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Sample records for san lazaro hospital

  1. Radiation accident Hospital San Juan de Dios August - September 1996

    International Nuclear Information System (INIS)

    Chin Cheng, R.

    2000-01-01

    In Costa Rica, a radiation accident occurred in 1996. It took place at the Radiotherapy Service of the San Juan de Dios Hospital, which affected 115 patients. The Unit of Radiotherapy made a mistake in the calibration of the new bundle because of the change of external faeces of cobalt 60 (Alycon II). The work is a retrospective study that describes what happened in this accident, and the medical consequences that derived from it [es

  2. [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.

  3. Review and analysis of mammographies of Servicio de Radiologia Hospital San Juan de Dios

    International Nuclear Information System (INIS)

    Araya Cerdas, Adrian; Mirambell Sanchez, Melania; Monge Vega, Mandred; Mora Vargas, Karla; Vega Aguilar, Laura

    2013-01-01

    The concept of mammography is defined. The mammography has been estimated as the best tool currently available for the detection of breast cancer in its early stages, in addition, have been detected clinically occult lesions. Mammographies of the Servicio de Radiologia Hospital San Juan de Dios were analyzed for a total of 1250. The findings were related as static between BIRADS categorization and inherited-family factors, geographical and personal pathological of patients treated in the period September 2012 to January 2013 [es

  4. Úlceras corneales en el Hospital San Vicente de Arauca 2011 – 2012, estudio descriptivo

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    Carlos Eduardo Mestre-Aristizábal

    2018-03-01

    Full Text Available Introducción: En la consulta oftalmológica es común encontrar úlceras corneales relacionadas al uso de lentes de contacto, trauma, enfermedades propias del ojo. La consecuencia es la discapacidad visual si no se realiza un tratamiento adecuado. Objetivo: Identificar los agentes infecciosos presentes en las úlceras corneales de los pacientes que fueron atendidos en el Hospital de San Vicente de Arauca (Colombia entre los años 2011 y 2012. Metodología: Estudio descriptivo de historias clínicas de los pacientes que asistieron a la consulta de oftalmología en el Hospital San Vicente de Arauca (Colombia entre 2011-2012. Se incluyeron los pacientes con diagnóstico de úlcera corneal, a quienes se les haya realizado toma de muestras de raspado bajo visión biomicroscópica para procesamiento de Gram, KOH y cultivos. Se excluyeron los que recibieron tratamiento previo. Resultados: 29 pacientes fueron incluidos en el estudio: el 62.1% eran hombres, la edad promedio fue de 41.4 años, el 48.3% tenían trauma ocular. Aislamiento bacteriano fue del 34.4%, micótico el 20.6%; y mixto el 31%. El 55.2% predominó el S. epidermidis. Conclusiones: El trauma ocular es el principal factor predisponente para el desarrollo de úlceras corneales. El S. epidermidis se encuentra con más frecuencia en las úlceras corneales bacterianas. Los hongos filamentosos se encontraron con más frecuencia en las de infecciones micóticas. [Mestre-Aristizábal CE, Urquiza-Suárez YL, Montero-Gil JO. Úlceras corneales en el Hospital San Vicente de Arauca 2011 – 2012, estudio descriptivo. MedUNAB 2017; 19(3: 203-210

  5. Úlceras corneales en el Hospital San Vicente de Arauca 2011 – 2012, estudio descriptivo

    Directory of Open Access Journals (Sweden)

