganic exchangers using the radioactive indicator method. The partition coefficients of the cations Ca{sup 2+}, Sr{sup 2+} and Ba{sup 2+} have been measured on Dowex 50 W (NH{sub 4}{sup +}) x 8 resin in the presence of EDTA - NTA - EGTA and DCTA as complexing agents, and on zirconium phosphate, tungstate and molybdate in the presence of HCl and NH{sub 4}Cl. Methods have been developed for separating mixtures of alkaline-earth elements using DCTA-NH{sub 4}{sup +} followed by elution on Dowex 50 W (NH{sub 4}{sup +}) x 8 resin columns and on zirconium phosphate. Amongst the complexing agents used on the ion-exchange resins the most promising appears to be DCTA which leads to partition coefficients Ca, Sr and Ba which are very different. The results of measurements of partition coefficients on zirconium phosphate (NH{sub 4}{sup +} form) using DCTA-NH{sub 4}{sup +} show the interesting possibilities of separations on columns. The separation of the alkaline-earth elements on zirconium phosphate seems to be less quantitative than on Dowex 50 resin; it is however much faster in the former case and this can be useful for treating short half-life radioisotopes in activation analysis. (author) [French] En vue de l'application a certains problemes de separations chimiques en analyse par activation, on a etudie les possibilites de separation des elements alcalino-terreux Ca-Sr et Ba sur resine organique et sur echangeurs mineraux par la methode des indicateurs radioactifs. Les coefficients de partage des cations Ca{sup +2}, Sr{sup +2} et Ba{sup +2} sur resine Dowex 50 W (NH{sub 4}{sup +}) x 8 en milieux complexants EDTA - NTA - EGTA et DCTA et sur phosphate, tungstate et molybdate de zirconium en milieu HCl et NH{sub 4}Cl ont ete mesures. Des

Rapport sur le développement dans le monde sur le thème du rôle ...

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

... rural et sont tributaires principalement de l'agriculture pour assurer leur subsistance. Ce projet permettra de veiller à ce qu'une place soit accordée aux travaux de recherche financés par le CRDI, aux points de vue différents et aux auteurs de l'hémisphère Sud dans le Rapport sur le développement dans le monde 2008.

ETUDE DE L’INFLUENCE DES DIFFERENTS PARAMETRES SUR UN MODULE PHOTOVOLTAÏQUE

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Assia ZERDOUDI

2015-06-01

Full Text Available L’Algérie dispose d’environ 3200 heures d’ensoleillement par année, bénéficiant d’une situation climatique favorable à l’application des techniques solaires. La conception des installations efficaces et rentables sur la base des modules solaires est particulièrement importante. Des logiciels dédiés à la simulation des systèmes photovoltaïques peuvent réaliser une vaste et précise analyse, mais ils ne permettent généralement pas à l'utilisateur de modifier les algorithmes. Dans le présent travail, un programme fonctionnant en environnement MATLAB, de la simulation de l'application d'un système photovoltaïque sur la base des modèles mathématiques, de ses composants a été conçu, nous avons modélisé un générateur photovoltaïque en se basant sur les équations électriques et mathématiques qui régissent son comportement ainsi que la dégradation  des caractéristiques de ce générateur en fonction des conditions météorologiques (température et éclairement. Nous avons  réalisé notre étude sur le module SPR 315 E de chez SUNPOWER, qui fournit une puissance de 315 W..

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

Science.gov (United States)

Shwekerela, Byera

2014-01-01

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

Incidence of thrombosis in children with tunneled central venous access devices versus peripherally inserted central catheters (PICCs).

Science.gov (United States)

Kanin, Maralee; Young, Guy

2013-11-01

The recent proliferation of deep vein thrombosis in children has been attributed to the increased use of central venous catheters, specifically tunneled lines and peripherally inserted central catheters. A formal comparison of the incidence rate for deep vein thrombosis between tunneled lines and peripherally inserted central catheters has not been undertaken. Children inclusion. Data were extracted from the hospital discharge database which includes data on all procedures and up to 20 diagnoses per admission. Diagnoses and procedures were identified by International Classification of Disease, Ninth Revision coding. Patients were excluded if they received more than one central line. Data collected included type of central line, deep vein thrombosis event, and underlying medical illnesses classified according to chronic complex conditions. Over the seven year study period there was an overall rate of 73 deep vein thromboses per 10,000 hospital discharges. Of the 6915 eligible subjects, 181 had a deep vein thrombosis for an overall incidence rate of 2.6%. There were 152 thrombi (2.6%) in subjects with peripherally inserted central catheters and 29 thrombi (3.1%) in subjects with tunneled lines [OR=.83 (0.55, 1.29), p=0.38]. Despite the relative ease and simplicity of use of peripherally inserted central catheters leading to a substantial rise in their use, this study demonstrates that such lines pose a substantial risk for venous thrombosis and no difference in incidence was detected between such lines and tunneled lines. © 2013.

Influence du traitement thermique sur quatre éléments métalliques ...

African Journals Online (AJOL)

Le but de notre étude est de suivre l\\'effet de la température de combustion sur quatre éléments métalliques (Cd, Cu, Pb et Zn). Les résultats expérimentaux montrent que la température de combustion a un effet sur la volatilisation des métaux lourds dans l'air. Pour déterminer le taux de vaporisation de ces métaux, des ...

Characterization of surface antigen protein 1 (SurA1) from Acinetobacter baumannii and its role in virulence and fitness.

Science.gov (United States)

Liu, Dong; Liu, Zeng-Shan; Hu, Pan; Cai, Ling; Fu, Bao-Quan; Li, Yan-Song; Lu, Shi-Ying; Liu, Nan-Nan; Ma, Xiao-Long; Chi, Dan; Chang, Jiang; Shui, Yi-Ming; Li, Zhao-Hui; Ahmad, Waqas; Zhou, Yu; Ren, Hong-Lin

2016-04-15

Acinetobacter baumannii is a Gram-negative bacillus that causes nosocomial infections, such as bacteremia, pneumonia, and meningitis and urinary tract and wound infections. In the present study, the surface antigen protein 1 (SurA1) gene of A. baumannii strain CCGGD201101 was identified, cloned and expressed, and then its roles in fitness and virulence were investigated. Virulence was observed in the human lung cancer cell lines A549 and HEp-2 at one week after treatment with recombinant SurA1. One isogenic SurA1 knock-out strain, GR0015, which was derived from the A. baumannii strain CCGGD201101 isolated from diseased chicks in a previous study, highlighted the effect of SurA1 on fitness and growth. Its growth rate in LB broth and killing activity in human sera were significantly decreased compared with strain CCGGD201101. In the Galleria mellonella insect model, the isogenic SurA1 knock-out strain exhibited a lower survival rate and decreased dissemination. These results suggest that SurA1 plays an important role in the fitness and virulence of A. baumannii. Copyright © 2016 Elsevier B.V. All rights reserved.

Influence du chlorpyriphos-ethyl sur quelques paramtres de ...

African Journals Online (AJOL)

admin

testicules, les caractéristiques des spermatozoïdes épididymaires et sur les performances de reproduction ont été étudiés. .... par le test d'ANOVA et séparés par le test de. Duncan au ..... Dunnick JK, Gupta BN, Harris MW, Lamb. JC. 1984.

Granuloma central de células gigantes Giant cells central granuloma

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Ayelén María Portelles Massó

2011-03-01

Full Text Available El granuloma reparativo central de células gigantes es una lesión proliferativa no neoplásica de etiología desconocida. Se presenta un paciente masculino de 40 años de edad, portador de prótesis parcial superior. Fue remitido al Servicio de Cirugía Maxilofacial del Hospital "V. I. Lenin" por presentar aumento de volumen en reborde alveolar superior, de color rojo grisáceo y que provocaba expansión de corticales óseas. Una vez analizados los exámenes clínicos, radiográficos e histopatológicos se diagnosticó un granuloma reparativo central de células gigantes Se realizó exéresis quirúrgica de la lesión y extracción de dientes adyacentes con una evolución satisfactoria sin señales de recidivas luego de tres años del tratamiento. El granuloma reparativo central de células gigantes se presentó como respuesta a un trauma. La correcta interpretación de los datos clínicos, radiográficos e histopatológicos nos permitió llegar al correcto diagnóstico y plan de tratamiento.Giant-cell central reparative granuloma is non neoplastic proliferative lesion of unknown etiology. We report a 40 years old male patient who was admitted at the Maxillofacial Service of the "V. I. Lenin" Hospital. The patient had partial upper prosthesis and was complaining of red-grey volume increase lesion in upper alveolar ridge which led to the expansion of cortical bone. Having analyzed clinical, radiographic and histopathological findings the case was concluded as a giant-cell central reparative granuloma. Surgical exeresis and adjunct tooth extraction were done. After three years of treatment, satisfactory follow up without recurrence is reported.

Recensement des initiatives de la société civile axées sur le ...

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

analyse sur la nature, la portée et l'ampleur des travaux réalisés, de même qu'à un répertoire commenté des organismes de la société civile travaillant sur des enjeux liés au développement au sein de la communauté musulmane de l'Inde.

Pärt, Arvo: "Summa". Collage sur BACH. Fratres / Patric Wiklacz

Index Scriptorium Estoniae

Wiklacz, Patric

1997-01-01

Uuest heliplaadist "Pärt, Arvo: "Summa". Collage sur BACH. Fratres. Cantus in Memoriam Benjamin Britten. Summa. Festina Lente. Tabula rasa. Tapiola Sinfonietta / Jean-Jacques Kantorow". BIS-CD-834. 62:30 DDD

Japanese hospitals--culture and competition: a study of ten hospitals.

Science.gov (United States)

Anbäcken, O

1994-01-01

Japanese health care is characterized by a pluralistic system with a high degree of private producers. Central government regulates the prices and the financing system. All citizens are covered by a mandatory employment-based health insurance operating on a non-profit basis. The consumer has a free choice of physician and hospital. A comparison between Japan, Sweden and some other countries shows significant dissimilarities in the length of stay, number of treatments per hospital bed and year and the staffing of hospitals. About 80 per cent of the hospitals and 94 per cent of the clinics are privately owned. The typical private hospital owned by a physician has less than 100 beds. In this paper, data collected (1992/93) in an empirical study of Japanese hospitals and their leadership is presented. Also discussed are the hospitals' style of management, tools and strategies for competition and competences--personal and formal skills required of the leadership in the hospital. There follows a study of ten hospitals, among which hospital directors and chief physicians were interviewed. Interviews are also made with key persons in the Ministry of Health and Welfare and other organizations in the health care field. The result is also analysed from a cultural perspective--'what kind of impact does the Japanese culture have on the health care organization?' and/or 'what kind of sub-culture is developed in the Japanese hospitals'. Some comparisons are made with Sweden, USA, Canada and Germany. The different roles of the professions in the hospital are included in the study as well as the incentives for different kinds of strategies--specialization, growing in size, investments in new equipment, different kind of ownership and hospitals. Another issue discussed is the attempt to uncover whether there is an implicit distribution of specialties--silent agreements between hospitals, etc.

IMPACT DU SECTEUR FINANCIER SUR L'ACTIVITE ...

African Journals Online (AJOL)

visant à adapter le secteur financier à l'économie de marché. Ces réformes ont pour objectif d'éliminer .... économiques (secteur privé et secteur public), deux comptes regroupant les institutions financières à savoir la .... Maroc.11 Nadia Bentaleb (2002)12 a étudié l'impact d'un investissement énergétique sur une économie ...

Systèmes d'innovation propices à un développement axé sur l ...

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

Tant la Chine que l'Inde tentent actuellement de parvenir à un équilibre entre leur rapide croissance économique et technologique dans un contexte de mondialisation, d'une part, et l'équité sociale et la croissance économique durable, d'autre part. Ce projet portera sur deux innovations axées sur l'inclusion dans deux ...

The safety and efficacy of hemostasis with Clo-Sur P.A.D. after transcatheter arterial chemoembolization

International Nuclear Information System (INIS)

Jung, Seung Chai; Jae, Hwan Jun; Kim, Sang Youn; Lee, Whal; Chung, Jin Wook; Park, Jae Hyung

2007-01-01

We wanted to evaluate the safety and efficacy of a new hemostatic device, Clo-Sur P.A.D., at an arterial access site after performing femoral arterial catheterization to achieve transcatheter arterial chemoembolization (TACE). From August 2002 to March 2005, 113 patients who underwent TACE and agreed on using the Clo-Sur P.A.D. were enrolled in this study. We evaluated the mean time interval from compression to the first movement and also to the first walk. We also evaluated such complications as rebleeding, pseudoaneurysm, vascular occlusion, hematoma, infection and pain. For 92 patients who had previous experiences with manual compression, we evaluated their preference of hemostatic method by asking them. Successful hemostasis was achieved with the Clo-Sur P.A.D. in 105 subjects (92%). The mean time interval from compression to the first movement was 201 minutes, and that to the first walk was 267 minutes. There was no statistical difference between the complicated and the uncomplicated groups for the mean time, prothrombin time, Child-Pugh class and platelet count (ρ > 0.05). Rebleeding occurred in 3 patients (2.7%) and mild hematoma around puncture site was noted in 5 patients (5.4%). Eighty-seven patients (95%) preferred Clo-Sur P.A.D. to the manual compression method. The Clo-Sur P.A.D. is a safe and effective hemostatic device and it provides early ambulation after TACE

Introduction au dossier « L’Asie centrale »

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Alain Cariou

2009-07-01

Full Text Available Avec les bouleversements géopolitiques qui affectent le continent asiatique depuis deux décennies l’Asie centrale n’est plus tout à fait cet espace géographique incertain écarté de la communauté internationale, voire même oublié des atlas dont les cartes étaient généralement centrées sur les territoires voisins plus lisibles et médiatiques du Moyen-Orient, de l’Inde, de la Chine ou de la Russie. Constituée par les cinq ex-républiques socialistes soviétiques du Kazakhstan, du Kirghizstan, de l...

La Familia Gomphotheriidae en América del Sur: evidencia de molares al norte de la Patagonia chilena

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Recabarren, Omar P.

2014-06-01

Full Text Available We present statistical studies made with ten molars M3 and m3 of south-central Chile, we compared material of gomphotheres Stegomastodon platensis, Stegomastodon waringi and Cuvieronius hyodon of South America. Also we analyze three fragments defense of the Chilean sites of Monte Verde, Mulpulmo and Nochaco. In the statistical analysis it is clear that the molars are very variable in shape, also in size and have a great dispersion, however in bivariate diagrams the molars of Chile were grouped with the molars large (genus Stegomastodon. The discriminant analysis indicates that five m3 are associated with Stegomastodon platensis and two with Cuvieronius hyodon, two M3 are associated with Stegomastodon platensis and one with Stegomastodon waringi. We discuss the sympatric between species S. platensis and C. hyodon in southern Chile.Damos a conocer los estudios estadísticos hechos con diez molares M3 y m3 del centro-sur de Chile, comparados con material de gonfoterios Stegomastodon platensis, Stegomastodon waringi y Cuvieronius hyodon de América del Sur. Además se analizan tres fragmentos de defensa provenientes de los sitios chilenos de Monte Verde, Mulpulmo y Nochaco. En el análisis estadístico es claro que los molares son muy variables en forma, así como en tamaño y presentan una gran dispersión, sin embargo en los diagramas bivariantes la mayoría de los molares de Chile se agrupan con los molares de talla grande (del género Stegomastodon. Los análisis discriminantes indican que de los siete m3, cinco se asocian a Stegomastodon platensis y dos a Cuvieronius hyodon. De los tres M3, dos se asocian con la especie Stegomastodon platensis y uno con Stegomastodon waringi. Se discute la probable simpatría de las especies S. Platensis y C. hyodon en el sur de Chile.

DECISIONS ET COMPETITIVITE SUR LE MARCHE UNIQUE EUROPEEN

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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.

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

Energy Technology Data Exchange (ETDEWEB)

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

1998-07-01

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

Plan for mass accelerator spectrometry at Gif-sur-Yvette and Saclay

International Nuclear Information System (INIS)

Berthier, B.; Bianchi, L.; Delibrias, G.; Koechlin, Y.

1981-05-01

From early 50', a carbon 14 dating laboratory was created at the Centre des Faibles Radioactivites de Gif-sur-Yvette (C.F.R.). From this time, more than 5,000 archaeological and geological samples were measured with the Libby method by this laboratory. C.F.R. is in the way to actualize its dating activities with the new accelerator method. A 3 MV General Ionex Tandetron is planed to be located at Gif-sur-Yvette next year and shared with Orsay University for 14 C. 10 Be and 36 Cl mass spectroscopy measurement. During the same time attempts have been made to adapt the Super FN Tandem of the Centre d'Etudes Nucleaires de Saclay for 14 C dating

La croissance demographique et son impact sur le developpement ...

African Journals Online (AJOL)

La croissance demographique et son impact sur le developpement des grandes villes au ... La ville de Porto-Novo au Bénin n'est pas en marge de cette réalité que ... and the need for improving its framework of life through its development.

Cambios latitudinales en la pesquería pelágica de merluza de cola (Macruronus magellanicus de la zona centro-sur (1986-2003 Latitudinal changes in the Patagonian grenadier (Macruronus magellanicus pelagic fishery off central-southern Chile (1986-2003

Directory of Open Access Journals (Sweden)

Luis A Cubillos

2009-01-01

Full Text Available Se analizaron los cambios espacio-temporales de las capturas de merluza de cola obtenidas por la flota industrial de cerco en la zona centro-sur de Chile (34°-41°30'S, para revisar la hipótesis de migración hacia el norte de la fracción juvenil de merluza de cola en primavera. Se utilizaron datos de bitácoras de pesca del periodo 1986-2003, y a partir de éstos se calcularon centros de gravedad de las capturas y su varianza. Se postula que si la flota sigue el comportamiento migratorio de la fracción juvenil, se esperaría que los centros de gravedad de las capturas migren latitudinalmente de sur a norte conforme la estación de pesca avanza. No obstante, sólo se encontró cuatro casos en que ocurrió una migración hacia el norte de los centroides. Más bien, los centros de gravedad se presentan estacionarios, al interior de cada temporada de pesca. Se postula que existe una fracción juvenil residente que sólo incrementa su accesibilidad y vulnerabilidad en aguas superficiales en primavera debido al régimen ambiental, que se caracteriza por la dominancia de eventos de surgencia y no a una migración de sur a norte.We analyzed spatio-temporal changes in Patagonian grenadier catches by the purse-seine fleet off central-southern Chile (34°-41°30'S in order to check the hypothesis that the juvenile fraction of the population migrates northward in spring. Log-book data from 1986 to 2003 were used to calculate the center of gravity of and variance of each catch. We proposed that, if the fleet follows the migratory behavior of the juvenile fraction, the centers of gravity of the catches will migrate from south to north as the fishing season progresses. Nevertheless, the centers of gravity migrated northward in only four cases. Unexpectedly, the centers of gravity remained stationary within each fishing season. Now we propose that, in spring, a resident juvenile fraction of Patagonian grenadier increases its accessibility and vulnerability

L'impact de Quizlet sur la dynamique motivationnelle des élèves lors de l'apprentissage du vocabulaire allemand

OpenAIRE

André, Joanne; Berrio, Lucas; Pellet, Jean-Philippe

2017-01-01

Pour ce travail, nous nous sommes intéressés à l'effet que pouvait avoir les TIC sur la motivation des élèves. Nous nous sommes penchés sur la plate-forme web Quizlet qui propose différents outils pour réviser un contenu préalablement défini par l'enseignant. Ainsi, nous avons dirigé notre recherche sur l'impact de Quizlet sur la dynamique motivationnelle des élèves dans le cadre de l'apprentissage du vocabulaire allemand. Nous comparons cette méthode d'apprentissage avec les méthodes dites t...

