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Sample records for san lazaro hospital

  1. Follow up and behavior of pediatric home admission in San Lazaro´s popular council in Cienfuegos Province.

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    Caridad Hernández Gutiérrez

    2004-04-01

    Full Text Available Fundaments: The development of Public Health in Cuba, especially in public health assistance has permitted the rescue of old modalities in regards to medical assistance, among of them home admissions, procedure that has its origin in our ancestors but now with the distinctive features of the ways of medical assistance, social system and economic resources among others. Objective: To assess the behaviour and follow up of paediatric home admissions in San Lázaro Popular Council. Method: Retrospective study of all the patients aged 0-14 years with home admissions in San Lázaro Popular Council who belong to the teaching policlinic ¨Octavio de la Concepción y de la Pedraja¨ from Cienfuegos Municipality, from January to December 2002. The variables under study were: age, sex, nutritional assessment , cause of admission, admission by the general comprehensive doctor, hospital discharge, follow up, complications and stay. Results: short age was a determinant factor in home admissions: 78,4 % of the admitted patients were eutrophic; respiratory infections and acute diarrheas were the main reasons for admissions

  2. Follow up and behavior of pediatric home admission in San Lazaro´s popular council in Cienfuegos Province. Comportamiento y seguimiento de los ingresos domiciliarios pediátricos en el consejo popular San Lázaro.

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    Teresita Rodriguez Izaguirre.

    Full Text Available Fundaments: The development of Public Health in Cuba, especially in public health assistance has permitted the rescue of old modalities in regards to medical assistance, among of them home admissions, procedure that has its origin in our ancestors but now with the distinctive features of the ways of medical assistance, social system and economic resources among others. Objective: To assess the behaviour and follow up of paediatric home admissions in San Lázaro Popular Council. Method: Retrospective study of all the patients aged 0-14 years with home admissions in San Lázaro Popular Council who belong to the teaching policlinic ¨Octavio de la Concepción y de la Pedraja¨ from Cienfuegos Municipality, from January to December 2002. The variables under study were: age, sex, nutritional assessment , cause of admission, admission by the general comprehensive doctor, hospital discharge, follow up, complications and stay. Results: short age was a determinant factor in home admissions: 78,4 % of the admitted patients were eutrophic; respiratory infections and acute diarrheas were the main reasons for admissions
    Fundamentos: El desarrollo de la Salud Pública en Cuba, y en especial de la Atención Primaria de Salud, ha permitido el rescate de alguna modalidades antiguas de atención médica entre las que se encuentra el ingreso en el hogar, proceder este que tiene sus orígenes desde tiempos inmemoriales, pero con características distintivas dependientes de la forma de actuación médica, sistema social, recursos económicos, entre otros. Objetivo: Valorar el seguimiento y comportamiento del ingreso domiciliario pediátrico en el Consejo Popular San Lázaro de Cienfuegos. Métodos: Investigación retrospectiva de todos los pacientes de 0-14 años con ingresos en el hogar del Consejo Popular San L

  3. [Psychiatric Hospital San Juan de Dios. One hundred years later].

    Science.gov (United States)

    Cocula-León, Horacio

    2014-01-01

    Mental health and psychiatric diseases have always attracted people's and health authorities' attention due to its magical approach, the lack of knowledge that surrounds them, and, at the same time, the religious fear they provoke. Both have played an important role in the history of humanity, of public health politics, and of physicians. The places where psychiatric patients were treated are of historical interest, because through the historical knowledge we can identify an approach from the science and the health policies that prevailed in each age. At the beginning of the 20th century, it was developed in México a new model of hospital care attention to psychiatric patients. La Casa de Salud San Juan de Dios para Pacientes Alienados is an example; the concept "alienated patients" suggests a social and cultural perspective. This paper presents a chronological type description of one of the major institutions involved in mental health care in México. Similarly, it shows a review of the events that affected the religious order San Juan de Dios from 1901 to 2012, when the hospitaller order was reinstated in México and established the Casa de Salud San Juan de Dios para Pacientes Alienados in the town of Zapopan, Jalisco, institution that exists up to the present day and keeps participating in the mental health care in the state of Jalisco, with the current name of Servicios de Salud San Juan de Dios.

  4. Second Line of Defense, Megaports Initiative, Operational Testing and Evaluation Plan, Port of Lazaro Cardenas, Mexico

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    Hughes, Jamie D.

    2012-05-30

    The purpose of the Operational Testing and Evaluation (OT&E) phases of the project is to prepare for turnover of the Megaports System supplied by U.S. Department of Energy/National Nuclear Security Administration (DOE/NNSA)—located at the Export Lanes of the Port of Lazaro Cardenas, Mexico—to the Government of Mexico (GOM).

  5. [The Hospital of the people of San Marcos. First in Aguascalientes, Mexico].

    Science.gov (United States)

    López de la Peña, Xavier A

    2013-01-01

    For centuries, the major hospital of San Juan de Dios has been historically considered the first hospital in Aguascalientes,Mexico, founded on 1685. However, in this paper we report that the Hospital of the people of San Marcos, in operation at least since 1630, was really the first hospital in the state in functions and which services to the needy population continued until today’s last notice, as of 1728. As evidence, we offer various first-hand documentary sources obtained in different archive files, which give credit to this modest charity institution. The aforementioned for the memory and pride of the history of health care in Aguascalientes and Mexico.

  6. Matters of life and death: the hospital of San Pedro in Puebla, 1790-1802.

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    Hernández-Sáenz, Luz María

    2002-01-01

    The last decade of the eighteenth century may be described as a "golden age" in the history of the Hospital of San Pedro of Puebla. Under the stewardship of its director, Father Ignacio Domenech, San Pedro underwent an extensive renovation of its physical plant and a thorough administrative reorganization that turned it into one of the best medical care and research institutions in New Spain. The article draws a profile of the patients who filled the hospital's wards and adds a human dimension to the many names and ailments listed in the registries. It also describes the valiant efforts of the medical staff who daily shared the patients' struggle against illness. Fighting immense odds, the practitioners sought to provide good-quality care and to further their limited understanding of disease. A detailed analysis of San Pedro's everyday life reveals a portrait of human suffering, professional dedication, and humanity's pursuit of knowledge.

  7. Reacciones adversas a medicamentos como causa de consulta en el servicio de emergencias del Hospital San Juan de Dios

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    Unfried Segura, Erika

    2008-01-01

    Objetivo: Estimar el número de reacciones adversas que son causa de consulta en el Servicio de Emergencias en el Hospital San Juan de Dios, San José, Costa Rica por un periodo de estudio de 31 días. Diseño: Estudio observacional prospectivo. Lugar: Servicio de Emergencias del Hospital San Juan de Dios. San José, Costa Rica. Pacientes: Pacientes = 12 años de edad que fueron diagnosticados y/o consultaron debido a una reacción adversa a medicamentos en el Servicio de Emergencias durante el peri...

  8. The 2007 San Diego Wildfire impact on the Emergency Department of the University of California, San Diego Hospital System.

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    Schranz, Craig I; Castillo, Edward M; Vilke, Gary M

    2010-01-01

    In October 2007, San Diego County experienced a severe firestorm resulting in the burning of more than 368,000 acres, the destruction of more than 1,700 homes, and the evacuation of more than 500,000 people. The goal of this study was to assess the impact of the 2007 San Diego Wildfires, and the acute change in air quality that followed, on the patient volume and types of complaints in the emergency department. A retrospective review was performed of a database of all patients presenting to the Emergency Departments of University of California, San Diego (UCSD) hospitals for a six-day period both before (14-19 October 2007) and after (21-26 October 2007) the start of the 2007 firestorm. Charts were abstracted for data, including demographics, chief complaints, past medical history, fire-related injuries and disposition status. As a measure of pollution, levels of 2.5 micron Particulate Matter (PM 2.5) also were calculated from data provided by the San Diego Air Pollution Control District. Emergency department volume decreased by 5.8% for the period following the fire. A rapid rise in PM2.5 levels coincided with the onset of the fires. The admission rate was higher in the period following the fires (19.8% vs. 15.2%) from the baseline period. Additionally, the Left Without Being Seen (LWBS) rate doubled to 4.6% from 2.3%. There was a statistically significant increase in patients presenting with a chief complaint of shortness of breath (6.5% vs. 4.2% p = 0.028) and smoke exposure (1.1% vs. 0% p = 0.001) following the fires. Patients with significant cardiac or pulmonary histories were no more likely to present to the emergency department during the fires. Despite the decreased volume, the admission and LWBS rate did increase following the onset of the firestorm. The cause of this increase is unclear. Despite a sudden decline in air quality, patients with significant cardiac and pulmonary morbidity did not vary their emergency department utilization rate. Based on the

  9. Estudio clima organizacional en la empresa social del estado Hospital Universitario San Jorge de Pereira

    OpenAIRE

    Cuellar Nieto, Clemencia Janeth; Vivas Botero, Marco Andrés

    2010-01-01

    El presente trabajo tiene como objetivo adelantar un estudio investigativo sobre el clima organizacional actual, predominante en la E.S.E. Hospital Universitario San Jorge de la ciudad de Pereira, y a la vez sirva como trabajo de grado para optar el título correspondiente a Magister en Administración del Desarrollo Humano y Organizacional. La idea fundamental consiste en combinar la experiencia práctica existente en la institución de referencia, y los conocimientos teóricos adquiridos en l...

  10. Satisfación del cliente interno en la ESE hospital San Antonio de Marmato Caldas

    OpenAIRE

    2015-01-01

    Tesis:(Especialista en Administración de la Salud). Universidad Católica de Manizales. Facultad de Salud, 2015 A través de la investigación realizada respecto a la satisfacción del cliente interno en la ESE Hospital San Antonio de Marmato se pretendió evaluar e indagar sobre los factores intrínsecos y extrínsecos que afectan dicha satisfacción dentro de la institución, se obtuvo que los factores extrínsecos juegan un papel fundamental en los resultados obtenidos.

  11. Tercerización y cooperativas de trabajo asociado en el hospital San Rafael de Tunja

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    Lina Marleny López Sánchez

    2010-01-01

    En este documento se destacan los diversos efectos que el funcionamiento de las Cooperativas de Trabajo Asociado (CTA) ha traído en la contratación de personal del Hospital San Rafael de Tunja, a partir de la reestructuración registrada a finales del año 2004. Así mismo, se enfatiza en el cómo la tercerización ha venido adquiriendo importancia en este tipo de instituciones hospitalarias, mediante la prestación de servicios médico-asistenciales,administrativos y servicios gener...

  12. Cyclospora Cayetanesis: descripción del primer caso en el Hospital San Rafael de Alajuela

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    Tatiana Cedeño-Cascante

    2002-06-01

    Full Text Available En Costa Rica se tiene conocimiento de la presencia de al menos un caso reportado de ciclosporidiosis, sin embargo, es probable que la prevalencia de este parásito sea mayor, con el agravante de que no se ha puesto un cuidado especial en el diagnóstico clínico y de laboratorio. En este trabajo se reporta el caso de una paciente de origen noruego, que presentó episodios diarreicos de larga evolución y tratamientos inadecuados después del diagnóstico, y el tratamiento correcto para esta parasitosis resolvió el cuadro, además, es el segundo caso reportado de esta parasitosis en nuestro país y el primero en el Hospital San Rafael de Alajuela, pretende alertar a los profesionales en Medicina y Microbiología, para que presten mayor atención ante la posible existencia de un número mayor de casos.We are reporting a case of a Norwegian patient who presented large as recurrent diarrheic episodes. A diagnosis of cyclosporidiosis was stablish. This is the second case of cyclosporidiosis reported in Costa Rica and the first diagnose are de they patients were give the adecuated tratamient Hospital San Rafael de Alajuela. This is a call for doctors and microbiologist to be prepared for more possible cases.

  13. El Hospital San Carlos de Bogotá y el Tratamiento de la Tuberculosis

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    Adolfo de Francisco Zea

    1986-04-01

    Full Text Available

    El Presidente de la Academia de Medicina, doctor Pablo Gómez Martínez, ha accedido a la solicitud que le formulé en octubre del año pasado y me ha concedido la oportunidad de hablar ante los señores Académicos sobre el Hospital San Carlos.

    Mi vinculación con esa entidad hospitalaria data de finales de 1973 cuando el Ministro de Salud en esa época, el doctor José María Salazar Buchelli, me nombró su representante ante la Junta Administradora Posteriormente desempeñé en forma transitoria la Dirección del Hospital y luego, por deferencia del Presidente de la Academia, en ese entonces el profesor César Augusto Pantoja, volví a vincularme a la Junta Administradora, esta vez como representante del Presidente de la Academia, en cumplimiento del mandato testamentario y de los estatutos de la Institución.

    La Fundación Hospital San Carlos tu vo su origen en el año de 1941. El sentimiento noblemente caritativo y altruista de su fundador, el filántropo don Gustavo Restrepo Mejía, quedó consignado en la cláusula duodécima de su testamento que dice así: “Del remanente de mis bienes dispondrán mis albaceas destinando su valor a la construcción de un edificio, con los departamentos y anexidades propias, para hospital de tuberculosos, y dotarlo de las rentas que su sostenimiento requiera. Esta Fundación se denominará Hospital San Carlos en recuerdo de mi madre”.

    A la Junta Directiva encargada de la construcción del Hospital, o Junta Constructora, integrada por los señores Eugenio Wiesner, Julio E. Sanz, Roberto Michelsen y Francisco de Paula Pérez, le fue encomendada la misión de “acordar los estatutos que deben regir la marcha de la Fundación y su desarrollo progresivo”.

    Al concluirse la construcción del edificio y terminadas las funciones de la Junta Directiva Constructora, el Hospital fue entregado a una nueva Junta Administradora que quedó constituída de acuerdo a la voluntad

  14. Neurosurgical Brain Estereotactic- Guided Procedures Performed at Hospital Universitario San Ignacio (HUSI): Development in the Short and Medium Term

    OpenAIRE

    Zorro, Óscar; Hospital Universitario de San Ignacio; Ordóñez Rubiano, Édgar Gerardo; Hospital Universitario de San Ignacio; Camacho, jorge Esteban; Hospital Universitario de San Ignacio; Tschampel Garvin, Andrés; Hospital Universitario de San Ignacio; Burgos, Rodrigo Antonio; Hospital Universitario de San Ignacio; Acevedo, Juan Carlos; Hospital Universitario de San Ignacio; Berbeo, Miguel; Hospital Universitario de San Ignacio; Feo, Óscar; Hospital Universitario de San Ignacio; Díaz, Roberto; Hospital Universitario de San Ignacio

    2012-01-01

    Objective: Retrospective description of postoperative outcomes of patients who underwent neurosurgical brain stereotactic guided procedures at the Hospital Universitario San Ignacio during the period July 2009-July 2011.Materials and Methods: A review of medical records of 78 patients who were taken to neurosurgical stereotactic guided procedures at the Hospital Universitario San Ignaci. We reviewed the clinical characteristics of patients, the location of the lesions on neuroimaging, managem...

  15. Epidemiology profile of burn victims under 5 years at the university Hospital San Jose, Popayan, Colombia, 2000-2010

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    Marco Fidel Sierra

    2012-03-01

    Full Text Available Background: Burn injuries in children are a growing public health problem both physical and psychological implications and socioeconomic. Objectives: To describe the epidemiological profile of burns in children under 5 years at the University Hospital of San José, Popayán, Colombia, 2000-2010. Methods: This study was retrospective descriptive of burn victims under 5 years admitted between 2000 and 2010 at the Burn Unit of University Hospital San José (UHSJ. The following variables were recorded and analyzed: age, gender, origin, social security, depth and extent of burn, days of hospitalization, causal agent and mortality. SPSS 19.0 was used. The level of significance was p

  16. Apnea obstructiva del sueño: experiencia en el Hospital San Juan de Dios

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    Alejandra Flores-Badilla

    2014-03-01

    Full Text Available Objetivos: determinar las características epidemiológicas de los pacientes estudiados por apnea obstructiva del sueño (AOS en el Hospital San Juan de Dios, Costa Rica, de enero de 2005 a diciembre de 2011. Métodos: se trata de un estudio descriptivo-retrospectivo de los pacientes con el cuadro clínico de AOS, atendidos en Consulta Externa de Neumología del Hospital San Juan de Dios, de enero de 2005 a diciembre de 2011. La información se obtuvo de los expedientes médicos, por medio de una ficha de recolección de datos. Con base en los resultados se realizó el análisis estadístico. Resultados: la población total fue de 182 pacientes, de los cuales al 88% se le diagnosticó el síndrome en estudio. El género femenino predominó en la AOS de grado leve a moderado, y el masculino, en el severo. El aumento de la edad y el índice de masa corporal correlacionaron con la mayor probabilidad del diagnóstico de AOS (p < 0.01. Respecto a la comorbilidades presentes, hubo mayor porcentaje de hipertensión arterial (55,5% y la diabetes mellitus (40.3%, independientemente del grado de severidad. Los pacientes con grado severo tuvieron mayor índice en la escala de somnolencia diurna de Epworth. No se encontró asociación significativa entre AOS y enfermedad pulmonar obstructiva crónica, infarto agudo al miocardio, accidente vascular cerebral y arritmia. Conclusiones: este es el primer estudio que se realiza en el país sobre esta patología. La polisomnografía fue un método diagnóstico eficaz en nuestro medio y debería implementarse en otros hospitales de la seguridad social, con el fin de determinar la prevalencia del problema y ofrecer a los pacientes la terapéutica de presión positiva continua de la vía aérea. Los datos epidemiológicos obtenidos de la población, no distan de lo reportado a nivel internacional en lo que respecta a factores de riesgo y enfermedades concomitantes.

  17. Causalidad del vértigo en el Hospital Universitario San Vicente de Paúl

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    Javier A. Ortiz

    1988-01-01

    Full Text Available En el período 1984-1986 se estudiaron en el Servicio de Otorrinolaringología del Hospital Universitario San Vicente de Paúl de Medellín, 87 pacientes con vértigo; se halló que el origen era periférico en el 62, 1% y central en el 11,5% de los casos; no se logró definir la causa en el 20,7% de los pacientes, pese a la observación prolongada ya los exámenes paraclínicos. En el grupo de pacientes con vértigo de origen central la mitad presentaban alteraciones de tipo vascular; la enfermedad de Meniere fue la primera causa en el grupo de pacientes con vértigo de origen periférico (18,5%; siete de los diez pacientes con esta enfermedad presentaron compromiso de ambos oídos. La sífilis ótica causó el 7,4% de los vértigos periféricos, razón por la que se recomienda practicar a todo paciente con trastornos del equilibrio una serología que incluya, en caso de negatividad de la reacción de floculación, un FTA-ABS.

  18. Cyclospora Cayetanesis: descripción del primer caso en el Hospital San Rafael de Alajuela

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    Tatiana Cedeño-Cascante

    2002-06-01

    Full Text Available En Costa Rica se tiene conocimiento de la presencia de al menos un caso reportado de ciclosporidiosis, sin embargo, es probable que la prevalencia de este parásito sea mayor, con el agravante de que no se ha puesto un cuidado especial en el diagnóstico clínico y de laboratorio. En este trabajo se reporta el caso de una paciente de origen noruego, que presentó episodios diarreicos de larga evolución y tratamientos inadecuados después del diagnóstico, y el tratamiento correcto para esta parasitosis resolvió el cuadro, además, es el segundo caso reportado de esta parasitosis en nuestro país y el primero en el Hospital San Rafael de Alajuela, pretende alertar a los profesionales en Medicina y Microbiología, para que presten mayor atención ante la posible existencia de un número mayor de casos.

  19. Cumulative incidence of postoperative severe pain at Hospital Universitario San Jose, Popayan. Preliminar report

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    Ingrid Muñoz

    2013-12-01

    Full Text Available Introduction: Postoperative pain remains as a problem. National studies report incidences of 31% for moderate and 22% for severe pain. Inadequate analgesia is related to dissatisfaction and adverse outcomes. The aim of this study was to describe the incidence and characteristics of the postoperative pain in the post-anesthesia care unit (PACU at Hospital Universitario San José of Popayán (HUSJ in patients undergoing general anesthesia during the first postoperative hour. Methods: Cohort study. We recruited patients attending PACU and undergoing procedures using general anesthesia, between 18 and 70 years. Using a standardized collection form medical history, demographic data, medical history, anesthetic management, intraoperative analgesia and postoperative pain assessment by verbal and numerical pain scale (1-10 were recorded. Postoperative outcome data were also collected in the PACU. Results: The incidence of severe postoperative pain at 10 minutes was 12.3% 95%CI [7.1-18.2] (19 patients. Within 30 minutes of assessment 4.5% 95%CI [1.3-8.4] (7 patients and 1.9% 60 minutes 95%CI [0-4.5] (3 patients. 48.7% required rescue analgesic at PACU. Incidence of postoperative nausea and vomiting (PONV was significantly different in patients requiring rescue analgesic. Conclusion: The incidence of severe postoperative pain in the first postoperative hour at HUSJ is close to 12% and it decreases as time goes by. Patients requiring rescue analgesic have a higher incidence of postoperative complications such as PONV.

  20. Adherence to prophylactic antibiotic therapy of thoraco-abdominal interventions in Hospital Universitario San Jorge, Pereira

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    Jorge Enrique Machado-Alba

    2013-05-01

    Full Text Available Objective: determine adherence to the protocol of antibiotic prophylaxis in patients undergoingsurgery at Hospital Universitario San Jorge, Pereira. Materials and methods: observational descriptivestudy took information from all patients who underwent surgery between April 1 and June31, 2010. The information was taken from medical records considering the variables age, gender,type of surgery, time, day of week, antimicrobial agents used compared with those recommendedby institutional guidelines. The analysis was done using SPSS 19.0 for Windows. Results: therewere 211 patients, with a predominance of men (52,6% and average age of 45,2 ± 19,9 years.Adherence to guidelines pre-surgical prophylaxis was 44,5% of procedures. The variables malegender (OR 2,2; 95% CI 1,220 to 4,063, p=0,009, emergency surgery (OR 2,1; 95% CI 1,136 to3,889, p=0,018 and weekends surgery (OR 2,3; 95% CI 1,090 to 5,255; p=0,03 were statisticallysignificantly associated with nonadherence. Conclusion: it found low guideline for pre-surgicalantibiotic adherence associated with emergency and weekends surgeries. Should intervene witheducation and feedback the team working in the emergency and surgery department to improvethe level of compliance with guidelines.

  1. [Quality in the anesthesia department of San Cecilio Hospital from the professionals' perspective].

    Science.gov (United States)

    Danet-Danet, A; Palacios-Córdoba, A; March-Cerdá, J C

    To evaluate the quality of the services provided by the anaesthesia department of the San Cecilio Clinical University Hospital, from the health professionals' point of view. Location: Andalusia. 134 health professionals in contact with the hospital anaesthesia department. Tool: self-administered questionnaire, measuring: accessibility, personal treatment, comfort, scientific and technical quality (scale 1 to 5), overall satisfaction (scale 0 to 10), and suggestions for improvement. A descriptive statistical and correlation analysis were performed, including mean differences (by sex, frequency of contact with the anaesthesia department, and unit), as well as a regression model. The quality of personal treatment received a mean of 4.2 points (SD 0.651), the scientific and technical quality 4.00 points (SD 0.532), accessibility 3.3 (SD 0.795), professional comfort 3.30 (SD 0.988), and patient comfort 2.62 points (SD 1.051). Overall satisfaction obtained a mean of 7.1 points (0 to 10 scale). Women and professionals working in units with less than 10 people had a better general evaluation of the anaesthesia department. The worse perspective was that of staff with daily contact with the anaesthesia department. Among the suggestions for improvement there were: Reducing waiting lists, creating special rooms to give information to families, improving working conditions, training and work satisfaction for staff, and achieving better communication and collaboration between health professionals. The internal evaluation shows the need for training strategies and organisational interventions in the anaesthesia department, in order to achieve a better quality and satisfaction for both professionals and patients. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  2. Frecuencia de lesiones en cavidad oral de pacientes con VIH/sida en el Hospital Universitario San Ignacio de Bogota, Colombia

    National Research Council Canada - National Science Library

    Medina Becerra, Nelsy Esther; Betancourt Schanowski, Francisco Alejandro; Patino Azuero, Juan Carlos; Brett Figueroa, Maria Mercedes

    2012-01-01

    Objetivo: determinar la frecuencia de las lesiones orales que se presentaron en los pacientes con VIH/sida que asistieron a la Unidad de Infectologia del Hospital Universitario San Ignacio en Bogota, Colombia...

  3. Characterization of the Hospitalized Patients of the Otolaryngology and Maxillofacial Unit of the Hospital Universitario San Ignacio from February 2001 to October 2012

    OpenAIRE

    Pérez García, Irene Camila; Pontificia Universidad Javeriana-Hospital Universitario San Ignacio; Ronderos Suárez, Ángela María; Pontificia Universidad Javeriana; Gutiérrez Maldonado, Santiago; Hospital Universitario de San Ignacio-Pontificia Universidad Javeriana

    2014-01-01

    Objective: To characterize the population of hospitalized patients in the Otolaryngology and Maxillofacial Surgery Unit of the Hospital Universitario San Ignacio, from February 2001 to October 2012.Materials and methods: A retrospective, observational, cross-sectional study was performed for the patients registered in the database of the Otolaryngology and Maxillofacial Surgery Unit for a period of 11 years from February 2001 to October 2012. The variables studied were: Sex, age group and pri...

  4. El Hospital de San Juan de Dios de Bogotá.

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    Adolfo de Francisco Zea

    1999-04-01

    Full Text Available

    El Hospital de San Juan de Dios de Santafé de Bogotá se fundó en el año de 1723, hace 275 años, pero no es el más antiguo de los que se establecieron en el territorio de la Nueva Granada. Ese honor le corresponde al Hospital de Santiago, que fue fundado el 28 de diciembre de 1513 en la ciudad de Santa María la Antigua del Darien, por el conquistador Pedrarias Dávila, en cumplimiento de una Cédula Real dirigida a la Casa de Contratación de Sevilla en agosto del mismo año, mediante la cual el Rey don Fernando el Católico ordena “que se haga en el pueblo de la provincia de Santa María la Antigua del Darien que es la tierra firme, un hospital donde se acojan e curen los enfermos e abriguen los pobres e convendra proveer el dicho Hospital de algunas camas e otras cosas…. Yo os mando, agrega el Rey, que compréis cincuenta camas de ropa en las que haya en cada una de ellas el aparejo que suelen tener las camas de esta ciudad de Sevilla”.

    El pequeño poblado de Santa María la Antigua del Darien había sido fundado por Vasco Núñez de Balboa en 1509, en tierras del cacique Cenaco, y adquirió la categoria de ciudad por Cédula Real del 10 de julio de 1515. El Hospital de Santiago contó como personal médico con Rodrigo de Barreda, quien gozaba de buena reputación médica y científica, con el bachiller Diego de Angulo, y con el maestre Alonso de Santiago, quien había atendido al conquistador Alonso de Ojeda en 1510 de un flechazo que le atravezó el muslo. Pensando que la herida pudiera estar envenenada, Ojeda ordenó a Santiago que calentase al rojo blanco dos planchas de hierro para que se las colocase en la herida.

    Como el maestre se mostrara temeroso de hacerlo temiendo que podría causarle la muerte, Ojeda le dijo que si se negaba lo haría ahorcar, ante lo cual el cirujano procedió a aplicarle el tratamiento, “con ciertas tenazas, dice el padre Las Casas, de modo que no sólo le abrasó el muslo y la

  5. DON ANTONIO ALFARO, UN CORSARIO AL FRENTE DEL HOSPITAL DE SAN CARLOS EN LA ISLA DE LEÓN

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    Benicia Vidal Galache

    2014-12-01

    Full Text Available Ante la inminencia de la llegada de las tropas de Napoleón a la Isla de León, hoy San Fernando, se improvisó en la localidad un hospital para la atención de los prisioneros franceses enfermos y heridos en la batalla de Bailén. La dirección del establecimiento se encomendó a D. Antonio Alfaro, cirujano naval formado en el Real Colegio de Cirugía de Cádiz. En la plantilla de facultativos hubo también médicos, cirujanos y practicantes escogidos entre los prisioneros franceses. Analizamos la vida de Alfaro y las especiales circunstancias en las que se inició aquel hospital militar.DON ANTONIO ALFARO, A CORSAIR LEADING THE SAN CARLOS HOSPITAL IN THE ISLA DE LEÓNWith the imminence of the arrival of the troops of Napoleon to the Isla de Leon, today San Fernando, a hospital for the care of the sick and wounded French prisoners at the battle of Bailén was improvised at the village. The address of the establishment was entrusted to D. Antonio Alfaro, naval surgeon trained in the Real Colegio de Cirugía of Cádiz. The staff was composed also by doctors, surgeons and medical assistants chosen among the French prisoners. We analyse the life of Alfaro and the special circumstances in which that military hospital was started.

  6. Hazard-evaluation and technical-assistance report HETA 90-122-l2073, technical assistance to San Francisco General Hospital and Medical Center, San Francisco, California

    Energy Technology Data Exchange (ETDEWEB)

    Moss, C.E.; Seitz, T.

    1990-10-01

    In response to a request from the Director of the Environmental Health and Safety Department of the San Francisco General Hospital and Medical Center, located in San Francisco, California, an evaluation was undertaken of possible hazardous working conditions at that site. Concern existed about exposures to hazards while operating the germicidal lamp at the facility. Germicidal lamps were used to disinfect the air in tuberculosis and aerosolized pentamidine clinics. The workers wore no protective eye wear. All rooms used a 30 watt germicidal lamp. Lower wattage bulbs in the smaller rooms would have reduced occupational ultraviolet (UV) exposure. Reflectance levels of UV radiation were quite high and varied. Worker exposure to germicidal lamp UV levels was dependent on many factors, some of the most important ones being the position of the bulb in the room, age of the bulb, obstruction of the UV radiation by objects near the bulb, and the height of the worker. While there are no consensus guidelines available on ventilation systems designed for areas where germicidal lamps are used, the provision of good room air distribution and mixing is recommended to prevent stagnant air conditions or short circuiting of supply air within the room. Bulb changers need to be aware of the need for protective clothing and gloves for protection from both the UV radiation levels as well as possible glass breakage.

  7. Determinación de ciclosporina sanguínea realizada en el Hospital San Juan de Dios, San José, Costa Rica

    OpenAIRE

    Granados-Zúñiga, Jorge

    2001-01-01

    Se determinó los niveles sanguíneos de ciclosporina y metabolitos (método de inmunoensayo de polarización de fluorescencia TDx, Abbott) y ciclosporina (método de inmunoensayo de polarización de fluorescencia AxSyM, Abbott) en 86 pacientes transplantados de riñón del Hospital San Juan de Dios. Los resultados fueron en promedio 3,26 veces mayores con el método de TDx que con el de AxSyM (amplitud=1,02-6,01, S.D.=0,99). Esto se puede atribuir a la reactividad cruzada del antisuero del TDx contra...

  8. MORTALIDAD DE TRANSFUSIÓN MASIVA TEMPRANA EN PACIENTES CON TRAUMA PENETRANTE EN EL HOSPITAL UNIVERSITARIO SAN JORGE DE PEREIRA

    Directory of Open Access Journals (Sweden)

    Juan Pablo Arismendy-Muñoz

    2011-01-01

    Full Text Available La violencia y la accidentalidad son causas frecuentes de trauma en Colombia. Diferentes alternativas sobre el correcto manejo del paciente traumatizado han sido elaboradas debido a la necesidad de mejorar los protocolos para modificar de manera favorable el pronóstico de los pacientes; uno de estos ha sido la implementación de hemotransfusión masiva temprana. Se realizó un estudio con el objetivo de Identificar el número de pacientes ingresados al Hospital Universitario San Jorge de Pereira con trauma penetrante a cuello, tórax, abdomen y extremidades que cumplieron criterios para hemotransfusión masiva temprana y determinar el porcentaje de los que fueron transfundidos durante los meses de Febrero y Marzo de 2010. A partir de esto se llevó a cabo un estudio descriptivo que incluyó 64 historias clínicas de pacientes con diagnostico de trauma penetrante en las zonas anatómicas ya descritas, ingresados al Hospital universitario San Jorge de Pereira empleando un instrumento que incluía los criterios para hemotransfusión temprana y algunas variables epidemiológicas. Los resultados reflejan que el 3% de los pacientes incluidos, tenían criterios para trasfusión masiva temprana, esta no fue empleada en su protocolo de reanimación y el 97% de los pacientes estudiados no cumplía criterios de transfusión. Para determinar la utilidad de la trasfusión masiva temprana en el Hospital Universitario San Jorge, se requiere la implementación de protocolos de reanimación en los cuales se incluya los criterios de trasfusión temprana, con la finalidad de poder evaluar sobrevida en investigaciones ulteriores.

  9. Epidemiologic profile and risk factors of patients at intensive care unit, Hospital San José, Popayán

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    Diego Illera

    2015-04-01

    Full Text Available Introduction: I.C.U. is an area dedicated to integral attention of severe ill patients. Objective: To establish the epidemiological profile of patients admitted to adult I.C.U. of Hospital Universitario San José of Popayán, Colombia, 2012. To determine risk factors associated to mortality and most prevalent diagnoses. Methods: Descriptive, retrospective study of the epidemiological profile of patients admitted to I.C.U. After authorization from ethics committee, 949 patients selected from the database were studied. Variables were codified according to investigators criteria. Associations were established among variables and mortality and diagnoses using chi² to determine statistical significance (p

  10. Intervención en el actual programa de rehabilitación cardiaca del hospital San Vicente de Paul

    OpenAIRE

    Barquero León, Adriana, Rojas Campos Luis Alberto

    2010-01-01

    Tesis texto completo En esta práctica se incluyeron 19 pacientes que cumplían con los criterios de inclusión, pero sólo concluyeron 11 de estos. Se toman en cuenta pacientes que sufren algún tipo de cardiopatía y que fueron referidos al Servicio de Rehabilitación Cardiaca del Hospital San Vicente de Paúl de Heredia. Con una duración de 120 horas contacto con el paciente, divididas en 34 sesiones realizadas durante dos meses y medio. Se realiza un diagnóstico para partir de datos actuales y...

  11. Nosocomial infections in hospitalized patients in the burn unit of Hospital Universitario San José, Popayán - Colombia

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    Yeni Arroyave

    2014-08-01

    Full Text Available Objective. To determine the prevalence and microbiological behavior of the infections in hospitalized patients in the burn unit of the University Hospital San José ( HUSJ at Popayan, Colombia, 2010-2011. Methods: A retrospective cross-sectional study was conducted in patients admitted to the burn unit of HUSJ between the years 2010–2011. Patients were characterized sociodemographic and clinically. The prevalence of nosocomial infections was estimated. Frequency and antibiotic resistance of microorganisms isolated was described. Data were analyzed using SPSS version 15. Results. 113 patients was enrolled, the average age was 17.7 years and male gender predominated (55.8%. Hot liquids (64.6% were the principal cause, the average of body surface area burned was 11.3% and the average hospital stay was 19.8 days. 13.3% of the patients had some nosocomial infection. The most frequently diagnosed infections were sepsis (24%, urinary tract infection (20% and pneumonia (20%. Staphylococcus aureus was the most frequent bacteria (41.7% followed by Staphylococcus epidermidis, mostly meticilino-resistant. The mean length of hospital stay and burned surface area (BSA in patients with diagnosis of infection was 36.6 days and 17.3% respectively. Conclusions. The prevalence of infection is similar to that reported in Colombia. The resistance of the isolates was high. The meticilinoresistance of Staphylococcus was associated with clindamicina resistance.

  12. La esclerosis múltiple en el embarazo: reporte de tres casos en el Hospital Universitario de San Ignacio (HUSI)

    OpenAIRE

    Toro C., Angélica María; Pontificia Universidad Javeriana

    2012-01-01

    Introducción: Se presentan tres casos de pacientes con esclerosis múltiple (EM), diagnosticadas previo al embarazo, y que fueron evaluadas en la Unidad de Medicina Materno-Fetal durante sus controles y parto en el Hospital Universitario de San Ignacio, centro de referencia nivel IV que atiende población embarazada de alto riesgo obstétrico perteneciente al régimen contributivo.Objetivo: Describir las formas de presentación, fisiopatología, etiología y cuadro clínico de la EM, así como su comp...

  13. Colecistectomía abierta versus laparoscópica: experiencia en el Hospital San Juan de Dios

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    Juan José Zúñiga-Vargas

    2002-09-01

    Full Text Available La cirugía laparoscópica es una técnica mínimamente invasiva de uso cotidiano en el ámbito mundial. Desde hace quince años, la colecistectomía laparoscópica es un procedimiento seguro y muy valioso a disposición del cirujano. Este estudio tiene como fin comparar los resultados de la colecistectomía laparoscópica en el Hospital San Juan de Dios con la técnica de la colecistectomía abierta ó tradicional. Métodos: Se realizó un estudio retrospectivo de todos los pacientes colecistectomizados desde julio de 1996 a junio de 1999, en el Hospital San Juan de Dios en Costa Rica. Al comparar las dos técnicas quirúrgicas (clásica y laparoscópica, se consideró la evolución posoperatoria y las posibles complicaciones que aparecen posteriores al acto quirúrgico. Además se buscaron las contraindicaciones que dicha técnica pudiese tener. Resultados : Fueron revisados un total de 3193 pacientes colecistectomizados, de los cuales 476 fueron operados por laparoscopia. Se tuvo en éstas menos complicaciones posquirúrgicas y menor estancia posoperatoria que en las colecistectomías abiertas. También se notó una disminución paulatina del tiempo quirúrgico en los actos por laparoscopia. Conclusión: Se comprueban las ventajas de la cirugía invasiva mínima y se documenta que este tipo de abordaje es más seguro y beneficioso para el paciente y para el médico mismo.Justification: Today, laparoscopic surgery as a least invasive technique is widely used in the world. Laparoscopic cholecystectomy is a valuable and safe technique and is has been available to the general surgeon for the last 15 years. In Costa Rica it has become a pretty common procedure with great results but they have not been well studied and documented. This study aims to expose part of the work that takes place at the Hospital San Juan de Dios with laparoscopic cholecystectomy and highlights the results in contrast with those of traditional cholecystectomy. Methodology

  14. Piomiositis en el Hospital San Juan de Dioas, Armenia, Quindío Pyomyositis: report of twelve cases

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    Emilsen Ruiz

    1990-03-01

    Full Text Available

    Se presenta una serie de 12 pacientes con piomiositis, diagnosticados entre 1983 y 1988 en el Hospital Universitario San Juan de Dios, de Armenia, Quindío. Se trata de la casuística más numerosa informada hasta ahora en Colombia sobre esta enfermedad e incluye cuatro casos de etiología diferente al Staphylococcus aureus, a saber: tres por Staphylococcus epidermidis y uno por Klebsiella oxytoca. Clínicamente y por laboratorio no hubo diferencias significativas según la etiología. El antecedente de trauma fue Infrecuente (25%, la utilidad diagnóstica de la determinación de las enzimas séricas dé origen muscular muy baja y el ultrasonido muy útil en la localización del absceso muscular.

    We report on a series of 12 patients with pyomyositis, diagnosed at Hospital Universitario San Juan de Dios, Armenia, Quindío, Colombia, between 1983 and 1988; It Is the most numerous series reported so far in Colombia and It Includes four cases caused by bacteria different from Staphylococcus aureus,  namely: Staphylococcus epidermidis (3 and Klebsiella oxytoca (1 . History of previous trauma was infrequently found (25%; the usefuiness of serum enzymes (Creatine kinase, Lactlc dehydrogenase and Aspartate aminotransferase was poor; ultrasound proved to be helpful in localizing the abscesses.

  15. Colecistectomía abierta versus laparoscópica: experiencia en el Hospital San Juan de Dios

    Directory of Open Access Journals (Sweden)

    Juan José Zúñiga-Vargas

    2002-09-01

    Full Text Available La cirugía laparoscópica es una técnica mínimamente invasiva de uso cotidiano en el ámbito mundial. Desde hace quince años, la colecistectomía laparoscópica es un procedimiento seguro y muy valioso a disposición del cirujano. Este estudio tiene como fin comparar los resultados de la colecistectomía laparoscópica en el Hospital San Juan de Dios con la técnica de la colecistectomía abierta ó tradicional. Métodos: Se realizó un estudio retrospectivo de todos los pacientes colecistectomizados desde julio de 1996 a junio de 1999, en el Hospital San Juan de Dios en Costa Rica. Al comparar las dos técnicas quirúrgicas (clásica y laparoscópica, se consideró la evolución posoperatoria y las posibles complicaciones que aparecen posteriores al acto quirúrgico. Además se buscaron las contraindicaciones que dicha técnica pudiese tener. Resultados : Fueron revisados un total de 3193 pacientes colecistectomizados, de los cuales 476 fueron operados por laparoscopia. Se tuvo en éstas menos complicaciones posquirúrgicas y menor estancia posoperatoria que en las colecistectomías abiertas. También se notó una disminución paulatina del tiempo quirúrgico en los actos por laparoscopia. Conclusión: Se comprueban las ventajas de la cirugía invasiva mínima y se documenta que este tipo de abordaje es más seguro y beneficioso para el paciente y para el médico mismo.

  16. Estela Restrepo Zea. El Hospital San Juan de Dios 1635-1895: una historia de la enfermedad, pobreza y muerte en Bogotá

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    María Angélica Ospina Martínez

    2012-09-01

    Full Text Available [...] Este libro de Estela Restrepo Zea, producto de su tesis doctoral, es una obra que traza, con gran minucia y rigurosidad,el devenir del Hospital San Juan de Dios en Bogotá, desde su creación, en el siglo XVII, hasta finales del siglo XIX. [...

  17. Introducing the "teamlet": initiating a primary care innovation at san francisco general hospital.

    Science.gov (United States)

    Laing, Brian Yoshio; Ward, Lisa; Yeh, Thomas; Chen, Ellen; Bodenheimer, Thomas

    2008-01-01

    The 15-minute office visit to primary care clinicians cannot meet the health care needs of patients. Innovation is needed to address this limitation, but practice redesign is challenging in clinical settings. Here we describe the implementation of a practice innovation, the teamlet model, in a San Francisco safety-net clinic. The teamlet consists of a clinician and "health coach" who expand the traditional medical visit into previsit, visit, postvisit, and between-visit care. Teamlet implementation is occurring in phases. Phase 1 is evaluated using plan-do-study-act improvement cycles and interviews with a few patients, clinicians, and coaches. Phase 2 is evaluated using a pre- and postevent questionnaire, focused interviews, and focus groups with patients, faculty, clinicians, and coaches. Phase 1: Plan-do-study-act cycles generate ideas to improve implementation. Phase 2 evaluation will query demographics, satisfaction, knowledge of self-management support, access, teamwork, and benefits/challenges of the teamlet model. Future research would measure objective clinical outcomes. Phase 1 of the teamlet project led to useful adaptations, with anecdotal evidence that patients and clinicians were satisfied overall with practice improvements. Logistic problems made implementation of the innovation challenging. Phase 2 is currently underway, with results expected in 2008. Primary care innovation requires multiple perspectives and constant revision. Traditional randomized controlled trials and quantitative evaluation designs are not appropriate for assessing practice-improvement pilot projects because projects must change and develop in their early stages. Despite numerous challenges, the teamlet practice redesign has the potential for improving on the traditional 15-minute physician's office visit.

  18. Hepatotoxicidad por antituberculosos en el Hospital Universitario San Vicente de Paúl, Medellín, 2005-2007

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    Sigifredo Ospina4

    2008-11-01

    Full Text Available OBJETIVO: determinar la incidencia de hepatotoxicidad por medicamentos antituberculosos, en pacientes tratados en el Hospital Universitario San Vicente de Paúl, de Medellín, en el período comprendido entre enero de 2005 y diciembre de 2007. MÉTODOS: estudio retrospectivo de toda la población con diagnóstico de tuberculosis en el período en mención. RESULTADOS: se incluyeron 224 historias y se encontró una incidencia de hepatotoxicidad de 21%, mayor que la reportada en la literatura. El principal factor de riesgo encontrado para el desarrollo de la hepatotoxicidad fue el VIH; en contraste con otros estudios, factores como edad, sexo y raza no fueron de riesgo para el desarrollo de la misma. Encontramos también que no hubo acuerdo en cuanto a la conducta para seguir una vez diagnosticada la hepatotoxicidad; solo en el 54% de los casos se suspendió el tratamiento y se hizo reintroducción escalonada. CONCLUSIÓN: el estudio evidencia la necesidad de programas de farmacovigilancia que busquen activamente esta complicación y desarrollen guías para unificar conceptos y protocolos de tratamiento.

  19. One year of microbiological surveillance in Intensive Care Unit of San Biagio Hospital in Domodossola (VB ASL 14

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    Cinzia Rossi

    2008-09-01

    Full Text Available Microbiological surveillance in Intensive Care Unit (ICU is essential not only for empirical antimicrobial therapy, but also for epidemiological suggestion. We describe one year observation (2006 of microbiological samples, especially bronchial samples, in a polivalent ICU in San Biagio Hospital (Domodossola ASL 14 Piemonte where systematic culture of sputum (surveillance cultures was routinely performed. During this period, 208 bronchial samples were collected and cultured.Among these, 56 (27% resulted positive for bacteria. Gram positive were isolated in 31% of cases (the most frequent being Staphylococcus aureus, whereas Gram negative in the remaining 69% (especially Pseudomonas aeruginosa and Escherichia coli. The antibiotic resistance to oxacillin was found in 50% of staphylococcal strains. Pseudomonas was susceptible to aminoglycosides, carbapenems and cefepime; all strains were ß lactamase producer. The tabular of dose defining day for the same year demonstrates that penicillin with β lactamase inhibitor is the most employed in our ICU (DDD 36%. This paper confirmed that systematic culture is important to get informations for epidemiology, antimicrobial strategies and control of multidrug resistant clusters.

  20. Diseño del programa de seguridad del paciente E.S.E Hospital San Antonio del Municipio del Guamo

    OpenAIRE

    Rivera Preciado, Jairo Andrés; Ramírez Preciado, Ángela Milena

    2013-01-01

    El trabajo presenta el diseño del programa de seguridad del paciente para la empresa social del estado del Hospital San Antonio del Guamo del Tolima, mediante la aplicación de metodologías definidas de análisis de los eventos adversos e implementación de herramientas prácticas y seguras, que redunden en la mejora del clima de seguridad de la institución y mejoren la calidad del servicio

  1. 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

    OpenAIRE

    José William Cornejo Ochoa; Dagoberto Nicanor Cabrera Hémer; Rodrigo Andrés Solarte Mila

    2005-01-01

    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 ...

  2. Hospital Incarnate Word pabellón de cuidados intensivos San Luis (EE.UU.

    Directory of Open Access Journals (Sweden)

    Hellmuth, George

    1978-03-01

    Full Text Available This unit forms part of an extensive program of new installations —this main plan has been designed by the same architects— which will complement the existing hospital in the future. In the new building, the patients rooms are on the upper level, organized in groups of eight, around the center's three main specialities: surgery, coronaries and general medicine. A large portion of the ground floor is not constructed; it consists of the main entrance which leads to the reception and waiting areas, a cafeteria-dining room and a small circular chapel. The rest of the surface leads to the parking area. The structure is built entirely of concrete and its functionality as well as the suitable athmosphere in the different areas is outstanding and these characteristics have won first place in the interior design contest sponsored by the Interior Design Magazine and the Professional Designers Institute.

    Esta unidad forma parte de un amplio programa de nuevas instalaciones —cuyo plan director ha sido diseñado por los mismos arquitectos— que, en el futuro, irán completando el actual hospital. La nueva construcción sitúa en el nivel superior las habitaciones de los pacientes, organizadas en grupos de ocho, en torno a cada una de las tres especialidades del centro: cirugía, coronarias y medicina general. La planta baja, con gran parte de su superficie libre de edificación, emplaza la entrada principal que da acceso a las zonas de recepción y espera, a un comedor-cafetería y a una pequeña capilla de forma circular. El resto de la superficie lo ocupan las vías de acceso al aparcamiento. La construcción, realizada íntegramente de hormigón, destaca tanto por su funcionalidad como por la adecuada ambientación de sus distintos espacios, características con las que ha ganado el primer puesto en el concurso de diseño interior promovido por la revista «Interior Design» y por el Instituto de Diseñadores Profesionales.