    Carlos Eduardo Mestre Aristizábal

    2017-03-01

    Full Text Available En la consulta oftalmológica es común encontrar úlceras corneales relacionadas al uso de lentes de contacto, trauma, enfermedades propias del ojo. La consecuencia es la discapacidad visual si no se realiza un tratamiento adecuado. Objetivo: Identificar los agentes infecciosos presentes en las úlceras corneales de los pacientes que fueron atendidos en el Hospital de San Vicente de Arauca (Colombia entre los años 2011 y 2012. Metodología: Estudio descriptivo de historias clínicas de los pacientes que asistieron a la consulta de oftalmología en el Hospital San Vicente de Arauca (Colombia entre 2011-2012. Se incluyeron los pacientes con diagnóstico de úlcera corneal, a quienes se les haya realizado toma de muestras de raspado bajo visión biomicroscópica para procesamiento de Gram, KOH y cultivos. Se excluyeron los que recibieron tratamiento previo. Resultados: 29 pacientes fueron incluidos en el estudio: el 62.1% eran hombres, la edad promedio fue de 41.4 años, el 48.3% tenían trauma ocular. Aislamiento bacteriano fue del 34.4%, micótico el 20.6%; y mixto el 31%. El 55.2% predominó el S. epidermidis. Conclusiones: El trauma ocular es el principal factor predisponente para el desarrollo de úlceras corneales. El S. epidermidis se encuentra con más frecuencia en las úlceras corneales bacterianas. Los hongos filamentosos se encontraron con más frecuencia en las de infecciones micóticas. [Mestre-Aristizábal CE, Urquiza-Suárez YL, Montero-Gil JO. Úlceras corneales en el Hospital San Vicente de Arauca 2011 – 2012, estudio descriptivo. MedUNAB 2017; 19(3: 203-210

  6. Factores predictores de mortalidad por accidente cerebrovascular en el Hospital Universitario San Jorge de Pereira (Colombia)

    OpenAIRE

    Cristhian David Morales-Plaza; Claudio Aguirre-Castañeda; Jorge Enrique Machado-Alba

    2016-01-01

    Objetivo: Determinar los factores predictores de mortalidad por accidente cerebrovascular (ACV) en el Hospital Universitario San Jorge de Pereira entre enero de 2008 y diciembre de 2011. Materiales y métodos: Estudio de corte transversal, realizado en los pacientes con diagnóstico de ACV. La información se obtuvo de las historias clínicas, teniendo en cuenta las variables edad, sexo, tipo de ACV (isquémico o hemorrágico), trastorno asociado, antecedentes personales relacionados con ACV, morta...

  7. Protocol images for staging of gastric cancer in radiology Hospital San Vicente de Paul

    International Nuclear Information System (INIS)

    Jarquin Salvatierra, Estibaliz

    2010-01-01

    The realization of a protocol for the evaluation of imaging in the radiology service of Hospital San Vicente de Paul in the province of Heredia is considered a useful tool that allows a clear and simple communication with the rest of the interdisciplinary team that serves patients with gastric cancer. The adequate management of this disease is important for an assessment and standardized reporting of images to facilitate preoperative planning; because the number of diagnostic studies that should be performed for the detection once obtained the histological diagnosis to establish the staging. Prior knowledge of stage according to TNM (Tumor/Nodes/Metastasis) classification is essential. The initial assessment for radiological detection of gastric cancer was performed with gastroduodenal series with double contrast medium and fluoroscopic control. The establishment of a study effects required for routine is important and avoid underdiagnosis.The new Hospital San Vicente de Paul will have the tomographic assessment and trans abdominal ultrasound (USTA) essential to assess the presence of metastasis to peritoneum and solid organs, in addition to the adenomegaly suggesting neoplastic infiltration. (author) [es

  8. 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

  9. [Organization analysis and health technology assessment: an experiment in San Giovanni Battista University Hospital-Turin].

    Science.gov (United States)

    Minniti, D; Chiadò Piat, S; Barbaro, S; Galzerano, M; Siliquini, R

    2010-01-01

    Recent Italian laws emphasise Clinical Governance model as a priority for hospitals and Health Technology Assessment as one of the major tools in order to support local and hospital decisions as far as new health technologies are concerned. Our reported experience suggests managing solutions and appraises clinical issues in terms of effectiveness, efficiency and security of new and emerging technologies in order to plan and to create a system according to up to date Health Technology Assessment principles in San Giovanni Battista University Hospital-Turin. Mini-HTA reports have been realised on "Technology Intelligence" in prostate cancer treatment, percutaneous implantation of aortic valve prosthesis in high-risk patients with aortic valve disease and experimental Home Radiology project. In addition, 1167 health technologies have been evaluated through a database created ad hoc. 65% of the evaluations have been positive, less than 5% negative and the other 30% have been suspended waiting for deeper assessments. The future perspectives predict the realization of further Mini-HTA reports even through a revision of the managing model used.