Saint-André-des-Eaux (Côtes-d’Armor : nouveaux éléments sur l’église et sur ses décors peints

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Mathias Dupuis

2009-09-01

Full Text Available Nous avions déjà présenté dans le précédent numéro du Bulletin du Centre d'études médiévales d’Auxerre les premières recherches sur l’ancienne église paroissiale de Saint-André-des-Eaux . La réalisation de sondages en juin 2008 ainsi qu’une dernière série d’observations sur le bâti, préalables à la consolidation des murs de l’église et des vestiges de peintures murales, permettent désormais de mieux cerner l’histoire monumentale de cet édifice et de ses décors peints.Quatre sondages ont été o...

Études de cas portant sur la recherche, les partenariats et l'équité en ...

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

16 juil. 2012 ... Martin Forde, Karen Morrison, Eric Dewailly, Neela Badrie, Lyndon Robertson. Collaboration en matière de recherche sur la lutte contre les infections et la santé au travail sur trois continents : Une réussite de portée internationale. Annalee Yassi, Elizabeth A. Bryce, Jaime Breihl, Marie-Claude Lavoie, ...

Influence des actions anthropiques sur la dynamique spatio ...

African Journals Online (AJOL)

Sci-Nat

Située à proximité de Kinshasa, la province du Bas-Congo (R.D. Congo) est l'une des principales pourvoyeuses en produits vivriers de cette ville. Par conséquent, l'augmentation de la pression sur les ressources naturelles s'accentue. L'analyse diachronique du paysage peut servir à montrer l'effet des actions ...

Teleradiology and PACS - strategy of the Innsbruck University Hospital

International Nuclear Information System (INIS)

Vogl, R.

2005-01-01

Systems for management of digital imaging data are very important and widespread at the Innsbruck University Hospital and constitute a central component of the IT strategies followed by the hospital operating company TILAK (Tyrolean public hospitals). The particular goal is to integrate all imaging data into the electronic medical records and make these available online to each of the approx. 2500 clinic workstations and ensure electronic data exchange with other healthcare services. Teleradiology connections have been established at the University Clinic for Radiology since 1995; these have been continually expanded and linked to the central PACS. An eHealth web portal was recently established to facilitate transfer of images and findings from TILAK hospitals to other healthcare organizations. Registered users can be cleared for a limited time to access all radiological imaging data via this web portal. (orig.) [de

Hospital network performance: a survey of hospital stakeholders' perspectives.

Science.gov (United States)

Bravi, F; Gibertoni, D; Marcon, A; Sicotte, C; Minvielle, E; Rucci, P; Angelastro, A; Carradori, T; Fantini, M P

2013-02-01

Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders' perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders' perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers' rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score>8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

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

Science.gov (United States)

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

2013-11-01

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

Oradour-sur-Glane: On the emergence of a glocal site of memory in France

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Léger, Eva

2014-12-01

Full Text Available Oradour-sur-Glane (France is the memorial site of a massacre perpetrated by the Second SS Panzer Division Das Reich on June 10th, 1944. It preserves the memory of the 642 people slaughtered there, including 18 Spanish refugees. In 1945, the French State, led by General de Gaulle, decided to preserve the ruins of Oradour-sur- Glane. Since then, a series of commemorative processes have ensued at the site, corresponding to different temporalities. Over time, this site of national memory has been linked both with European memory discourse and with the private memory of exiled Spaniards and, consequently, with the memory of the Spanish Civil War and Francoism. In this article, I analyze the different appropriations and interpretations of the site, focusing in particular on the memory of the exiles. To do so, I will look into the initiatives undertaken between 2008 and 2014, considering both the institutions and the associations related to Oradour-sur-Glane.Oradour-sur-Glane (Francia es el lugar de memoria de una masacre perpetrada por la segunda división blindada S.S. Das Reich el 10 de junio de 1944 que conserva el recuerdo de sus 642 supliciados, entre los cuales 18 españoles refugiados. En 1945, el Estado francés encabezado por el General de Gaulle decidió preservar las ruinas de Oradour-sur-Glane. Desde entonces, diferentes procesos conmemorativos, correspondientes a temporalidades destacadas, se han sucedido en el sitio. Con el tiempo, este lugar de memoria nacional, se ha vinculado tanto con un discurso de memoria europeo como con la memoria particular de los españoles exiliados y a través de ello con la memoria de la Guerra Civil española y del franquismo. En este estudio analizaré las diferentes apropiaciones e interpretaciones de este lugar, enfocándome especialmente en la memoria de los exiliados. Para esto, contemplaré las iniciativas que se han desarrollado entre los años 2008 y 2014, atendiendo tanto a las instituciones como a

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

Science.gov (United States)

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

2017-01-01

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

Evaluation in vitro de l'efficacité du fipronil sur Culex pipiens pipiens

OpenAIRE

Toral y Caro, Muriel

2005-01-01

Les moustiques sont responsables de nuisances directes et indirectes, chez l'homme et chez l'animal. C'est pourquoi il est intéressant de tester l'efficacité de nouvelles molécules sur ces insectes. Ce travail expérimental vise à tester l'efficacité potentielle du fipronil sur les moustiques appartenant au complexe Culex pipiens au moyen d'un nouveau test mis en place au laboratoire. Une première partie de ce travail est consacrée à l'étude bibliographique des caractéristiques de Culex ...

Entretien sur la psychanalyse: réflexions en marge

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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.

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

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Luis F. Beltrán Morales; Víctor Sevilla Unda; Macià Blázquez Salom; Federico Salinas Zavala; Felipe García Rodrígez

2005-01-01

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 amb...

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

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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

Descriptions énonciative, informationnelle et argumentative : aspects discursifs sur quelques cas de figure

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Forsgren Mats

2012-07-01

Full Text Available Les recherches sur l’énonciation, en l’occurrence celles appartenant au courant Ducrot, à l’école dit de Genève comme à l’école dite scandinave (portant le sigle « Scapoline », pour n’en mentionner que quelques-unes, donnent depuis quelques décennies de remarquables résultats portant sur la dimension polyphonique et argumentative du langage, sur le jeu discursif des points de vue et des êtres discursifs, de la prise en charge énonciative et du statut assertif (assertion/présupposition/supposition, comme sur le fonctionnement des différents types de marqueurs dits « discursifs ». La contribution de Henning Nølke, donnée lors du CMLF organisé en 2008 à Paris, brosse brillamment l’historique et l’élaboration ultérieure de ce courant. Nul doute que les résultats de bon nombre de ces recherches appartiendront dorénavant aux acquis descriptifs de notre science, qu’il s’agisse du discours rapporté, de la négation, des marqueurs de par exemple la concession ou la causalité. Cependant, il me semble que cette théorisation énonciative, pour heuristiquement valable qu’elle soit – ce qui est indéniable– rencontre parfois des problèmes lorsqu’elle est confrontée avec d’autres dimensions de la description du sens discursif, et testée dans «... le patient travail de confrontation minutieuse des outils avec le réel (en l’occurrence les textes dont ils sont censés rendre compte » (Alain Rabatel, 2010 : 109. C’est pourquoi dans cette communication j’aimerais discuter, à partir d’une enquête portant sur la distribution des marqueurs causaux dans plusieurs genres discursifs, deux problèmes de l’approche énonciative : sa rencontre avec la structure dite informationnelle et la prise en charge énonciative dans un cas bien précis, notamment certaines structures appositives.

La cobertura televisiva del fútbol en el Sur de Brasil y de España: RBS – Canal Sur

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Joaquín M. Marín Montín

2002-01-01

Full Text Available Este artículo constituye parte de un trabajo comparativo entre Brasil y España, correspondiente al tratamiento que los medios de comunicación hacen del deporte. En él se analizan las claves que configuran el acercamiento a un mismo fenómeno sociológico, como es el fútbol, en dos realidades culturales diferentes. La programación deportiva de televisión llevada a cabo por Canal Sur en Andalucía y RBS en Rio Grande do Sul, así como la cobertura que ambas cadenas realizan en sus retransmisiones en directo del fútbol completan el análisis del presente estudio.ABSTRACTThis article is part of a comparative research between Brazil and Spain, about how the media treats the sports activities. Besides, this study analyses the keys of the same sociological phenomenon, which is football, in two different cultural realities. The broadcasting on television regarding sports events in Andalusia with Canal Sur, and Rio Grande do Sul with RBS. The live broadcasting of these channels completes the analysis of the present research.

Cooperación Sur-Sur: Análisis de su impacto en la transformación del régimen internacional de la OCDE en materia de cooperación internacional

OpenAIRE

Londoño Reyes, Alejandra

2013-01-01

Las relaciones de cooperación Sur-Sur revoluciona las lógicas tradicionales que dieron base al régimen de la cooperación internacional expedido desde la OCDE. La diferencia entre los donantes llamados “DAC” y los socios “No-DAC” en referencia a los Estados miembros del Comité de Asistencia al Desarrollo establece dos lógicas de cooperación internacional que se contraponen en sus dinámicas pero comparten un objetivo: el desarrollo. Estos dos tipos de relaciones de cooperación se diferencian en...

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

OpenAIRE

Castillo Acuña, Marissa Gladys

2016-01-01

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

Compétences, gouvernance et nanotechnologies : pleins feux sur l ...

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

... pour prendre part au débat et relever les défis que posent les nanotechnologies. En plus ... de son Dialogue mondial sur la nanotechnologie et les populations pauvres (Global ... Multi level governance (MLG) framework for nanotechnology.

Note sur l'environnement hydro-sédimentaire lagunaire Marcory ...

African Journals Online (AJOL)

Note sur l'environnement hydro-sédimentaire lagunaire Marcory-Riviera en lagune Ebrié en Côte d'Ivoire : Note on hydrology and sedimentary characteristics of the Marcory-Riviera lagoon area in Abidjan, Côte d'Ivoire.

L’éthique du débat sur la fuite des cerveaux

OpenAIRE

Dumitru, Speranta

2012-01-01

Cet article analyse les engagements éthiques qui pèsent sur la méthodologie des recherches sur « la fuite des cerveaux » et qui conduisent les participants au débat public à remettre en cause le droit fondamental d’émigrer pour les personnes qualifiées. Nous identifions cinq présupposés de ce débat : au conséquentialisme, au prioritarisme et au nationalisme, nous ajoutons les biais que nous appelons « sédentaristes » et élitistes. Cette analyse nous permettra de montrer que même si l’émigrati...

Niels Stensen (Nicolas Sténon, Discours sur l’anatomie du cerveau

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Claire Crignon-De Oliveira

2011-12-01

Full Text Available Peut-on faire du cerveau, cet « organe de l’âme », un objet scientifique et philosophique ? À l’heure où les certitudes ont peut-être remplacé les doutes et le questionnement sur la légitimité et les conditions rendant possible la poursuite d’un tel objectif, la lecture du Discours de Sténon sur l’anatomie du cerveau semble s’imposer. L’aveu d’ignorance de l’auteur qui ouvre le texte est à la fois déconcertant et extrêmement rassurant. Loin de promettre aux lecteurs d’être en mesure de « cont...

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

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

Asie du Sud (le Bangladesh, l'Inde, le Népal, le Pakistan et le Sri Lanka). Parmi les 16 demandeurs d'Asie du Sud retenus, neuf viennent de l'Inde. La recherche sur les politiques en Asie du Sud s'effectue principalement en Inde, forte d'une ...

Oligocene cetaceans from Baja California Sur, Mexico

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Hernández Cisneros, Atzcalli Ehécatl; González Barba, Gerardo; Fordyce, Robert Ewan

2017-01-01

Abstract Baja California Sur has an important Cenozoic marine fossil record which includes diverse but poorly known Oligocene cetaceans from Mexico. Here we review the cetacean fossil record including new observations from materials that elucidate the evolution of the Neoceti in the Pacific basin. Fossils were collected from outcrops of the El Cien Formation (Oligocene-Early Miocene) and from San Gregorio Formation (Late Oligocene). The specimens belong to the paleontological collection of Mu...

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

International Nuclear Information System (INIS)

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

2002-01-01

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

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

International Nuclear Information System (INIS)

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

2002-01-01

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

Rapport. Sur le droit à l’appréciation critique et sur les restrictions légitimes de l’importunité de l'homosexualité

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Mikhaïl N. Kouznetsov

2011-10-01

Full Text Available Dans le présent Rapport on entend par la notion “homosexualité” sa plus large et spécifique signification en tant que “l’ideologie de l'homosexualisme”. SOMMAIRE: Introduction - 1. Argumentation du droit à l’évaluation critique de l'homosexualité et de ses aspects sociaux - 2. Caractère agressif de l'idéologie de l'homosexualisme - 3. Atteinte cruelle et inhumaine de lésions corporelles portée à l’individu, les dommages à sa santé dans la pratique de l'homosexualité ”masculine” - 4. Sur la manipulation par les chiffres - 5.  Mythe sur la discriminations massives des homosexuels - 6. Violation des Droits de l’Homme et insulte à la dignité humaine pendant les ”gay parades” - 7. Normes de la législation étrangère, émanant de la reconnaissance par l'État des méfaits sociaux de l'homosexualité - 8. Positions juridiques de la Cour Européenne des Droits de l'Homme ayant le point d’impact sur l’élaboration des solutions à propos des questions à discuter - 9. Contradiction à ”l’Ordre public” de la Fédération de Russie des exigences d'établir des régimes juridiques privilégiés pour les homosexuels et leurs groupements et de poursuivre pour toute critique de l'homosexualité – 10. Conclusions.

impacts des rejets industriels sur les eaux souterraines

African Journals Online (AJOL)

USER

pollution et sont nombreuses, notamment les usines sidérurgiques, métalliques et pétrochimiques. Leurs rejets ont des effets néfastes sur les eaux de la région. Actuellement, les effluents industriels situés dans la région de Berrahal, contiennent d'importantes quantités de produits chimiques organiques et inorganiques et ...

Le détour, la pause et l'optimalité. Essai sur la distance et ses apports au transport et à l'urbanisme

OpenAIRE

L'HOSTIS, Alain

2014-01-01

La distance est un élément central pour la compréhension et pour l'action sur la ville et les territoires dans leurs liens avec les transports. Pourtant la distance n'a pas été considérée dans toutes ses potentialités dans les disciplines qui abordent la spatialité, c'est-à-dire la géographie, l'économie, la psychologie et la sociologie, et qui constituent les principaux gisements de savoirs académiques mobilisés par les spécialistes de l'urbanisme, de l'aménagement et des transports. L'inves...

Le reportage en bande dessinée dans la presse actuelle : un autre regard sur le monde

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Séverine Bourdieu

2012-05-01

Full Text Available La bande dessinée sort de sa bulle et s’aventure du côté du réel, du documentaire et du factuel. À partir d’un corpus de reportages en bande dessinée parus dans des périodiques francophones au cours de la dernière décennie, nous nous interrogerons sur les enjeux de cette rencontre entre presse et littérature et sur la légitimité de ce genre en cours de constitution. On montrera ensuite que ce médium mixte, parce qu’il allie ressources graphiques et littéraires, est particulièrement approprié pour restituer à la fois la « chose vue » et l’expérience vécue par le reporter sur le terrain, offrant ainsi au lecteur un autre regard sur le monde.

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

African Journals Online (AJOL)

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

Étude ethnobotanique, activité antifongique in vitro sur Candida ...

African Journals Online (AJOL)

SARAH

Ouattara et al., 2008). ..... (Tecan) ; cette mesure de l'absorbance permettra de déterminer la quantité relative de cellules vivantes et .... Effet des extraits de H. abyssinica sur Candida albicans : Après 72h d'incubation, on observe.

International Development Research Centre Act Loi sur le Centre de ...

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

1 juin 2009 ... research includes any scientific or technical inquiry or experimentation that is .... data centres and facilities for research and other activ- ities;. (b) initiate and ..... Loi sur la pension de la fonction publique ne s'applique pas aux ...

Afrique-sur-Seine: A new trend in Francophone African literature

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Наталья Сергеевна Найденова

2011-09-01

Full Text Available The article deals with the prerequisites and main stage of formation of a new trend in francophone African literature commonly known as Afrique-sur-Seine. The article outlines its main characteristic features and touches upon its development prospects.

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

Science.gov (United States)

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

2010-05-10

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

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

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Abdullah A. Bin Shalhoub

2017-03-01

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

Competition or coordination in hospital markets with unionised labour.

Science.gov (United States)

Brekke, Kurt R

2004-03-01

This paper study labour market responses to hospital mergers. The market consists of two hospitals providing horizontally and vertically differentiated services. Hospitals compete either in price and quality or just in quality (non-price competition). To provide medical care, hospitals employ health care workers (e.g., physicians, nurses). The workers collectively bargain wages either at a central level, firm level or plant level. Anticipating wage responses, hospitals decide whether or not to merge. The main finding is that the bargaining structure, the nature of competition and the patient copayment rate have a crucial impact on the profitability of hospital mergers.

Fronteras e identificaciones nacionales: diálogos desde el Cono Sur

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Alejandro Grimson

2014-06-01

Full Text Available Grimson propone revisitar conceptos sociológicos como “identidades, fronteras o territorios” para adecuar un nuevo marco conceptual a la realidad del Cono Sur de América Latina.

EFFETS D'UN DEFICIT HYDRIQUE SUR CERTAINS ...

African Journals Online (AJOL)

AISA

Le cotonnier est connu pour sa sensibilité au déficit hydrique. Le présent travail a été initié afin de mesurer les effets de ce facteur chez la variété STAM129A de cotonnier vulgarisée au Togo. L'étude porte sur certains paramètres tels que la hauteur des plantes, la longueur des entrenœuds, le taux de rétention des ...

Un brevet pour la vie : La propriété intellectuelle et ses effets sur le ...

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

Un brevet pour la vie : La propriété intellectuelle et ses effets sur le commerce, la biodiversité et le monde rural. Couverture du livre Un brevet pour la vie : La propriété intellectuelle et ses effets sur. Auteur(s):. The Crucible Group. Maison(s) d'édition: CRDI. 1 janvier 1994. ISBN : Épuisé. 120 pages. e-ISBN : 1552503917.

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.

Le Prince et le problème de la corruption : réflexions sur une aporie machiavélienne

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Robert Sparling

2014-01-01

Full Text Available Dans les études sur la corruption politique, on trouve fréquemment des retours au lieu commun que les problèmes d’abus de charge publique en vue d’un intérêt privé ne peuvent être réglés sans la magie du leadership (l’anglicisme malheureux s’impose ici, cette qualité énigmatique de commandement qui saurait mettre en place les dispositifs d’incitatifs, de surveillance et de contrôle nécessaires pour contrer les abus. Mais un tel argument mène à une aporie, car les études qui placent ainsi leur confiance dans cet énigmatique leadership sont également traversées par l’idée, aussi un lieu commun, que toute autorité qui n’est pas sujette à la surveillance et au contrôle aura tendance à être corrompue. Dans cet essai, je propose de lire Le Prince de Machiavel comme une méditation sur le paradoxe suivant : l’autorité du principe est à la fois la source de la purification politique et la cause principale de la corruption. Le Prince, souvent considéré comme un texte fondateur des « leadership ethics », sera mal compris s’il n’est pas lu à la lumière de la préoccupation centrale de Machiavel républicain : la corruption.

