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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

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

    Hausse des taxes sur le tabac dans trois pays d'Amérique centrale. Prévention des maladies non transmissibles. (PMNT). PROFIL DE PROJET. Le programme Prévention des maladies non transmissi- bles (PMNT) soutient la production de nouvelles connais- sances en vue d'inspirer des politiques et des programmes.

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

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

    établir un poste de recherche postdoctorale sur l'Amérique centrale et les ... IDRC is pleased to announce a new funding opportunity aimed at fostering effective, long-term climate action to reduce social inequality, promote greater gender parity, ...

  9. [Smoking habits among staff at the Rochefort-sur-Mer Hospital].

    Science.gov (United States)

    Fougere, B; Underner, M; Ingrand, P; Meurice, J-C

    2011-11-01

    The aim of the study was to establish an inventory of staff in the hospital who smoked to allow better identification of people at risk and thus develop targeted preventive strategies, which we hoped would be more effective. This survey was conducted at the Rochefort-sur-Mer Hospital in March 2008. The sociodemographic characteristics of the population responding and differences in characteristics between smokers and non-smokers were examined. The level of dependence of smokers and patterns of smoking in the workplace were also evaluated. The results were compared with those of the survey "Baromètre tabac personnel hospitalier 2003". The response rate was 57%, with the study population characterized by a high proportion of women (82%). The proportion of smokers was 29%, similar to that found in the general population (30%) but higher than 24% of the survey of hospital staff Tobacco Barometer 2003. The hospital staff is still weakly dependent on tobacco. The attitude to smoking was strongly linked to socioeconomic group and the domestic staff and health care assistants were most likely to smoke and were also the most dependent. Finally, the hospital has itself become a smoke free environment without tobacco. It is essential to promote measures to prevent smoking among hospital staff taking into account its specific features (high proportion of women). Targeted actions should in particular be conducted amongst the groups of workers who are the most affected. Copyright © 2011 SPLF. Published by Elsevier Masson SAS. All rights reserved.

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

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

    Les chercheurs mèneront des études sur la demande de produits du tabac dans le ... sur les techniques modernes de contrôle de la chaîne d'approvisionnement, ... IWRA/CRDI sur les changements climatiques et la gestion adaptive de l'eau.

  11. 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.)

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

    Directory of Open Access Journals (Sweden)

    Guerra, N.

    1984-12-01

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

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

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

    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 ...

  14. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

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

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

  15. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

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

    2012-01-01

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

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

    OpenAIRE

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

    2014-01-01

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

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

    African Journals Online (AJOL)

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

  18. 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 ...

  19. 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

  20. 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.

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

    Directory of Open Access Journals (Sweden)

    Taj Eddine, K.

    2004-12-01

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

  2. Evolution of the east-central San Jose del Cabo basin, Baja California Sur, Mexico

    Science.gov (United States)

    McTeague, M. S.; Umhoefer, P. J.; Schwennicke, T.; Ingle, J. C.; Cortes Martinez, M.

    2006-12-01

    The San Jose del Cabo basin at the southern tip of the Baja California peninsula records the early tectonic evolution of the west side of the Gulf of California. This study focused on the east central margin of the basin. The basal La Calera Formation unconformably overlies Cretaceous granite and consists of conglomerate, pebbly sandstone and conglomerate, and sandstone deposited in alluvial fans and fan-deltas. Deposition of the La Calera Formation was from ca. 9-14 Ma. The lower member of the Trinidad Formation was deposited beginning ca. 9-13 Ma and consists of sandstone, mudstone, and shelly mudstone deposited in nearshore and estuarine environments. These age estimates are based on sedimentation rates and foraminifera and coccoliths from the NN 11A nannozone (7.4 8.6 Ma, GTS 2004). The middle member of the Trinidad Formation consists of deeper water mudstones deposited by turbidity currents and suspension settling in a shelf to slope and conglomerates deposited by submarine debris flows on the shelf. The basin began earlier than previously thought. The oldest marine rocks are ca.9-13 Ma, while sedimentation on the east side began at ca. 9-14 Ma, synchronous with estimates of initiation of offset on the San Jose del Cabo fault. The Zapote fault is a down-to-the-east normal and sinistral-oblique fault that exposes a wedge of granite and older strata in the footwall to the west. The fault was active during sedimentation in the late Miocene and possibly later. The fault divides the study area into an eastern hanging wall subbasin and western footwall subbasin. The eastern subbasin formed an embayment in the eastern margin of the Cabo basin. A regional flooding surface (ca. 8 Ma) can be correlated across the fault that marks a major marine incursion. Depositional systems evolved rapidly from coarse-grained terrestrial systems to fine-grained marine and estuarine systems. The Cabo basin provides an excellent analogue for comparison with offshore basins, which are

  3. 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.

  4. 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.

  5. 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...

  6. 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.

  7. 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.

  8. 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.

  9. Splenectomy for hematological diseases: The Qatif Central HospitalExperience

    International Nuclear Information System (INIS)

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

    1999-01-01

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

  10. 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

  11. 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

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

    African Journals Online (AJOL)

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

  13. 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 ...

  14. 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 ...

  15. 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)

  16. 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.

  17. 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

  18. 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.

  19. 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...

  20. 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.

  1. 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...

  2. 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)

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

    Directory of Open Access Journals (Sweden)

    Ying Qi

    2015-05-01

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

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

    Science.gov (United States)

    Peixoto, Bruno; Kalei, Isabel

    2013-07-01

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

  5. 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.

  6. [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.

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

    Directory of Open Access Journals (Sweden)

    José Álvarez

    2011-12-01

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

  8. 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

  9. 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.

  10. 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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

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

    2017-10-01

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

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

    OpenAIRE

    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...

  13. 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

  14. 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

  15. 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.

  16. 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

  17. 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

  18. 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...

  19. 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)

  20. 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.

  1. 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)

  2. 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)

  3. 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)

  4. 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.

  5. 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

  6. 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

  7. 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)

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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)

  13. 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)

  14. 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)

  15. 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)

  16. 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)

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

    Directory of Open Access Journals (Sweden)

    Frieder Pfäfflin

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Luis F. Beltrán Morales

    2012-02-01

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

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

    Science.gov (United States)

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

    2018-05-02

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

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

    Directory of Open Access Journals (Sweden)

    Lul Raka

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

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

    Directory of Open Access Journals (Sweden)

    Tamar Akhvlediani

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

  2. Estructura y diversidad en selva inundable al centro y sur de Calakmul/Structure and diversity in oodable jungle in central and southern Calakmul

    Directory of Open Access Journals (Sweden)

    Websters Chiquini-Heredia

    2017-09-01

    Full Text Available . Se establecieron nueve sitios en diferentes comunidades del centro y sur del municipio de Calakmul, con la nalidad de describir la estructura y composición de especies arbóreas en la selva inundable (SI, conocida como bajos inundables o vegetación de Akalches. Se censaron 2 212 individuos, 112 especies y 36 familias. El área basal varío entre 5.6 y 18.2 m2 ha−1 , las especies con mayor valor de importancia fueron Coccoloba reexiora, Gymnanthes lucida, Haematoxylum campechianum, Manilkara zapota, Matayba oppositifolia, Metopium brownei y Sebastiania adenophora. La mayor similitud se presentó entre los sitios al centro del municipio, la diversidad en los sitios Carlos A. Madrazo, El Carmen II, Josefa Ortiz de Domínguez, Centauro del Norte, Ley de Fomento Agropecuario, Narciso Mendoza, Nuevo Conhuás, Unidad y Trabajo, no mostraron diferencias signicativas (p < 0.05. La estructura horizontal de la vegetación fue similar en todos los sitios, agrupando la mayor cantidad de individuos, más del 50 %, en las categorías diamétricas de 2.5 a 8.4 cm. La estructura vertical presentó un comportamiento semejante entre sitios, concentrándose el 50 % de los individuos entre los 5 y 10 m. La SI alberga especies que son prioritarias para la conservación, tanto en programas nacionales como internacionales, y dada su importancia por aporte de agua y alimento a la fauna de la región se considera que son áreas en las cuales se deben implementar programas de conservación

  3. 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

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

    Directory of Open Access Journals (Sweden)

    Carlos A. Núñez-Colín

    2011-06-01

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

  5. 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.

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

    International Nuclear Information System (INIS)

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

    2010-01-01

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

  7. 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.

  8. 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

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

    Science.gov (United States)

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

    2014-01-01

    Objectives There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS) infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. Methods Children and adults patients clinically diagnosed with meningitis or encephalitis were enrolled at four reference health centers. Cerebrospinal fluid (CSF) was collected for bacterial culture, and in-house and multiplex RT-PCR testing was conducted for herpes simplex virus (HSV) types 1 and 2, mumps virus, enterovirus, varicella zoster virus (VZV), Streptococcus pneumoniae, HiB and Neisseria meningitidis. Results Out of 140 enrolled patients, the mean age was 23.9 years, and 58% were children. Bacterial or viral etiologies were determined in 51% of patients. Five Streptococcus pneumoniae cultures were isolated from CSF. Based on in-house PCR analysis, 25 patients were positive for S. pneumoniae, 6 for N. meningitidis, and 1 for H. influenzae. Viral multiplex PCR identified infections with enterovirus (n = 26), VZV (n = 4), and HSV-1 (n = 2). No patient was positive for mumps or HSV-2. Conclusions Study findings indicate that S. pneumoniae and enteroviruses are the main etiologies in this patient cohort. The utility of molecular diagnostics for pathogen identification combined with the knowledge provided by the investigation may improve health outcomes of CNS infection cases in Georgia. PMID:25369023

  10. 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.

  11. 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.

  12. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  14. 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...

  15. Hospitals

    Data.gov (United States)

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

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

    Science.gov (United States)

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

    2017-01-01

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

  17. 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

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

    DEFF Research Database (Denmark)

    Zhou, Qi; Qian, Hua; Liu, Li

    2018-01-01

    Natural ventilation is believed to control airborne infection due to high ventilation rates while an undesired flow pattern may cause infection transmission in hospital wards. A computational fluid dynamics simulation was carried out in this study to investigate the impact of airflow pattern....... 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....

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

    Science.gov (United States)

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

    2017-08-01

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

  20. [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.

  1. 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.