  3. Adverse events of ERCP at San José Hospital of Bogotá (Colombia Eventos adversos de la CPRE en el Hospital de San José de Bogotá

    Directory of Open Access Journals (Sweden)

    A. Peñaloza-Ramírez

    2009-12-01

    Full Text Available Endoscopic retrograde cholangiopancreatography (ERCP has become the preferred treatment method for hepatobiliary and pancreatic disease. Despite technological progress this technique continues to account for the greatest morbidity and mortality caused by digestive endoscopic procedures. ERCP carries a risk of pancreatitis, perforation, hemorrhage, cholangitis and cardiopulmonary events occurring in upto 10% of patients in referral centers, implying a mortality of up to 1%, not including therapeutic failures or the need for re-intervention. A greater mortality rate has been demonstrated in prospective studies rather than in retrospective studies, but overall, the number of complications described in the literature is much lower than the number of complications that actually occur. A descriptive prospective study was conducted at San José Hospital from April 1, 2006 to April 30, 2007 in patients who underwent an ERCP and had a 1-month follow-up. A total of 381 patients were included; 9 (2.3% were excluded, and of the remaining 372 there was an overall success in 79.6% of cases, 8.3% had a second intervention, 7.6% developed complications (pancreatitis, perforation, hemorrhage, cholangitis, pain, intolerance to sedatives, and cardiopulmonary events, and 4.3% were failed ERCP studies. The mortality rate of the ERCP procedure was 0.8%. ERCP-related complications were determined at a teaching center, and this suggests the need to implement centers of excellence in order to improve the efficacy of the procedure.La colangiopancreatografía retrograda endoscópica (CPRE se ha convertido en el procedimiento terapéutico por excelencia de la vía biliopancreática. A pesar de los avances tecnológicos continúa siendo la técnica con mayor morbimortalidad de la endoscopia digestiva. Las complicaciones de la CPRE incluyen la pancreatitis, perforación, hemorragia, colangitis y eventos cardiopulmonares que en centros de referencia ocurren hasta en un 10

  4. Hospital de San José en Tacoma, Washington- (EE.UU.

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    Goldberg, Bertrand

    1977-02-01

    Full Text Available The building is formed by two structural masses which greatly contrast with the buildings surrounding same. A nine-story tower, rest on a two-story rectangular base, with a central core going through the entire height of the building. The building is finished off with an attic for installations. The following services are installed in the base: reception, emergency, operating rooms, recuperation, radiology, pharmacy and other complementary and functional departments. The two central core floors, in the base of the tower, house the machinery for running the building. The nine floors of the tower are destined to: one for pediatrics, another for medical specialties, a third for gynecology and birth recovery; four for medical and surgery patients and two for enlargement. The floors destined for patients rooms consists of four symmetrical square-shaped sections, made of resistant walls in which concavities and convexities alternate throughout the height of the building. Each area consists of eight to nine rooms, layed-out in a semicircle around a nurse's station, permitting direct visual attention of the patients without the nurses having to get up. In addition, this group uses the general services of the central core and the stairs and elevators which surround it. The interior design of the building is sober and functional, complemented by a number of installations which contribute to its comfort and good operation.El edificio está formado por dos volúmenes estructurales de carácter marcadamente en contraste con las construcciones que le rodean. Sobre una base rectangular de dos plantas se eleva la torre, de nueve plantas, apoyada en columnas perimetrales y en un núcleo central que la recorre en toda su altura. La construcción se remata con un ático para instalaciones. En la base se distribuyen: recepción, emergencia, quirófanos, recuperación, radiología, farmacia y otros departamentos de funciones complementarias para el hospital

  5. Incidence of Acinetobacter baumannii and other pathogens isolated from Intensive Care Unit of the Hospital San Carlo, Genoa - Voltri

    Directory of Open Access Journals (Sweden)

    Silvana Delfino

    2010-12-01

    Full Text Available Acinetobacter baumannii is an emerging pathogen of great impact especially in nosocomial settings due to its complex epidemiology that makes its control very difficult. In this study the strains isolated from the Intensive Care Unite were analysed. Materials and methods. All the patients admitted into intensive care of San Carlo Hospital,Voltri, Genoa, Italy (ASL 3 in the period from May to December 2009 were considered.A total of 63 patients were studied including 31 women and 32 men, with an average of 73 years old.The study considered the following biological samples (N: bronchial aspirate and sputum (84, urine (55, blood (28, and other materials (36.The positive samples were processed for strain identification and evaluations of its antibiotic susceptibility pattern by standard VITEK2 system, following the Clinical and Laboratory Standard Institute Guidelines. Results and Conclusions. From samples taken into account, the prevalent percentage of bacterial species collected was registered by Gram negative (46.3%, followed by Gram positive (36.4%, and fungi (17.3%. Considering Gram negative isolates A. baumannii and Escherichia coli resulted among the prevalent pathogens (23.4 and 24.5% respectively. This microorganism was collected especially from bronchial aspirate (13 followed by urines (4, blood cultures (2 and other materials (3. On the basis of the analysis of the antibiotic susceptibility tests, colistin was active on the totality (100% of A. baumannii, followed by tigecycline (96.77%.Amikacin resulted also active against a large proportion of these isolates (93.3%. Present findings confirm the great multidrug resistance phenotype of A. baumanii against the main classes of antimicrobial agents and its dangerous diffusion in the Intensive Care Units. For these reasons a continuous surveillance of the evolution of this pathogen toward antibiotic resistance is requested. In this contest it will be important an evaluation of antibiotic

  6. Prevalence of vitamin D insufficiency and deficiency among medical residents of the University Hospital in San Juan, Puerto Rico

    Science.gov (United States)

    Dávila, Leticia Hernández; Rivera, Nixzaliz Rodríguez; Valentin, Mariel López; Haddock, Lillian; Martínez, Renil Rodríguez; Bossolo, Alex González

    2015-01-01

    Vitamin D has been attracting increased attention due to higher prevalence of vitamin D insufficiency and deficiency than expected in areas with sufficient sun exposure. Even though sunlight exposure and diet are the main determinants of Vitamin D status, other factors such as: age, race, use of sunscreen, medications, and malabsorptive conditions affect vitamin D levels. Recent studies have found a high prevalence of vitamin D deficiency and insufficiency in different populations. However, there is limited data of the prevalence of vitamin D deficiency and insufficiency in Puerto Rico. To answer that question we evaluated a sample of 51 internal medicine residents from ages 25 to 39 of the University Hospital in San Juan, Puerto Rico by means of a questionnaire about basic socio-demographic characteristics, anthropometric data, and lifestyle characteristics and obtained blood sampling for 25-hydroxyvitamin D levels. The median 25-hydroxyvitamin D level was 21 ng/mL (range, 7–38 ng/mL). Forty-five participants (88.2%) had 25 hydroxyvitamin D concentrations <30 ng/mL. We found vitamin D deficiency in 43.1% of the population and insufficiency in 45.1%. Contributory factors to our findings include limited exposure to sunlight during the periods of higher sun intensity, increased body mass index and a limited area of body exposed to sunlight. A relationship between lower physical activity levels and hypovitaminosis D was also found. Both calcium intake and vitamin D intake, which were markedly below recommended daily allowance, were positively correlated with 25-hydroxy vitamin D levels, but with a weak association. PMID:26061058

  7. Grupos urbanos y asistencia social: el hospital de San Martín en Las Palmas en el seiscientos

    Directory of Open Access Journals (Sweden)

    Pedro C. Quintana Andrés

    2013-11-01

    Full Text Available El hospital de San Martín fue una de las principales instituciones asistenciales de las islas durante todo el Antiguo Régimen. Sus cortos ingresos fueron sostenidos por las rentas procedentes de los bienes de su fundación, por las aportaciones del Cabildo Catedral, del obispo, las limosnas de los vecinos y la de los acogidos, aunque siempre su economía estuvo en precario ante la gran cantidad media de asilados. Los enfermos estaban integrados en un amplio porcentaje por miembros de las capas populares —libertos, pobres mendicantes, pequeños artesanos, marineros, viudas, mujeres abandonadas— cuyas enfermedades básicas eran la pobreza, la marginalidad y la vejez. La entidad fue, ante todo, un centro en el que el grupo de poder distribuyó una mínima parte de las ingentes ganancias percibidas a través de la explotación de los sectores populares, buscando a cambio el mantenimiento de sus intereses con el control de dicha población, presentarse ante ellos como sus benefactores y la compra, si era posible, del perdón eterno.Saint Martin’s Hospital was one of the major care institutions in the Canary Islands throughout the Acient Regimen. Its scarce income was sustained thanks to the revenues, which came from the assets of its foundation, the contributions made by the Board of the Cathedral, the bishop, the donations by the neighbours and those made by the patients, although its finances were always precarious due to the great number of residents sheltered there on average. A high percentage of the patients were mainly members of the lower classes —freemen (ex-slaves, beggars, craftsmen, sailors, widows, abandoned women— whose sufferings were mainly poverty, marginality and old age. This institution was, above all, a body in which the power groups invested a minimum part of the huge income obtained through the exploitation of the popular sectors of society, whose aims were the maintenance of their interests through the exertion of

  8. [Military, sailors and the sick poor: contribution to the history of the San Juan de Dios Hospital in Cartagena de Indias (18th century)].

    Science.gov (United States)

    Echeverri, Adriana María Alzate

    2008-01-01

    This article explores the history of the San Juan de Dios Hospital in Cartagena de Indias, at the end of the 18th century. Its activities and evolution cannot be understood unless they are analyzed within the context of the Bourbon sanitary reforms. it was precisely at that time when these reforms were being implemented in Nueva Granada. One of the goals of the reforms was to improve the health of the population in order to discipline the vassals, to promote the growth of the workforce and to increase the Crown's wealth. The text reviews different aspects of the institution, and how it operated. It examines the budget, its expenses, and the dynamics of the hospital population and of its employees. In doing so, it intends to explain what the hospital offered to the city's various social groups.

  9. PROYECTO PARA LA CREACIÓN DE UN COMITÉ DE ÉTICA MÉDICA U HOSPITALARIA DE NIVEL LOCAL EN EL HOSPITAL SAN MIGUEL ARCÁNGEL, DISTRITO DE SAN MIGUELITO, PROVINCIA DE PANAMÁ. AÑO 2013

    Directory of Open Access Journals (Sweden)

    YASHIRO A. DÍAZ RIVERA

    2015-01-01

    Full Text Available El siguiente proyecto se basa en el diseño para la creación de un comité de ética médica asistencial a nivel hospitalario. Se elaboró en el Hospital San Miguel Arcángel, Distrito de San Miguelito, Provincia de Panamá, durante el año 2013. Dado que la creación de proyectos sociales requiere parámetros unificados a nivel internacional, se toma como formato las guías de creación y funcionamiento de los comités de bioética de la Unesco, adaptadas al contexto socioeconómico, político y cultural del Distrito de San Miguelito, Provincia de Panamá. Además de adaptarlo al aspecto socio-ecológico donde se realiza el proyecto de investigación, se abarca el aspecto teórico desde la bioética ontológica personalista, donde el eje fundamental es la dignidad de la persona humana. Se elaboró un estudio de percepción del personal médico y de enfermería, sobre el manejo de los dilemas éticos más frecuentes en el Hospital San Miguel Arcángel. El instrumento de medición utilizado fue una encuesta de percepción previamente validada a través de una prueba piloto. La confiabilidad se midió con el coeficiente alfa de Cronbach y la validez se obtuvo del contenido. Se obtiene resultados estadísticos satisfactorios que comprueban las hipótesis de trabajo sobre el reconocimiento de la importancia de la autonomía, confidencialidad, protección a la población vulnerada, bienestar laboral del personal de salud e integración de la bioética en la agenda institucional. Sin embargo, hubo aspectos particulares que indican algunas dudas en cuanto al manejo de algunas realidades que se presentan en el contexto de la atención sanitaria.

  10. Resistencia bacteriana a antibióticos en el Hospital San Juan de Dios, 1995-1999

    Directory of Open Access Journals (Sweden)

    Ricardo Boza-Cordero

    2001-07-01

    Full Text Available Justificación: La resistencia a antibióticos por parte de bacterias patógenas es un grave problema mundial. Su control ha sido difícil pero deben hacerse todos los esfuerzos por realizarlo. Conocer la epidemiología en las diferentes regiones y países se constituye en parte importante de este control. Este estudio se llevóa cabo con el fin de analizar el comportamiento de la resistencia en el hospital San Juan de Dios, centro de atención nacional de adultos de aproximadamente 700 camas. Materiales y métodos: El estudio se basóen los datos obtenidos en los años 1995-1999 ya que en 1995 se inició el empleo de equipo automatizado VITEK® en este hospital. Se analizaron 2817 aislamientos de cocos Gram positivos (CGP y 7626 de bacilos Gram negativos (BGN obtenidos de todos los sitios anatómicos y fluidos corporales. Por ser un estudio retrospectivo, no se pudo definir cuáles aislamientos provenían de infecciones intra o extrahospitalarias. Resultados: Staphylococcus aureus fue el CGP más frecuentemente aislado, mientras que el BGN más frecuente fue Escherichia coli. En más de 90% de los estafilococos aislados se demostróresistencia a la penicilina. La resistencia a la oxacilina en S.aureus se incrementóde 35% en 1995 a 52% en 1999 mientras que en los estafilococos coagulasa negativa, pasóde 70 a 77% en el mismo periodo. La resistencia a la cefalotina en S.aureus pasóde 35 a 50% mientras que en los estafilococos coagulasa negativa pasóde 65 a 76%. La resistencia a la clindamicina en ambos grupos bacterianos se mantuvo relativamente estable. No se demostróresistencia a la vancomicina. La mayoría de los enterococos aislados correspondieron a E. faecalis, 75% de ellos fueron sensibles a la penicilina y 50% no mostraron sinergismo de la gentamicina con los antibióticos que actúan sobre la pared. No se encontraron enterococos vancomicina resistentes. En las enterobacterias se observó un aumento importante de la resistencia a

  11. Mortalidad de transfusión masiva temprana en pacientes con trauma penetrante en el hospital universitario San Jorge de Pereira

    Directory of Open Access Journals (Sweden)

    Juan Pablo Arismendy-Muñoz

    2012-09-01

    Full Text Available La violencia y la accidentalidad son causas frecuentes de trauma en Colombia. Diferentes alternativas sobre el correcto manejo del paciente traumatizado han sido elaboradas debido a la necesidad de mejorar los protocolos para modificar de manera favorable el pronóstico de los pacientes; uno de estos ha sido la implementación de hemotransfusión masiva temprana. Se realizó un estudio con el objetivo de Identificar el número de pacientes ingresados al Hospital Universitario San Jorge de Pereira con trauma penetrante a cuello, tórax, abdomen y extremidades que cumplieron criterios para  hemotransfusión masiva temprana y  determinar el porcentaje de los que fueron transfundidos durante los meses de Febrero y Marzo de 2010. A partir de esto se llevó a cabo un estudio descriptivo que incluyó 64 historias clínicas de pacientes con diagnostico de trauma penetrante en las zonas anatómicas ya descritas, ingresados al Hospital universitario San Jorge de Pereira empleando un instrumento que incluía los criterios para hemotransfusión temprana y algunas variables epidemiológicas. Los resultados reflejan que el 3% de los pacientes incluidos, tenían criterios para trasfusión masiva temprana, esta no fue empleada en su protocolo de reanimación y el 97% de los pacientes estudiados no cumplía criterios de transfusión. Para determinar la utilidad de la trasfusión masiva temprana en el Hospital Universitario San Jorge, se requiere la implementación de protocolos de reanimación en los cuales se incluya los criterios de trasfusión temprana,  con la finalidad de poder evaluar sobrevida en investigaciones  ulteriores

  12. Relación entre marketing interno y compromiso organizacional en el personal de salud del Hospital de San Juan de Lurigancho

    OpenAIRE

    Zegarra Del Rosario, Francisco Eduardo

    2014-01-01

    La presente investigación tiene como propósito efectuar una descripción del marketing interno y como ésta se relaciona con el compromiso organizacional en el personal de salud, (médicos y enfermeras), del Hospital de San Juan de Lurigancho. Se utilizó un diseño descriptivo correlacional, con una muestra de 155 profesionales, médicos y enfermeras, a quienes se les aplicó dos instrumentos de evaluación: el Cuestionario de Marketing Interno de María Bohnenberger y el Inventario de Compromiso Org...

  13. Manual de técnicas culinarias para el área de alimentación y dietas del Hospital Nacional San Rafael de Santa Tecla

    OpenAIRE

    2013-01-01

    Las técnicas culinarias son uno de los puntos críticos en un establecimiento de alimentos y bebidas, y no se basa solamente en la parte de la manipulación propiamente dicha al momento de su elaboración, sino que radica en algo más complejo y es que el personal es el elemento principal en este proceso. El presenta manual ha sido creado como parte del resultado de los objetivos del proyecto de investigación desarrollado en el Hospital Nacional San Rafael de Santa Tecla. Tiene como propósi...

  14. Epidemiología del Politraumatismo en Pacientes adultos en el Servicio de Urgencias del Hospital San Marcos de Chinchiná. Años 2004-2006

    OpenAIRE

    Giraldo, Francy Lorena; Martínez, Magda Sofía; Narváez G, Catalina; Pérez, Ángela Yurany; Pérez, Diana Cristina; Torres, Natalia Margarita; González, Sandra Patricia; Castaño Castrillón, José Jaime; Jurado, Juan Carlos

    2006-01-01

    Objetivo: El presente estudio tiene como propósito determinar la epidemiología del politraumatismo en pacientes de 15-45 años que ingresaron al servicio de urgencias del Hospital San Marcos de Chinchiná con diagnóstico de politraumatismo durante los años 2004 al 2006. Materiales y Métodos: se efectuó un estudio descriptivo, se revisaron un total de 577 atenciones de urgencias, se revisaron la totalidad de las atenciones de 2004, 2005, y lo corrido del 2006 hasta el mes de abril. Se incluye...

  15. Mortalidad de transfusión masiva temprana en pacientes con trauma penetrante en el hospital universitario San Jorge de Pereira

    OpenAIRE

    Juan Pablo Arismendy-Muñoz; Johanna Carolina Rojas-Mirquez; Álvaro Mondragón-Cardona; Diana Milena Valencia; Natalia Illera-Lopez; Felipe Quintero-Ramirez; Carlos Andrés Montoya-Hidalgo; Tatiana Ceballos-Bautista; Fernando Montoya-Navarrete

    2012-01-01

    La violencia y la accidentalidad son causas frecuentes de trauma en Colombia. Diferentes alternativas sobre el correcto manejo del paciente traumatizado han sido elaboradas debido a la necesidad de mejorar los protocolos para modificar de manera favorable el pronóstico de los pacientes; uno de estos ha sido la implementación de hemotransfusión masiva temprana. Se realizó un estudio con el objetivo de Identificar el número de pacientes ingresados al Hospital Universitario San Jorge de Pereira ...

  16. Hospital San Juan de Dios de Bogotá. Reseña Histórica

    Directory of Open Access Journals (Sweden)

    Hernando Forero Caballero

    2004-06-01

    Full Text Available

    La historia de la medicina nos conduce a interpretar las vicisitudes del arte de curar y a comprender las diferentes metodologías practicadas para el manejo de las enfermedades y también nos permite investigar y decifrar los conceptos que han surgido a través de los tiempos sobre la enfermedad y la lucha desarrollada para vencer el sufrimiento y evitar, hasta donde es posible humano, la crueldad de la muerte.

    El médico historiador se ubica en una posición de perspectiva cultural, humanística y ética para investigar y plasmar la realidad de los aconteceres que han tenido que ver con la ingente obra de los médicos del pasado y comprender mejor sus aciertos, progresos y fracasos, de acuerdo con las circunstancias, ambiente y época en que les correspondió vivir y actuar.

    El médico historiador debe analizar conscientemente el desenvolvimiento económico, sociológico, técnico y científico de la práctica de las ciencias de la salud, a través de los tiempos, para comprender su trascendencia y las posibilidades de organizar los medios indispensables tendientes a ascender a planos superiores en todos los aspectos, partiendo del ambiente socio-económico, de los cambios en la metodología en la educación médica, de la influencia de los directivos de las instituciones asistenciales y el impacto directo en su administración, lo mismo que la disponibilidad de recursos de los servicios de salud, en las diferentes épocas.

    La evolución de la actividad del Hospital San Juan de Dios de Bogotá ha correspondido a las épocas históricas del país.

    La Edad Media se relaciona con la iniciación y la administración por religiosos en la época de la Colonia.

    El Renacimiento incumbe a la época de la Independencia.

    La época Moderna pertenece a la influencia francesa con el progreso clínico científico.

    La época Contemporánea atañe a la influencia americana con el apogeo técnico-científico. Bajo el

  17. Tuberculosis extrapulmonar: revisión de 102 casos en el Hospital Universitario San Jorge de Pereira, 2000-2004.

    Directory of Open Access Journals (Sweden)

    William Arciniegas

    2006-03-01

    Full Text Available Introducción. La tuberculosis continúa siendo un problema de salud pública en el mundo. Es necesario conocer su magnitud en cada institución, la oportunidad en el diagnóstico y la utilización de recursos. Objetivo. Determinar las localizaciones y caracterizar la tuberculosis extrapulmonar desde el punto de vista epidemiológico, clínico, microbiológico, de diagnóstico y de costos hospitalarios de los pacientes egresados en un hospital estatal de III nivel. Materiales y métodos. Estudio descriptivo retrospectivo realizado entre el 2000 y el 2004 mediante la revisión de historias clínicas y archivos de laboratorio de pacientes egresados con diagnóstico de tuberculosis extrapulmonar del Hospital Universitario San Jorge de Pereira, Colombia. Resultados. Se encontraron 102 casos, con promedio de edad de 31,6 años, de los cuales el 62,7% correspondía a hombres. El 70,6% procedía del área urbana y el 59,6% presentó síntomas clínicos mayores a los 15 días de evolución. La forma más frecuente de presentación fue la pleural, con 47 casos, seguida de la meníngea con 19, la ganglionar con 13, la peritoneal con 5, la miliar con 4, la genitourinaria con 4, la faríngea con 4, la articular con 3, la ósea con 2 y la pericárdica con 1 caso. Los métodos de diagnóstico más utilizados fueron la biopsia en 68 casos (66,6%, el clínico en 28 (27,4%. Por medio de baciloscopia con coloración de Zielh Neelsen, se diagnosticó el 3,9%, y con el cultivo de Mycobacterium tuberculosis, el 5,8%. El tiempo de estancia hospitalaria promedio fue de 13 días y el costo promedio fue de $5'784.603 por caso. Fallecieron 15 pacientes, de los cuales el 60% se asoció con sida, y 53,3% con meningitis. Conclusión. Las localizaciones más frecuentes fueron la pleural, la meníngea y la ganglionar. El principal método de diagnóstico fue la biopsia. La estancia prolongada se relacionó con demora en el diagnóstico y sida. La mortalidad fue mayor en los

  18. Resistencia bacteriana a antibióticos en el Hospital San Juan de Dios, 1995-1999

    Directory of Open Access Journals (Sweden)

    Ricardo Boza-Cordero

    2001-07-01

    Full Text Available Justificación: La resistencia a antibióticos por parte de bacterias patógenas es un grave problema mundial. Su control ha sido difícil pero deben hacerse todos los esfuerzos por realizarlo. Conocer la epidemiología en las diferentes regiones y países se constituye en parte importante de este control. Este estudio se llevóa cabo con el fin de analizar el comportamiento de la resistencia en el hospital San Juan de Dios, centro de atención nacional de adultos de aproximadamente 700 camas. Materiales y métodos: El estudio se basóen los datos obtenidos en los años 1995-1999 ya que en 1995 se inició el empleo de equipo automatizado VITEK® en este hospital. Se analizaron 2817 aislamientos de cocos Gram positivos (CGP y 7626 de bacilos Gram negativos (BGN obtenidos de todos los sitios anatómicos y fluidos corporales. Por ser un estudio retrospectivo, no se pudo definir cuáles aislamientos provenían de infecciones intra o extrahospitalarias. Resultados: Staphylococcus aureus fue el CGP más frecuentemente aislado, mientras que el BGN más frecuente fue Escherichia coli. En más de 90% de los estafilococos aislados se demostróresistencia a la penicilina. La resistencia a la oxacilina en S.aureus se incrementóde 35% en 1995 a 52% en 1999 mientras que en los estafilococos coagulasa negativa, pasóde 70 a 77% en el mismo periodo. La resistencia a la cefalotina en S.aureus pasóde 35 a 50% mientras que en los estafilococos coagulasa negativa pasóde 65 a 76%. La resistencia a la clindamicina en ambos grupos bacterianos se mantuvo relativamente estable. No se demostróresistencia a la vancomicina. La mayoría de los enterococos aislados correspondieron a E. faecalis, 75% de ellos fueron sensibles a la penicilina y 50% no mostraron sinergismo de la gentamicina con los antibióticos que actúan sobre la pared. No se encontraron enterococos vancomicina resistentes. En las enterobacterias se observó un aumento importante de la resistencia a

  19. Military, sailors and the sick poor. Contribution to the history of the Hospital San Juan de Dios in Cartagena de Indias (18th Century

    Directory of Open Access Journals (Sweden)

    Alzate Echeverri, Adriana María

    2008-06-01

    Full Text Available This article explores the history of the San Juan de Dios Hospital in Cartagena de Indias, at the end of the 18th century. Its activities and evolution cannot be understood unless they are analyzed within the context of the Bourbon sanitary reforms. It was precisely at that time when these reforms were being implemented in Nueva Granada. One of the goals of the reforms was to improve the health of the population in order to discipline the vassals, to promote the growth of the workforce and to increase the Crown’s wealth. The text reviews different aspects of the institution, and how it operated. It examines its budget, its expenses, and the dynamics of the hospital population and of its employees. In doing so, it intends to explain what the hospital offered to the city’s various social groups.

    El artículo estudia la historia del Hospital San Juan de Dios de Cartagena de Indias, en un momento preciso de su existencia: a finales del siglo XVIII. Busca enmarcar su actividad y evolución en la dinámica de las reformas sanitarias borbónicas que entonces intentaban instaurarse en el Nuevo Reino de Granada, las cuales tenían por objeto intervenir en los aspectos relacionados con la salubridad de la sociedad, para favorecer el aumento de la población activa, disciplinar a los vasallos y aumentar la riqueza de la Corona. El texto pretende, asimismo, examinar algunos aspectos importantes de su funcionamiento, vinculados con el presupuesto, los gastos, el movimiento de población hospitalaria y los empleados; y mostrar lo que podía ofrecer esta institución a los diversos grupos sociales que entonces habitaban la ciudad.

  20. Outcomes of an inpatient refeeding protocol in youth with anorexia nervosa: Rady Children's Hospital San Diego/University of California, San Diego.

    Science.gov (United States)

    Maginot, Tamara R; Kumar, Maya M; Shiels, Jacqueline; Kaye, Walter; Rhee, Kyung E

    2017-01-01

    Current guidelines for nutritional rehabilitation in hospitalized restrictive eating disorder patients recommend a cautious approach to refeeding. Several studies suggest that higher calorie diets may be safe and effective, but have traditionally excluded severely malnourished patients. The goal of this study was to evaluate the safety of a higher calorie nutritional rehabilitation protocol (NRP) in a broad sample of inpatients with restrictive eating disorders, including those who were severely malnourished. A retrospective chart review was conducted among eating disorder inpatients between January 2015 and March 2016. Patients were started on a lower calorie diet (≤1500 kcals/day) or higher calorie diet (≥1500 kcals/day). Calorie prescription on admission was based on physician clinical judgement. The sample included patients aged 8-20 years with any DSM-5 restrictive eating disorder. Those who were severely malnourished (<75% expected body weight [EBW]) or required tube feeding during admission were included. Multivariable regression models were used to determine whether level of nutritional rehabilitation was associated with hypophosphatemia, hypomagnesemia, or hypokalemia. The sample included 87 patients; mean age was 14.4 years (S.D. 32.7); 29% were <75% EBW. The majority (75.8%) was started on higher calorie diets (mean 1781 kcal/day). Controlling for rate of calorie change, initial %EBW, age, race/ethnicity, insurance, diagnosis, and NG/NJ tube placement, higher calorie diets were not associated with hypophosphatemia, hypomagnesemia, or hypokalemia on admission or within the first 72 h. Increased risk of hypophosphatemia on admission was associated with lower baseline %EBW. A higher calorie NRP was tolerated in this broad population of inpatients with restrictive eating disorders. Lower %EBW on admission was a more important predictor of hypophosphatemia than initial calorie level. Larger studies are required to demonstrate the safety of higher

  1. Condición inmunológica de los pacientes portadores de VIH/Sida en el momento de su diagnóstico en el Hospital San Juan de Dios Immune status of patients with HIV/AIDS at the time of diagnosis in the Hospital San Juan de Dios

    Directory of Open Access Journals (Sweden)

    Carmen Vargas Mejía

    2012-09-01

    Full Text Available Objetivo: comparar el estado inmunológico al momento del diagnóstico durante 3 años, de los pacientes con VIH/Sida atendidos en el Hospital San Juan de Dios. Materiales y métodos: estudio retrospectivo, descriptivo de los casos nuevos diagnosticados con VIH/Sida, mayores de 14 años, en 2003, 2006 y 2009, en la Clínica de Atención al Paciente con VIH del Hospital San Juan de Dios, Costa Rica, según los datos en los expedientes clínicos. Para evaluar el estado inmunológico se utilizó el recuento de linfocitos T CD4+ al momento del diagnóstico del VIH, estableciéndose como diagnóstico tardío Objective: To compare the immune status duringthree years of patients diagnosed with HIV/AIDS who were treated at the San Juan de Dios Hospital. Materials and Methods: Retrospective, descriptive study of the new cases of HIV/AIDS, older than14 years of age, in 2003, 2006 and 2009 at the HIV Outpatient Clinic of the San Juan de Dios Hospital, Costa Rica, according to data in the clinical records. To evaluate the immune status the CD4 + T lymphocytes count at moment of HIV diagnosis was used, establishing as late diagnosis <200 cells. For the analysis, an estimate of the frequency and strength of association between variables was performed. Results: From the282 cases studied, 46.8% of them were at an advanced stage of the illness. Considering all cases, late diagnosis was more frequent in men (54% than in women (26% (p<0.05 and in heterosexual men (57% than in men who have sex with with men (50% (p<0.05. In regard to age, there is an increase in risk proportional to the increase in age. It was observed that the percentage of late-diagnosis patients has increased throughout the years herein studied. Even though a decrease in the group of patients who come late for the start of the ART was observed, this decrease is due to an increase in late diagnosis and not because of an increase in timely diagnosis. Conclusions: Late diagnosis of HIV infection

  2. Concordance among remission and admission diagnoses at intensive care unit, Hospital Universitario San José, Popayán, 2011

    Directory of Open Access Journals (Sweden)

    Victor Daniel Montenegro

    2012-03-01

    Full Text Available There are few published studies about diagnostic concordance in hospital services. The objective of this study was to calculate the concordance among remission and admission diagnoses from Hospital Universitario San José adult intensive care unit (I.C.U. of Popayán, 2011. Methods: Descriptive and retrospective study about concordance between the main remission and admission diagnoses from patients admitted in the Hospital adult intensive care unit; 914 patients were studied from the intensive care unit database, months January to December 2011. Statistical analysis about sociodemographic variables was performed, and Kappa index according to Landis and Koch scale among remission and admission diagnoses defined as priority was calculated. Results: It was found al almost perfect level of concordance in the diagnoses pancreatitis and intoxication, a substantial level of concordance in the diagnoses acute coronary syndrome, convulsive status, gastric cancer and eclampsia, a moderate level of concordance in the diagnoses stroke, head trauma, politraumatism and cardiac failure, and a fair level of concordance in the diagnoses sepsis, pneumonia, chronic obstructive pulmonary disease (COPD, gastrointestinal bleeding, acute respiratory infection and acute respiratory distress syndrome. Conclusion: Six of the seventeen studied diagnoses presented an outstanding concordance level; this can be related to factors such as: physicians’, diagnostic ability, provenance of the patients remitted to the I.C.U. and diagnostic coding made by health staff.

  3. Analysis of prenatal care that is provided to pregnant women in the province of Heredia who give birth in the San Vicente de Paul Hospital

    Directory of Open Access Journals (Sweden)

    Nathalie Alfaro Vargas

    2014-04-01

    Full Text Available This article presents the main results of a quantitative research design with a non- experimental descriptive cross, which aimed to analyze prenatal care that is provided to pregnant women in the province of Heredia who gave birth at St. Vincent Hospital de Paul in 2012. The population consisted of pregnant women who delivered at the hospital between the months of December 2011 to November 2012 and by medical professionals and nurses whowork for the health areas of Heredia and San Vicente de Paul Hospital, which provide prenatal control. To collect information three instruments considered infrastructure, equipment and procedures to carry out prenatal care, in addition, the level of satisfaction of pregnant women and the professionals were used. The investigation determined that the infrastructure to provide the prenatal control of health areas in the province of Heredia is in good condition, however, requires maintenance and suitability to be accessible to the entire population. Furthermore, the Costa Rican Social Security has a low coverage of antenatal care with compliance with quality criteria and otherwise report the information obtained during the prenatal control in the Perinatal Carnet is incomplete and incorrect. Finally there is little or almost no participation of professionals and Gynecological Nursing, Obstetric and Perinatal, in the process of prenatal care , although national legislation and recognize that these studies and these professionals have the necessary skills to provide adequate control

  4. [Art therapy for hospitalised congenital heart disease patients: a method of psychological intervention at the IRCCS Policlinico San Donato Milanese Hospital].

    Science.gov (United States)

    Quadri, E; Farè, C; Palmero, E; Campioni, G; Chessa, M; Callus, E

    2012-01-01

    The current work is the presentation of a new project at the IRCSS San Donato Milanese University hospital, in the sphere of Psychocardiology. Hospitalised children and adolescents often face psychosocial difficulties and the psychological condition of their parents frequently has an impact on their wellbeing. A strong need to take care, beyond the mere cure, is necessary in the hospital settings - that is a need to pay attention also to psychological aspects apart from the medical ones. Art therapy could be an answer for this need: the literature has outlined its efficacy in hospital, also due to the higher inclination of children and adolescents toward creativity. By providing and analysing the drawings of 10 young patients with congenital heart disease (CHD), this study outlines how the art therapy program gives these patients the opportunity to freely and directly express fears and anxieties about medical procedures and their disease. Moreover, through the creation of a tangible product, psychologists can better evaluate the psychological troubles of young patients and provide them and their parents with more focused and personalized support. This study also focuses on the perception of the utility that parents have of this new therapeutic intervention, offered at the Department of Paediatric Cardiac Surgery, confirming that art therapy is perceived as being effective and is definitely a good instrument in helping to "take care" of children and adolescents suffering from CHD.

  5. Manifestaciones orales asociadas a la infección por vih/sida en 123 pacientes del hospital san juan de dios de bogotá

    OpenAIRE

    Estrada, John Harold

    2013-01-01

    Trabajo realizado en 1994 en el Hospital San Juan de Dios, Santafé de Bogotá, y presentado en el VII Congreso Panamericano de Infectología, VI Congreso Latinoamericano de Infectología Pediátrica y II Congreso Colombiano de Infectología realizado en Cartagena de Indias entre el 28 y 31 de mayo de 1995. Se realiza un estudio analítico de cohortes con 123 pacientes seropositivos a los cuales se les realizó examen físico completo y examen oral, registrándose tipo de lesión, lugar de presentación,...

  6. [Survey of smoking habits of the medical personnel at the Hospital San Pedro de Alcántara (Cáceres)].

    Science.gov (United States)

    Guinot, J; Salas, J M; Piñeiro, F; Pacheco, J; Herrera, T; Montero, J

    1989-12-01

    The prevalence and social and health aspects of smoking habits among physicians of the Hospital San Pedro de Alcántara (Cáceres) were evaluated with the questionnaire used in the course on smoking habits delivered by the INSALUD in 1988. The sample consisted of 123 physicians. 47.1% (+8.7%) declared to be smokers. This prevalence is higher than that in the general population. The rate of female nonsmokers was significantly higher than that of male nonsmokers (p less than 0.05). 51.7% of smokers had not made any attempt to give up smoking. 90% thought that the role of the doctors as a model is important, and that the health system should undertake their treatment. 97.2% declared to lack therapeutic resources. The results disclose the need for specific programs directed to exemplary groups of professionals, such as those devoted to health care, so as to achieve a reduction in the smoking habit.

  7. Manifestaciones orales asociadas a la infección por vih/sida en 123 pacientes del hospital san juan de dios de bogotá

    OpenAIRE

    Estrada, John Harold

    2013-01-01

    Trabajo realizado en 1994 en el Hospital San Juan de Dios, Santafé de Bogotá, y presentado en el VII Congreso Panamericano de Infectología, VI Congreso Latinoamericano de Infectología Pediátrica y II Congreso Colombiano de Infectología realizado en Cartagena de Indias entre el 28 y 31 de mayo de 1995. Se realiza un estudio analítico de cohortes con 123 pacientes seropositivos a los cuales se les realizó examen físico completo y examen oral, registrándose tipo de lesión, lugar de presentación,...

  8. Necesidad de subsistencia de la puerpera y su recién nacido en el hospital San José de Popayán 1992

    Directory of Open Access Journals (Sweden)

    Muñoz B. Sandra Felisa

    1994-11-01

    Full Text Available

    Con el fin de investigar que hacen las puérperas que son atendidas en el Hospital San José de Popayán para auto cuidarse durante el puerperio y cuidar a su recién nacido y para satisfacer su necesidad de subsistencia, se eligió un modelo socioeconómico denominado desarrollo a escala humana, planteado por Manfred Max-Neef y otros, puesto que este modelo tiene en cuenta tanto las necesidades existenciales como las necesidades axiológicas que son presentadas en una matriz de necesidades. Este modelo además fomenta y estimula la toma de decisiones creativas por parte de las personas involucradas en el proceso de autocuidado.

  9. VALORACIÓN DE LA ESCALA DE ALVARADO EN PACIENTES SOMETIDOS A UNA APENDICECTOMÍA EN EL HOSPITAL SAN RAFAEL DE TUNJA

    Directory of Open Access Journals (Sweden)

    Daniel Ávila Quitian

    2016-07-01

    Full Text Available Objetivos: Describir el uso de los parámetros de la escala de Alvarado que se usan en pacientes sometidos a apendicetomía en el Hospital San Rafael de Tunja. Métodos: Se realizó un estudio descriptivo de corte transversal. Se tomó una muestra de 160 historias clínicas y reportes quirúrgicos de pacientes sometidos a apendicectomía en el Hospital San Rafael De Tunja en el periodo de enero a diciembre del 2011 y se realizó un análisis estadístico de las variables contempladas por la escala de Alvarado. Resultados: Un 58,1% de los pacientes fueron hombres, la mayor frecuencia de edad estuvo en el rango de 31 a 60 años (35%. El parámetro reportado más frecuente fue el dolor en fosa iliaca derecha con un 96,3% y el menos frecuente fue anorexia con un 14,4%. El diagnóstico postoperatorio más común fue apendicitis aguda y la complicación que más se presentó fue la peritonitis generalizada con un 20,6% de aparición. Conclusión: La escala de Alvarado es una herramienta útil y de fácil aplicación, se recomienda su uso en el diagnóstico de apendicitis aguda, pues su aplicación podría disminuir las apendicetomías innecesarias, complicaciones postquirúrgicas y el uso de pruebas diagnósticas inútiles. Palabras Clave: Apendicitis aguda, escala de Alvarado, apendicectomía.

  10. Frecuencia de lesiones en cavidad oral de pacientes con VIH/sida en el Hospital Universitario San Ignacio de Bogotá, Colombia (2005-2010) / Frequency of Mouth Diseases in HIV/Aids Patients from San Ignacio University Hospital, Bogota, Colombia (2005-2010)

    OpenAIRE

    Medina Becerra, Nelsy Esther; Pontificia Universidad Javeriana, Bogotá, Colombia.; Brett Figueroa, María Mercedes; Pontificia Universidad Javeriana, Bogotá, Colombia.; Betancourt Schanowski, Francisco Alejandro; Pontificia Universidad Javeriana, Bogotá, Colombia.; Patiño Azuero, Juan Carlos; Pontificia Universidad Javeriana, Bogotá, Colombia.

    2012-01-01

    Objetivo: determinar la frecuencia de las lesiones orales que se presentaron en los pacientes con VIH/sida que asistieron a la Unidad de Infectología del Hospital Universitario San Ignacio en Bogotá, Colombia, en el periodo 2005-2010. Métodos: se realizó un estudio observacional descriptivo con una muestra de 180 de un total de 1600 historias clínicas. Los criterios de inclusión fueron historias clínicas de pacientes con VIH/sida mayores de 18 años de edad. Se excluyeron las historias clínica...

  11. Lazaro Christophe, La liberté logicielle : une ethnographie des pratiques d’échange et de coopération au sein de la communauté Debian

    Directory of Open Access Journals (Sweden)

    Gregory Dhen

    2010-10-01

    Full Text Available Christophe Lazaro s’attaque à un champ encore très peu étudié en sciences sociales, celui d’un objet informatique (un logiciel et de la “communauté” d’individus qui participe à son élaboration et à sa production. Le moins que l’on puisse dire, c’est que le défi est de taille. En effet, sur base de quelles balises méthodologiques et de quelles inspirations épistémologiques se fonder afin d’appréhender ce domaine aussi peu étudié en anthropologie ? Car tel est le paradoxe de la discipline : co...

  12. Brote de varicela en el Servicio de Oncología de hombres del Hospital San Juan de Dios, febrero-abril de 2004, San José, Costa Rica Chicken pox outbreak in the male Oncology Ward at he Hospital San Juan de Dios Hospital, febrero-abril de 2004

    Directory of Open Access Journals (Sweden)

    Sócrates Vargas-Naranjo

    2008-03-01

    Full Text Available Justificación y objetivo:La infección intrahospitalaria por varicela en adultos es infrecuente, a pesar de ser una enfermedad altamente contagiosa. Es reconocido que en adultos se presentan las tasas de letalidad más altas y por ello es importante analizar las características del presente brote y así determinar cuáles factores contribuyeron a que ocurriera, para recomendar acciones dirigidas a la prevención de un brote similar. Métodos: Se diseñó un estudio de casos y controles para identificar los factores asociados al brote por varicela en el hospital. La prueba de U de Mann-Whitney se utilizó para valorar diferencias entre casos y controles según edad, contacto entre pacientes, estancia hospitalaria y grupo de cama. El cálculo de los Odds Ratio ayudó a determinar la posible asociación entre las variables y la presentación de la enfermedad. Se recomendó la cuarentena del Servicio. Resultados:El primer caso de varicela ocurrió en febrero, al tercer día de su ingreso al hospital. Posteriormente, se presentaron 5 casos más. Al analizar las variables estudiadas, la curva epidémica y el período de incubación, la variable contacto entre los pacientes fue la más importante para mantener la existencia del brote p Aim: Varicella ’s infection is not common in adults ’ hospital, in spite of being a highly contagious illness. Since in adults, death rates are higher, it is important to analyze the characteristics of the present outbreak. We tried to determine risk factors that contributed to its existence in order to recommend measures to prevent future varicella outbreaks. Methods:A case and contols study was designed to identify factors associated to a varicella outbreak in the hospital. The U test of Mann-Whitney valued differences between cases and controls according to age, contact among patients hospital stay and bed group. Odds Ratio determined the possible association between the variables and the presentation of the

  13. Sociodemographic and clinical profiles in leprosy patients in the Hospital San Salvador de Chiquinquirá, Boyacá, during 1951-1999

    Directory of Open Access Journals (Sweden)

    María Teresa Buitrago

    2003-06-01

    Full Text Available The study objective was to describe the sociodemographicand clinic profile of Hansen diseasecases attended at the Dermatologic outpatient’sdepartment of San Salvador Hospital from 1951to 1999 on the purpose of drawing up recommendationsto eliminate Leprosy as a publichealth problem in the country.A longitudinal descriptive study revieweda total amount of 302 clinic dossiers covering43 years of the programme.It was established that the patients’ profileregistered men, 39 average age, married, mostof them from rural areas of Boyacá, workingin agricultural tasks.The average time between the symptomsand the diagnostic was 5.4 years. 98.2% of thepatients showed prymary leprosy symptoms,most of them, neurologic and dermatologic.Multibacilar forms predominated in 15 yearsold patients with a diagnosis by baciloscopy andin the paucibacilar ones, by clinics. Monotherapywas the most used scheme, taken regularly.Men showed more disability in hands, –bothat the beginning and at the end of the treatment–,than the women. (Ji: 14.23 p: 0.0000.The average time between the diagnostic andthe treatment beginning was 9 days, while thetotal treatment average time spent 12.7 years.In 40% of the cases the denouement wasunknown, 26.8% were reported as healed and19.5% died.A young peasant with lepratosomic leprosytreated with monotherapy in long periods andhigher disability in hands is the profile of patientsin concordance with the sickness’ behaviorthroughout the world.

  14. Plant-based Complementary and alternative medicine used by breast cancer patients at the Hospital Universitario San Ignacio in Bogotá, Colombia.

    Directory of Open Access Journals (Sweden)

    Marcela Mercado

    2012-12-01

    Full Text Available The present study estimates the frequency of the use of plant-based Complementary and Alternative Medicine (CAM by breast cancer patients. From June to December of 2011, a self-administered questionnaire was given to 404 breast cancer patients receiving outpatient therapy at the Javeriana Oncology Center of the Hospital Universitario San Ignacio in Bogotá. The prevalence of patient CAM use was 57%, out of which 76% was based on plants like anamú, aloe, red fruits and soursop. Sixty-five percent of the patients had a positive perception of using medicinal plants and 57% used them simultaneously with the oncologist recommended allopathic treatment. We concluded that the frequency of CAM use in breast cancer patients at the Javeriana Oncology Center is within the prevalence range reported worldwide, despite differences in CAM types and frequencies. The high rates of plant-based CAM use without physician consent, brings about the lack of assessment of the synergic or antagonistic effects of CAM therapies on the allopathic treatment of breast cancer and evaluation of the antitumor and immunomodulatory potential of the traditionally used plants.

  15. Estudio serológico sobre incidencia de la infección chagásica en los donantes de sangre del hospital de san juan de dios

    OpenAIRE

    Corredor Arjona, Augusto; Castillo, Nelson; Guerrero, Pedro G.; Giraldo Morales, Ofelia

    2011-01-01

    Se examinaron por medio de la técnica de Fijación del complemento del 5O% de hemólisis, 1.182 sueros para averiguar la infección chagásica en los donantes de sangre del Hospital de San Juan de Dios, encontrándose que ésta es del 2.2%.

  16. Análisis del control prenatal que se brinda a las gestantes de la provincia de Heredia que tuvieron su parto en el Hospital San Vicente de Paúl

    OpenAIRE

    Alfaro Vargas, Nathalie; Campos Vargas, Grettel

    2014-01-01

    Este artículo presenta los principales resultados de una investigación cuantitativa, con un diseño no experimental de tipo descriptivo transversal, la cual tuvo por objetivo analizar el control prenatal que se brinda a las gestantes de la provincia de Heredia que tuvieron su parto en el Hospital San Vicente de Paúl durante el año 2012. La npoblación estuvo constituida por las gestantes que tuvieron su parto en dicho hospital entre los meses de diciembre 2011 a noviembre 2012 y por los profesi...

  17. San Francisco District Laboratory (SAN)

    Data.gov (United States)

    Federal Laboratory Consortium — Program Capabilities Food Analysis SAN-DO Laboratory has an expert in elemental analysis who frequently performs field inspections of materials. A recently acquired...

  18. 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...

  19. A temporal comparison of PBDEs, OH-PBDEs, PCBs, and OH-PCBs in the serum of second trimester pregnant women recruited from San Francisco General Hospital, California

    Science.gov (United States)

    Zota, Ami R.; Linderholm, Linda; Park, June-Soo; Petreas, Myrto; Guo, Tan; Privalsky, Martin L.; Zoeller, R. Thomas; Woodruff, Tracey J.

    2013-01-01

    Prenatal exposures to polybrominated diphenyl ethers (PBDEs) can harm neurodevelopment in humans and animals. In 2003–2004, PentaBDE and OctaBDE were banned in California and phased-out of US production; resulting impacts on human exposures are unknown. We previously reported that median serum concentrations of PBDEs and their metabolites (OH-PBDEs) among second trimester pregnant women recruited from San Francisco General Hospital (2008–2009; n=25) were the highest among pregnant women worldwide. We recruited another cohort from the same clinic in 2011–2012 (n=36) and now compare serum concentrations of PBDEs, OH-PBDEs, polychlorinated biphenyl ethers (PCBs) (structurally similar compounds banned in 1979), and OH-PCBs between two demographically similar cohorts. Between 2008–2009 and 2011–2012, adjusted least square geometric mean (LSGM) concentrations of ΣPBDEs decreased 65% (95% CI: 18, 130) from 90.0 ng/g lipid (95% CI: 64.7,125.2) to 54.6 ng/g lipid (95% CI: 39.2, 76.2) (p=0.004); Σ OH-PBDEs decreased six-fold (p<0.0001); and BDE-47, -99, and -100 declined more than BDE-153. There was a modest, non-significant (p=0.13) decline in LSGM concentrations of ΣPCBs and minimal differences in ΣOH-PCBs between 2008–2009 and 2011–2012. PBDE exposures are likely declining due to regulatory action, but the relative stability in PCB exposures suggests PBDE exposures may eventually plateau and persist for decades. PMID:24066858

  20. Determinación de b-lactamasas de espectro extendido en gérmenes nosocomiales del Hospital San Jerónimo, Montería.

    Directory of Open Access Journals (Sweden)

    Pedro Martínez

    2009-11-01

    Full Text Available Objetivo: Este estudio tuvo como objetivos establecer la prevalencia de b-lactamasas de espectro extendido (BLEE en bacilos Gram negativos nosocomiales y comparar tres métodos para su identificación. Materiales y métodos: Se estudiaron en el Hospital San Jerónimo (HSJ de Montería durante los años 2001 y 2002, 201 microorganismos aislados de pacientes con infección nosocomial. Para identificar la presencia de BLEE se tuvo en cuenta la actividad hidrolítica sobre la ceftazidima que midió el sinergismo del ácido clavulánico en combinación con ceftazidima. Para comparar los métodos de identificación de BLEE, se utilizaron los propuestos por el National Committee for Clinical Laboratory Standards (NCCLS difusión de disco, la concentración mínima inhibitoria (CMI90 y el método de combinación de disco de Jarlier. Resultados: Los resultados mostraron que 86 (43% de 201 gérmenes fueron productores de BLEE. Se presentaron BLEE en 24 (63% de 38 Acinetobacter baumannii, 11 (61% de 18 Enterobacter spp, 17 (46% de 37 Klebsiella pneumoniae, 22 (38% de 58 Pseudomonas aeruginosa, 5 (31% de 16 Proteus mirabilis y 7 (20.5% de 34 Escherichia coli. Al comparar los métodos de identificación no se presentaron diferencias entre si (p>0.05. Los resultados muestran una prevalencia alta de BLEE (43% en los bacilos Gram negativos nosocomiales del HSJ de Montería. Conclusiones: El estudio logró demostrar la importancia de los métodos de identificación de BLEE como apoyo para la correcta instauración de la terapia antimicrobiana en gérmenes nosocomiales y sobre esta base sugerir la implementación de medidas de vigilancia que prevengan y disminuyan la diseminación de BLEE en este hospital.