Neonatal diabetes and congenital hyperinsulinism caused by mutations in ABCC8/SUR1 are associated with altered and opposite affinities for ATP and ADP

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Joseph eBryan

2015-04-01

Full Text Available ATP-sensitive K+ (KATP channels composed of potassium inward-rectifier type 6.2 and sulfonylurea receptor type 1 subunits (Kir6.2/SUR14 are expressed in various cells in the brain and endocrine pancreas where they couple metabolic status to membrane potential. In β-cells, increases in cytosolic [ATP/ADP]c inhibit KATP channel activity, leading to membrane depolarization and exocytosis of insulin granules. Mutations in ABCC8 (SUR1 or KCNJ11 (Kir6.2 can result in gain or loss of channel activity and cause neonatal diabetes (ND or congenital hyperinsulinism (CHI, respectively. SUR1 is reported to be a Mg2+-dependent ATPase. A prevailing model posits that ATP hydrolysis at SUR1 is required to stimulate openings of the pore. However, recent work shows nucleotide binding, without hydrolysis, is sufficient to switch SUR1 to stimulatory conformations. The actions of nucleotides, ATP and ADP, on ND (SUR1E1506D and CHI (SUR1E1506K mutants, without Kir6.2, were compared to assess both models. Both substitutions significantly impair hydrolysis in SUR1 homologues. SUR1E1506D has greater affinity for MgATP than wildtype; SUR1E1506K has reduced affinity. Without Mg2+, SUR1E1506K has a greater affinity for ATP4- consistent with electrostatic attraction between ATP4-, unshielded by Mg2+, and the basic lysine. Further analysis of ND and CHI ABCC8 mutants in the second transmembrane and nucleotide binding domains (TMD2 & NBD2, found a relation between their affinities for ATP (± Mg2+ and their clinical phenotype. Increased affinity for ATP is associated with ND; decreased affinity with CHI. In contrast, MgADP showed a weaker relationship. Diazoxide, known to reduce insulin release in some CHI cases, potentiates switching of CHI mutants from non-stimulatory to stimulatory states consistent with diazoxide stabilizing a nucleotide-bound conformation. The results emphasize the greater importance of nucleotide binding vs hydrolysis in the regulation of KATP channels

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.

Point de vue de la population sur la réforme du secteur de la ...

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

Point de vue de la population sur la réforme du secteur de la sécurité palestinien. Dans le cadre de son plan visant à bâtir les institutions de l'État palestinien, le gouvernement de Salam Fayyad s'était engagé en août 2009 à moderniser le secteur de la sécurité palestinien en se fondant sur l'État de droit, sous la ...

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.

Sur des erres de jazz

OpenAIRE

Daverat, Xavier

2007-01-01

Une opinion commune considère que le jazz vivrait une période de dépérissement ou de ressassement. Cette conception est d’abord basée sur une erreur qui consiste à croire que le jazz évolue uniquement au travers de relèves entre les générations, de substitutions complètes de nouveaux styles à des formes d’expression qui se démoderaient aussitôt, d’instaurations systématiques de nouveaux langages opposés à ceux qui les ont précédés. Au contraire, les caractéristiques de chaque style s’imbrique...

Cataract surgery output and cost of hospitalization for cataract ...

African Journals Online (AJOL)

Si nous devons réussir à éliminer les arrièrs problèmes des cataracts de plus de ½ million cas, nos efforts sur la chirurgie de cataracte devraient porter principalement sur des programmes visant sur des measures preventives contre les incidences de la cécité. 106 cas des chirurgies cataracts avaient été opérées Durant la ...

The importance of intra-hospital pharmacovigilance in the detection of medication errors

Science.gov (United States)

Villegas, Francisco; Figueroa-Montero, David; Barbero-Becerra, Varenka; Juárez-Hernández, Eva; Uribe, Misael; Chávez-Tapia, Norberto; González-Chon, Octavio

2018-01-01

Hospitalized patients are susceptible to medication errors, which represent between the fourth and the sixth cause of death. The department of intra-hospital pharmacovigilance intervenes in the entire process of medication with the purpose to prevent, repair and assess damages. To analyze medication errors reported by Mexican Fundación Clínica Médica Sur pharmacovigilance system and their impact on patients. Prospective study carried out from 2012 to 2015, where medication prescriptions given to patients were recorded. Owing to heterogeneity, data were described as absolute numbers in a logarithmic scale. 292 932 prescriptions of 56 368 patients were analyzed, and 8.9% of medication errors were identified. The treating physician was responsible of 83.32% of medication errors, residents of 6.71% and interns of 0.09%. No error caused permanent damage or death. This is the pharmacovigilance study with the largest sample size reported. Copyright: © 2018 SecretarÍa de Salud.

Amélioration du système de suivi de l'information sur la santé ...

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

Le système de suivi de l'information sur la santé communautaire (CHITS) est un système électronique d'information sur la santé publique mis en place par les services de santé de Pasay City en 2004. Le cinquième des habitants des bidonvilles du grand Manille étant établis à Pasay City, ce système dessert une population ...

Risk of central nervous system defects in offspring of women with and without mental illness.

Science.gov (United States)

Ayoub, Aimina; Fraser, William D; Low, Nancy; Arbour, Laura; Healy-Profitós, Jessica; Auger, Nathalie

2018-02-22

We sought to determine the relationship between maternal mental illness and the risk of having an infant with a central nervous system defect. We analyzed a cohort of 654,882 women aged less than 20 years between 1989 and 2013 who later delivered a live born infant in any hospital in Quebec, Canada. The primary exposure was mental illness during pregnancy or hospitalization for mental illness before pregnancy. The outcomes were neural and non-neural tube defects of the central nervous system in any offspring. We computed risk ratios (RR) and 95% confidence intervals (CI) for the association between mental disorders and risk of central nervous system defects in log-binomial regression models adjusted for age at delivery, total parity, comorbidity, socioeconomic deprivation, place of residence, and time period. Maternal mental illness was associated with an increased risk of nervous system defects in offspring (RR 1.76, 95% CI 1.64-1.89). Hospitalization for any mental disorder was more strongly associated with non-neural tube (RR 1.84, 95% CI 1.71-1.99) than neural tube defects (RR 1.31, 95% CI 1.08-1.59). Women at greater risk of nervous system defects in offspring tended to be diagnosed with multiple mental disorders, have more than one hospitalization for mental disease, or be 17 or older at first hospitalization. A history of mental illness is associated with central nervous system defects in offspring. Women hospitalized for mental illness may merit counseling at first symptoms to prevent central nervous system defects at pregnancy.

Turistas hispanohablantes en Corea del Sur

OpenAIRE

Arroyo Herrera, Javier

2016-01-01

Dada la evolución económica que ha experimentado en los últimos años y el aumento de las llegadas de turistas internacionales debido a fenómenos como el Hallyu, Corea del Sur se está convirtiendo en un foco de atención turística que requiere de estudios para conocer mejor su turismo y la importancia que la cultura popular supone para éste. La presente investigación recopila los elementos más destacables del turismo surcoreano y demuestra la influencia que la „ola coreana‟ provoca en sus segui...

Etude sur les sources de la passion du Palatinus

NARCIS (Netherlands)

Maas, Paul Marie

1942-01-01

Notre étude sur la Passion du Palatinus étant terminée, nous voudrions ajouter un aperçu des principaux résultats obtenus. Quelque modestes qu'ils soient, nous espérons que ces résultats pouront contribuer à faire mieux comprendre les rapports obscurs qui existent entre notre Passion et ses sources

Rapport annuel au Parlement Loi sur la protection des ...

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

3) l'innovation, la politique et la science, 4) la recherche pour l'équité en santé et ... Le Centre n'a reçu aucune plainte au sujet de l'administration de la Loi sur la ... Art. 18(2). VI. Extentions/. Prorogations des délais. 30 days or under /. 30 jours ...

L’engagement civique des adolescents au prisme de leurs vlogues sur l’intimidation

OpenAIRE

Caron, Caroline

2016-01-01

Cet article présente les résultats d’une analyse par théorisation ancrée de 55 vlogues produits par des adolescents franco-québécois pour dénoncer l’intimidation et diffusés sur YouTube entre 2010 et 2014. Il vise à clarifier le concept d’engagement civique des jeunes en ligne à partir d’une démarche méthodologique originale qui s’appuie sur la sociosémiotique de Gunther Kress. Les résultats montrent que chaque vlogue s’inscrit dans une chaîne d’invites et de réponses, produisant ainsi un esp...

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

77 FR 27869 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the...

Science.gov (United States)

2012-05-11

... Considered HAC Candidate: Iatrogenic Pneumothorax With Venous Catheterization 3. Present on Admission (POA.... History of Measures Adopted for the Hospital IQR Program b. Maintenance of Technical Specifications for...-Associated Infection (HAI) Measures (A) Proposed Central Line Associated Blood Stream Infections ((CLABSI...

Efficiency and productivity of hospitals in Vietnam.

Science.gov (United States)

Pham, Thuy Linh

2011-01-01

The purpose of this paper is to examine the relative efficiency and productivity of hospitals during the health reform process. Data envelopment analyses method (DEA) with the input-oriented variable-returns-to-scale model was used to calculate efficiency scores. Malmquist total factor productivity index approach was then employed to calculate productivity of hospitals. Data of 101 hospitals was extracted from databases of the Ministry of Health, Vietnam from the years 1998 to 2006. There was evidence of improvement in overall technical efficiency from 65 per cent in 1998 to 76 per cent in 2006. Hospitals' productivity progressed around 1.4 per cent per year, which was mainly due to the technical efficiency improvement. Furthermore, provincial hospitals were more technically efficient than their central counterparts and hospitals located in different regions performed differently. The paper provides an insight in the performance of Vietnamese public hospitals that has been rarely examined before and contributes to the existing literature of hospital performance in developing countries

Ayllón, Bruno. La cooperación Sur-Sur y triangular en América Latina. Políticas afirmativas y prácticas transformadoras. Madrid, 2013. Editora Catarata / Universidad Complutense de Madrid (IUDC-UCM), 2013, 246p. ISBN: 978–84–8319–441–6

OpenAIRE

Dolcetti, Michele; Universidad Complutense de Madrid

2013-01-01

Três anos após a publicação de “La Cooperación Sur-Sur en Latinoamérica. Utopía y realidad”, a equipe de pesquisa do IUDC-UCM editou “La Cooperación Sur-Sur en América Latina. Políticas afirmativas y práticas transformadoras”, texto imprescindível para o estudo da Cooperação Sul-Sul (CSS) no espaço ibero-americano. Em 2010 a análise da CSS era incipiente e suas definições pouco consolidadas; falava-se de “estado embrionário da CSS” e de “doadores emergentes”: definições que expressavam plenam...

Les migrations en Basse Casamance (Sénégal) : Projet d'une recherche multidisciplinaire sur les facteurs socio-économiques favorisant la migration en Basse Casamance et sur ses conséquences pour les lieux d'origine : rapport final

NARCIS (Netherlands)

Jonge, de K.; Klei, van der J.; Meilink, H.A.; Storm, R.

1978-01-01

Deux des limitations majeurs des études sur les migration en Afrique Noire sont leur orientation axée vers l'analyse des caractéristiques et motivations individuelles des migrants et la négligence de l'évaluation des conséquences sur les lieux de départ. Ce rapport, résultat d'une recherche menée en

Central corneal thickness among glaucoma patients attending ...

African Journals Online (AJOL)

AAU_CHS

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

Modular organization and hospital performance.

Science.gov (United States)

Kuntz, Ludwig; Vera, Antonio

2007-02-01

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

International overview of hospital procurement.

Science.gov (United States)

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

2011-01-01

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

Étude sur la nutrition menée dans des écoles de la Grenade : des ...

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

Étude sur la nutrition menée dans des écoles de la Grenade : des données probantes pour éclairer les politiques. Selon l'étude sur la charge mondiale de morbidité de l'Organisation mondiale de la santé, ce sont les maladies non transmissibles liées à l'obésité qui pèseront le plus dans la charge de morbidité des pays à ...

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

Enterprise resource planning for hospitals

NARCIS (Netherlands)

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

2004-01-01

Integrated hospitals need a central planning and control system to plan patients’ processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the

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.

Effets des émissions radiophoniques sur la perception de la ...

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

... vue exprimés sur la biotechnologie agricole et de l'intérêt que les médias portent à la question, ... et les données seront soumises à une analyse aussi bien qualitative que quantitative. ... From “gender as usual” to “gender as transformative”.

Renforcement de la recherche sur les politiques et du plaidoyer ...

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

Nouveau webinaire IWRA/CRDI sur les changements climatiques et la gestion adaptive de l'eau. L'Association internationale de ressources en eau (IWRA), en étroite collaboration avec le CRDI, organise un webinaire intitulé "Changements climatiques et gestion adaptive de l'eau: des... Voir davantageNouveau webinaire ...

Central line associated sepsis in children receiving parenteral nutrition in Oman.

Science.gov (United States)

Al Lawati, Tawfiq T; Al Jamie, Adawaiya; Al Mufarraji, Nasra

Parenteral Nutrition (PN) is used when gut fails to provide complete nutrition. Central line Associate Blood Stream Infection (CLABSI) a major complication of this therapy. The objective of the study was to report the incidence of CLABSI and associated mortality in children receiving PN in the Royal Hospital and study the indication and duration of PN use. All children from the age of 0-48 months who received TPN outside NICU from the period between 1/1/2011 till 31/12/2014 were included. Data were retrieved from the hospital electronic data base. There were 42 children 27 males and 15 females who used PN through a central line for a total duration of 569 days. The incidence of CLABSI was 14 days per 1000 days catheter and mortality of 556 per 10000. The average duration of TPN was 14.5 days. Most of the patient had CLABSI in the PICU and cardiac related illness or surgery was the most common indication of PN use. The average duration of use was 14 days. Inspite of that short duration use of PN, there is a very high incidence of CLABSI and its related mortality. Bundle policy for central line care is not used in the Royal Hospital and this study calls for urgent implementation of central line care bundle policy in the Royal Hospital. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

RE-EXAMINATION OF THE PURCHASING POWER PARITY IN CENTRAL AND EASTERN EUROPEAN ECONOMIES

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Ahmad Zubaidi Baharumshah

2011-02-01

Full Text Available The empirical record on PPP tests for transition economies is far from being so opulent as it is for the developed market economies. This paper attempts to fill this gap by scrutinizing the theory of PPP on a sample of Central and Eastern European economies. The paper has two main advances with respect to previous PPP studies. First, it employs a monthly data base on real exchange rates for a panel of 12 Central and Eastern European economies by testing the theory separately with respect to US dollar and with respect to Euro. Second, we utilise a panel unit root test that involves the estimation of the ADF regression in a SUR framework. Since our study found support for the validity of PPP in some reforming European economies, special attention should be devoted to individual country-specific factors that cause PPP deviations.

artographie des risques naturels dans les Pyrénées et sur leur piémont

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Jean-Marc ANTOINE

1994-12-01

Full Text Available Les recherches menées par le CIMA URA-366 sur les risques naturels dans les Pyrénées privilégient leur dimension historique et l’étude des contextes socio-écologiques dans lesquels ils s’inscrivent. Cette approche novatrice débouche sur une cartographie historique des phénomènes, conjugant plusieurs niveaux d’analyse spatiotemporels.

Une stratégie de développement fondée sur l’innovation

OpenAIRE

Schut, Pierre-Olaf

2013-01-01

Petzl est une entreprise du bassin Grenoblois dont l’activité est centrée sur la production de matériel de montagne. Aujourd’hui, l’entreprise est une importante PMI internationale de l’industrie des articles de sport, portée par des produits tels que les lampes frontales, les harnais d’escalade et les engins mécaniques assurant la progression sur corde. Hier, elle était une simple entreprise artisanale familiale, proposant du matériel de spéléologie. La présente monographie révèle l’évolutio...

Influence de colorants dissous sur le point de clarification de phases nématiques

OpenAIRE

Diot , P.; Foitzik , J.K.; Haase , W.

1985-01-01

Les systèmes « guest-host » dopés avec des colorants dichroïques sont importants pour certains types d'afficheurs. Ce travail rapporte l'influence des propriétés des colorants dissous sur le comportement de clarification. Les phases nématiques suivantes ont été choisies : CB-7, PCH-7 et ZLI-1083, un mélange eutectique ternaire de PCH-3, PCH-5 et PCH-7; quatre dérivés anthraquinoniques ont été choisis comme colorants. L'influence des colorants sur le comportement de clarification est discutée ...

L'incidence des pesticides sur les producteurs de pommes de terre ...

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

27 janv. 2011 ... L'incidence des pesticides sur les producteurs de pommes de terre de l'Équateur ... L'entreposage des pesticides dans les bâtiments de ferme, des installations .... (les pesticides) : L'intoxication par les pesticides en Équateur.

Effets de l'alimentation des poissons avec Azolla sur la production d'un écosystème agro-piscicole en zones marécageuses au Rwanda

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Kanangire, CK.

2002-01-01

Full Text Available Effects of Azolla-based Meal on the Production of an Agro-piscicultural Ecosystem in Rwanda Marshlands. Cette étude analyse les différences de caractères au niveau de la descendance des croisements interspécifiques entre Sesamum indicum L. et Ceratotheca sesamoides Endl. Les résultats obtenus montrent que l'héritabilité de la présence d'une forte pilosité sur les tiges et sur les pétioles est contrôlée par deux gènes assortis et indépendants. Les deux gènes dominants S et P confèrent aux plantes une importante pilosité sur les tiges et sur les pétioles tandis qu'un allèle dominant S-pp et ss-P confère aux plantes une pilosité respectivement abondante sur les tiges st sur les pétioles. Seuls les génotypes homozygotes sspp avec deux gènes récessifs produisent des plantes avec peu de poils sur les tiges et sur les pétioles. Les implications de ces résultats dans l'évolution de ces espèces sont discutées.

Analyse pragma-énonciative des s/citations du site d’Arrêt sur images A pragma-enunciative analysis of quotations on the Web site Arrêt sur images (Freeze-frame

Directory of Open Access Journals (Sweden)

Alain Rabatel

2010-04-01

Full Text Available Cet article analyse différentes formes de citations dans les sites de presse sur le WEB, en prenant comme exemple le site d’Arrêt sur images. Après avoir analysé les deux grandes catégories d’enchâssements énonciatifs à l’œuvre sur le site et dégagé quelques spécificités du discours représenté/montré et du discours d’escorte qui commente le précédent, l’article montre que le discours d’escorte joue un rôle argumentatif majeur dans la mesure où il fait plus qu’inciter le lecteur à faire apparaître les citations, il les présente comme des éléments de preuve, bref, comme des citations à faire comparaître. La fonction rhétorico-argumentative de ces citations est confirmée par le procédé du montage, qui démonte les situations servant de support à une démonstration basée sur des preuves. Enfin, compte tenu du caractère médiacritique du site, le discours d’escorte construit un ethos de professionnalisme exigeant et une communauté discursive et interprétative soudée autour de valeurs partagées.This article analyzes different forms of quotation on Web press sites, using the site Arrêt sur images as an example. After analyzing the two large categories of enunciative embeddings at work on the site and identifying the marks of direct represented/shown discourse and accompanying discourse, it shows that accompanying discourse plays a major argumentative role in so far as it does more than incite the reader to display the quotations, it presents them as elements of proof, in short, as quotations to be summoned. The rhetoric-argumentative function of quotations is confirmed through the process of editing, which dissects the situation while serving as a support to demonstration. This editing rests on a circular logic of justification based on proof. At last, considering the media critical character of the site, the accompanying discourse constructs an ethos of demanding professionalism and a united

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

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

... à prévenir sa transmission à l'humain et à renforcer les mesures nationales de préparation en cas de pandémie de grippe aviaire. 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, ...