  2. Adaptation and Genotype x Environment Interaction of Flaxseed (Linum usitatissimum L. Genotypes in South Central Chile Adaptación e Interacción Genotipo x Ambiente en Lino (Linum usitatissimum L. en la Zona Centro Sur de Chile

    Directory of Open Access Journals (Sweden)

    Marisol Berti

    2010-09-01

    Full Text Available Flaxseed (Linum usitatissimum L. is imported into Chile mostly for bread making and feed. Identification of genotypes best adapted for seed production in South Central Chile would facilitate producer’s decision. The objective of this study was to determine the adaptation and genotype x environment interaction of 16 flaxseed genotypes (including 10 from North American and six from Argentine sources grown at 11 environments (defined as location-year in Chile from 2003 to 2007. Genotype seed yield was above 5700 kg ha-1 for some environments indicating a high yield potential. According to the AMMI (Additive Main Effects and Multiplicative Interaction and SREG (Sites regression models the 11 environments were classified into four groups by the AMMI and three groups by the SREG models. Genotypes were classified into five groups by the SREG model with four of the groups as single genotypes. Overall mean seed yield was similar for all genotypes; however the genotype Nekoma was the most stable and higher yielding genotype across environments. The environment with the highest yield potential was Chillán 2003-2004, but this location had low yield stability across years. The environments with greatest seed yield potential, Chillán 2003-2004 and Los Ángeles 2004-2005, had irrigation during flowering and seed filling. Seed oil content fluctuated between 420 and 530 g kg-1. The climatic differences among environments did not influence oil composition as expected from previous research. Flaxseed appears adapted to South Central Chile with differences observed among genotypes for biomass and seed yield, harvest index, test weight, oil content, and composition.La semilla de lino (Linum usitatissimum L. se importa a Chile principalmente para panaderías y alimento animal. La identificación de genotipos altamente productivos en la zona Centro Sur de Chile facilitaría la decisión de los productores. El objetivo de este estudio fue determinar la adaptaci

  3. 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.

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

    Directory of Open Access Journals (Sweden)

    Natalia BĂNCILĂ

    2016-12-01

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

  5. 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.

  6. 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 ...

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

    Czech Academy of Sciences Publication Activity Database

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Anand Sudhan

    2011-01-01

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

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

    NARCIS (Netherlands)

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

    2009-01-01

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

  10. 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 ...

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

    Science.gov (United States)

    Malm, Johan; Marko-Varga, György

    2016-12-01

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

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

    Science.gov (United States)

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

    2018-03-01

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

  13. 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.

  14. 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.

  15. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Adem Gul

    2014-06-01

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

  17. 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)

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

    Directory of Open Access Journals (Sweden)

    PATRICIO ULLOA

    2006-12-01

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

  19. Caracterización de agregaciones de merluza de cola (Macruronus magellanicus en la zona centro-sur de Chile Characterization of Chilean hoki (Macruronus magellanicus aggregations off central-southern Chile

    Directory of Open Access Journals (Sweden)

    Dante Queirolo

    2008-01-01

    Full Text Available Se realizó la caracterización mensual de las agregaciones de merluza de cola usando registros acústicos obtenidos por equipos SIMRAD EK60 y ES60 a bordo de tres embarcaciones multipropósito que operaron en la Unidad de Pesquería Centro-Sur durante el año 2003, para lo cual se emplearon descriptores morfológicos y batimétricos. En cuanto a su morfología, las agregaciones mostraron una amplia variabilidad, explicada por su nivel de cohesión y tendencia a formar agregaciones de gran extensión horizontal, mientras que batimétricamente se determinó que el 90% de éstas se ubicaron preferentemente entre 300 y 450 m. Existe evidencia de asociación entre diversos descriptores y estos a su vez con otros factores como talla media, temperatura del agua, latitud y mes, lo que permite describir apropiadamente la forma de las agregaciones y su ubicación en la columna de agua. Algunas relaciones relevantes corresponden a: profundidad de las agregaciones respecto a la profundidad del fondo (r = 0,55, altitud de las agregaciones respecto a la profundidad del fondo (r = 0,72, altitud de las agregaciones respecto al índice de profundidad relativa (r = -0,98 y profundidad de las agregaciones respecto a la talla media (r = 0,66.A monthly characterization of Chilean hoki aggregations was done using acoustic records ob-tained with SIMRAD EK60 and ES60 devices aboard three multipurpose vessels that operated in the central-southern fishery unit during 2003; this considered morphological and bathymetric descriptors. The wide mor-phological variation of the aggregations was explained by their cohesión level and tendency to form large horizontal aggregations whereas, bathymetrically, 90% of the aggregations were located between 300 and 450 m. Evidence of associations between various descriptors was found, and these were, in turn, associated with other factors such as mean size, water temperature, latitude, and month, allowing an adequate description of the

  20. 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

  1. 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)

  2. 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)

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

    Science.gov (United States)

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

    2018-04-01

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

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

    Science.gov (United States)

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

    1989-04-01

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

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

    Science.gov (United States)

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

    2012-04-01

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

  6. 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

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

    Directory of Open Access Journals (Sweden)

    1975-01-01

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

  8. 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 ...

  9. 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...

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

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    A. Oliveira

    2003-11-01

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

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

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    RAFAEL ZÚÑIGA

    2006-12-01

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

  12. Flaxseed Response To N, P, and K Fertilization in South Central Chile Respuesta a la Fertilización N, P y K en Lino Oleaginoso en la Zona Centro Sur de Chile

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    Marisol Berti

    2009-06-01

    Full Text Available Flaxseed (Linum usitatissimum L. is a minor crop in Chile. There is interest to increase the number of crops on the current rotation in South Central Chile and also to increase oilseed feedstocks for salmon feed. There is little information published about seed yield and oil content response to N, P, and K fertilizers on flaxseed in Chile. The objective of this study was to determine the effect of N, P, and K fertilization on flaxseed yield, oil content, and composition. The study was conducted at two locations during two growing seasons (environments, in Chillán 2004-2005, 2005-2006, and in Osorno 2004-2005, 2006-2007. Treatments were four levels of N (0, 100, 200, and 300 kg N ha-1, three levels of P (0,100, and 200 kg P2O5 ha-1, and two levels of K (0 and 150 kgK2O ha-1. The design was a randomized complete block with a factorial arrangement of three factors (N, P, and K and four replicates. According to the results, flaxseed yield improved as N rates increased. Physical optimum rate (rate at which maximum seed yield is obtained was different depending on the location and year. Nitrogen rate increased oil content and yield up to 200 kg N ha-1. Oil composition was not affected by N, P, and K rates, or their interactions. The P and K nutrients did not have an effect on seed yield, oil content, oil yield, and oil composition.El lino oleaginoso (Linum usitatissimum L. es un cultivo menor en Chile. En la zona centro sur existe interés por ampliar las alternativas para la rotación de cultivos, así como la necesidad de satisfacer la demanda por semillas oleaginosas para la alimentación de salmones. En Chile no hay información relacionada con la respuesta del lino frente a la fertilización. El objetivo del estudio fue evaluar el efecto de N, P y K sobre el rendimiento de semillas y contenido de aceite en lino cultivado en dos localidades: Chillán (temporadas 2004-2005 y 2005-2006 y Osorno (temporadas 2004-2005 y 2006-2007 (ambientes. Los

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

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    María Inés González A

    2012-03-01

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

  14. 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...

  15. 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

  16. 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.

  17. 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.

  18. [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.

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

    Science.gov (United States)

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

    1989-01-01

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

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

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    Olugbenga A. Silas

    2009-01-01

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

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

    Science.gov (United States)

    2015-01-01

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

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

    Science.gov (United States)

    Parajuli, Ramesh

    2015-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Ramesh Parajuli

    2015-01-01

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

  4. SUR. Breve informe de la Expedición Yelcho al Polo Sur (1909-1910

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    Ursula K. Le Guin

    2013-12-01

    Full Text Available Ursula K. Le Guin Escritora norteamericana, famosa por sus obras de ciencia fi cción y fantasía, en las cuales el tema de género ocupa una posición central. Ganadora de los premios Hugo y Nébula que la catapultaron a la fama. “SUR. A summary report of the Yelcho expedition to the Antarctic, 1909-1910”. Apáreció publicado por primera vez en la revista New Yorker, el 1° de febrero de 1982. La palabra SUR aparece en español en el original. (http://www.newyorker.com/ar Traducción de Susana E. Matallana Peláez

  5. 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

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    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

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

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    Amar M. Taksande

    2015-11-01

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

  7. 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)

  8. 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...

  9. 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

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

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    María del Carmen Jiménez Martínez

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

  11. 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

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    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

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

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    Irene García-Martínez

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

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

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    Torbica Aleksandra

    2010-05-01

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

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

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    Ranbir S. Balgir

    2014-06-01

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

  15. Exacerbación de psoriasis asociada a estrés en pacientes del Hospital Universidad del Norte y ESE José Prudencio Padilla, Clínica Sur de Barranquilla

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    Edgar Navarro Lechuga

    2006-01-01

    Full Text Available Objetivo: Establecer el comportamiento de la exacerbación de psoriasis asociado a estrés en pacientes de consulta externa del HUN y ESE José Prudencio Padilla, Clínica Sur de Barranquilla. Materiales y métodos: Estudio descriptivo transversal con análisis de casos y controles. Población estudiada, 385 pacientes (77 casos, 308 controles, asistentes a consulta externa en HUN y ESE José Prudencio Padilla, Clínica Sur de Barranquilla, quienes cumplieron criterios de inclusión y exclusión. La información fue recolectada mediante cuestionario, Test de stress Holmes/Rahe modificado y Test de conducta de Friedman/Rosenman, destinados a evaluar las variables: edad, sexo, estrés, tipo de conducta, antecedente familiar, consumo de alcohol, cantidad de consumo de alcohol, consumo de cigarrillo, cantidad de cigarrillos consumidos, uso de betabloqueadores. Resultados. La media de edad para casos y controles 29.9 y 28 años respectivamente. No hubo diferencia significativa entre los grupos respecto a la edad (prueba t: 1.84, p: 0.065, ni al sexo (x²: 1.31, p: 0.25. Al relacionar estrés en general y presencia de exacerbaciones se encontró asociación estadística (x²: 8.02 y p: 0.0181, al igual que con respecto al tipo de de conducta tipo A (OR: 2.48 IC 95% 1.39-4.439. Otros factores donde se demostró asociación estadística fueron: antecedente familiar (X²: 34.84, p: 0.00 y consumo de cigarrillo (X²: 17.3, p: 0.00. Conclusiones. Estrés y tipo de conducta se encontraron asociados con exacerbación de psoriasis. También existen factores de tipo individual y familiar que influyen en su aparición, por lo que se hace necesario realizar otros estudios que complementen estos hallazgos.

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

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

    Étude sur l'escalade de la violence faite aux femmes en Amérique centrale. 21 juin 2016. Ana Carcedo. En Amérique centrale, on assiste à une escalade de la violence faite aux femmes et du nombre de meurtres de femmes (ou femicides). Or, il y a des lacunes sur le plan du signalement. Primo, malgré les efforts déployés ...

  17. 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).

  18. 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...

  19. 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...

  20. 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.