  1. Fluoroquinolone resistance: relation between drug use and evolution of resistance in some Units of the “San Bassiano” hospital from 2007 to 2008

    Directory of Open Access Journals (Sweden)

    Claudia Mascotto

    2010-06-01

    Full Text Available There is substantial evidence that the overuse of antibiotics is a major cause for the emergence in antimicrobial resistance. This study analyzes the evolution of antimicrobial resistance to ciprofloxacin and levofloxacin from 2007 to 2008 in some Units of the “San Bassiano” hospital and compares this evolution among the consumption of the same antibiotics. The study involved the collection of all first isolates in blood, urine and transtracheal samples between 2007 and 2008; three microorganisms were chosen: Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa. Microorganisms investigations concerned Geriatrics, Medicine, Surgery and Intensive Care Unit (ICU with 48, 48, 44 and 10 beds respectively. Identification and antimicrobial susceptibility testing was performed using the Phoenix automated system (Becton Dickinson. If the ciprofloxacin susceptibility was (S and levofloxacin susceptibility was (I/R antimicrobial susceptibility was confirmed by the E-Test method (bioMérieux on Muller Hilton agar and cell density of 0.5 MacFarland. Control strains were E. Coli ATCC 25922, P. aeruginosa ATCC 27853 and S. aureus ATCC 29213. The antibiotics consumed in the hospital between January 2007 and December 2008 were transformed into Defined Daily Dose (DDD, which corresponds to the quantity of antibiotics consumed by a patient in 24 h. Ciprofloxacin and levofloxacin demonstrated a similar pattern of increasing resistance in some units between 2007 and 2008. Fluoroquinolone resistance increase for E. coli, varies from 10% in Geriatrics to 15% in ICU, for S. aureus varies from 15% in Medicine Unit to 5% in ICU. P. aeruginosa maintained the same percentage of resistance from 2007 to 2008, but there was a significantly increase of strains with intermediate sensitivity (I up to 30%. The consumption of Ciprofloxacin didn’t increase in any of the units and in some case decreased. The consumption of levofloxacin increased in every units

  2. Tratamiento de los defectos congénitos de la pared abdominal (gastrosquisis y onfalocele en el Hospital Universitario San Vicente de Paúl, 1998-2006

    Directory of Open Access Journals (Sweden)

    Paula Jaramillo Gómez

    2008-11-01

    Full Text Available INTRODUCCIÓN: la gastrosquisis y el onfalocele son malformaciones neonatales de la pared abdominal que, a pesar de sus grandes diferencias, comparten el manifestarse por herniación de las vísceras intraabdominales a través de un defecto de la pared abdominal. Los niños con estas enfermedades se presentan como emergencias quirúrgicas que plantean un reto al cirujano tratante. Tienen una tasa de mortalidad que oscila entre 40 y 60% aun con el tratamiento apropiado y se asocian a un amplio rango de malformaciones, principalmente en los que tienen diagnóstico de onfalocele. El objetivo de la presente revisión retrospectiva fue describir el tratamiento y los resultados obtenidos en estos pacientes, entre 1998 y 2006, en el Servicio de Cirugía infantil del Hospital Universitario San Vicente de Paúl, de Medellín, Colombia. PACIENTES Y MÉTODOS: se evaluaron todos los pacientes que ingresaron al Servicio de Cirugía infantil del HUSVP con diagnóstico de gastrosquisis u onfalocele, entre el 1 de enero de 1998 y el 31 de diciembre de 2006. Se definió el tipo de tratamiento que se les realizó y, de acuerdo con este, se revisaron los resultados; las complicaciones posquirúrgicas, tales como la infección del sitio operatorio, evisceración, sepsis, íleus e hipertensión intraabdominal; el tiempo de inicio de la vía oral y de la nutrición parenteral total (NPT; la duración de la estancia en la unidad de cuidados intensivos y en el hospital. RESULTADOS: se identificaron 55 pacientes, 32 con gastrosquisis y 23 con onfalocele, todos ellos tratados quirúrgicamente. El tipo más frecuente de cirugía fue el cierre primario (56,4%; en cuanto al cierre por etapas, el procedimiento más utilizado fue el silo en 21,8% de los niños. En el 75,9% de los pacientes se presentó alguna complicación, más frecuentemente la sepsis, y cuando se evaluaron las complicaciones asociadas al procedimiento quirúrgico, el porcentaje fue similar para el cierre

  3. San Francisco District Laboratory (SAN)

    Data.gov (United States)

    Federal Laboratory Consortium — Program CapabilitiesFood Analysis SAN-DO Laboratory has an expert in elemental analysis who frequently performs field inspections of materials. A recently acquired...

  4. Aislamiento de Candida spp. y otras levaduras en el personal que labora en áreas críticas del Hospital San Juan de Dios

    Directory of Open Access Journals (Sweden)

    Pedro Carrillo-Dover

    2009-09-01

    Full Text Available Justificación y objetivos: Los pacientes internados en hospitales, principalmente aquellos que se encuentran severamente enfermos, son más susceptibles a las infecciones por hongos oportunistas, en comparación con la población general. El personal hospitalario puede ser fuente potencial de infección para estos pacientes, ya que normalmente actúa como portador de gérmenes, que eventualmente podrían ser transmitidos a los pacientes. Se describe, en esta investigación, el aislamiento de hongos levaduriformes a partir de las manos y la cavidad oral, en un grupo de 77 trabajadores del Hospital San Juan de Dios, en servicios donde se han reportado más casos de infecciones por este tipo de hongos. Métodos: Se realizó un hisopado de cavidad oral y manos de cada participante y se cultivaron placas con agar glucosado de Sabouraud (AGS y Mycosel. A los aislamientos de levaduras se les determinó la capacidad de crecimiento a 37°C, resistencia a la cicloheximida, producción de tubo germinativo, fosfolipasas y proteinasas y se determinó la sensibilidad in vitro al fluconazol por medio de método de microdilución en placa. Resultados: El 72,7% de los participantes resultaron positivos para el aislamiento de levaduras, la especie aislada con mayor frecuencia fue Candida parapsilosis, seguida de C. albicans y C. famata. La mayor positividad se obtuvo en el servicio de Cirugía 3 (83.3%, seguido de la UCI (71.4% y Neonatología (58%. Conclusión: Estos resultados instan a mejorar las acciones preventivas en el manejo de los pacientes, a ser más estrictos en las normas de higiene de manos y promover, en otros centros hospitalarios, la realización de este tipo de estudios, para disminuir los brotes nosocomiales por transmisión horizontal.

  5. Resultados del tratamiento endovascular de la patología carotídea en el Hospital San Juan de Dios de Enero 2007 a Febrero 2010

    Directory of Open Access Journals (Sweden)

    Christian Fonseca-Bolaños

    2012-03-01

    Full Text Available Justificación y objetivo: Determinar la morbi-mortalidad de los pacientes con enfermedad carotídea tratados por medio de stent en el Hospital San Juan de Dios, Costa Rica; de Enero 2007 a Febrero 2010. Métodos: Se realizó un registro retrospectivo observacional de los pacientes con Enfermedad Carotídea durante 13 meses en nuestro instituto. Basado en la información obtenida de los expedientes clínicos, dos subgrupos fueron identificados: pacientes sintomáticos y asintomáticos. Los factores de riesgo, escala ABCD2, territorio cerebral afectado, medidas de severidad de lesión no-invasiva e invasivas, tamaño de stents y finalmente complicaciones peri-operatorias, fueron investigadas y evaluadas. Resultados: 76 pacientes fueron identificados en nuestra serie, 87% (n=66/76 sintomáticos y 13% (n=10/76 asintomáticos. La Hipertensión Arterial fue el factor de riesgo más frecuente, seguido por el tabaquismo. Se evidenció una sub-estimación de la severidad de la lesión en los ultrasonidos diagnósticos en 24% (n=18/76 de los pacientes. Durante el procedimiento, se documentó predilatación de la lesión en 55% (n=42/76 de los pacientes y los stents más frecuentemente utilizados fueron de 7x30mm y 8x30mm representando un 47% (n=36/76 de los casos. La morbilidad neurológica de los pacientes asintomáticos fue del 0% y en el subgrupo de pacientes sintomáticos fue del 3% (2/66. Conclusión: La terapia endovascular demostró ser una técnica segura y efectiva para la revascularización carotídea. Series más numerosas de pacientes deberían ser investigadas para adquirir mayor significancia estadística.

  6. The anticoagulation clinic of the hospital Universitario San Vicente de Paúl: demography, effectiveness and complications La clínica de anticoagulación del Hospital Universitario San Vicente de Paúl: demografía, efectividad y complicaciones

    Directory of Open Access Journals (Sweden)

    Luis Ignacio Tobón Acosta

    2004-02-01

    Full Text Available The use of oral anticoagulation therapy is more common every day. There is increasing evidence of better outcome in patients when anticoagulation is handled by anticoagulation clinics or services. This systemic managing has proved in that therapeutical range results in clinical improvement and decrease of hemorrhage, thrombosis and the use of medical resources. Even more, there are less hospitalizations and visits to the Emergency Department. The San Vicente of Paúl Hospital (HUSVP for it’s initials in Spanish has an anticoagulation clinic functioning for over twenty years, but until now, there has been no work concerning it’s results and benefits. Our task is to describe the demographic characteristics, indications and behavior of the antithrombotic therapy of those patients adscript and active in the clinic of the mentioned Hospital until December 2002. 139 patients were found, 57.6% were women and 42.2% men; the average age was 64 years; and the health system coverage was entail in 55.4% of the patients, subsided in 26.6% and contributive 18%. The most common anticoagulation indications were atrial fibrillation (40%, stroke (26% y hypercoagulability states (20%. The registered patients had a therapeutical range time of 41% with an annual control average of 4.5 times. Complications were present in 16% of the patients. This study was able to characterize the HUSVP anticoagulation clinic in its demographic variables, relevancy indications and co-morbid associated diseases. As well, some standardized parameters were evaluated in order to be compared with other clinics in the world. El uso de la terapia con anticoagulantes orales es cada vez más frecuente. Hay evidencia creciente de la mejoría de resultados cuando la aNticoagulación es manejada por servicios o clínicas de anticoagulación. Este manejo sistemático se traduce en optimización del rango terapéutico y disminución de hemorragias, de trombosis y del uso de recursos m

  7. hospital

    African Journals Online (AJOL)

    Pattern of congenital orthopaedic malformations in an African teaching hospital ... malformation in this environment while congenital hip dislocation (CDH) is rare when .... malformations of radial dysplasia and other congenital malformations.

  8. FACTORES QUE INFLUYEN EN EL MANEJO DE LA DIABETES MELLITUS TIPO II EN PACIENTES BAJO CONTROL DEL CONSULTORIO ADOSADO AL HOSPITAL SAN JOSE DE MAIPO EN EL AÑO 2010

    OpenAIRE

    EPUL MACAYA, PAMELA NILDA

    2012-01-01

    El presente estudio, de tipo cualitativo y con enfoque fenomenológico, tuvo como objetivo identificar, a partir del relato de los pacientes, los factores que influyen en el manejo de la diabetes mellitus tipo 11 y su vivencia cotidiana relacionada con ésta, para lo cual se utilizó la entrevista semiestructurada como herramienta. Se entrevistó a 10 pacientes bajo control en el Programa de Salud Cardiovascular (PSCV) del consultorio adosado al Hospital San José de Maipo y se utilizó el cr...

  9. Manual de buenas prácticas de manufactura para el área de alimentación y dietas del Hospital Nacional San Rafael de Santa Tecla

    OpenAIRE

    Ventura Santos, Salomé Danilo

    2013-01-01

    Con el objeto de proteger la salud de los internos del Hospital Nacional San Rafael de Santa Tecla, así como velar por la aplicación de prácticas leales en la preparación de alimentos, se ha tomado como referencia la norma RTCA 67.01.33:06 (Reglamento Técnico Centroamericano) del Ministerio de Salud, para establecer directrices en lo que se refiere a garantizar la inocuidad de los alimentos. Sin embargo es necesario no solo el cumplimiento del Reglamento, sino también construir un sistema ...

  10. Diseño de la aplicación de la norma ISO 26000:2010 (responsabilidad social), en los principios de direccionamiento estratégico en la Fundación Hospital San Carlos

    OpenAIRE

    Cortes Cruz, Jorge Camilo; Tarazona Moreno, Nancy Paola; Ortiz Cardenas, Johanna

    2014-01-01

    Este documento contiene el Diseño de Aplicación de la Norma internacional ISO 26000:2010 Modelo de Gestión de Responsabilidad Social en la Fundación Hospital San Carlos, Bogotá - Colombia, en el que se incluye la herramienta que se diseñó para el desarrollo del estudio con base en los requisitos aplicables de la norma que orientan a un comportamiento socialmente responsable; así como el diagnóstico inicial que se realizó en la organización objeto de estudio desde una perspectiva cualicuantita...

  11. caracterización de los accidentes de trabajo en el personal clínico del servicio de urgencias de la ESE Hospital San Vicente de Arauca de junio a diciembre de 2014

    OpenAIRE

    2015-01-01

    Tesis: (Especialista en Administración de la Salud). Universidad Católica de Manizales. Facultad de Salud, 2015 En la ESE hospital San Vicente se tiene estipulado y protocolizado el Manual conjunto de Normas de Bioseguridad Hospitalarias, tiene como objetivo promover y generar una cultura institucional altamente comprometida con su autocuidado, razón por la cual cuentan con un manual que hace énfasis en los trabajadores de la salud de todos los niveles de atención para que adop...

  12. Lesiones orales asociadas con la infección por VIH/sida en individuos sin tratamiento antirretroviral en el Hospital San Juan de Dios de Bogotá

    OpenAIRE

    John Harold Estrada

    2001-01-01

    El reconocimiento de las lesiones orales asociadas con el VIH es de gran importancia, ya que pueden representar el primer signo de la infección y servir como predictoras de inmunosupresión y del desarrollo de sida en pacientes infectados. Se realizó un estudio descriptivo de 314 pacientes con VIH que eran atendidos en el programa integral del Hospital San Juan de Dios de Bogotá. Se les practicó examen fisico completo y examen oral; se registró el tipo de lesión, el lugar de presentación, el g...

  13. Factores del clima organizacional que influyen en la satisfacción laboral del personal de enfermería, en el servicio de emergencias del Hospital San Rafael de Alajuela, Junio- Noviembre 2008

    OpenAIRE

    Apuy Arias, Lorena Ivette

    2013-01-01

    La presente investigación tuvo como objetivo general conocer los factores del clima organizacional, que influyen en la satisfacción laboral de los funcionarios de enfermería, del Servicio de Emergencias, del Hospital San Rafael de Alajuela. Se realizó durante el período Junio a Noviembre del 2008, a 45 personas, en todos los niveles de Enfermería y en los tres turnos, mediante la aplicación de dos instrumentos: una entrevista estructurada a los funcionarios y la observación directa d...

  14. Incidencia de insuficiencia renal aguda en niños hospitalizados por quemaduras en el Hospital Universitario San Vicente de Paúl de Medellín, 2007-2008

    OpenAIRE

    José William Cornejo Ochoa; Juan José Vanegas Ruiz; Sandra Milena Brand; Carolina Giraldo Alzate

    2008-01-01

    INTRODUCCIÓN: las quemaduras en niños se han identificado como causa principal de trauma y su asociación con insuficiencia renal aguda es una de las complicaciones más temidas debido a su alta tasa de mortalidad. OBJETIVO: establecer la incidencia de insuficiencia renal aguda y describir algunos de los factores asociados en niños quemados menores de 18 años atendidos en el Hospital Universitario San Vicente de Paúl de Medellín. MATERIALES Y MÉTODOS: estudio de cohorte prospectivo y descriptiv...

  15. 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

  16. Aislamiento de Candida spp. y otras levaduras en el personal que labora en áreas críticas del Hospital San Juan de Dios Isolation of Candida spp. and other yeasts from Health Care Workers in Critical Care Units of the San Juan de Dios Hospital

    Directory of Open Access Journals (Sweden)

    Pedro Carrillo-Dover

    2009-09-01

    Full Text Available Justificación y objetivos: Los pacientes internados en hospitales, principalmente aquellos que se encuentran severamente enfermos, son más susceptibles a las infecciones por hongos oportunistas, en comparación con la población general. El personal hospitalario puede ser fuente potencial de infección para estos pacientes, ya que normalmente actúa como portador de gérmenes, que eventualmente podrían ser transmitidos a los pacientes. Se describe, en esta investigación, el aislamiento de hongos levaduriformes a partir de las manos y la cavidad oral, en un grupo de 77 trabajadores del Hospital San Juan de Dios, en servicios donde se han reportado más casos de infecciones por este tipo de hongos. Métodos: Se realizó un hisopado de cavidad oral y manos de cada participante y se cultivaron placas con agar glucosado de Sabouraud (AGS y Mycosel. A los aislamientos de levaduras se les determinó la capacidad de crecimiento a 37°C, resistencia a la cicloheximida, producción de tubo germinativo, fosfolipasas y proteinasas y se determinó la sensibilidad in vitro al fluconazol por medio de método de microdilución en placa. Resultados: El 72,7% de los participantes resultaron positivos para el aislamiento de levaduras, la especie aislada con mayor frecuencia fue Candida parapsilosis, seguida de C. albicans y C. famata. La mayor positividad se obtuvo en el servicio de Cirugía 3 (83.3%, seguido de la UCI (71.4% y Neonatología (58%. Conclusión: Estos resultados instan a mejorar las acciones preventivas en el manejo de los pacientes, a ser más estrictos en las normas de higiene de manos y promover, en otros centros hospitalarios, la realización de este tipo de estudios, para disminuir los brotes nosocomiales por transmisión horizontal.Justification and aim: Critically ill patients are more susceptible than the general population to opportunistic fungal infections. Health workers could be a potential infectious focus to these patients. Thus in

  17. Epidemiologic and clinical profiles of bone and joint tuberculosis: observational study at hospital Universitario San Vicente de Paul, Medellín, Colombia, 1994-2004. Perfiles epidemiológico y clínico de la tuberculosis osteoarticular: estudio observacional en el Hospital Universitario San Vicente de Paúl, de Medellín, 1994-2004

    Directory of Open Access Journals (Sweden)

    Jorge Eduardo López Valencia

    2005-03-01

    Full Text Available An observational, retrospective study was performed at Hospital Universitario San Vicente de Paúl, in Medellín, Colombia, based on the clinical records of patients with bone and joint tuberculosis between January 1994 and December 2004; based on the findings, epidemiological, clinical, laboratory and therapeutic characteristics of 47 patients are described. These patients represented 3.4% of the total of tuberculosis cases found in this hospital during the studied period; 35 had spinal tuberculosis and in 12 the disease affected other bones; a history of pulmonary tuberculosis was found in only 7 patients; 23 were males and 24, females; their ages were between 1 and 71 years; 18 were younger than 12 years; cultures for Mycobacterium tuberculosis were positive in 14 patients (29.8% and biopsies were consistent with tuberculosis in 26 (55.3%. Eleven of the 12 patients with extraspinal disease had the radiological findings of Phemisther. Predominant symptoms of spinal tuberculosis were: pain, neurological manifestations and deformity, mostly kyphosis. From the radiological point of view, these patients had destruction of vertebral bodies and decrease of articular space in addition to osteopenia. Tomography was performed in 19 patients and revealed medullary compression in 5 of them; magnetic resonance carried out in 17 patients showed medullary compression in 8 and paravertebral abscesses in the 17. Results are discussed on the basis of reports from the world medical literature and in the context of the health situation of the Colombian population. Se llevó a cabo un estudio observacional retrospectivo en el Hospital Universitario San Vicente de Paúl, de Medellín, basado en la revisión de las historias de pacientes con tuberculosis osteoarticular, entre enero de 1994 y diciembre de 2004; con base en los hallazgos se describen las características demográficas, clínicas, de laboratorio y de tratamiento de 47 pacientes que correspondían al 3

  18. San Marino.

    Science.gov (United States)

    1985-02-01

    San Marino, an independent republic located in north central Italy, in 1983 had a population of 22,206 growing at an annual rate of .9%. The literacy rate is 97% and the infant mortality rate is 9.6/1000. The terrain is mountainous and the climate is moderate. According to local tradition, San Marino was founded by a Christian stonecutter in the 4th century A.D. as a refuge against religious persecution. Its recorded history began in the 9th century, and it has survived assaults on its independence by the papacy, the Malatesta lords of Rimini, Cesare Borgia, Napoleon, and Mussolini. An 1862 treaty with the newly formed Kingdom of Italy has been periodically renewed and amended. The present government is an alliance between the socialists and communists. San Marino has had its own statutes and governmental institutions since the 11th century. Legislative authority at present is vested in a 60-member unicameral parliament. Executive authority is exercised by the 11-member Congress of State, the members of which head the various administrative departments of the goverment. The posts are divided among the parties which form the coalition government. Judicial authority is partly exercised by Italian magistrates in civil and criminal cases. San Marino's policies are tied to Italy's and political organizations and labor unions active in Italy are also active in San Marino. Since World War II, there has been intense rivalry between 2 political coalitions, the Popular Alliance composed of the Christian Democratic Party and the Independent Social Democratic Party, and the Liberty Committee, coalition of the Communist Party and the Socialist Party. San Marino's gross domestic product was $137 million and its per capita income was $6290 in 1980. The principal economic activities are farming and livestock raising, along with some light manufacturing. Foreign transactions are dominated by tourism. The government derives most of its revenue from the sale of postage stamps to

  19. Un estudio geográfico regional de la inmigración nicaragüense y sus efectos sobre los servicios de obstetricia del Hospital de San Carlos. Provincia de Alajuela. Costa Rica.

    Directory of Open Access Journals (Sweden)

    Amalia Carvajal Alvarado

    2011-08-01

    Full Text Available El presente trabajo de investigación se centrará en realizar un diagnóstico de la población inmigrante de nacionalidad nicaragüense que hace uso de los servicios de salud que brindad el Hospital San Carlos. Se analizará la población nicaragüense que ingresó al servicio de obstetricia del Hospital San Carlos del 01 de octubre de 1995 al 31 noviembre de 1996, en virtud de que el hacerlo a toda la población resultaría altamente complejo y considerándose que este grupo de población tomada para el presente estudio refleja la realidad que viven la mayoría de inmigrantes nicaragüenses al ingresar al país, al diagnosticar un problema que altera silenciosamente el funcionamiento administrativo de la institución y su contexto. Cuando éste supera los límites de la oferta, se provoca una sobre- utilización de los Servicios ( personal médico y de apoyo que origina que el sistema organizativo de la institución colapse en virtud de no contarse con un nivel de planificación adecuado que permita prever situaciones emergentes.

  20. Research and Operational Support for the Study of Military Relevant Infectious Diseases of Interest to United States and Royal Thai Government

    Science.gov (United States)

    2006-01-01

    Manila (San Lazaro Hospital) in the Philippines. 2. To expand surveillance to other countries in the region ( Bhutan , Maldives...Harris L, Ari M, Bird M, Mintz E, Singleton J, Loftis 83 A, Moriarty J, McQuiston J, Swerdlow D, Drobeniuc J, Armstrong G, Coldren R, Breiman R

  1. Resultados del tratamiento endovascular de la patología carotídea en el Hospital San Juan de Dios de Enero 2007 a Febrero 2010 Results of endovascular management of carotid disease at San Juan de Dios Hospital from January 2007 to February 2010

    Directory of Open Access Journals (Sweden)

    Christian Fonseca-Bolaños

    2012-03-01

    Full Text Available Justificación y objetivo: Determinar la morbi-mortalidad de los pacientes con enfermedad carotídea tratados por medio de stent en el Hospital San Juan de Dios, Costa Rica; de Enero 2007 a Febrero 2010. Métodos: Se realizó un registro retrospectivo observacional de los pacientes con Enfermedad Carotídea durante 13 meses en nuestro instituto. Basado en la información obtenida de los expedientes clínicos, dos subgrupos fueron identificados: pacientes sintomáticos y asintomáticos. Los factores de riesgo, escala ABCD2, territorio cerebral afectado, medidas de severidad de lesión no-invasiva e invasivas, tamaño de stents y finalmente complicaciones peri-operatorias, fueron investigadas y evaluadas. Resultados: 76 pacientes fueron identificados en nuestra serie, 87% (n=66/76 sintomáticos y 13% (n=10/76 asintomáticos. La Hipertensión Arterial fue el factor de riesgo más frecuente, seguido por el tabaquismo. Se evidenció una sub-estimación de la severidad de la lesión en los ultrasonidos diagnósticos en 24% (n=18/76 de los pacientes. Durante el procedimiento, se documentó predilatación de la lesión en 55% (n=42/76 de los pacientes y los stents más frecuentemente utilizados fueron de 7x30mm y 8x30mm representando un 47% (n=36/76 de los casos. La morbilidad neurológica de los pacientes asintomáticos fue del 0% y en el subgrupo de pacientes sintomáticos fue del 3% (2/66. Conclusión: La terapia endovascular demostró ser una técnica segura y efectiva para la revascularización carotídea. Series más numerosas de pacientes deberían ser investigadas para adquirir mayor significancia estadística.Background and aim: To determine the morbi-mortality of patients treated with endovascular stenting for Carotid Artery disease at San Juan de Dios Hospital, Costa Rica; from January 2007 to February 2010. Methods: A retrospective observational registry of patients treated with Carotid Artery endovascular stenting was maintained at our

  2. Sensibilidad y especificidad de la prueba de esfuerzo y el estudio de perfusión miocárdica con SESTAMIBI para detección de enfermedad arterial coronaria, en el Hospital San Juan de Dios Sensitivity and Specificity of Treadmill Test and Myocardial Perfusion Imaging with SESTAMIBI in the detection of Coronary Artery Disease at the Hospital San Juan de Dios

    Directory of Open Access Journals (Sweden)

    Juan Pablo Solís-Barquero

    2010-07-01

    Full Text Available Objetivo: La coronariopatía arterio esclerótica continúa siendo la principal causa de mortalidad mundial y Costa Rica no escapa a esta realidad. La prueba de esfuerzo, la imagen de perfusión con SESTAMIBI y la angiografía coronaria son métodos que permiten detectar esta entidad. El país no cuenta con datos sobre la información que proporcionan estas pruebas. El objetivo del estudio es determinar la rentabilidad diagnóstica de cada una de ellas. Métodos: Es un estudio observacional, analítico de cohorte. Se incluyeron pacientes con factores de riesgo cardiovascular, que tuvieran prueba de esfuerzo, estudio de perfusión miocárdica y angiografía coronaria realizadas en el Hospital San Juan de Dios, desde 2003 a 2007. Se calculó la sensibilidad y especificidad de estos estudios. También se llevó a cabo un análisis con una estadística descriptiva de las características de la muestra y de los diferentes factores de riesgo cardiovascular. Resultados: Se incluyeron 83 pacientes en el estudio, 75% hombres. Los principales factores de riesgo encontrados fueron dislipidemia (84% e hipertensión arterial (70%. La prueba de esfuerzo tuvo una sensibilidad del 40% y una especificidad del 57%; el estudio de perfusión miocárdica con SESTAMIBI tuvo una sensibilidad del 66% y una especificidad del 71%. La mayoría de los pacientes tuvieron afección de uno o dos vasos coronarios, con lesiones mayores al 90%, y especialmente en la arteria descendente anterior. Conclusión: Los factores de riesgo convencionales se presentaron en un alto porcentaje de la población estudiada. La prueba de esfuerzo mostró una baja sensibilidad y especificidad, sin embargo, coincide con el rango descrito en la literatura. El estudio de perfusión miocárdica con SESTAMIBI mostró un rendimiento diagnóstico significativamente superior (p =0.05.Aim: Coronary artery disease is the first cause of mortality around the world, and Costa Rica does not escape from this

  3. Valoration of burned body surface; area in patients of San Vicente de Paúl University Hospital, Medellín, 2004 Evaluación de la superficie corporal quemada en pacientes del Hospital Universitario San Vicente de Paúl, Medellín, 2004

    Directory of Open Access Journals (Sweden)

    Marco Antonio Hoyos Franco

    2007-03-01

    Full Text Available INTRODUCTION: The estimation of the burned surface area has a huge importance for the acute management and prognosis of the burn victim It has been revised the different methods available for the assessment of the burn extent and some resuscitation basic concepts. MATERIALS AND METHODS: A retrospective descriptive study was made based on the information took from medical records of patients from the burn unit of the San Vicente de Paul University Hospital in Medellín (Col during 2004. The initial diagnosis of the burn extension made by the remittent clinician was compared with the ones made by experience clinicians at the emergency room and by the plastic surgeon at the Burn Unit. The results obtained were processed with the package Statistic 6.0 (Stafsoft Inc and it was considered significant a p value < 0.05. The variables are presented as absolute values and with their respective percentages. RESULTS AND CONCLUSIONS: There were 329 attended patients. 60% of them had mistaken or incomplete diagnosis, and 39.3% of the diagnosis made at our emergency room were incomplete or incorrect. We found more frequently overestimation than underestimation of the burn surface area. In most of the cases mistakes were made that modified the burn category (mild, moderate, and severe. It is necessary to improve basic knowledge about burn care in the inexperience clinicians. INTRODUCCIÓN: la evaluación de la superficie corporal quemada tiene gran importancia para el tratamiento inicial y el pronóstico del paciente quemado. Se revisan los diferentes métodos para evaluar la superficie corporal quemada y algunos conceptos básicos de reanimación. MATERIALES Y MÉTODOS: se realizó un estudio descriptivo, retrospectivo y transversal a partir de las historias clínicas de los pacientes quemados hospitalizados en el Hospital Universitario San Vicente de Paúl (HUSVP de Medellín durante el año 2004. Se compararon los diagnósticos de extensión quemada emitidos

  4. Hernia diafragmática congénita. Experiencia en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 1999-2009 = Congenital diaphragmatic hernia. Experience at Hospital Universitario San Vicente of Paul, Medellín, Colombia 1999 to 2009

    Directory of Open Access Journals (Sweden)

    Arango Rave, María Elena

    2012-07-01

    Full Text Available Introducción: la hernia diafragmática congénita (HDC plantea un reto por la amplia variabilidad de presentación clínica, la falla respiratoria y la posibilidad de hipertensión pulmonar grave. El objetivo de esta revisión fue describir el tratamiento de la HDC y sus resultados, entre 1999 y 2009, en la Sección de Cirugía Infantil del Hospital Universitario San Vicente de Paúl, de Medellín.Materiales y métodos: se estudiaron en 36 pacientes variables socioeconómicas, tiempo de estabilización preoperatoria, tipo de tratamiento y sus resultados, complicaciones, tiempo de permanencia en la UCI, necesidad de soporte ventilatorio y duración de la estancia hospitalaria.Resultados: fue más frecuente la HDC izquierda y en hombres. Veintidós pacientes presentaron malformaciones asociadas. Se hizo tratamiento médico y quirúrgico en 31 pacientes. El tiempo de estabilización preoperatoria fue en promedio cuatro días. La mediana de días de ventilación mecánica fue cuatro, la de estancia en UCI, seis y la de estancia hospitalaria, 12,5. La sepsis fue la complicación más frecuente, en seis pacientes hubo infección del sitio operatorio y en igual número, secuelas. Murieron 10 pacientes; los factores asociados con la mortalidad fueron: inestabilidad hemodinámica, Apgar menor de 5, tratamiento exclusivamente médico, diagnóstico prenatal, uso de parche para la reparación y las malformaciones asociadas.

  5. Evaluación de la tromboprofilaxis en los pacientes ingresados en el Hospital San Juan de Dios, abril a junio 2012

    OpenAIRE

    Robles Calderón, Allan; Acuña Feoli, Jose

    2012-01-01

    Background: Deep venous thrombosis and ve- nous thromboembolism are common complica- tions in hospitalized patients as well as after their hospital discharge. Among hospitalized patients, the mortality rate is as high as 5 to 10% in those with pulmonary embolism(1) and venous throm- boembolism associated death rate is the most important avoidable cause among hospitalized patients(1-4). Main Objective: To determine the percentage of accurate management of prophy- lactic anticoagulation therapy...

  6. Caracterización epidemiológica, clínica y microbiológica del brote de diarrea asociado a Clostridium difficile, ocurrido en el Hospital San Juan de Dios, 2008-2009 Epidemiologic, clinical, and microbiologic description of an outbreak of Clostridium difficile associated diarrhea in Costa Rica

    OpenAIRE

    Manuel Antonio Villalobos-Zúñiga; Ricardo Boza-Cordero

    2012-01-01

    Antecedentes: la enfermedad diarreica asociada a Clostridium difficile (EDACD) es la causa más importante de diarrea nosocomial en el mundo. En Costa Rica, se presentó recientemente un brote de EDACD en el Hospital San Juan de Dios de San José, hospital de tercer nivel con 700 camas. En el estudio se analizan las características epidemiológicas, clínicas y microbiológicas de los pacientes con EDACD atendidos entre noviembre de 2008 y junio de 2009. Pacientes y métodos: se definió como caso de...

  7. Artritis séptica no gonocóccica en el Hospital Universitario San Vicente de Paúl (1984-1992 Non-Gonococcal septic arthritis at Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 1984-1992

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    Oscar Uribe

    1994-01-01

    Full Text Available La artritis séptica no gonocóccica es una urgencia en reumatología. Su diagnóstico y tratamiento tempranos evitan deformidades e incapacidades articulares. Se realizó un estudio retrospectivo de esta forma de artritis, en pacientes del Hospital Universitario San Vicente de Paúl, de MedeIlín, entre 1984 y 1992, para evaluar su forma de presentación, los factores predisponentes, el agente causal, las articulaciones comprometIdas y las complicaciones. De una revisión de 302 historias clínicas de pacientes mayores de 12 años con presunción diagnóstica de artritis séptica se hallaron 54 con aislamiento de la bacteria causal a partir del líquido articular, los hemocultivos O ambos; dichos pacientes con etiología comprobada motivan este informe. El grupo estuvo formado por 38 hombres (70.4% y 16 mujeres (29.6% cuya edad promedio era 27 años. Predominó Staphylococcus aureus (43 pacientes; 79.6% seguido por bacilos Gram negativos (9 pacientes; 16.7%; hubo dos casos debidos a estreptococos (3.7%. La enfermedad fue monoarticular en 49 casos (90.7% y biarticular en 5. Comprometió, en su orden, la rodilla (30 casos; 55.6%, la cadera (19; 35.2%, el tobillo y el hombro (tres casos cada uno, la articulación sacrollíaca (2 casos, la metacarpofalánglca y la esternoclavicular (un caso de cada una. Como complicaciones se hallaron 13 casos de sepsis, 13 de osteomielitis, 6 de bronconeumonía, 3 de insuficiencia renal aguda, 1 de coagulación intravascular diseminada y 1 de pericarditis. Este total de 37 complicaciones afectó a 23 pacientes. Ningún paciente falleció. En cuanto a los factores predisponentes y las enfermedades subyacentes se detectaron los siguientes: infección de tejidos blandos en 9 pacientes, endometritis en 3, LES o linfomano Hodgkin en 2 pacientes cada uno, artritis reumatoidea O inyección intraarticular en un paciente cada una. La consulta tuvo lugar después de la primera semana de evolución en 43 pacientes (79.6%.

  8. Characterization of diabetic patients undergoing dialysis at hospital Universitario San Vicente de Paúl, in Medellín, Colombia Características de los pacientes con diagnóstico de diabetes mellitus en diálisis en la Unidad Renal del Hospital Universitario San Vicente de Paúl, Medellín-Colombia

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    Alberto Villegas Perrasse

    2005-04-01

    Full Text Available Introduction: Worldwide, diabetes mellitus (DM is one of the main causes of renal insufficiency. However, very few Latin American and Colombian studies on the subject have been published. Dialyzed diabetic patients suffer from complications more frequently than their non-diabetic counterparts. Besides, many complications associated with DM are already present before the beginning of dialysis. Purpose: To characterize diabetic patients undergoing dialysis at an university hospital in Medellín, Colombia. Methodology: A cross sectional descriptive study was carried out including all patients registered in the dialysis program on May 31, 2003 at the Renal Unit of Hospital Universitario San Vicente de Paúl. A semistructured questionnaire was used to collect clinical and laboratory information from the patient´s records. Results: Out of 396 dialysis patients, 102 (25.7% had the diagnosis of diabetic nephropathy which, in 15.3% of them, had been made less than five years before the beginning of this study. Two hundred and eighteen patients were on hemodialysis and 178, on peritoneal dialysis; 65 of the former (29.8% and 37 of the latter (20.8% were diabetic. Complete information was obtained from 64 and 34, respectively, for a total of 98 patients (57 men [58.2%] and 41 women [41.8%]. Their average time on dialysis was 1.53 years. DM type 2 was diagnosed in 88 patients (89.8%. High blood pressure was found in 92 patients (93.9%, overweight in 47 (47.9%, total cholesterol above 180 mg/dL in 58.2%, triglycerides above 150 mg/dL in 55.1%, retinopathy in 79.6%, total or partial blindness due to DM in 25.5%, neuropathy in 62.2%, and cardiovascular disease in 84.6%. A majority of patients were not fulfilling self-care recommendations. Conclusions: Diabetic nephropathy, most frequently due to type 2 DM, is the main cause of renal insufficiency at our Renal Unit. Diagnosis is often delayed and complications are the rule. It would be important to establish

  9. Uso de la citometría de flujo en la caracterización de las leucemias agudas de pacientes del Hospital San Vicente de Paúl y la Clínica León XIII

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    Lía Upegui

    2001-04-01

    Full Text Available

    Las leucemias agudas son neoplasias hematológicas frecuentes en niños y la clasificación adecuada de un caso es importante para dar  un buen tratamiento (1. La manera más eficaz de clasificar las leucemias agudas es la inmunofenotipificación por medio de citometría de flujo, que identifica las células leucémicas con base en sus antígenos de superficie (2. En el Hospital Universitario San Vicente de Paúl no se ha estandarizado la citometría con fines diagnósticos, aunque existe consenso general sobre su importancia y necesidad (3.

     

     

  10. Uso de la citometría de flujo en la caracterización de las leucemias agudas de pacientes del Hospital San Vicente de Paúl y la Clínica León XIII

    OpenAIRE

    Lía Upegui; Idabelly Betancur; Natalia Olaya

    2001-01-01

    Las leucemias agudas son neoplasias hematológicas frecuentes en niños y la clasificación adecuada de un caso es importante para dar  un buen tratamiento (1). La manera más eficaz de clasificar las leucemias agudas es la inmunofenotipificación por medio de citometría de flujo, que identifica las células leucémicas con base en sus antígenos de superficie (2). En el Hospital Universitario San Vicente de Paúl no se ha estandarizado la citometría con fines diagnósticos, aunque existe cons...

  11. Condición inmunológica de los pacientes portadores de VIH/Sida en el momento de su diagnóstico en el Hospital San Juan de Dios

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    Carmen Vargas Mejía

    2012-09-01

    Full Text Available Objetivo: comparar el estado inmunológico al momento del diagnóstico durante 3 años, de los pacientes con VIH/Sida atendidos en el Hospital San Juan de Dios. Materiales y métodos: estudio retrospectivo, descriptivo de los casos nuevos diagnosticados con VIH/Sida, mayores de 14 años, en 2003, 2006 y 2009, en la Clínica de Atención al Paciente con VIH del Hospital San Juan de Dios, Costa Rica, según los datos en los expedientes clínicos. Para evaluar el estado inmunológico se utilizó el recuento de linfocitos T CD4+ al momento del diagnóstico del VIH, estableciéndose como diagnóstico tardío <200 células/μl. Para el análisis se realizó la estimación de las frecuencias y fuerzas de asociación entre las variables. Resultados: de los 282 casos estudiados, el 46,8% se presentó en una etapa avanzada de la enfermedad. En el conjunto de todos los casos, el diagnóstico tardío fue más frecuente en los hombres (54% que en las mujeres (26% (p<0,05, y en los hombres heterosexuales (57% que en los que tienen sexo con hombres (50% (p<0,05. Con respecto a la edad, hay un aumento en el riesgo que es proporcional al aumento en la edad. Se observó que el porcentaje de pacientes diagnosticados en forma tardía aumentó en el transcurso de los años estudiados, aunque se observa una disminución en el grupo de pacientes que llegan tardíamente para el inicio del TARV; esta disminución obedece a un aumento en el diagnóstico tardío y no a un aumento en el diagnóstico oportuno. Conclusiones: el diagnóstico tardío de la infección por el VIH representa un problema de salud pública en el área de atracción del Hospital San Juan de Dios. Es necesario desarrollar estrategias que permitan mejorar la capacidad resolutiva en el primer y segundo nivel de atención, para el diagnóstico del VIH de forma más oportuna. En el área de atracción del Hospital San Juan de Dios, las poblaciones que tienen mayor riesgo de ser diagnosticadas tard

  12. Incidencia de insuficiencia renal aguda en niños hospitalizados por quemaduras en el Hospital Universitario San Vicente de Paúl de Medellín, 2007-2008

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    José William Cornejo Ochoa

    2008-11-01

    Full Text Available INTRODUCCIÓN: las quemaduras en niños se han identificado como causa principal de trauma y su asociación con insuficiencia renal aguda es una de las complicaciones más temidas debido a su alta tasa de mortalidad. OBJETIVO: establecer la incidencia de insuficiencia renal aguda y describir algunos de los factores asociados en niños quemados menores de 18 años atendidos en el Hospital Universitario San Vicente de Paúl de Medellín. MATERIALES Y MÉTODOS: estudio de cohorte prospectivo y descriptivo en pacientes menores de 18 años con quemaduras superiores al 30% de la superficie corporal total que ingresaron al Servicio de quemados del Hospital Universitario San Vicente de Paúl entre abril del 2007 y febrero 2008. RESULTADOS: en total se incluyeron 25 pacientes en el estudio y de acuerdo con los criterios utilizados el 64% desarrollaron insuficiencia renal aguda y presentaron una tasa de mortalidad del 12,5% mientras que en el grupo sin insuficiencia renal aguda no se presentaron muertes. No se encontraron diferencias significativas entre los dos grupos en ninguna de las variables, lo que podría deberse al tamaño de la muestra; sin embargo, la lesión por inhalación se vislumbra como un factor importante de riesgo. CONCLUSIONES: la insuficiencia renal aguda en pacientes quemados es una complicación muy frecuente y se la debe buscar activamente y hacerles un seguimiento estrecho a los pacientes. Hacen falta más estudios en Medellín para determinar los factores de riesgo asociados a esta complicación.

  13. Brote de varicela en el Servicio de Oncología de hombres del Hospital San Juan de Dios, febrero-abril de 2004, San José, Costa Rica

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    Sócrates Vargas-Naranjo

    2008-03-01

    Full Text Available Justificación y objetivo:La infección intrahospitalaria por varicela en adultos es infrecuente, a pesar de ser una enfermedad altamente contagiosa. Es reconocido que en adultos se presentan las tasas de letalidad más altas y por ello es importante analizar las características del presente brote y así determinar cuáles factores contribuyeron a que ocurriera, para recomendar acciones dirigidas a la prevención de un brote similar. Métodos: Se diseñó un estudio de casos y controles para identificar los factores asociados al brote por varicela en el hospital. La prueba de U de Mann-Whitney se utilizó para valorar diferencias entre casos y controles según edad, contacto entre pacientes, estancia hospitalaria y grupo de cama. El cálculo de los Odds Ratio ayudó a determinar la posible asociación entre las variables y la presentación de la enfermedad. Se recomendó la cuarentena del Servicio. Resultados:El primer caso de varicela ocurrió en febrero, al tercer día de su ingreso al hospital. Posteriormente, se presentaron 5 casos más. Al analizar las variables estudiadas, la curva epidémica y el período de incubación, la variable contacto entre los pacientes fue la más importante para mantener la existencia del brote p < 0,05; R = 25; [IC95%]=2,3 - 275,7. Conclusión:Se confirmó la transmisión persona-persona de la varicela como fuente principal de contagio en el hospital. Si bien la cuarentena permitió detener el brote, se deben tomar medidas más prácticas y menos costosas, que prevengan la aparición de un brote similar.

  14. Management of abdominal wall defects (gastroschisis and omphalocele at Hospital Universitario San Vicente de Paúl, in Medellín, Colombia, 1998-2006 Tratamiento de los defectos de la pared abdominal (gastrosquisis y onfalocele en el Hospital Universitario San Vicente de Paúl, Medellín, 1998-2006

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    Mirian Natalia Herrera Toro

    2010-08-01

    Full Text Available

    Introduction: Gastroschisis and omphalocele are neonatal malformations of the abdominal wall. Despite their great differences, both are severe diseases characterized by herniation of viscera through the defect in the abdominal wall. Children with these defects present as surgical emergencies that pose a difficult challenge to the attending surgeon. Even with appropriate management, the mortality rate is between 20-40%. Omphalocele and, to a lesser degree gastroschisis, are associated with a wide range of malformations.

    Objective: The aim of this retrospective review was to describe the management of children with gastroschisis or omphalocele, and the results obtained with it, at the

    Pediatric Surgery Section, Hospital Universitario San Vicente de Paúl, in Medellin, Colombia.

    Atención Odontológica Integral a Personas que Viven Con VIH-SIDA (Pvvih en el Hospital San Juan de Dios de Bogotá

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    John Harold Estrada Montoya

    2011-10-01

    Full Text Available Normal 0 21 false false false ES-CO X-NONE X-NONE Este artículo presenta el panorama del surgimiento del programa de atención odontológica a personas viviendo con VIH/SIDA (PVVS que fue implementado en el Hospital San Juan de Dios de Bogotá y que funcionó hasta el cierre definitivo del Hospital durante la presidencia de Andrés Pastrana Arango. Se presentan las diferentes etapas vividas en el programa y se destacan la implementación de los primeros protocolos de bioseguridad en el país que luego fueron tomados como modelo para todo el país bajo la supervisión del Ministerio de Salud. Luego se presentan las investigaciones en lesiones orales  asociadas al VIH y el significado clínico e inmunológico de estas lesiones para los pacientes y el equipo de salud. Finalmente se presentan los estudios relacionados con las lesiones más prevalentes (Candidosis oral y enfermedad periodontal y los factores relacionados con la adherencia a los tratamientos antirretrovirales, de gran importancia para pacientes y cuidadores, siendo estos los últimos estudios realizados antes del cierre definitivo del programa.

  15. Adherencia a la Guía de manejo de la paciente con síndrome hipertensivo asociado a la gestación, en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia

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    John Jairo Zuleta Tobón

    2008-11-01

    Full Text Available INTRODUCCIÓN: la implementación de guías de manejo como apoyo al equipo médico optimiza los recursos y disminuye las complicaciones en el tratamiento de pacientes con una enfermedad determinada. Aunque las guías se conocen y se elaboran en todo el mundo, su uso es discutible, la adherencia es variable y el impacto depende de la adherencia. Su uso se ha extendido mundialmente, por lo que existen guías para diferentes enfermedades, las cuales han sido analizadas desde diversos puntos de su desarrollo, incluyendo el soporte de la evidencia existente, la adherencia dentro de los servicios de salud y, por último, el impacto de su uso sobre la morbilidad y la mortalidad en un grupo específico de la población. El Hospital Universitario San Vicente de Paúl diseñó su primera Guía de Manejo del Síndrome Hipertensivo asociado al embarazo hace 20 años y su última actualización fue en agosto de 2005. Este síndrome continúa siendo una de las principales causas de morbilidad y mortalidad maternas tanto local como nacionalmente, con indicadores superiores a los de otros países, y comparándolo con países con igual desarrollo económico, razón por la cual es pertinente contar con esta guía en las instituciones de nuestro país, como una herramienta para el cumplimiento de las metas planteadas por el Ministerio de Protección Social para la disminución de la morbilidad y mortalidad maternas. Sin embargo, esta guía no ha sido objeto de análisis. Para medir su impacto sobre los indicadores, es imprescindible conocer primero la adherencia a las recomendaciones de la guía. En un segundo paso podrá corroborarse el efecto que tienen las recomendaciones sobre la evolución de la enfermedad. OBJETIVO: evaluar la adherencia a las recomendaciones de la Guía de Manejo del Sindrome Hipertensivo Asociado a la Gestación del Hospital Universitario San Vicente de Paúl. MATERIALES Y MÉTODOS: estudio descriptivo, retrospectivo. CONTEXTO: Hospital

  16. Neurocisticercosis en niños: Hospital Universitario San Vicente de Paúl, Medellín 1989-1996 Neurocysticercosis in children: experience in Medellín, Colombia 1989-1996

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    José William Cornejo Ochoa

    1997-03-01

    Full Text Available Se hace un estudio retrospectivo de las historias cínicas de los menores de 18 años con diagnóstico de egreso de neurocisticercosis, del Hospital Universitario San Vicente de Paúl, de Medellín (HUSVP durante el período 1989 a 1996. Se encontraron 16 pacientes: Trece mujeres y 3 hombres, con un promedio de edad de 11 años. Los motivos de consulta mas frecuentes fueron convulsiones (68.8%, cefalea (62.5% y alteraciones visuales (37.5%. La evolución de los síntomas fue menor de tres meses en el 81% de los casos. Los diagnósticos sindromáticos mas frecuentes fueron los síndromes convulsivo (68.8% y de hipertensión endocraneana (43.8%. La tomografía computarizada mostró lesiones parenquimatosas múltiples en 8 casos y únicas en 4. El tratamiento con albendazol (10 mg/kg/dla mejor6 la sintomatología en todos los casos; se emplearon corticoides en todos los pacientes que recibieron tratamiento antiparasitario. Las convulsiones se controlaron fácilmente con difenilhidantolna o carbamazepina. Neurocysticercosis in children. Experience in Medellín, Colombia, 1989-1996 This is a retrospective clinical study of neurocisticercosis in patients aged 18 years or less, at Hospital Universitario San Vicente de Paul, in Medellln, Colombia, during the period 1989-1996. There were 16 patients, 13 girls and 3 boys; average age was 11 years. The main complaints were: Seizures (68.8%, headache (62.5% and visual disturbances (37.5%. Evolution of symptoms was less than three months in 81% of the patients. The most frequent syndromatic diagnoses were: Convulsive (68.8% and intracraneal hypertension syndromes (43.8%. Computed tomography revealed intraparenchimal multiple lesions in 8 cases and solitary lesions in 4 cases. Treatment with albendazole (10 mg/kg/day improved symptoms in every patient; children treated with antiparasitic drugs also received corticosteroids for 7 to 14 days. Seizures were easily controlled with anticonvulsivants such as

  17. Lesiones orales asociadas con la infección por VIH/sida en individuos sin tratamiento antirretroviral en el Hospital San Juan de Dios de Bogotá

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    John Harold Estrada

    2001-12-01

    Full Text Available El reconocimiento de las lesiones orales asociadas con el VIH es de gran importancia, ya que pueden representar el primer signo de la infección y servir como predictoras de inmunosupresión y del desarrollo de sida en pacientes infectados. Se realizó un estudio descriptivo de 314 pacientes con VIH que eran atendidos en el programa integral del Hospital San Juan de Dios de Bogotá. Se les practicó examen fisico completo y examen oral; se registró el tipo de lesión, el lugar de presentación, el género y la edad. De los sujetos examinados, 285 (90,8% eran del sexo masculino y 29 (9,2% del femenino. El promedio de edad fue de 31 años (rango: 15 a 64. No se encontraron lesiones orales asociadas en 91 (29%, mientras que en los restantes 223 (71% se anotaron una o mas lesiones; la más frecuente fue la candidosis oral en 207 personas (65,8%. Al subdividirla en sus cuatro variedades, se encontró la forma seudomembranosa en 94 pacientes (29,9%; la eritematosa en 66 (21%; la queilitis angular en 38 (12.1% y la hiperplásica en 9 (2.8% Le siguió en frecuencia la leucoplasia vellosa en 67 sujetos (21.3%, la gingivitis y la periodontitis en 54 (17.1%, el sarcoma de Kaposi en 28 (8.9% y la estomatitis aftosa recurrente en 26 (8,2%. Los lugares mas afectados fueron el paladar duro y blando en 108 sujetos (34,4%, la lengua en 101 (32.2%, la mucosa yugal en 48 (15.3%, la encia marginal en 36 (11.5%, la comisura labial en 34 (10,8% y la orofaringe en 25 (8%. Estos hallazgos permiten definir el perfil especifico de morbilidad oral de los pacientes del Hospital San Juan de Dios en Bogotá para el período estudiado.