  10. SINTESIS DE LA EVOLUCION HISTORICA DEL HOSPITAL SAN JUAN DE DIOS

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    Hernando Forero Caballero

    1985-12-01

    Full Text Available

    La evolución del hospital de San Juan de Dios, como entidad de carácter asistencial para la salud del pueblo colombiano, se puede dividir en 5 etapas, correspondientes al progreso médico, histórico y cultural del país. La primera etapa, fetal o "de crisálida" como la llamó el Profesor López de Mesa, se inició en 1564 con la organización de la colonia española en Santafé y consistió en el establecimiento de una casa con unas camas destinadas a atender a los españoles que padecían alguna enfermedad, por circunstancias climáticas o infectados de bacterias importadas por ellos mismos. La atención médica, si tal puede llamarse, la ofrecían los monjes que, por intuición o por poseer alguna cultura generala mística religiosa, eran las únicas personas con ciertas condiciones para proporcionar algún alivio a los enfermos.

    El hospital nació de la necesidad de proteger la salud de los conquistadores y sus familias y sobre todo del terror que les inspiraban las epidemias.

    La evolución del hospital de San Juan de Dios, como entidad de carácter asistencial para la salud del pueblo colombiano, se puede dividir en 5 etapas, correspondientes al progreso médico, histórico y cultural del país. La primera etapa, fetal o "de crisálida" como la llamó el Profesor López de Mesa, se inició en 1564 con la organización de la colonia española en Santafé y consistió en el establecimiento de una casa con unas camas destinadas a atender a los españoles que padecían alguna enfermedad, por circunstancias climáticas o infectados de bacterias importadas por ellos mismos. La atención médica, si tal puede llamarse, la ofrecían los monjes que, por intuición o por poseer alguna cultura genera la mística religiosa, eran las únicas personas con ciertas condiciones para proporcionar algún alivio a los enfermos. El hospital nació de la necesidad de proteger la salud de los conquistadores y sus familias y sobre todo del terror

  11. [Project for the Creation of a Medical or Hospital Ethical Committee at a Local Level in the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama. Year 2013].

    Science.gov (United States)

    Díaz Rivera, Yashiro A

    2015-01-01

    The next project was based on the design on the creation of a medical ethical Committee at a hospital. It was developed at the San Miguel Arcangel Hospital, District of San Miguelito, Province of Panama, in 2013. Insomuch as the creation of social projects requires unified international parameters, format is taken from the Unesco's guides for the establishing and working of bioethics committees; adapted to the socio-economic, political and cultural context of the San Miguelito District, Panama Province. Furthermore to adapting to socio-ecological aspect where the research project is carried out, the theoretical aspect includes from the ontological personalistic bioethics, where the cornerstone is the dignity of the human person. A study of perceptions of medical staff and nursing was developed on the management of the most common ethical dilemmas in the Hospital San Miguel Arcángel. The instrument used was a previously validated perception survey through a pilot test. Reliability was measured using Cronbach's alpha coefficient, and validity was obtained from the content. Satisfactory statistical results, that verify the working hypotheses on the recognition of the importance of autonomy, confidentiality, protection of vulnerable population, occupational health staff welfare and integration of bioethics at the institutional agenda, were obtained. However, there were particular aspects that indicate some doubt as to the management of some realities that are presented in the context of health care.