Du simple relevé de végétation à la gestion des données sur la biodiversité : problèmes liées à la construction d’une base de données sur la flore alpine

Directory of Open Access Journals (Sweden)

SPIEGELBERGER, Thomas

2010-10-01

Full Text Available À partir de l'exemple de constitution de la base de données FloRem sur la flore alpine, cet article nous présente ici les difficultés, les avantages et limites d'une telle base pour la valorisation de données de diversité végétale sur le long terme.

América del Sur en la Apertura, Evidencias de un Modelo Global

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Pablo Guillermo Butteri

2006-01-01

Full Text Available Los procesos de apertura en los que se involucró Sur América desde la década de los ochenta han sido determinantes en la evolución de numerosas variables ma c roe conómi c a s de los pa í s e s, particularmente en los campos del empleo, grado de apertura, competitividad, crecimiento, entre otras. La evolución de dichas variables ha sido disímil en todos los países que componen América del Sur, y dispar si se compara con los cambios registrados en los países de altos ingresos como lo son los miembros de la Organización para la Cooperación y Desarrollo Económico (OECD. En este artículo, además de hacer un análisis de la evolución de las principales variables macroeconómicas para Sur América y compararlas con otros países, busca estudiar la relación entre la tasa de cambio real (ITCR, el crecimiento, y el desempleo, enfatizando en el último aspecto, el cual ha sido poco analizado en la literatura económica de América del Sur. Para alcanzar esto, se estimó un modelo de datos panel que mide el grado de dependencia existente entre el desempleo, el ITCR y la actividad económica entre otras, para el periodo comprendido entre 1988 y 2002. Los principales resultados muestran que una mayor reevaluación (con dos años de anticipación y un menor crecimiento derivan en mayores tasas de desempleo, y aparentemente cambios en la tasa de inflación no afectan la última variable.

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

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

12 oct. 2010 ... Godefroy Chabi, un jeune journaliste scientifique, se présente à l'accueil d'un ... Il doit rédiger un article sur l'éducation et les droits de l'homme. ... et de Agence suédoise de coopération internationale au développement.

[Munchausen syndrome: need for centralized administrative health-care management].

Science.gov (United States)

Altmark, D; Sigal, M; Gelkopf, M

1991-03-01

The clinical picture of Munchausen syndrome is that of feigned or self-induced illness with the aim of being hospitalized and/or receiving unnecessary medical interventions, peregrination from 1 hospital to another, and disruptive behavior when hospitalized. These patients are a danger to themselves and heavily burden inpatient facilities that care for them. We present a case that illustrates the problems of diagnosing and managing such patients. We stress the need for adequate centralization and distribution of the relevant information concerning these patients.

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 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....... 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume...

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

Science.gov (United States)

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

2017-08-10

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

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

International Nuclear Information System (INIS)

Koukharsky, Magdalena; Brodtkorb, Alejo; Munizaga, Francisco

1998-01-01

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

Réflexion sur l’origine du processus de segmentation du marche du travail

Directory of Open Access Journals (Sweden)

Attia Nicole

2006-01-01

Full Text Available (francuski Ce travail propose une réflexion sur l'origine du processus de segmentation du marché du travail par rapport à l'entreprise. Se situe-t-elle au sein même de l'entreprise ou en amont, c'est à dire entre les entreprises? Cela revient à se demander si on peut avoir une approche microéconomique ou macroéconomique de la segmentation et, à s'interroger sur le rôle réel tenu par les firmes dans le processus. Déterminant pour la théorie, ce rôle est à repenser selon la réponse apportée à notre question.

Enquête sur les attitudes de la population à l'égard des réformes du ...

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

Enquête sur les attitudes de la population à l'égard des réformes du secteur de la sécurité dans le monde arabe. Une des constantes observées dans les fluctuations du Printemps arabe a été l'accroissement de l'influence de l'opinion publique sur les politiques publiques. Rares sont les domaines d'intérêt public qui ont eu ...

Enquête sur l'utilisation du téléphone mobile pour le développement ...

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

Enquête sur l'utilisation du téléphone mobile pour le développement des petites et microentreprises au Ghana. Les technologies de l'information et de la communication (TIC) constituent maintenant des facteurs clés du progrès social et économique. Bien qu'on se soit en grande partie intéressé à l'incidence des TIC sur les ...

The First Two Years of Operating Experience of the Kahl Nuclear Power Station; Experience acquise pendant les deux premieres annees de fonctionnement de la centrale nucleaire de Kahl; Opyt pervykh dvukh let ehkspluatatsii atomnoj ehlektrostantsii v Kale; Experiencia adquirida en los primeros cuatro anos de funcionamiento de la central nucleoelectrica de Kahl

Energy Technology Data Exchange (ETDEWEB)

Bruchner, H. J. [Aeg-Kernenergieanlagen, Frankfurt-am-Main (Germany); Weckesser, A. [Versuchs-Atomkraftwerk Kahl Gmbh, Kahl (Germany)

1963-10-15

Kahl, being the first European private atomic power station, has been operating at load since June 1961. Kahl is equipped with a boiling-water reactor, operating in an indirect cycle and with natural circulation. Its electrical net capacity is 15 MW, and the power produced until February 1963 amounts to 140 million kWh. In the paper the operating experience, particularly the extensive testing programme such as concerning transient behaviour and gammascanning, will be reviewed. Results about the operating performance of certain plant components such as control-rod-drive system, off-gas system and turbine will be presented. After this testing programme the plant has been operated at base load for some time in order to obtain realistic experience on fuel performance. After completion of the base-load phase of operation a nuclear superheating test loop will be installed and run in the Kahl reactor. (author) [French] La centrale de Kahl, la premiere en Europe dont l'exploitation soit assuree par une entreprise privee, alimente le secteur depuis juin 1961. Elle est equipee d'un reacteur a eau bouillante, en cycle indirect, a circulation naturelle. Avec une puissance electrique nette de 15 MW, elle avait produit, jusqu'a fevrier 1963, 140 millions de kWh. Le memoire rend compte de l'experience acquise concernant le fonctionnement de la centrale, notamment du programme etendu des essais effectues sur son comportement en regime transitoire et sur la detection gamma. Il donne, en particulier, des renseignements sur le fonctionnement de certains elements de la centrale tels que le mecanisme de commande des barres de controle, le dispositif d'echappement des gaz et la turbine. A la suite de ce programme d'essais, on fait fonctionner depuis quelque temps la centrale comme centrale de base afin de rassembler des donnees pratiques sur les performances du combustible. A l'expiration de la periode prevue pour le fonctionnement comme centrale de base, on amenagera, dans le reacteur

Saisonalité et autosubsistance alimentaire, une analyse de leurs relations réciproques et de leurs effets sur l'agriculture

OpenAIRE

Presuelou, Clio; Almeida, J.A. De J.

1985-01-01

Cet article montre l'importance du facteur "saison" dans l'analyse des problèmes alimentaires des pays en développement et dans la planification des actions appropriées. La relation entre la saisonalité et la pauvreté rurale a déjà fait l'objet d'une étude exploratoire (Chambers et al.). S'appuyant sur certaines de ces analyses et plus particulièrement sur la définition et les dimensions de la saisonalité, les auteurs examinent l'incidence de la saisonalité tropicale unimodale sur les agricul...

Compte-rendu de la 3e conférence internationale sur les glucosinolates « Glucosinolates and beyond »

Directory of Open Access Journals (Sweden)

Quinsac Alain

2015-01-01

Full Text Available La 3e conférence internationale sur les glucosinolates, intitulée « Glucosinolates and beyond », a rassemblé plus d’une centaine de participants à Wageningen aux Pays-Bas, du 12 au 15 Octobre 2014. Le programme a été organisé en quatre sessions couvrant la recherche fondamentale sur l’origine et la biosynthèse des glucosinolates au cours de l’évolution, et les applications concrètes en santé humaine et agriculture. Près de 90 communications orales et posters, portant sur les récents progrès et les questions émergentes pour les recherches futures ont été présentés.

Use of small reactors as an alternative to supply electricity to Baja California Sur; Uso de reactores pequenos como alternativa de suministro de electricidad para Baja California Sur

Energy Technology Data Exchange (ETDEWEB)

Alonso, G.; Portes, E.; Ramirez, J. R. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Ortega, G., E-mail: gustavo.alonso@inin.gob.mx [Comision Federal de Electricidad, Rio Rodano No. 14, 06500 Ciudad de Mexico (Mexico)

2016-09-15

The state of Baja California Sur (Mexico) does not form part of the national interconnected electrical system of the country, reason why is local its electrical power supply; one of the alternatives to cover future demands is the use of gas-based combined cycles, which presents the additional problem of including a high price for gas transportation in its costs. In order to reduce total costs, including investment, fuels and operation and maintenance in the operation of the Baja California Sur state electricity system in the coming years, mainly due to the estimated natural gas cost order of $11.50 dollars per million BTU, a proposal is presented to reduce the costs of the electrical system by replacing the necessary combined cycles with the new Small Modular Reactor type nuclear reactors, this alternative is economically competitive. (Author)

Second Colloquim on the Scattering of Ultrasonic Waves (Deuxieme Colloque sur la Diffusion des Ondes Ultrasonores).

Science.gov (United States)

1985-01-29

8217 eau , Huiti me colloque sur le traitement du signal et ses applications (GRETSI), Nice, 1-5 June 1981, p. 637-644. [16] G. Maze, B. Taconet, and J...December 1984, to appear as a special issue of Traitement du Signal, published by La Direction des Recherches, Etudes et Techniques, 26 blvd. Victor...submerged in water, Huiti~me collogue sur le traitement du signal et ses applications (GRETSI), Nice, 1-5 June 1981, p. 637-644. [19] G. Maze et J

sur la productivité des poulettes Effects o

African Journals Online (AJOL)

Au Burkina Faso, le facteur limitant dans l'alimentation des volailles est la protéine. Une étude a été menée en vue d'évaluer les effets d'une ration contenant la variété de maïs jaune « Espoir » sur les performances de croissance et de ponte chez les poulettes. Une ration contenant la variété de maïs. Espoir (ESPOIR) et ...

IMPACT DE TROIS METHODES DE CONSERVATION SUR LES ...

African Journals Online (AJOL)

Administrateur

bidons stérilisés sans chaux a permis d'avoir, après 8 mois de conservation, des taux de germination de. 85 et 86 %, respectivement au .... d'harmattan et battus le quatrième jour pour l'égrenage. Les semences ainsi obtenues ont été étalées en mince couches sur des claies placées sous abris. Elles y ont été séchées en.

118 Variabilité climatique et son incidence sur les ressources en ...

African Journals Online (AJOL)

MARTINE

particulièrement fortes et touchent de nombreux secteurs d'activité. Le changement ... économique était basé sur l'agriculture est très sensible au contexte climatique [8,9]. ..... rupture. 3-2-6 Calcul du coefficient de tarissement : loi de Maillet.

Impacts des caractéristiques physico-chimiques des eaux sur la ...

African Journals Online (AJOL)

Mart.) and Panicum maximum (Jacq.). Water Resources and Industry, 16: 1-18. https://doi.org/10.1016/j.wri.2016.07.001. Priso RJ, Dibong SD, Tchinda-Metagne C,. Taffouo VD, Ndongo D, Amougou A. 2010. Impacts des eaux polluées sur la.

Impacts des caractéristiques physico-chimiques des eaux sur la ...

African Journals Online (AJOL)

Impacts des caractéristiques physico-chimiques des eaux sur la distribution du ... chimiques qui sont à l'origine d'une dégradation croissante de la qualité d'eau. ... Les valeurs d'indice de diversité de Shannon Weaver traduisent une grande ...

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 ...

Etude de la structure interne du nucleon en diffusion profondement inelastique de muons sur cibles fixes.

CERN Document Server

Granier, Thierry

Dans ce mémoire est présentée l'analyse, dans le but de l'extraction des fonctions de structure, d'une partie des données de diffusion profondément inélastique de muons sur cibles fixes d'hydrogène et de detérium obtenues dans l'expérience NMC (New Muon Collaboration) du CERN. Les fonctions de structure, à partir desquelles s'exprime la probabilité de diffusion à un certain angle et une certaine énergie, contiennent de l'information sur la structure interne du nucléon, plus précisément sur la distribution en énergie des quarks à l'intérieur de celui-ci. L'étude de la variation des fonctions de structure avec le degré d'inélasticité de la diffusion permet de tester la validité de la chromodynamique quantique, la théorie de jauge des interactions fortes

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.

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

International Nuclear Information System (INIS)

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

2016-01-01

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

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

Directory of Open Access Journals (Sweden)

Ramona C Dolscheid-Pommerich

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

Le point sur les indices du bien-être national | IDRC - International ...

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

21 janv. 2011 ... Aujourd'hui, de nouveaux indices perfectionnés tracent un portrait plus fouillé de l'état ... des progrès sur le plan économique, mais beaucoup de citoyens ne profitent pas de .... Tobacco Marketing — It's All Smoke and Mirrors.

La recherche sur les montagnes entre Alpes et monde : regards rétrospectifs

Directory of Open Access Journals (Sweden)

Thomas Scheurer

2009-03-01

Full Text Available L’expression « recherche alpine », on le constatera au fil de ce volume, reste bien incertaine. La première lecture suscite une interrogation : s’agit-il d’une recherche menée sur les Alpes ou dans les Alpes ? Ou pour les Alpes ? C’est-à-dire répondant à une demande émanant d’« acteurs alpins » ? On observera aisément que la recherche sur des terrains alpins et selon des thématiques et des questionnements soulevés par les sociétés alpines est menée préférentiellement au sein des Alpes. Il n’y...

Cancer mortality in the commune of Pargny sur Saulx in France

International Nuclear Information System (INIS)

Vathaire, F. de; Mollie, A.; Challeton de Vathaire, C.; Ropers, J.

1998-01-01

Radioactive thorium wastes were found in April 1997 at the former industrial site of 'Orflam-Plast' in the commune of Pargny sur Saulx in the Northeast of France, where industrial activity began in 1934. On this site, between 1934 and 1970, cerium for lighter stones and thorium nitrate were extracted from imported monazite sand, a mineral containing elevated levels of natural radioactivity. We decided to study cancer mortality in the surrounding population. We found an excess of mortality due to lung and bladder cancer in the commune of Pargny sur Saulx and its neighbours, between 1968 and 1994. This excess did not seem to be linked to the river of Saulx which was a possible source of contamination. We conclude that a cancer incidence study of the former workers of this industrial site is necessary in order to investigate the role of natural radioactivity from monazite processing in the risk of cancer mortality among this workforce. (author)

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

Directory of Open Access Journals (Sweden)

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.

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

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

Pour ce projet, le CRDI s'associe à la Norman Paterson School of International Affairs (NPSIA) pour réaliser un programme de recherche portant sur les droits de la personne reconnus internationalement. La subvention servira à payer pendant deux ans la moitié du salaire et des avantages sociaux du professeur agrégé ...

Administrative behavior of directors in hospitals: the Israeli case.

Science.gov (United States)

Stern, Z; Schmid, H; Nirel, N

1994-01-01

This article presents research findings on the behavior of directors in hospitals in Israel. According to the findings, hospital directors devote most of their time to internal organization processes and less time to the management of the external organizational environment. The findings also reveal that the orientation of these directors is toward centralization of authority and concentration of the decision-making process.

Migración sur-sur: factores relacionales e inserción segmentada de la población boliviana y peruana en la ciudad de Córdoba, Argentina

Directory of Open Access Journals (Sweden)

Eduardo León Bologna

2016-01-01

Full Text Available Como caso de migración sur-sur se analizan las poblaciones de origen boliviano y peruano residentes en la ciudad de Córdoba, con la hipótesis del mayor peso explicativo de factores relacionales respecto de las diferencias de desarrollo entre las regiones de origen y destino. Se comparan la estructura demográfica, la inserción educativa y la distribución espacial de las dos poblaciones entre los censos nacionales de 2001 y 2010. Por razones de disponibilidad de los datos la inserción ocupacional sólo se describe en el censo de 2001, y a través de los antecedentes por medio de encuestas para el periodo siguiente. Se concluye que el atractivo de Córdoba se debe más a los vínculos históricos que estos dos colectivos migrantes han forjado con la ciudad que al nivel de desarrollo económico o social de ésta.

Sur quelques espèces du genre Scarabaeus L

NARCIS (Netherlands)

Gillet, Joseph J.E.

1909-01-01

Dans une note insérée aux Annali del Museo Civico di storia naturale di Genova ¹), je rue suis occupé, entre autres choses, de la synonymie de quelques espèces de Scarabaeus; je désire revenir sur ce sujet et y ajouter les remarques que m’a suggérées l’examen du type de S. van der Kelleni LSBG. et

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

African Journals Online (AJOL)

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

[Drug supply chain safety in hospitals: current data and experience of the Grenoble university hospital].

Science.gov (United States)

Bedouch, P; Baudrant, M; Detavernier, M; Rey, C; Brudieu, E; Foroni, L; Allenet, B; Calop, J

2009-01-01

Drug supply chain safety has become a priority for public health which implies a collective process. This process associates all health professionals including the pharmacist who plays a major role. The objective of this present paper is to describe the several approaches proven effective in the reduction of drug-related problem in hospital, illustrated by the Grenoble University Hospital experience. The pharmacist gets involved first in the general strategy of hospital drug supply chain, second by his direct implication in clinical activities. The general strategy of drug supply chain combines risk management, coordination of the Pharmacy and Therapeutics Committee, selection and purchase of drugs and organisation of drug supply chain. Computer management of drug supply chain is a major evolution. Nominative drug delivering has to be a prior objective and its implementation modalities have to be defined: centralized or decentralized in wards, manual or automated. Also, new technologies allow the automation of overall drug distribution from central pharmacy and the implementation of automated drug dispensing systems into wards. The development of centralised drug preparation allows a safe compounding of high risk drugs, like cytotoxic drugs. The pharmacist should develop his clinical activities with patients and other health care professionals in order to optimise clinical decisions (medication review, drug order analysis) and patients follow-up (therapeutic monitoring, patient education, discharge consultation).

Is the system really the solution? Operating costs in hospital systems.

Science.gov (United States)

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

2015-06-01

Hospital system formation has recently accelerated. Executives emphasize scale economies that lower operating costs, a claim unsupported in academic research. Do systems achieve lower costs than freestanding facilities, and, if so, which system types? We test hypotheses about the relationship of cost with membership in systems, larger systems, and centralized and local hub-and-spoke systems. We also test whether these relationships have changed over time. Examining 4,000 U.S. hospitals during 1998 to 2010, we find no evidence that system members exhibit lower costs. However, members of smaller systems are lower cost than larger systems, and hospitals in centralized systems are lower cost than everyone else. There is no evidence that the system's spatial configuration is associated with cost, although national system hospitals exhibit higher costs. Finally, these results hold over time. We conclude that while systems in general may not be the solution to lower costs, some types of systems are. © The Author(s) 2015.

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.

El impacto del centro universitario de la costa sur en el municipio de Autlán de Navarro, Jalisco, México

OpenAIRE

Castañeda Palomera, Alfredo

2015-01-01

Con el objetivo de estimar el impacto económico, social y cultural del Centro Universitario de la Costa Sur (CU Costa Sur) en el Municipio de Autlán de la Navarro, Jalisco, México se realizó la presente tesis. Se fundamenta en la premisa de que el CU Costa Sur como una dependencia de la Universidad de Guadalajara maneja recursos económicos, empleo, incide en el desarrollo y crecimiento de empresas, en la formación de recursos humanos y el mejoramiento de las artes, la danza, el teatro y la cu...