  18. Caracterización epidemiológica, clínica y microbiológica del brote de diarrea asociado a Clostridium difficile, ocurrido en el Hospital San Juan de Dios, 2008-2009

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    Manuel Antonio Villalobos-Zúñiga

    2012-09-01

    Full Text Available Antecedentes: la enfermedad diarreica asociada a Clostridium difficile (EDACD es la causa más importante de diarrea nosocomial en el mundo. En Costa Rica, se presentó recientemente un brote de EDACD en el Hospital San Juan de Dios de San José, hospital de tercer nivel con 700 camas. En el estudio se analizan las características epidemiológicas, clínicas y microbiológicas de los pacientes con EDACD atendidos entre noviembre de 2008 y junio de 2009. Pacientes y métodos: se definió como caso de EDACD un paciente con cuadro diarréico con detección de ELISA positiva por toxina A de C. difficile en heces. Se realizó un análisis de la incidencia anual desde 2004 de EDACD, y de la incidencia mensual de EDACD en 2009 en el HSJD, así como un estudio observacional y retrospectivo de 112 expedientes médicos correspondientes a pacientes con el diagnóstico de EDACD atendidos en el Hospital, en el periodo comprendido entre el 15 de noviembre de 2008 y el 15 de junio de 2009. El análisis de los datos se efectuó mediante pruebas estadísticas descriptivas y medidas de asociación. Resultados: la incidencia de EDACD aumentó desde finales de 2008, y alcanzó su pico máximo en abril de 2009, cuando se implementaron medidas sanitarias que disminuyeron en un 75% el número de pacientes en 8 meses. De los 112 expedientes médicos revisados, 63 (56% fueron hombres. La edad promedio fue de 65,33 años; 103 (92% pacientes desarrollaron su enfermedad mientras estuvieron hospitalizados; el tiempo promedio de internamiento fue de 18,6 días. Solo el 9% no presentó ninguna comorbilidad. Las comorbilidades más frecuentes fueron: HTA y DM tipo 2, con un 57,5% y un 39,8%, respectivamente, y enfermedad neuropsiquiátrica en un 29,2%. El 96% (107 pacientes había recibido tres o más antibióticos antes del inicio de la diarrea. La duración promedio de la antibióticoterapia fue de 32 días por paciente. En promedio, la duración de la diarrea fue de 10,2 d

  19. Complications in total and partial hip and knee replacement in the San Jose Universitary Hospital Popayan

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    Alejandro Sandoval-Daza

    2010-03-01

    Full Text Available Introduction: Total hip and knee replacements are surgical procedures commonly used in cases of degenerative articular problems, intrarticular fractures and less common in tumor conditions. Despite its great success complications can arise. Objective: Describe complications in total knee and hip replacements. Methods: A descriptive study, cases serie was done in Hospital Universitario San José in Popayán Colombia, analyzing the period between January 2004 and January 2009, Seventy six patients were included: 53 total hips replacements, 12 cases of partial hip replacements and 11 total knee replacements. Patient's age was in the range between 27 and 97. Results: The main complications founded were: respiratory insufficiency, inability to place the prosthesis, prosthesis dislocation, anemic syndrome, acetabular protrusion, infection, iatrogenic Gushing's syndrome, discrepancy of length limb, residual pain, inability to walk, nosocomial pneumonia, renal failure and periprosthetic fracture. An average of 4, 6% mortality index, 10, 8% hip prosthesis dislocation, 9, 2% infections, all these indices over the different literature reports.

  1. Experiencia con pacientes hospitalizados en la unidad de capacitación para el tratamiento de la diarrea del Hospital Univertario San Vicente de Paúl de Medellín Experience with hospitalized children at a training unit for diarrhea treatment, in Medellín, Colombia

    OpenAIRE

    Carlos A. Bernal Parra

    1995-01-01

    Entre 1988 y 1994 se atendieron 1.755 niños en la sala de hospitalización de la Unidad de Capacitación para el Tratamiento de la Diarrea, del Hospital Universitario San Vicente de Paúl, de Medellín; 1.022 (58.2%) fueron hombres y 733 (41.8%) mujeres; mil setenta y ocho eran menores de un año (61.4%) y 677 (38.6%) tenían más de un año. Eran desnutridos 888 (50.6%). Presentaban diarrea persistente 418 (23.8%); 1.0...

  2. Causas de enfermedad renal crónica en niños atendidos en el Servicio de Nefrología Pediátrica del Hospital Universitario San Vicente de Paúl, de Medellín, Colombia, entre 1960 y 2010 = Etiology of chronic kidney disease: fifty-year experience (1960-2010 at the Pediatric Nephrology Service, Hospital Universitario San Vicente de Paúl (Medellín, Colombia

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    Vanegas Ruiz, Juan José

    2011-12-01

    Full Text Available La insuficiencia renal crónica es el resultado del deterioro progresivo e irreversible de la función renal, que genera incapacidad del riñón para remover los productos de desecho y mantener el equilibrio ácido básico. El objetivo de este estudio fue identificar las causas de insuficiencia renal crónica en nuestros pacientes y su importancia relativa en este desenlace. Se hizo un estudio descriptivo retrospectivo de corte transversal, basado en la revisión de 367 registros pertenecien­tes al Servicio de Nefrología Infantil, de pacientes con diagnóstico de insuficiencia renal crónica (IRC, que acudieron al Servicio de Consulta Externa del Hospital Universitario San Vicente de Paúl, de Medellín, entre el 01 de enero de 1960 y el 30 de agosto de 2010. De los 367 pacientes, 199 (54,2% fueron hombres y 168 (45,8%, mujeres; las enfermedades predominantes como causa de la IRC fueron: reflujo vésico-ureteral (37,1%, hidronefrosis (24,0%, valvas de la uretra posterior (13,4%, glomerulonefritis aguda (12,3%, síndrome nefrótico (11,2% e hipoplasia renal (9,3%.

  3. 77 FR 54811 - Safety Zone; TriRock San Diego, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2012-09-06

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; TriRock San Diego, San Diego Bay, San Diego... safety zone upon the navigable waters of the San Diego Bay, San Diego, CA, in support of a bay swim in San Diego Harbor. This safety zone is necessary to provide for the safety of the participants, crew...

  4. 78 FR 58878 - Safety Zone; San Diego Shark Fest Swim; San Diego Bay, San Diego, CA

    Science.gov (United States)

    2013-09-25

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Shark Fest Swim; San Diego Bay, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone upon the navigable waters of the San Diego Bay, San Diego, CA, in support of San...

  5. 78 FR 53243 - Safety Zone; TriRock San Diego, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2013-08-29

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; TriRock San Diego, San Diego Bay, San Diego... temporary safety zone upon the navigable waters of the San Diego Bay, San Diego, CA, in support of a... Bryan Gollogly, Waterways Management, U.S. Coast Guard Sector San Diego; telephone (619) 278-7656, email...

  6. Repercussões do fechamento da Unidade de Desintoxicação do Hospital Psiquiátrico São Pedro Repercusiones del cierre de la Unidad de Desintoxicación del Hospital Psiquiátrico San Pedro Repercussions of closing the Detoxification Unit at Hospital Psiquiátrico São Pedro

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    Renata Brasil Araujo

    2003-08-01

    Full Text Available INTRODUÇÃO: A lei de reforma psiquiátrica prevê substituição de leitos em hospitais psiquiátricos por leitos em hospitais gerais, e o fechamento da unidade de desintoxicação do Hospital Psiquiátrico São Pedro está de acordo com estes princípios. OBJETIVOS: Mensurar se aumentou a prevalência de dependentes químicos internados em unidades de psicóticos deste hospital antes e depois do fechamento da unidade de desintoxicação e se aumentaram as recusas de vagas para internação. MÉTODO: Estudo transversal, com amostra não aleatória, dividida em: Grupo 1, com todos os pacientes internados em unidades que atendem adultos masculinos três meses antes do fechamento e Grupo 2, com todos os internados, nestas unidades, nos três meses posteriores. Analisou-se o número de vagas recusadas para dependentes químicos. Realizou-se um levantamento retrospectivo em registros e prontuários. RESULTADOS: A amostra foi de 135 do Grupo 1 e 126 do Grupo 2 (n=261. No Grupo 1, 15,6 % tinham o diagnóstico de dependência química e, no Grupo 2, 22,2 %. Aumentaram as internações de dependentes químicos sem co-morbidades psiquiátricas (X²=4,497; p=0,033 e o número dos que ficaram sem vaga (X²=154,40; p=0,0000. DISCUSSÃO: Após o fechamento, houve um aumento de dependentes químicos, sem co-morbidades psiquiátricas que internaram em unidades de psicóticos, sendo privados de atendimento especializado. Também se observou um aumento de desassistidos, o que fere a reforma psiquiátrica. CONCLUSÃO: A Reforma Psiquiátrica deve ser uma meta a ser seguida pelos profissionais da saúde; no entanto, não se pode esquecer das necessidades específicas dos pacientes nem desconsiderar os aspectos técnicos.INTRODUCCIÓN: La ley de reforma psiquiátrica prevé sustituir lechos en hospitales psiquiátricos por lechos en hospitales generales e el cierre de la unidad de desintoxicación del Hospital Psiquiátrico San Pedro esta de acuerdo con esos

  7. Leucemia linfoide aguda: estudio citogenético en niños atendidos en el Hospital Universitario San Vicente de Paúl de Medellín en el período 1998-2001

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    Juan Carlos Herrera Patiño

    2002-04-01

    Full Text Available Las investigaciones citogenéticas en leucemia Linfoblástica Aguda (LLA permiten identificar alteraciones recurrentes específicas en los cromosomas y correlacionarlas con la información biológica. Además, contribuyen a la comprensión de los mecanismos de leucogénesis, como factores pronósticos independientes, y aportan bases para futuras investigaciones terapéuticas. Se analizaron las alteraciones cromosómicas adquiridas en la médula ósea de 44 niños (entre un mes y 14 años con LLA, diagnosticada clínica e histopatológicamente entre 1998 y 2001 en la Unidad de Hematología Infantil, Hospital San Vicente de Paúl, de Medellín, y cuyas muestras de médula ósea fueron procesadas y analizadas en la Unidad de Genética Médica, de la Facultad de Medicina de la Universidad de Antioquia. El estudio reveló que 17 pacientes (41,5% presentaban cariotipo normal y 24 (58,5% lo tenían anormal. De estos últimos 18 (75% tenían un mosaicismo cromosómico, 4 (16,7% exhibían cariotipos hiperdiploides y 2 (8.3% presentaban otras alteraciones cromosómicas. No se encontraron asociaciones significativas entre los tipos de leucemia (L1,L2,L3 y el cariotipo.

  8. Epidemiology of extended spectrum β-lactamase, AmpC and class A carbapenemases-producing organisms isolated at San Camillo Hospital of Treviso (Italy between April 2012 and March 2014

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    Margherita Scapaticci

    2016-03-01

    Full Text Available The indiscriminate use of broad-spectrum cephalosporins of the last years has favoured the selection of extended spectrum β-lactamases (ESBLs, AmpC and class A carbapenemases (KPC-producing Enterobacteriaceae strains, representing a real health emergency. At San Camillo Hospital of Treviso, Italy, between April 2012 and March 2014, we isolated 263 suspected ESBL-producing strains from various specimens, including urine (76.4%, wound swabs (9.9%, blood cultures (4.6%, vaginal swabs (2.7%, fragments of bone (1.5% and other materials (4.9%. The majority of the isolated bacteria were represented by Escherichia coli (43.3%, followed by Klebsiella pneumoniae (34.2%, Proteus mirabilis (15.2%, Enterobacter spp. (3.8%, Morganella morganii (1.1%, Serratia spp. (0.8%, Proteus vulgaris (0.4%, Citrobacter freudii (0.4%, Providencia spp. (0.4% and Pseudomonas aeruginosa (0.4%. Using confirmatory phenotypic tests, 89.4% of the isolated resulted ESBL producer, 15.3% of which were also AmpC-producers, 1.5% were ESBL negative and AmpC positive, 4.2% were ESBL negative and AmpC negative, and 4.9%, consisting solely of K.pneumoniae, were confirmed as KPC positive. ESBL-mediated resistance to cephalosporin is not always clearly evident using susceptibility testing performed by agar diffusion-disc or dilution methods, for this reason it is strictly recommended to use specific tests able to reveal important mechanisms of resistance. The optimal use of diagnostic tools in microbiology is necessary to fight the spreading of pathogens with multiple antibiotic resistance mechanisms and in order to avoid giving useless antibiotic therapies to the patients.

  9. Estudio descriptivo de los casos de síndrome de Guillain-Barré atendidos en el Hospital Universitario San Vicente de Paúl, de Medellín, entre los años 2001 y 2005

    Directory of Open Access Journals (Sweden)

    Carlos Santiago Uribe Uribe

    2008-02-01

    Full Text Available

    Estudio descriptivo, tanto retrospectivo como prospectivo, llevado a cabo desde marzo de 2004, en el Hospital Universitario San Vicente de Paúl, de Medellín. Se buscó describir las características y la evolución con la inmunoterapia de los pacientes de 15 años o mayores con síndrome de Guillain- Barré que ingresaron al hospital entre 2001-2005. Se encontraron 54 pacientes, pero solamente se obtuvo información en 46 de ellos: 54,3% de mujeres y 45,7% de hombres, con edad promedio de 39,4 años (DE: 17,6. La principal causa de retraso en la atención fue iniciar el tratamiento en un nivel inferior de atención. Predominaron los pacientes con las formas ascendente y desmielinizante. Aquéllos con la variedad axonal permanecieron hospitalizados por más tiempo. La disociación albúminocitológica se dio en el 71,1% de los pacientes. Recibieron inmunoterapia 60,8%, tipo plasmaféresis, 39% e inmunoglobulina, 61%. Requirieron ventilación mecánica 45% de las personas que recibieron plasmaféresis y 75% de quienes recibieron inmunoglobulina; el puntaje de Hughes fue más alto en el grupo de inmunoglobulina. La neumonía fue la principal complicación. Se pudo concluir que se requiere reforzar los conocimientos de los médicos generales para evitar el retraso en la atención; las características clínicas que difieren de las reportadas en otras partes son: la proporción similar en hombres y mujeres y la rápida evolución. Durante el estudio fallecieron 3 pacientes. Se recolectó información de seguimiento al año en 65,3% de los pacientes, 23,3% de ellos tenían secuelas.

  10. Impact on mormortality of o one conjugated treatment in 10 paraquat intoxicated patients attended at the San Vicente de Paul University Hospital in Medellín, Colombia, from august 2002 to august 2003 Impacto en la mortalidad de un tratamiento conjugado, en pacientes intoxicados no ocupacionalmente, con paraquat en el Hospital Universitario San Vicente de Paúl de Medellín, entre agosto de 2002 y agosto de 2003

    Directory of Open Access Journals (Sweden)

    Luz Marina Quiceno Quiceno

    2004-01-01

    Full Text Available Paraquat is a frequently used herbicide in Colombia. Its ingestion produces a severe intoxication with a high lethality. Up to now there is not a successful treatment for it. The purpose of this study was to determine if a conjugated treatment with NAcetylcysteine; A, C, and E vitamins, Propranolol, Colchicine and Furosemide increased the survival of ten paraquat intoxicated patients attended at the San Vicente de Paul University Hospital in Medellín, Colombia, based on the predicted probability of survival, Paraquat plasmatic concentration and clinical assessment. Six patients died because of their intoxication severity, three of them due to multisystemic organic failure, and three from acute respiratory failure. The results had statistical significance, showing a direct proportion between the high plasma levels of paraquat and mortality; and the fact that those with a multiorganic involvement died, despite their low Paraquat plasma levels. Based on clinical data it is possible to conclude that the treatment is useful only for patients with mild to moderate intoxication; there is not an exact correlation between the clinical features and the Paraquat plasma levels; and the clinical features are a very good indicator of the prognosis in Paraquat intoxicated patients. Further experimental and clinical trials are needed. En Colombia se utiliza frecuentemente el Paraquat, herbicida que al ser ingerido en cualquier cantidad produce toxicidad grave y alta mortalidad, sin haberse encontrado un tratamiento eficaz para la recuperación de los intoxicados. El objetivo de este estudio fue establecer si un tratamiento conjugado con N-acetilcisteína, vitamina A, C, E, propranolol, colchicina y furosemida, disminuye la mortalidad en pacientes, basados en la probabilidad de supervivencia, los niveles plasmáticos y el seguimiento clínico. Resultados: De diez pacientes con intoxicaciones no ocupacionales que ingresaron al Hospital Universitario San Vicente

  11. Laryngeal mask airway and endotracheal tube: odynophagia and dysfhonia incidence under general anesthesia at the University Hospital San Vicente de Paúl, Medellín, 2000 Máscara laríngea y tubo endotraqueal: incidencia de odinogagia y disfonía por su uso en anestesia general en el Hospital Universitario San Vicente de Paúl, Medellín, 2000

    Directory of Open Access Journals (Sweden)

    Mónica del Rosario Guzmán Carazo

    2001-03-01

    Full Text Available We describe the odynophagia and dysphonia incidence after the use of either laryngeal mask (LM or endotracheal tube (ETT in adult patients submitted to elective surgery, under general anesthesia, at the University Hospital San Vicente of Paul, Medellín, Colombia, between February 14 and March 16 of 2000. A descriptive and prospective study was carried out in 63 patients, in which the global incidence of odynophagia was 15.9% and that of dysphonia 12.5%; there was a higher odynophagia incidence with the use of ETT, 37.5%, than with LM, 2.6%. The dysphonia incidence was also higher with the use of the TET (25% than with LM (5.1%. The odynophagia incidence was higher in women (19.1% than in men (6.2%. Dysphonia was also more frequent in women (14.8% than in men (6.2%. Accordingly, we can conclude that odynophagia and dysphonia incidences are lower in men, when the time of anesthesia is two hours or less and when LM is used. More studies are necessary to carry out a comparative analysis of the complications with the use of LM and ETT, in order to offer the safest and more effective technique for insuring the airway. Se describe la incidencia de odinofagia y disfonía después del uso de la máscara laríngea (ML o del tubo endotraqueal (TET en pacientes adultos sometidos a cirugía electiva, bajo anestesia general, en el Hospital Universitario San Vicente de Paúl, de Medellín, entre febrero y marzo de 2000. Se hizo un estudio descriptivo, prospectivo, de corte transversal, en 63 pacientes, en los cuales se encontró una incidencia global de odinofagia del 15.9% y de disfonía del 12.5%. Hubo una mayor incidencia de odinofagia con el uso del TET, 37.5%, que con la ML, 2.6%. La incidencia de disfonía también fue mayor con el uso del TET (25% que con la ML (5.1%. La incidencia de odinofagia fue mayor en las mujeres (19.1% que en los hombres (6.2%. La disfonía también fue más frecuente en mujeres (14.8% que en hombres (6.2%. De acuerdo con los

  12. Evaluation of radical hysterectomu for treatment of stage IB cancer of the cervix, at Hospital San Vicente, Medellín, Colombia, 1980-1990 Evaluación de la histerectomía radical en el tratamiento del cáncer de cérvix estadio IB, en el Hospital San Vicente de Paúl de Medellín, 1980-1990

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    Felipe Carlos Petro Prieto

    1998-01-01

    Full Text Available A review was made of clinical charts of 139 patients with cancer of the cervix stage IB, treated by Wertheim-Meigs radical hysterectomy, at Hospital San Vicente, Medellín, Colombia, between 1980 and 1990, in order to evaluate results concerning complications derived from surgery, recurrences and residual cervicallesions. Average age was 39.3 ::!: 9.4 years. Follow-up period fluctuated between 0 and 181 months. One hundred and twenty two tumors (87.8% were epidermoid and 17 (12.2% adenocarcinomas. The degree of differentiation was determined in 101 cases: 43 (42.6% were well differentiated, 29 (28.7% moderately differentiated and 29 (28.7% poorly differentiated. Metastatic pelvic Iymphnodes involvement was present in 13 patients (9.4%: In 11 of them involvement was unilateral. Residual cervicallesion was left in 6 patients (4.3% of which 4 received additional treatment with radiotherapy. Recurrences appeared in 12 of the 100 patients followed for 2 or more years; in seven of these the recurrence ocurred in the first two years; there was a recurrence 13 years after surgery. Recurrences happened more often when tumors were poorly or moderately differentiated. Complications, mostly infectious, occurred in 43 patients (30.9%: Urinary tract infections (17 cases, wound infection (15 cases and infection of the vaginal dome (14 cases were the most frequently found. Se revisaron las historias clínicas de 139 pacientes con cáncer de cérvix estadio 18 sometidas a histerectomía radical tipo Wertheim-Meigs, en el Hospital San Vicente de Paúl de Medellín entre 1980 y 1990, con el fin de evaluar los resultados en lo referente a complicaciones derivadas de la cirugía, presencia de lesión cervical residual y recurrencias. La edad promedio de las pacientes fue 39.3 :!: 9.4 años. El tiempo de seguimiento varió entre 0 y 181 meses. El 87.8% de los tumores fueron epidermoides y el 12.2% adenocarcinomas. En 101 casos se logró determinar el grado de

  13. SAN CARLOS APACHE PAPERS.

    Science.gov (United States)

    ROESSEL, ROBERT A., JR.

    THE FIRST SECTION OF THIS BOOK COVERS THE HISTORICAL AND CULTURAL BACKGROUND OF THE SAN CARLOS APACHE INDIANS, AS WELL AS AN HISTORICAL SKETCH OF THE DEVELOPMENT OF THEIR FORMAL EDUCATIONAL SYSTEM. THE SECOND SECTION IS DEVOTED TO THE PROBLEMS OF TEACHERS OF THE INDIAN CHILDREN IN GLOBE AND SAN CARLOS, ARIZONA. IT IS DIVIDED INTO THREE PARTS--(1)…

  14. San Carlo Operaen

    DEFF Research Database (Denmark)

    Holm, Bent

    2005-01-01

    En indplacering af operahuset San Carlo i en kulturhistorisk repræsentationskontekst med særligt henblik på begrebet napolalità.......En indplacering af operahuset San Carlo i en kulturhistorisk repræsentationskontekst med særligt henblik på begrebet napolalità....

  15. Tratamiento de las fracturas abiertas de la diáfisis tibial en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2005-2006

    Directory of Open Access Journals (Sweden)

    Luis Fernando Mena Delgado

    2008-11-01

    Full Text Available Las fracturas abiertas son el resultado de traumas de alta energía y se caracterizan por grados variables de lesiones esqueléticas y de los tejidos blandos, que incrementar el riesgo de infección y producir complicaciones en la cicatrización. Con el fin de ampliar el conocimiento sobre las fracturas abiertas de la diáfisis tibial y su tratamiento, se hizo un estudio retrospectivo en el Hospital Universitario San Vicente de Paúl (HUSVP, de Medellín, Colombia, para definir la forma de presentación, el tratamiento y las complicaciones en la población de esta ciudad. Durante el período comprendido entre el 1 de mayo de 2005 y el 30 de abril de 2006, se llevó a cabo un estudio de tipo descriptivo, retrospectivo, longitudinal en todos los pacientes atendidos en el HUSVP con diagnóstico de fractura abierta de la diáfisis tibial. Participaron en el estudio 66 pacientes con 67 fracturas abiertas de la tibia, con una edad promedio de 31 años. Los accidentes de tránsito, en especial los relacionados con motocicletas constituyeron la etiología más frecuente. El 24% de las fracturas fueron de tipo I, otro 24%, de tipo II y 51%, de tipo III. La administración de un antimicrobiano se hizo dentro de las primeras 6 horas en 86% de los pacientes. El retardo en la consolidación de la fractura y el desarrollo de algún tipo de infección fueron las complicaciones más frecuentes (34,3%. Este estudio describe el tratamiento de las fracturas abiertas de la diáfisis tibial en el HUSVP y lo compara con el descrito en la literatura; el tratamiento inicial en cuanto a lavados, administración de antibióticos y estabilización de las fracturas fue muy similar al informado en otros estudios.

  16. Técnica de Rutkow y Robbins (tapón y parche para la reparación de hernias inguinales. Hospital Dr. Manuel Noriega Trigo IVSS San Francisco, Estado Zulia, Venezuela

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    Ángel S. Luque

    2009-09-01

    Full Text Available Objetivo: Caracterizar la reparación de las hernias inguinales según la técnica de Rutkow y Robbins (tapón y parche con malla de polipropileno.Material y Métodos: Se realizó un estudio descriptivo donde se evaluaron 102 pacientes de la Consulta de Cirugía General, del Hospital Dr. Manuel Noriega Trigo, San Francisco, Venezuela con diagnóstico de hernia inguinal primaria, en el lapso de enero 2002 a 30 de septiembre 2005. Se practicaron 124 hernioplastias porque 11 pacientes presentaban hernias bilaterales. Se valoró sexo, edad, tipo de hernia, tiempo quirúrgico, dolor postoperatorio, período de estancia hospitalaria, reincorporación al trabajo habitual y complicaciones.Resultados: Del total de pacientes, 91 (89.2% eran del sexo masculino y 11 (10.8% del femenino. El promedio de edad fue 42.7±18.29, con un rango que oscilaba entre 12 y 82 años, el grupo etario más frecuente fue de 21 a 30 años (23.5%. En el sexo masculino predominó la hernia inguinal indirecta con 47 casos de los cuales 25.5% eran derechas y 20.6% izquierdas, en el sexo femenino prevaleció la hernia directa con 4 casos (3.9%. El tiempo quirúrgico tuvo un promedio de 32.18±6.42 minutos. El dolor postoperatorio se informó como molestia (33.3% o leve (39.2% en la mayoría de los casos, moderado en 8.8% y en ningún caso se supo de dolor severo. La estancia hospitalaria fue 23.41±3.8 horas, con cifras entre 3 y 40 horas; el reintegro al trabajo promedió 21.56±6.5 días (entre 10 y 40. Las complicaciones post-operatorias se presentaron en 6.9% de los pacientes: infección de la herida, 1%; hematoma, 1%; seromas, 2%; 1% neuralgia inguinal, 1%; y retención urinaria, 2%.Conclusión: Técnica rápida de ejecutar, poca morbilidad postoperatoria, corta estancia, pronto reintegro laboral y escasas complicaciones, por lo que demostró ser segura para la reparación de las hernias inguinales.

  17. Case-case study of factors associated to hMLH1, hMSH2, and hMSH6 protein expression among endometrial cancer patients of the University District Hospital of San Juan, Puerto Rico

    Science.gov (United States)

    González, Lorena; Ortiz, Ana P.; Suárez, Erick; Umpierre, Sharee; Marcos, Maria J.; Billoch, Jorge; Joy, Leilani; Charneco, Eileen; Lacourt, Mercedes Y.; Bernabe-Dones, Raúl D.; Cruz-Correa, Marcia

    2012-01-01

    Lynch syndrome (LS) is an autosomal dominant disorder caused by DNA mismatch repair (MMR) system deficiencies. Women affected by LS present a 40 to 60% lifetime risk of endometrial cancer (EC). Objective This case-case study aims to determine the frequency of the hMLH1, hMSH2, and hMSH6 MMR proteins and the factors (age, family history of cancer [FHC] related to LS, and body mass index [BMI]) associated to their absence in EC patients attending the University District Hospital of San Juan, Puerto Rico. Method/Materials Twenty cases were preliminary evaluated for the MMR protein expression by immunohistochemistry testing and classified as positive-cases (presence of protein) or negative-cases (absence of protein). The statistical analysis was based on the logistic regression model using the Maximum Likelihood estimation (MLE). The Bayesian approach was used to determine the posterior probability {posterior Pr[OR>1]}. Results Results showed absence for at least one MMR protein in 25% of the cases; 15% for hMLH1 and 10% for hMSH2. None of the cases showed an absence for hMSH6. The MLE demonstrated that women diagnosed with EC before the age of 50 (OR: 12.4; 95%CI = 0.5–322.7), having FHC related to LS (OR: 17.7; 95%CI = 0.6–534.6), and having lower BMI (OR: 2.38; 95%CI = 0.39–14.28) present higher odds than their counterparts of lacking an MMR protein, once adjusting for potential predictors (p > .05). The posterior probability that an excess risk of lacking an MMR protein occurs was ≥ 95% for each predictor. Conclusion Our study in this Hispanic population supports previous studies in that younger age, FHC, and lower BMI are associated with increased odds of having an absence of MMR protein expression. Further studies with larger sample sizes should be performed. PMID:22635031

  18. Neumonía adquirida en la comunidad en adultos, en el curso de la campaña de invierno 2003 en el Hospital San Juan de Dios COMMUNITY ACQUIRED PNEUMONIA IN ADULTS DURING WINTER 2003 CAMPAIGN AT A SANTIAGO GENERAL HOSPITAL

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    Karen Dintrans A

    2005-01-01

    Full Text Available La neumonía adquirida en la comunidad (NAC continúa siendo una condición de alta prevalencia y potencialmente letal. El Streptococcus pneumoniae, es el agente etiológico más frecuente de las NAC. El objetivo del presente estudio, es describir las características clínicas y demográficas, así como también la evolución, de los pacientes adultos ingresados por NAC al servicio de medicina del Hospital San Juan de Dios. Nosotros estudiamos en forma retrospectiva a 200 pacientes adultos ingresados con diagnóstico de NAC. Se confirmó el diagnóstico en 170 de ellos. El promedio de edad fue de 68 años. La vacunación antiinfluenza en mayores de 65 años fue de 51%. De la comorbilidad no respiratoria, la hipertensión arterial y la diabetes mellitus, fueron las más prevalentes (59% y 31% respectivamente, Neumonía en adultos. Campaña invierno 2003 - K. Dintrans A. et al. seguidas por la insuficiencia cardíaca (22%. La comorbilidad respiratoria más frecuente fue la enfermedad pulmonar obstructiva crónica (EPOC: 19%. El esquema antibiótico de elección fue una cefalosporina de tercera generación asociada a un macrólido. La terapia secuencial se realizó en 140 pacientes (82%, empleándose una fluoroquinolona antineumocócica en 90% de los casos. La mediana de los días de hospitalización fue de 6 días. Un 40% de los pacientes requirió traslado a una unidad de mayor complejidad. La letalidad asociada a los pacientes con diagnóstico confirmado de NAC, llegó al 11%. En solo un paciente se aisló un Streptococcus pneumoniae resistente a la penicilina en los hemocultivos. Conclusión: La NAC es una entidad prevalente especialmente en pacientes adultos mayores, con características clínicas y demográficas específicas, cuya mortalidad y curso clínico se pueden conocer y modificarCommunity acquired pneumonia (CAP continues being a condition of high prevalence, and potentially lethal. Streptococcus pneumoniae is the most frequent

  19. Experiencia con pacientes hospitalizados en la unidad de capacitación para el tratamiento de la diarrea del Hospital Univertario San Vicente de Paúl de Medellín Experience with hospitalized children at a training unit for diarrhea treatment, in Medellín, Colombia

    Directory of Open Access Journals (Sweden)

    Carlos A. Bernal Parra

    1995-02-01

    Full Text Available

    Entre 1988 y 1994 se atendieron 1.755 niños en la sala de hospitalización de la Unidad de Capacitación para el Tratamiento de la Diarrea, del Hospital Universitario San Vicente de Paúl, de Medellín; 1.022 (58.2% fueron hombres y 733 (41.8% mujeres; mil setenta y ocho eran menores de un año (61.4% y 677 (38.6% tenían más de un año. Eran desnutridos 888 (50.6%. Presentaban diarrea persistente 418 (23.8%; 1.056 (82.2% diarrea acuosa, 213 (16.6% diarrea disentérica y 16 (1.2% solamente vómitos. Novecientos trece pacientes (52% consultaron o estuvieron en la sala de hidratación oral y 276 (15.7% habían estado hospitalizados por diarrea durante el último mes. Al ingreso 670 (38.2% se encontraban hidratados, 151 (8.6% tenían deshidratación grave y 934 (53.2% presentaban otros grados de deshidratación. La bacteria más frecuentemente identificada fue Salmonella enteritidis (258 casos; 23.9%. Setecientos ochenta y seis pacientes (44.8% recibieron los líquidos solamente por vía oral o por sonda nasogástrica y 969 (55.2% por vía intravenosa. Al egreso 1.088 (62% tuvieron el diagnóstico de diarrea aguda y 667 (38% el de diarrea persistente. La mortalidad fue de 1.5% (27 pacientes.

    We present the results of our experience in the in-patient treatment of children with diarrhea. Between 1988 and 1994,1.755 children were hospitalized for this purpose at the Training Unit for Diarrhea Treatment, Hospital San Vicente, in Medellín, Colombia; 1.022 (58.2% were males and 733 (41.8% females; 1.078 (61.4% were younger than one year and 677 (38.6% were above this age. Eight hundred and eighty eight (50.6% were undernourished. At admission, persistent diarrhea was found in 418 (23.8%; stools were watery in 1.056 (82.2% and dysenteric in 213 (16.6%; 16

  20. Efectividad del programa educativo “Cuidando con amor” en los conocimientos, actitudes y prácticas sobre prevención de úlceras por presión de los cuidadores de pacientes adultos mayores del Hospital San Isidro Labrador – EsSalud, Lima, Perú

    OpenAIRE

    Arpasi Quispe, Orfelina

    2015-01-01

    Objetivo: Determinar la efectividad del programa educativo “Cuidando con amor” en los conocimientos, actitudes y prácticas sobre prevención de úlceras por presión de los cuidadores de pacientes adultos mayores del Hospital San Isidro Labrador – EsSalud. Material y Métodos: El estudio fue de diseño preexperimental, de tipo cuantitativo con un solo grupo a quien se aplicó una preprueba y posprueba. Se utilizó el muestreo no probabilístico, a conveniencia del investigador, basado en criterios de...

  1. Efectividad del programa educativo “Cuidando con amor” en los conocimientos, actitudes y prácticas sobre prevención de úlceras por presión de los cuidadores de pacientes adultos mayores del Hospital San Isidro Labrador – EsSalud, Lima, Perú

    OpenAIRE

    Arpasi Quispe, Orfelina

    2015-01-01

    Objetivo: Determinar la efectividad del programa educativo “Cuidando con amor” en los conocimientos, actitudes y prácticas sobre prevención de úlceras por presión de los cuidadores de pacientes adultos mayores del Hospital San Isidro Labrador – EsSalud. Material y Métodos: El estudio fue de diseño preexperimental, de tipo cuantitativo con un solo grupo a quien se aplicó una preprueba y posprueba. Se utilizó el muestreo no probabilístico, a conveniencia del investigador, basado en criterios de...

  2. Risk factors for accidents in children that consulted to the emergency unit of San Vicente de Púl Children's Hospital of Medellín, Colombia. December 1, 1998 - March 6, 1999 Factores de riesgo de accidentes en niños que consultaron al Policlínico Infantil de Medellín Diciembre 1 de 1998-marzo 6 de 1999

    OpenAIRE

    Julio César Correa Escobar; Humberto Ramírez Gómez; Claudia Mónica Neira Velásquez; Diana Patricia Medina Mesa; Olga Francisca Salazar Blanco; María Beatriz Mesa Restrepo

    2001-01-01

    A prospective descriptive study was made to identify the factors of risk for accidents in children smaller than 12 years that consulted for this cause to the Emergency Unit of San Vicente de Paul Children´s Hospital of Medellin, from December 1 of 1998 until March 6 of 1999. These factors were compared during a period of school vacations and one of academic activity of same duration. We included 1.185 patients. The distribution for sex was: 771 children (65%) and 414 girls (35%); 912 patients...

  3. Validación del cumplimiento de los criterios de habilitación en los estándares de oportunidad, accesibilidad y seguridad en el área de fisioterapia de la E.S.E Hospital San Vicente de Paul de la ciudad de Palmira en el período comprendido entre agosto de 2010 y mayo de 2011

    OpenAIRE

    2011-01-01

    Tesis (Especialista en Administración en Salud). Universidad Católica de Manizales, Facultad de Salud, 2011. La Empresa Social del Estado (E.S.E) Hospital San Vicente de Paúl de la ciudad de Palmira desea que el equipo consultor lleve a cabo el análisis de validación del cumplimiento del criterios de habilitación en los estándares de oportunidad, accesibilidad y seguridad en el área de fisioterapia, que permita identificar la aplicación de la norma, este proyecto de investigaci...

  4. Nivel de conocimiento y actitudes de las madres puérperas sobre estimulación temprana en niños menores de un año en el Hospital Nacional Docente Madre-Niño San Bartolomé

    OpenAIRE

    Arias-Fernández, Sylvia; Chanamé-Ampuero, Eva

    2014-01-01

    Objetivo: medir el nivel de conocimientos y actitudes de las madres puérperas acerca de la estimulación temprana. Material y métodos: investigación descriptiva, cuantitativa y de corte transversal. La muestra estuvo conformada por 65 madres del Hospital San Bartolomé Madre-Niño. Se construyó dos tipos de cuestionario: el primero, para evaluar elnivel de conocimientos, y estuvo constituido por 15 preguntas; y el segundo, para evaluar el nivel de actitudes, constituido por 10 preguntas. Resulta...

  5. Evaluación del desenlace y características clínicas de una serie de niños con neutropenia febril sin foco en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2000-2005

    OpenAIRE

    María Adelaida Aristizábal Gil; Isabel Cristina Valencia Montoya; Carolina Jaramillo Arango

    2008-01-01

    Introducción: la neutropenia febril (NF) se asocia a infección en 48-60% de los casos y es la segunda causa de ingreso hospitalario al servicio de oncología pediátrica. El objetivo del estudio fue evaluar el desenlace de una serie de niños, que recibían tratamiento para neutropenia febril sin foco aparente, según un protocolo preestablecido en el Servicio de Hematooncología infantil del Hospital Universitario San Vicente de Paúl. MATERIALES Y MÉTODOS: se incluyeron retrospectivamente historia...

  6. Development of pediatric hydronephrosis patients visiting the San Vicente Foundation University Hospital, Medellín, Colombia = Evolución de los pacientes pediátricos con diagnóstico de hidronefrosis que consultaron al Hospital Universitario San Vicente Fundación, Medellín, Colombia, entre 1960 y 2010

    Directory of Open Access Journals (Sweden)

    Niño Serna, Laura

    2014-04-01

    Full Text Available INTRODUCTION: Hydronephrosis is one of the most common congenital malformations detected on prenatal ultrasounds. Moderate and severe cases are often associated with ureteropelvic junction obstruction, posterior urethral valves and vesicoureteral reflux (VUR. OBJECTIVE: To describe a series of pediatric patients diagnosed with hydronephrosis determining their etiology, prenatal diagnosis and frequency of chronic kidney disease (CKD. MATERIALS AND METHODS: A descriptive, retrospective study, through the reviewing of records of patients attending the outpatient department of pediatric nephrology at St. Vincent Hospital Foundation of Medellin, Colombia, for diagnosis of hydronephrosis during the years 1960-2010. RESULTS: The records of 924 patients between the ages of 0 and 18 years were evaluated, 35.7% female and 64.3% male. In 14.4% (133 the diagnosis was prenatal. Hydronephrosis was bilateral in 198 patients (28.5%. In 18.3% (169 no associated urological abnormality was found, reaching 4.2% in CKD (7. Ureteropelvic stenosis was diagnosed in 23.3% (216 followed with 21.5% VUR (199 and posterior urethral valves in 9.4% (87, reaching 10.2% ERC (93 CONCLUSION: Hydronephrosis allows the detection of underlying urologic abnormalities susceptible of trace or surgical correction. Prenatal diagnosis has allowed finding severe cases avoiding future complications such as urinary tract infection, presence of renal scarring and even chronic renal disease.

  7. Calidad de vida de los pacientes con enfermedad arterial coronaria incluidos en el programa de rehabilitación cardiaca del hospital San Vicente de Paúl en Heredia

    Directory of Open Access Journals (Sweden)

    Hilda Loáisiga Ledezma

    2008-12-01

    la condición médica actual de los pacientes es estable, a pesar de que muchos se encuentran subtratados. Los principales factores limitantes que encontramos nos sugieren que falta conciencia en cuanto al hecho de que la rehabilitación cardiaca debe ser vista como parte del tratamiento de estos pacientes y que como tal requiere de mayores recursos para poder beneficiar a una mayor población.Quality of life of patients with coronary artery disease from the Cardiac Rehabilitation Program at the San Vicente de Paul Hospital in Heredia Introduction: Cardiovascular disease is the first cause of death in our country, reaching approximately one third of the general mortality and atherosclerotic disease represents the majority of the mortality of this group. Cardiac Rehabilitation represents one of the fundamental parts of the treatment, combined with pharmacological therapy and revascularization procedures for coronary artery disease. The objectives of this study were to evaluate the impact of a cardiac rehabilitation program, in the quality of life of patients and their families and to become aware of factors that can interfere with the rehabilitation process. Methods: This is an observational, transverse study of patients with coronary artery diseases, with at least six month of assistance to the cardiac rehabilitation program of our hospital, up to October 2005. We used a mixed instrument of data recollection, composed of a supervised written inquiry and complemented with the measure of quantifiable variables. Results: There were no significant differences in gender population. 98% considered an improvement in their quality of life. 97% considered that their family understood better their illness, but only 45% reported integration of the family to the program. The data obtained from the stress test showed that 74% had a negative stress test for ischemia, 25% positive for ischemia and 1 % positive for high risk ischemia. The three factors that more frequently limited

  8. Tratamiento de pacientes con fracturas por proyectil de arma de fuego de baja velocidad, Hospital Universitario San Vicente de Paúl, Medellín, 2002-2003 Management of the patients with grade I open fractures by low-velocity gunshots in San Vicente de Paúl University Hospital, 2002-2003

    Directory of Open Access Journals (Sweden)

    Alejandro Uribe Ríos

    2007-03-01

    Full Text Available El propósito del presente trabajo fue evaluar el resultado del manejo de fracturas grado I producidas por proyectil de arma de fuego de baja velocidad, sin lavado y desbridamiento quirúrgico en el momento del ingreso al hospital. Se realizó un estudio retrospectivo evaluando las historias clínicas de los pacientes que ingresaban con este diagnóstico al servicio de urgencias adultos del HUSVP entre enero de 2002 y junio de 2003. Se hizo seguimiento de 77 fracturas en 74 pacientes, hasta lograr la consolidación clínica y radiológica de las fracturas. Todos los pacientes recibieron tratamiento antibiótico según los protocolos del servicio de ortopedia. Se encontró mayor frecuencia de fracturas de huesos largos: tibia (19%, fémur (18% y húmero (17%. Ningún paciente requirió lavado quirúrgico durante el manejo. Del total de fracturas, 53,2% recibieron manejo no quirúrgico, 40,2% reducción abierta y fijación interna y 6,6% fijación externa; ninguno de los pacientes presentó signos de infección durante la evolución. Con este trabajo se puede recomendar el tratamiento sin lavado y desbridamiento quirúrgico para los pacientes con fracturas grado I producidas por proyectil de arma de fuego de baja velocidad The purpose of this study was to evaluate the result of the management of grade I open fractures by low-velocity gunshots, without surgical debridement. A retrospective study evaluating the clinical histories of patients admitted in the emergency room with this diagnose between January 2002 and June 2003. Search was carried out within 77 fractures in 74 patients, until achieving the clinical and radiological consolidation of the fractures. All the patients received antibiotic treatment according to the protocols of the trauma service. The majority of fractures occurred in long bones: Tibia (19%, Femur (18% and Humerus (17%. No patient required surgical debridement in the evolution of the treatment. A total of 53.2% of the

  9. San Pascual (1989) n. 272

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    1989-01-01

    Editorial. Entrevista madre abadesa. Ofrenda. San Pascual tercer centenario de la canonizacion y cuarto de su muerte. San Pascual, un Santo universal. Pascual Baylón, poeta. grupo Scout Sant Pasqual. Aportaciones, donativos, limosnas, benefactores. Boletin informativo del templo de San Pascual de villareal.

  10. Morbilidad y mortalidad en la unidad de cuidados intensivos pediátricos del Hospital Universitario San Vicente de Paúl (HUSVP, de Medellín, Colombia, 2001-2005

    Directory of Open Access Journals (Sweden)

    Augusto Quevedo Vélez

    2008-02-01

    Full Text Available

     

    INTRODUCCIÓN: el aumento en el número y la complejidad de las Unidades de Cuidados Intensivos Pediátricos (UCIP, sumado a su alto costo, ha estimulado el interés y la necesidad de evaluar su funcionamiento, la eficacia de la labor realizada y la calidad en la prestación de los servicios, mediante indicadores asistenciales que se derivan de estudios descriptivos de morbilidad y mortalidad.

    OBJETIVO: describir las causas de morbilidad y mortalidad y las características sociodemográficas de los niños admitidos a la UCIP del Hospital Universitario San Vicente de Paúl (HUSVP, de Medellín, Colombia.

    METODOLOGÍA: estudio descriptivo y retrospectivo de corte transversal donde se hizo una selección aleatoria simple de 328 historias de pacientes que ingresaron a la UCIP durante el período de estudio. Los datos obtenidos de la revisión de las historias fueron tabulados y analizados estadísticamente.

    RESULTADOS: se encontró que 59,8% de los pacientes eran de sexo masculino, 40,9% eran menores de 1 año y 43% provenían del

  11. Nivel de cumplimiento de los registros de Enfermería en el servicio de Ginecoobstetricia del Hospital Nacional Madre Niño San Bartolomé, 2012

    OpenAIRE

    Gutiérrez Cahuana, Julia Virginia; Esquén Sembrera, Olga Yolanda; Gómez Taguchi, Eleana Patricia

    2015-01-01

    Objetivo: Determinar el nivel de cumplimiento de los registros de Enfermería con respecto a los cuidados que se brinda en el servicio de Ginecoobstetricia del HONADOMANI “San Bartolomé”. Metodología: Es un estudio de tipo no experimental, descriptivo transversal. La población de estudio estuvo constituida por 87 historias clínicas de pacientes hospitalizadas en el servicio de Ginecoobstetricia durante la segunda semana del mes de abril del año 2012, obteniéndose una muestra de 41. Se elaboró ...

  12. Atención de enfermería para la prevención de infecciones en heridas quirúrgicas abdominales, de pacientes entre 18 a 75 años de edad hospitalizados en el servicio de cirugía del hospital San Vicente de Paúl de Ibarra, en el año 2011.

    OpenAIRE

    Mina García, Silvia Mariana

    2012-01-01

    Establecer técnicas preventivas de infección de heridas quirúrgicas abdominales, en pacientes de 18 a 75 años de edad en el posoperatorio del Servicio de Cirugía del HospitalSan Vicente de Paúl” de la ciudad de Ibarra en el periodo 2011. La presente investigación se desarrolló en cinco capítulos: el primero concerniente al problema de investigación parte de hechos generales sobre infección de herida quirúrgica abdominal en el mundo seguido de lo que sucede en países de América, luego en ...

  13. Características clínicas del reflujo vesicoureteral en niños atendidos en el Hospital Universitario San Vicente de Paúl de Medellín,1960-2004 Clinical characteristics of vesicoureteral reflux in children at a university hospital in Medellín, Colombia. 1960-2004.

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2006-01-01

    Full Text Available En el Hospital Universitario San Vicente de Paúl (HUSVP de la ciudad de Medellín, Colombia, estudiamos 4.129 niños con infección del tracto urinario (ITU. Encontramos que entre las anomalías asociadas a la ITU la más común fue el reflujo vesicoureteral (RVU en 1.309 niños (31,7%, quienes presentaron 1.914 unidades renales afectadas (605 niños tenían reflujo bilateral. El presente es un trabajo descriptivo, retrospectivo, llevado a cabo con la información registrada en las bases de datos del servicio de nefrología pediátrica, en los niños con diagnóstico de RVU menores de 17 años, atendidos entre 1960- 2004. Se evaluaron las características clínicas relevantes de dichos niños, y se encontraron como hallazgos principales los siguientes: predominio en el sexo femenino (61,1%; que el diagnóstico de RVU se hizo al 29,2% de los pacientes en el primer año de vida, y que el 41,4% tenían otras anomalías asociadas al RVU. Otros hallazgos de importancia fueron: que el 72,4% de los niños tuvieron RVU de los grados III y IV; el 53,8% tuvieron compromiso unilateral; el 23,8% de los casos se resolvieron espontáneamente y el 36,1% necesitaron corrección quirúrgica. En cuanto al estudio de las cicatrices renales, se realizó en 582 pacientes (44,5% de 1.309 de los cuales fue positivo en 371 (63,7%; el 2,3% presentaron hipertensión arterial; el 7,4% desarrollaron insuficiencia renal crónica (IRC; al 0,9% se les realizó trasplante renal, y el porcentaje de muertes fue de 2,4%. Los hallazgos del presente estudio, muy cercanos a los reportados en la literatura, nos permiten hacer énfasis en las recomendaciones sobre el manejo de los niños con RVU por el riesgo de presentar lesiones renales que conducen a hipertensión e IRC. El progreso tecnológico que permite un diagnóstico más preciso del reflujo y de las cicatrices renales, la difusión de la información y el mayor compromiso del equipo médico se deben aprovechar para hacer un

  14. Caracterización epidemiológica, clínica y microbiológica del brote de diarrea asociado a Clostridium difficile, ocurrido en el Hospital San Juan de Dios, 2008-2009 Epidemiologic, clinical, and microbiologic description of an outbreak of Clostridium difficile associated diarrhea in Costa Rica

    Directory of Open Access Journals (Sweden)

    Manuel Antonio Villalobos-Zúñiga

    2012-09-01

    Full Text Available Antecedentes: la enfermedad diarreica asociada a Clostridium difficile (EDACD es la causa más importante de diarrea nosocomial en el mundo. En Costa Rica, se presentó recientemente un brote de EDACD en el Hospital San Juan de Dios de San José, hospital de tercer nivel con 700 camas. En el estudio se analizan las características epidemiológicas, clínicas y microbiológicas de los pacientes con EDACD atendidos entre noviembre de 2008 y junio de 2009. Pacientes y métodos: se definió como caso de EDACD un paciente con cuadro diarréico con detección de ELISA positiva por toxina A de C. difficile en heces. Se realizó un análisis de la incidencia anual desde 2004 de EDACD, y de la incidencia mensual de EDACD en 2009 en el HSJD, así como un estudio observacional y retrospectivo de 112 expedientes médicos correspondientes a pacientes con el diagnóstico de EDACD atendidos en el Hospital, en el periodo comprendido entre el 15 de noviembre de 2008 y el 15 de junio de 2009. El análisis de los datos se efectuó mediante pruebas estadísticas descriptivas y medidas de asociación. Resultados: la incidencia de EDACD aumentó desde finales de 2008, y alcanzó su pico máximo en abril de 2009, cuando se implementaron medidas sanitarias que disminuyeron en un 75% el número de pacientes en 8 meses. De los 112 expedientes médicos revisados, 63 (56% fueron hombres. La edad promedio fue de 65,33 años; 103 (92% pacientes desarrollaron su enfermedad mientras estuvieron hospitalizados; el tiempo promedio de internamiento fue de 18,6 días. Solo el 9% no presentó ninguna comorbilidad. Las comorbilidades más frecuentes fueron: HTA y DM tipo 2, con un 57,5% y un 39,8%, respectivamente, y enfermedad neuropsiquiátrica en un 29,2%. El 96% (107 pacientes había recibido tres o más antibióticos antes del inicio de la diarrea. La duración promedio de la antibióticoterapia fue de 32 días por paciente. En promedio, la duración de la diarrea fue de 10,2 d

  15. 75 FR 55975 - Safety Zone; San Diego Harbor Shark Fest Swim; San Diego Bay, San Diego, CA

    Science.gov (United States)

    2010-09-15

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Harbor Shark Fest Swim; San Diego Bay, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone upon the navigable waters of the San Diego Bay, San Diego, CA, in support...