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

    Directory of Open Access Journals (Sweden)

    Iara Aparecida de Oliveira Sêcco

    2008-10-01

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

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

    NARCIS (Netherlands)

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

    2012-01-01

    Background: Infectious diseases of the central nervous system (CNS) remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date

  3. 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).

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

    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.

  5. Influence de la gestion et du statut socio-économique de l'agro-pasteur sur la productivité des ovins et des caprins au Mali central

    Directory of Open Access Journals (Sweden)

    Killanga, S.

    1999-01-01

    Full Text Available The Influence of the Management and the Socio-Economie Status of the Agropastor on the Productivity of Sheep and Goats in Central Mali. A study of causes responsible of productivity differences between sheep and goats flocks in a central Malian village belonging to an agropastoral subsystem associated to a rainfed millet culture was carried out from July 1987 to March 1988. Management factors, socio-economic characteristics of agropastors and sheep and goats productivity parameters were simultaneously followed up and analysed. The results have shown that both sheep and goats were not managed in the same manner and that the observed causes of productivity differences between flocks are related to the agropastor's personnal production means, to his methods of management of animals, to his apprentice ship of the stock breeder profession and to the detention of other animal species.

  6. Archéologie du bâti et anthropologie. L’exemple du technicien dans le Massif central et sur ses marges (xie– xiiie siècles

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    David Morel

    2010-06-01

    Full Text Available Cette étude se propose de dégager les caractéristiques du chantier de construction, dans son organisation et dans ses enjeux, en se référant aux évolutions architecturales perceptibles dans le diocèse de Clermont entre la fin du xie siècle et le xiiiesiècle. Le chantier ecclésiastique focalise les préoccupations, depuis les grands chantiers de la Limagne et les édifices d’ampleur, jusqu’aux sanctuaires plus modestes de plaine et de moyenne montagne. La réflexion prend aussi en compte le chantier laïc, ce dernier permettant d’éclairer la diversité des techniques, la position des différents acteurs, et de mesurer l’impact des savoir-faire et des environnements sur la condition sociale des bâtisseurs. D’autres pistes de réflexion connexes viennent aussi jalonner le propos pour élargir le débat en envisageant les niveaux de hiérarchisation et d’appropriation de l’espace bâti, la question de la matérialisation des héritages, ou encore la question de l’individualité de l’ouvrier qualifié.This study proposes to establish the characteristics of building construction, its organization and its consequences, while referring to the perceptible architectural evolutions in the diocese of Clermont from the end of 11th throughout the 13th century. The ecclesiastical building site focuses these concerns, from the large building sites of Limagne and its vast structures to the more modest sanctuaries of smaller mountains. The analysis is also interested in secular construction, as it allows us to clarify the diversity of techniques and the position of various actors, and to measure the impact of technical knowledge and the environment on the social conditions of the builders. We will also widen the debate by considering the following questions: how a constructed space is structured and appropriated; the affirmation of heritages; and the individuality of the skilled worker.Questo studio si propone di stabilire le

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

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    Jyoti Jain

    2018-01-01

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

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

    Science.gov (United States)

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

    2009-09-01

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

  9. 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.

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

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    Christiane Koudoukpo

    2017-11-01

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

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

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    Michel Lelo Tshikwela

    2012-01-01

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

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

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    Ruchi Yadav

    2017-03-01

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

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

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    Ruchi Yadav

    2017-03-01

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

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

    International Nuclear Information System (INIS)

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

    2005-01-01

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

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

    Science.gov (United States)

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

    2017-06-01

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

  16. 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.

  17. 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.

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

    Science.gov (United States)

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

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

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    K. M. Shivakumar

    2017-07-01

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

  1. Protection and isolation device for pipe maintenance, particularly for pipes of nuclear power plants. Dispositif d'isolement et de protection pour intervention sur tuyauterie, notamment tuyauterie de centrale nucleaire

    Energy Technology Data Exchange (ETDEWEB)

    Dohlen, G.; Le Marquis, J.C.; Oberlin, C.

    1984-09-28

    The device is aimed to be introduced and deployed inside a pipe, to collect and remove debris (dust or scraps) or foreign bodies, resulting from the work especially maintenance work being carried out. It comprises a central mast, a deformable sealing joint, mating with the interior of the conduit; a number of arms regularly distributed around the mast, which can be folded back against the mast, to permit introduction of the device into the conduit, each arm supporting the joint at one end and being pivoted on a common base at its other end; mechanical compression apparatus, connected to the mast and the base for deploying the apparatus, and flattening the joint against the interior surface of the conduit to which it is mated; and two sheets of material, each supported at its periphery by the joint, at least one of the sheets being suitable for isolating in sealed manner the space volumes which it delimits. The invention applies to maintenance operations for which the pipes have to be maintained under a controlled inert gas atmosphere, such as sodium circuits maintenance of nuclear power plants.

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

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  4. 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.

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

    Science.gov (United States)

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

    2016-01-01

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

  6. 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

  7. 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.

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

    Directory of Open Access Journals (Sweden)

    Ronald Albert Benton Carey

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    S Lal

    2012-01-01

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

  10. 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?

  11. 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

  12. 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.

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

    Directory of Open Access Journals (Sweden)

    Pedro José Valarini

    2009-09-01

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

  14. 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...

  15. 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...

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

    Directory of Open Access Journals (Sweden)

    Chetan S. Urade

    2016-09-01

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

  17. 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...

  18. Impacts de l'exploitation artisanale de l'or sur les ressources ...

    African Journals Online (AJOL)

    L'exploitation de l'or est devenue ces deux dernières années l'activité principale de la population de Kéméni, une localité située dans la Préfecture de Tchaoudjo (Région Centrale du Togo). La présente étude a identifié l'impact de cette activité sur les ressources naturelles. L'approche méthodologique s'est basée sur des ...

  19. 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...

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

    International Nuclear Information System (INIS)

    Viquez Viquez, Natalia

    2013-01-01

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

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

    Science.gov (United States)

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

    1989-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Luce Marina Freires Corrêa da Costa

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

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

    Science.gov (United States)

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

    2016-11-22

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

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Maridalva de Souza Penteado

    2010-10-01

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

  6. 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

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

    Directory of Open Access Journals (Sweden)

    María Teresa Arrronte Alarcón

    2012-01-01

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

  8. 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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2016-03-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2017-09-01

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

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

    Directory of Open Access Journals (Sweden)

    Souren Pal

    2016-01-01

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

  14. Pockmarks off Big Sur, California

    Science.gov (United States)

    Paull, C.; Ussler, W.; Maher, N.; Greene, H. Gary; Rehder, G.; Lorenson, T.; Lee, H.

    2002-01-01

    A pockmark field was discovered during EM-300 multi-beam bathymetric surveys on the lower continental slope off the Big Sur coast of California. The field contains ??? 1500 pockmarks which are between 130 and 260 m in diameter, and typically are 8-12 m deep located within a 560 km2 area. To investigate the origin of these features, piston cores were collected from both the interior and the flanks of the pockmarks, and remotely operated vehicle observation (ROV) video and sampling transects were conducted which passed through 19 of the pockmarks. The water column within and above the pockmarks was sampled for methane concentration. Piston cores and ROV collected push cores show that the pockmark field is composed of monotonous fine silts and clays and the cores within the pockmarks are indistinguishable from those outside the pockmarks. No evidence for either sediment winnowing or diagenetic alteration suggestive of fluid venting was obtained. 14C measurements of the organic carbon in the sediments indicate continuous sedimentation throughout the time resolution of the radiocarbon technique ( ??? 45000 yr BP), with a sedimentation rate of ??? 10 cm per 1000 yr both within and between the pockmarks. Concentrations of methane, dissolved inorganic carbon, sulfate, chloride, and ammonium in pore water extracted from within the cores are generally similar in composition to seawater and show little change with depth, suggesting low biogeochemical activity. These pore water chemical gradients indicate that neither significant accumulations of gas are likely to exist in the shallow subsurface ( ??? 100 m) nor is active fluid advection occurring within the sampled sediments. Taken together the data indicate that these pockmarks are more than 45000 yr old, are presently inactive, and contain no indications of earlier fluid or gas venting events. ?? 2002 Elsevier Science B.V. All rights reserved.

  15. 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 ...

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

    Directory of Open Access Journals (Sweden)

    E. Requesens

    2011-06-01

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

  17. Cambios en la morfometría bucal y su relación con la dieta de Thyrsites atun (Euphrasen, 1791 en el centro-sur de Chile Changes in mouth morphometries as related to the diet of Thyrsites atun (Euphrasen, 1791 from south-central Chile

    Directory of Open Access Journals (Sweden)

    FREDDY DUARTE

    2007-12-01

    Full Text Available Varias especies de peces carnívoros, a medida que crecen, tanto el tamaño corporal como el de la boca, se relacionan positivamente con el tamaño de las presas. Sin embrago, el número y la biomasa de las presas consumidas por los peces no presentan un patrón tan claro. Para verificar estas relaciones en el pez Thyrsites atun, se recolectaron entre los meses de febrero y abril de 2004, un total de 140 ejemplares, desde desembarques de naves pesqueras industriales y semiindustriales en la región centro-sur de Chile. Se estableció la dieta de T. atun mediante descriptores cuantitativos de frecuencia, número y peso de las presas, los cuales se compararon entre peces subadultos y adultos. También registramos medidas morfométricas bucales para compararlas con el tamaño del pez y de las presas, y también se estimó el volumen de la boca para relacionarlo con el número y peso de las presas ingeridas. En sus tractos digestivos se encontraron cuatro especies de presas, Euphausia sp., Todarodes filippovae, Strangomera bentincki y Engraulis ringens, siendo esta última la presa más frecuente (99,9 %. Las medidas bucales resultaron dependientes del tamaño del depredador. Igualmente el tamaño de las presas resultó ser dependiente del tamaño del depredador, así como de las medidas bucales. Además, el volumen de la boca se relacionó positivamente con la longitud del depredador, y tanto el número como el peso de las presas se correlacionaron con el tamaño y volumen de la boca. Thyrsites atun se alimenta en la zona nerítica de peces de pequeño tamaño que viven en cardúmenes. Al aumentar de tamaño T. atun se alimentaría de presas más grandes, y consecuentemente al incrementarse el volumen de la boca puede comer una mayor cantidad y biomasa de presasIn several species of carnivorous fishes, as they grow, body size and that of the mouth are related positively with prey size, however, the number and biomass of preys consumed by the fish

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

    Directory of Open Access Journals (Sweden)

    ADISON ALTAMIRANO

    2007-03-01

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

  19. 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 ...

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

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    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.

  1. 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...

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

    Directory of Open Access Journals (Sweden)

    Graziella Gasparotto Baiocco

    2010-12-01

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

  3. 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.

  4. 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 ...

  5. 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 ...