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

DEFF Research Database (Denmark)

Zhou, Qi; Qian, Hua; Liu, Li

2018-01-01

Natural ventilation is believed to control airborne infection due to high ventilation rates while an undesired flow pattern may cause infection transmission in hospital wards. A computational fluid dynamics simulation was carried out in this study to investigate the impact of airflow pattern....... The results not only give direct evidence to strongly support World Health Organization’s recommendation but also suggest required amendment of the Chinese standard GB 51039-2014 to improve ventilation arrangement in general hospital wards in China. Our findings are useful for improving the future design...... of general hospital wards for airborne infection control....

Les teneurs en carbone, azote et phosphore du sol sur l'occurrence ...

African Journals Online (AJOL)

Les teneurs en carbone, azote et phosphore du sol sur l'occurrence de Lippia multiflora M. (théier de savane) et la composition chimique de son huile essentielle extraite des feuilles au Nord-Ouest de la Côte d'Ivoire.

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

OpenAIRE

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

2012-01-01

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

LA CERÁMICA CERRO LOS HORNOS, PRESENCIA INKA EN LA COSTA DE TACNA, SUR DEL PERÚ

OpenAIRE

Vela Velarde, Carlos

2004-01-01

Se estudia el sitio Cerro Los Hornos, ubicado en la costa de Tacna, sur del Perú. Presenta cerámica con filiación Inka Imperial o Cuzco Policromo, pero de fabricación local; esta presencia cultural es consecuencia del proceso de expansión Inka a la costa sur del Perú, la cual establece relaciones con la sociedad local The place studied is Cerro Los Hornos located in the coast of Tacna, south of Peru, presents ceramic with filiation Inka Imperial or Cuzco Policromo, but of local production;...

Les estimations du capital humain au Canada : approche fondee sur le revenu de la vie entiere

OpenAIRE

Gu, Wulong; Wong, Ambrose

2010-01-01

Dans le present document, nous produisons une estimation de l'investissement en capital humain fonde sur le marche et du stock de ce capital au Canada au cours de la periode s'etendant de 1970 a 2007 selon l'approche fondee sur le revenu de la vie entiere. Nous comparons cette estimation a celle de l'investissement en capital physique et naturel et du stock de ce capital. En suivant la methode elaboree par Jorgenson et Fraumeni, nous estimons le stock de capital humain sous forme du revenu de...

Approche pour la recommandation de ressources pédagogiques basée sur les liens sociaux

OpenAIRE

Tadlaoui , Mohammed; George , Sébastien; Sehaba , Karim

2015-01-01

Conférence EIAH 2015; Les systèmes de recommandation ont pour objectif de proposer des ressources pertinentes à une personne en utilisant certaines informations sur les utilisateurs et les ressources du système. Notre travail s’intègre dans le contexte des systèmes de recommandation de ressources pédagogiques et plus particulièrement des systèmes qui utilisent des informations sociales. En se basant sur les résultats de recherche dans le domaine des systèmes de recommandation, des réseaux soc...

Regards croisés sur l’action des ONG en éducation au Sud

OpenAIRE

Barlet, Sandra; Biache, Roland; Diouf, Mahfou; Dumont, Bernard; Gauron, André; Huguenin, Valérie; Marchand, Jacques; Migan, Gilbert

2012-01-01

Des représentants d’ONG, de bailleurs, d’un ministère au Sud et des experts sont interrogés sur les évolutions qui ont caractérisé l’action et le positionnement des ONG actives au Sud dans le champ de l’éducation depuis dix ans, et sur les nouveaux rôles qui se dessinent pour elles à l’horizon 2020. Plusieurs thèmes sont abordés : la mobilisation de la société civile et la gestion locale de l’éducation ; la conception du rôle de l’État et les besoins en intervention non gouvernementale ; le r...

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

Science.gov (United States)

Szatko, Franciszek; Ulrichs, Magdalena

2017-01-01

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

Risk Factors for Multidrug-resistant Pseudomonas aeruginosa Among Hospitalized Patients at a Malaysian Hospital

International Nuclear Information System (INIS)

Mohd, N.M.D.; Nurnajwa, M.H.; Lay, J.; Teoh, J.C.; Syafinaz, A.N.; Niazlin, M.T.

2015-01-01

A case-control study was conducted based on medical cases of 100 hospitalized patients with Pseudomonas aeruginosa-isolation at a Malaysian hospital. Cases with 50 multidrug-resistant P. aeruginosa MDRPA and 50 non-multidrug-resistant P. aeruginosa (NMDRPA) were randomly included and compared with socio-demographic and clinical data of the patients, using Chi-square and Fisher's exact tests as the statistical tool. Analysis found no significant association between MDRPA with ages, gender and ethnicity of patients (p>0.050). Other risk factors being investigated were invasive procedure, immunosuppression, bedridden and clinical diagnosis such as central nervous- and respiratory-system disorder, as well as antibiotic exposure during hospitalization and duration of hospital stay with only the last two were found to have significant association (p=0.035 and 0.019, respectively). Some other studies also reported a similar association indicating that the two factors could serve as an important predictive tool for isolation of MDRPA. More studies involving a larger sampling size are warranted to establish the association. (author)

Recommandations stratégiques sur la décentralisation, le pouvoir ...

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

22 déc. 2010 ... Il découle des analyses et des témoignages présentés lors de la ... Recommandations stratégiques sur la décentralisation, le pouvoir local et les droits des femmes ... Réduire la violence urbaine : Pourquoi certains hommes ...

Pouvoir pathogène de Botrytis cinerea sur Catharanthus roseus à ...

African Journals Online (AJOL)

SARAH

38,53 et C.I=1274.41 pour BC1). Au 31ème ... Conclusion et application de la recherche : l'étude a montré le pouvoir pathogène de B. cinerea sur C. roseus à différents ..... 1977; Kosuge et Hewitt, 1964). Et permettent à des.

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.

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 ...

Recherche d'informations sur Internet au collège et au lycée : méthode, commentaires et exemples

OpenAIRE

Beaufils, Alain

2004-01-01

Etude menée par l'INRP-Tecné (recherche 40123).; Dans deux établissements scolaires de la banlieue parisienne (collège et lycée), nous avons mené une observation sur quelques élèves volontaires de quatrième et de seconde. Leur tâche consistait à répondre à une question portant sur un thème assez large en utilisant des informations trouvées sur Internet et en limitant leur recherche aux documents rédigés en langue française. L'activité a eu lieu au CDI et comportait une séance d'entraînement s...

Performance Measurement in Belgian Hospitals : a state-of-the-art

OpenAIRE

Van Caillie, Didier; Rouhana, Rima; Santin, Sarah

2007-01-01

This communication proposes a global state-of-the-art around the central question : "How is performance measured and controlled in Belgian hospitals. As a first step in a global research project dedicated to the use of Balanced ScoreCard in publics hospitals around the world, it is essentially focused on global economic aspects and on major macroeconomic statistics.

Medical research at the Albert Schweitzer Hospital.

Science.gov (United States)

Issifou, Saadou; Adegnika, Ayola A; Lell, Bertrand

2010-03-01

Built in 1981, the Medical Research Unit is located at the campus of the Albert Schweitzer Hospital. The main scientific activities of this research unit lie on clinical research focusing on antimalarial drugs and vaccines, and basic studies on pathogenesis of infectious diseases. Since 2002 the Medical Research Unit has experience in organising and hosting high quality training in clinical research in collaboration with the Vienna School of Clinical Research and other partners. For the future, this unit is involved as a key partner in the Central African Network on Tuberculosis, HIV/AIDS and Malaria (CANTAM) consortium playing a central role for the excellence in clinical research in Central Africa.

Centralized vs. decentralized child mental health services.

Science.gov (United States)

Adams, M S

1977-09-01

One of the basic tenets of the Community Mental Health Center movement is that services should be provided in the consumers' community. Various centers across the country have attempted to do this in either a centralized or decentralized fashion. Historically, most health services have been provided centrally, a good example being the traditional general hospital with its centralized medical services. Over the years, some of these services have become decentralized to take the form of local health centers, health maintenance organizations, community clinics, etc, and now various large mental health centers are also being broken down into smaller community units. An example of each type of mental health facility is delineated here.

Biological control and surveillance measures for hospital radiopharmacy

International Nuclear Information System (INIS)

Joshi, S.H.; Mehra, K.S.; Ramamoorthy, N.

1997-01-01

The principles and procedures for the surveillance measures and the care required to be observed in hospital radiopharmacy, though much of the aspects are quite valid for centralized and industrial radiopharmacies, are described. 1 tab

Bibliography on plutonium and its compounds; Bibliographie sur le plutonium et ses composes

Energy Technology Data Exchange (ETDEWEB)

Dirian, J; Choquet, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1958-07-01

Collection of bibliographical references on plutonium and its principal compounds from 1942 to end of 1957. (author) [French] Compilation de references bibliographiques sur le plutonium et ses principaux composes de 1942 a fin 1957. (auteur)

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.

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

Directory of Open Access Journals (Sweden)

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.

Study on underground gas storage in Europe and Central Asia; Etude sur le stockage souterrain du gaz en Europe et en Asie Centrale

Energy Technology Data Exchange (ETDEWEB)

Sedlacek, R. [NlfB, Germany (Germany); Rott, W. [Wintershall AG, Celle (Germany); Rokosz, W. [POGC, Poland (PL)] (and others)

2000-07-01

The Working Party on Gas of the United Nations Economic Commission for Europe (UN/ECE), at its sixth session in 1996, decided to undertake a study on 'Underground gas storage in Europe and Central Asia'. The study was launched by the Working Party on Gas in the recognition of the role of underground gas storage (UGS) in the creation of unified European gas market, its liberalization, security of gas supply and cooperation among gas enterprises. The data analysed by the study was collected through the comprehensive questionnaire, circulated among gas companies/organizations of the ECE member-countries. To carry out the study, a special Ad Hoc Group of Experts, representing leading gas companies of the region, was set up. The study deals with a wide range of issues related to the underground storage of gas, such as current status of UGS in Europe and Central Asia, new and emerging technologies, new and existing UGS projects, regulatory framework, cost of storage in USA and in Europe, future gas markets development. An attempt was also made to identify the UGS facilities that play (and could provide in the future) the international contract border services. (authors)

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

Science.gov (United States)

Nyirenda, Maloni; Mukwato, Patricia

2016-12-01

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

Effets sur les patients des variations dans l’implantation d’un programme d’intervention sur le risque cardiométabolique à Montréal

Directory of Open Access Journals (Sweden)

Marie-Ève Beauregard

2018-01-01

Full Text Available Introduction : En 2011, l’Agence de la santé et des services sociaux de Montréal (ASSSM, en partenariat avec les Centres de santé et de services sociaux (CSSS de la région, a coordonné la mise en oeuvre d’un programme sur le risque cardiométabolique s’inspirant du Chronic Care Model. Ce programme destiné aux patients diabétiques ou hypertendus comporte une séquence de suivis individuels, des cours de groupe et des séances d’activité physique. Notre étude évalue l’impact de la variation dans l’implantation de certains aspects du programme entre les six CSSS participant à l’étude sur les résultats de santé des patients. Méthodologie : L’évaluation a été réalisée à l’aide d’un devis quasi-expérimental « avantaprès ». Des variables d’implantation ont été construites à partir de données colligées lors de l’analyse d’implantation concernant les ressources, la conformité au processus clinique prévu dans le programme régional, l’expérience du programme et la coordination interne au sein de l’équipe de soins. Des différences de différences utilisant des scores de propension ont été calculées pour les résultats d’HbA1c, l’atteinte de la cible de tension artérielle (TA et de deux cibles d’habitudes de vie (niveau d’activité physique et répartition des glucides alimentaires à 6 mois et à 12 mois de suivi, en fonction de l’exposition des patients à un degré plus ou moins important d’implantation de divers aspects du programme à l’étude. Résultats : Les résultats portent sur les 1 185 patients pour lesquels on disposait de données de suivi à 6 mois et les 992 patients pour le suivi à 12 mois. Les analyses de différences de différences ne révèlent aucune association claire entre le degré d’implantation des divers aspects du programme à l’étude et les résultats de santé chez les patients. Conclusion : Le programme produit des effets sur les

SERVICE MARKETING MIX OF INDIAN HOSPITALS: A CRITICAL REVIEW

Directory of Open Access Journals (Sweden)

Dharmesh, MOTWANI

2014-07-01

Full Text Available Sreenivas, Srinivasarao and Srinivasa (2013 said that “The health care market has become consumer centered and expecting high quality care at a reasonable price. The mushroomed development of corporate hospitals in India, competition is also bringing massive changes in industry structure. In this context, hospital services’ marketing is slowly and surely coming of age and is being woven into the fabric of hospitals planning and public relations programmes.” The essence of any marketing activity is marketing mix, and the central theme of the present paper revolves around the contemporary service marketing mix offered by Indian hospitals. In this paper author has critically reviewed 51 papers to describe elements of hospital service marketing mix; product, price, place, promotion, people, process and physical evidence.

Sécurité alimentaire : une lutte sur plusieurs fronts | CRDI - Centre ...

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

1 févr. 2011 ... En 1996, 180 pays – dont le Canada – ont participé à Rome au Sommet ... la Déclaration de Rome sur la sécurité alimentaire mondiale et le Plan .... de la finance, du marketing et de l'information à de petits exploitants afin ...

L'incidence de la représentation politique des femmes sur la ...

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

économie et débouchés économiques des femmes (CEDEF). Ce programme quinquennal est un partenariat réunissant le Department for International Development du Royaume-Uni, la William and Flora Hewlett Foundation et le CRDI. Axé sur les ...

Discursos y prácticas de la cooperación Sur-Sur brasileña en materia agrícola en el África Subsahariana: el caso del ProSavana y del PAA África

OpenAIRE

de Andrade e Sousa, Maria Eduarda

2016-01-01

Este artículo aborda la Cooperación Sur-Sur (CSS) brasileña en el África Subsahariana, con el objetivo de investigar en qué medida las iniciativas en materia agrícola pueden contribuir a la seguridad alimentaria de la región. Para ello, dos proyectos, el ProSavana y el PAA África, han sido estudiados en detalle a fin de valorar sus potencialidades desde el punto de vista de la seguridad alimentaria y analizar hasta qué punto están en línea con los principios de la cooperación técnica brasileñ...

La influencia del fenómeno El Niño y del índice de oscilación del sur en las precipitaciones de Cochabamba, Bolivia

Directory of Open Access Journals (Sweden)

1998-01-01

Full Text Available INFLUENCE DU PHENOMENE EL NIÑO ET DE L’INDICE D’OSCILLATION DU SUD SUR LES PRECIPITATIONS DE COCHABAMBA, BOLIVIE. On n’avait, jusqu’à présent, apporté que peu d’importance à l’influence du phénomène El Niño et de l’Indice d’Oscillation du Sud (IOS sur les précipitations de Cochabamba et plus généralement de la Bolivie. L’étude a été réalisée à partir de l’information de 20 stations météorologiques des vallées hautes, centrales et basses du département de Cochabamba, situées entre 17°20’ et 17°45’ de latitude sud et 66°05’ et 66°20’ de longitude ouest en utilisant aussi les séries de TSM et de l’IOS. Les séries ont été étudiées au niveau annuel, mensuel et journalier, au niveau qualitatif et quantitatif. Une analyse des séries chronologiques a déterminé l’année hydrologique et les anomalies de précipitations, en calculant une moyenne mobile sur 4 ans pour les stations soumises à une influence rémanente des fronts du sud et à celle de la Zone de Convergence Intertropicale-ZCIT, et sur 5 ans pour le reste des stations. On a pu conclure que l’influence du phénomène El Niño était plus nette dans les précipitations enregistrées à Cochabamba qu’à Arani, alors que l’influence de l’IOS se fait davantage sentir à Arani qu’à Cochabamba. Ceci montre bien l’influence du phénomène El Niño et de l’IOS sur la distribution spatio-temporelle des précipitations des vallées de Cochabamba. Ces anomalies affectent directement l’agriculture et contribueront ensuite à l’aggravation des problèmes socio-économiques du département de Cochabamba. Tradicionalmente se ha dado poca importancia al fenómeno El Niño y al Índice de Oscilación del Sur en la influencia de la distribución espacio-temporal de las precipitaciones que se registran en los valles de Cochabamba, principalmente, y de forma general en Bolivia. El estudio se realizó en los valles Alto, Central y Bajo del departamento de

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

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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

Agriculture itinérante sur brûlis (AIB et plantes cultivées sur le haut Maroni: étude comparée chez les Aluku et les Wayana en Guyane française

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Marie Fleury

Full Text Available Résumé Vers la fin du 18e siècle, les Noirs marrons Aluku, descendants d’esclaves rebelles fuyant les plantations hollandaises et les Amérindiens Wayana, arrivant du Brésil, où ils fuyaient les chasseurs d’esclaves, se sont rencontrés sur le haut Maroni, en Guyane française. Ce partage d’un même lieu de vie a été l’occasion d’échanger un grand nombre de techniques, notamment en ce qui concerne l’agriculture itinérante sur brûlis, et les plantes cultivées. Toutefois notre étude montre que le culte des ancêtres chez les Noirs marrons a modifié leur cycle cultural (via la culture du riz, influençant ainsi leur gestion de l’environnement. De même la nature et la diversité des plantes cultivées diffèrent sensiblement en fonction des usages traditionnels et habitudes culinaires des deux sociétés. Les Aluku ont sélectionné de nombreuses espèces et variétés de plantes qui leur sont propres et sont liées à leurs racines africaines. Les Amérindiens cultivent des plantes spécifiques utiles au chamanisme (tabac et à leur artisanat traditionnel. De plus, leur perception de la nature implique des pratiques cultuelles différentes notamment avant le défrichage. Cette étude illustre l’influence de la diversité culturelle sur la gestion de l’agrobiodiversité et, de manière plus générale, sur l’adaptation de l’homme à son environnement.

Des filets à nuages sur la crête d'El Tofo | CRDI - Centre de ...

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

adaptation aux changements climatiques que le CRDI subventionne. Entretien avec…propose des entrevues vidéos avec des chercheurs participant à des projets portant sur l'adaptation aux changements climati.

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 ...

Retour "écologique" sur la question des nitrates

OpenAIRE

Buson, Christian

2012-01-01

Un examen critique de la question des nitrates est proposé dans cet article, à la lumière des connaissances disponibles dans différentes disciplines. Au plan sanitaire, la norme sur l’eau potable établie depuis plusieurs décennies résulte d’une erreur ancienne aujourd’hui reconnue comme telle. Les nitrates n’engendrent aucun trouble sanitaire et les griefs tels que la méthémoglobinémie du nourrisson, ou le risque de cancer du à la formation de nitrosamines, qui les ont...

Zoom on India | Gros plan sur l’Inde

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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...

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 ...

Influence des technologies d'information et de la communication sur ...

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. Cependant, quoique la ...

Journal Afrika Statistika ISSN 0852-0305 Sur les estimateurs du ...

African Journals Online (AJOL)

Sur les estimateurs du maximum de vraisemblance dans les mod`eles multiplicatifs de Poisson et binomiale négative. 298. [1], Berk [2], Bickel et Doksum [3], ..... montrons l'implication (A2) ⇒(A1). Soit ˆµ l'EMV du mod`ele, alors toutes ses composantes sont strictement positives, et, d'apr`es le lemme 3, il vérifie l'équation.