  16. Structure and mechanics of the San Andreas-San Gregorio fault junction, San Francisco, California

    Science.gov (United States)

    Parsons, Tom; Bruns, Terry R.; Sliter, Ray

    2005-01-01

    The right-lateral San Gregorio and San Andreas faults meet west of the Golden Gate near San Francisco. Coincident seismic reflection and refraction profiling across the San Gregorio and San Andreas faults south of their junction shows the crust between them to have formed shallow extensional basins that are dissected by parallel strike-slip faults. We employ a regional finite element model to investigate the long-term consequences of the fault geometry. Over the course of 2-3 m.y. of slip on the San Andreas-San Gregorio fault system, elongated extensional basins are predicted to form between the two faults. An additional consequence of the fault geometry is that the San Andreas fault is expected to have migrated eastward relative to the San Gregorio fault. We thus propose a model of eastward stepping right-lateral fault formation to explain the observed multiple fault strands and depositional basins. The current manifestation of this process might be the observed transfer of slip from the San Andreas fault east to the Golden Gate fault.

  17. San Cástulo

    OpenAIRE

    Jaramillo, Tania

    2014-01-01

    Porque no te acercas y nos entendemos, nos vamos cayendo por el lucro de la colonia, nos perdemos en la esquina de san Cástulo y nos vamos volando a Eleuterio, en una noche, que la luna nos vigile, que nos aguarde, que retrase el día, y la gente permanezca dormida o despierta pero temerosa de la noche, de los policías y los delincuentes, de los violadores y de nosotros, de la vida nocturna, de ese lugar oscuro en alguna parte, donde nos convertimos y aullamos.

  18. San Cástulo

    OpenAIRE

    Jaramillo, Tania

    2014-01-01

    Porque no te acercas y nos entendemos, nos vamos cayendo por el lucro de la colonia, nos perdemos en la esquina de san Cástulo y nos vamos volando a Eleuterio, en una noche, que la luna nos vigile, que nos aguarde, que retrase el día, y la gente permanezca dormida o despierta pero temerosa de la noche, de los policías y los delincuentes, de los violadores y de nosotros, de la vida nocturna, de ese lugar oscuro en alguna parte, donde nos convertimos y aullamos.

  19. Coma blisters sans coma.

    Science.gov (United States)

    Heinisch, Silke; Loosemore, Michael; Cusack, Carrie A; Allen, Herbert B

    2012-09-01

    Coma blisters (CBs) are self-limited lesions that occur in regions of pressure during unconscious states classically induced by barbiturates. We report a case of CBs sans coma that were histologically confirmed in a 41-year-old woman who developed multiple tense abdominal bullae with surrounding erythema following a transatlantic flight. Interestingly, the patient was fully conscious and denied medication use or history of medical conditions. A clinical diagnosis of CBs was confirmed by histopathologic findings of eccrine gland necrosis, a hallmark of these bulIous lesions.

  20. Specialty education in periodontics in Japan and the United States: comparison of programs at Nippon Dental University Hospital and the University of Texas Health Science Center at San Antonio.

    Science.gov (United States)

    Osawa, Ginko; Nakaya, Hiroshi; Mealey, Brian L; Kalkwarf, Kenneth; Cochran, David L

    2014-03-01

    Japan has institutions that train qualified postdoctoral students in the field of periodontics; however, Japan does not have comprehensive advanced periodontal programs and national standards for these specialty programs. To help Japanese programs move toward global standards in this area, this study was designed to describe overall differences in periodontics specialty education in Japan and the United States and to compare periodontics faculty members and residents' characteristics and attitudes in two specific programs, one in each country. Periodontal faculty members and residents at Nippon Dental University (NDU) and the University of Texas Health Science Center at San Antonio (UTHSCSA) Dental School participated in the survey study: four faculty members and nine residents at NDU; seven faculty members and thirteen residents at UTHSCSA. Demographic data were collected as well as respondents' attitudes toward and assessment of their programs. The results showed many differences in curriculum structure and clinical performance. In contrast to the UTHSCSA respondents, for example, the residents and faculty members at NDU reported that they did not have enough subject matter and time to learn clinical science. Although the residents at NDU reported seeing more total patients in one month than those at UTHSCSA, they were taught fewer varieties of periodontal treatments. To provide high-quality and consistent education for periodontal residents, Japan needs to establish a set of standards that will have positive consequences for those in Japan who need periodontal treatment.

  1. San Diego's Capital Planning Process

    Science.gov (United States)

    Lytton, Michael

    2009-01-01

    This article describes San Diego's capital planning process. As part of its capital planning process, the San Diego Unified School District has developed a systematic analysis of functional quality at each of its school sites. The advantage of this approach is that it seeks to develop and apply quantifiable metrics and standards for the more…

  2. Los Angeles og San Francisco

    DEFF Research Database (Denmark)

    Ørstrup, Finn Rude

    1998-01-01

    Kompendium udarbejdet til en studierejse til Los Angeles og San Francisco april-maj 1998 Kunstakademiets Arkitektskole, Institut 3H......Kompendium udarbejdet til en studierejse til Los Angeles og San Francisco april-maj 1998 Kunstakademiets Arkitektskole, Institut 3H...

  3. Associated urological malformations and development of chronic kidney disease in pediatric patients with urinary tract infection at San Vicente de Paúl Hospital (Medellín, Colombia between 1960 and 2010 = Malformaciones urológicas asociadas y desarrollo de enfermedad renal crónica en pacientes pediátricos con diagnóstico de infección urinaria que consultaron al Hospital Universitario San Vicente de Paúl (Medellín, Colombia entre los años 1960-2010

    Directory of Open Access Journals (Sweden)

    Serrano Gayubo, Ana Katherina

    2013-01-01

    Full Text Available Introduction: Urinary tract infection (UTI is a major cause of bacterial disease in the pediatric population. Associated factors such as vesicoureteral reflux (VUR, posterior urethral valves, neurogenic bladder and other anatomical malformations increase the likelihood of developing renal scarring and dysplasia/hypoplasia, which at the same time increase in the long term the risk of hypertension (HT, proteinuria and chronic kidney disease (CKD. Objective: To describe the malformations associated with the frequency of UTI and development of CKD in pediatric patients who consulted San Vicente de Paúl Hospital, in Medellin, Colombia, between 1960 and 2010. Methods: A descriptive, retrospective study in which the clinical records of 4.476 patients with UTI were evaluated. Results: Patients with urinary tract anomalies corresponded to 78.3% of the total (predominance of women: 52.8%. Primary VUR was found in 29.9%; out of these, 5.1% progressed to CKD. Neurogenic bladder was diagnosed in 8.6%, of which 70.8% were secondary to myelomeningocele and 4.9% developed CKD. The posterior urethral valves were present in 3.5% of the total sample, of which 28.5% developed CKD. Conclusion: UTI in the pediatric population is a marker of urinary tract malformation and the prognosis is determined by the presence of VUR, obstructive anomalies and/or renal dysplasia favoring renal scarring, and increasing the risk of hypertension, proteinuria and CKD. An appropriate diagnostic approach would be the basis to implement management strategies to prevent deterioration of renal function.

  4. Asociación del intervalo intergenésico y la morbimortalidad materno fetal en el Hospital María Auxiliadora de San Juan de Miraflores, Lima. 2014

    OpenAIRE

    Huamaní Cueto, Silvia Constanza

    2015-01-01

    Determina la asociación del intervalo intergenésico sobre la morbilidad materno fetal en el Hospital María Auxiliadora, 2014. Material y métodos: estudio descriptivo correlacional y retrospectivo; la muestra estuvo conformada por 7631 historias clínicas de gestantes que dieron parto, y cuyo embarazo finalizó en un nacido vivo o muerto; se estudió 3138 historias clínicas de gestantes divididas en intervalos según criterios de inclusión. Los datos fueron obtenidos del Sistema Informático Perina...

  5. Comportamiento clínico de la artritis reumatoidea en la unidad de reumatología del hospital san juan de dios de santa fe de bogotá

    OpenAIRE

    2011-01-01

    En dos perrodos de ticmpo, el primero con 2.000 pacientes entre 1966)' 1995 )' el segundo con 92 pacientes en 1996, estudiamos el comportamiento c1inico de artritis reumatoidea en nuestro medio, haciendo énfasis en las manifestaciones extra-arficulares y las causas de muerte. También en 1996 miramos la frecuencia de consulta reumatológica en nuestro Hospital y la enfermedad mas f'recuentemente vista por nosotros. Encontramos manifestaciones extra-articulares en la mayoria de sistemas orgánico...

  6. Modificación en el patrón de uso de anfotericina B no convencional tras la puesta en marcha de una intervención formativa en el Hospital Clínico San Carlos de Madrid

    OpenAIRE

    Concepción Prieto Yerro; Leonor Laredo Velasco; Ángel Rodríguez Bernardino; Emilio Vargas Castrillón; Ma. Isabel Ambit Ávila; Alfonso Merchante Medina

    2001-01-01

    Fundamento: La anfotericina B es el tratamiento de elección para las infecciones fúngicas sistémicas. Dentro de ellas, las formas lipídicas parecen tener un mejor perfil de seguridad, sin embargo el coste es llamativamente superior. En 1999 (periodo pre-intervención) se realizó en nuestro hospital una evaluación de la calidad de la prescripción de estos preparados que demostró que su uso no era óptimo y ocasionó un gasto innecesario importante. Como consecuencia de ello s...

  7. 78 FR 39610 - Safety Zone; Big Bay Boom, San Diego Bay; San Diego, CA

    Science.gov (United States)

    2013-07-02

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Big Bay Boom, San Diego Bay; San Diego, CA... temporary safety zones upon the navigable waters of the San Diego Bay for the annual Port of San Diego... Sector San Diego, Coast Guard; telephone 619-278-7261, email d11marineeventssd@uscg.mil . If you have...

  8. 75 FR 38412 - Safety Zone; San Diego POPS Fireworks, San Diego, CA

    Science.gov (United States)

    2010-07-02

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego POPS Fireworks, San Diego, CA... zone on the ] navigable waters of San Diego Bay in support of the San Diego POPS Fireworks. This safety.... Coast Guard Sector San Diego, CA; telephone 619-278- 7262, e-mail Shane.E.Jackson@uscg.mil . If you have...

  9. 78 FR 42027 - Safety Zone; San Diego Bayfair; Mission Bay, San Diego, CA

    Science.gov (United States)

    2013-07-15

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Bayfair; Mission Bay, San Diego... proposing a temporary safety zone on the navigable waters of Mission Bay in San Diego, CA for the San Diego..., call or email Lieutenant John Bannon, Waterways Management, U.S. Coast Guard Sector San Diego...

  10. 78 FR 29289 - Safety Zone; Big Bay Boom, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2013-05-20

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Big Bay Boom, San Diego Bay, San Diego, CA... establish four temporary safety zones upon the navigable waters of San Diego ] Bay for the Port of San Diego... Management, U.S. Coast Guard Sector San Diego; telephone (619) 278-7261, email John.E.Bannon@uscg.mil . If...

  11. 78 FR 53245 - Safety Zone; San Diego Bayfair; Mission Bay, San Diego, CA

    Science.gov (United States)

    2013-08-29

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Bayfair; Mission Bay, San Diego... temporary safety zone upon the navigable waters of Mission Bay in San Diego, CA for the annual San Diego... Management, U.S. Coast Guard Sector San Diego; telephone (619) 278-7261, email John.E.Bannon@uscg.mil . If...

  12. Riparian Habitat - San Joaquin River

    Data.gov (United States)

    California Department of Resources — The immediate focus of this study is to identify, describe and map the extent and diversity of riparian habitats found along the main stem of the San Joaquin River,...

  13. 1906 San Francisco, USA Images

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The 1906 San Francisco earthquake was the largest event (magnitude 8.3) to occur in the conterminous United States in the 20th Century. Recent estimates indicate...

  14. Primera experiencia en el uso de Cardioplejia sanguínea: estudio prospectivo de 200 casos sometidos a Cirugía Cardíaca en el Hospital México, San José, Costa Rica

    Directory of Open Access Journals (Sweden)

    Edgar A. Méndez

    2002-12-01

    Full Text Available Introducción: Este estudio reporta la primera experiencia del uso de cardioplejia sanguínea durante la cirugía cardíaca en el hospital México y expone la importancia de su uso en cirugía cardíaca. Material y Métodos: Se estudiaron prospectivamente 200 pacientes consecutivos programados a varios procedimientos quirúrgicos cardíacos con el uso de cardioplejia sanguínea en un período comprendido entre setiembre de 1999 y febrero del 2002. Resultados: Estos 200 casos consistieron de 122 hombres y 78 mujeres con una edad promedio de 57.48 años ( rango, 26 a 28 años . 71 pacientes salieron del arresto cardíaco con ritmo espontáneo. Doce pacientes fallecieron y 30 casos presentaron complicaciones en el postoperatorio: 9 pacientes presentaron infarto agudo al miocardio perioperatorio, 6 casos presentaron para cardiorrespiratorio, 12 tuvieron arritmias cardíacas, 3 pacientes presentaron insuficiencia cardíaca congestivo. Conclusiones: En esta experiencia preliminar, el uso de la cardioplejia sanguínea parece proveer una protección miocárdica segura y confiable durante la cirugía cardíaca, siendo un método ideal en casos de cirugías de elevado riesgo quirúrgico.lntroduction: This study reports the first experience in the use of sanguineous cardioplegia during cardiac surgery in the Mexico Hospital and exposes the important role that this procedure plays in this type of surgery. Materials and Methods: A prospective study was carried out with 200 consecutive patients programmed for different cardiac surgical procedures with the use of sanguineous cardioplegia during the period of September 1999 to February 2002. Results: Of the 200 cases 122 were male and 78 females, all with average ages of 57.48 years. Seventy one patients carne out of cardiac arrest with spontaneous rhythm. Tweive patients died and 30 cases presentes post- surgícal complications: 9 patients presentes acute myocardium infarct, 6 cases presentes Respiratory

  15. Environmental assessment : Rodent control program : San Joaquin river levee : San Luis National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Lower San Joaquin Levee District (LSJLD) requires that six miles of levee situated along the San Joaquin River on San Luis National Wildlife Refuge (SLNWR) be...

  16. Labor and Management Build Skills in the Hospitality Industry.

    Science.gov (United States)

    Moy, Debbie

    1998-01-01

    The San Francisco Hotels Partnership is a consortium of hotel operators and unions that addresses skill-development needs in the hospitality industry. Participating workers were very satisfied with the opportunity to learn communication, problem solving, and teamwork skills. (SK)

  17. Residencia San Pedro, California

    Directory of Open Access Journals (Sweden)

    Neutra, Richard J.

    1961-01-01

    Full Text Available Esta vivienda representa una aproximación más hacia la típica casa grande española, con techos de teca de 7 cm, que los señores Rados han edificado y en la que albergan a su gran familia de hijos, los cuales tienen ya sus propios vástagos. Ambos, el señor y la señora Rados, descienden de familias navieras italianas de Trieste, y el propio señor Rados tiene una compañía constructora de barcos en el puerto de San Pedro, que puede verse desde su propia casa. Los dos son verdaderamente unos abuelos muy sociables, cariñosos y atentos. Por añadidura, la señora Rados se entretiene frecuentemente y le agrada el cuidado de la casa. Por ello ha sido proyectada para facilitar sensiblemente toda esta serie de actividades.

  18. Vegetation - San Felipe Valley [ds172

    Data.gov (United States)

    California Department of Resources — This Vegetation Map of the San Felipe Valley Wildlife Area in San Diego County, California is based on vegetation samples collected in the field in 2002 and 2005 and...

  19. 75 FR 39166 - Safety Zone; San Francisco Giants Baseball Game Promotion, San Francisco, CA

    Science.gov (United States)

    2010-07-08

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Francisco Giants Baseball Game... Bay off San Francisco, CA in support of the San Francisco Giants Baseball Game Promotion. This safety... Giants will sponsor the San Francisco Giants Baseball Game Promotion on July 16, 2010, on the...

  20. 78 FR 21403 - Notice of Inventory Completion: San Francisco State University NAGPRA Program, San Francisco, CA

    Science.gov (United States)

    2013-04-10

    ... NAGPRA Program, c/o Department of Anthropology, San Francisco State University, 1600 Holloway Avenue, San...: Pursuant to 25 U.S.C. 3001(9), the human remains described in this notice represent the physical remains of... NAGPRA Program, c/o Department of Anthropology, San Francisco State University, 1600 Holloway Avenue, San...

  1. 76 FR 55796 - Safety Zone; TriRock Triathlon, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2011-09-09

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; TriRock Triathlon, San Diego Bay, San Diego.... Basis and Purpose Competitor Group is sponsoring the TriRock Triathlon, consisting of 2000 swimmers....T11-431 Safety Zone; TriRock Triathlon, San Diego Bay, San Diego, CA. (a) Location. The limits of...

  2. 76 FR 45693 - Safety Zone; San Diego POPS Fireworks, San Diego, CA

    Science.gov (United States)

    2011-08-01

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego POPS Fireworks, San Diego, CA... temporary safety zone on the navigable waters of San Diego Bay in support of the San Diego POPS Fireworks... Diego, CA; telephone (619) 278- 7262, e-mail Shane.E.Jakcson@uscg.mil . If you have questions on viewing...

  3. 78 FR 38584 - Safety Zone; San Diego Symphony Summer POPS Fireworks 2013 Season, San Diego, CA

    Science.gov (United States)

    2013-06-27

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Symphony Summer POPS Fireworks 2013 Season, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of San Diego Bay in support of the San Diego...

  4. 76 FR 75908 - Notice of Inventory Completion: The University of California, San Diego, San Diego, CA

    Science.gov (United States)

    2011-12-05

    ... National Park Service Notice of Inventory Completion: The University of California, San Diego, San Diego... California on behalf of the University of California, San Diego, have completed an inventory of human remains... contact the University of California, San Diego. Disposition of the human remains and associated funerary...

  5. 77 FR 42647 - Safety Zone: San Diego Symphony POPS Fireworks; San Diego, CA

    Science.gov (United States)

    2012-07-20

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone: San Diego Symphony POPS Fireworks; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of San Diego Bay in support of the San Diego Symphony POPS...

  6. 75 FR 77756 - Safety Zone; San Diego Parade of Lights Fireworks, San Diego, CA

    Science.gov (United States)

    2010-12-14

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; San Diego Parade of Lights Fireworks, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone upon the navigable water of the San Diego Bay in San Diego, CA in support of the two...

  7. The San Bernabe power substation; La subestacion San Bernabe

    Energy Technology Data Exchange (ETDEWEB)

    Chavez Sanudo, Andres D. [Luz y Fuerza del Centro, Mexico, D. F. (Mexico)

    1997-12-31

    The first planning studies that gave rise to the San Bernabe substation go back to year 1985. The main circumstance that supports this decision is the gradual restriction for electric power generation that has been suffering the Miguel Aleman Hydro System, until its complete disappearance, to give priority to the potable water supply through the Cutzamala pumping system, that feeds in an important way Mexico City and the State of Mexico. In this document the author describes the construction project of the San Bernabe Substation; mention is made of the technological experiences obtained during the construction and its geographical location is shown, as well as the one line diagram of the same [Espanol] Los primeros estudios de planeacion que dieron origen a la subestacion San Bernabe se remontan al ano de 1985. La circunstancia principal que soporta esta decision es la restriccion paulatina para generar energia que ha venido experimentando el Sistema Hidroelectrico Miguel Aleman, hasta su desaparicion total, para dar prioridad al suministro de agua potable por medio del sistema de bombeo Cutzamala, que alimenta en forma importante a la Ciudad de Mexico y al Estado de Mexico. En este documento el autor describe el proyecto de construccion de la subestacion San Bernabe; se mencionan las experiencias tecnologicas obtenidas durante su construccion y se ilustra su ubicacion geografica, asi como un diagrama unifilar de la misma

  8. FacilitiesHospitals_HOSPITAL

    Data.gov (United States)

    Vermont Center for Geographic Information — This data layer contains point locations of all major community, regional, comprehensive health, and healthcare provider hospitals in the state of Vermont. The...

  9. 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....

  10. A Spanish Borderlands Community: San Antonio.

    Science.gov (United States)

    Teja, Jesus F. de la

    2000-01-01

    Discusses the founding of San Antonio, originally San Antonio de Bexar, which, in 1718, came into being as a military settlement involved in Spanish imperial defensive measures. Focuses on the development and continued growth of San Antonio, Texas's most populous city in the 19th century. (CMK)

  11. Convair Astronautics, San Diego (California

    Directory of Open Access Journals (Sweden)

    Pereira & Luckmam, Arquitectos

    1960-05-01

    Full Text Available Este brillante y espectacular complejo industrial se ha creado especialmente para la investigación y fabricación de cohetes intercontinentales y vehículos del espacio de las Fuerzas Aéreas de los EE. UU., en las proximidades de San Diego y cerca del campo de pruebas de Sycamore Canyon.

  12. Reminiscencias del Hospital San Carlos de Bogotá.

    Directory of Open Access Journals (Sweden)

    Gilberto Rueda Pérez

    2005-09-01

    Don Gustavo Restrepo Mejía nació en Bogotá, el 4 de diciembre de 1870 y murió el 25 de agosto de 1940. Hijo de don Manuel Antonio Restrepo de Doña Carlota Mejía, era el sexto de siete hermanos nunca se casó ni tuvo hijos; le sobrevivieron sus hermanos David y Carlota así como numerosos sobrinos nietos a quienes menciona en su testamento, su biógrafos anotan que era «ordenado y sagaz»… jamás perdió dinero en ninguna de las operaciones financieras en las que intervino sin descanso, hasta pocos días antes de morir, porque inclusive cuando vivía en Europa desde allá manejaba todos sus intereses. El periódico El Tiempo de Bogotá se refería a Don Gustavo Restrepo Mejía como «El primer millonario de Colombia»...

  13. Evaluación del desenlace y características clínicas de una serie de niños con neutropenia febril sin foco en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2000-2005

    Directory of Open Access Journals (Sweden)

    María Adelaida Aristizábal Gil

    2008-11-01

    Full Text Available Introducción: la neutropenia febril (NF se asocia a infección en 48-60% de los casos y es la segunda causa de ingreso hospitalario al servicio de oncología pediátrica. El objetivo del estudio fue evaluar el desenlace de una serie de niños, que recibían tratamiento para neutropenia febril sin foco aparente, según un protocolo preestablecido en el Servicio de Hematooncología infantil del Hospital Universitario San Vicente de Paúl. MATERIALES Y MÉTODOS: se incluyeron retrospectivamente historias clínicas de pacientes menores de 15 años con diagnóstico nuevo de neoplasia maligna y neutropenia febril sin foco, hospitalizados en un lapso de 5 años. Los datos se registraron en un formato preestablecido. RESULTADOS: se incluyeron 103 historias clínicas con 182 episodios de NF; 34,1% fueron pacientes con leucemia linfoblástica riesgo estándar (LLA, 19,8% LLA de alto riesgo y 13,7%, linfoma no Hodking. 68,1% tuvieron NF grave y en 94,5% se había aplicado quimioterapia previa (79,7% intensiva. La infección se documentó clínicamente en 38,4% y microbiológicamente en 25,2% de los episodios; hubo bacteriemia en 15,4% de los episodios, 3,3% con urocultivo positivo y 6,5% con aislamiento del invasor en otros sitios. Los microorganismos más frecuentes fueron Escherichia coli (24% y Pseudomonas aeruginosa (13%. Hubo mayor resistencia a ceftriazona y cefatzidime tanto de gérmenes grampositivos como de gramnegativos y producción de betalactamasas en 9% durante un año de evaluación; 50% de los aislamientos de S. aureus coagulasa negativo fueron resistentes a oxacilina. En 37 episodios hubo complicaciones (20,2%, la más frecuente de las cuales fue la afectación cardiopulmonar; en 25,2% fracasó el tratamiento, en 21,4% hubo respuesta parcial y 7 pacientes (3,8% fallecieron. CONCLUSIONES: los hallazgos son similares a los reportados por otros autores; predominan en nuestra unidad los microorganismos gramnegativos como causa importante de

  14. 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...

  15. 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...

  16. Norovirus - hospital

    Science.gov (United States)

    Gastroenteritis - norovirus; Colitis - norovirus; Hospital acquired infection - norovirus ... fluids ( dehydration ). Anyone can become infected with norovirus. Hospital patients who are very old, very young, or ...

  17. San Pascual (1991) Año XXVIII, n. 284

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    1991-01-01

    Editorial. Documento de la Santa sede. San Pascual y la Virgen de Gracia. Nueva revista dedicada a San Pascual. Adoración nocturna. Desde la clausura. Vida en el santuario de San Pascual. Orden Franciscana. Coplas a San Pascual Baylón. San Pascual en el arte. Rutas pascualinas. A l'ombra del claustre.

  18. San Pascual (1991) Año XXVIII, n. 284

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    1991-01-01

    Editorial. Documento de la Santa sede. San Pascual y la Virgen de Gracia. Nueva revista dedicada a San Pascual. Adoración nocturna. Desde la clausura. Vida en el santuario de San Pascual. Orden Franciscana. Coplas a San Pascual Baylón. San Pascual en el arte. Rutas pascualinas. A l'ombra del claustre.

  19. Species - San Diego Co. [ds121

    Data.gov (United States)

    California Department of Resources — This is the Biological Observation Database point layer representing baseline observations of sensitive species (as defined by the MSCP) throughout San Diego County....

  20. 33 CFR 165.1102 - Security Zone; Naval Base Point Loma; San Diego Bay, San Diego, CA.

    Science.gov (United States)

    2010-07-01

    ... Loma; San Diego Bay, San Diego, CA. 165.1102 Section 165.1102 Navigation and Navigable Waters COAST... Guard District § 165.1102 Security Zone; Naval Base Point Loma; San Diego Bay, San Diego, CA. (a) Location. The following area is a security zone: The water adjacent to the Naval Base Point Loma, San Diego...

  1. 77 FR 57494 - Safety Zone; Fleet Week Fireworks, San Francisco Bay, San Francisco, CA

    Science.gov (United States)

    2012-09-18

    ... SECURITY Coast Guard 33 CFR Part 165 Safety Zone; Fleet Week Fireworks, San Francisco Bay, San Francisco... will enforce the safety zone for the Fleet Week Fireworks in the Captain of the Port, San Francisco...'' W (NAD83) for the Fleet Week Fireworks in 33 CFR 165.1191, Table 1, item number 25. This safety...

  2. 78 FR 10062 - Safety Zone; Sea World San Diego Fireworks, Mission Bay; San Diego, CA

    Science.gov (United States)

    2013-02-13

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Sea World San Diego Fireworks, Mission Bay; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of Mission Bay in support of the Sea World San Diego...

  3. 77 FR 42649 - Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA

    Science.gov (United States)

    2012-07-20

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is... rule, call or email Petty Officer David Varela, Waterways Management, U.S. Coast Guard Sector San Diego...

  4. 77 FR 60899 - Safety Zone; Sea World San Diego Fireworks, Mission Bay; San Diego, CA

    Science.gov (United States)

    2012-10-05

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Sea World San Diego Fireworks, Mission Bay; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of Mission Bay in support of the Sea World San Diego...

  5. 77 FR 42638 - Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA

    Science.gov (United States)

    2012-07-20

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of Mission Bay in support of the Sea World San Diego...

  6. 78 FR 29025 - Sea World San Diego Fireworks 2013 Season; Mission Bay, San Diego, CA

    Science.gov (United States)

    2013-05-17

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Sea World San Diego Fireworks 2013 Season; Mission Bay, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of Mission Bay in support of the Sea World San Diego...

  7. 76 FR 46352 - Approval of Noise Compatibility Program for San Diego International, San Diego, CA

    Science.gov (United States)

    2011-08-02

    ... Federal Aviation Administration Approval of Noise Compatibility Program for San Diego International, San Diego, CA AGENCY: Federal Aviation Administration, DOT. ACTION: Notice . SUMMARY: The Federal Aviation Administration (FAA) announces its findings on the noise compatibility program submitted by San Diego Regional...

  8. 78 FR 77597 - Safety Zone; Allied PRA-Solid Works, San Diego Bay; San Diego, CA

    Science.gov (United States)

    2013-12-24

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Allied PRA-Solid Works, San Diego Bay; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on the navigable waters of the San Diego Bay in support of a fireworks...

  9. Cuartel San Carlos. Yacimiento veterano

    Directory of Open Access Journals (Sweden)

    Mariana Flores

    2007-01-01

    Full Text Available El Cuartel San Carlos es un monumento histórico nacional (1986 de finales del siglo XVIII (1785-1790, caracterizado por sufrir diversas adversidades en su construcción y soportar los terremotos de 1812 y 1900. En el año 2006, el organismo encargado de su custodia, el Instituto de Patrimonio Cultural del Ministerio de Cultura, ejecutó tres etapas de exploración arqueológica, que abarcaron las áreas Traspatio, Patio Central y las Naves Este y Oeste de la edificación. Este trabajo reseña el análisis de la documentación arqueológica obtenida en el sitio, a partir de la realización de dicho proyecto, denominado EACUSAC (Estudio Arqueológico del Cuartel San Carlos, que representa además, la tercera campaña realizada en el sitio. La importancia de este yacimiento histórico, radica en su participación en los acontecimientos que propiciaron conflictos de poder durante el surgimiento de la República y en los sucesos políticos del siglo XX. De igual manera, se encontró en el sitio una amplia muestra de materiales arqueológicos que reseñan un estilo de vida cotidiana militar, así como las dinámicas sociales internas ocurridas en el San Carlos, como lugar estratégico para la defensa de los diferentes regímenes que atravesó el país, desde la época del imperialismo español hasta nuestros días.

  10. Downtown revitalization in San Salvador

    OpenAIRE

    Ejeborn, Elisabet; Nedersjö, Julia

    2012-01-01

    The aim of this master’s thesis in spatial planning is to research the conditions in the historic city centre of San Salvador and make a strategy and urban design proposal for the area, but also to investigate the relationship between economic development, public institutions and the public space in this area. The research has been done through literature studies on El Salvador and formal/informal economy, onsite inventory, studies of good examples and interviews with people in the area. In t...

  11. Downtown revitalization in San Salvador

    OpenAIRE

    Ejeborn, Elisabet; Nedersjö, Julia

    2012-01-01

    The aim of this master’s thesis in spatial planning is to research the conditions in the historic city centre of San Salvador and make a strategy and urban design proposal for the area, but also to investigate the relationship between economic development, public institutions and the public space in this area. The research has been done through literature studies on El Salvador and formal/informal economy, onsite inventory, studies of good examples and interviews with people in the area. In t...

  12. Fístulas carótido-cavernosas: resultados clínico y angiográfico en pacientes tratados por el Grupo Escuela de Neurorradiología del Hospital Universitario San Vicente de Paúl, de Medellín, Colombia, en el período 1995-2007

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2008-11-01

    Full Text Available INTRODUCCIÓN: las fístulas carótido-cavernosas (FCC son muy frecuentes en Medellín, Colombia. Su tratamiento quirúrgico ha tenido tasas elevadas de complicaciones debido a la arquitectura particular de esta área. La terapia endovascular ha surgido entonces como la primera opción de tratamiento para los pacientes con esta enfermedad. OBJETIVO: describir las principales características de nuestros pacientes con FCC, el método terapéutico empleado y los resultados clínico y angiográfico obtenidos. MATERIALES Y MÉTODOS: revisamos retrospectivamente 51 pacientes tratados por el Grupo Escuela de Neurorradiología del Hospital Universitario San Vicente de Paúl desde 1995 hasta 2007, describiendo variables demográficas, causa de la lesión, estado clínico, tipo de fístula, método terapéutico empleado y los resultados clínico y angiográfico. RESULTADOS: hubo predominio en hombres; el promedio de edad fue de 35 años. Las causas de las fístulas fueron: espontáneas en 4 pacientes (7,8%, trauma encefalocraneano cerrado en 33 pacientes (64,7%, herida por proyectil de arma de fuego en 12 (23,5% y herida por arma cortopunzante en 2 (3,9%. Las manifestaciones clínicas, en orden descendente de frecuencia, fueron: quemosis, proptosis, soplo, dolor, disminución de la agudeza visual y sangrado intracraneal. En cuanto al tipo, 86,3% fueron A; 9,8%, B; 2%, C y 2%, D. En 32 pacientes (62,7% se logró la permeabilidad de la carótida interna y en los restantes 19 hubo necesidad de ocluirla. En 48 pacientes se empleó terapia endovascular, más frecuentemente con balones (34 casos tanto para la oclusión del sitio fistuloso como para la realización de trapping. En 14 casos se emplearon coils, en 3 pacientes stent, en 4 NCBA (n-cianocrilato de butilo; en dos pacientes hubo resolución espontánea de la fístula y otra más se resolvió con masaje carotídeo. Las vías de acceso vascular más frecuentes fueron la arterial en 44 pacientes (81,5% y

  13. Resultados perinatales de las mujeres con ruptura de las membranas ovulares entre las semanas 24 y 34 de la gestación sometidas a manejo expectante en el Hospital Universitario San Vicente de Paúl, Medellín-Colombia

    Directory of Open Access Journals (Sweden)

    Álvaro Antonio Araque Fernández

    2008-11-01

    Full Text Available La literatura mundial sobre el manejo de la ruptura prematura de membranas ovulares pretérmino (RPMOP y sobre los resultados perinatales, informa de una disminución de la morbilidad y la mortalidad de los recién nacidos cuyas madres recibieron profilaxis con antibióticos, pero algunos estudios presentan inconsistencias en su metodología, lo que se demuestra con el análisis del estudio ORACLE, por parte del Centro Latinoamericano de Perinatología y de Desarrollo Humano (CLAP. Esta organización consideró sin validez suficiente la conclusión acerca de la disminución de la morbilidad y mortalidad perinatales con el uso de antibióticos en el cual se hizo un análisis general para dos poblaciones distintas, una con RPMOP y otra con APP (amenaza de parto prematuro; el error metodológico estimado fue no realizar análisis por subgrupos como dos poblaciones diferentes. En el Hospital Universitario San Vicente de Paúl (HUSVP de Medellín, Colombia, se hace un manejo expectante de la RPMOP, el cual no incluye uso de antibióticos. El objetivo de esta investigación fue describir los desenlaces perinatales de las mujeres con RPMOP de acuerdo con los diferentes grupos de edad gestacional y los diferentes períodos de latencia, atendidas en el HUSVP y sometidas al protocolo institucional que consiste en manejo expectante, sin antibióticos. Esta investigación fue descriptiva prospectiva con mujeres cuya edad gestacional estaba comprendida entre las 24 y 33semanas + 6 días con diagnóstico de RPMOP. El diagnóstico se efectuó por el examen clínico y/o la prueba de índigo carmín. El seguimiento consistió en evaluación clínica, monitoreo electrónico fetal, perfil biofísico fetal (PBF y reactantes de fase aguda realizados periódicamente. Se evaluaron los siguientes desenlaces primarios: muerte perinatal, corioamnionitis, síndrome de dificultad respiratoria (SDR, sepsis temprana, hemorragia intraventricular (HIV, enterocolitis necrosante

  14. Características funcionales y ecocardiográficas de un grupo de pacientes con infarto traumático de miocardio, al inicio y a los seis meses, captados en el Hospital Universitario San Vicente de Paúl, Medellín, 2002-2004

    Directory of Open Access Journals (Sweden)

    Alejandro Osorio Ramírez

    2008-02-01

    Full Text Available

    OBJETIVO: presentar y analizar el comportamiento de las características funcionales y ecocardiográficas de un grupo de pacientes con infarto traumático de miocardio al inicio y a los seis meses del evento.

    PROCEDIMIENTOS: se realizó un estudio descriptivo y prospectivo de 11 pacientes con infarto traumático de miocardio, captados entre enero de 2002 y abril de 2004 en el Servicio de Rehabilitación Cardíaca del Hospital Universitario San Vicente de Paúl. RESULTADOS: en la primera evaluación la fracción de eyección (FE y la fracción de acortamiento (FA fueron relativamente bajas. En el seguimiento se observó un incremento en el diámetro diastólico del ventrículo izquierdo (DDVI, en el diámetro sistólico del ventrículo izquierdo (DSVI y en el índice de masa ventricular izquierda (IMVI, pero sin que fueran estadísticamente significativos. El grosor relativo (GR disminuyó en forma estadísticamente significativa (p = 0,010. La FE y la FA mejoraron pero sin significancia estadística. El estado funcional se incrementó en forma significativa. La media de diferencias para el DDVI y el DSVI mostró tendencia al incremento en los diámetros.

    CONCLUSIONES: los pacientes presentaron infartos extensos con compromiso apical y anterolateral y con lesiones importantes en la arteria descendente

  15. Características epidemiológicas, clínicas y microbiológicas, y mortalidad de neonatos con sepsis comprobada en el Hospital Universitario San Vicente de Paúl, Medellín, 2003-2005

    Directory of Open Access Journals (Sweden)

    José William Cornejo Ochoa

    2008-02-01

    Full Text Available

    OBJETIVO: determinar las características epidemiológicas, clínicas y microbiológicas, y la mortalidad por sepsis comprobada en la unidad de neonatos del Hospital Universitario San Vicente de Paúl (HUSVP de Medellín, Colombia, entre enero de 2003 y diciembre de 2005.

    MÉTODOS: este es un estudio de cohorte retrospectiva descriptiva. Se revisaron las historias clínicas de los neonatos con sepsis comprobada.

    RESULTADOS: durante el período analizado ingresaron a la unidad neonatal 2447 neonatos de los cuales 181 presentaron sepsis comprobada (7,43%, de estos en 10 casos (5,4% no fue posible encontrar la historia clínica. En total se analizaron 171 historias donde se reportaron 185 episodios de sepsis. El germen más frecuentemente aislado fue Staphylococcus spp., coagulasa negativa (40,2%, seguido de los bacilos gram negativos (33,6%. Se halló Candida spp., en 5,5% de los casos. Las manifestaciones más comunes fueron apnea e intolerancia a la vía oral. Se encontró una mortalidad del 6,4%; los bacilos gram negativos representaron el 50% de los gérmenes asociados con muerte; la leucopenia, la trombocitopenia y la hipotensión se asociaron con mortalidad. Las alteraciones del hemograma, clásicamente consideradas sugestivas de sepsis neonatal, como bandas por encima del 10%, índice de neutr

  16. Trouble Brewing in San Francisco. Policy Brief

    Science.gov (United States)

    Buck, Stuart

    2010-01-01

    The city of San Francisco will face enormous budgetary pressures from the growing deficits in public pensions, both at a state and local level. In this policy brief, the author estimates that San Francisco faces an aggregate $22.4 billion liability for pensions and retiree health benefits that are underfunded--including $14.1 billion for the city…

  17. hospital's perspective

    African Journals Online (AJOL)

    Cost effectiveness of autologous blood transfusion - A developing country hospital's ... 4Military Hospital, Lagos. Summary. An autologous blood donation program was set up at. National .... risk of infection for autologous patients was 5.06.

  18. Hospitality within hospital meals –

    DEFF Research Database (Denmark)

    Justesen, Lise; Gyimóthy, Szilvia; Mikkelsen, Bent Egberg

    2016-01-01

    Hospital meals and their role in nutritional care have been studied primarily from a life and natural science perspective. This article takes a different approach and explores the idea of hospitality inspired by Jacques Derrida’s work on the ontology of hospitality. By drawing on ethnographic...... fieldwork in a Danish hospital, hospitality practices were studied using a socio-material assemblage approach. The study showed that rethinking the meal event could change the wards into temporary “pop-up-restaurants,” transcending the hospital context and providing a scene for shifting host...... and management involved in hospital food service and in nutritional care to work more systematically with the environment for improved hospital meal experiences in the future...

  19. Clinical and sociodemographic characteristics of children, younger than 13 years, with or without a confirmed diagnosis of pulmonary tuberculosis, at Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2007-200 Características clínicas y sociodemográficas de niños menores de 13 años con diagnóstico confirmado de tuberculosis pulmonar o sin él, en el Hospital Universitario

    Directory of Open Access Journals (Sweden)

    Angélica Arteaga Arteaga

    2010-08-01

    cm 0cm 0pt; mso-layout-grid-align: none;">Objective: To determine the sociodemographic and clinical characteristics of a group of children with suspicion or confirmed diagnosis of pulmonary tuberculosis.

    Methodology: Fifty six children were studied at Hospital Universitario San Vicente de Paúl, in Medellín, Colombia, between July 2007 and December 2008. Pulmonary

    tuberculosis was confirmed according to the WHO criteria. Information was obtained from the patients themselves, their parents, and the hospital files.

    Results:

  20. Small angle neutron scattering (SANS and V-SANS) study of asphaltene aggregates in crude oil.

    Science.gov (United States)

    Headen, Thomas F; Boek, Edo S; Stellbrink, Jörg; Scheven, Ulrich M

    2009-01-06

    We report small angle neutron scattering (SANS) experiments on two crude oils. Analysis of the high-Q SANS region has probed the asphaltene aggregates in the nanometer length scale. We find that the radius of gyration decreases with increasing temperature. We show that SANS measurements on crude oils give similar aggregate sizes to those found from SANS measurements of asphaltenes redispersed in deuterated toluene. The combined use of SANS and V-SANS on crude oil samples has allowed the determination of the radius of gyration of large scale asphaltene aggregates of approximately 0.45 microm. This has been achieved by the fitting of Beaucage functions over two size regimes. Analysis of the fitted Beaucage functions at very low-Q has shown that the large scale aggregates are not simply made by aggregation of all the smaller nanoaggregates. Instead, they are two different aggregates coexisting.

  1. Morbimortalidad en la unidad de cuidados intensivos pediátricos del Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2001-2005 Morbidity and mortality at a pediatric intensive care unit in Medellín, Colombia, 2001-2005

    Directory of Open Access Journals (Sweden)

    Augusto Quevedo Vélez

    2008-01-01

    Full Text Available

    Introducción: el aumento en el número y la complejidad de las Unidades de Cuidados Intensivos Pediátricos (UCIP, sumado a su alto costo, ha estimulado el interés y la necesidad de evaluar su funcionamiento, la eficacia de la labor realizada y la calidad de los servicios que prestan, mediante indicadores asistenciales que se derivan de estudios descriptivos de morbimortalidad.

     

    Objetivo: describir las causas de morbilidad y mortalidad y las características sociodemográficas de los niños admitidos a la UCIP del Hospital Universitario San Vicente de Paúl (HUSVP de Medellín, Colombia, en el período comprendido entre el primero de enero de 2001 y el 31 de diciembre del 2005.

     

    Metodología: estudio descriptivo y retrospectivo de corte transversal, en el que por medio de una aleatorización simple se hizo la selección de 328 historias de pacientes que ingresaron a la UCIP durante el período de estudio. Se tabularon y analizaron estadísticamente los datos obtenidos de la revisión de las historias.

     

    Resultados: se encontró que 59,8% de

  2. Vertical tectonic deformation associated with the San Andreas fault zone offshore of San Francisco, California

    Science.gov (United States)

    Ryan, H. F.; Parsons, T.; Sliter, R. W.

    2008-10-01

    A new fault map of the shelf offshore of San Francisco, California shows that faulting occurs as a distributed shear zone that involves many fault strands with the principal displacement taken up by the San Andreas fault and the eastern strand of the San Gregorio fault zone. Structures associated with the offshore faulting show compressive deformation near where the San Andreas fault goes offshore, but deformation becomes extensional several km to the north off of the Golden Gate. Our new fault map serves as the basis for a 3-D finite element model that shows that the block between the San Andreas and San Gregorio fault zone is subsiding at a long-term rate of about 0.2-0.3 mm/yr, with the maximum subsidence occurring northwest of the Golden Gate in the area of a mapped transtensional basin. Although the long-term rates of vertical displacement primarily show subsidence, the model of coseismic deformation associated with the 1906 San Francisco earthquake indicates that uplift on the order of 10-15 cm occurred in the block northeast of the San Andreas fault. Since 1906, 5-6 cm of regional subsidence has occurred in that block. One implication of our model is that the transfer of slip from the San Andreas fault to a fault 5 km to the east, the Golden Gate fault, is not required for the area offshore of San Francisco to be in extension. This has implications for both the deposition of thick Pliocene-Pleistocene sediments (the Merced Formation) observed east of the San Andreas fault, and the age of the Peninsula segment of the San Andreas fault.

  3. Hospitality Industry

    Directory of Open Access Journals (Sweden)

    Marian Ionel

    2017-03-01

    Full Text Available Development of accommodation, as basic services offered to tourists, led to the creation of a genuine hospitality industry. Currently, the hospitality industry is no longer just the accommodation service itself but also requires an atmosphere that ensures leisure tourists in the hotel. Thus, hospitable unit manager offers its service in addition to accommodation and catering services, leisure services, treatment services, business services required.. The existence of factors such as revenue growth, increasing leisure time, the development of transport services, the emergence of new tourist attractions have caused increasing international flows of tourists, with consequent development of units hospitable, and therefore a strong hospitality industry. In Romania, after 1990, the tourism sector experienced a true expansion, both through the development of the hotel sector, but also by developing rural hospitality units.

  4. 75 FR 55270 - Safety Zone; NASSCO Launching of USNS Washington Chambers, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2010-09-10

    ... Chambers, San Diego Bay, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on the navigable waters of the San Diego Bay in... the Port (COTP) San Diego or his designated representative. DATES: This rule is effective from 9:15 a...

  5. Description of gravity cores from San Pablo Bay and Carquinez Strait, San Francisco Bay, California

    Science.gov (United States)

    Woodrow, Donald L.; John L. Chin,; Wong, Florence L.; Fregoso, Theresa; Jaffe, Bruce E.

    2017-06-27

    Seventy-two gravity cores were collected by the U.S. Geological Survey in 1990, 1991, and 2000 from San Pablo Bay and Carquinez Strait, California. The gravity cores collected within San Pablo Bay contain bioturbated laminated silts and sandy clays, whole and broken bivalve shells (mostly mussels), fossil tube structures, and fine-grained plant or wood fragments. Gravity cores from the channel wall of Carquinez Strait east of San Pablo Bay consist of sand and clay layers, whole and broken bivalve shells (less than in San Pablo Bay), trace fossil tubes, and minute fragments of plant material.

  6. Hospitalization in Small-Scale Contingency Operations

    Science.gov (United States)

    2006-05-31

    That Don’t): Creating Conditions for Effective Teamwork . San Francisco: Jossey-Bass Publishers. Hellriegel, Don, John W. Slocum, Jr., and Richard W...General Accounting Office. 1995. GAO. 1996. See United States General Accounting Office. 1996. Hackman , J. Richard, ed. 1990 . Groups That Work (and Those...on the characteristics and capabilities that echelon-III hospital units need in order to deploy and support SSCs under present and emerging conditions

  7. San Luis Valley waterbird plan : Draft

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The goal of this plan is "to provide and protect a habitat base of sufficient quality and quantity to maintain healthy viable populations of waterbirds in the San...

  8. Historical methyl mercury in San Francisco Bay

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — San Francisco Bay, California is considered a mercury-impaired watershed. Elevated concentrations of mercury are found in water and sediment as well as fish and...

  9. Bathymetry--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the bathymetry and shaded-relief maps of Offshore of San Francisco, California (raster data file is included in...

  10. Backscatter A [8101]--Offshore San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the acoustic-backscatter map (see sheet 3, SIM 3306) of the Offshore of San Gregorio map area, California. Backscatter data...

  11. Habitat--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the habitat map of the seafloor of the Offshore of San Francisco map area, California. The vector data file is included in...

  12. San Antonio Bay 1986-1989

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The effect of salinity on utilization of shallow-water nursery habitats by aquatic fauna was assessed in San Antonio Bay, Texas. Overall, 272 samples were collected...

  13. Habitat--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the habitat map of the seafloor of the Offshore of San Francisco map area, California. The vector data file is included in...

  14. Contours--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the bathymetric contours for several seafloor maps of the Offshore of San Francisco map area, California. The vector data file...

  15. Backscatter B [7125]--Offshore San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the acoustic-backscatter map (see sheet 3, SIM 3306) of the Offshore of San Gregorio map area, California. Backscatter data...

  16. San Bernardino National Wildlife Refuge contaminant study

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The San Bernardino National Wildlife Refuge was established in 1982 for the protection and management of endangered desert fishes which are indigenous to the Rio...