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

    Directory of Open Access Journals (Sweden)

    Ernesto Rueda

    2010-04-01

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

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

    OpenAIRE

    Payez Freire, Eva Cristina

    2015-01-01

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

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

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    Rajiv Khandekar

    2015-01-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  10. 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...

  11. Oligocene cetaceans from Baja California Sur, Mexico

    OpenAIRE

    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...

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

    NARCIS (Netherlands)

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

    2014-01-01

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

  13. Controverses sur les sucres [Controversies about sugars

    Directory of Open Access Journals (Sweden)

    Malika BOUCHENAK

    2016-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Katleen de Gaetano Donati

    2014-07-01

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

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

    OpenAIRE

    N A Thakur; A Y Humne; L B Godale

    2015-01-01

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

  16. 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.

  17. 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.

  18. 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...

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

    Directory of Open Access Journals (Sweden)

    Alessandra PECCI, Francesca GRASSI

    2016-01-01

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

  20. 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 ...

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

    Science.gov (United States)

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

    2015-01-01

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

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

    Science.gov (United States)

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

    2015-01-01

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

  3. 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.

  4. 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...

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

    Directory of Open Access Journals (Sweden)

    Longhua Hu

    2016-08-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Mohamad Reza Akhlaghi

    2017-01-01

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

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

    Science.gov (United States)

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

    2017-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Margarete Vilins

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

  10. 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.

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

    Directory of Open Access Journals (Sweden)

    Sanjay Dixit

    2012-03-01

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

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

    Science.gov (United States)

    Al-Negrish, Abdul Rohman Salem; Habahbeh, Riyad

    2006-10-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    International Nuclear Information System (INIS)

    Naeem, A.

    2015-01-01

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

  15. Hospitals; hospitals13

    Data.gov (United States)

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

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

    Directory of Open Access Journals (Sweden)

    Hua Tao

    2017-05-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    JEROEN STAELENS

    2011-03-01

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

  19. 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

  20. 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...

  1. 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.

  2. 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 ...

  3. 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 ...

  4. 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 ...

  5. 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 ...

  6. 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.

  7. 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 ...

  8. 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 ...

  9. 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.

  10. 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...

  11. Hospital Compare

    Data.gov (United States)

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

  12. HCAHPS - Hospital

    Data.gov (United States)

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

  13. 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

  14. Quelques commentaires sur les personnages de fiction

    Directory of Open Access Journals (Sweden)

    Umberto Eco

    2010-06-01

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

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

    Directory of Open Access Journals (Sweden)

    Hugo Robotham

    2012-03-01

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

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

    Directory of Open Access Journals (Sweden)

    YESSICA RIVAS

    2009-03-01

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

  17. Réflexions sur la science contemporaine

    CERN Document Server

    Darriulat, Pierre

    2007-01-01

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

  18. 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 ...

  19. 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C

    2002-07-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

    Birraux, C

    2002-07-01

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

  2. 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.

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

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2005-04-01

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

  4. 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

  5. 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.

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

    Directory of Open Access Journals (Sweden)

    Cristiane Gonzales Rossi

    2001-09-01

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

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

    Directory of Open Access Journals (Sweden)

    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.

  8. 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...

  9. 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 ...

  10. 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 :.

  11. 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 ...

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

    Directory of Open Access Journals (Sweden)

    Yerima, BPK.

    2014-01-01

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

  13. 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.

  14. 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.

  15. 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).

  16. 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.

  17. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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...

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

    Science.gov (United States)

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

    2018-05-23

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

  1. 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.

  2. 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 ...

  3. 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.

  4. 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.

  5. 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.

  6. 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 ...

  7. 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 ...

  8. 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 ...

  9. 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.

  10. 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 ...

  11. 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.

  12. Hospital staffing and hospital costs.

    Science.gov (United States)

    Andrew, R R

    1976-08-07

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

  13. 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 ...

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

    Science.gov (United States)

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

    2015-05-01

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

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

    Directory of Open Access Journals (Sweden)

    GABRIELA MUÑOZ

    2002-12-01

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

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

    Directory of Open Access Journals (Sweden)

    Alexis Villalobos-Monge

    2013-01-01

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

  17. 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.

  18. Colloquium on Caucasus; Colloque sur le Caucase

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

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

  19. 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.

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

    Directory of Open Access Journals (Sweden)

    Lina Marcela Tavera Saldaña

    2011-10-01

    Full Text Available

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

    RESUMEN

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

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

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

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

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

    ABSTRACT

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

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

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

  1. 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.

  2. 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...

  3. 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 ...

  4. 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.

  5. 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 ...

  6. 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

  7. 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

  8. 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 ...

  9. 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 ?

  10. 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 ...

  11. 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, ...

  12. Ciudades de madera. Patrimonio del sur, un bien reciclable

    Directory of Open Access Journals (Sweden)

    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.

  13. 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 ...

  14. 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 ...

  15. 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 ...

  16. 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.

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

    Directory of Open Access Journals (Sweden)

    Jeremy N. M. Flanagan

    2013-05-01

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

  18. 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...

  19. La vérite sur ce qui nous motive

    CERN Document Server

    Pink, Daniel H

    2011-01-01

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

  20. Central Chile

    Science.gov (United States)

    2002-01-01

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

  1. Afrique Centrale

    African Journals Online (AJOL)

    PR BOKO

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

  2. Hospital Inspections

    Data.gov (United States)

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

  3. 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...

  4. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  5. Políticas Territoriais e Mobilidade Populacional na Amazônia: contribuições sobre a área de influência das Hidrelétricas no Rio Madeira (Rondônia/Brasil Mobilité des populations et politiques territoriales en Amazonie: contributions sur l’influence des centrales hydroélectrique du rio Madeira (Rondônia/Brésil Population mobility and territorial policies in the Amazon: contributions on the influence of the Madeira River hydroelectric plants (Rondônia/Brazil

    Directory of Open Access Journals (Sweden)

    Luiz Cleyton Holanda Lobato

    2011-03-01

    population amazonienne est motivée par la recherche de nouvelles possibilités d’emploi, un fait lié à des changements structurels, liés à l’action du gouvernement fédéral grâce à des politiques territoriales ouvertes, même dans les années 60 et 70. La mise en œuvre de projets d’infrastructure fournit diverses fonctions et à la restructuration spatiale, formant de nouveaux modes d’organisation sociale, économique et culturel. Actuellement, à Porto Velho, Rondônia, la construction de centrales hydroélectriques Jirau et Santo Antônio, sur la rivière Madeira, a commencé en 2008, a été interrogé sur le nouvel afflux de population, qui peut être caractérisé par deux cas: celui de la territorialisation et déterritorialisation . Le premier processus est marqué par l’attraction de la population, compte tenu de l’offre de travail et, d’autre part, fondée sur la dépossession en raison des déplacements de population dans la zone du réservoir, la présentant comme le cas le plus critique de la communauté Mutum Paraná, avec l’engagement total de ses noyau urbain. L’objectif de cette étude est d’évaluer la relation entre la mobilité de la population et le déploiement de l’infrastructure et l’exploitation des ressources naturelles dans le bassin versant de l’hydroélectricité. La partie la méthodologie de l’analyse temporo-spatiale avec revue de la littérature, sur le terrain et la collecte de données de la zone géographique. Les variables utilisées ont été: la population, les principales activités économiques et les normes d’utilisation des terres (lois. Ces variables nous a permis de comprendre la relation entre la société et de l’espace dans leur processus d’organisation et de transformation. L’analyse a révélé que cette région, depuis son occupation jusqu’à ce que la mobilité de la population actuelle a été motivé par la réalisation de travaux d’infrastructures, de propriété et l

  6. 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 ...

  7. 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

  8. 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 ...

  9. 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 ...

  10. 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 ...

  11. 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 ...

  12. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  15. Hospitable radiopharmaceuticals

    International Nuclear Information System (INIS)

    Gonzalez, M.B.

    1994-01-01

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

  16. Europa central

    Directory of Open Access Journals (Sweden)

    Karel BARTOSEK

    2010-02-01

    Full Text Available La investigación francesa continúa interesándose por Europa Central. Desde luego, hay límites a este interés en el ambiente general de mi nueva patria: en la ignorancia, producto del largo desinterés de Francia por este espacio después de la Segunda Guerra Mundial, y en el comportamiento y la reflexión de la clase política y de los medios de comunicación (una anécdota para ilustrar este ambiente: durante la preparación de nuestro coloquio «Refugiados e inmigrantes de Europa Central en el movimiento antifascista y la Resistencia en Francia, 1933-1945», celebrado en París en octubre de 1986, el problema de la definición fue planteado concreta y «prácticamente». ¡Y hubo entonces un historiador eminente, para quién Alemania no formaría parte de Europa Central!.

  17. 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

  18. 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

  19. 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.

  20. central t

    Directory of Open Access Journals (Sweden)

    Manuel R. Piña Monarrez

    2007-01-01

    Full Text Available Dado que la Regresión Ridge (RR, es una estimación sesgada que parte de la solución de la regresión de Mínimos Cuadrados (MC, es vital establecer las condiciones para las que la distribución central t de Student que se utiliza en la prueba de hipótesis en MC, sea también aplicable a la regresión RR. La prueba de este importante resultado se presenta en este artículo.

  1. Central sleep apnea

    Science.gov (United States)

    Sleep apnea - central; Obesity - central sleep apnea; Cheyne-Stokes - central sleep apnea; Heart failure - central sleep apnea ... Central sleep apnea results when the brain temporarily stops sending signals to the muscles that control breathing. The condition ...

  2. 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...

  3. GRABADOS RUPESTRES EN EL SUR DE LA PROVINCIA DE LUGO

    Directory of Open Access Journals (Sweden)

    Begoña González Aguiar

    2011-10-01

    Full Text Available En este artículo se plasman los resultados obtenidos tras el estudio de cincuenta estaciones rupestres ubicadas, todas ellas, en el sur de la provincia de Lugo. En un primer momento se llevaron a cabo labores de prospección y análisis de las estaciones, para su posterior estudio descriptivo, simbólico y espacial. Tales trabajos confirman la existencia de representaciones en una “zona marginada” como es la provincia de Lugo, frente a Pontevedra y A Coruña. Además, se han catalogado veinte estaciones inéditas, desconocidas hasta la fecha.

  4. 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 ...

  5. 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...

  6. 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 ...

  7. Zoom on India | Gros plan sur l’Inde

    Directory of Open Access Journals (Sweden)

    2012-05-01

    Full Text Available Indian Energy Production and Consumption (in Million Tonnes of Oil EquivalentProduction et consommation d’énergie en Inde (en millions de tonnes d’équivalent pétroleSource: World Bank, World Bank Development Indicators, 2010.Indian Oil, Gas and Coal Imports (in Million Tonnes of Oil Equivalent, 2008*Importations indiennes de pétrole, de gaz et de charbon (en millions de tonnes d’équivalent pétrole, 2008** 2009 for coal data | 2009 pour les données sur le charbon.Sources: British Petroleum...