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

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Jorge Calvo-Lon

2017-12-01

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

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.

Réseau ibéro-américain d'analyse de données sur la criminalité et ...

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

Grâce à ce projet, le Red Iberoamericana de Análisis de Datos de la Delincuencia (RIADD) sera en mesure de recueillir et d'analyser des données sur la criminalité et la sécurité dans 14 pays d'Amérique latine. Les résultats permettront de constituer une base de données statistiques exhaustive et fiable sur la criminalité, ...

Ciudades de madera. Patrimonio del sur, un bien reciclable

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Edward Rojas V.

1994-05-01

Full Text Available Hace algunos años reflexionaba en una de las páginas del número especial (N° 12 de la Revista Arquitecturas del Sur, dedicado a la ciudad de Castro, que la arquitectura así como la fotografía en la medida en que son registros concretos de la acción humana tienen la cualidad de atrapar con su materialidad ese preciso instante de la historia de la que son productos.

Impact des traitements physicochimiques sur la clarte des hydrogels ...

African Journals Online (AJOL)

Méthodes : La préparation est réalisée selon la méthode décrite par PINGNAULT utilisant 4% (P/P) d'amidon en base sèche.Sur les gels obtenu ont été déterminés successivement l'influence de la conservation au froid (4°C) par la méthode de CRAIG, de la longueur d'onde entre 400 et 700 nm, de la concentration en ...

Three C-terminal residues from the sulphonylurea receptor contribute to the functional coupling between the KATP channel subunits SUR2A and Kir6.2

Science.gov (United States)

Dupuis, Julien P; Revilloud, Jean; Moreau, Christophe J; Vivaudou, Michel

2008-01-01

Cardiac ATP-sensitive potassium (KATP) channels are metabolic sensors formed by the association of the inward rectifier potassium channel Kir6.2 and the sulphonylurea receptor SUR2A. SUR2A adjusts channel gating as a function of intracellular ATP and ADP and is the target of pharmaceutical openers and blockers which, respectively, up- and down-regulate Kir6.2. In an effort to understand how effector binding to SUR2A translates into Kir6.2 gating modulation, we examined the role of a 65-residue SUR2A fragment linking transmembrane domain TMD2 and nucleotide-binding domain NBD2 that has been shown to interact with Kir6.2. This fragment of SUR2A was replaced by the equivalent residues of its close homologue, the multidrug resistance protein MRP1. The chimeric construct was expressed in Xenopus oocytes and characterized using the patch-clamp technique. We found that activation by MgADP and synthetic openers was greatly attenuated although apparent affinities were unchanged. Further chimeragenetic and mutagenetic studies showed that mutation of three residues, E1305, I1310 and L1313 (rat numbering), was sufficient to confer this defective phenotype. The same mutations had no effects on channel block by the sulphonylurea glibenclamide or by ATP, suggesting a role for these residues in activatory – but not inhibitory – transduction processes. These results indicate that, within the KATP channel complex, the proximal C-terminal of SUR2A is a critical link between ligand binding to SUR2A and Kir6.2 up-regulation. PMID:18450778

El Sudeste de Asia en las vinculaciones Sur-Sur de la Argentina: ¿es la diversificación de socios suficiente?

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María Florencia Rubiolo

2014-12-01

, mientras que en la económico comercial distinguimos un incremento sustantivo en los flujos, particularmente de las exportaciones argentinas. Sin embargo, desde 2010 comenzaron multiplicarse las iniciativas argentinas hacia esta región, desde diferentes esferas gubernamentales – legislativo, Cancillería y, recientemente, de la cúpula del ejecutivo-. La mayor participación relativa de los países del SEA en la estructura exportadora argentina se ha producido en paralelo a una mayor concentración de la oferta exportable. Esta observación nos lleva al supuesto central de nuestro trabajo: a pesar del discurso político que subraya la intención argentina de fortalecer los vínculos Sur-Sur a través de la diversificación, la concentración de la canasta exportadora en productos con escaso valor agregado reproduce un patrón de intercambio inter-industrial propio de relaciones centro-periferia. Palabras Clave: Sudeste de Asia – Diversificación – Argentina – Política exterior --- Abstract: Non traditional markets destinations have gained increasing importance within Argentina’s foreign trade agenda. This phenomenon was evidenced in the trade missions to Northern Africa, Angola, Middle East and Southeast Asia. In previous researches we have noticed that Argentina’s links with Southeast Asian countries showed two different tendencies: after the nineties there was a decrease in initiatives from the political-diplomatic dimension, while there was an increase in trade flows, especially in Argentinian exports. Nevertheless, since 2010 political initiatives from Argentina to this region started to flourish, from diverse public bodies – Congress, Ministry of Foreign Affairs, and recently, the head of the executive-. The increasing relative participation of SEA countries in Argentina’s export structure has occurred simultaneously to a greater concentration of the export offer. This observation leads to our central argument in this paper: despite the political

Technical Training: Cycle d'Information/Formation sur l'Environnement d'Automatisme SCHNEIDER

CERN Multimedia

Raymond Brun

2005-01-01

Après la présention technique du 2 mars 2005 sur UNITY-Pro, deux autres présentations sur les nouveautés Schneider 2004/2005, dédiées aux utilisateurs CERN, auront lieu dans les locaux de l'enseignement technique (bât. 593, salle 13) aux dates suivantes : Mercredi 13 avril de 9h à 12h : Gamme Dialogue Homme-Machine (HMI) => Présentation et démonstration. Nouveaux terminaux tactiles Gamme XBT-G Logiciel de configuration visio-Designer Factory-Cast-HMI Distributed HMI Smart IPC (PC-Indusriel avec écran tactile rackable) Mercredi 11 Mai de 9h à 12h : Gamme Entrées/Sorties => Présentation et démonstration ADVANTIS (STB, OTB, ...) TWIDO (Nouvel UC et Connexion Ethernet) Nota : Ces formations, essentiellement techniques et pratiques, sont destinées aux personnes du CERN qui : ·  veulent connaître les nouvelles possibilités o...

Essai d’une méthodologie d’analyse des données d’Internet sur un ordinateur

OpenAIRE

Géraldine Foin

2017-01-01

Dans l’étude de l’environnement numérique dans lequel les individus vivent et évoluent, des problèmes méthodologiques peuvent se poser pour les chercheurs en sciences humaines et sociales. Cet article s’interroge sur la compatibilité des outils classiques en sciences sociales pour l’étude des pratiques numériques sur un écran, celui de l’ordinateur. En effet, l’usage classique d’entretiens, de questionnaires ou d’observations ne suffit plus pour recueillir avec précision les données relatives...

Commentaires à propos de la loi française sur le harcèlement moral au travail

OpenAIRE

Marie-France Hirigoyen; Claire Bonafons

2005-01-01

Les auteurs montreront comment en France, à partir d’une simple description de la souffrance engendrée par le harcèlement, on a aboutit rapidement à une loi sanctionnant ce fléau, puis ils feront le point sur les jurisprudences et sur l’évolution des comportements entraînés par cette loi et enfin, ils proposeront des axes de recherches et des pistes d’amélioration des dispositions législatives existantes.The authors will show how in France, starting with a simple description of the suffering ...

Commentaires à propos de la loi française sur le harcèlement moral au travail

OpenAIRE

Hirigoyen, Marie-France; Bonafons, Claire

2013-01-01

Les auteurs montreront comment en France, à partir d’une simple description de la souffrance engendrée par le harcèlement, on a aboutit rapidement à une loi sanctionnant ce fléau, puis ils feront le point sur les jurisprudences et sur l’évolution des comportements entraînés par cette loi et enfin, ils proposeront des axes de recherches et des pistes d’amélioration des dispositions législatives existantes. The authors will show how in France, starting with a simple description of the suffer...

Modeling Prices for Sawtimber Stumpage in the South-Central United States

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Rajan Parajuli

2016-07-01

Full Text Available The South-Central United States, which includes the states of Louisiana, Mississippi, Texas, and Arkansas, represents an important segment of the softwood sawtimber market. By using the Seemingly Unrelated Regression (SUR method to account for the linkage among the four contiguous timber markets, this study examines the dynamics of softwood sawtimber stumpage markets within the region. Based on quarterly data from 1981 to 2014, the findings reveal that both pulpwood and chip-and-saw (CNS prices have a positive influence on the Texas and Arkansas sawtimber markets. Moreover, Granger-causality tests suggest that unidirectional causality runs from pulpwood and CNS markets to the respective sawtimber market. Compared to the pre-financial crisis period, sawtimber prices in these four states are 9%–17% lower in the recent years.

Taiwan's Experience in Hospital Preparedness and Response for Emerging Infectious Diseases.

Science.gov (United States)

Kao, Hui-Yun; Ko, Hai-Yun; Guo, Peng; Chen, Chang-Hsun; Chou, Su-Mei

The Communicable Disease Control Medical Network (CDCMN), established in 2003 after the SARS outbreak in Taiwan, has undergone several phases of modification in structure and activation. The main organizing principles of the CDCMN are centralized isolation of patients with severe highly infectious diseases and centralization of medical resources, as well as a network of designated regional hospitals like those in other countries. The CDCMN is made up of a command system, responding hospitals, and supporting hospitals. It was tested and activated in response to the H1N1 influenza pandemic in 2009-10 and the Ebola outbreak in West Africa in 2014-2016, and it demonstrated high-level functioning and robust capacity. In this article, the history, structure, and operation of the CDCMN is introduced globally for the first time, and the advantages and challenges of this system are discussed. The Taiwanese experience shows an example of a collaboration between the public health system and the medical system that may help other public health authorities plan management and hospital preparedness for highly infectious diseases.

Incidences des programmes d'acquisition de compétences sur les ...

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

Cette recherche jouit de l'appui du programme Croissance de l'économie et débouchés économiques des femmes (programme CEDEF). Ce programme quinquennal est un partenariat réunissant le Department for International Development du Royaume-Uni, la William and Flora Hewlett Foundation et le CRDI. Axé sur les ...

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

Science.gov (United States)

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

2017-09-01

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

Diagnóstico de laboratorio en pacientes ingresados por infección urinaria en un hospital pediátrico Laboratory diagnosis in patients admitted due to urinary infection in a children hospital

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Margarita Isabel Chávez Isla

2012-01-01

Full Text Available Se realizó un estudio descriptivo, longitudinal y retrospectivo de 64 pacientes con infección urinaria, ingresados en el Hospital Infantil Sur de Santiago de Cuba desde enero hasta diciembre del 2010, con vistas a determinar algunos aspectos clínicos diagnósticos. En la mayoría de los niños hospitalizados prevalecieron: anemia, leucocitosis, eritrosedimentación acelerada, así como leucocituria ligera; y entre los microorganismos: Escherichia coli, Proteus mirabilis y Enterobacteriaceae. Para verificar la presencia de esas alteraciones, deben indicarse los exámenes complementarios: hemograma completo, eritrosedimentación, cituria y urocultivo, cuyos resultados posibilitan establecer un diagnóstico concluyente.A descriptive, longitudinal and retrospective study of 64 patients with urinary infection, admitted at the Southern Children Hospital in Santiago de Cuba was carried out from January to December, 2010, with the objective of determining some clinical and diagnostic aspects. In most of the hospitalized children, anemia, leucocytosis, accelerated erytrosedimentation, as well as mild leucocyturia prevailed; and among the organisms: Escherichia coli, Proteus mirabilis and Enterobacteriaceae. To verify the presence of these changes, additional tests such as complete blood count, erytrosedimentation, cyturia and urine culture should be indicated as their results facilitate to establish a conclusive diagnosis.

Influence of hospitalization on potentially inappropriate prescribing ...

African Journals Online (AJOL)

Methods: This was a prospective observational study conducted in the multidisciplinary medical and surgical units ... Having a PIM at discharge was associated with the number of discharge medications and the history of .... assess the impact of hospitalization on PIPs in .... Central Nervous System and Psychotropic Drugs.

Improving financial performance by modeling and analysis of radiology procedure scheduling at a large community hospital.

Science.gov (United States)

Lu, Lingbo; Li, Jingshan; Gisler, Paula

2011-06-01

Radiology tests, such as MRI, CT-scan, X-ray and ultrasound, are cost intensive and insurance pre-approvals are necessary to get reimbursement. In some cases, tests may be denied for payments by insurance companies due to lack of pre-approvals, inaccurate or missing necessary information. This can lead to substantial revenue losses for the hospital. In this paper, we present a simulation study of a centralized scheduling process for outpatient radiology tests at a large community hospital (Central Baptist Hospital in Lexington, Kentucky). Based on analysis of the central scheduling process, a simulation model of information flow in the process has been developed. Using such a model, the root causes of financial losses associated with errors and omissions in this process were identified and analyzed, and their impacts were quantified. In addition, "what-if" analysis was conducted to identify potential process improvement strategies in the form of recommendations to the hospital leadership. Such a model provides a quantitative tool for continuous improvement and process control in radiology outpatient test scheduling process to reduce financial losses associated with process error. This method of analysis is also applicable to other departments in the hospital.

Lignes directrices canadiennes sur la rhinosinusite chronique

Science.gov (United States)

Kaplan, Alan

2013-01-01

Résumé Objectif Présenter un résumé clinique des lignes directrices canadiennes sur la rhinosinusite chronique (RSC) qui comporte des recommandations pertinentes aux médecins de famille. Qualité des données Les auteurs des lignes directrices ont effectué une recherche documentaire systématique dans la littérature médicale et ont rédigé une ébauche de recommandations. Une cote a été donnée à la fois en fonction de la fiabilité des données probantes et de la solidité des recommandations. On a sollicité les commentaires d’experts en contenu de l’extérieur, ainsi que l’aval des sociétés médicales (Association pour la microbiologie médicale et l’infectiologie Canada, Société canadienne d’allergie et d’immunologie clinique, Canadian Society of Otolaryngology—Head and Neck Surgery, Association canadienne des médecins d’urgence et Regroupement canadien des médecins de famille en santé respiratoire). Message principal Le diagnostic d’une RSC se fonde sur le type et la durée des symptômes et une constatation objective d’une inflammation de la muqueuse nasale ou des sinus paranasaux. La rhinosinusite chronique est catégorisée en fonction de la présence ou de l’absence de polypes nasaux et cette distinction entraîne des différences dans le traitement. On traite la rhinosinusite chronique avec polypes nasaux au moyen de corticostéroïdes par voie intranasale. Des antibiotiques sont recommandés quand les symptômes indiquent une infection (douleur ou purulence). Pour une RSC sans polypes nasaux, on recommande des corticostéroïdes par voie intranasale et des antibiotiques de deuxième ligne (par ex. combinaisons amoxicilline–acide clavulanique ou fluoroquinolones à activité accrue contre Gram positif). Une irrigation avec une solution saline, des stéroïdes par voie orale et des tests d’allergies pourraient être appropriées. Si le patient ne répond pas au traitement, il faudrait envisager d�

Une économie axée sur l'épanouissement des jeunes | CRDI ...

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

7 août 2013 ... Le projet porte sur des questions transversales telles que les obstacles à la ... par la National Academy of Science and Technology des Philippines. .... Mme Rustagi est professeure et codirectrice de l'Institute for Human ...

Decontamination tests on cotton materials; Essais de decontamination sur tissus de coton

Energy Technology Data Exchange (ETDEWEB)

Cohen, P; Pelletier, C [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1958-07-01

It is shown that versene gives the best decontamination results on cotton materials soiled by a mixture of fission products. (author) [French] On a montre que le versene donne les meilleurs resultats de decontamination sur des tissus de coton souilles par un melange de produits de fission. (auteur)

Effet de la rugosité de surface sur les performances du contact ...

African Journals Online (AJOL)

Effet de la rugosité de surface sur les performances du contact segment- chemise dans un moteur à combustion interne. The effect of surface roughness on the performances of liner-piston ring contact in internal combustion engine. Amar Ayad. *. , Amar Skendraoui & Ammar Haiahem. Laboratoire de Mécanique Industrielle ...

Mio-Pliocene glaciations of Central Patagonia: New evidence and tectonic implications Glaciaciones mio-pliocenas en Patagonia central: nueva evidencia e implicancias tectónicas

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Yves Lagabrielle

2010-07-01

ículooprimero se describe la variada evidencia que demuestra el desarrolloo, desde hace 7 Ma, de unidades sedimentarias glacigénicas en la Cordillera Patagónica Central. Luego se describe una bien preservada geomorfología glacial en la cima de mesetas expuestas a ambos lados del lago General Carrera-Buenos Aires: en la Meseta Guenguel en el lado norte y en la meseta volcánica del lago Buenos Aires en el lado sur. Esta última corresponde a un paleo-piedemonte morfológicamente invertido de 3 Ma acorde a edades Ar/Ar de las lavas basálticas superiores. Exhibe evidencia del avance de glaciares hacia el NE. Observaciones hechas con sensores remotos y con modelos de elevación digital evidenciaron la presencia de formas glaciales a loolargo de una distancia de 20 km, las que fueron alimentadas desde los relieves cordilleranos ubicados al oeste. Estos lóbulos están ahora descabezados de su fuente ubicada al oeste a loolargo de un corredor morfoestructural que limita la Meseta del lago Buenos Aires por el oeste. Estos remanentes pueden ser correlacionados con las formas glaciales más antiguas reconocidas al norte del lago General Carrera-Buenos Aires en la Meseta Guenguel y que forman el sistema de morrenas Chipanque. Sobre la base de estos antecedentes se concluye que el sistema de drenaje de la Patagonia Central ha sido fuertemente modificado subsecuentemente a la inversion del relieve en respuesta a procesos erosivos y a causas tectónicas. Hubo cambios después de 3 Ma, desde una suave superficie de piedemonte cubierta por un extenso manto de hielooterminando con amplios lóbulos glaciales, hasta la actual serie de valles glaciales profundamente incididos tales como la depresión del lago General Carrera-Buenos Aires. Estos nuevos datos entregan importantes antecedentes a la historia y desarrolloode las primeras glaciaciones cenozoicas del sur de América del Sur.

[Central diabetes insipidus: diagnostic difficulties].

Science.gov (United States)

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

2008-06-01

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

Regional cost differences of hospital supply in Germany

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Lauterbach, Karl W.

2005-04-01

Full Text Available The intended adoption of a global reimbursement system for inpatient care in Germany envisions identical payments for identical treatments at different hospitals. This may lead to losses in some hospitals and may cause problems for the supply with health care facilities in the long run if there a important regional cost differences. Cost and performance data of 1112 hospitals in Germany have been analysed for regional differences in 2001: As regional categorizations we used official classification schemes based on centrality. The investigation does not support the postulation of additional payments for selected regions in Germany accounting for level cost-differences between hospitals. Confounding influence factors like ownership and hospital size seem to be more important. We recommend further investigations to evaluate regional cost-differences on the level of medical wards and using more risk-adjusted data. The examination of the individual case is necessary.