  17. An Archeological Survey of the San Diego River

    Science.gov (United States)

    1975-08-27

    Indian populations and to arable landa and water, Father Serra moved Mission San Diego de Aleala ------ to the site of Nipoguay, an Indian village located...NN ARCHAEOLOGICAL SRE OF THE ~i7 SAN DIEGORIE I If SAN DIEGO STATE UNIVERSITY FOUNDATION DEPARTMENT OF THE ARMY, CORPS OF ENGINEERS kSAN DIEGO STATE...the San Diego River Archeological Survey A. PERFORMING ORG.ý REPORT NUM§ER na 7. AUTHOR(s) 6. CONTRACT OR GRANT NUMBER(*) - I- PERFORMING ORGANIZATION

  18. SSC San Diego Strategic Plan. Revision 3

    Science.gov (United States)

    2001-11-01

    OMB control number. 1. REPORT DATE NOV 2001 2. REPORT TYPE 3. DATES COVERED - 4. TITLE AND SUBTITLE SSC San Diego Strategic Plan. Rev 3 5a...Business Improvement Group ( CBIG ), will be composed of the team members listed above, and will be responsible for monitoring the planning and...implementation of these objectives. The CBIG will charter sub-groups as necessary. Improve Corporate IT infrastructure Much of the SSC San Diego IT service

  19. Trouble Brewing in San Diego. Policy Brief

    Science.gov (United States)

    Buck, Stuart

    2010-01-01

    The city of San Diego will face enormous budgetary pressures from the growing deficits in public pensions, both at a state and local level. In this policy brief, the author estimates that San Diego faces total of $45.4 billion, including $7.95 billion for the county pension system, $5.4 billion for the city pension system, and an estimated $30.7…

  20. Factores de riesgo de accidentes en niños que consultaron al Policlínico Infantil de Medellín Diciembre 1 de 1998-marzo 6 de 1999 Risk factors for accidents in children that consulted to the emergency unit of San Vicente de Púl Children's Hospital of Medellín, Colombia. December 1, 1998 - March 6, 1999

    Directory of Open Access Journals (Sweden)

    María Beatriz Mesa Restrepo

    2001-02-01

    Full Text Available Se hizo un estudio descriptivo prospectivo para identificar los factores de riesgo para accidentes en los niños menores de 12 años que consultaron por esta causa al Policlínico Infantil de Medellín, desde diciembre 1 de 1998 hasta marzo 6 de 1999. Se compararon dichos factores durante un período de vacaciones escolares y uno de actividad académica de igual duración. Se trabajó con 1.185 pacientes. La distribución por sexo fue: 771 niños (65% y 414 niñas (35%; el 76,9% (912 pacientes procedían de Medellín y su área metropolitana. El lugar del accidente fue como sigue: en la calle 582 niños (49%; en el hogar 496 niños (41,9%, en la escuela 32 niños (2,7% y en otros sitios 75 niños (6,3%. Se encontraban solos en el momento del accidente 199 niños (16,8%, con otros niños 512 (43,2% y con adultos 474 (40%. El principal tipo de accidente fue el mecánico en 1.077 casos (90,9%; 740 niños sufrieron caídas lo que representó el 62,5% de todos los accidentes. El accidente por vehículos de motor representó el 10,3% (123 casos. El trauma fue leve en 1.128 niños (95,2%. La letalidad fue del 0,7% (8 niños, especialmente por trauma craneoencefálico debido a accidentes de tránsito y heridas por arma de fuego. El trauma fue más grave en los menores de 2 años. Se encontró diferencia estadísticamente significativa en la frecuencia de traumas entre el período de vacaciones y el académico, con más accidentes durante las vacaciones. Se recomienda iniciar programas de prevención de accidentes especialmente en el hogar, dirigidos a los padres y cuidadores de los menores, con énfasis en las etapas de desarrollo de los niños y los riesgos para los diferentes tipos de accidentes. A prospective descriptive study was made to identify the factors of risk for accidents in children smaller than 12 years that consulted for this cause to the Emergency Unit of San Vicente de Paul Children´s Hospital of Medellin, from December 1 of 1998 until

  1. Características técnicas y resultados maternos y perinatales de las pacientes isoinmunizadas sometidas a transfusión fetal intrauterina Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 1998-2006

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Rebolledo López

    2008-02-01

    Full Text Available

    OBJETIVO: describir las características sociodemográficas, clínicas y técnicas y los resultados maternos y perinatales de las pacientes isoinmunizadas sometidas a transfusión fetal intrauterina (TFI en el Hospital Universitario San Vicente de Paúl (HUSVP de Medellín, Colombia, entre los años 1998 y 2006.

    METODOLOGÍA: se realizó un estudio descriptivo retrospectivo de 13 pacientes isoinmunizadas que requirieron TFI en el HUSVP entre 1998 y 2006. Se analizaron variables como ruptura prematura de membranas ovulares (RPMO, corioamnionitis, sufrimiento fetal agudo (SFA, muerte perinatal e hidropesía fetal; además se describen las características técnicas de las transfusiones así como las complicaciones relacionadas con el procedimiento.

    RESULTADOS: a un total de 13 madres isoinmunizadas se les hicieron 29 TFI. La tasa de supervivencia fetal fue del 77%. Se complicaron 5 de las madres (38,5% así: RPMO en 3 casos (23% y corioamnionitis en 2 (15,4%. Seis fetos (46,1% presentaron al menos una complicación. Tres fetos fallecieron (23%, 2 (15,4% presentaron hidropesía inmune, y en 4 (30,8% hubo SFA. En total se realizaron 29 transfusiones durante las cuales hubo 11complicaciones en 6 fetos así: bradicardia fetal 4 (13,7%, desgarro del cordón 1 (3,4%, hematomas del cordón 2 (6,8% y sangrado postransfusión 4

  2. Abrupt along-strike change in tectonic style: San Andreas Fault zone, San Francisco Peninsula

    Science.gov (United States)

    Zoback, Mary Lou; Jachens, Robert C.; Olson, Jean A.

    1999-05-01

    Seismicity and high-resolution aeromagnetic data are used to define an abrupt change from compressional to extensional tectonism within a 10- to 15-km-wide zone along the San Andreas fault on the San Francisco Peninsula and offshore from the Golden Gate. This 100-km-long section of the San Andreas fault includes the hypocenter of the Mw = 7.8 1906 San Francisco earthquake as well as the highest level of persistent microseismicity along that ˜470-km-long rupture. We define two distinct zones of deformation along this stretch of the fault using well-constrained relocations of all post-1969 earthquakes based a joint one-dimensional velocity/hypocenter inversion and a redetermination of focal mechanisms. The southern zone is characterized by thrust- and reverse-faulting focal mechanisms with NE trending P axes that indicate "fault-normal" compression in 7- to 10-km-wide zones of deformation on both sides of the San Andreas fault. A 1- to 2-km-wide vertical zone beneath the surface trace of the San Andreas is characterized by its almost complete lack of seismicity. The compressional deformation is consistent with the young, high topography of the Santa Cruz Mountains/Coast Ranges as the San Andreas fault makes a broad restraining left bend (˜10°) through the southernmost peninsula. A zone of seismic quiescence ˜15 km long separates this compressional zone to the south from a zone of combined normal-faulting and strike-slip-faulting focal mechanisms (including a ML = 5.3 earthquake in 1957) on the northernmost peninsula and offshore on the Golden Gate platform. Both linear pseudogravity gradients, calculated from the aeromagnetic data, and seismic reflection data indicate that the San Andreas fault makes an abrupt ˜3-km right step less than 5 km offshore in this northern zone. A similar right-stepping (dilatational) geometry is also observed for the subparallel San Gregorio fault offshore. Persistent seismicity and extensional tectonism occur within the San Andreas

  3. Superinfection between influenza and RSV alternating patterns in San Luis Potosi State, Mexico.

    Directory of Open Access Journals (Sweden)

    Jorge Xicoténcatl Velasco-Hernández

    Full Text Available The objective of this paper is to explain through the ecological hypothesis superinfection and competitive interaction between two viral populations and niche (host availability, the alternating patterns of Respiratory Syncytial Virus (RSV and influenza observed in a regional hospital in San Luis Potosí State, México using a mathematical model as a methodological tool. The data analyzed consists of community-based and hospital-based Acute Respiratory Infections (ARI consultations provided by health-care institutions reported to the State Health Service Epidemiology Department from 2003 through 2009.

  4. Synthesis of SAN-PB-SAN triblock copolymers via a ''living'' copolymerization with macro-photoiniferters

    NARCIS (Netherlands)

    Kroeze, E; de Boer, B.; ten Brinke, G.; Hadziioannou, G

    1996-01-01

    A technique is described for the synthesis of poly((styrene-co-acrylonitrile)-block-butadiene-block-(styrene-co-acrylonitrile)) (SAN-PB-SAN) triblock copolymers through polybutadiene-based photo-iniferters. Dihydroxy- and dicarboxy-terminated polybutadienes were transformed into the chloro-terminate

  5. 76 FR 1386 - Safety Zone; Centennial of Naval Aviation Kickoff, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2011-01-10

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Centennial of Naval Aviation Kickoff, San... in support of the Centennial of Naval Aviation Kickoff. This temporary safety zone is necessary to... Purpose On February 12, 2010, the Centennial of Naval Aviation Kickoff will take place in San Diego Bay...

  6. 77 FR 59969 - Notice of Inventory Completion: San Francisco State University, Department of Anthropology, San...

    Science.gov (United States)

    2012-10-01

    ... Anthropology, San Francisco, CA; Correction AGENCY: National Park Service, Interior. ACTION: Notice; correction... Department of Anthropology). The human remains and associated funerary objects were removed from Marin County... San Francisco State University Department of Anthropology records. In the Federal Register (73...

  7. Una Visita al Viejo San Juan (A Visit to Old San Juan).

    Science.gov (United States)

    Cabello, Victor; And Others

    Written in Spanish, this black and white illustrated booklet provides a tour of Old San Juan, Puerto Rico's oldest and most historic city. Brief historical information is provided on the Perro de San Jeronimo, a statue of a barking dog found in front of the Castillo; Plaza de Colon, a small plaza dedicated to Christopher Columbus; the Catedral de…

  8. Una Visita al Viejo San Juan (A Visit to Old San Juan).

    Science.gov (United States)

    Cabello, Victor; And Others

    Written in Spanish, this black and white illustrated booklet provides a tour of Old San Juan, Puerto Rico's oldest and most historic city. Brief historical information is provided on the Perro de San Jeronimo, a statue of a barking dog found in front of the Castillo; Plaza de Colon, a small plaza dedicated to Christopher Columbus; the Catedral de…

  9. 33 CFR 165.754 - Safety Zone: San Juan Harbor, San Juan, PR.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety Zone: San Juan Harbor, San Juan, PR. 165.754 Section 165.754 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND LIMITED ACCESS AREAS Specific Regulated Navigation Areas and...

  10. 78 FR 19103 - Safety Zone; Spanish Navy School Ship San Sebastian El Cano Escort; Bahia de San Juan; San Juan, PR

    Science.gov (United States)

    2013-03-29

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Spanish Navy School Ship San Sebastian El... during the transit of the Spanish Navy School Ship San Sebastian El Cano, a public vessel, and during... board the Spanish Navy School Ship San Sebastian El Cano. The inbound escort is scheduled to take...

  11. Shriners Hospital Spinal Cord Injury Self Care Manual.

    Science.gov (United States)

    Fox, Carol

    This manual is intended for young people with spinal cord injuries who are receiving rehabilitation services within the Spinal Cord Injury Unit at Shriners Hospital (San Francisco, California). An introduction describes the rehabilitation program, which includes family conferences, an individualized program, an independent living program,…

  12. Seroprevalencia de sífilis en mujeres embarazadas en San Luis Potosí Seroprevalence of syphilis in pregnant women in San Luis Potosí

    Directory of Open Access Journals (Sweden)

    Daniel E Noyola

    2006-04-01

    Full Text Available OBJETIVO: Determinar la seroprevalencia de sífilis en mujeres embarazadas. MATERIAL Y MÉTODOS: Encuesta seroepidemiológica en 1 857 mujeres que acudieron para la atención del parto a un hospital general de la ciudad de San Luis Potosí. RESULTADOS: Se diagnosticó sífilis en cinco (0.27% mujeres al momento del parto. Los factores maternos asociados con una probabilidad superior de presentar sífilis incluyeron mayor edad materna, mayor número de embarazos previos y vivir en unión libre con su pareja. CONCLUSIONES: El número de recién nacidos expuestos a sífilis durante el embarazo, en la ciudad de San Luis Potosí, está subestimado. Los resultados de este estudio sustentan la necesidad de identificar, al momento del parto, a madres infectadas con sífilis.OBJECTIVE: To determine the seroprevalence of syphilis in pregnant women. METHODS: A seroepidemiologic survey was conducted in 1 857 women giving birth at a general hospital in the city of San Luis Potosi, Mexico. RESULTS: Five women (0.27 % were diagnosed with syphilis at the time of delivery. Maternal factors associated with a greater likelihood of syphilis included older age, a higher number of pregnancies and living out of wedlock. CONCLUSIONS: The number of new borns exposed to syphilis during pregnancy in San Luis Potosi is underestimated. The results of this study support the need to identify syphilis in infected mothers at the time of delivery.

  13. municipios Maracaibo y San Francisco

    Directory of Open Access Journals (Sweden)

    Rosa E. Ortiz

    2005-01-01

    Full Text Available El estudio de las Organizaciones No Gubernamentales estuvo dirigido a caracterizar la diversidad de grupos y asociaciones que bajo el termino genérico de ONG’s existen en los municipios Maracaibo y San Francisco, los más poblados y relevantes en la vida política, económica, social y cultural del estado Zulia-Venezuela. Se planteó una investigación exploratoria y descriptiva. El resultado permitió reconocer a Existe un crecimiento sostenido de las ONG en estos municipios: b los sectores con mayor concentración son el de salud; educación; deporte y recreación; arte y cultura. c Las instituciones que promueven más organizaciones son la iglesia y el Estado, lo que supone es este último caso una reducción de las funciones que le corresponden, además de la minimización de costos y conflictos laborales. d Ambivalencia en la orientación de su funcionamiento: Algunas ONG’s implementan prácticas próximas a la mercantilización de los servicios con lo cual legitiman estrategias del modelo económico neoliberal mientras otras contribuyen a fortalecer la democratización de los servicios públicos. Se concluye que el crecimiento y características de las ONGs en estos municipios estuvo vinculado en los noventa y comienzos de la década de 2000 por la aplicación de las políticas públicas neoliberales.

  14. Identifying Telemedicine Services to Improve Access to Specialty Care for the Underserved in the San Francisco Safety Net

    Directory of Open Access Journals (Sweden)

    Ken Russell Coelho

    2011-01-01

    Full Text Available Safety-net settings across the country have grappled with providing adequate access to specialty care services. San Francisco General Hospital and Trauma Center, serving as the city's primary safety-net hospital, has also had to struggle with the same issue. With Healthy San Francisco, the City and County of San Francisco's Universal Healthcare mandate, the increased demand for specialty care services has placed a further strain on the system. With the recent passage of California Proposition 1D, infrastructural funds are now set aside to assist in connecting major hospitals with primary care clinics in remote areas all over the state of California, using telemedicine. Based on a selected sample of key informant interviews with local staff physicians, this study provides further insight into the current process of e-referral which uses electronic communication for making referrals to specialty care. It also identifies key services for telemedicine in primary and specialty care settings within the San Francisco public health system. This study concludes with proposals for a framework that seek to increase collaboration between the referring primary care physician and specialist, to prioritize institution of these key services for telemedicine.

  15. San Pascual (2007) Año XLV, n. 344

    OpenAIRE

    2007-01-01

    Editorial. Coronación pontificia y declaración del patronato canónico para nuestra señora de Gracia. siguiendo los caminos de San Pascual, capítulo XIII Madrid II. Entrevista, Rosario García García presidenta de la asociación de hijas de María del Rosario.¡Seréis mis testigos (II)!. Donativos pro nueva bandera de San Pascual. San Pascual y la virgen de Gracia. Vida en el santuario. Los tesoros de San Pascual. Milagros de San Pascual VI, libra San Pascual a muchos del peligro del mar y de otro...

  16. 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...

  17. Hospital Inspections

    Data.gov (United States)

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

  18. Hospital marketing.

    Science.gov (United States)

    Carter, Tony

    2003-01-01

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

  19. San Diego Science Alliance Education Outreach Activities

    Science.gov (United States)

    Blue, Anne P.

    1996-11-01

    The General Atomics Science Education Outreach Activities as well as those of several other San Diego area institutions led to the formation in 1994 of the San Diego Science Alliance. The Science Alliance is a consortium of science-related industries, institutions of research and higher education, museums, medical health networks, and science competitions in support of K-12 science education. Some Alliance accomplishments include printing over 4000 resource catalogs for teachers, workshops presented by over 20 of their business members at the San Diego Science Education Conference, and hosting of 3 eight-week courses for teachers. The Alliance provides an important forum for interaction between schools and teachers and local industries and institutions. The Science Alliance maintains a World Wide Web Home Page at elvbf http://www.cerf.net/sd_science/. General Atomics' role in the San Diego Science Alliance will be presented.(Presented by Patricia S. Winter for the General Atomics Science Education Groups and San Diego Science Alliance.)

  20. Cacao use and the San Lorenzo Olmec.

    Science.gov (United States)

    Powis, Terry G; Cyphers, Ann; Gaikwad, Nilesh W; Grivetti, Louis; Cheong, Kong

    2011-05-24

    Mesoamerican peoples had a long history of cacao use--spanning more than 34 centuries--as confirmed by previous identification of cacao residues on archaeological pottery from Paso de la Amada on the Pacific Coast and the Olmec site of El Manatí on the Gulf Coast. Until now, comparable evidence from San Lorenzo, the premier Olmec capital, was lacking. The present study of theobromine residues confirms the continuous presence and use of cacao products at San Lorenzo between 1800 and 1000 BCE, and documents assorted vessels forms used in its preparation and consumption. One elite context reveals cacao use as part of a mortuary ritual for sacrificial victims, an event that occurred during the height of San Lorenzo's power.

  1. Salt Ponds, South San Francisco Bay

    Science.gov (United States)

    2002-01-01

    higher resolution 1000 pixel-wide image The red and green colors of the salt ponds in South San Francisco Bay are brilliant visual markers for astronauts. The STS-111 crew photographed the bay south of the San Mateo bridge in June, 2002. This photograph is timely because a large number of the salt ponds (more than 16,500 acres) that are owned by Cargill, Inc. will be sold in September for wetlands restoration-a restoration project second in size only to the Florida Everglades project. Rough boundaries of the areas to be restored are outlined on the image. Over the past century, more than 80% of San Francisco Bay's wetlands have been filled and developed or diked off for salt mining. San Francisco Bay has supported salt mining since 1854. Cargill has operated most of the bay's commercial salt ponds since 1978, and had already sold thousands of acres to the State of California and the Don Edwards National Wildlife Refuge. This new transaction will increase San Francisco Bay's existing tidal wetlands by 50%. The new wetlands, to be managed by the California Department of Fish and Game and the U.S. Fish and Wildlife Service, will join the Don Edwards National Wildlife Refuge, and provide valuable habitat for birds, fish and other wildlife. The wetlands will contribute to better water quality and flood control in the bay, and open up more coastline for public enjoyment. Additional information: Cargill Salt Ponds (PDF) Turning Salt Into Environmental Gold Salt Ponds on Way to Becoming Wetlands Historic Agreement Reached to Purchase San Francisco Bay Salt Ponds Astronaut photograph STS111-376-3 was provided by the Earth Sciences and Image Analysis Laboratory at Johnson Space Center. Additional images taken by astronauts and cosmonauts can be viewed at the NASA-JSC Gateway to Astronaut Photography of Earth

  2. A Case for Historic Joint Rupture of the San Andreas and San Jacinto Faults

    Science.gov (United States)

    Lozos, J.

    2015-12-01

    The ~M7.5 southern California earthquake of 8 December 1812 ruptured the San Andreas Fault from Cajon Pass to at least as far north as Pallet Creek (Biasi et al., 2002). The 1812 rupture has also been identified in trenches at Burro Flats to the south (Yule and Howland, 2001). However, the lack of a record of 1812 at Plunge Creek, between Cajon Pass and Burro Flats (McGill et al., 2002), complicates the interpretation of this event as a straightforward San Andreas rupture. Paleoseismic records of a large early 19th century rupture on the northern San Jacinto Fault (Onderdonk et al., 2013; Kendrick and Fumal, 2005) allow for alternate interpretations of the 1812 earthquake. I use dynamic rupture modeling on the San Andreas-San Jacinto junction to determine which rupture behaviors produce slip patterns consistent with observations of the 1812 event. My models implement realistic fault geometry, a realistic velocity structure, and stress orientations based on seismicity literature. Under these simple assumptions, joint rupture of the two faults is the most common behavior. My modeling rules out a San Andreas-only rupture that is consistent with the data from the 1812 earthquake, and also shows that single fault events are unable to match the average slip per event for either fault. The choice of nucleation point affects the details of rupture directivity and slip distribution, but not the first order result that multi-fault rupture is the preferred behavior. While it cannot be definitively said that joint San Andreas-San Jacinto rupture occurred in 1812, these results are consistent with paleoseismic and historic data. This has implications for the possibility of future multi-fault rupture within the San Andreas system, as well as for interpretation of other paleoseismic events in regions of complex fault interactions.

  3. A Glorious Century of Art Education: San Francisco's Art Institute

    Science.gov (United States)

    Dobbs, Stephen Mark

    1976-01-01

    Author described the life and times of the San Francisco Art Institute and reviewed the forces that made San Francisco a city of more than ordinary awareness of the arts in its civic and civil existence. (Editor/RK)

  4. Species Observations (poly) - San Diego County [ds648

    Data.gov (United States)

    California Department of Resources — Created in 2009, the SanBIOS database serves as a single repository of species observations collected by various departments within the County of San Diego's Land...

  5. Mammal Track Counts - San Diego County, 2010 [ds709

    Data.gov (United States)

    California Department of Resources — The San Diego Tracking Team (SDTT) is a non-profit organization dedicated to promoting the preservation of wildlife habitat in San Diego County through citizen-based...

  6. Coastal Cactus Wren, San Diego Co. - 2009 [ds702

    Data.gov (United States)

    California Department of Resources — The San Diego Multiple Species Conservation program (MSCP) was developed for the conservation of plants and animals in the southeast portion of San Diego County....

  7. Coastal Cactus Wren, San Diego Co. - 2011 [ds708

    Data.gov (United States)

    California Department of Resources — The San Diego Multiple Species Conservation program (MSCP) was developed for the conservation of plants and animals in the southeast portion of San Diego County....

  8. Mammal Track Counts - San Diego County [ds442

    Data.gov (United States)

    California Department of Resources — The San Diego Tracking Team (SDTT) is a non-profit organization dedicated to promoting the preservation of wildlife habitat in San Diego County through citizen-based...

  9. San Marino-China Friendship Association 20 Years Old

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    <正>San Marino, with a population of less than 30,000, is one of the smallest countries in Europe. In such a small country the San Marino-China Friendship Association (SMCFA) was set up and has exerted

  10. Las fortalezas de San Lázaro

    Directory of Open Access Journals (Sweden)

    Enrique Naranjo Martínez

    1961-11-01

    Full Text Available Generalmente en Cartagena, al hablar de las fortalezas del cerro de San Lázaro, las llaman en conjunto el Castillo de San Felipe de Barajas, pero en esto nos parece que hay un error. El castillo propiamente dicho se construyó en 1657, según la inscripción que en placa de mármol, ostentaba El Caballero, desde donde la sonora voz de la campana daba los alertas a la plaza fuerte en los días de la colonia.

  11. Cacao use and the San Lorenzo Olmec

    OpenAIRE

    Powis, Terry G.; Cyphers, Ann; Gaikwad, Nilesh W.; Grivetti, Louis; Cheong, Kong

    2011-01-01

    Mesoamerican peoples had a long history of cacao use—spanning more than 34 centuries—as confirmed by previous identification of cacao residues on archaeological pottery from Paso de la Amada on the Pacific Coast and the Olmec site of El Manatí on the Gulf Coast. Until now, comparable evidence from San Lorenzo, the premier Olmec capital, was lacking. The present study of theobromine residues confirms the continuous presence and use of cacao products at San Lorenzo between 1800 and 1000 BCE, an...

  12. Seroprevalencia de sífilis en mujeres embarazadas en San Luis Potosí Seroprevalence of syphilis in pregnant women in San Luis Potosí

    OpenAIRE

    Noyola, Daniel E.; Octavio Malacara-Alfaro; Victoria Lima-Rogel; Abraham Torres-Montes

    2006-01-01

    OBJETIVO: Determinar la seroprevalencia de sífilis en mujeres embarazadas. MATERIAL Y MÉTODOS: Encuesta seroepidemiológica en 1 857 mujeres que acudieron para la atención del parto a un hospital general de la ciudad de San Luis Potosí. RESULTADOS: Se diagnosticó sífilis en cinco (0.27%) mujeres al momento del parto. Los factores maternos asociados con una probabilidad superior de presentar sífilis incluyeron mayor edad materna, mayor número de embarazos previos y vivir en unión libre con su p...

  13. Southern San Francisco Bay Colonial Nesting Bird Census 1995-1996: Don Edwards San Francisco Bay National Wildlife Refuge Lands

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This report summarizes the 1995-1996 field season of the San Francisco Bay Bird Observatory (SFBBO) Colonial Waterbird Monitoring Study on the Don Edwards San...

  14. 33 CFR 110.210 - San Diego Harbor, CA.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false San Diego Harbor, CA. 110.210... ANCHORAGE REGULATIONS Anchorage Grounds § 110.210 San Diego Harbor, CA. (a) The anchorage grounds. (1... Commander, Naval Base, San Diego, CA. The administration of these anchorages is exercised by the...

  15. 78 FR 48646 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2013-08-09

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meetings. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... at the Supervisor's Office of the Pike & San Isabel National Forests, Cimarron and Comanche...

  16. 75 FR 51749 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2010-08-23

    ... No: 2010-20802] DEPARTMENT OF AGRICULTURE Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource... at the Supervisor's Office of the Pike & San Isabel National Forests, Cimarron and Comanche...

  17. 76 FR 30903 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2011-05-27

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... of the Pike & San Isabel National Forests, Cimarron and Comanche National Grasslands (PSICC) at...

  18. 75 FR 65609 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2010-10-26

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... Supervior's Office of the Pike & San Isabel National Forests, Cimarron and Comanche National...

  19. 76 FR 2331 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2011-01-13

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... of the Pike & San Isabel National Forests, Cimarron and Comanche National Grasslands (PSICC) at...

  20. 77 FR 50459 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2012-08-21

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meetings. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... will be held at the Supervisor's Office of the Pike & San Isabel National Forests, Cimarron...

  1. 76 FR 27304 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2011-05-11

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... Pike & San Isabel National Forests, Cimarron and Comanche National Grasslands (PSICC) at 2840...

  2. 75 FR 78675 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2010-12-16

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... of the Pike & San Isabel National Forests, Cimarron and Comanche National Grasslands (PSICC) at...

  3. 76 FR 9540 - Pike & San Isabel Resource Advisory Committee

    Science.gov (United States)

    2011-02-18

    ... Forest Service Pike & San Isabel Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The Pike & San Isabel Resource Advisory Committee will meet in Pueblo, Colorado... of the Pike & San Isabel National Forests, Cimarron and Comanche National Grasslands (PSICC) at...

  4. 76 FR 12692 - San Juan National Forest Resource Advisory Committee

    Science.gov (United States)

    2011-03-08

    ... Forest Service San Juan National Forest Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The San Juan National Forest Resource Advisory Council (RAC) will meet in... comments should be sent to Attn: San Juan National Forest RAC, 15 Burnett Court, Durango, CO 81301...

  5. 76 FR 40876 - San Juan National Forest Resource Advisory Committee

    Science.gov (United States)

    2011-07-12

    ... Forest Service San Juan National Forest Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The San Juan National Forest Resource Advisory Council (RAC) will meet in... Sonoran Meeting Rooms. Written comments should be sent to Attn: San Juan National Forest RAC, 15 Burnett...

  6. 75 FR 48306 - San Juan National Forest Resource Advisory Committee

    Science.gov (United States)

    2010-08-10

    ... Forest Service San Juan National Forest Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The San Juan National Forest Resource Advisory Council (RAC) will meet in... comments should be sent to Attn: San Juan National Forest RAC, 15 Burnett Court, Durango, CO 81301...

  7. 75 FR 71179 - Environmental Impact Statement: San Diego County, CA

    Science.gov (United States)

    2010-11-22

    ... Federal Highway Administration Environmental Impact Statement: San Diego County, CA AGENCY: Federal... Environmental Impact Statement (EIS) will be prepared ] for a proposed highway project in San Diego County... Community Center, 2258 Island Avenue, San Diego, California 92102. FOR FURTHER INFORMATION CONTACT: Kevin...

  8. San Francisco Bay Long Term Management Strategy for Dredging

    Science.gov (United States)

    The San Francisco Bay Long Term Management Strategy (LTMS) is a cooperative effort to develop a new approach to dredging and dredged material disposal in the San Francisco Bay area. The LTMS serves as the Regional Dredging Team for the San Francisco area.

  9. Heidegger y el cristianismo de San Pablo y San Agustín

    Directory of Open Access Journals (Sweden)

    Francisco de Lara

    2007-01-01

    Full Text Available Este texto intenta mostrar el sentido de la interpretación de San Pablo y San Agustín que Heidegger lleva a cabo en sus primeros cursos de Friburgo. En concreto, se pretende apuntar al motivo por el que el joven Heidegger recupera aspectos del cristianismo para su proyecto filosófico y cuáles son los elementos concretos que las Epístolas de San Pablo y las Confesiones de San Agustín le aportan. De esta forma, se apreciará, entre otras cosas, la importancia concedida por Heidegger a la acentuación del mundo propio (Selbstwelt y de la temporalidad que es característica de la experiencia cristiana del vivir

  10. San Juan Islands National Wildlife Refuge : San Juan Wilderness : Wilderness management plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a plan regarding management of the San Juan Wilderness. After introducing the area, it analyzes current management practices against current public...

  11. Gravity cores from San Pablo Bay and Carquinez Strait, San Francisco Bay, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This data release contains information on gravity cores that were collected by the U.S. Geological Survey in the area of San Pablo Bay and Carquinez Strait,...

  12. San Jose, California: Solar in Action (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2011-10-01

    This brochure provides an overview of the challenges and successes of San Jose, CA, a 2008 Solar America City awardee, on the path toward becoming a solar-powered community. Accomplishments, case studies, key lessons learned, and local resource information are given.

  13. San Diego, California: Solar in Action (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2011-10-01

    This brochure provides an overview of the challenges and successes of San Diego, CA, a 2007 Solar America City awardee, on the path toward becoming a solar-powered community. Accomplishments, case studies, key lessons learned, and local resource information are given.

  14. Habitat--Offshore of San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the habitat map of the seafloor (see sheet 7, SIM 3306) of the Offshore of San Gregorio map area, California. The vector data...

  15. San Francisco's New Zoo's Connections for Conservation.

    Science.gov (United States)

    Routman, Emily

    2001-01-01

    Provides information on a redevelopment project at the San Francisco Zoo known as the New Zoo. The explicit goal of the project is to inspire a sense of caring and appreciation for wildlife that is the foundation of a conservation ethic. (DDR)

  16. SANS observations on weakly flocculated dispersions

    DEFF Research Database (Denmark)

    Mischenko, N.; Ourieva, G.; Mortensen, K.;

    1997-01-01

    Structural changes occurring in colloidal dispersions of poly-(methyl metacrylate) (PMMA) particles, sterically stabilized with poly-(12-hydroxystearic acid) (PHSA), while varying the solvent quality, temperature and shear rate, are investigated by small-angle neutron scattering (SANS). For a mod...

  17. San Diego Zoo:Success in Breeding

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Giant pandas have become very popular in U.S.zoos. One in particular, the San Diego Zoo, has been extremely successful at making the pandas feel at home and getting them to breed. In 1999, it became home tothe first surviving panda cub born in the United States.

  18. Habitat--Offshore of San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the habitat map of the seafloor (see sheet 7, SIM 3306) of the Offshore of San Gregorio map area, California. The vector data...

  19. SANS analysis of aqueous ionic perfluoropolyether micelles

    CERN Document Server

    Gambi, C M C; Chittofrati, A; Pieri, R; Baglioni, P; Teixeira, J

    2002-01-01

    Preliminary SANS results of ionic chlorine terminated perfluoropolyether micelles in water are given. The experimental spectra have been analyzed by a two-shell ellipsoidal model for the micellar form factor and a screened Coulombic plus hard-sphere repulsion potential for the structure factor. (orig.)

  20. San Antonio, Texas: Solar in Action (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2011-10-01

    This brochure provides an overview of the challenges and successes of San Antonio, TX, a 2008 Solar America City awardee, on the path toward becoming a solar-powered community. Accomplishments, case studies, key lessons learned, and local resource information are given.

  1. Contours--Offshore of San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the bathymetric contours for several seafloor maps (see sheets 1, 2, 3, 7, 10, SIM 3306) of the Offshore of San Gregorio map...

  2. Bathymetry--Offshore San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the bathymetry and shaded-relief maps (see sheet 1 and 2, SIM 3306) of the Offshore of San Gregorio map area, California....

  3. Nathaniel Hawthorne Elementary School: San Antonio, Texas.

    Science.gov (United States)

    American Educator, 1997

    1997-01-01

    Discusses the successful use of Core Knowledge Curriculum in one inner-city elementary school in San Antonio (Texas) that had previously reflected low student achievement, inconsistent attendance, and student behavioral problems. Improvements in these conditions as revealed through teacher observations are highlighted. (GR)

  4. 1986 San Salvador, El Salvador Images

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — At least 1,000 people killed, 10,000 injured, 200,000 homeless and severe damage in the San Salvador area. About 50 fatalities were the result of landslides in the...

  5. 77 FR 20379 - San Diego Gas &

    Science.gov (United States)

    2012-04-04

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission San Diego Gas & Electric Company v. Sellers of Energy and Ancillary Services Into Markets Operated by the California Independent System Operator Corporation and the California...

  6. 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…

  7. Hospitality Management.

    Science.gov (United States)

    College of the Canyons, Valencia, CA.

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

  8. Synthetic Seismogram Study of the Eastern Central Andes

    Science.gov (United States)

    2008-09-30

    TASK NUMBER SM 5f. WORK UNIT NUMBER A1 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER Observatorio San...LAzaro, Percy Aliaga, Magaly Gonzalez, and Wilfredo Cano Observatorio San Calixto Sponsored by the Air Force Research Laboratory Contract No. FA8718-07-C

  9. 75 FR 8106 - Don Edwards San Francisco Bay National Wildlife Refuge, Alameda, Santa Clara, and San Mateo...

    Science.gov (United States)

    2010-02-23

    ... Fish and Wildlife Service Don Edwards San Francisco Bay National Wildlife Refuge, Alameda, Santa Clara... located in Alameda, Santa Clara, and San Mateo Counties of California. We provide this notice in... in Alameda, Santa Clara, and San Mateo Counties of California, consists of several non...

  10. 75 FR 8804 - Safety Zone; NASSCO Launching of USNS Charles Drew, San Diego Bay, San Diego, CA.

    Science.gov (United States)

    2010-02-26

    ... Diego Bay, San Diego, CA. AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a temporary safety zone on the navigable waters of the San Diego Bay in support of... Captain of the Port (COTP) San Diego or his designated representative. DATES: This rule is effective from...

  11. 77 FR 48532 - Notice of Intent To Repatriate Cultural Items: San Diego State University, San Diego, CA

    Science.gov (United States)

    2012-08-14

    ... National Park Service Notice of Intent To Repatriate Cultural Items: San Diego State University, San Diego, CA AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The San Diego State University... Diego State University Archaeology Collections Management Program. DATES: Representatives of any Indian...

  12. 75 FR 17329 - Safety Zone; Big Bay Fourth of July Fireworks, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2010-04-06

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Big Bay Fourth of July Fireworks, San Diego Bay, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Notice of proposed rulemaking. SUMMARY: The Coast Guard proposes establishing a temporary safety zone on the navigable waters of the San Diego Bay in...

  13. 76 FR 70480 - Otay River Estuary Restoration Project, South San Diego Bay Unit of the San Diego Bay National...

    Science.gov (United States)

    2011-11-14

    ... Fish and Wildlife Service Otay River Estuary Restoration Project, South San Diego Bay Unit of the San Diego Bay National Wildlife Refuge, California; Environmental Impact Statement AGENCY: Fish and Wildlife... the San Diego Bay National Wildlife Refuge. This notice advises the public that we intend to gather...

  14. 78 FR 48044 - Safety Zone; San Diego International Airport Terminal Two West Grand Opening Fireworks; San Diego...

    Science.gov (United States)

    2013-08-07

    ... [Docket No. USCG-2013-0637] RIN 1625-AA00 Safety Zone; San Diego International Airport Terminal Two West Grand Opening Fireworks; San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary final rule. SUMMARY: The Coast Guard is establishing a safety zone on the navigable waters of the San Diego Bay in support...

  15. Epidemiological, clinical and laboratory findings of children fewer than 15 years with diabetic ketoacidosis admitted at San Vicente Fundación Hospital in Medellín, Colombia, between January 2001 and December 2010 = Características epidemiológicas y clínicas y hallazgos de laboratorio de los niños menores de 15 años con cetoacidosis diabética atendidos en el Hospital Universitario San Vicente Fundación en Medellín, Colombia, entre enero de 2001 y diciembre de 2010

    Directory of Open Access Journals (Sweden)

    Ballesteros Calderón, Alicia Lucía

    2013-07-01

    Full Text Available Introduction: Diabetic ketoacidosis (DKA is the most important acute complication in children with diabetes mellitus. There are several publications regarding the characteristics of children with DKA admitted to hospital care in developed countries, however, in our population there is no information concerning the characteristics of these children. Our aim is to determinate these characteristics. Methods: Retrospective study of DKA events in children fewer than 15 years admitted to HUSVF between 2001 and 2010. The information was collected from medical records and characteristics are depicted by descriptive statistics. Results: We included 98 events of DKA in 77 patients, 64.3% were women, uninsured 23.5%. DKA was the debut of the disease in 53.1%, the average age was 8.7 years (DE 4.35. Patients with known diagnosis didn’t have treatment adherence in 57%, 42,8 % of patients had urinary tract, gastrointestinal, respiratory or another febrile illness at admission. The time between the onset of symptoms and admission was 109 hours (1-720 hours. Ketoacidosis was mild in 29.5%, moderate in 28.7% and severe in 41.8%. The pH at admission was 7,12 (SD 0,12. It took 12.6 hours (SD 8,98 to reach pH 7,30. 14.4% showed hypokalemia, hyponatremia 28.6%, 28.6% hypoglycemia, 5% had cerebral edema and mortality was 2%. Conclusions: Clinical and laboratory characteristics of our population are similar to those reported in other studies. Lack of adherence can be an important and preventable cause of decompensation.

  16. San Pascual (2013) Año L, n. 366

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    2013-01-01

    Editorial. Actualidad: Su Santidad el Papa Benedicto XVI y su renuncia. Peregrinos de la Fe con San Pascual Baylón. Efemérides Pascualinas: 15 de febrero de 1946. Se inaugura en el punte del Mar de Valencia el casilicio de San Pascual Baylón, obra del escultor José Pascual Ortells. Otras efemérides. San Pascual en la cerámica: El Retablo cerámico de San Pascual, Burriana. San Pascual y los Papas: Papa Benedicto XV. Año de la Fe: Exposición de crucifijos en el museo "Pouet del Sant" del Monast...

  17. San Juan Uchucuanicu: évolution historique

    Directory of Open Access Journals (Sweden)

    1975-01-01

    Full Text Available La communauté de San Juan est reconnue depuis 1939. Une première partie concerne l’organisation de la reducción de San Juan vers le milieu du XVIe siècle. Le poids fiscal s’exerce durement sur le village et la crise est générale dans toute la vallée du Chancay au XVIIe. siècle. La christianisation des habitants est définitive au milieu de ce même siècle. C’est vers la fin du XVIIe siècle et durant tout le XVIIIe que se multiplient les conflits entre San Juan et les villages voisins liés aux terrains de pâture et à la possession de l’eau. La deuxième partie du travail concerne les rapports de la communauté de San Juan avec le Pérou contemporain : contrainte fiscale toujours très lourde durant la fin de l’époque coloniale, exactions des militaires juste avant l’indépendance. La période républicaine voit toujours les conflits avec les villages voisins mais aussi la naissance de familles qui cherchent à retirer le maximum de la communauté. Les terres sont divisées et attribuées : la détérioration de l’organisation communale traditionnelle est manifeste. L4es conflits se multiplient entre petits propriétaires, mais aussi avec les haciendas voisines : c’est l’apparition d’une véritable lutte de classes. La situation actuelle est incertaine, le poids de l’économie marchande se développe avec l’exode des jeunes. Que sera la communauté San Juan à la fin de ce siècle? La comunidad de San Juan está reconocida desde 1939. La primera parte concierne a la organización de la 'reducción' de San Juan hacia mediados del siglo XVI. El peso fiscal se ejerce duramente sobre el pueblo y en el siglo XVII la crisis es general en todo el valle de Chancay. Hacia mediados del mismo siglo la cristianización de los habitantes es definitiva. Es hacia fines del siglo XVII y durante todo el siglo XVIII que se multiplican los conflictos entre San Juan y los pueblos vecinos, los que están relacionados con los terrenos de

  18. Art therapy for hospitalised congenital heart disease patients: a method of psychological intervention at the IRCCS Policlinico San Donato Milanese Hopsital

    OpenAIRE

    E. Quadri; C. Farè; E. Palmero; G. Campioni; Chessa, M; Callus, E

    2012-01-01

    The current work is the presentation of a new project at the IRCSS San Donato Milanese University hospital, in the sphere of Psychocardiology. Hospitalised children and adolescents often face psychosocial difficulties and the psychological condition of their parents frequently has an impact on their wellbeing. A strong need to take care, beyond the mere cure, is necessary in the hospital settings - that is a need to pay attention also to psychological aspects apart from the medical ones. Art ...

  19. [Hospital care for acute stroke at the Palestrina hospital: comparison of cost and quality of care with an “hospital at home” care model].

    Science.gov (United States)

    Paradiso, M A; Alvaro, M R; Liotta, G

    2013-01-01

    In the Lazio Region (Central Italy) the Emergency Care network has been recently re-arranged in order to improve the effectiveness of care. The aim of this paper is to assess the impact of stroke patient care on both cost and organization of the hospital of Palestrina (Lazio Region). An analysis of cost and path of care of all stroke patients (239) with stroke attending the hospital in 2010 has been carried out. The care was more expensive than the one offered to the stroke patients attending the “Hospital at Home” service managed by the San Giovanni Battista Hospital in Turin; moreover the care was incomplete because of the lack of rehabilitation services in the hospital catchment area. The care model offered to stroke patient hit by stroke in Palestrina needs to be deeply revised.

  20. San Cristobal Galapagos wind power project

    Energy Technology Data Exchange (ETDEWEB)

    Tolan, J. [Sgurr Energy, Glasgow (United Kingdom)

    2009-07-01

    The San Cristobal Galapagos wind power project was described. With its unique endemic flora and fauna, the Galapagos Islands were declared a world heritage site and marine reserve. The San Cristobal wind project was initiated in 1999 to reduce the environmental impacts of energy use on the island, and has been operational since 2007. Three 800 kW wind turbines have been installed in order to reduce 52 per cent of the island's diesel generation. The project's high penetration wind-diesel hybrid system included 300 kW diesel generators, a 13.2 kV utility distribution system, and six 300 kW wind turbines. The project is located outside of Galapagos Petrel flight paths and nesting areas. Turbines from a factory in Spain were used. The wind turbine foundation was constructed from concrete sand and stone mined on the island. Photographs of the installation process were included. tabs., figs.

  1. San Telmo, backpackers y otras globalizaciones

    Directory of Open Access Journals (Sweden)

    Fernando Firmo

    2015-12-01

    Full Text Available Este artículo pretende contribuir al debate sobre otras formas de globalización  presentando una etnografía realizada en el barrio de San Telmo sobre mochileros que combinan en sus experiencias viaje y trabajo. Su objetivo es viajar al mismo tiempo que sacan provecho de esto para conseguir el capital necesario que les permita continuar en movimiento alrededor del globo. En este texto quiero hablar sobre estos auténticos actores de la globalización popular que ponen el foco en procesos y agentes alternativos no hegemónicos y que en este caso desarrollan su actividad en el contexto de la experiencia mochilera en San Telmo, siendo mi intención enriquecer las reflexiones sobre la globalización desde abajo.

  2. SAFOD Penetrates the San Andreas Fault

    Directory of Open Access Journals (Sweden)

    Mark D. Zoback

    2006-03-01

    Full Text Available SAFOD, the San Andreas Fault Observatory at Depth (Fig. 1, completed an important milestone in July 2005 by drilling through the San Andreas Fault at seismogenic depth. SAFOD is one of three major components of EarthScope, a U.S. National Science Foundation (NSF initiative being conducted in collaboration with the U.S. Geological Survey (USGS. The International Continental Scientific DrillingProgram (ICDP provides engineering and technical support for the project as well as online access to project data and information (http://www.icdp-online.de/sites/sanandreas/news/news1.html. In 2002, the ICDP, the NSF, and the USGS provided funding for a pilot hole project at the SAFOD site. Twenty scientifi c papers summarizing the results of the pilot hole project as well as pre-SAFOD site characterization studies were published in Geophysical Research Letters (Vol.31, Nos. 12 and 15, 2004.

  3. Situation analysis of quality of abortion care in the main maternity hospital in Hai Phòng, Viet Nam

    DEFF Research Database (Denmark)

    Nguyen, My H Ng; Gammeltoft, Tine; Rasch, Vibeke

    2007-01-01

    Six months after a Comprehensive Abortion Care project was implemented in Phu-San Hospital, the main maternity hospital in Hai Phòng, northern Viet Nam, a study of quality of abortion services was carried out. The study explored the interaction between providers and women seeking abortion and how...

  4. Discovery Along the San Andreas Fault: Relocating Photographs From the 1906 Earthquake in San Francisco and San Mateo Counties

    Science.gov (United States)

    Grove, K.; Prentice, C.; Polly, J.; Yuen, C.; Wu, K.; Zhong, S.; Lopez, J.

    2005-12-01

    April of 2006 will mark the 100-year anniversary of the great 1906 San Francisco earthquake. This earthquake was important not only because of its human tragedy (thousands of dead or homeless people), but also because of its scientific significance. The 8.3 magnitude earthquake ruptured 430 km of the northern San Andreas fault (SAF) and lasted nearly one minute. Investigations after the earthquake led to discoveries that were the beginning of modern earthquake theories and measuring instruments. This was also one of the first large-scale natural disasters to be photographed. Our research group, which is part of the National Science Foundation funded SF-ROCKS program, acquired photographs that were taken shortly after the earthquake in downtown San Francisco and along the SAF in San Mateo County. The SAF photos are part of a Geographical Information System (GIS) database being published on a U.S. Geological Survey web site. The goal of our project was to improve estimates of photograph locations and to compare the landscape features that were visible after the earthquake with the landscape that we see today. We used the GIS database to find initial photo locations, and we then used a high-precision Global Positioning System (GPS) to measure the geographic coordinates of the locations once we matched our view to what we saw in a photo. Where possible, we used a digital camera to retake photos from the same position, to show the difference in the landscape 100 years later. The 1906 photos show fault zone features such as ground rupture, sag ponds, shutter ridges, and offset fences. Changes to the landscape since 1906 have included erosion and grading of the land, building of houses and other structures, and more tree cover compared to previous grassland vegetation. Our project is part of 1906 Earthquake Centennial activities; it is contributing to the photo archive that helps scientists and engineers who study earthquakes and their effects. It will also help the

  5. Examination of spotted sand bass (Paralabrax maculatofasciatus) pollutant bioaccumulation in San Diego Bay, San Diego, California.

    Science.gov (United States)

    Loflen, Chad L

    2013-01-01

    The spotted sand bass (Paralabrax maculatofasciatus) is an important recreational sport and subsistence food fish within San Diego Bay, a large industrialized harbor in San Diego, California. Despite this importance, few studies examining the species life history relative to pollutant tissue concentrations and the consumptive fishery exist. This study utilized data from three independent spotted sand bass studies from 1989 to 2002 to investigate PCB, DDT, and mercury tissue concentrations relative to spotted sand bass age and growth in San Diego Bay, with subsequent comparisons to published pollutant advisory levels and fishery regulations for recreational and subsistence consumption of the species. Subsequent analysis focused on examining temporal and spatial differences for different regions of San Diego Bay. Study results for growth confirmed previous work, finding the species to exhibit highly asymptotic growth, making tissue pollutant concentrations at initial take size difficult if not impossible to predict. This was corroborated by independent tissue concentration results for mercury, which found no relationship between fish size and pollutant bioaccumulation observed. However, a positive though highly variable relationship was observed between fish size and PCB tissue concentration. Despite these findings, a significant proportion of fish exhibited pollutant levels above recommended state recreational angler consumption advisory levels for PCBs and mercury, especially for fish above the minimum take size, making the necessity of at-size predictions less critical. Lastly, no difference in tissue concentration was found temporally or spatially within San Diego Bay.

  6. San Bernardino National Wildlife Refuge Well 10

    Energy Technology Data Exchange (ETDEWEB)

    Ensminger, J.T.; Easterly, C.E.; Ketelle, R.H.; Quarles, H.; Wade, M.C.

    1999-12-01

    The U.S. Geological Survey (USGS), at the request of the U.S. Fish and Wildlife Service, evaluated the water production capacity of an artesian well in the San Bernardino National Wildlife Refuge, Arizona. Water from the well initially flows into a pond containing three federally threatened or endangered fish species, and water from this pond feeds an adjacent pond/wetland containing an endangered plant species.

  7. Bismuth ochers from San Diego Co., California

    Science.gov (United States)

    Schaller, W.T.

    1911-01-01

    The chief points brought out in this paper may be briefly summarized as follows: (1) The existence of natural Bi2O3 has not been established. (2) Natural bismite or bismuth ocher, when pure, is more probably a bismuth hydroxide. (3) The bismuth ochers from San Diego County, California, are either a bismuth hydroxide or bismuth vanadate, pucherite, or mixtures of these two. (4) Pucherite has been found noncrystallin and determined for the first time in the United States.