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

    Directory of Open Access Journals (Sweden)

    Lina Marleny López Sánchez

    2010-06-01

    Full Text Available 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 generales, lo que revela que la contratación incluyó actividades misionales no inherentes a la naturaleza de la tercerización. Por último, se analiza el cumplimiento de los principios cooperativos (definidos por el Congreso Alianza Cooperativa Internacional en 1995 y adaptados por Confecoop, por parte de las cooperativas de trabajo asociado que suministran los servicios requeridos por el hospital.

  13. Characterization and management of patients with retroperitoneal sarcoma, Hospital San Juan de Dios 2007-2012

    International Nuclear Information System (INIS)

    Batista Rodriguez, Gabriela

    2013-01-01

    Patients diagnosed with retroperitoneal sarcoma at the Hospital San Juan de Dios were characterized during the years 2007 to 2012. The population framework was taken from the hospital's Pathology service database. A total of 15 patients older than 12 years with a diagnosis of sarcoma or malignant fibrous histiocytoma and that the site of origin of the biopsy was the retroperitoneum were selected. The data of the selected patients were collected through a data collection form. The variables included were: age, sex, origin, dates of importance (income, discharge, surgery, complication), presence and type of complications, pathological staging, type of surgery, comorbidities, presence and date of recurrence, treatment with chemotherapy and radiotherapy, death and causes of death. A descriptive analysis with the calculation of frequency measurements (absolute and relative) was carried out to describe the occurrence of the event. The analysis of proportional risks was performed considering the relationship between death and time, the possible relationship with the service of approach, clinical stage and resection status was also assessed. Information on diagnosis, evaluation, staging and management of retroperitoneal sarcomas is cited in the theoretical framework [es

  14. 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.

  15. 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.

  16. Prevalencia de dislipidemias en pacientes hipertensos que asisten al hospital San Marcos, Chinchiná, Caldas, Colombia, 2014

    OpenAIRE

    Acevedo, Vincent David; Castaño Castrillón, José Jaime M.Sc.; Giraldo, José Fernando Mag.; Escobar, Vanessa; Ernesto Felizzola, Gustavo; Gómez, Mary Luz; Moreno, Gricely; Yulián, Andrés Ortiz; Vivian, Andrea Torres

    2015-01-01

    Objetivo: Determinar el perfil lipídico y factores asociados a dislipidemias en pacientes hipertensos de Chinchiná, Colombia. Materiales y métodos: Estudio de corte transversal, con una muestra de 100 pacientes del grupo de hipertensos del hospital San Marcos Chinchiná, excluyendo aquellos con diabetes, falla renal, hipotiroidismo, embarazadas y menores de 35 años, realizado desde febrero de 2013 hasta noviembre de 2014, se indago por variables sociodemográficas, antecedentes fami...

  17. [Mucormycosis: Study of five cases found in San Juan de Dios hospital and Sor Maria Ludovica hospital in La Plata, Argentina].

    Science.gov (United States)

    Featherston, P L; Fernández, G; Munguía, H; Marín, M E

    1998-01-01

    Hospital San Juan de Dios and Sor María Ludovica in La Plata, between 1980 and 1997. Mucormicosis is a frequently fatal, opportunistic fungal infection, that affects immunocompromised patients. The risk factors include diabetes mellitus, leukemia, lymphoma, burns, etc. We present three cases of cutaneous mucormicosis in children 3, 10 and 11 years old, who had been sent to the hospital due to compound fractures in a car crash; one case of pulmonary mucormicosis in an adult 28 years old with prolonged corticotherapy and rhinocerebral mucormicosis in a patient 38 years old with a diagnosis of acute lymphoid leukemia.

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

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    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.

  19. A public health initiative to increase annual influenza immunization among hospital health care personnel: the San Diego Hospital Influenza Immunization Partnership.