Características, referentes y líneas maestras de la crítica literaria realizada en Cuadernos del Sur

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Rodríguez Jiménez, Antonio

2015-12-01

Full Text Available This article approaches the features, references points and lines of literary criticism expressed in the literary supplement Cuadernos del Sur. The work constant in the literary field provided a critical authority and subsequently independence in the quality of the works studied. It shows how the gamble of criticism was continuous and strong to the dissemination of culture. It covers discussions and debates about literary criticism between 1986 and 2008. It explains how Cuadernos del Sur has been a guide to enlighten readers by the tangled jungle of the manifestations of thought, especially in the world of books, with a critical view of aesthetic approaches freely when prosecuting the literary work. It analyzes how Cuadernos del Sur it marks a path of dialogue and turns into platform of expression of critics and authors.Este artículo aborda las características, los referentes y las líneas maestras de la crítica literaria desarrollada en el suplemento literario Cuadernos del Sur. La constancia en el terreno crítico aportó una autoridad que posteriormente generó independencia en la calidad de las obras estudiadas. Se muestra cómo la apuesta crítica fue constante y de firme compromiso con la difusión de la cultura. Se abordan discusiones y debates en torno a la crítica desarrollada entre 1986 y 2008. Se explica cómo Cuadernos del Sur ha sido una guía para iluminar a los lectores por la intrincada selva de las manifestaciones del pensamiento, sobre todo por el mundo de los libros, que ha realizado una visión crítica con libertad de planteamientos estéticos a la hora de enjuiciar la obra literaria. Se analiza cómo Cuadernos del Sur marca un camino de diálogo y se convierte en tribuna abierta de expresión de críticos y autores.

La liebre europea, Lepus europaeus (Mammalia, Leporidae, especie invasora en el sur del Perú

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Daniel Cossíos

2013-06-01

Full Text Available La liebre europea fue introducida entre finales del siglo XIX y comienzos del siglo XX a Argentina y Chile, y desde entonces ha avanzado a través de América del Sur. En 1983 la liebre había alcanzado el sur de Brasil, el departamento de Tarija en el sur de Bolivia y el río Copiapó en Chile, encontrándose ausente en el Perú. En los años 2002 y 2004 se observó varios ejemplares de liebre en estado silvestre en los departamentos peruanos de Tacna y Arequipa, hasta una altitud de 4300 m. Según entrevistas hechas a pobladores de esas zonas, la liebre habría llegado al Perú entre los años 1995 y 1998, lo que significa una velocidad de dispersión mínima de 44,34 km/año partiendo de Tarija. Los entrevistados dijeron no dar uso a la liebre y que ésta les trae problemas al consumir la vegetación. La presente nota es una alerta sobre la llegada de la liebre europea al Perú y los posibles efectos de su presencia.

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 ?

Incidence de la densite sur les performances de production, la ...

African Journals Online (AJOL)

L'étude montre l'incidence du facteur densités sur les résultats d'élevage, le rendement carcasse, la qualité organoleptique et le comportement de deux souches de poulets chair élevées au Bénin. Au total, 180 poulets de chair soit 90 poulets de chacune des souches Ross et Cobb 500 répartis en 4 traitements de trois ...

Nouvelles de l'Italie sur la linguistique et l'education

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Raffaele Simone

1984-12-01

Full Text Available L'auteur donne. des informations sur l'état actuel des débats concernant le développement du langage dans l'école italienne d'aujourd'hui, et prop6se U:ne "nouvelle" notion de linguistique appliquée, considérée en tant que confrontation de systèmes de sens, plutôt de systèmes de formes.

Effet de la salinité sur quelques traits physiologiques et ...

African Journals Online (AJOL)

Administrateur

ﺔﯾزوﻣﺳﻻا تﺎﯾﻣﺣﻣ. -. Atriplex halimus L. Résumé. Le présent travail traite de l'effet de la salinité sur quelques réponses physiologiques et biochimiques d'une espèce, Atriplex halimus L. Des plantules sont soumises à des analyses de la biomasse, du statut énergétique. (teneurs en pigments chlorophylliens), du dosage ...

La réputation de l'audit externe et les mécanismes de gouvernement d'entreprise: Interactions et effet sur la performance

OpenAIRE

Fodil Adjaoud; Chokri Mamoghli; Fatma Siala

2007-01-01

International audience; L'objectif de cette étude est d'analyser l'impact de la combinaison de la réputation de l'audit externe et des mécanismes internes de gouvernement d'entreprise sur la performance. Les tests menés sur un échantillon de 289 entreprises canadiennes sur trois ans supportent l'hypothèse de substitution proposée par la littérature. Nos résultats montrent qu'une meilleure réputation de l'audit pourrait ne plus constituer une prérogative aussi bien pour les actionnaires que po...

Histoire d'une cité scientifique le campus du CNRS à Gif-sur-Yvette (1946-2016)

CERN Document Server

2016-01-01

L'histoire du campus de Gif-sur-Yvette, cité scientifique de renommée internationale, commence en 1946, à l'heure de la reconstruction de la recherche française, ajuste après le deuxième conflit mondial. L'histoire du campus de Gif-sur-Yvette, cité scientifique de renommée internationale, commence en 1946, à l'heure de la reconstruction de la recherche française, ajuste après le deuxième conflit mondial. À cette époque, l'on cherche à favoriser l'émergence d'études nouvelles, à soutenir les travaux fondamentaux sans s'interdire de réfléchir à leurs applications, ou encore à stimuler l'interdisciplinarité. L'acquisition du domaine par le CNRS reflète alors l'ambition de son directeur, Frédéric Joliot-Curie, de refonder la Recherche scientifique et de restaurer son rayonnement. Depuis, le campus de Gif-sur-Yvette a connu une formidable aventure, aussi bien humaine que scientifique. Pionnier dans de nombreux domaines, en biologie, en chimie mais aussi en sciences du climat et de l'env...

Lambeau Expanse du Cuir Chevelu dans la Couverture des Alopecies Cicatricielles sur Sequelles de Brulures. A Propos d'une Observation

Science.gov (United States)

El Mazouz, S.; Hafidi, J.; Fejjal, N.; Mejjati, H.; Cherkab, L.; Gharib, N.; Abbassi, A.

2010-01-01

Summary Les séquelles esthétiques des alopécies cicatricielles sur séquelles de brûlures sont responsables de préjudices empêchant parfois la réinsertion sociale du patient, surtout chez les sujets de sexe féminin. Le cuir chevelu permet la réalisation de lambeaux permettant de couvrir ces alopécies. Les Auteurs décrivent le cas d'une jeune patiente victime d'une alopécie cicatricielle sur séquelles de brûlures chez qui ils ont réalisé un lambeau expansé du cuir chevelu et mettent le point sur la prise en charge de ces lésions à travers ce cas clinique et une revue de littérature. PMID:21991195

Incidence and hospital mortality of vascular surgery patients with ...

African Journals Online (AJOL)

Central Hospital (IALCH) intensive care unit (ICU) following vascular surgery between 1 January ... patients have a perioperative myocardial infarction (PMI) and 4.6 .... Emergency surgery was performed in 17.8% of the ..... area is needed.

Renforcement de la justice sexospécifique au Nigeria : regard sur la ...

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

Renforcement de la justice sexospécifique au Nigeria : regard sur la participation citoyenne des femmes. Au Nigeria, un large éventail de facteurs historiques, politiques et culturels tantôt entravent, tantôt favorisent une participation citoyenne des femmes respectueuse de leurs droits. Cette subvention permettra aux ...

Savoir traditionnel sur les plantes antipaludiques à propriétés ...

African Journals Online (AJOL)

Savoir traditionnel sur les plantes antipaludiques à propriétés analgésiques, utilisées dans le district de Bamako (Mali). A Dénou, K Koudouvo, A Togola, M Haïdara, S.M Dembélé, F.N. Ballo, R Sanogo, D Diallo, M Gbeassor ...

Jean-Baptiste Comby (dir.), Enquêter sur l’internationalisation des biens médiatiques et culturels

OpenAIRE

Mouchard, Laure

2018-01-01

Issu de réflexions menées lors d’un séminaire du Centre d’analyse et de recherche interdisciplinaire sur les médias consacré à l’internationalisation des médias, l’ouvrage dirigé et introduit par Jean-Baptiste Comby prend le parti de « sociologiser » l’étude des phénomènes d’internationalisation des biens médiatiques et culturels, thème que l’auteur estime davantage investi par les historiens, les économistes, les politistes et les sémiologues. En faisant retour sur l’histoire des études de l...

Devenir victime des pesticides:Le recours au droit et ses effets sur la mobilisation des agriculteurs Phyto-victimes

OpenAIRE

Jouzel, Jean-Noël; Prete, Giovanni

2014-01-01

Cet article analyse les effets du recours au droit sur la mobilisation des travailleurs agricoles victimes des pesticides. Il repose sur une enquête qualitative auprès des membres de l’association Phyto-victimes, qui réunit ces agriculteurs, ainsi que de leurs proches et des professionnels du droit avec lesquels ils interagissent. À partir de ce matériau, nous retraçons les parcours suivis par les agriculteurs pour obtenir une reconnaissance de leur statut de victimes des pesticides. Nous ren...

Proyecto educativo y pastoral para los niños trabajadores en el mercado mayorista del sur de Quito

OpenAIRE

Ibarra Sandoval, Fredy

2005-01-01

El presente trabajo investigativo: “Proyecto Educativo y Pastoral para los niños trabajadores en el Mercado Mayorista del sur de Quito”, fue seleccionado con el objetivo de presentar una parte de la realidad actual educativa y pastoral por la que atraviesan los niños que trabajaban en el Mercado Mayorista, ubicado al Sur de Quito. La Educación es un derecho y un deber de todo ciudadano, por tanto creo imprescindible hacer respetar y apoyar para que esta gestión sea diligente...

Trends in diarrhea hospitalizations among infants at three hospitals in Tanzania before and after rotavirus vaccine introduction.

Science.gov (United States)

Lyamuya, Faraja; Michael, Fausta; Jani, Bhavin; Fungo, Yohana; Chambo, Alfred; Chami, Inviolatha; Bulali, Regina; Mpamba, Amina; Cholobi, Happy; Kallovya, Dotto; Kamugisha, Christopher; Mwenda, Jason M; Cortese, Margaret M

2018-04-11

The Tanzania Ministry of Health introduced monovalent human rotavirus vaccine in January 2013, to be administered at ages 6 and 10 weeks. Data suggest there was high vaccine uptake. We used hospital ward registers from 3 hospitals to examine trends in diarrhea hospitalizations among infants before and after vaccine introduction. Ward registers from Dodoma Regional Referral Hospital (Central Tanzania), and two hospitals in Mbeya (Southwest area), Mbeya Zonal Referral Hospital and Mbalizi Hospital, were used to tally admissions for diarrhea among children by age group, month and year. Rotavirus surveillance had started at these hospitals in early 2013; the proportion of infants enrolled and rotavirus-EIA positive were examined by month to determine peak periods of rotavirus disease post-vaccine introduction. Registers were available for 2-4 prevaccine years and 2-3 post introduction years. At Dodoma Regional Referral Hospital, compared with the mean of 2011 and 2012, diarrhea hospitalizations among infants were 26% lower in 2015 and 58% lower in 2016. The diarrhea peak shifted later in the year first by 1 and then by 2-3 months from prevaccine. At the Mbeya hospitals, the number of diarrhea admissions in prevaccine period varied substantially by year. At Mbeya Referral Hospital, diarrhea hospitalizations among infants were lower by 25-37% in 2014 and 11-26% in 2015, while at Mbalizi Hospital, these hospitalizations were 4% lower in 2014 and 14% higher in 2015. Rotavirus testing data demonstrated a lowering of the prevaccine peak, a shift in timing of the peak months and indicated that other diarrheal peaks in post-introduction years were not due to rotavirus. In this ecological evaluation, total diarrhea hospitalizations among infants were lower (≥25% lower in ≥1 year) following introduction in 2 of 3 hospitals. There are challenges in using ward registers to ascertain possible impact of rotavirus vaccine introduction on trends in hospitalizations for

Les dégâts de la grêle sur les cultures: l'averse du 1er juin 1993 dans le Saumurois

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Freddy VINET

1994-12-01

Full Text Available La cartographie fine des dégâts de la grêle sur le vignoble du Saumurois permet d’obtenir des informations intéressantes sur le déroulement des averses de grêle: phase de concentration, coeur de grêle, dissipation.

Le partenariat mondial sur les données ouvertes pour le ...

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

Les données ouvertes favorisent le changement. Au Brésil, au Népal et au Nigeria, certaines personnes utilisent les données publiquement accessibles sur le budget gouvernemental pour repérer et combattre la corruption. Des analystes de données et des développeurs en TI d'autres pays en développement améliorent ...

Analyse anthropotechnique du port de charge sur la tete au Benin ...

African Journals Online (AJOL)

Les difficultés auxquelles les femmes marchandes ambulantes de Porto-Novo sont confrontées sont dues à la qualité et à l'efficacité des moyens et des techniques de transport de leurs marchandises dans les marchés. En effet, ces femmes ont choisi de porter leurs marchandises sur la tête à travers les cinq grands ...

Oxidation films morphology; Sur la morphologie des pellicules d'oxydation

Energy Technology Data Exchange (ETDEWEB)

Paidassi, J [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

1960-07-01

After studying the oxidation of several pure polyvalent metals (Fe, Cu, Mn, Ni, U) and of their oxides at high temperature and atmospheric pressure, the author suggests how to modify the usual representation of the oxide film (a piling of different oxide layers, homogeneous on a micrographic scale with a equi-axial crystallisation, free of mechanical tensions, with flat boundary surfaces) to have it nearer to reality. In this first part, the author exposes the study of the real micrographic structure of the oxidation film and gives examples of precipitation in the oxides during the cooling of the oxidised sample. (author) [French] En se basant sur les etudes qu'il a faites sur l'oxydation aux temperatures elevees et a la pression atmospherique de quelques metaux purs a valences multiples (Fe, Cu, Mn, Ni, U), et de leurs oxydes, l'auteur suggere comment le schema qui representerait la pellicule comme etant une superposition de diverses couches d'oxydes, homogenes micrographiquement, a cristallisations equiaxes, depourvues de tensions mecaniques et separees par des interfaces plans, doit etre modifie pour s'ajuster a la realite. Dans cette premiere partie, l'auteur etudie la structure micrographique reelle des pellicules d'oxydation et donne des exemples de precipitation dans les oxydes au cours du refroidissement des echantillons oxydes. (auteur)

Physique du deuil. Note sur la dernière vie de Roland Barthes

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Maïté Snauwaert

2013-03-01

Full Text Available Les remarques sur la tenue de la maison et du corps dans le quotidien domestique, conçue comme une éthique de la fidélité à la mère récemment disparue, apparaissent dans l’écrit privé du Journal de deuil de Roland Barthes comme un écho des observations faites dans le cours sur La préparation du roman. Participant d’une physique du vivre et de l’habiter qui met l’accent sur l’entretien quotidien du lieu, le silence et la difficulté de tout voyage, les « notations » du journal rendent compte de la condensation dans le corps de l’épreuve du deuil, et de la prise de conscience d’un dernier âge de la vie.In the personal writings of Journal de deuil, Roland Barthes’ remarks regarding the maintenance of the home and body are conceived of as an ethic of faithfulness to his recently deceased mother. They are considered in this article as an echo to the observations he makes during his lectures in the course La préparation du roman. Both emphasize the physicality of everyday life and the role played by one’s relationship to the home. By stressing the necessity of silence and the difficulties of leaving “the apartment”, the brief “notations” in the diary translate the physical concentration of the mourning experience, as well as the emergent understanding of a final stage of life.

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

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Arati

2015-09-01

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

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

African Journals Online (AJOL)

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

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

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Adem Gul

2014-06-01

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

Influence de l'occupation des terres sur la dynamique des ...

African Journals Online (AJOL)

L'objectif de la présente étude est d'évaluer l'impact de mise en culture, des pâturages, des jachères et l'influence des villages sur la dynamique des communautés végétales de la commune de ..... mais il n'y a que peu de recrutement. Au-delà de cinq ans, taille et phytovolume diminuent, témoignant du vieillissement de la ...

Perspectives queer et féministes pour un regard critique sur l’intimité dans les médias numériques

OpenAIRE

Gauthier, Maude; Mercier, Élisabeth

2017-01-01

De quelles manières l’intimité se conçoit-elle aujourd’hui sur Internet et sur les réseaux socionumériques ? Comment les médias numériques rendent-ils possible et interviennent-ils sur différentes formes d’intimité ? Comment ces médias participent-ils à (re)définir la notion même d’intimité, ses domaines et ses frontières ? Ce dossier thématique propose d’explorer les expériences vécues et les discours sociaux autour de l’intimité dans le contexte numérique. Plus spécifiquement, c’est à parti...

Process-based organization design and hospital efficiency.

Science.gov (United States)

Vera, Antonio; Kuntz, Ludwig

2007-01-01

The central idea of process-based organization design is that organizing a firm around core business processes leads to cost reductions and quality improvements. We investigated theoretically and empirically whether the implementation of a process-based organization design is advisable in hospitals. The data came from a database compiled by the Statistical Office of the German federal state of Rheinland-Pfalz and from a written questionnaire, which was sent to the chief executive officers (CEOs) of all 92 hospitals in this federal state. We used data envelopment analysis (DEA) to measure hospital efficiency, and factor analysis and regression analysis to test our hypothesis. Our principal finding is that a high degree of process-based organization has a moderate but significant positive effect on the efficiency of hospitals. The main implication is that hospitals should implement a process-based organization to improve their efficiency. However, to actually achieve positive effects on efficiency, it is of paramount importance to observe some implementation rules, in particular to mobilize physician participation and to create an adequate organizational culture.

Comparative evaluation of SUV, tumor-to-blood standard uptake ratio (SUR), and dual time point measurements for assessment of the metabolic uptake rate in FDG PET.

Science.gov (United States)

Hofheinz, Frank; Hoff, Jörg van den; Steffen, Ingo G; Lougovski, Alexandr; Ego, Kilian; Amthauer, Holger; Apostolova, Ivayla

2016-12-01

We have demonstrated recently that the tumor-to-blood standard uptake ratio (SUR) is superior to tumor standardized uptake value (SUV) as a surrogate of the metabolic uptake rate K m of fluorodeoxyglucose (FDG), overcoming several of the known shortcomings of the SUV approach: excellent linear correlation of SUR and K m from Patlak analysis was found using dynamic imaging of liver metastases. However, due to the perfectly standardized uptake period used for SUR determination and the comparatively short uptake period, these results are not automatically valid and applicable for clinical whole-body examinations in which the uptake periods (T) are distinctly longer and can vary considerably. Therefore, the aim of this work was to investigate the correlation between SUR derived from clinical static whole-body scans and K m-surrogate derived from dual time point (DTP) measurements. DTP (18)F-FDG PET/CT was performed in 90 consecutive patients with histologically proven non-small cell lung cancer (NSCLC). In the PET images, the primary tumor was delineated with an adaptive threshold method. For determination of the blood SUV, an aorta region of interest (ROI) was delineated manually in the attenuation CT and transferred to the PET image. Blood SUV was computed as the mean value of the aorta ROI. SUR values were computed as ratio of tumor SUV and blood SUV. SUR values from the early time point of each DTP measurement were scan time corrected to 75 min postinjection (SURtc). As surrogate of K m, we used the SUR(T) slope, K slope, derived from DTP measurements since it is proportional to the latter under the given circumstances. The correlation of SUV and SURtc with K slope was investigated. The prognostic value of SUV, SURtc, and K slope for overall survival (OS) and progression-free survival (PFS) was investigated with univariate Cox regression in a homogeneous subgroup (N=31) treated with primary chemoradiation. Correlation analysis revealed for both, SUV and SURtc, a

A quality control exercise of radionuclide calibrators among Belgian hospitals

International Nuclear Information System (INIS)

Reher, D.F.G.; Merlo, P.

1990-01-01

On the initiative of the Belgian Association of Hospital Physicists, eleven Belgian hospitals participated in a quality control of radionuclide calibrators conducted in collaboration with the Central Bureau for Nuclear Measurements of the Commission of the European Communities. For practical reasons the nuclide 57 Co was chosen. The results from 20 different radionuclide calibrators show a fair agreement with a similar comparison carried out in 1980 in the UK. (orig.)