  8. The San Joaquin Valley Westside Perspective

    Energy Technology Data Exchange (ETDEWEB)

    Quinn, Nigel W.T.; Linneman, J. Christopher; Tanji, Kenneth K.

    2006-03-27

    Salt management has been a challenge to westside farmerssince the rapid expansion of irrigated agriculture in the 1900 s. Thesoils in this area are naturally salt-affected having formed from marinesedimentary rocks rich in sea salts rendering the shallow groundwater,and drainage return flows discharging into the lower reaches of the SanJoaquin River, saline. Salinity problems are affected by the importedwater supply from Delta where the Sacramento and San Joaquin Riverscombine. Water quality objectives on salinity and boron have been inplace for decades to protect beneficial uses of the river. However it wasthe selenium-induced avian toxicity that occurred in the evaporationponds of Kesterson Reservoir (the terminal reservoir of a planned but notcompleted San Joaquin Basin Master Drain) that changed public attitudesabout agricultural drainage and initiated a steady stream ofenvironmental legislation directed at reducing non-point source pollutionof the River. Annual and monthly selenium load restrictions and salinityand boron Total Maximum Daily Loads (TMDLs) are the most recent of thesepolicy initiatives. Failure by both State and Federal water agencies toconstruct a Master Drain facility serving mostly west-side irrigatedagriculture has constrained these agencies to consider only In-Valleysolutions to ongoing drainage problems. For the Westlands subarea, whichhas no surface irrigation drainage outlet to the San Joaquin River,innovative drainage reuse systems such as the Integrated Farm DrainageManagement (IFDM) offer short- to medium-term solutions while morepermanent remedies to salt disposal are being investigated. Real-timesalinity management, which requires improved coordination of east-sidereservoir releases and west-side drainage, offers some relief toGrasslands Basin farmers and wetland managers - allowing greater salinityloading to the River than under a strict TMDL. However, currentregulation drives a policy that results in a moratorium on all

  9. Border Security: The San Diego Fence

    Science.gov (United States)

    2007-05-23

    sector is located north of Tijuana and Tecate, Mexican cities with a combined population of 2 million people, and features no natural barriers to entry...more marked in the areas where fencing was constructed within San Diego sector. The USBP’s Imperial Beach and Chula Vista stations saw their...effects on (1) the Tijuana River National Estuarine Research and Reserve; (2) state and federally listed threatened and endangered species; (3) lands

  10. An overview of San Francisco Bay PORTS

    Science.gov (United States)

    Cheng, Ralph T.; McKinnie, David; English, Chad; Smith, Richard E.

    1998-01-01

    The Physical Oceanographic Real-Time System (PORTS) provides observations of tides, tidal currents, and meteorological conditions in real-time. The San Francisco Bay PORTS (SFPORTS) is a decision support system to facilitate safe and efficient maritime commerce. In addition to real-time observations, SFPORTS includes a nowcast numerical model forming a San Francisco Bay marine nowcast system. SFPORTS data and nowcast numerical model results are made available to users through the World Wide Web (WWW). A brief overview of SFPORTS is presented, from the data flow originated at instrument sensors to final results delivered to end users on the WWW. A user-friendly interface for SFPORTS has been designed and implemented. Appropriate field data analysis, nowcast procedures, design and generation of graphics for WWW display of field data and nowcast results are presented and discussed. Furthermore, SFPORTS is designed to support hazardous materials spill prevention and response, and to serve as resources to scientists studying the health of San Francisco Bay ecosystem. The success (or failure) of the SFPORTS to serve the intended user community is determined by the effectiveness of the user interface.

  11. Magnetotelluric Data, Southern San Luis Valley, Colorado

    Science.gov (United States)

    Williams, Jackie M.; Rodriguez, Brian D.

    2007-01-01

    Introduction The population of the San Luis Valley region is growing rapidly. The shallow unconfined and the deeper confined Santa Fe Group aquifer in the San Luis Basin is the main sources of municipal water for the region. Water shortfalls could have serious consequences. Future growth and land management in the region depend on accurate assessment and protection of the region's ground-water resources. An important issue in managing the ground-water resources is a better understanding of the hydrogeology of the Santa Fe Group and the nature of the sedimentary deposits that fill the Rio Grande rift, which contain the principal ground-water aquifers. The U.S. Geological Survey (USGS) is conducting a series of multidisciplinary studies of the San Luis Basin located in southern Colorado. Detailed geologic mapping, high-resolution airborne magnetic surveys, gravity surveys, an electromagnetic survey, called magnetotellurics (MT), and hydrologic and lithologic data are being used to better understand the aquifer systems. The primary goal of the MT survey is to map changes in electrical resistivity with depth that are related to differences in rock type. These various rock types help control the properties of aquifers in the region. This report does not include any interpretation of the data. Its purpose is to release the MT data acquired at the 22 stations shown in figure 1.

  12. Magnetotelluric Data, San Luis Valley, Colorado

    Science.gov (United States)

    Rodriguez, Brian D.; Williams, Jackie M.

    2008-01-01

    The San Luis Valley region population is growing. Water shortfalls could have serious consequences. Future growth and land management in the region depend on accurate assessment and protection of the region?s ground-water resources. An important issue in managing the ground-water resources is a better understanding of the hydrogeology of the Santa Fe Group and the nature of the sedimentary deposits that fill the Rio Grande rift, which contain the principal ground-water aquifers. The shallow unconfined aquifer and the deeper confined Santa Fe Group aquifer in the San Luis Basin are the main sources of municipal water for the region. The U.S. Geological Survey (USGS) is conducting a series of multidisciplinary studies of the San Luis Basin located in southern Colorado. Detailed geologic mapping, high-resolution airborne magnetic surveys, gravity surveys, an electromagnetic survey (called magnetotellurics, or MT), and hydrologic and lithologic data are being used to better understand the aquifers. The MT survey primary goal is to map changes in electrical resistivity with depth that are related to differences in rock types. These various rock types help control the properties of aquifers. This report does not include any data interpretation. Its purpose is to release the MT data acquired at 24 stations. Two of the stations were collected near Santa Fe, New Mexico, near deep wildcat wells. Well logs from those wells will help tie future interpretations of this data with geologic units from the Santa Fe Group sediments to Precambrian basement.

  13. When bohemia becomes a business: City lights, Columbus avenue and a future for San Francisco

    Directory of Open Access Journals (Sweden)

    Tara Brabazon

    2011-05-01

    Full Text Available This article offers a study of the now clichéd Bohemian Index. I explore how Richard Florida’s arguments flatten, homogenize and commercialize the radicalism and resistance of the cities validated through his criteria. Activism becomes a brand. San Francisco is important in such research because of its political and literary history, with North Beach’s iconography tethered to the Beat Generation. The best known ‘Left Coast City’ in the world, San Francisco reveals the political paradoxes of creative industries and the city imaging literature. Bohemia creates an attractive city of coffee and conversation. San Francisco is a diverse economy, with developed service, tourist and hospitality industries. It is facing seismic challenges, as is the home state. In a credit crunch, the economies based around lifestyle capitalism and service industries suffer as international infrastructural and public sector funding retracts. My article proposes no causal relationship between bohemia and economic development through either tourism or the creative industries. Instead, the complexity of ‘Bohemia’ as a concept, trope and brand is revealed, spilling beyond the seemingly predictable, mappable and trackable Bohemian Index.

  14. Superinfection between Influenza and RSV Alternating Patterns in San Luis Potosí State, México

    Science.gov (United States)

    Velasco-Hernández, Jorge Xicoténcatl; Núñez-López, Mayra; Comas-García, Andreu; Cherpitel, Daniel Ernesto Noyola; Ocampo, Marcos Capistrán

    2015-01-01

    The objective of this paper is to explain through the ecological hypothesis superinfection and competitive interaction between two viral populations and niche (host) availability, the alternating patterns of Respiratory Syncytial Virus (RSV) and influenza observed in a regional hospital in San Luis Potosí State, México using a mathematical model as a methodological tool. The data analyzed consists of community-based and hospital-based Acute Respiratory Infections (ARI) consultations provided by health-care institutions reported to the State Health Service Epidemiology Department from 2003 through 2009. PMID:25803450

  15. Historia del Estadio San Marcos de la Universidad Nacional Mayor de San Marcos

    OpenAIRE

    Meza Bazán, Mario Miguel

    2009-01-01

    La historia del Estadio San Marcos de la Universidad San Marcos de Lima es pretexto para estudiar sus precarias relaciones con el Estado en contextos de autoritarismo y clientelismo. El estadio, planeado al principio para ser el mayor coliseo deportivo de Perú, se convirtió con la donación del dictador Manuel Odría a la Universidad, en espacio de su futura ciudad universitaria. Señalamos que esta donación se hizo cuando el estadio no había sido concluido porque le resultaba demasiado oneroso ...

  16. A Study of the San Andreas Slip Rate on the San Francisco Peninsula, California

    Science.gov (United States)

    Feigelson, L. M.; Prentice, C.; Grove, K.; Caskey, J.; Ritz, J. F.; Leslie, S.

    2008-12-01

    The most recent large earthquake on the San Andreas Fault (SAF) along the San Francisco Peninsula was the great San Francisco earthquake of April 18, 1906, when a Mw= 7.8 event ruptured 435-470 km of the northern SAF. The slip rate for this segment of the SAF is incompletely known but is important for clarifying seismic hazard in this highly urbanized region. A previous study south of our site has found an average slip rate of 17±4 mm/yr for the late Holocene on the San Francisco Peninsula segment of the SAF. North of the Golden Gate, the SAF joins the San Gregorio Fault with an estimated slip rate of 6 mm/yr. A trench study north of where the two faults join has produced an average late Holocene slip rate of 24±3 mm/yr. To refine slip-rate estimates for the peninsula segment of the SAF, we excavated a trench across the fault where we located an abandoned channel between the San Andreas and Lower Crystal Springs reservoirs. This abandoned channel marks the time when a new channel cut across the SAF; the new channel has since been offset in a right-lateral sense about 20 m. The measured amount of offset and the age of the youngest fluvial sediments in the abandoned channel will yield a slip rate for the San Francisco Peninsula segment of the SAF. We excavated a trench across the abandoned channel and logged the exposed sediments. Our investigation revealed channel-fill alluvium incised and filled by probable debris flow sediments, and a wide fault zone in bedrock, west of the channel deposits. The most prominent fault is probably the strand that moved in 1906. We completed a total-station survey to more precisely measure the offset stream, and to confirm that the fault exposed in the trench aligns with a fence that is known to have been offset 2.8m during the 1906 earthquake. We interpret the debris flow sediments to represent the last phase of deposition prior to abandonment of the old channel. We collected samples for radiocarbon dating, optically stimulated

  17. Epidemiologic Analysis of Onychomycosis in the San Diego Pediatric Population.

    Science.gov (United States)

    Totri, Christine R; Feldstein, Stephanie; Admani, Shehla; Friedlander, Sheila F; Eichenfield, Lawrence F

    2017-01-01

    Onychomycosis (OM) is thought to be a rare disease in children, although there are few epidemiologic studies. This 3-year retrospective case series of nearly 400 children seen at Rady Children's Hospital-San Diego (RCHSD) describes the characteristics of OM found in this pediatric population. From 2011 to 2013, the Pediatric and Adolescent Dermatology Clinic at RCHSD saw a total of 36,634 unique patients, of whom 433 were unique patients with OM. Thirty-four patients met exclusion criteria, leaving 399 (1.1%) with a diagnosis of OM by a pediatric dermatologist. Nail cultures were obtained in 242 cases (60.7%), 116 (48.0%) of which were positive. Trichophyton rubrum was the most commonly isolated pathogen, responsible for 106 cases (91.3%) of positive cultures in the cohort. Our study provides important regional information regarding epidemiologic data in pediatric onychomycosis, highlighting the diagnostic methods most commonly used and the pathogens most frequently encountered in our practice. © 2016 Wiley Periodicals, Inc.

  18. The San Bernardino, California, Terror Attack: Two Emergency Departments’ Response

    Directory of Open Access Journals (Sweden)

    Carol Lee, MD

    2016-01-01

    Full Text Available On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs, what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC or Arrowhead Regional Medical Center (ARMC. These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs.

  19. The San Bernardino, California, Terror Attack: Two Emergency Departments' Response.

    Science.gov (United States)

    Lee, Carol; Walters, Elizabeth; Borger, Rodney; Clem, Kathleen; Fenati, Gregory; Kiemeney, Michael; Seng, Sakona; Yuen, Ho-Wang; Neeki, Michael; Smith, Dustin

    2016-01-01

    On December 2, 2015, a terror attack in the city of San Bernardino, California killed 14 Americans and injured 22 in the deadliest attack on U.S. soil since September 11, 2001. Although emergency personnel and law enforcement officials frequently deal with multi-casualty incidents (MCIs), what occurred that day required an unprecedented response. Most of the severely injured victims were transported to either Loma Linda University Medical Center (LLUMC) or Arrowhead Regional Medical Center (ARMC). These two hospitals operate two designated trauma centers in the region and played crucial roles during the massive response that followed this attack. In an effort to shed a light on our response to others, we provide an account of how these two teaching hospitals prepared for and coordinated the medical care of these victims. In general, both centers were able to quickly mobilize large number of staff and resources. Prior disaster drills proved to be invaluable. Both centers witnessed excellent teamwork and coordination involving first responders, law enforcement, administration, and medical personnel from multiple specialty services. Those of us working that day felt safe and protected. Although we did identify areas we could have improved upon, including patchy communication and crowd-control, they were minor in nature and did not affect patient care. MCIs pose major challenges to emergency departments and trauma centers across the country. Responding to such incidents requires an ever-evolving approach as no two incidents will present exactly alike. It is our hope that this article will foster discussion and lead to improvements in management of future MCIs.

  20. SSC San Diego Command History Calendar Year 2005

    Science.gov (United States)

    2006-03-01

    SSC San Diego from Capt. Tim Flynn on 18 August 2005. Capt. Unetic joined the Center from SPAWAR Headquarters where he was Executive Assistant to...communications. Rear Adm. Tim Flynn Rear Adm. Tim Flynn served as SSC San Diego Commanding Officer beginning 2 May 2002. Before joining SSC San Diego, he was...Steven Short, Arleen Simbulan, Robert Smith, Gleason Snashall, Dow Street, Weden Teng, Deborah Tharp , Tine Thompson, Viet Tran, Thomas Tucker, Rob Turner

  1. Geophysical evidence for wedging in the San Gorgonio Pass structural knot, southern San Andreas fault zone, southern California

    Science.gov (United States)

    Langenheim, V.E.; Jachens, R.C.; Matti, J.C.; Hauksson, E.; Morton, D.M.; Christensen, A.

    2005-01-01

    Geophysical data and surface geology define intertonguing thrust wedges that form the upper crust in the San Gorgonio Pass region. This picture serves as the basis for inferring past fault movements within the San Andreas system, which are fundamental to understanding the tectonic evolution of the San Gorgonio Pass region. Interpretation of gravity data indicates that sedimentary rocks have been thrust at least 5 km in the central part of San Gorgonio Pass beneath basement rocks of the southeast San Bernardino Mountains. Subtle, long-wavelength magnetic anomalies indicate that a magnetic body extends in the subsurface north of San Gorgonio Pass and south under Peninsular Ranges basement, and has a southern edge that is roughly parallel to, but 5-6 km south of, the surface trace of the Banning fault. This deep magnetic body is composed either of upper-plate rocks of San Gabriel Mountains basement or rocks of San Bernardino Mountains basement or both. We suggest that transpression across the San Gorgonio Pass region drove a wedge of Peninsular Ranges basement and its overlying sedimentary cover northward into the San Bernardino Mountains during the Neogene, offsetting the Banning fault at shallow depth. Average rates of convergence implied by this offset are broadly consistent with estimates of convergence from other geologic and geodetic data. Seismicity suggests a deeper detachment surface beneath the deep magnetic body. This interpretation suggests that the fault mapped at the surface evolved not only in map but also in cross-sectional view. Given the multilayered nature of deformation, it is unlikely that the San Andreas fault will rupture cleanly through the complex structures in San Gorgonio Pass. ?? 2005 Geological Society of America.

  2. 2007 San Diego wildfires and asthmatics.

    Science.gov (United States)

    Vora, Chirag; Renvall, Marian J; Chao, Peter; Ferguson, Paul; Ramsdell, Joe W

    2011-02-01

    This case series reports the changes in the respiratory health of eight asthmatic subjects and the relationship with air quality associated with the October 2007 firestorm in San Diego County of California. Participants were eight subjects with asthma enrolled in Asthma Clinical Research Network (ACRN) (NIH# U10-HL074218) studies at the University of California San Diego (UCSD), School of Medicine, who had study data collected immediately prior, during and 1 month after the 5-day firestorm in San Diego County. Air quality deteriorated to an extreme average of 71.5 mg/m(3) small particulate matter less than 2.5 μm (PM(2.5)) during the firestorm. Respiratory health data included morning and evening peak expiratory flow rates (PEFR), morning and evening Forced Expiratory Volume in one second (FEV(1)), rescue medication usage, and sputum eosinophils. Morning and evening PEFR and FEV(1) rates remained stable. The two subjects tested during the fires had elevated eosinophil counts and rescue medication usage was increased in five of the eight subjects. Pulmonary function test values were stable during the wildfires for all eight subjects but there was a statistically significant increase in rescue medication usage during the wildfires that correlated with PM(2.5) values. The two subjects tested during the fires showed increases in sputum eosinophil counts consistent with increased airways inflammation. These findings suggest that poor air quality associated with wildfires resulted in an increase in airways inflammation in these asthmatic subjects, but pulmonary function tests remained stable, possibly due to increased rescue medication usage. This is especially pertinent as there is an increase in incidence of wildfires this decade.

  3. Dal "San Marco" al "Vega". (English Title: From "San Marco" to Vega)

    Science.gov (United States)

    Savi, E.

    2017-10-01

    Apart from the two superpowers, among the other countries Italy has had an important role in astronautics. The roots of Italian astronautics' history runs deep in the hottest years of the Cold War, and it had its first remarkable achievement in the San Marco project..after years of advanced technologies testing, they achieved European cooperation and built VEGA, the current Arianespace light launcher.

  4. College Success and the Black Male. San Jose City College, San Jose, California. Research Report #128.

    Science.gov (United States)

    Carr, Percy; And Others

    In 1992, a study was conducted at San Jose City College (SJCC) and Evergreen Valley College (EVC), California, to examine the fourth semester persistence rates of black male students and to investigate the effect of SJCC athletic and athlete academic support programs on persistence. Study findings included the following: (1) new full-time (NFT)…

  5. 78 FR 57482 - Safety Zone; America's Cup Aerobatic Box, San Francisco Bay, San Francisco, CA

    Science.gov (United States)

    2013-09-19

    ... government and the States, or on the distribution of power and responsibilities among the various levels of... Sector San Francisco; telephone (415) 399-3585 or email at D11-PF-MarineEvents@uscg.mil . If you have... ``America's Cup World Series'' regattas in 2012 and the ``Louis Vuitton Cup,'' ``Red Bull Youth America's...

  6. SANS-II at SINQ: Installation of the former Risø-SANS facility

    DEFF Research Database (Denmark)

    Strunz, P.; Mortensen, K.; Janssen, S.

    2004-01-01

    SANS-II facility at SINQ (Paul Scherrer Institute)-the reinstalled former Riso small-angle neutron scattering instrument-is presented. Its operational characteristics are listed. Approaches for precise determination of wavelength, detector dead time and attenuation factors are described as well. (C...

  7. Otomi de San Andres Cuexcontitlan, Estado de Mexico (Otomi of San Andres Cuexcontitlan, State of Mexico).

    Science.gov (United States)

    Lastra, Yolanda

    This document is one of 17 volumes on indigenous Mexican languages and is the result of a project undertaken by the Archivo de Lenguas Indigenas de Mexico. This volume contains information on Otomi, an indigenous language of Mexico spoken in San Andres Cuexcontitlan, in the state of Mexico. The objective of collecting such a representative…

  8. 75 FR 15611 - Safety Zone; United Portuguese SES Centennial Festa, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2010-03-30

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; United Portuguese SES Centennial Festa, San... United Portuguese SES Centennial Festa. This temporary safety zone is necessary to provide for the safety... Spectaculars is sponsoring the United Portuguese SES Centennial Festa, which will include a fireworks...

  9. EPA, San Diego County Air District to Unveil Air Monitor in San Ysidro

    Science.gov (United States)

    LOS ANGELES - On Tuesday, U.S. EPA Regional Administrator Jared Blumenfeld, along with representatives from the San Diego County Air Pollution Control District (SDAPCD), U.S. Customs and Border Protection and the U.S. General Services Administration, will

  10. Chinanteco de San Juan Lealao, Oaxaca (Chinantec of San Juan Lealao, Oaxaca).

    Science.gov (United States)

    Mexico Coll. (Mexico City)

    This document is one of 17 volumes on indigenous Mexican languages and is the result of a project undertaken by the Archivo de Lenguas Indigenas de Mexico. This volume contains information on Chinantec, an indigenous language of Mexico spoken in San Juan Lealao, in the state of Oaxaca. The objective of collecting such a representative sampling of…

  11. Huave de San Mateo del Mar, Oaxaca (Huave of San Mateo del Mar, Oaxaca).

    Science.gov (United States)

    Mexico Coll. (Mexico City)

    This document is one of 17 volumes on indigenous Mexican languages and is the result of a project undertaken by the Archivo de Lenguas Indigenas de Mexico. This volume contains information on Huave, an indigenous language of Mexico spoken in San Mateo del Mar, in the state of Oaxaca. The objective of collecting such a representative sampling of…

  12. Trique de San Juan Copala, Oaxaca (Trique of San Juan Copala, Oaxaca).

    Science.gov (United States)

    Mexico Coll. (Mexico City)

    This document is one of 17 volumes on indigenous Mexican languages and is the result of a project undertaken by the Archivo de Lenguas Indigenas de Mexico. This volume contains information on Trique, an indigenous language of Mexico spoken in San Juan Copala, in the state of Oaxaca. The objective of collecting such a representative sampling of the…

  13. Características clínicas y videofluoroscópicas de la disfagia orofaríngea en niños entre un mes y cinco años de vida. Hospital Universitario San Vicente de Paúl, Medellín, Colombia, 2004 Clinical and videofluoroscopic characteristics of oropharyngeal dysphagia in children aged 1 month to 5 years. A study in Medellín, Colombia, 2004

    Directory of Open Access Journals (Sweden)

    Dagoberto Nicanor Cabrera Hémer

    2008-01-01

    Full Text Available Objetivo: describir, con base en las evaluaciones clínica y videofluoroscópica, las alteraciones biomecánicas más frecuentes en un grupo de niños entre un mes y cinco años de edad, con sospecha clínica de trastorno de la deglución (TD en el Hospital Universitario San Vicente de Paúl (HUSVP. Metodología: estudio descriptivo de una muestra consecutiva entre enero 1 y diciembre 31 de 2004. La información se obtuvo con una encuesta estructurada. Se analizaron las siguientes variables: edad, sexo, antecedentes personales y evaluaciones clínica y videofluoroscópica de las fases de la deglución. Se hizo análisis estadístico con el software SPSS 11.0. Resultados: se estudiaron 68 pacientes con TD, 40 de ellos (58,8% varones; a 48 se les hizo videofluoroscopia. Cincuenta y cuatro (79,4% tenían edades entre 1-24 meses. Treinta niños (44,1% tenían diagnóstico de parálisis cerebral; once (16,2% presentaban anomalías congénitas estructurales de la orofaringe; 57 (83,8% sufrían de alteraciones gastrointestinales, principalmente rehusar la alimentación y reflujo gastroesofágico. Del total de 68 niños, 27 (39,7% tenían historia de neumonía recurrente y 11 (16,2% presentaban antecedentes de otras condiciones respiratorias. No se encontraron diferencias estadísticamente significativas en la evaluación radiológica de la fase faríngea en los niños con y sin neumonía recurrente. La sensibilidad de la evaluación clínica de la fase oral fue 90% y la de la fase faríngea, 91,6%. No se encontró concordancia entre los exámenes clínico y radiológico del trastorno de deglución (Kappa 5,6%, intervalo de confianza del 95% (-0,042-0,154.

    Objective: to describe, based on clinical and videofluoroscopic evaluations, the most frequent biomechanical alterations in a group of children, aged 1 month to 5 years, with the clinical suspicion of swallowing disorders

  14. San Francisco Bay National Wildlife Refuge Complex Annual Narrative Report 1979

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The San Francisco Bay National Wildlife Refuge Complex comprises of three refuges including the San Francisco Bay National Wildlife Refuge, the San Pablo Bay...

  15. San Francisco Bay National Wildlife Refuge Complex Annual Narrative Report 1983

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The San Francisco Bay National Wildlife Refuge Complex comprises of three refuges including the San Francisco Bay National Wildlife Refuge, the San Pablo Bay...

  16. San Francisco Bay National Wildlife Refuge Complex Annual Narrative Report 1981

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The San Francisco Bay National Wildlife Refuge Complex comprises of three refuges including the San Francisco Bay National Wildlife Refuge, the San Pablo Bay...

  17. San Francisco Bay National Wildlife Refuge Complex Annual Narrative Report 1977

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The San Francisco Bay National Wildlife Refuge Complex comprises of three refuges including the San Francisco Bay National Wildlife Refuge, the San Pablo Bay...

  18. [Health levels in San Andres Cholula].

    Science.gov (United States)

    Alvarez Martinez, A; Corro Fernandez, G; Balmaceda, M

    1991-12-01

    In matters of health and curing, the community of San Andres Cholula in Puebla, Mexico, demonstrates a syncretism similar to religious syncretism. Perspectives on illness and health consistent with the traditional medical practices of curanderos coexist with modern medical practices. Curanderos and physicians often treat the same patients. A curandero's powers are viewed as a special gift transmitted by God or the saints during a dream. The curandero effects a cure not only through knowledge of the medicinal plants, rites, and ceremonies, but by understanding the context of the patient. The Western medical concept of disease emphasizes a biological model and technological control, to the detriment of mental, behavioral, and social factors and determinants. The traditional medical concept stresses the relationship of the individual to the social and ecological environment. Improvements in life expectancy in the developing countries in recent years have been attributed to improved levels of living or to importation of vaccination programs, antibiotics, and similar technologies from the developed countries. The vital register of San Andres Cholula records many deaths whose cause cannot be easily interpreted according to the World Health Organization International Classification of Diseases. It is clear, however, that the root cause of many deaths is malnutrition. The proportion of deaths caused by infectious diseases has declined in Mexico since 1940, but Puebla is still included among the states with the highest incidence. There are great regional and rural-urban mortality differentials in Mexico. In the past 50 years, the infant mortality rate has declined from 250 to 40/1000 live births in San Andres Cholula, more as a result of vaccination campaigns than of improved levels of living. 89% of children have been vaccinated, but the population still lives in about the same state of material comfort as it has for generations except that most households have televisions

  19. Gredos San Diego Cooperative. Cooperate to undertake

    Directory of Open Access Journals (Sweden)

    Carlos de la Higuera

    2012-12-01

    Full Text Available This paper analyzes the cooperative experience through Gredos San Diego model, its institutional approaches and its history from the point of view of management, focusing on the variables that enable the success of a collective ownership institution. First, the author makes a brief analysis of the principles that guide the cooperative, its origins and its current situation, including the development of GSD Cooperative Group. It continues exploring the evolution of management, dividing it into four distinct stages, and concludes with a summary with the findings of the previous president of the cooperative.Received: 23.07.2012Accepted: 10.09.2012

  20. PLAN DIRECTOR URBANO DE SAN JOSÉ

    OpenAIRE

    Municipalidad de San José, Gobierno Local

    2011-01-01

    Este documento  resume el Plan Director Urbano del Cantòn Central de San José. Este Plan Urbano-Territorial ha sido diseñado como respuesta concreta del Gobierno Local, a la necesidad de regular y planificar el desarrollo general de la ciudad y el proceso de urbanización. Se incluye en un primer apartado una caracterización de la problemática y las tendencias urbanas josefinas; un segundo contenido se definen ls objetivos y líneas estratégicas de la ciudad que queremos. Un tercer apartado sob...

  1. Early Maya writing at San Bartolo, Guatemala.

    Science.gov (United States)

    Saturno, William A; Stuart, David; Beltrán, Boris

    2006-03-03

    The ruins of San Bartolo, Guatemala, contain a sample of Maya hieroglyphic writing dating to the Late Preclassic period (400 B.C. to 200 A.D.). The writing appears on preserved painted walls and plaster fragments buried within the pyramidal structure known as "Las Pinturas," which was constructed in discrete phases over several centuries. Samples of carbonized wood that are closely associated with the writing have calibrated radiocarbon dates of 200 to 300 B.C. This early Maya writing implies that a developed Maya writing system was in use centuries earlier than previously thought, approximating a time when we see the earliest scripts elsewhere in Mesoamerica.

  2. Rhythm & Blues de sans papiers parisiens

    OpenAIRE

    Fogel, Frederique

    2014-01-01

    Le sans papiers (ici parisien) est l’une des figures, plurielles, du migrant immobilisé. Le temps qui passe lui ouvre des possibilités de régulariser sa situation. Il lui faut donc patienter, s’adapter dans la contrainte au "rhythm" défini par l’administration, tantôt lent, tantôt rapide. Et trouver aussi son propre rythme en posant des actes. Il lui faut faire avec le blues, qui survient souvent par la prise de conscience du décalage entre l’espoir d’une vie meilleure qui avait déclenché le ...

  3. 33 CFR 80.1142 - San Francisco Harbor, CA.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false San Francisco Harbor, CA. 80.1142 Section 80.1142 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1142 San Francisco Harbor, CA. A straight...

  4. 33 CFR 80.1104 - San Diego Harbor, CA.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false San Diego Harbor, CA. 80.1104 Section 80.1104 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1104 San Diego Harbor, CA. A line drawn...

  5. 33 CFR 80.1130 - San Luis Obispo Bay, CA.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false San Luis Obispo Bay, CA. 80.1130 Section 80.1130 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1130 San Luis Obispo Bay, CA. A line drawn...

  6. 1906 Letter to the San Francisco Health Department

    Science.gov (United States)

    Schmachtenberg, Kristin

    2006-01-01

    On Wednesday, April 18, 1906, an earthquake, measuring 7.8 on the Richter magnitude scale and lasting 48 seconds, erupted along the San Andreas fault with a flash point originating in the San Francisco Bay area. The force of the earthquake tore apart buildings and roads, causing water and gas mains to twist and break. The resulting effects of the…

  7. The San Diego Panasonic Partnership: A Case Study in Restructuring.

    Science.gov (United States)

    Holzman, Michael; Tewel, Kenneth J.

    1992-01-01

    The Panasonic Foundation provides resources for restructuring school districts. The article examines its partnership with the San Diego City School District, highlighting four schools that demonstrate promising practices and guiding principles. It describes recent partnership work on systemic issues, noting the next steps to be taken in San Diego.…

  8. Voice and Valency in San Luis Potosi Huasteco

    Science.gov (United States)

    Munoz Ledo Yanez, Veronica

    2014-01-01

    This thesis presents an analysis of the system of transitivity, voice and valency alternations in Huasteco of San Luis Potosi (Mayan) within a functional-typological framework. The study is based on spoken discourse and elicited data collected in the municipalities of Aquismon and Tancanhuitz de Santos in the state of San Luis Potosi, Mexico. The…

  9. The San Diego Panasonic Partnership: A Case Study in Restructuring.

    Science.gov (United States)

    Holzman, Michael; Tewel, Kenneth J.

    1992-01-01

    The Panasonic Foundation provides resources for restructuring school districts. The article examines its partnership with the San Diego City School District, highlighting four schools that demonstrate promising practices and guiding principles. It describes recent partnership work on systemic issues, noting the next steps to be taken in San Diego.…

  10. Reconstructing a Spanish Mission: San Luis de Talimali.

    Science.gov (United States)

    McEwan, Bonnie G.; Hann, John H.

    2000-01-01

    Focuses on the reconstruction of the San Luis de Talimali, which was among the largest and most important missions in Spanish Florida with the Apalachee Indians as their parishioners. Describes the various structures found at San Luis: (1) the council house; (2) the chief's house; and (3) the church. (CMK)

  11. San Marino-China Friendship Association Delegation in China

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>On the occasion of the 20th anniversary of the San Marino-China Friendship Association (SMCFA), a 26-member delegation of the Association headed by G. F. Terenzi, president of the SMCFA and former captain regent of San Marino, visited China from May 16 to 28.

  12. COSMOS (County of San Mateo Online System). A Searcher's Manual.

    Science.gov (United States)

    San Mateo County Superintendent of Schools, Redwood City, CA. Educational Resources Center.

    Operating procedures are explained for COSMOS (County of San Mateo Online System), a computerized information retrieval system designed for the San Mateo Educational Resources Center (SMERC), which provides interactive access to both ERIC and a local file of fugitive documents. COSMOS hardware and modem compatibility requirements are reviewed,…

  13. 77 FR 47358 - San Juan National Forest Resource Advisory Committee

    Science.gov (United States)

    2012-08-08

    ... Forest Service San Juan National Forest Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of meeting. SUMMARY: The San Juan National Forest Resource Advisory Council (RAC) will meet in... recommendations to the Forest Service concerning projects and funding consistent with Title II of the Act. The...

  14. Wind resource assessment: San Nicolas Island, California

    Energy Technology Data Exchange (ETDEWEB)

    McKenna, E. [National Renewable Energy Lab., Golden, CO (United States); Olsen, T.L. [Timothy L. Olsen Consulting, (United States)

    1996-01-01

    San Nicolas Island (SNI) is the site of the Navy Range Instrumentation Test Site which relies on an isolated diesel-powered grid for its energy needs. The island is located in the Pacific Ocean 85 miles southwest of Los Angeles, California and 65 miles south of the Naval Air Weapons Station (NAWS), Point Mugu, California. SNI is situated on the continental shelf at latitude N33{degree}14` and longitude W119{degree}27`. It is approximately 9 miles long and 3.6 miles wide and encompasses an area of 13,370 acres of land owned by the Navy in fee title. Winds on San Nicolas are prevailingly northwest and are strong most of the year. The average wind speed is 7.2 m/s (14 knots) and seasonal variation is small. The windiest months, March through July, have wind speeds averaging 8.2 m/s (16 knots). The least windy months, August through February, have wind speeds averaging 6.2 m/s (12 knots).

  15. Solar sanitary system (SOL-SAN)

    Energy Technology Data Exchange (ETDEWEB)

    Cobb, J.C.

    1996-11-01

    Ordinary composting toilets, because of cooling by evaporation, do not heat the product (humus) hot enough to kill all pathogenic viruses, bacteria, or parasite eggs and cysts. The SOL-SAN system uses direct radiation to pasteurize incoming river water for drinking and also, separately, to pasteurize and dry the humus, and to pasteurize the effluent gray/brown water. Work is in progress on simple fool-proof methods of insuring that the water will not flow out unless it has been pasteurized. Heat exchangers recapture the heat from these very hot pasteurized liquids, thereby warming more in-coming water for washing, which is important for preventing transmission of pathogenic microbes. When pasteurized, the humus and gray/brown water can safely be recycled to fertilize and water the family vegetable garden. Thus no sewer would be needed, and the vegetables or fish would grow well. Widespread use of the SOL-SAN system would save water and nutrients, reduce the prevalence of infectious diseases, improve the nutrition and vitality of the population, and save the large fraction of human food now consumed by parasites.

  16. Synthetic seismicity for the San Andreas fault

    Directory of Open Access Journals (Sweden)

    S. N. Ward

    1994-06-01

    Full Text Available Because historical catalogs generally span only a few repetition intervals of major earthquakes, they do not provide much constraint on how regularly earthquakes recur. In order to obtain better recurrence statistics and long-term probability estimates for events M ? 6 on the San Andreas fault, we apply a seismicity model to this fault. The model is based on the concept of fault segmentation and the physics of static dislocations which allow for stress transfer between segments. Constraints are provided by geological and seismological observations of segment lengths, characteristic magnitudes and long-term slip rates. Segment parameters slightly modified from the Working Group on California Earthquake Probabilities allow us to reproduce observed seismicity over four orders of magnitude. The model yields quite irregular earthquake recurrence patterns. Only the largest events (M ? 7.5 are quasi-periodic; small events cluster. Both the average recurrence time and the aperiodicity are also a function of position along the fault. The model results are consistent with paleoseismic data for the San Andreas fault as well as a global set of historical and paleoseismic recurrence data. Thus irregular earthquake recurrence resulting from segment interaction is consistent with a large range of observations.

  17. [Screening for malnutrition among hospitalized patients in a Colombian University Hospital].

    Science.gov (United States)

    Cruz, Viviana; Bernal, Laura; Buitrago, Giancarlo; Ruiz, Álvaro J

    2017-04-01

    On admission, 30 to 50% of hospitalized patients have some degree of malnutrition, which is associated with longer length of stay, higher rates of complications, mortality and greater costs. To determine the frequency of screening for risk of malnutrition in medical records and assess the usefulness of the Malnutrition Screening Tool (MST). In a cross-sectional study, we searched for malnutrition screening in medical records, and we applied the MST tool to hospitalized patients at the Internal Medicine Wards of San Ignacio University Hospital. Of 295 patients included, none had been screened for malnutrition since hospital admission. Sixty one percent were at nutritional risk, with a higher prevalence among patients with HIV (85.7%), cancer (77.5%) and pneumonia. A positive MST result was associated with a 3.2 days increase in length of hospital stay (p = 0.024). The prevalence of malnutrition risk in hospitalized patients is high, but its screening is inadequate and it is underdiagnosed. The MST tool is simple, fast, low-cost, and has a good diagnostic performance.

  18. San Joaquin-Tulare Conjunctive Use Model: Detailed model description

    Energy Technology Data Exchange (ETDEWEB)

    Quinn, N.W.T.

    1992-03-01

    The San Joaquin - Tulare Conjunctive Use Model (SANTUCM) was originally developed for the San Joaquin Valley Drainage Program to evaluate possible scenarios for long-term management of drainage and drainage - related problems in the western San Joaquin Valley of California. A unique aspect of this model is its coupling of a surface water delivery and reservoir operations model with a regional groundwater model. The model also performs salinity balances along the tributaries and along the main stem of the San Joaquin River to allow assessment of compliance with State Water Resources Control Board water quality objectives for the San Joaquin River. This document is a detailed description of the various subroutines, variables and parameters used in the model.

  19. San Pascual (2005) Año XLIII, n. 337

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    2005-01-01

    Editorial. Congreso eucarístico. ¡Con regocijo encontrada por un sencillo pastor!. Opúsculos de San Pascual. Recordando la vocación de Sor Mª Gracia. Eclesia de eucarestia II. San Pascual Patrono eucarístico II. Rincón poético. Vida en el santuario. Turnos de adoración diurna mensual en San Pascual. 2005 un año Sampascualino. Caminos de San Pascual. Año de la Inmaculada. Una imagen de San Pascual en México II. Crónica del año de la eucaristía. La luz de las imágenes. ¡Tu historia! ¡Mi histor...

  20. 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...

  1. 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...

  2. SAN MICHELE. ENTRE CIELO Y MAR / San Michele, between sky and sea

    Directory of Open Access Journals (Sweden)

    Pablo Blázquez Jesús

    2012-11-01

    Full Text Available ESUMEN El cementerio es uno de los tipos arquitectónicos más profundos y metafóricos. El concurso para la ampliación del cementerio de San Michele, convocado en 1998 por la administración Municipal de Venecia, se convierte en un excelente campo de pruebas sobre el que poder analizar el contexto histórico en torno a esta tipología, y su relación con la ciudad y el territorio. El estudio de este caso concreto nos permite descubrir personajes, relaciones casuales y hallazgos que se despliegan a lo largo del texto. La historia del cementerio de San Michele es también la crónica de la transformación de la ciudad de Venecia y su Laguna. Interpretando este concurso como un instrumento de investigación, el objetivo del artículo es el de comprender la realidad contemporánea de la arquitectura funeraria a través de la isla de San Michele, Venecia, y las propuestas finalistas de Carlos Ferrater, Enric Miralles y David Chipperfield. Una historia bajo la cual se vislumbran claves que nos sirven para reflexionar acerca del cementerio contemporáneo, la ciudad y el territorio.SUMMARY The cemetery is one of the most profound and metaphorical kinds of architecture. The competition for the extension of the San Michele Cemetery, called in 1998 by the Venice municipal administration, is an excellent testing ground on which to analyse the historical context surrounding this type of architecture, and its relationship with the city and the region. The study of this particular case allows us to uncover characters, casual relationships and findings that unfold throughout the text. The history of the San Michele cemetery is also the chronicle of the transformation of the city of Venice and its Lagoon. Interpreting this competition as a research tool, the aim of the paper is to understand the contemporary reality of funerary architecture through the island of San Michele, Venice, and the finalist proposals of Carlos Ferrater, Enric Miralles and David

  3. 33 CFR 165.776 - Security Zone; Coast Guard Base San Juan, San Juan Harbor, Puerto Rico

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zone; Coast Guard Base San Juan, San Juan Harbor, Puerto Rico 165.776 Section 165.776 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY REGULATED NAVIGATION AREAS AND LIMITED ACCESS AREAS Specific...

  4. Estructuración e implementación de una ruta crítica para el manejo de pacientes con síndrome coronario agudo en el Servicio de Urgencias del Hospital San José de Bogotá

    Directory of Open Access Journals (Sweden)

    John J Sprockel

    2013-09-01

    Full Text Available Introducción: el síndrome coronario agudo es una patología de alto impacto clínico en nuestro medio y en el mundo. A pesar de la evidencia de un número de medidas que benefician el resultado de estos pacientes, se ha demostrado que su utilización no es la mejor. Una de las estrategias diseñadas para mejorar esta situación, es la utilización de las rutas críticas (critical pathways, que consisten en una secuencia óptima y guiada por tiempo de intervenciones realizadas por los miembros del equipo de salud, para un diagnóstico o procedimiento particular, con el objetivo de minimizar retrasos, mejorar la utilización de recursos y maximizar la calidad del cuidado de la salud. Métodos: como parte de un proceso de mejoramiento de la calidad de la atención, se decidió realizar la estructuración e implementación de una ruta crítica en el manejo del síndrome coronario agudo durante las primeras 24 horas de atención. Para su realización se tuvo en cuenta la información observada en la literatura luego de una revisión amplia del tema. Resultados: posterior al proceso de diseño, divulgación y concertación con los servicios implicados en el manejo de los eventos coronarios, y con base en las guías institucionales, se estructuró una ruta crítica que consta de tres documentos: el primero para la evaluación inicial del dolor torácico, el segundo para el manejo de los eventos coronarios con elevación del segmento ST y el tercero para eventos coronarios sin elevación del segmento ST. Conclusiones: las rutas críticas se han posicionado en el mundo como herramientas que impactan en un alto grado la calidad de la atención de los pacientes con síndrome coronario agudo, ya que minimizan los retrasos, optimizan la utilización de los recursos y controlan las variaciones de dicha atención. Se describe la estructuración e implementación de una ruta crítica para el manejo de estos pacientes en un hospital de cuarto nivel en Colombia.

  5. Hospital-acquired pneumonia

    Science.gov (United States)

    ... tends to be more serious than other lung infections because: People in the hospital are often very sick and cannot fight off ... prevent pneumonia. Most hospitals have programs to prevent hospital-acquired infections.

  6. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the availability of structural measures at that hospital. A structural measure reflects the environment in which hospitals care for patients....

  7. Going to the Hospital

    Science.gov (United States)

    ... Too Short All About Puberty Going to the Hospital KidsHealth > For Kids > Going to the Hospital Print ... you flowers, balloons, or other treats! previous continue Hospital People You'll meet lots of people in ...

  8. Understanding your hospital bill

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000881.htm Understanding your hospital bill To use the sharing features on this ... help you save money. Charges Listed on Your Hospital Bill A hospital bill will list the major ...

  9. Research in Hospitality Management

    African Journals Online (AJOL)

    Research in Hospitality Management is a peer-reviewed journal publishing papers ... to the understanding of hospitality and hospitality management in a global context. ... financial management, marketing, strategic management, economics, ...

  10. Patient survey (HCAHPS) - Hospital

    Data.gov (United States)

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

  11. Microbial biogeography of San Francisco Bay sediments

    Science.gov (United States)

    Lee, J. A.; Francis, C. A.

    2014-12-01

    The largest estuary on the west coast of North America, San Francisco Bay is an ecosystem of enormous biodiversity, and also enormous human impact. The benthos has experienced dredging, occupation by invasive species, and over a century of sediment input as a result of hydraulic mining. Although the Bay's great cultural and ecological importance has inspired numerous surveys of the benthic macrofauna, to date there has been almost no investigation of the microbial communities on the Bay floor. An understanding of those microbial communities would contribute significantly to our understanding of both the biogeochemical processes (which are driven by the microbiota) and the physical processes (which contribute to microbial distributions) in the Bay. Here, we present the first broad survey of bacterial and archaeal taxa in the sediments of the San Francisco Bay. We conducted 16S rRNA community sequencing of bacteria and archaea in sediment samples taken bimonthly for one year, from five sites spanning the salinity gradient between Suisun and Central Bay, in order to capture the effect of both spatial and temporal environmental variation on microbial diversity. From the same samples we also conducted deep sequencing of a nitrogen-cycling functional gene, nirS, allowing an assessment of evolutionary diversity at a much finer taxonomic scale within an important and widespread functional group of bacteria. We paired these sequencing projects with extensive geochemical metadata as well as information about macrofaunal distribution. Our data reveal a diversity of distinct biogeographical patterns among different taxa: clades ubiquitous across sites; clades that respond to measurable environmental drivers; and clades that show geographical site-specificity. These community datasets allow us to test the hypothesis that salinity is a major driver of both overall microbial community structure and community structure of the denitrifying bacteria specifically; and to assess

  12. Beneficial Reuse of San Ardo Produced Water

    Energy Technology Data Exchange (ETDEWEB)

    Robert A. Liske

    2006-07-31

    This DOE funded study was performed to evaluate the potential for treatment and beneficial reuse of produced water from the San Ardo oilfield in Monterey County, CA. The potential benefits of a successful full-scale implementation of this project include improvements in oil production efficiency and additional recoverable oil reserves as well as the addition of a new reclaimed water resource. The overall project was conducted in two Phases. Phase I identified and evaluated potential end uses for the treated produced water, established treated water quality objectives, reviewed regulations related to treatment, transport, storage and use of the treated produced water, and investigated various water treatment technology options. Phase II involved the construction and operation of a small-scale water treatment pilot facility to evaluate the process's performance on produced water from the San Ardo oilfield. Cost estimates for a potential full-scale facility were also developed. Potential end uses identified for the treated water include (1) agricultural use near the oilfield, (2) use by Monterey County Water Resources Agency (MCWRA) for the Salinas Valley Water Project or Castroville Seawater Intrusion Project, (3) industrial or power plant use in King City, and (4) use for wetlands creation in the Salinas Basin. All of these uses were found to have major obstacles that prevent full-scale implementation. An additional option for potential reuse of the treated produced water was subsequently identified. That option involves using the treated produced water to recharge groundwater in the vicinity of the oil field. The recharge option may avoid the limitations that the other reuse options face. The water treatment pilot process utilized: (1) warm precipitation softening to remove hardness and silica, (2) evaporative cooling to meet downstream temperature limitations and facilitate removal of ammonia, and (3) reverse osmosis (RO) for removal of dissolved salts, boron

  13. SAN/CXFS test report to LLNL

    Energy Technology Data Exchange (ETDEWEB)

    Ruwart, T M; Eldel, A

    2000-01-01

    The primary objectives of this project were to evaluate the performance of the SGI CXFS File System in a Storage Area Network (SAN) and compare/contrast it to the performance of a locally attached XFS file system on the same computer and storage subsystems. The University of Minnesota participants were asked to verify that the performance of the SAN/CXFS configuration did not fall below 85% of the performance of the XFS local configuration. There were two basic hardware test configurations constructed from the following equipment: Two Onyx 2 computer systems each with two Qlogic-based Fibre Channel/XIO Host Bus Adapter (HBA); One 8-Port Brocade Silkworm 2400 Fibre Channel Switch; and Four Ciprico RF7000 RAID Disk Arrays populated Seagate Barracuda 50GB disk drives. The Operating System on each of the ONYX 2 computer systems was IRIX 6.5.6. The first hardware configuration consisted of directly connecting the Ciprico arrays to the Qlogic controllers without the Brocade switch. The purpose for this configuration was to establish baseline performance data on the Qlogic controllers / Ciprico disk raw subsystem. This baseline performance data would then be used to demonstrate any performance differences arising from the addition of the Brocade Fibre Channel Switch. Furthermore, the performance of the Qlogic controllers could be compared to that of the older, Adaptec-based XIO dual-channel Fibre Channel adapters previously used on these systems. It should be noted that only raw device tests were performed on this configuration. No file system testing was performed on this configuration. The second hardware configuration introduced the Brocade Fibre Channel Switch. Two FC ports from each of the ONYX2 computer systems were attached to four ports of the switch and the four Ciprico arrays were attached to the remaining four. Raw disk subsystem tests were performed on the SAN configuration in order to demonstrate the performance differences between the direct-connect and the

  14. Amplification sans bruit d'images optiques

    Science.gov (United States)

    Gigan, S.; Delaubert, V.; Lopez, L.; Treps, N.; Maitre, A.; Fabre, C.

    2004-11-01

    Nous utilisons un Oscillateur Paramétrique Optique (OPO) pompé sous le seuil dans le but d'amplifier une image multimode transverse sans dégradation du rapport signal à bruit. Le dispositif expérimental met en œuvre un OPO de type II triplement résonant et semi-confocal pour le faisceau amplifié. L'existence d'effets quantiques lors de l'amplification multimode dans un tel dispositif a été montrée expérimentalement. Plus généralement, ceci nous a amené à étudier les propriétés quantiques transverses des faisceaux lumineux amplifiés. Une telle étude peut trouver des applications non seulement en imagerie, mais également dans le traitement quantique de l'information.