  8. 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.

  9. 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 ...

  10. 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 ...

  11. Academic Hospitality

    Science.gov (United States)

    Phipps, Alison; Barnett, Ronald

    2007-01-01

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

  12. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

    The purpose of this paper is to discuss the adoption of healthcare information systems (HIS) from a user perspective. Our case study concerns how a group of orthopaedic surgeons experienced and reacted to the adoption and mandatory use of an Electronic Patient Record system in a Danish hospital. We...... propose to use the concepts of hospitality and hostility to turn our attention to the interaction between the host (the surgeons) and the guest (the information system) and consider how the boundaries between them evolved in the everyday work practices. As an alternative to previous studies on technology...

  13. 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 ...

  14. 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 ...

  15. 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 ...

  16. INTELIGENCIA COMPETITIVA: PROPUESTA DE MODELO SISTEMICO COMO CAMBIO ORGANIZACIONAL PARA LOS HOSPITALES DEL SUR DEL BRASIL

    Directory of Open Access Journals (Sweden)

    Nilda, Tañski

    2011-01-01

    Full Text Available El éxito de una organización depende cada vez más, de la estrategia de su negocio. Un componente estructural de la estrategia es el ajuste entre sus actividades primarias y sus actividades de soporte. Y así como en la industria, en un hospital, una nueva estrategia para ser implementada en general implica revisar procesos de negocios o introducir nuevas formas de ejecutar las operaciones de la empresa. Sin embargo, organizaciones que tengan problemas de alienación entre la estrategia de negocios con su infraestructura de Tecnología de Información tendrán dificultades de implantar un modelo sistémico del proceso de inteligencia competitiva. Se cree que el segmento hospitalario privado tiene problemas de sincronismo entre la estrategia de negocios con la infraestructura de Tecnología de la Información (TI. Por lo tanto, se puede cuestionar: ¿Un modelo sistémico de Inteligencia Competitiva para el segmento hospitalario privado, puede ser un modelo conceptual del proceso de cambio, pasible de ser implementado en este tipo de organización? El objetivo principal de este trabajo de investigación es proponer un Modelo Sistémico del proceso de Inteligencia Competitiva versión 2, en los hospitales privados de la región sur de Brasil.

  17. Central hypothyroidism

    Directory of Open Access Journals (Sweden)

    Vishal Gupta

    2011-01-01

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

  18. 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 ...

  19. 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

  20. DECISIONS ET COMPETITIVITE SUR LE MARCHE UNIQUE EUROPEEN

    Directory of Open Access Journals (Sweden)

    Sirghi Nicoleta

    2008-05-01

    Full Text Available L’un des traits importants du marché unique européen, a comme source le męme énoncé du principal objectif de l’intégration européenne ainsi que: l’harmonisation des niveaux du développement des Etats Membres et l’augmentation du niveau de vie dans l’ensemble de la communauté. Pour le marché unique européen, cet aspect se traduit par une permanente et soutenue augmentation de la demande. Cet ouvrage présente au début une analyse des éléments spécifiques du marché européen. Ensuite on identifie les opportunités et les risques au niveau macroéconomique adjointes aux perspectives du marché unique européen. Comme fondement on présente des stratégies du développement réalisables au niveau microéconomique que puissent assurer l’augmentation du niveau sur la compétitivité des sociétés sur le marché unique européen.

  1. Entretien sur la psychanalyse: réflexions en marge

    Directory of Open Access Journals (Sweden)

    Giuseppe Martini

    2016-08-01

    Full Text Available L’auteur propose ici un commentaire sur les points les plus importants de son entretien de février 2003 avec Paul Ricœur consacré aux rapports entre herméneutique et psychanalyse. Bien que le philosophe se situe dans une réelle continuité par rapport à sa contribution de 1965, il enrichit toutefois sa réflexion philosophique sur la psychanalyse en proposant plusieurs innovations, en ce qui concerne plus particulièrement les thèmes du récit, du soi et de l’éthique. Dans les conclusions de son commentaire, l’auteur souligne l’importance des concepts d’“irreprésentable” et d’“intraduisible”: non seulement, en effet, ces concepts sont dans la ligne de nombreuses contributions de la psychanalyse contemporaine, mais la profondeur de la réflexion ricœurienne augmente en outre leur potentiel théorique et même clinique.

  2. Sur la plurifonctionnalité du discours direct

    Directory of Open Access Journals (Sweden)

    Cigada Sara

    2012-07-01

    Full Text Available La comparaison entre les résultats de nombreux travaux sur le dialogue dans le texte littéraire, sur l’attestation linguistique de la subjectivité, sur la fonction argumentative des émotions dans le discours et sur les effets de polyphonie, suggère que la structure sémiotique et linguistique du discours direct (DD se trouve au croisement stratégique de plusieurs axes de la construction discursive. Nous étudions donc l’insertion du DD dans le discours (cf. Rosier 2008: Le discours rapporté en français; Kerbrat 2005: Le Discours en interaction et Id. 2008: Le Dialogue comme objet d’analyse linguistique; Maingueneau 2010: Manuel de linguistique pour le texte littéraire en tant que phénomène de rupture sémiotique (Genette 1972: Figures III et Id. 1983: Nouveau discours du récit, dans ses fonctions discursives plurielles, tantôt émotives (Tannen 1989: Talking Voices; Plantin-Traverso-Vosghanian 2008: Parcours des émotions en interaction, tantôt argumentatives (Doury 2001: La Fonction argumentative des échanges rapportés; Stati 1990: Le transphrastique. Du point de vue méthodologique, nous nous proposons de revisiter empiriquement, par l'étude de corpus, les traits linguistiques structuraux qui caractérisent l’insertion du DD dans un récit à l'écrit, en les comparant systématiquement aux traits de l’insertion du DD dans un récit à l'oral. Une analyse parallèle est possible en ce qui concerne les fonctions discursives, que le DD typiquement déroule dans les récits. Les fonctions du DD décrites à partir de l'étude des corpus sont plurielles: on reconnaît des fonctions fortement argumentatives d'autres plus typiquement narratives, tandis que d'autres encore amalgament les deux fonctions. Le « contrat de littéralité », qui selon Genette ne porterait jamais que sur la teneur du discours, doit donc être fortement nuancé selon les contextes, tandis que l'effet de sens le plus directement lié à la

  3. 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...

  4. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

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

  5. 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...

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

    OpenAIRE

    Chumbi Quito, Ruth Emperatriz

    2016-01-01

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

  7. Isostatic gravity map of the Point Sur 30 x 60 quadrangle and adjacent areas, California

    Science.gov (United States)

    Watt, J.T.; Morin, R.L.; Langenheim, V.E.

    2011-01-01

    This isostatic residual gravity map is part of a regional effort to investigate the tectonics and water resources of the central Coast Range. This map serves as a basis for modeling the shape of basins and for determining the location and geometry of faults in the area. Local spatial variations in the Earth's gravity field (after removing variations caused by instrument drift, earth-tides, latitude, elevation, terrain, and deep crustal structure), as expressed by the isostatic anomaly, reflect the distribution of densities in the mid- to upper crust, which in turn can be related to rock type. Steep gradients in the isostatic gravity field often indicate lithologic or structural boundaries. Gravity highs reflect the Mesozoic granitic and Franciscan Complex basement rocks that comprise both the northwest-trending Santa Lucia and Gabilan Ranges, whereas gravity lows in Salinas Valley and the offshore basins reflect the thick accumulations of low-density alluvial and marine sediment. Gravity lows also occur where there are thick deposits of low-density Monterey Formation in the hills southeast of Arroyo Seco (>2 km, Marion, 1986). Within the map area, isostatic residual gravity values range from approximately -60 mGal offshore in the northern part of the Sur basin to approximately 22 mGal in the Santa Lucia Range.

  8. [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.

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

    International Nuclear Information System (INIS)

    Chaves Porras, Jorge Alvaro

    2013-01-01

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

  10. 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.

  11. 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.

  12. 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.

  13. The central Iowa project.

    Science.gov (United States)

    Allen, H M

    1994-10-01

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

  14. Hospital Presbiteriano Valley

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1964-12-01

    Full Text Available This hospital is built on the circular system. This arrangement has economic and functional advantages. The nurses walk 40 % less distance than in a hospital of similar size, of conventional layout. The rooms are situated along the external perimeter and the beds are orientated towards the corridor, rather than towards the window. However, the patients can see out of doors by turning on their side. The hospital is most carefully fitted out, and is very comfortable. There is air conditioning, and patients can control their own TV sets. There are also curtains separating each bed form the rest, thus providing maximum independence. Warm colours have been adopted in the decoration of rooms facing north, whilst those facing south are painted in cooler tones. The circular design arrangement makes the distribution far more flexible, and it will be easier to include further units later on; by adding small adjustments to the central building. To reduce external noise, and to improve the surrounding landscape, small sand hills have been provided in the garden, and the parking site also serves to partially absorb the noise.Presenta esta solución de unidades circulares numerosas ventajas de tipo económico, ahorra espacio y da eficiencia a la circulación— las enfermeras recorren un 40 por 100 menos de camino que en otro hospital de dimensiones similares—. Las habitaciones están distribuidas a lo largo del perímetro exterior y tienen las camas orientadas hacia los corredores, en lugar de hacia las ventanas, pero de tal modo que los pacientes puedan contemplar el exterior al volverse sobre uno de sus costados. Están cuidadosamente diseñadas y dotadas de las máximas comodidades: aire acondicionado y aparatos de televisión controlados por el paciente; así como cortinas divisorias que le proporcionan el grado de aislamiento deseado.

  15. 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

  16. Early discharge hospital at home.

    Science.gov (United States)

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

    2017-06-26

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

  17. Un copiste inattendu à Vic-sur-Cère (Cantal

    Directory of Open Access Journals (Sweden)

    Renaud Benoit-Cattin

    2012-02-01

    Full Text Available A Vic-sur-Cère, petit bourg du Cantal, l’hôtel du Pont et du Parc abrite au rez-de-chaussée une salle de restaurant dont les quatre murs sont ornés de dix-sept peintures d’un caractère peu ou prou monumental. Leur hauteur est d’environ 1,50 m, leur largeur variant de 0,6 à 3,5 m. Quatorze d’entre elles ont été exécutées par Antoine Cayrol entre 1909 et 1914, les trois dernières par son petit-fils, Roger Cayrol, en 1954.Le grand-père, Antoine, né en 1864, est élevé à Paris. Après son service m...

  18. Commentaires sur la valeur piscicole du Canal de Roubaix (Nord

    Directory of Open Access Journals (Sweden)

    ARRIGNON J.