    Science.gov (United States)

    Sawyer, Mark H; Peddecord, K Michael; Wang, Wendy; Deguire, Michelle; Miskewitch-Dzulynsky, Michelle; Vuong, David D

    2012-09-01

    A public health department-supported intervention to increase influenza immunization among hospital-based health care practitioners (HCPs) in San Diego County took place between 2005 and 2008. The study included all major hospitals in the county, with a population of approximately 3.5 million. Information on hospital activities was collected from before, during and after initiative activities. Vaccination status and demographics were collected directly from HCP using hospital-based and random-dialed telephone surveys. Between 2006 and 2008, hospitals increased promotion activities and reported increases in vaccination rates. Based on the random-dialed surveys, HCP influenza vaccination coverage rates did not increase significantly. Vaccination rates were significantly higher in HCPs who reported that employers provided free vaccination and those who believed that their employers mandated influenza vaccination. This local public health initiative and concurrent state legislation were effective in increasing employer efforts to promote influenza vaccination; however, population-based surveys of HCPs did not show significant increases in influenza vaccination. Overall, this study suggests that public health leadership, intensive employer promotion activities, and state-required declinations alone were not sufficient to significantly increase HCP influenza vaccination. Policymakers and employers should consider mandates to achieve optimal influenza vaccination among HCPs. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  20. Factores Asociados a la Dismenorrea Primaria en Mujeres Atendidas en el Hospital de la Solidaridad de San Juan de Lurigancho 2014.

    OpenAIRE

    Ticlla Vargas, Mery

    2015-01-01

    Objetivo: Determinar los factores asociados a la dismenorrea primaria en mujeres atendidas en el Hospital de la Solidaridad de San Juan de Lurigancho, 2014. Metodología: Se realizó un estudio de tipo observacional, corte transversal, colección de los datos tipo retrospectivo, al nivel explicativo, tipo de diseño caso-control, en el cual participaron 40 mujeres atendidas en el Hospital de la Solidaridad de San Juan de Lurigancho, 2014 basado en una encuesta anónima aplicada a la una muestra al...

  1. 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.

  2. Interobserver reproducibility of the histological diagnosis of cervical dysplasia, Hospital San Juan de Dios, from January to December 2010

    International Nuclear Information System (INIS)

    Morales Navarro, Karla Andrea

    2013-01-01

    The reproducibility of the histological diagnosis of cervix specimens processed by the Pathology Service of the San Juan de Dios Hospital from January to December 2010 was determined. When operational failures were detected, possible improvement processes were proposed, guided by the study's findings. A moderate concordance for the Bethesda System and poor to moderate for the classification of Cervical Intraepithelial Neoplasia, was obtained after analyzing the diagnoses issued by the observers when comparing the pairs of pathologists. The concordance was moderate when comparing each pathologist with the standard for both classifications. The correlation was excellent when comparing the Classification Cervical Intraepithelial Neoplasia versus the Bethesda System. The categories with highest concordance were high-grade intraepithelial lesion and cervical intraepithelial neoplasia 3 and minor agreement were low-grade intraepithelial lesion and cervical intraepithelial neoplasia 2. The results agree and in some cases the results exceed the reproduction noted in the literature world medical [es

  3. Biochemical identification and determination of antimicrobial resistance in clinical isolates of anaerobic bacteria obtained from the Hospital San Juan de Dios in the period 2009 to 2011

    International Nuclear Information System (INIS)

    Meza Pena, Maria Daniela

    2014-01-01

    Clinical isolates of 81 anaerobic bacteria isolated are identified to patients of the Hospital San Juan de Dios, between 2009 to 2011; by algorithms that have employed biochemical methods of reference chemical samples. Antimicrobial resistance is determined. The miniaturized methods and biochemical algorithms proposed were compared to identify differences between methods. The minimum inhibitory concentration of metronidazole, clindamycin, amoxicillin, tetracycline and cefotaxime are determined to 81 anaerobic bacteria isolated from the Hospital mentioned [es

  4. Ventilación mecánica asistida en el Hospital San Rafael de Alajuela

    OpenAIRE

    Salas Segura, Donato A.

    1999-01-01

    Se trata de un estudio observacional sobre el empleo de la ventilación mecánica en un hospital de 2do nivel sin unidad de cuidados intensivos. UCR::Docencia::Salud::Facultad de Medicina::Escuela de Medicina

  5. 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.