  15. San Carlos Apache Tribe - Energy Organizational Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rapp, James; Albert, Steve

    2012-04-01

    The San Carlos Apache Tribe (SCAT) was awarded $164,000 in late-2011 by the U.S. Department of Energy (U.S. DOE) Tribal Energy Program's "First Steps Toward Developing Renewable Energy and Energy Efficiency on Tribal Lands" Grant Program. This grant funded:  The analysis and selection of preferred form(s) of tribal energy organization (this Energy Organization Analysis, hereinafter referred to as "EOA").  Start-up staffing and other costs associated with the Phase 1 SCAT energy organization.  An intern program.  Staff training.  Tribal outreach and workshops regarding the new organization and SCAT energy programs and projects, including two annual tribal energy summits (2011 and 2012). This report documents the analysis and selection of preferred form(s) of a tribal energy organization.

  16. Stratigraphy, sedimentology and paleontology of lower Eocene San Jose formation, central San Juan basin, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Lucas, S.G.; Smith, L.N. (New Mexico Museum of Natural History, Albuquerque (USA))

    1989-09-01

    The lower Eocene San Jose Formation in the central portion of the San Juan basin (Gobernador-Vigas Canyon area) consists of the Cuba Mesa, Regina, Llaves, and Tapicitos Members. Well log data indicate that, from its 100-m thickness, the Cuba Mesa Member thins toward the basin center and pinches out to the northeast by lat. 36{degree}40'N, long. 107{degree}19'W. The Regina Member has the most extensive outcrops in the central basin, and it decreases in sandstone/mud rock ratio to the north. The Llaves and Tapicitos Members occur only at the highest elevations, are thin due to erosion, and are not mappable as separate units. Well log data and 1,275 m of measured stratigraphic section in the Regina, Llaves, and Tapicitos Members indicate these strata are composed of approximately 35% medium to coarse-grained sandstone and 65% fine-grained sandstone and mud rock. Sedimentology and sediment-dispersal patterns indicate deposition by generally south-flowing streams that had sources to the northwest, northeast, and east. Low-sinuosity, sand-bedded, braided( ) streams shifted laterally across about 1 km-wide channel belts to produce sheet sandstones that are prominent throughout the San Jose Formation. Subtle levees separated channel environments from floodplain and local lacustrine areas. Avulsion relocated channels periodically to areas on the floodplain, resulting in the typically disconnected sheet sandstones within muddy overbank deposits of the Regina Member.

  17. Puente Coronado - San Diego (EE. UU.

    Directory of Open Access Journals (Sweden)

    Editorial, Equipo

    1971-12-01

    Full Text Available This 3,5 km long bridge, joining the cities of San Diego and Coronado is one of the longest in the world of this type, and one of the three most important straight line bridges in the United States. Its supporting structure consists of reinforced concrete columns resting on footings or piles, according to whether they are under the sea water or on dry land. The superstructure is partly of metal plates and partly of box girders. The surfacing of the deck consists of asphalt epoxy concrete, of 5 cm depth. Special paint was applied to the bridge, including layers of vinyl, iron oxide and blue vinyl on a zinc base.Este puente, de unos 3 km y medio, que une las ciudades de San Diego y Coronado es uno de los de mayor longitud del mundo, de este tipo, y uno de los tres principales ortótropos de los Estados Unidos de América. Su infraestructura está constituida por pilas de hormigón armado apoyadas sobre pilotes o sobre zapatas, según estén en el mar o en tierra firme. La superestructura está formada, en parte, por chapas metálicas y, en parte, por vigas cajón. El acabado del tablero metálico se realizó a base de hormigón asfáltico de epoxi con un espesor de 5 cm. La pintura es especial y se compone de capas de vinilo, de óxido de hierro y de vinilo azul sobre una capa de cinc.

  18. Paleohydrogeology of the San Joaquin basin, California

    Science.gov (United States)

    Wilson, A.M.; Garven, G.; Boles, J.R.

    1999-01-01

    Mass transport can have a significant effect on chemical diagenetic processes in sedimentary basins. This paper presents results from the first part of a study that was designed to explore the role of an evolving hydrodynamic system in driving mass transport and chemical diagenesis, using the San Joaquin basin of California as a field area. We use coupled hydrogeologic models to establish the paleohydrogeology, thermal history, and behavior of nonreactive solutes in the basin. These models rely on extensive geological information and account for variable-density fluid flow, heat transport, solute transport, tectonic uplift, sediment compaction, and clay dehydration. In our numerical simulations, tectonic uplift and ocean regression led to large-scale changes in fluid flow and composition by strengthening topography-driven fluid flow and allowing deep influx of fresh ground water in the San Joaquin basin. Sediment compaction due to rapid deposition created moderate overpressures, leading to upward flow from depth. The unusual distribution of salinity in the basin reflects influx of fresh ground water to depths of as much as 2 km and dilution of saline fluids by dehydration reactions at depths greater than ???2.5 km. Simulations projecting the future salinity of the basin show marine salinities persisting for more than 10 m.y. after ocean regression. Results also show a change from topography-to compaction-driven flow in the Stevens Sandstone at ca. 5 Ma that coincides with an observed change in the diagenetic sequence. Results of this investigation provide a framework for future hydrologic research exploring the link between fluid flow and diagenesis.

  19. Lahar-hazard zonation for San Miguel volcano, El Salvador

    Science.gov (United States)

    Major, J.J.; Schilling, S.P.; Pullinger, C.R.; Escobar, C.D.; Chesner, C.A.; Howell, M.M.

    2001-01-01

    San Miguel volcano, also known as Chaparrastique, is one of many volcanoes along the volcanic arc in El Salvador. The volcano, located in the eastern part of the country, rises to an altitude of about 2130 meters and towers above the communities of San Miguel, El Transito, San Rafael Oriente, and San Jorge. In addition to the larger communities that surround the volcano, several smaller communities and coffee plantations are located on or around the flanks of the volcano, and the PanAmerican and coastal highways cross the lowermost northern and southern flanks of the volcano. The population density around San Miguel volcano coupled with the proximity of major transportation routes increases the risk that even small volcano-related events, like landslides or eruptions, may have significant impact on people and infrastructure. San Miguel volcano is one of the most active volcanoes in El Salvador; it has erupted at least 29 times since 1699. Historical eruptions of the volcano consisted mainly of relatively quiescent emplacement of lava flows or minor explosions that generated modest tephra falls (erupted fragments of microscopic ash to meter sized blocks that are dispersed into the atmosphere and fall to the ground). Little is known, however, about prehistoric eruptions of the volcano. Chemical analyses of prehistoric lava flows and thin tephra falls from San Miguel volcano indicate that the volcano is composed dominantly of basalt (rock having silica content

  20. SANS spectra of the fractal supernucleosomal chromatin structure models

    Science.gov (United States)

    Ilatovskiy, Andrey V.; Lebedev, Dmitry V.; Filatov, Michael V.; Petukhov, Michael G.; Isaev-Ivanov, Vladimir V.

    2012-03-01

    The eukaryotic genome consists of chromatin—a nucleoprotein complex with hierarchical architecture based on nucleosomes, the organization of higher-order chromatin structures still remains unknown. Available experimental data, including SANS spectra we had obtained for whole nuclei, suggested fractal nature of chromatin. Previously we had built random-walk supernucleosomal models (up to 106 nucleosomes) to interpret our SANS spectra. Here we report a new method to build fractal supernucleosomal structure of a given fractal dimension or two different dimensions. Agreement between calculated and experimental SANS spectra was significantly improved, especially for model with two fractal dimensions—3 and 2.

  1. San Pascual (2008) Año XLVI, n. 347

    OpenAIRE

    Pérez, María Dolores, O.S.C. (Directora)

    2008-01-01

    Editorial. Restauración de esta obra de arte. Homilía del Excmo. y rvdmo. Sr. Obispo de la diócesis Dr. D. Casimirio López Llorente. Siguiendo los caminos de San Pascual. Entrevista D. Francisco José Cortes Blasco, cura, párroco de la Iglesia arciprestal de nuestra ciudad. La importancia de la eucaristía. Vida en el santuario. Rincón poético. La pila del bautismo de la parroquia de San Jaime de vila-real. El corazón de un Santo (IV). Milagros de San Pascual IX. Confidencias. ¡Alabado seas, se...

  2. 40 CFR 81.164 - San Diego Intrastate Air Quality Control Region.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 17 2010-07-01 2010-07-01 false San Diego Intrastate Air Quality... Quality Control Regions § 81.164 San Diego Intrastate Air Quality Control Region. The San Diego Intrastate... within the outermost boundaries of the area so delimited): In the State of California: San Diego County. ...

  3. 77 FR 43350 - Draft Environmental Assessment and Proposed Habitat Conservation Plan for the San Diego Unified...

    Science.gov (United States)

    2012-07-24

    ... San Diego Unified School District's Jonas Salk Elementary School Project in the City of San Diego, San Diego County, CA AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of availability: request... Elementary School Project in response to an application from the San Diego Unified School District (District...

  4. 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.

  5. Bedside ultrasound training at Muhimbili National Hospital in Dar es Salaam, Tanzania and Hospital San Carlos in Chiapas, Mexico

    Directory of Open Access Journals (Sweden)

    Teri A. Reynolds

    2016-09-01

    Discussion: Introducing bedside ultrasound training in two distinct resource-limited settings was feasible and well-received. After a brief intensive period of training, participants successfully passed a comprehensive examination, including demonstration of standardised image acquisition and accurate interpretation of normal and abnormal studies.

  6. The San Andreas fault in the San Francisco Bay region, California: Structure and kinematics of a Young plate boundary

    Science.gov (United States)

    Jachens, R.C.; Zoback, M.L.

    1999-01-01

    Recently acquired high-resolution aeromagnetic data delineate offset and/or truncated magnetic rock bodies of the Franciscan Complex that define the location and structure of, and total offset across, the San Andreas fault in the San Francisco Bay region. Two distinctive magnetic anomalies caused by ultramafic rocks and metabasalts east of, and truncated at, the San Andreas fault have clear counterparts west of the fault that indicate a total right-lateral offset of only 22 km on the Peninsula segment, the active strand that ruptured in 1906. The location of the Peninsula segment is well defined magnetically on the northern peninsula where it goes offshore, and can be traced along strike an additional ~6 km to the northwest. Just offshore from Lake Merced, the inferred fault trace steps right (northeast) 3 km onto a nearly parallel strand that can be traced magnetically northwest more than 20 km as the linear northeast edge of a magnetic block bounded by the San Andreas fault, the Pilarcitos fault, and the San Gregorio-Hosgri fault zone. This right-stepping strand, the Golden Gate segment, joins the eastern mapped trace of the San Andreas fault at Bolinas Lagoon and projects back onshore to the southeast near Lake Merced. Inversion of detailed gravity data on the San Francisco Peninsula reveals a 3 km wide basin situated between the two strands of the San Andreas fault, floored by Franciscan basement and filled with Plio-Quaternary sedimentary deposits of the Merced and Colma formations. The basin, ~1 km deep at the coast, narrows and becomes thinner to the southeast along the fault over a distance of ~12 km. The length, width, and location of the basin between the two strands are consistent with a pull-apart basin formed behind the right step in the right-lateral strike-slip San Andreas fault system and currently moving southeast with the North American plate. Slight nonparallelism of the two strands bounding the basin (implying a small component of convergence

  7. Forecasting Selenium Discharges to the San Francisco Bay-Delta Estuary: Ecological Effects of A Proposed San Luis Drain Extension

    Science.gov (United States)

    Presser, Theresa S.; Luoma, Samuel N.

    2006-01-01

    Selenium discharges to the San Francisco Bay-Delta Estuary (Bay-Delta) could change significantly if federal and state agencies (1) approve an extension of the San Luis Drain to convey agricultural drainage from the western San Joaquin Valley to the North Bay (Suisun Bay, Carquinez Strait, and San Pablo Bay); (2) allow changes in flow patterns of the lower San Joaquin River and Bay-Delta while using an existing portion of the San Luis Drain to convey agricultural drainage to a tributary of the San Joaquin River; or (3) revise selenium criteria for the protection of aquatic life or issue criteria for the protection of wildlife. Understanding the biotransfer of selenium is essential to evaluating effects of selenium on Bay-Delta ecosystems. Confusion about selenium threats to fish and wildlife stem from (1) monitoring programs that do not address specific protocols necessary for an element that bioaccumulates; and (2) failure to consider the full complexity of the processes that result in selenium toxicity. Past studies show that predators are more at risk from selenium contamination than their prey, making it difficult to use traditional methods to predict risk from environmental concentrations alone. This report presents an approach to conceptualize and model the fate and effects of selenium under various load scenarios from the San Joaquin Valley. For each potential load, progressive forecasts show resulting (1) water-column concentration; (2) speciation; (3) transformation to particulate form; (4) particulate concentration; (5) bioaccumulation by invertebrates; (6) trophic transfer to predators; and (7) effects on those predators. Enough is known to establish a first-order understanding of relevant conditions, biological response, and ecological risks should selenium be discharged directly into the North Bay through a conveyance such as a proposed extension of the San Luis Drain. The approach presented here, the Bay-Delta selenium model, determines the mass, fate

  8. San Diego Littoral Cell CRSMP Potential Offshore Borrow Areas 2009

    Data.gov (United States)

    California Department of Resources — Offshore sediment sources along the entire reach of the San Diego Coastal RSM Plan region were previously identified by SANDAG and used for Regional Beach Sand...

  9. Port San Luis, California Tsunami Forecast Grids for MOST Model

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Port San Luis, California Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST)...

  10. Marine Seismic Reflection Profiles Data of San Francisco Bay Area

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Dataset consists of two-dimensional marine seismic reflection profile data from the San Francisco Bay area. These data were acquired in 1995, with the vessel Robert...

  11. Vernal Pool Amphibians, Shrimp, Plants - San Diego [ds188

    Data.gov (United States)

    California Department of Resources — In 2002, the City of San Diego (City) received funding through a U. S. Fish and Wildlife Service (USFWS) Section 6 Planning Grant to complete an inventory and...

  12. San Joaquin River National Wildlife Refuge: Final Comprehensive Conservation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on San Joaquin River NWR for the next 15 years. This plan outlines the Refuge vision and...

  13. Folds--Offshore of San Francisco Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for folds for the geologic and geomorphic map of the Offshore of San Francisco map area, California. The vector data file is...

  14. Faults--Offshore of San Francisco Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for faults for the geologic and geomorphic map of the Offshore San Francisco map area, California. The vector data file is included...

  15. Faults--Offshore of San Gregorio Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the faults for the geologic and geomorphic map (see sheet 10, SIM 3306) of the Offshore of San Gregorio map area, California....

  16. Final San Andres National Wildlife Refuge Comprehensive Conservation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on San Andres NWR for the next 15 years. This plan outlines the Refuge vision and purpose...

  17. San Francisco Littoral Cell CRSMP Sensitive Habitat 2012

    Data.gov (United States)

    California Department of Resources — Ecological regions of interest as identified in the San Francisco Coastal Region Sediment Management Plan.NPS identifies several special management areas within the...

  18. Folds--Offshore of San Gregorio Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the folds for the geologic and geomorphic map (see sheet 10, SIM 3306) of the Offshore of San Gregorio map area, California....

  19. Faults--Offshore of San Francisco Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for faults for the geologic and geomorphic map of the Offshore San Francisco map area, California. The vector data file is included...

  20. Folds--Offshore of San Francisco Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for folds for the geologic and geomorphic map of the Offshore of San Francisco map area, California. The vector data file is...

  1. San Francisco Littoral Cell CRSMP Sensitive Habitat 2012

    Data.gov (United States)

    California Department of Resources — Ecological regions of interest as identified in the San Francisco Coastal Region Sediment Management Plan.NPS identifies several special management areas within the...

  2. Narrative Report : San Francisco Bay NWR Complex : Fiscal Year 1974

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report details the conditions and management of San Francisco Bay National Wildlife Refuge in 1974. The report begins with a general...

  3. Backscatter C [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  4. San Francisco Bay National Wildlife Refuge Complex : Annual Narrative 1980

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report details the conditions and management of San Francisco Bay National Wildlife Refuge in 1980. The report begins with a general...

  5. San Pablo Bay National Wildlife Refuge: Final Comprehensive Conservation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on San Pablo Bay NWR for the next 15 years. This plan outlines the Refuge vision and...

  6. Faults--Offshore of San Gregorio Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the faults for the geologic and geomorphic map (see sheet 10, SIM 3306) of the Offshore of San Gregorio map area, California....

  7. Avian botulism in the southern San Joaquin valley 1970

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A joint effort of the Department of Fish and' Game and the U. S. Bureau of Sport Fisheries and Wildlife contained botulism losses in the southern San Joaquin Valley...

  8. Contaminants investigation of the San Antonio River of Texas, 1995

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In 1992, the U.S. Fish and Wildlife Service conducted a contaminants investigation on fish collected from the San Antonio and Guadalupe Rivers in southeast Texas....

  9. San Francisco-Pacifica Coast Landslide Susceptibility 2011

    Data.gov (United States)

    California Department of Resources — The San Francisco-Pacifica Coast grid map was extracted from the California Geological Survey Map Sheet 58 that covers the entire state of California and originally...

  10. Backscatter A [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  11. Backscatter C [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  12. Backscatter B [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  13. Backscatter A [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  14. Backscatter D [7125]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  15. Salinity and Flow Monitoring in the San Francisco Bay Delta

    Science.gov (United States)

    This report describes the utility and approximate cost of expanding the salinity water quality monitoring network along the axis of the San Francisco Estuary from Suisun Bay to Rio Vista on the Sacramento River.

  16. San Pablo Bay National Wildlife Refuge Climate Adaptation Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Future climate change is expected to cause dramatic changes in the physical and biological environment of the San Pablo Bay National Wildlife Refuge (Refuge). To...

  17. Geological literature on the San Joaquin Valley of California

    Science.gov (United States)

    Maher, J.C.; Trollman, W.M.; Denman, J.M.

    1973-01-01

    The following list of references includes most of the geological literature on the San Joaquin Valley and vicinity in central California (see figure 1) published prior to January 1, 1973. The San Joaquin Valley comprises all or parts of 11 counties -- Alameda, Calaveras, Contra Costa, Fresno, Kern, Kings, Madera, Merced, San Joaquin, Stanislaus, and Tulare (figure 2). As a matter of convenient geographical classification the boundaries of the report area have been drawn along county lines, and to include San Benito and Santa Clara Counties on the west and Mariposa and Tuolumne Counties on the east. Therefore, this list of geological literature includes some publications on the Diablo and Temblor Ranges on the west, the Tehachapi Mountains and Mojave Desert on the south, and the Sierra Nevada Foothills and Mountains on the east.

  18. San Juan, Puerto Rico Tsunami Forecast Grids for MOST Model

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The San Juan, Puerto Rico Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST) model....

  19. San Diego, California Tsunami Forecast Grids for MOST Model

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The San Diego, California Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST) model....

  20. National Status and Trends: Bioeffects Program - San Francisco Bay Database

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This study was based on the sediment quality triad (SQT) approach. A stratified probabilistic sampling design was utilized to characterize the San Francisco Bay...

  1. San Diego, California 1/3 arc-second DEM

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The 1/3-second San Diego, California Elevation Grid provides bathymetric data in ASCII raster format of 1/3-second resolution in geographic coordinates. This grid is...

  2. San Francisco, California Tsunami Forecast Grids for MOST Model

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The San Francisco, California Forecast Model Grids provides bathymetric data strictly for tsunami inundation modeling with the Method of Splitting Tsunami (MOST)...

  3. 27 CFR 9.130 - San Ysidro District.

    Science.gov (United States)

    2010-04-01

    ..., photoinspected 1978.) (c) Boundary. The San Ysidro District viticultural area is located in Santa Clara County, California, within the Santa Clara Valley viticultural area. The boundary is as follows: (1) The...

  4. San Francisco Bay Conservation and Development Commission : Annual Report 1972

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Congress passed, and the President signed into law, legislation establishing the San Francisco Bay National Wildlife Refuge. When the purchase of property for...

  5. Backscatter B [8101]--Offshore of San Francisco, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for the acoustic-backscatter map of the Offshore of San Francisco map area, California. Backscatter data are provided as separate...

  6. Marine Seismic Reflection Profiles Data of San Francisco Bay Area

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Dataset consists of two-dimensional marine seismic reflection profile data from the San Francisco Bay area. These data were acquired in 1993, with the vessel David...

  7. Marine Seismic Reflection Profiles Data of San Francisco Bay Area

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Dataset consists of two-dimensional marine seismic reflection profile data from the San Francisco Bay area. These data were acquired in 1997, with the vessel Davidt...

  8. San Diego Littoral Cell CRSMP Receiver Sites 2009

    Data.gov (United States)

    California Department of Resources — A total of 27 possible placement sites (some with multiple placement footprints) are incorporated into this San Diego Coastal Regional Sediment Management Plan to...

  9. San Joaquin Valley Aerosol Health Effects Research Center (SAHERC)

    Data.gov (United States)

    Federal Laboratory Consortium — At the San Joaquin Valley Aerosol Health Effects Center, located at the University of California-Davis, researchers will investigate the properties of particles that...

  10. Faults--Offshore of San Francisco Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of DS 781 presents data for faults for the geologic and geomorphic map of the Offshore San Francisco map area, California. The vector data file is...

  11. Seafloor character--Offshore of San Gregorio, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the seafloor-character map (see sheet 5, SIM 3306) of the Offshore of San Gregorio map area, California. The raster data...

  12. Folds--Offshore of San Gregorio Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the folds for the geologic and geomorphic map (see sheet 10, SIM 3306) of the Offshore of San Gregorio map area, California....

  13. San Francisco-Pacifica Coast Landslide Susceptibility 2011

    Data.gov (United States)

    California Department of Resources — The San Francisco-Pacifica Coast grid map was extracted from the California Geological Survey Map Sheet 58 that covers the entire state of California and originally...

  14. Hunting plan for San Francisco Bay National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This migratory waterfowl hunting plan for Don Edwards San Francisco Bay National Wildlife Refuge allows waterfowl hunting on certain areas of the Refuge. Aerial...

  15. San Francisco Bay, California 1 arc-second DEM

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The 1-second San Francisco Bay, California Elevation Grid provides bathymetric data in ASCII raster format of 1-second resolution in geographic coordinates. This...

  16. Baseline Surveys - Tecolote Canyon, San Diego Co. [ds655

    Data.gov (United States)

    California Department of Resources — Various resource projects have been conducted in the City of San Diego's Open Space Parks as part of the implementation of the City's Multiple Species Conservation...

  17. Songbird monitoring on the San Luis National Wildlife Refuge [draft

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — A comprehensive songbird monitoring program was conducted for 3 years (1995 to 1997) at the San Luis National Wildlife Refuge (SLNWR) in Merced County California....

  18. Final Critical Habitat for the San Marcos salamander (Eurycea nana)

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — To provide the user with a general idea of areas where final critical habitat for San Marcos salamander (Eurycea nana) occur based on the description provided in the...

  19. Earthquake Damage in San Francisco, CA, April 18, 1906

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The 1906 San Francisco earthquake was the largest event (magnitude 8.3) to occur in the conterminous United States in the 20th Century. Recent estimates indicate...

  20. Rare Plants - City of San Diego [ds455

    Data.gov (United States)

    California Department of Resources — The Biological Monitoring Plan (BMP; Ogden 1996) for the Multiple Species Conservation Program (MSCP) was developed in 1996 and is a component of the City of San...

  1. RadNet Air Data From San Diego, CA

    Science.gov (United States)

    This page presents radiation air monitoring and air filter analysis data for San Diego, CA from EPA's RadNet system. RadNet is a nationwide network of monitoring stations that measure radiation in air, drinking water and precipitation.

  2. Marine Seismic Reflection Profiles Data of San Francisco Bay Area

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Dataset consists of two-dimensional marine seismic reflection profile data from the San Francisco Bay area. These data were acquired in 1995, with the vessel Robert...

  3. Vegetation Mapping - Tecolote Canyon, San Diego Co. [ds656

    Data.gov (United States)

    California Department of Resources — Vegetation mapping has been conducted at various City of San Diego Park and Recreation Open Space lands in support of natural resource management objectives and the...

  4. Marine Seismic Reflection Profiles Data of San Francisco Bay Area

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Dataset consists of two-dimensional marine seismic reflection profile data from the San Francisco Bay area. These data were acquired in 1993, with the vessel David...

  5. Faults--Offshore of San Gregorio Map Area, California

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This part of SIM 3306 presents data for the faults for the geologic and geomorphic map (see sheet 10, SIM 3306) of the Offshore of San Gregorio map area,...

  6. San Joaquin Valley Aerosol Health Effects Research Center (SAHERC)

    Data.gov (United States)

    Federal Laboratory Consortium — At the San Joaquin Valley Aerosol Health Effects Center, located at the University of California-Davis, researchers will investigate the properties of particles that...

  7. Terrestrial reptiles from San Lorenzo Island, Lima, Peru

    Directory of Open Access Journals (Sweden)

    José Pérez Z.

    2015-04-01

    Full Text Available We report four species of terrestrial reptiles, a geckonid (Phyllodactlus cf. microphyllus, two lizards (Microlophus peruvianus and M. tigris and one snake (Pseudalsophis elegans from San Lorenzo island, Departament of Lima, Peru. Herein, we report the first record of “Loma’s lizard” M. tigris and the snake P. elegans in Peruvian islands. The presence of Lomas herbaceous and the considerable extent of San Lorenzo island can explain the relatively high species richness of terrestrial reptiles on the island.

  8. Estimating Bicycle and Pedestrian Demand in San Diego

    OpenAIRE

    Jones, Michael; Buckland, Lauren

    2008-01-01

    This paper introduces the concepts behind estimating bicycle and pedestrian demand and provides an example of the development of a sketch-plan method for estimating bicycle and pedestrian demand from land use in San Diego County. The paper describes the methodology involved in collecting counts for the currently ongoing Seamless Travel project. The Seamless Travel project intends to develop a model for estimating bicycle and pedestrian demand within San Diego County. The project methodology i...

  9. Corps sans organes et anamnèse

    DEFF Research Database (Denmark)

    Wilson, Alexander

    2011-01-01

    Je trace certains liens entre le corps sans organes de Deleuze et Guattari et les principes de l’organologie générale que décrit Bernard Stiegler.......Je trace certains liens entre le corps sans organes de Deleuze et Guattari et les principes de l’organologie générale que décrit Bernard Stiegler....

  10. Multiwell Ojo Alamo development advancing in San Juan basin

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-27

    Commercial production from a new formation is rare in a basin as mature as the San Juan. Such a development can be economically attractive because with so many existing wellbores, behind pipe formations can be placed on production quickly and inexpensively. That is happening on the east side of the San Juan, where what appears to be the first significant commercial gas production from Tertiary Ojo Alamo sandstone started last year. The deposit is briefly described.

  11. Dos edificios administrativos, en San Francisco

    Directory of Open Access Journals (Sweden)

    Skidmore, Owings & Merrill, Arquitectos

    1964-07-01

    Full Text Available The Crown Zellerbach has been built on a large triangular plaza, at the outskirts of San Francisco. This is one of the most recent tall buildings in the city. The Wells Fargo Bank is also situated on this plaza. It is of special interest, both as regards its shape and functional organisation. It has a ground floor, where most of the mercantile activities take place, and a basement, containing a Council room; the strong rooms, with 2,500 private boxes as well as the bank's own safe; washing rooms; mechanical equipment rooms; a rest room; a bar for the employees and independent stairs. The building has a circular planform, 21.5 m in diameter and 354 m2 in area. The structure is metallic, the vertical supports are along the periphery, spaced every 1.626 m. The enclosing curtain walls are glass and anodized aluminium. The roof has radially distributed metal beams, interconnected by prefabricated concrete units, covered with copper sheeting. This bank, shaped like a hunting lodge, and finished with delicate care, contrasts sharply with the powerful volume of the Crown Zellerbach, and of other nearby buildings, and adds distinction to the plaza.Sobre una gran plaza triangular del extrarradio de San Francisco se alzan: el Crown Zellerbach, uno de sus más recientes rascacielos, y un bello pabellón independiente, el Wells Fargo Bank. El resto de la plaza es de dominio público. La originalidad, en forma y organización del segundo, ha hecho que le dediquemos la mayor atención: consta de una planta baja, en la que se desarrollan, prácticamente, todas las actividades mercantiles, y un piso inferior, en donde se distribuyen: un Salón de Consejos, el departamento de cajas de seguridad, con 2.500 unidades, y las cajas del Banco, los aseos, equipos mecánicos, etc., una sala de descanso y bar para los empleados, con escalera de acceso independiente. Tiene planta circular, de 21,5 m de diámetro y 354 m2 de superficie. La estructura es metálica, con

  12. San Diego Bay National Wildlife Refuge: Sweetwater Marsh and South San Diego Bay Units: Comprehensive Conservation Plan and Environmental Impact Statement: Volume I

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Comprehensive Conservation Plan (CCP) was written to guide management on San Diego Bay NWR (Sweetwater Marsh and South San Diego Bay Units) for the next 15...

  13. Desarrollo de una ayuda técnica para alumnos del colegio San Rafael (5) : cuentacuentos interactivo (I)

    OpenAIRE

    Martín Martín, Gonzalo Guzmán

    2012-01-01

    Este Trabajo Fin de Grado diseña una ayuda técnica para alumnos del colegio del Hospital san Rafael, niños con diferentes grados de discapacidad. A través del refuerzo de la relación causa-efecto, un cuento interactivo servirá como excusa para aumentar sus habilidades cognitivas y de relación con el entorno. Este trabajo forma parte de una pareja: aquí se diseña la ayuda, y se implementa en el Trabajo de Luis Javier Martínez Belotto, si bien las memorias se presentan por separado a fin de mos...

  14. Desarrollo de una ayuda técnica para alumnos del colegio San Rafael (5) : cuentacuentos interactivo (II)

    OpenAIRE

    Martínez Belotto, Luis Javier

    2012-01-01

    Este trabajo Fin de Grado implementa una ayuda técnica para alumnos del colegio del Hospital San Rafael, niños con diferentes grados de discapacidad. A través de la relación causa-efecto, un cuento interactivo servirá como excusa para aumentar sus habilidades cognitivas y de relación con el entorno. El trabajo forma parte de una pareja: aquí se implementa la ayuda diseñada en el trabajo de Gonzalo Guzmán Martín, las memorias se presentan por separado, a fin de mostrar de forma ordenada el pro...

  15. 2010 Northern San Francisco Bay Area Lidar: Portions of Alameda, Contra Costa, Marin, Napa, San Francisco, Solano, and Sonoma Counties

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) dataset is a survey of northern San Francisco Bay, California. The project area consists of approximately 437 square miles...

  16. 2010 Northern San Francisco Bay Area Lidar: Portions of Alameda, Contra Costa, Marin, Napa, San Francisco, Solano, and Sonoma Counties

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This Light Detection and Ranging (LiDAR) dataset is a survey of northern San Francisco Bay, California. The project area consists of approximately 437 square miles...

  17. San Francisco Bay Area Baseline Trash Loading Summary Results, San Francisco Bay Area CA, 2012, US EPA Region 9

    Data.gov (United States)

    U.S. Environmental Protection Agency — The San Francisco Bay Area stormwater permit sets trash control guidelines for discharges through the storm drain system. The permit covers Alameda, Contra Costa,...

  18. General Atomic Laboratories. San Diego - California

    Directory of Open Access Journals (Sweden)

    Luckman, Charles

    1962-07-01

    Full Text Available El edificio está emplazado en un espacioso solar de Torrey Pines Mesa, situado en la parte norte de la ciudad de San Diego (California. Los servicios fundamentales comprenden un bloque administrativo; una gran construcción experimental; dos edificios de forma semicilíndrica, en los que se encuentran los laboratorios particulares y las oficinas correspondientes; y otro edificio, de planta circular, en el que está la biblioteca y que, además, sirve para centro de reuniones, conferencias e información técnica. También existe un edificio en el que se encuentra el acelerador lineal de partículas, otros dos que sirven para la investigación de la fisión nuclear y el salón de reuniones. El complejo de los laboratorios, incluyendo los edificios auxiliares y de servicio, ocupa aproximadamente 24.000 m2 y es uno de los mayores y mejor acondicionados para la investigación nuclear privada del mundo.

  19. Teaching Geology at San Quentin State Prison

    Science.gov (United States)

    D'Alessio, M. A.; Pehl, J.; Ferrier, K. L.; Pehl, C. W.

    2004-12-01

    The students enrolled in our Geology 215 class are about as on-traditional as it gets. They range in age from about 20 - 50 years old, they are all male, all from under-represented ethnic groups, and they are all serving time in one of the country's most notorious prisons. We teach in a degree-granting community college program inside California's San Quentin State Prison. The program is run entirely by volunteers, and students who participate in educational programs like ours are about 5 times less likely to return to prison than the general inmate population in California. The prison population of California is ethnically diverse, though minorities are present in higher proportion than in the general population. Last semester, our geology class happened to be composed entirely of minorities even though the college program serves the full spectrum of the prison population. While some trends in geoscience education encourage the use of technology in the classroom, security restrictions prevent us from using even some of the simplest visual aids. Faced with these challenges, we have developed an inquiry-based syllabus for an introductory Geology class at the community college level. We find that kinaesthetic learning activities such as urban geologic mapping and acting out plate tectonic motions from ridge to trench (complete with magnetic pole polarity shifts) are not only possible in restricted learning environments, but they promote student learning in unexpected ways.

  20. Hospitable Classrooms: Biblical Hospitality and Inclusive Education

    Science.gov (United States)

    Anderson, David W.

    2011-01-01

    This paper contributes to a Christian hermeneutic of special education by suggesting the biblical concept of hospitality as a necessary characteristic of classroom and school environments in which students with disabilities and other marginalized students can be effectively incorporated into the body of the classroom. Christian hospitality, seen…

  1. 77 FR 34984 - Notice of Intent To Repatriate a Cultural Item: San Diego Museum of Man, San Diego, CA

    Science.gov (United States)

    2012-06-12

    ...The San Diego Museum of Man, in consultation with the appropriate Indian tribes, has determined that a cultural item meets the definition of unassociated funerary object and repatriation to the Indian tribes stated below may occur if no additional claimants come forward. Representatives of any Indian tribe that believes itself to be culturally affiliated with the cultural item may contact the San Diego Museum of Man.

  2. The San Andreas Fault in the San Francisco Bay area, California: a geology fieldtrip guidebook to selected stops on public lands

    Science.gov (United States)

    Stoffer, Philip W.

    2005-01-01

    This guidebook contains a series of geology fieldtrips with selected destinations along the San Andreas Fault in part of the region that experienced surface rupture during the Great San Francisco Earthquake of 1906. Introductory materials present general information about the San Andreas Fault System, landscape features, and ecological factors associated with faults in the South Bay, Santa Cruz Mountains, the San Francisco Peninsula, and the Point Reyes National Seashore regions. Trip stops include roadside areas and recommended hikes along regional faults and to nearby geologic and landscape features that provide opportunities to make casual observations about the geologic history and landscape evolution. Destinations include the sites along the San Andreas and Calaveras faults in the San Juan Bautista and Hollister region. Stops on public land along the San Andreas Fault in the Santa Cruz Mountains in Santa Clara and Santa Cruz counties include in the Loma Prieta summit area, Forest of Nicene Marks State Park, Lexington County Park, Sanborn County Park, Castle Rock State Park, and the Mid Peninsula Open Space Preserve. Destinations on the San Francisco Peninsula and along the coast in San Mateo County include the Crystal Springs Reservoir area, Mussel Rock Park, and parts of Golden Gate National Recreation Area, with additional stops associated with the San Gregorio Fault system at Montara State Beach, the James F. Fitzgerald Preserve, and at Half Moon Bay. Field trip destinations in the Point Reyes National Seashore and vicinity provide information about geology and character of the San Andreas Fault system north of San Francisco.

  3. Sobre el nacimiento y procedencia de San Juan de Dios y su obra

    Directory of Open Access Journals (Sweden)

    Martínez Gil, José Luis

    2006-06-01

    Full Text Available This article studies the figure of St. Juan de Dios inside the historical context of Granada during the middle of XVIth century. The article tackles, from a chronological perspective, the main subjects of the biography of St. Juan and this assitencial work with poors and ills. The author goes more deeply into the situation of the hospitals in Granada in St. Juan de Dios day.Estudio de la figura de san Juan de Dios enmarcado en el contexto histórico de la Granada de mediados del siglo XVI. Se abordan, desde una perspectiva cronológica, los principales aspectos de la biografía del santo, así como su obra asistencial respecto a pobres y enfermos, profundizando en la situación de los hospitales en Granada en este período.

  4. Integrating with users is one thing, but living with them? A case study on loss of space from the Medical Center Library, University of California, San Diego.

    Science.gov (United States)

    Haynes, Craig

    2010-01-01

    The University of California, San Diego (UCSD) Medical Center is the primary hospital for the UCSD School of Medicine. The UCSD Medical Center Library (MCL), a branch of the campus's biomedical library, is located on the medical center campus. In 2007, the medical center administration made a request to MCL for space in its facility to relocate pharmacy administration from the hospital tower. The university librarian brought together a team of library managers to deliberate and develop a proposal, which ultimately accommodated the medical center's request and enhanced some of MCL's public services.

  5. 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.

  6. A case of congenital citomegalovirus infection in San Ignacio Hospital, Bogotá

    OpenAIRE

    2010-01-01

    Infections during pregnancy are a major concern bothdue to its incidence and sequelae it might carry, including death. However, clinical suspicion of cytomegalic infection in obstetrics and pediatrics does not correlate with the low confirmation of the disease.In the placenta, congenital CMV infection produce chronic villitis which is characterized by focal or diffuse chronic inflammation of the villi. Eighty per cent of these cases are asymptomatic, and the rest appear with severe symptoms s...

  7. [Burnout in healthcare professionals: a study carried out in the Nephrology Unit of San Raffaele Hospital].

    Science.gov (United States)

    Ratti, Maria Monica; Delli Zotti, Giulia Bruna; Rossi, Claudia; Sarno, Lucio; Spotti, Donatella

    2015-01-01

    Burnout is a work stress syndrome caused by a prolonged contact with users which present physical and emotional suffering. C. Maslach, one of the main authors, refers that this syndrome is characterized by emotional exhaustion, depersonalization and reduced personal skills. However, the researches done within the Nephrology and Dialysis Departments on this phenomenon are still few in the literature, despite the peculiar characteristics of the care relationship that develops between caregivers and patients on dialysis treatment. The present study aims to highlight the importance of assessing the levels of burnout and strategies of adaptation to stress (coping) in healthcare workers of Nephrology and Dialysis Unit, so that their psychological well-being could be preserved, preventing the possibility of a progressive deterioration of the care relationship with the patient. The implementation of psychological training courses for healthcare workers seems to be a useful tool aimed at the prevention and management of the burnout syndrome.

  8. Pelvic actynomyces infection: report of two cases occurred in the Hospital of San José.

    Science.gov (United States)

    Urbina, Sergio; Ruiz, Hernando; Parejas, Sofia

    2006-01-01

    The actynomyces infection is a rare cause of chronic pelvic inflammation, which can be manifested in multiple ways. It is caused by the actynomyces bacteria, usually by the israelii type, which can be a part of the normal flora of the genital tract in patients who use intrauterine device (IUD). There is a discussion about the importance of considering this infection disease as part of the differential diagnosis in patients using the IUD, with atypical manifestations and bizarre presentation of infections of the genital tract, severe pelvic adherent syndromes, tubo-ovarian complexes (abscesses) barely symptomatic, and in the case of intraoperatory suspicion of pelvic carcinomatosis among others.

  9. Uncompensated Healthcare Within the Greater San Antonio Hospital Council Membership: An Educational Package & Case Study

    Science.gov (United States)

    2000-04-01

    government agencies they will be deported back to Mexico . For additional information on Medicaid eligibility refer to appendix J. UNCOMPENSATED CARE IN...36,181 2,916 8,923 25% Bandera 13,542 697 2,806 21% Bexar 1,342,480 100,926 327,421 24% Caldwell 31,480 2,245 7,581 24% Comal 71,060 4,002 14,996 21

  10. Capilla del hospital San José, en Burbank – California

    Directory of Open Access Journals (Sweden)

    Welton Becket y Asociados, Arquitectos e ingenieros

    1971-02-01

    Full Text Available This chapel has a concrete folded shell roof, which emphasizes the simple effectiveness of the design. Inside, the church is highly diaphanous and well lit. There is room for 108 seated persons, and special space is provided for patients on wheelchairs. The light and shadow effects both inside and externally are extremely spectacular. The artistic adornments, by Pancritius, harmonise adequately with the general style of the building.Su cubierta, que está constituida por una lámina plegada de hormigón, destaca la elegante sencillez de la estructura. En el interior del templo se disfruta de una sensación de diafanidad y claridad. Tiene capacidad para 108 personas sentadas y también dispone de espacio para acomodar a los pacientes que asisten en sillas de ruedas. La iluminación, tanto del interior como de la parte superior externa, es indirecta y de gran espectacularidad. Los trabajos artísticos, obras de Pancritius, armonizan adecuadamente con las características generales de la Capilla.

  11. 78 FR 66844 - Special Local Regulation; Southern California Annual Marine Events for the San Diego Captain of...

    Science.gov (United States)

    2013-11-07

    ... the San Diego Captain of the Port Zone AGENCY: Coast Guard, DHS. ACTION: Notice of enforcement of... San Diego Fall Classic, held on November 10, 2013. This event occurs on Mission Bay in San Diego, CA....S. Coast Guard Sector San Diego, CA; telephone (619) 278-7656, email D11-PF-MarineEventsSanDiego...

  12. Fine-scale delineation of the location of and relative ground shaking within the San Andreas Fault zone at San Andreas Lake, San Mateo County, California

    Science.gov (United States)

    Catchings, R.D.; Rymer, M.J.; Goldman, M.R.; Prentice, C.S.; Sickler, R.R.

    2013-01-01

    The San Francisco Public Utilities Commission is seismically retrofitting the water delivery system at San Andreas Lake, San Mateo County, California, where the reservoir intake system crosses the San Andreas Fault (SAF). The near-surface fault location and geometry are important considerations in the retrofit effort. Because the SAF trends through highly distorted Franciscan mélange and beneath much of the reservoir, the exact trace of the 1906 surface rupture is difficult to determine from surface mapping at San Andreas Lake. Based on surface mapping, it also is unclear if there are additional fault splays that extend northeast or southwest of the main surface rupture. To better understand the fault structure at San Andreas Lake, the U.S. Geological Survey acquired a series of seismic imaging profiles across the SAF at San Andreas Lake in 2008, 2009, and 2011, when the lake level was near historical lows and the surface traces of the SAF were exposed for the first time in decades. We used multiple seismic methods to locate the main 1906 rupture zone and fault splays within about 100 meters northeast of the main rupture zone. Our seismic observations are internally consistent, and our seismic indicators of faulting generally correlate with fault locations inferred from surface mapping. We also tested the accuracy of our seismic methods by comparing our seismically located faults with surface ruptures mapped by Schussler (1906) immediately after the April 18, 1906 San Francisco earthquake of approximate magnitude 7.9; our seismically determined fault locations were highly accurate. Near the reservoir intake facility at San Andreas Lake, our seismic data indicate the main 1906 surface rupture zone consists of at least three near-surface fault traces. Movement on multiple fault traces can have appreciable engineering significance because, unlike movement on a single strike-slip fault trace, differential movement on multiple fault traces may exert compressive and

  13. The Hidden Face of Hospital Economy. The Hospital of Sant’Andrea of Vercelli in 14th and 15th century

    Directory of Open Access Journals (Sweden)

    Antonio Olivieri

    2016-05-01

    Full Text Available The study of four fourteenth- and fifteenth-century registers of hospital of San Andrea of Vercelli allows to shine a light on some aspects of property management and hospital economy. On one hand, it is possible to see a technical evolution of the recordings of rents payment; on the other hand one can understand the nature of economic connection between the hospital and his tenants. It changed depending on the location of property together with the origin of the tenants, urban (above all craftsmen or rural. The careful accounting of the actual payment of rents ‒ with accounts of delays, of debts accumulation charging on tenants, of replacements of kind or money rents with manufactured goods or (in the case of peasants labour services ‒ enlightens the specific features of the hospital economy, aimed to product wealth in view of the nurture of the hospital life in its whole.

  14. The Hospitable Meal Model

    DEFF Research Database (Denmark)

    Justesen, Lise; Overgaard, Svend Skafte

    2017-01-01

    This article presents an analytical model that aims to conceptualize how meal experiences are framed when taking into account a dynamic understanding of hospitality: the meal model is named The Hospitable Meal Model. The idea behind The Hospitable Meal Model is to present a conceptual model...... that can serve as a frame for developing hospitable meal competencies among professionals working within the area of institutional foodservices as well as a conceptual model for analysing meal experiences. The Hospitable Meal Model transcends and transforms existing meal models by presenting a more open......-ended approach towards meal experiences. The underlying purpose of The Hospitable Meal Model is to provide the basis for creating value for the individuals involved in institutional meal services. The Hospitable Meal Model was developed on the basis of an empirical study on hospital meal experiences explored...

  15. Staph infections - hospital

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000449.htm Staph infections - hospital To use the sharing features on this page, ... one person to another. Staph Infections in the Hospital Staph germs are mostly spread by skin-to- ...

  16. Hospital Compare - Archived Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Compare is a consumer-oriented website that provides information on how well hospitals provide recommended care to their patients. This information can help...

  17. HCAHPS Hospital Survey

    Data.gov (United States)

    U.S. Department of Health & Human Services — Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey The intent of the HCAHPS initiative is to provide a standardized survey...

  18. Geologic Map of the San Luis Quadrangle, Costilla County, Colorado

    Science.gov (United States)

    Machette, Michael N.; Thompson, Ren A.; Drenth, Benjamin J.

    2008-01-01

    The map area includes San Luis and the primarily rural surrounding area. San Luis, the county seat of Costilla County, is the oldest surviving settlement in Colorado (1851). West of the town are San Pedro and San Luis mesas (basalt-covered tablelands), which are horsts with the San Luis fault zone to the east and the southern Sangre de Cristo fault zone to the west. The map also includes the Sanchez graben (part of the larger Culebra graben), a deep structural basin that lies between the San Luis fault zone (on the west) and the central Sangre de Cristo fault zone (on the east). The oldest rocks exposed in the map area are the Pliocene to upper Oligocene basin-fill sediments of the Santa Fe Group, and Pliocene Servilleta Basalt, a regional series of 3.7?4.8 Ma old flood basalts. Landslide deposits and colluvium that rest on sediments of the Santa Fe Group cover the steep margins of the mesas. Rare exposures of the sediment are comprised of siltstones, sandstones, and minor fluvial conglomerates. Most of the low ground surrounding the mesas and in the graben is covered by surficial deposits of Quaternary age. The alluvial deposits are subdivided into three Pleistocene-age units and three Holocene-age units. The oldest Pleistocene gravel (unit Qao) forms extensive coalesced alluvial fan and piedmont surfaces, the largest of which is known as the Costilla Plain. This surface extends west from San Pedro Mesa to the Rio Grande. The primary geologic hazards in the map area are from earthquakes, landslides, and localized flooding. There are three major fault zones in the area (as discussed above), and they all show evidence for late Pleistocene to possible Holocene movement. The landslides may have seismogenic origins; that is, they may be stimulated by strong ground shaking during large earthquakes. Machette and Thompson based this geologic map entirely on new mapping, whereas Drenth supplied geophysical data and interpretations.

  19. Evaluation of Total Daily Dose and Glycemic Control for Patients on U-500 Insulin Admitted to the Hospital

    Science.gov (United States)

    2016-05-20

    on U-500 Insulin Admitted to the Hospital presented at SURF Conference, San Antonio, TX 20 May 201 6 with MDWI 41-108, and has been assigned local...Admitted to the Hospital 2. IS THIS MATERIAL CLASSIFIED? D YES Qj NO 3 IS THIS MATERIAL SUBJECT TO ANY LEGAL RESTRICTIONS FOR PUBLICATION OR...give date) O N/A OR NECESSARY CHANGES 6 COMMENTS Ii) APPROVED 0 DISAPPROVED The article is approved. PRINTED NAME. RANK/GRADE, TITLE OF REVIEWER

  20. San Pedro Martir Telescope: Mexican design endeavor

    Science.gov (United States)

    Toledo-Ramirez, Gengis K.; Bringas-Rico, Vicente; Reyes, Noe; Uribe, Jorge; Lopez, Aldo; Tovar, Carlos; Caballero, Xochitl; Del-Llano, Luis; Martinez, Cesar; Macias, Eduardo; Lee, William; Carramiñana, Alberto; Richer, Michael; González, Jesús; Sanchez, Beatriz; Lucero, Diana; Manuel, Rogelio; Segura, Jose; Rubio, Saul; Gonzalez, German; Hernandez, Obed; García, Mary; Lazaro, Jose; Rosales-Ortega, Fabian; Herrera, Joel; Sierra, Gerardo; Serrano, Hazael

    2016-08-01

    The Telescopio San Pedro Martir (TSPM) is a new ground-based optical telescope project, with a 6.5 meters honeycomb primary mirror, to be built in the Observatorio Astronomico Nacional on the Sierra San Pedro Martir (OAN-SPM) located in Baja California, Mexico. The OAN-SPM has an altitude of 2830 meters above sea level; it is among the best location for astronomical observation in the world. It is located 1830 m higher than the atmospheric inversion layer with 70% of photometric nights, 80% of spectroscopic nights and a sky brightness up to 22 mag/arcsec2. The TSPM will be suitable for general science projects intended to improve the knowledge of the universe established on the Official Mexican Program for Science, Technology and Innovation 2014-2018. The telescope efforts are headed by two Mexican institutions in name of the Mexican astronomical community: the Universidad Nacional Autonoma de Mexico and the Instituto Nacional de Astrofisica, Optica y Electronica. The telescope has been financially supported mainly by the Consejo Nacional de Ciencia y Tecnologia (CONACYT). It is under development by Mexican scientists and engineers from the Center for Engineering and Industrial Development. This development is supported by a Mexican-American scientific cooperation, through a partnership with the University of Arizona (UA), and the Smithsonian Astrophysical Observatory (SAO). M3 Engineering and Technology Corporation in charge of enclosure and building design. The TSPM will be designed to allow flexibility and possible upgrades in order to maximize resources. Its optical and mechanical designs are based upon those of the Magellan and MMT telescopes. The TSPM primary mirror and its cell will be provided by the INAOE and UA. The telescope will be optimized from the near ultraviolet to the near infrared wavelength range (0.35-2.5 m), but will allow observations up to 26μm. The TSPM will initially offer a f/5 Cassegrain focal station. Later, four folded Cassegrain and