    1970-10-01

    Full Text Available La population piscicole du Canal de ROUBAIX a été inventoriée par pêche électrique. Trois passages, suivis chacun de l'enlèvement des poissons capturés, ont été opérés dans chacun des trois Secteurs d'inventaire. Le peuplement le plus probable ainsi estimé (par la méthode De Lury,est en rapport avec le degré de pollution du canal. On constate aussi queles poissons se cantonnent le long des berges, sur une largeur de 2 à 3mètres.L'estimation à l'hectare représente donc en réalité le stock d'une zone n'ayant que 25 % de la surface totale du Canal. Les poissons contrôlés sont pour la plupart des poissons de repeuplement.

  19. Avis 6 sur la formation à et par la recherche

    OpenAIRE

    Centre de Coopération Internationale en Recherche Agronomique pour le Développement

    2015-01-01

    La formation à et par la recherche s’appuie sur la démarche scientifique, les savoirs, les connaissances à transmettre, tout autant que l’acquisition de compétences en gestion de projet, de capacités au travail en équipe, d’une ouverture d’esprit qui favorisera la créativité. Elle doit permettre de prendre conscience de la responsabilité endossée par la communauté scientifique vis-à-vis de la société et de l’environnement, mais aussi préparer l’avenir professionnel de celle ou de celui qu...

  20. Etudes sur le Portugal au Temps de l'Humanisme

    Directory of Open Access Journals (Sweden)

    J. Cruz Costa

    1953-06-01

    Full Text Available BATAILLON (Marcel. — Etudes sur le Portugal au Temps de l'Humanisme.  Acta Universitatis Conimbrigencis, 1952, 309 pp. (Primeiro Parágrafo do Artigo O Prof. Marcel Bataillon, erudito dos mais inteligentes da França atual, autor de uma obra que é hoje impr:scindível para quem pretenda estudar o humanismo renascentista na Espanha ou em Portugal, diríamos melhor, talvez: para quem pretenda estudar o Humanismo e a Renascença, — acaba de publicar, na coleção Acta Universitatis Conimbrigencis, êste volume no qual reune alguns trabalhos da mais alta importância para o conhecimento de muitos aspectos da vida espiritual portuguêsa do século XVI.

  1. Arcs électriques sur panneaux solaires de satellite

    OpenAIRE

    Amorim, Emmanuel

    2002-01-01

    Tout au long de leur durée de vie, les satellites sont en interaction constante avec l'environnement spatial. En orbite géostationnaire, les surfaces des satellites sont par exemple chargées par les particules de la magnétosphère, en particulier par les électrons. Récemment, des pertes de puissance ont été constatées sur certains satellites situés en orbite géostationnaire. Ces anomalies ont été corrélées avec des périodes d'environnement chargeant et s'expliqueraient par une décharge électro...

  2. 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.

  3. 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.

  4. 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.) ...

  5. 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 ...

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

    Directory of Open Access Journals (Sweden)

    Anshulee Sood

    2015-01-01

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

  7. A Study to Assess the Factors and Out of Pocket Expenditures in the Patients of Road Traffic Accidents Admitted in a Tertiary Care Hospital in a Central India District

    Directory of Open Access Journals (Sweden)

    Srivastava DK

    2014-12-01

    Full Text Available Background: Road traffic injuries are estimated to be the eighth leading cause of death globally, with an impact similar to that caused by many communicable diseases, such as malaria. road traffic injuries are estimated to cost low- and middle-income countries between 1–2 % of their Gross Domestic Product (GDP, an estimate of about US$ 100 billion a year. Objectives: To study the epidemiological profile of Road Traffic Injuries among the patients admitted in a tertiary care centre and too find out the various out of pocket expenditure in the patients of Road Traffic Accidents. Material and Method: The present study was a hospital based Descriptive Prospective Study. A list of all the patients admitted due to Road Traffic Accident in last one week was obtained from the ward sisters of Orthopedic Department. All the selected participants were interviewed on the two fixed days. A pre tested structured open ended questionnaire was used for data collection. Results: Of the 48 participants interviewed, 34male and 14 females. Most common age group affected was 21-25 years followed by 16-20 years. The rate of accidents was most common on the weekends. The rate of accidents was more in users of two wheelers. Majority of the expenditure in the First week of admission was on the purchase of medicines followed by diagnosis. Majority of the victims also suffered huge financial loss due to loss of salary, closure of shop, loss due to daily wages etc. Conclusion: The present study hereby concludes that there is an urgent need for creating awareness about Road Traffic Accident. The study also concludes that majority of the out of pocket expenditure in the first week of admission is on the medication.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. Fronteras e identificaciones nacionales: diálogos desde el Cono Sur

    Directory of Open Access Journals (Sweden)

    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.

  13. 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 ...

  14. 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...

  15. 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)

  16. 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.

  17. 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

  18. 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.

  19. Dark humic alluvial paleosols in Central and Southern Mexico: Micromorphological indicators of Late Pleistocene megafauna habitats Paleosuelos aluviales con humus oscuro en el Centro y Sur de México: indicadores micromorfológicos de los hábitats de la megafauna del Pleistoceno tardío Paleosolos aluviais com húmus escuro no Centro e Sul do México: indicadores micromorfológicos dos habitats da megafauna do Pleistocénico tardio

    Directory of Open Access Journals (Sweden)

    Rosa E. Tovar

    2013-11-01

    formas de megafauna, hoy extinta. Sin embargo, los ecosistemas que habitaron y determinados nichos ecológicos que ocupaban son poco conocidos. Los hallazgos más numerosos de la megafauna del Pleistoceno han sido en depósitos aluviales, los cuales son registros paleoecológicos importantes que representan una excelente oportunidad para ser estudiados. Los paleosuelos aluviales regularmente son poco desarrollados, sin embargo, el análisis micromorfológico proporciona información relevante sobre el grado de desarrollo del suelo a una microescala, permitiendo discriminar entre los procesos edafogenéticos y sedimentarios; ayudando con ello a la identificación de la configuración del medio ambiente en el que se formaron. Nosotros analizamos la micromofología de seis unidades edafogenéticas en las secuencias de Santa Cruz Nuevo y Axamilpa, en el sur de Puebla y Huexoyucan, en el estado de Tlaxcala. Estas edafosecuencias corresponden a la segunda mitad de la etapa isotópica marina 3 (MIS3, etapa isotópica marina 2 MIS2 y al Holoceno Temprano. Todas las unidades estudiadas se caracterizan por una fuerte pigmentación con humus oscuro. El análisis micromorfológico de los paleosuelos de MIS3 revela condiciones acuáticas con evidencias de biota de agua dulce, como también microlaminaciones de precipitación de carbonatos hidrogénicos y procesos redoximórficos. Los paleosuelos oscuros de MIS2 y el Holoceno Temprano muestran fuerte agregación coprogénica, intemperismo y pocos rasgos gleycos, presentando fuertes diferencias con los suelos modernos. Los suelos modernos se formaron en condiciones aireadas, con un mejor drenaje que excluyen los procesos redoximórficos. Llegamos a la conclusión de que las unidades de paleosuelos del Pleistoceno de color oscuro son indicativos de diferentes paleopaisajes: humedales pantanosos en la MIS3 y praderas húmedas desde MIS2 hasta el Holoceno Temprano. Los ecosistemas pantanosos podrían representar un importante h

  20. 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

  1. 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 ...

  2. 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.

  3. 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 ...

  4. 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.

  5. 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 ...

  6. 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, ...

  7. 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 ...

  8. 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

  9. 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 ...

  10. 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 ...

  11. 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 ...

  12. 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 ...

  13. 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.

  14. Quelques considérations sur la grippe aviaire

    Directory of Open Access Journals (Sweden)

    Michel Maffesoli

    2006-06-01

    Full Text Available Dans le totalitarisme doux étendant son voile sirupeux sur des masses inquiètes, l’on sait que les divers technocrates assoient leur pouvoir en entretenant la crainte. Ce qui n’est pas très compliqué, tant la peur de l’ombre, la peur de son ombre travaille tout un chacun. Si l’on doit caractériser l’époque, c’est bien le terme de lâcheté généralisée qui vient, immédiatement, à l’esprit. L’on sait que le virus de la grippe aviaire ne peut infecter l’homme que par contact direct et prolongé. Par exemple, boire l’eau d’un marais infecté de fiente d’oiseaux contaminés ou forniquer avec une poule atteinte de ce mal. De même, le danger de pandémie ne pourrait advenir que s’il y avait conjonction avec la grippe humaine. Ainsi, les virologues considèrent qu’il faudrait plusieurs centaines de personnes infectées par la grippe aviaire, dans un milieu lui-même en pleine épidémie de grippe humaine pour qu’il y ait un danger réel d’infection généralisée. Comme on le voit le risque est grand! Mais là n’est pas le problème. Il suffit, pour nos technocrates, que l’imaginaire de l’insécurité soit là. Ils y trouvent une raison d’être. Ils peuvent, savamment, jouer les utilités. On sait que de tous temps, c’est en misant sur une angoisse diffuse que les divers pouvoirs ont assis leur légitimité. En fait ce qui est à prendre au sérieux, ce sont les hystéries collectives. La chute spectaculaire de la consommation de volailles de toutes sortes en témoigne. Souvenons-nous aussi que n’est pas loin le temps où la même suspicion planait sur la viande bovine! Trêve de plaisanterie! Actualisons l’apologue. Ainsi l’émotion provoquée par le «double scandale» qui frapperait le C.N.R.S ne manque pas de susciter inquiétudes et interrogations. En terme d’épidémiologie bien entendu. Inquiétudes quant à la santé mentale du «milieu» sociologique capable de pétionner en m

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

    Directory of Open Access Journals (Sweden)

    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...

  16. 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.