  6. 77 FR 66499 - Environmental Impact Statement: San Bernardino and Los Angeles Counties, CA

    Science.gov (United States)

    2012-11-05

    ... San Bernardino, 285 East Hospitality Lane, San Bernardino, California 92408 (2) Sheraton Ontario..., November 13, 2012 from 5-7 p.m. at the Hilton San Bernardino, 285 East Hospitality Lane, San Bernardino...

  7. Design the organizational model for the creation of a radiation protection service in hospitals Rafael Angel Calderon Guardia, San Juan de Dios and Mexico

    International Nuclear Information System (INIS)

    Astua Chaverri, Erika; Jimenez Cordero, Martin; Jimenez Quesada, Ulises; Montero Cordero, Rosa Ma.

    2008-01-01

    The search for new ways to protect occupationally exposed population, external users and the environment has been the need to optimize all aspects of radiation protection, to prevent incidents or accidents, by the use of ionizing radiation. Proposal consists in carrying out field work to be involving staff who work with ionizing radiation in the areas of diagnostic radiology, radiotherapy and nuclear medicine in hospitals Rafael Angel Calderon Guardia, Hospital Mexico and Hospital San Juan de Dios. The collected data were coded and analyzed for a situational diagnosis of radiation protection. The results have led to the proposal of the Design of an Organizational Model for Radiological Protection Service to the hospitals included in the investigation. (author) [es

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

    Directory of Open Access Journals (Sweden)

    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

  9. 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

  10. Descriptive analysis of sonographic findings, surgical and pathological in patients with acute appendicitis in the Hospital San Juan de Dios in the year 2010

    International Nuclear Information System (INIS)

    Murillo Arguello, Fabiola

    2012-01-01

    The Hospital San Juan de Dios has found without studies correlating the ultrasound findings, with the pathology of acute appendicitis by surgery and histological analysis, especially that meets in the same study the utility of ultrasound in the diagnosis. For that reason, the ultrasonographic findings, pathological and surgical of patients with appendiceal pathology are described in the Servicio de Radiologia of Hospital San Juan de Dios in the year 2010. A revision of 324 dossiers in patients with positive biopsy is performed; however, 23% have result without alterations by ultrasound. The female sex has obtained the largest number of diagnosis by ultrasound. The age group for both sexes is found between 21-30 years. The most common transoperative finding has been grade I appendicitis and no perforated appendicitis have prevailed regarding biopsies reported in the pathology service. The validity of ultrasonography is determined to aid in decision making in pathology of acute appendicitis in the emergency room and avoid or reduce complications that can lead a diagnostic doubt, this will inform the surgeon the possible findings when the surgical intervention. Additionally, the diagnosis of acute appendicitis may be discarded when are encountered other pathologies such as ovarian cysts, kidney stones, among others, avoiding unnecessary surgeries. The costs to the institution are reduced by decreasing the hospital stay and the use of operating rooms [es

  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. Analysis of the epidemiological profile, staging and survival of patients diagnosed with gastric cancer at the Hospital San Juan de Dios during 2004

    International Nuclear Information System (INIS)

    Moreira Vasquez, Christian

    2012-01-01

    The gastric cancer has been the second most common cause of death associated with cancer mortality worldwide; Costa Rica ranks second worldwide. The detection and treatment of this disease in early stages have been vital to reduce mortality so elevated that has been presented. A review of the literature on the subject is performed: epidemiology, risk factors, diagnostic methods, staging and therapeutic options. Survival at 5 years and epidemiological profile are analyzed with gastric cancer patients diagnosed at the Hospital San Juan de Dios during the year 2004 [es

  13. Cuidado humanizado al neonato prematuro y familia: una perspectiva de enfermería. Unidad de cuidado intensivo neonatal. Hospital San Bartolomé. 2015.