Identifying competitive strategies to improve the performance of hospitals in a competitive environment.

Science.gov (United States)

Chang, Chuan-Hui; Chiao, Yu-Ching; Tsai, Yafang

2017-11-21

This study is based on competitive dynamics theory, and discusses competitive actions (including their implementation requirements, strategic orientation, and action complexity) that influence hospitals' performance, while also meeting the requirements of Taiwan's "global budget" insurance payment policy. In order to investigate the possible actions of hospitals, the study was conducted in two stages. The first stage investigated the actions of hospitals from March 1 to May 31, 2009. Semi-structured questionnaires were used, which included in-depth interviews with senior supervisors of 10 medium- and large-scale hospitals in central Taiwan. This stage collected data related to the types of actions adopted by the hospitals in previous years. The second stage was based on the data collected from the first stage and on developed questionnaires, which were distributed from June 29 to November 1, 2009. The questionnaires were given to 20 superintendents, deputy superintendents, and supervisors responsible for the management of a hospital, and focused on medical centers and regional hospitals in central Taiwan in order to determine the types and number of competitive actions. First, the strategic orientation of an action has a significantly positive influence on subjective performance. Second, action complexity has a significantly positive influence on the subjective and the objective performance of a hospital. Third, the implementation requirements of actions do not have a significantly positive impact on the subjective or the objective performance of a hospital. Managers facing a competitive healthcare environment should adopt competitive strategies to improve the performance of the hospital.

Towards the centralization of digestive oncologic surgery: changes in activity, techniques and outcome

Directory of Open Access Journals (Sweden)

Cristian Tebé

Full Text Available Aim: The objective of the present study was to examine changes in the activity, surgical techniques and results from the process of centralization of complex digestive oncologic surgery in 2005-2012 as compared to 1996-2000. Material and methods: A retrospective cohort study employing the minimum basic data set of hospital discharge (MBDSHD 1996-2012 from public centers in Catalonia (Spain was performed. The population consisted of individuals aged > 18 who underwent digestive oncologic surgery (esophagus, pancreas, liver, stomach or rectum. Medical centers were divided into low, medium, and high-volume centers (≤ 5, 6-10, and > 10 interventions/year, respectively. The tendency Chi-squared test was used to assess the centralization of patients in high-volume centers and hospital mortality evolution during the study period. Logistic regression was performed to assess the relationship between volume and outcome. Results: A centralization of complex oncologic digestive surgery between 10% (liver and 46% (esophagus was obtained by means of a reduction in the number of hospitals that perform these interventions and a significant rise in the number of patients operated in high-volume centers (all types p ≤ 0.0001, except for esophagus. A significant decrease in mortality was observed, especially in esophagus (from 15% in 1996/2000 to 7% in 2009/12, p = 0.003 and pancreas (from 12% in 1996/2000 to 6% in 2009/12, p trend < 0.0001. Conclusions: A centralization of oncologic digestive surgery in high-volume centers and a reduction of hospital mortality in Catalonia were reported among esophageal and pancreatic cancers. However, no significant changes were found for others cancer types.

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

Science.gov (United States)

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

2017-03-15

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

Rapports 2016-2017 sur les frais de voyage pour Sophie d'Amours ...

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

Beata Bialic

Date(s). 2016-07-06. Destination(s). Ottawa. Billet d'avion. 866.40 $. Frais de transport au sol ou autrement. 83.50 $. Frais de logement. 0.00 $. Repas et frais divers. 84.53 $. Autre frais. 0.00 $. Total. 1 034.43 $. Commentaires. Rapports 2016-2017 sur les frais de voyage pour Sophie d'Amours, gouverneur.

Radioactive waste management in a hospital.

Science.gov (United States)

Khan, Shoukat; Syed, At; Ahmad, Reyaz; Rather, Tanveer A; Ajaz, M; Jan, Fa

2010-01-01

Most of the tertiary care hospitals use radioisotopes for diagnostic and therapeutic applications. Safe disposal of the radioactive waste is a vital component of the overall management of the hospital waste. An important objective in radioactive waste management is to ensure that the radiation exposure to an individual (Public, Radiation worker, Patient) and the environment does not exceed the prescribed safe limits. Disposal of Radioactive waste in public domain is undertaken in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962. Any prospective plan of a hospital that intends using radioisotopes for diagnostic and therapeutic procedures needs to have sufficient infrastructural and manpower resources to keep its ambient radiation levels within specified safe limits. Regular monitoring of hospital area and radiation workers is mandatory to assess the quality of radiation safety. Records should be maintained to identify the quality and quantity of radioactive waste generated and the mode of its disposal. Radiation Safety officer plays a key role in the waste disposal operations.

Radioactive Waste Management in A Hospital

Science.gov (United States)

Khan, Shoukat; Syed, AT; Ahmad, Reyaz; Rather, Tanveer A.; Ajaz, M; Jan, FA

2010-01-01

Most of the tertiary care hospitals use radioisotopes for diagnostic and therapeutic applications. Safe disposal of the radioactive waste is a vital component of the overall management of the hospital waste. An important objective in radioactive waste management is to ensure that the radiation exposure to an individual (Public, Radiation worker, Patient) and the environment does not exceed the prescribed safe limits. Disposal of Radioactive waste in public domain is undertaken in accordance with the Atomic Energy (Safe disposal of radioactive waste) rules of 1987 promulgated by the Indian Central Government Atomic Energy Act 1962. Any prospective plan of a hospital that intends using radioisotopes for diagnostic and therapeutic procedures needs to have sufficient infrastructural and manpower resources to keep its ambient radiation levels within specified safe limits. Regular monitoring of hospital area and radiation workers is mandatory to assess the quality of radiation safety. Records should be maintained to identify the quality and quantity of radioactive waste generated and the mode of its disposal. Radiation Safety officer plays a key role in the waste disposal operations. PMID:21475524

Pulling Drugs Along the Supply Chain: Centralization of Hospitals’ Inventory

OpenAIRE

Iannone, Raffaele; Lambiase, Alfredo; Miranda, Salvatore; Riemma, Stefano; Sarno, Debora

2014-01-01

Due to the economic crisis and the predominance of drug expenditure in healthcare costs, the cooperation of groups of hospitals to negotiate with suppliers and centralize warehouses has been a recent trend in the pharmaceutical supply chain. This paper shows the economic convenience of centralizing the hospitals’ inventory decisions (how much/when to order) based on the sharing of medical prescriptions of patients along the supply chain. The logistic network under investigation (TO BE model) ...

Use of small reactors as an alternative to supply electricity to Baja California Sur

International Nuclear Information System (INIS)

Alonso, G.; Portes, E.; Ramirez, J. R.; Ortega, G.

2016-09-01

The state of Baja California Sur (Mexico) does not form part of the national interconnected electrical system of the country, reason why is local its electrical power supply; one of the alternatives to cover future demands is the use of gas-based combined cycles, which presents the additional problem of including a high price for gas transportation in its costs. In order to reduce total costs, including investment, fuels and operation and maintenance in the operation of the Baja California Sur state electricity system in the coming years, mainly due to the estimated natural gas cost order of $11.50 dollars per million BTU, a proposal is presented to reduce the costs of the electrical system by replacing the necessary combined cycles with the new Small Modular Reactor type nuclear reactors, this alternative is economically competitive. (Author)

Balance between automation and human actions in nuclear power plant operation. Results of international cooperation; Equilibre entre automatisation et action humaine dans la conduite des centrale nucleaires, resultats de la cooperation internationale

Energy Technology Data Exchange (ETDEWEB)

Sun, B [CEA Centre d' Etudes Nucleaires de Fontenay-aux-Roses, 92 (France). Dept. d' Analyse de Surete; Bastl, W [Gesellschaft fuer Reaktorsicherheit m.b.H. (GRS), Garching (Germany); Olmstead, R [Atomic Energy of Canada Ltd, Mississauga (Canada); Oudiz, A [Electric Power Research Inst., Palo Alto, CA (United States); Jenkinson, J [Nuclear Electric PLC, Gloucester (United Kingdom); Kossilov, A [International Atomic Energy Agency, Vienna (Austria)

1990-07-01

'est portee sur le concept de reacteurs 'intrinsequement surs', ce qui pourrait simplifier les equipements de securite, et reduire la complexite des systemes d'information et de controle. La repartition des taches entre homme et machine pourrait bien etre l'une des etapes les plus critiques dans la conception d'une centrale nucleaire et l'un des progres les plus sensibles; de ce fait, elle garantit une approche dans la conception qui est commensurable en qualite avec les hauts niveaux de securite et de qualite de production recherches pour les centrales nucleaires. C'est dans ce climat que l'Agence Internationale pour l'Energie Atomique (AIEA) a constitue en 1989 un groupe de recherche auquel participent les pays membres, lequel groupe possede une experience etendue dans le domaine de l'automatisation des centrales nucleaires. La tache de ce groupe etait d'evaluer ou se situait le juste equilibre entre actions manuelles et automatiques dans la conduite des centrales. Se basant sur des recherches anterieures et sur l'experience de ses membres, le groupe a determine que toute solution unique, totalement deterministe, au probleme de la repartition des taches est impossible. Cependant, dans la mesure ou le role de l'operateur est appele progressivement a se transformer, avec le temps, en un role de gestionnaire du systeme, il est imperatif qu'une procedure systematique de repartition des taches soit utilisee par l'equipe chargee de la conception. Le groupe a propose une methodologie qui s'appuie sur des travaux deja publies, mais il adopte une approche pragmatique, adaptee aux besoins reels des projets. Cette methodologie caracterise un certain nombre de facteurs qui relevent des processus de prise de decision, guide une telle prise de decision, et identifie les secteurs dont il considere qu'ils doivent devenir l'objet de recherches ulterieures. (author)

Compactification de la Supergravite 10-D Sur les Varietes de Calabi-Yau

Science.gov (United States)

Gagnon, Michel

Les varietes de Calabi-Yau permettent une description relativement simple et assez juste de la realite. Recemment, de nombreuses equipes de recherche s'y sont interessees, en particulier P. Candelas, A. M. Dale, C. A. Lutken et R. Schimmrigk (13) qui ont propose une liste de 7868 configurations distinctes. Toutefois, nous croyons que certaines des techniques qui sont exploitees pour construire cette liste ne sont pas suffisamment justifiees et ont pour effet de soustraire a nos investigations bon nombre de configurations potentiellement interessantes. Ainsi, nous produisons, sans utiliser ces techniques simplificatrices, une liste de 97360 configurations. Ensuite, dans le cadre des modeles a 4 generations, nous appliquons un ensemble de criteres, fondes sur les symetries discretes, pour delimiter le domaine des configurations phenomenologiquement viables. Finalement, apres avoir fixe notre choix sur une configuration particuliere, nous essayons de montrer tout l'interet physique des varietes de Calabi-Yau en exposant certains aspects de la phenomenologie a basse energie, notamment les nombres quantiques, les spectres fermioniques, la brisure intermediaire du groupe de jauge et la duree de vie du proton.

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Directory of Open Access Journals (Sweden)

Lars Henrik Myklebust

2011-12-01

Full Text Available Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention.Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model.  Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results: Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion: Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Directory of Open Access Journals (Sweden)

Lars Henrik Myklebust

2011-12-01

Full Text Available Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model.   Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization.  Results: Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care.  Conclusion: Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Science.gov (United States)

Myklebust, Lars Henrik; Olstad, Reidun; Bjorbekkmo, Svein; Eisemann, Martin; Wynn, Rolf; Sørgaard, Knut

2011-01-01

Background The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims To study whether inpatients’ utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model. Method The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients’ utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion Inpatients’ utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a favourable alternative

determinants de l'adoption et impact des varietes ameliorees sur la ...

African Journals Online (AJOL)

ACSS

C'est ainsi que la recherche a créé des nouvelles variétés ... La recherche en économie de la production agricole a montré que les taux d'adoption et les facteurs influençant la décision des agriculteurs d'adopter une technologie agricole varient fortement entre ..... des agriculteurs sur l'innovation sont fortement liées aux ...

Rapport annuel au Parlement Loi sur l'Acces à l'information

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

leonardi

1 juil. 1983 ... recherche, la production, la programmation de l'ordinateur, la préparation, le support de substitution et la reproduction des différents documents. Les droits en vigueur sont précisés dans le Règlement sur l'accès à l'information. Seuls les droits de 5 $ exigibles au moment de la présentation des demandes.

Efficiency and hospital effectiveness in improving Hospital Consumer Assessment of Healthcare Providers and Systems ratings.

Science.gov (United States)

Al-Amin, Mona; Makarem, Suzanne C; Rosko, Michael

2016-01-01

Efficiency has emerged as a central goal to the operations of health care organizations. There are two competing perspectives on the relationship between efficiency and organizational performance. Some argue that organizational slack is a waste and that efficiency contributes to organizational performance, whereas others maintain that slack acts as a buffer, allowing organizations to adapt to environmental demands and contributing to organizational performance. As value-based purchasing becomes more prevalent, health care organizations are incented to become more efficient and, at the same time, improve their patients' experiences and outcomes. Unused slack resources might facilitate the timely implementation of these improvements. Building on previous research on organizational slack and inertia, we test whether efficiency and other organizational factors predict organizational effectiveness in improving Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. We rely on data from the American Hospital Association and HCAHPS. We estimate hospital cost-efficiency by Stochastic Frontier Analysis and use regression analysis to determine whether efficiency, competition, hospital size, and other organizational factors are significant predictors of hospital effectiveness. Our findings indicate that efficiency and hospital size have a significant negative association with organizational ability to improve HCAHPS ratings. Although achieving organizational efficiency is necessary for health care organizations, given the changes that are currently occurring in the U.S. health care system, it is important for health care managers to maintain a certain level of slack to respond to environmental demands and have the resources needed to improve their performance.

Le type et l'authenticité du texte et leur influence sur la compréhension

OpenAIRE

Meta Lah

2004-01-01

L'objet de cette étude est d'analyser le rôle du texte dans la compréhension écrite, notamment sous deux de ses aspects: le type et l'authenticité. Le but est surtout pra­ tique: en apprendre plus sur le rôle du texte pour pouvoir ensuite mieux enseigner et évaluer la compréhension écrite. Dans la pratique pédagogique il arrive souvent que les exercices de compréhen­ sion écrite proposés aux élèves ne les differencient pas assez, ce qui soulève certai­ nes questions sur ce qui est plus facile...

La quinzième conférence internationale sur le tournesol

Directory of Open Access Journals (Sweden)

Dymock Paul

2000-05-01

Full Text Available La 15e conférence internationale sur le tournesol a réuni, du 13 au 15 juin 2000, 400 participants venus de 33 pays au Centre des congrès Pierre-Baudis de Toulouse. Outre la France, les grands pays producteurs de tournesol étaient bien représentés : Argentine, Espagne, États-Unis, Roumanie, Italie... L’objectif de cette conférence était de faire le point sur cette production, depuis l’économie jusqu’aux biotechnologies et de permettre aux chercheurs de présenter leurs derniers travaux et de confronter et de discuter leurs résultats. L’Association française des corps gras (AFECG s’était associée à cette manifestation dans le cadre de sa Journée de printemps, en prenant en charge les sessions Économie et Technologie dont sont reproduites ci-jointes plusieurs conférences. Les séances plénières des deux journées suivantes ont été centrées sur les thèmes « Agronomie et Environnement » et « Génétique, Sélection et Biotechnologie ». Dix-sept ateliers ont été organisés à partir des présentations par posters. Ils ont donné l’occasion aux participants d’approfondir les réflexions autour de sujets tels que les technologies de transformation, les nouveaux usages, la conduite des cultures, l’amélioration de la productivité, la qualité de l’huile, la protection phytosanitaire sous ses aspects génétiques et chimiques, les biotechnologies appliquées à l’amélioration génétique. OCL publiera dans ses prochaines livraisons un compte rendu plus détaillé de cette conférence ainsi que plusieurs interventions pleinières*. * Les actes de la conférence sont disponibles. Contacter :

Anemia intrahospitalaria y descenso de hemoglobina en pacientes internados Hospital-acquired anemia and decrease of hemoglobin levels in hospitalized patients

Directory of Open Access Journals (Sweden)

Carina V. Gianserra

2011-06-01

estadía hospitalaria prolongada, la presencia de leucocitosis, la hidratación parenteral y colocación de acceso venoso central fueron factores predictivos de descenso de hemoglobina = 2 g/dl.It is common to observe the development of anemia in hospitalized patients, especially in critical cases. Few studies have evaluated its prevalence and associated factors in patients in the general ward. The purpose of this study is to determine the prevalence, characteristics and associated clinical factors of hospital-acquired anemia and the drop of hemoglobin concentration in hospitalized patients. This is a cross-sectional, prospective and descriptive study. A total of 192 consecutive in-patients in the general ward were studied. Associated risk factors to the drop in hemoglobin by = 2g/dl were analyzed; 139 patients (72.4% presented anemia; 89 of them (46.4% had it at admission and 50 (26% developed hospital-acquired anemia, 47 out of 192 showed a drop in hemoglobin = 2 g/dl(24.48%. They also presented lower values of hematocrite and hemoglobin at discharge (p = 0.01, parenteral hydration at a higher volume (p = 0.01, and lengthier hospitalizations (p = 0.0001. In the univariate analysis, the following variables were statistically significant risk factors: leukocytosis = 11 000 mm³ (OR; IC95%: 2,02; 1.03-4; p = 0.01, hospitalization days = 7 (OR; IC95%:3.39; 1.62-7.09; p = 0.0006, parenteral hydration = 1500 ml/day (OR; IC95%: 2.47; 1.06-6.4; p = 0.01, central venous access (OR; IC95%:10.29; 1.75-108.07; p = 0.003 and hospital-acquired anemia (OR; IC95%: 7.06; 3.41-15.83; p = 0.00000004. In the multivariate analysis, the following variables were independent predictive factors of the hemoglobin decrease = 2 g/dl: leukocytosis = 11 000 mm³ (OR; IC95%: 2.45; 1.14-5,27; p = 0.02, hospitalization days = 7 (OR; IC95%:5.15; 2.19-12.07; p = 0.0002, parenteral hydration = 1500 ml/day (OR; IC95%: 2.95; 1.13-7.72; p = 0.02, central venous access (OR; IC95%:8.82; 1.37-56.82; p = 0

Brasil: su política exterior de seguridad y defensa; como referente para los países de la cuenca del amazonas en el marco de la Cooperación Sur-Sur en el período 2003 – 2014

OpenAIRE

Becerra Gamez, Sandra Milena; Gómez, Juan Pablo

2015-01-01

El presente trabajo de investigación tiene como objetivo general hacer un análisis sobre la política exterior, la agenda de seguridad y defensa de Brasil en lo concerniente a los proyectos y programas relacionados con la cuenca amazónica en el marco de la cooperación sur-sur, entendida ésta como el apoyo que se da entre países en desarrollo cuyas condiciones socioeconómicas y políticas los hace tradicionalmente débiles frente a otros Estados que se encuentran consolidados. This research h...

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.

Incidence des mesures antitabac et de la contrebande sur la ...

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

Ils intégreront les résultats préliminaires tirés de l'enquête mondiale sur le tabagisme chez les adultes qu'ont réalisée le ministère de la Santé et l'Instituto Conmemorativo Gorgas de Estudios de la Salud en 2012. Ces données seront intégrées à une analyse de la demande plus structurée comportant des intervalles ...