  17. Recentralization within decentralization: County hospital autonomy under devolution in Kenya

    Science.gov (United States)

    Manyara, Anthony M.; Molyneux, Sassy; Tsofa, Benjamin

    2017-01-01

    Background In 2013, Kenya transitioned into a devolved system of government with a central government and 47 semi-autonomous county governments. In this paper, we report early experiences of devolution in the Kenyan health sector, with a focus on public county hospitals. Specifically, we examine changes in hospital autonomy as a result of devolution, and how these have affected hospital functioning. Methods We used a qualitative case study approach to examine the level of autonomy that hospitals had over key management functions and how this had affected hospital functioning in three county hospitals in coastal Kenya. We collected data by in-depth interviews of county health managers and hospital managers in the case study hospitals (n = 21). We adopted the framework proposed by Chawla et al (1995) to examine the autonomy that hospitals had over five management domains (strategic management, finance, procurement, human resource, and administration), and how these influenced hospital functioning. Findings Devolution had resulted in a substantial reduction in the autonomy of county hospitals over the five key functions examined. This resulted in weakened hospital management and leadership, reduced community participation in hospital affairs, compromised quality of services, reduced motivation among hospital staff, non-alignment of county and hospital priorities, staff insubordination, and compromised quality of care. Conclusion Increasing the autonomy of county hospitals in Kenya will improve their functioning. County governments should develop legislation that give hospitals greater control over resources and key management functions. PMID:28771558

  18. La mise en patrimoine sur ONF.ca

    Directory of Open Access Journals (Sweden)

    Michèle Garneau

    2015-05-01

    Full Text Available Résumé Ce texte propose une approche à la fois descriptive, analytique et critique de la très active production patrimoniale actuellement en cours sur ONF.ca. En se donnant comme mission de rendre accessible son patrimoine audiovisuel, l’Office se soucie d’en orienter la réception, de proposer aux internautes l’histoire de son action audiovisuelle depuis sa fondation en 1939. Par le relevé d’un certain nombre de valeurs exhibées (authenticité, représentativité, renommée et proximité, et de registres privilégiés (dont celui de la commémoration, l’auteur tente de circonscrire une axiologie du patrimoine sur ONF.ca. Dans sa seconde partie, le texte se consacre à la question de l’articulation (et de l’écart entre mémoire patrimoniale et mémoires particulières (des films afin de mieux cerner les contours politiques et les enjeux idéologiques de l’encadrement discursif des collections. Abstract This article offers a descriptive, analytical and critical approach to the very active production of audiovisual heritage currently underway at NFB.ca. Designed to make the National Film Board (NFB’s audiovisual heritage more accessible, the website carefully guides its users through the history-memory of audiovisual production at the Film Board from its foundation in 1939 through to the present. By analyzing how the website showcases its films, endorsing specific values (authenticity, representativeness, recognition and proximity and privileging certain registers (such as commemoration, the article first attempts to define an axiology of heritage in NFB.ca. The article then focuses on questions of the articulation of (and the variation between history-memory and particular memories (of films in order to better outline the political contours and ideological stakes of the discursive framework of the NFB’s collections.

  19. 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.

  20. Central Nervous System Vasculitis

    Science.gov (United States)

    ... of Vasculitis / Central Nervous System (CNS) Vasculitis Central Nervous System (CNS) Vasculitis Swap out your current Facebook Profile ... Facebook personal page. Replace with this image. Central nervous system (CNS) vasculitis is inflammation of blood vessel walls ...

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

    Directory of Open Access Journals (Sweden)

    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

  2. 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.

  3. Central nervous system tuberculomata presenting as internuclear ...

    African Journals Online (AJOL)

    Central nervous system (CNS) tuberculoma can have variable presentation depending upon the site and number of tuberculomata. We are reporting a rare case of a 15 years old girl who presented to our hospital with binocular diplopia on right gaze. Clinical examination revealed left sided internuclear ophthalmoplegia ...

  4. Periodismo ambiental en Canal Sur Televisión

    Directory of Open Access Journals (Sweden)

    Lic. Miguel Montaño Montaño

    1999-01-01

    Full Text Available El autor estudia el origen histórico del periodismo ambiental, la evolución en España y Andalucía y su aparición en Canal Sur TV Realiza un análisis sobre la información medioambiental, especialidad del periodismo que en la década de los noventa despierta nuevamente gran interés entre el público. La televisión autonómica ha dedicado, desde su creación numerosos programas sobre el medio ambiente. Actualmente sus Servicios Informativos tienen la sección Medio Ambiente. De la importancia que se concede a este tipo de información es un buen ejemplo el programa «Tierra y Mar», que incorpora progresivamente noticias medioambientales, referidas a la educación ambiental, el mantenimiento y recuperación de la biodiversidad y la presentación de modelos de conducta respetuosos.

  5. Effets de la formation sur la violence conjugale

    Science.gov (United States)

    Zaher, Eman; Keogh, Kelly; Ratnapalan, Savithiri

    2014-01-01

    Résumé Objectif Décrire et évaluer l’efficacité de la formation concernant la violence conjugale pour améliorer les connaissances et permettre la reconnaissance et la prise en charge par les médecins des femmes victimes de violence. Sources des données On a fait une recension dans la base de données des révisions systématiques de Cochrane, MEDLINE, PubMed, PsycINFO, ERIC et EMBASE pour trouver des articles publiés entre le 1e janvier 2000 et le 1e novembre 2012. Des recherches manuelles ont complété cette recension pour cerner des articles pertinents à l’aide d’une stratégie de recherche combinant des textes, mots et expressions MeSH. Sélection des études On a choisi des études randomisées contrôlées qui portaient sur des interventions éducatives à l’intention des médecins et fournissaient des données sur les effets des interventions. Synthèse On a inclus 9 études randomisées contrôlées qui décrivaient différentes approches pédagogiques et diverses mesures des résultats. Trois études examinaient les effets d’interventions éducatives pour des médecins en formation postdoctorale et ont constaté une augmentation des connaissances, mais il n’y a eu aucun changement dans le comportement en ce qui a trait à l’identification des victimes de violence conjugale. Six études portaient sur des interventions éducatives pour des médecins en pratique active. Trois d’entre elles utilisaient une approche à multiples facettes pour les médecins, qui combinait une formation ainsi que des interventions de soutien de la part du système pour changer les comportements des médecins, comme une sensibilisation générale accrue à la violence conjugale au moyen de brochures et d’affiches, des aide-mémoire pour rappeler aux médecins comment identifier les victimes, des moyens pour faciliter l’accès des médecins à des services de soutien pour les victimes, la réalisation d’audits et la fourniture de rétroaction. Les

  6. Cultura cabocla en el sur de Brasil un abordaje preliminar

    Directory of Open Access Journals (Sweden)

    Pedro Martins

    2003-12-01

    Full Text Available This text is a research report concerning the cabocla (mestizo population of southern Brazil, focusing on cultural aspects, seen here as a distinguishing system. This population is studied in terms of the migratory process that begins with their expulsion from the countryside, their adaptation to the small towns, passing through the periphery of the large cities and finally returning to the countryside. The article attempts to understand their musical practices, the technology that they have appropriated and their religiosity, all of which have been, symbolically and materially, reconstructed in their complexity.//Este texto es un reporte de la investigación sobre la población cabocla en el sur de Brasil, centrado en los aspectos culturales vistos como un sistema distintivo. Esta población es estudiada en los términos de un proceso migratorio que empieza con su expulsión del campo, su adaptación a pueblos pequeños, pasando por la periferia de las grandes ciudades y finalmente, retornando al campo. El artículo busca entender las prácticas musicales, la tecnología que apropiaron y sus prácticas religiosas, aspectos todos que han sido simbólica y materialmente reconstruidos en su complejidad.

  7. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Outpatient Prospective Payment System (OPPS) Partial Hospitalization Program LDS This file contains select claim level data and is derived from 2010 claims...

  8. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

    Sadat, Somayeh; Abouee-Mehrizi, Hossein; Carter, Michael W

    2015-09-01

    In this paper, we consider two hospitals with different perceived quality of care competing to capture a fraction of the total market demand. Patients select the hospital that provides the highest utility, which is a function of price and the patient's perceived quality of life during their life expectancy. We consider a market with a single class of patients and show that depending on the market demand and perceived quality of care of the hospitals, patients may enjoy a positive utility. Moreover, hospitals share the market demand based on their perceived quality of care and capacity. We also show that in a monopoly market (a market with a single hospital) the optimal demand captured by the hospital is independent of the perceived quality of care. We investigate the effects of different parameters including the market demand, hospitals' capacities, and perceived quality of care on the fraction of the demand that each hospital captures using some numerical examples.

  9. 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 ...

  10. 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 ...

  11. 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...

  12. 江苏省36所二级医院消毒供应中心验收质量抽查探析%Research on spot check of acceptance quality of central sterile supply departments of 36 secondary hospitals in Jiangsu province

    Institute of Scientific and Technical Information of China (English)

    黄进; 霍孝蓉

    2016-01-01

    OBJECTIVE To understand the current status of hardware and software equipments of central sterile supply departments (CSSD) ,find out the problems ,and put forward rectification recommendations so as to im-prove the overall quality of CSSD .METHODS The CSSD panel of experts were divided into four groups ,each group consisted of the nursing administrators ,infection control department staff ,and CSSD experts .The 36 hospi-tals were randomly assigned to four expert groups for the onsite supervision ,the scoring was conducted based on the detailed rules and regulations of′criteria for construction and management of central sterile supply department′of Jiangsu province ,and the rectification measures were put forward according to the deduction item .RESULTS The comprehensive scoring was conducted based on the′criteria for construction and management of central sterile supply department′,with the full mark 1000 points ;among the 36 hospitals ,there were 10 hospitals with the score varying from 850 to 950 points ,6 hospitals with the score varying from 800 to 849 points ,16 hospitals with the score varying from 700 to 799 points ,and 4 hospitals with the score varying from 600 to 699 points .The major existing problems included the inadequate training of the CSSD ,imperfect inspection of cleaning quality ,and un-qualified storage of sterile supplies and staff allocation .CONCLUSION To deal with the exiting problems ,it is nec-essary to strengthen the communication between the CSSD and functional departments ,carry out detailed manage-ment ,improve the training of staff ,and further implement and promote the standardized management of the CSSD .The rectification period is 3 month ,and the members of expert group carry out the onsite supervision and inspection after the rectification and evaluate the rectification effect .%目的:了解目前医院消毒供应中心(CSSD )软硬件设备状况,发现问题,提出整改建议,提升CSSD整体质量。

  13. Help prevent hospital errors

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000618.htm Help prevent hospital errors To use the sharing features ... in the hospital. If You Are Having Surgery, Help Keep Yourself Safe Go to a hospital you ...

  14. 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...

  15. 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...

  16. Potential gains from hospital mergers in Denmark.

    Science.gov (United States)

    Kristensen, Troels; Bogetoft, Peter; Pedersen, Kjeld Moeller

    2010-12-01

    The Danish hospital sector faces a major rebuilding program to centralize activity in fewer and larger hospitals. We aim to conduct an efficiency analysis of hospitals and to estimate the potential cost savings from the planned hospital mergers. We use Data Envelopment Analysis (DEA) to estimate a cost frontier. Based on this analysis, we calculate an efficiency score for each hospital and estimate the potential gains from the proposed mergers by comparing individual efficiencies with the efficiency of the combined hospitals. Furthermore, we apply a decomposition algorithm to split merger gains into technical efficiency, size (scale) and harmony (mix) gains. The motivation for this decomposition is that some of the apparent merger gains may actually be available with less than a full-scale merger, e.g., by sharing best practices and reallocating certain resources and tasks. Our results suggest that many hospitals are technically inefficient, and the expected "best practice" hospitals are quite efficient. Also, some mergers do not seem to lower costs. This finding indicates that some merged hospitals become too large and therefore experience diseconomies of scale. Other mergers lead to considerable cost reductions; we find potential gains resulting from learning better practices and the exploitation of economies of scope. To ensure robustness, we conduct a sensitivity analysis using two alternative returns-to-scale assumptions and two alternative estimation approaches. We consistently find potential gains from improving the technical efficiency and the exploitation of economies of scope from mergers.