    OpenAIRE

    Broncano Vargas, Yrma Nilda

    2016-01-01

    El objeto de estudio es el cuidado humanizado de enfermería al neonato prematuro y familia, desde la perspectiva de enfermería en la Unidad de Cuidados Intensivos Neonatal (UCIN) del Hospital San Bartolomé, Lima Perú. Objetivos: Describir y caracterizar el cuidado humanizado que brinda la enfermera al neonato prematuro y familia en la UCIN, analizar las implicancias del cuidado humanizado al recién nacido prematuro y familia en la salud neonatal. Estudio de naturaleza cualitativa, método desc...

  14. Complete pathological response in patients treated with Neoadyuvancia in rectal cancer at Hospital San Juan de Dios from January 2008 to December 2010

    International Nuclear Information System (INIS)

    Laurito Torres, Paula

    2014-01-01

    The cure rate of patients treated with chemotherapy under the condition of locally advanced rectal adenocarcinoma is characterized in the Hospital San Juan de Dios between January 2008 and December 2010. Factors related to this treatment are described. Clinical records of 36 patients who received neoadjuvant treatment are studied. The data are collected, on staging studies; treatment toxicity; preservation of anal sphincter; downstaging; equipment and doses of radiotherapy; surgical resectability; complications of treatment; chemotherapy regimens; survival and free period of recurrence. The curative index of the patients investigated is similar to the publications of international studies. Some particularities of the treatment can be improved to obtain better results [es

  15. 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...

  16. 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

  17. El San Juan de Dios y las trabajadoras: la vida social de un hospital y la crisis de la salud en Colombia

    Directory of Open Access Journals (Sweden)

    Andrés Góngora

    Full Text Available Resumen Este artículo describe algunos eventos significativos de los 15 años de lucha (1999-2014 de un grupo de mujeres por la reactivación del Hospital San Juan de Dios y por continuar siendo trabajadoras después de las reformas neoliberales en Colombia. La etnografía presentada propone herramientas para la comprensión de las dimensiones morales forjadas a partir de un conflicto por el reconocimiento de derechos y demuestra que el hospital, más que un conjunto arquitectónico, es un idioma activado por las trabajadoras para afirmar su humanidad, un vehículo para la elaboración simbólica de una causa y un medio para entender la construcción de colectividades a partir de gramáticas emocionales.

  18. Mecenazgo religioso y estrategias familiares en la Segovia del siglo XV: Diego Árias de Ávila y el Hospital de San Antonio

    Directory of Open Access Journals (Sweden)

    Rábade Obradó, María del Pilar

    2002-12-01

    Full Text Available The present work studies the foundation of Saint Anthony´s hospital of Segovia during the XVth century. The foundation was an initiative of Diego Arias de Ávila, one of the most influential personalities of the reign of Henry IV of Castila. The foundation was determined on very varied reasons, not only charitative and religious reasons. Among these reasons, the use of the hospital as an instrument of the family strategies. These family strategies tried to hidden the hebrew origins of the lineage. They also tried to guarantee the perennity of the lineage, and to leave an endurable memory behind. Lasdy, these family strategies tried to consolidate the domination that the lineage had on Segovia.

    El presente trabajo estudia la fundación del hospital de San Antonio de Segovia en el siglo XV. La fundación fue una iniciativa de Diego Arias de Ávila, uno de los personajes más influyentes durante el reinado de Enrique IV de Castilla. La fundación estuvo determinada por motivaciones muy diversas, no sólo caritativas y religiosas. Entre ellas, el uso del hospital como instrumento de las estrategias familiares. Esas estrategias familiares pretendían ocultar los orígenes judíos del linaje, garantizar su perennidad, dejar una memoria perdurable del mismo, y, finalmente, consolidar la dominación que el linaje ejercía sobre Segovia.

  19. 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.