  17. Note concerning the Ecasac programme; Note sur le programme ecasac

    Energy Technology Data Exchange (ETDEWEB)

    Bras, D [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1969-07-01

    The analytical programme developed by the firm I.B.M. for ECAP electronic circuits, operated initially on the IBM 1620 computer with a certain limitation on the size of the network studied, but already equipped from the conversational angle (type-writer). The IBM 360 computers made it possible to increase the size of the network treated to 50 nodes and 200 branches, but the conversational aspect was suppressed in the ECAP 360 version. With a view to making use of the possibilities of hybrid computers, we have adapted this latter version to the EAI 8400 computer. Without diminishing it in any way, we have modified it so as to provide it with conversational characteristics by using the computers control panel; to give it still further flexibility we have made it possible to record curves during the calculation operation, and to obtain a division of the printed results. To obtain the curves, use was made of analog digital converters of the interface of the hybrid unit EAI 8900 of which the EAI 8400 computer represents the numerical section. The modifications made concern in particular the A.C. analysis and the transient analysis. They facilitate and complete the input of the data; they allow modifications to be made for the calculation of these analyses; they also improve the presentation of the results and facilitate their interpretation. They constitute finally the version ECASAC, i.e. the programme ECAP 360 made conversational by use of a type-writer, with automatic output of the curves. (author) [French] Le programme d'analyse de circuits electroniques ECAP, mis au point par la firme I.B.M., a d'abord fonctionne sur ordinateur IBM 1620 avec une certaine limitation pour la taille du reseau etudie, mais deja une optique conversationnelle (machine a ecrire). Les ordinateurs IBM 360 ont permis d'accroitre la taille du reseau permis a 50 noeuds et 200 branches, mais par contre l'optique conversationnelle fut supprimee dans la version ECAP 360. Dans le but d

  18. 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.

  19. 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.

  20. 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

  1. 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 ...

  2. 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.

  3. 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  5. Causes of cervical lymphadenopathy at ,amuzu Central Hospital

    African Journals Online (AJOL)

    lymphadenopathy, pathological examination is the definitive diagnostic test. ... this paper, diagnoses were based on morphology without the assistance of .... at KCH has changed markedly over the past 20 years, and differ significantly from ...

  6. Maternal Deaths in 1990 at Kamuzu Central Hospital

    African Journals Online (AJOL)

    obstetric complication of pregnancy, labour or the puerperium. .... A) Deaths from puerperal sepsis, excluding abortion -. There were 24 ... an intrauterine death, complicated by prolonged rupture of .... and vaginal tears are inevitable unless a generous incision in the lower ... health institutions if they can see that the outcome.

  7. SPINE GUNSHOT WOUNDS AT THE CENTRAL MILITARY HOSPITAL IN MEXICO

    Directory of Open Access Journals (Sweden)

    ISAAC ENRIQUE HERNÁNDEZ TÉLLEZ

    Full Text Available ABSTRACT Objective: To compare the measurement of the Cobb angle in printed radiographs and digitalized radiographs displayed with the "PixViewer" tool. Methods: Pre-operative radiographs of 23 patients were performed in printed films and using the software "PixViewer". The same evaluator, a spine surgeon, chose the proximal and distal end vertebrae at the limit of the main curve in printed radiographs without identifying patients, and measured the Cobb angle based on these parameters. The same parameters and measurements were performed in digitalized radiographs. The measurements were compared, as well as the choice of end vertebrae. Results: The average change in the Cobb angle between the methods was 1.48±1.73°. The intraclass correlation coefficient (ICC was 0.99, demonstrating excellent reproducibility. Conclusion: The Cobb method can be used to evaluate scoliosis through the "PixViewer" tool with the same reliability of the classic method on printed radiographs.

  8. Audit of gynaecological cancers Queen Elizabeth Central Hospital ...

    African Journals Online (AJOL)

    The aim of the audit was to assess the trend of the gynaecological cancers for the first quarter of 2008, and the prevalence of HIV and syphilis among the cases. Gynaecological cancer cases accounted for 6% of gynaecological admissions at QECH between January and April 2008. The findings show that cervical cancer ...

  9. Hospital centralization and performance in Denmark - ten years on

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2018-01-01

    Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties were merged into five new regions and the number of municipalities was reduced from 271 to 98. A main objective was to create administrative units that were large enough to suppo...

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

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Vrangbæk, Karsten

    2017-01-01

    Denmark implemented a major reform of the administrative and political structure in 2007 when the previous 13 counties were merged into five new regions and the number of municipalities was reduced from 271 to 98. A main objective was to create administrative units that were large enough to suppo...

  11. Infestation of Tunga penetrans in villages near Zomba Central Hospital

    African Journals Online (AJOL)

    perform such basic tasks as collecting water or farming. Although the recommended .... Cook, G. Manson's Tropical Diseases 20th Edition,London: Saunders; 1996. 2. Feldmeier et al: ... cases in French Guyana. Bull Soc,Pathol Exot 2003 ...

  12. Central nervous system tumors: a hospital based analysis

    International Nuclear Information System (INIS)

    Ayaz, B.; Lodhi, F.; Hasan, M.

    2011-01-01

    Objective: To assess the spectrum of CNS tumors and provide benchmark data for future studies assessing data in continuum. Patients and Methods: One hundred cases fulfilling the inclusion criteria were included between the ages of 1-85 years belonging to both genders. Results: Majority of the cases were seen in the year 2008 with the most commonly encountered lesion being the glial tumors followed by the meningiothelial neoplasms. Our findings were similar to previous similar studies in our setup with little change in trends. Conclusion: Glial tumors appear to be more common in our setup whereas the popularly believed Meningiothelial tumors though common came next. Our study can form the benchmark data upon which future studies can be conducted. (author)

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

    African Journals Online (AJOL)

    ICD coding quality from an electronic patient discharge record for clinicians. ... RE Dyers, J Evans, GA Ward, S du Plooy, H Mahomed ... After 6 months, the quality of ICD codes was determined by comparing ICD code descriptors with medical concepts in a random sample of original patient records selected over a 6-week ...

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

    African Journals Online (AJOL)

    Bernt Lindtjorn

    injury was analyzed, the rate of Visual Acuity < 6/60; 39.1% among those with penetrating trauma (p = 0.017), 29.5% among those .... fall, traffic accident, fireworks, burns and chemicals. .... construction workers accounting for 26 (7.4%) and 24.

  15. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature.

  16. Hospital Library Administration.

    Science.gov (United States)

    Cramer, Anne

    The objectives of a hospital are to improve patient care, while the objectives of a hospital library are to improve services to the staff which will support their efforts. This handbook dealing with hospital administration is designed to aid the librarian in either implementing a hospital library, or improving services in an existing medical…

  17. 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

  18. Respuestas del clima de América del Sur a las fases de ENSO

    Directory of Open Access Journals (Sweden)

    1998-01-01

    impulsions de El Niño. Les régions du centre du Brésil semblent aussi ne pas dépendre du phénomène. Durant les années classées comme normales, on n’observe pas de dépendance des contrôles climatiques qui agissent au cours des phases extrêmes de l’Oscillation du Sud. Ceci montre que l’on doit approfondir l’étude des autres causes de variation de la circulation tropicale responsables des anomalies de précipitation. Las fases altas de ENSO, El Niño (EN, y las fases bajas, Anti-Niño (AN, se relacionan diferentemente con los regímenes de lluvias en América del Sur. Para establecer el carácter de estas relaciones, se ha analizado la precipitación anual de estaciones típicas, considerando tres subpoblaciones: totales anuales de años EN, totales de años AN, y el resto o años “normales”. Precediendo a veranos australes con fenómenos EN, la precipitación invernal en Chile Central y los Andes de Argentina es abundante. Durante los veranos con episodios EN en el Pacífico tropical, suelen afectar sequías el Noreste de Brasil especialmente en el otoño o verano precedente. De diciembre a marzo de años EN, llueve copiosamente a lo largo de la costa oeste de América del Sur comprendida entre la Bahía de Tumaco y Pacasmayo. En el interior de la Sierra y el Altiplano peruano boliviano tienen lugar sequías. En las tierras bajas de Bolivia, Paraguay, y el sureste de Brasil hay fuertes lluvias anormales durante el verano y otoño austral. En medio del otoño hay precipitaciones intensas en las tierras bajas del Río de la Plata y el sur de Brasil. El segmento norte y la cuenca inferior del Amazonas tienen menos pluviosidad durante EN y niveles mayores durante AN. La cuenca interior del Amazonas reacciona inversamente, ya que tiene pluviosidad excesiva durante algunos EN. Las regiones de Venezuela y Colombia bajo la influencia del Caribe y el Atlántico experimentan anomalías negativas de lluvias durante EN y alta pluviosidad en AN. Algunas regiones de la

  19. 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...

  20. 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.

  1. 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...

  2. 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.

  3. 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.

  4. Enjeux de territoires sur une frontière méconnue

    Directory of Open Access Journals (Sweden)

    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...

  5. ELEMENTAL FORMS OF HOSPITALITY

    OpenAIRE

    Maximiliano Emanuel Korstanje

    2010-01-01

    Modern studies emphasized on the needs of researching the hospitality as relevant aspects of tourism and hospitality fields. Anyway, these approaches are inextricably intertwined to the industry of tourism and do not take seriously the anthropological and sociological roots of hospitality. In fact, the hotel seems to be a partial sphere of hospitality at all. Under this context, the present paper explores the issue of hospitality enrooted in the political and economic indo-European principle ...

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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, ...

  11. 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

  12. The market for hospital medicine in Denmark

    Directory of Open Access Journals (Sweden)

    Gisela Hostenkamp

    2011-11-01

    Full Text Available 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 increases and use summary statistics to compare market performance in both sectors. The market for hospital medicine is more concentrated than the pharmaceutical retail sector and the share of generics and parallel imported products is significantly lower. Between 2005 and 2009 expenditures for hospital medicines more than doubled -accounting for almost 40% of the total Danish pharmaceutical market in 2009. Price increases however - although positive and higher than in the pharmaceutical retail sector - were only moderate. The majority of the expenditure growth was due to an increase in utilisation and the introduction of new medicines in the hospital sector. Centralised tendering may therefore have important implications for competition and industry structure in the long run.

  13. 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 ...

  14. 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 ...

  15. 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...

  16. 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

  17. 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 ...

  18. 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 ...

  19. 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...

  20. 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 ...