  20. Profundization of acetabular cup uncemented in total substitution of hip in-patient with acetabular dysplasia - Experience university hospital - Clinica San Rafael

    International Nuclear Information System (INIS)

    Dimian Mayorga, Omar David; Sandoval Daza, Alejandro; Vargas Turriago, Marcela; Perez Torres, Javier

    2005-01-01

    14 patients with acetabular dysplasia were treated at Hospital Universitario Clinica San Rafael with total hip arthroplasty with uncemented cup internization. According to Crowe classification, one was type 1, eight were type 2 and five were type 3. The average follow up was twenty-four months. The Harris hip score was used for the clinical evaluation with a pre operative average of 35 points and 37 points post operative. The average cup internization was four millimeters, with an average cup protrutio of 47% and an average of cup coverage of 81%. The average internization of the femoral head's center was 26mm. screws for cup fixation were used in 3 patients. We did not have complications nor implant revision at the time of follow up

  1. Tumores gástricos malignos en el Hospital San Juan de Dios y la Clínica Carlos Lleras Restrepo de Bogotá

    OpenAIRE

    Viviana L. Arias; Mauricio A. Paláu; Juan José Yunis; Diana Palacios; Orlando Ricaurte

    2001-01-01

    Se revisaron 9.349 informes de estudios de especímenes quirúrgicos del archivo del Departamento de Patología del Hospital San Juan de Dios y la Clínica Carlos Lleras Restrepo de Bogotá en el tiempo comprendido entre enero 1 de 1999 y mayo 31 de 2000. Se seleccionaron los especímenes con diagnóstico de tumores gástricos que correspondieron al 8,61% de los casos; 2,41% fueron tumores benignos y 6,2% malignos De éstos 91,67% fueron adenocarcinomas, 2,78 % linfomas, 1,85% tumores carcinoides y 1,...

  2. [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.

  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. 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.

  5. El sistema de información contable del Hospital San Julián de Albacete entre 1838 y 1859

    Directory of Open Access Journals (Sweden)

    María del Mar López Pérez

    2007-07-01

    Full Text Available En el siglo XIX el sistema de beneficencia español aún seguía el modelo defendido por los ilustrados: la beneficencia como deseo de remediar la situación de los más necesitados, superando la concepción anterior más ligada a la salvación de quienes ejercían la caridad. Este concepto de beneficencia “ilustrada” se mantuvo en el siglo XIX y en este marco se desarrollaron las distintas iniciativas destinadas a la asistencia: creación y mantenimiento de hospitales y hospicios. En el presente trabajo abordamos el estudio del sistema hospitalario de la provincia de Albacete, concretamente del Hospital de San Julián durante el período comprendido entre 1838 y 1859, cuando su gestión corría a cuenta de la Junta Municipal de Beneficencia. Hemos analizado la contabilidad llevada en dicho establecimiento, basada aún en un sistema de “cargo y data”, a pesar de que hay constancia de anotaciones por partida doble desde finales del siglo XIII. El procedimiento utilizado consistía en la confrontación de los cobros obtenidos, derivados de diferentes categorías de ingresos, con los pagos efectuados por los gastos incurridos, en una Cuenta General informativa de la corriente de tesorería habida en el hospital. El análisis de la información se ha realizado mediante la creación de una base de datos, tratada estadísticamente, que pone de manifiesto la tipología de ingresos y gastos que, por término medio, representaban el mayor peso relativo con respecto a los importes totales, así como aquellos que alcanzaban los valores máximos y mínimos a lo largo del período estudiado. Hemos pretendido evaluar la gestión hospitalaria durante esos años así como analizar el sistema de información contable del Hospital de San Julián. El sistema de contabilidad consistió en realizar las anotaciones contables de cobros y pagos, donde los primeros fueron superiores a los segundos. De hecho, desde el año 1846 hubo un superávit o alcance

  6. Clinical utility from the determination of serico galactomannan in the diagnosis of invasive aspergillosis in hematological patients of the Hospital San Juan de Dios, between January 2009 and December 2012; Utilidad clinica de la determinacion de galactomanano serico en el diagnostico de aspergilosis invasiva en pacientes hematologicos del Hospital San Juan de Dios, entre enero 2009 y diciembre 2012

    Energy Technology Data Exchange (ETDEWEB)

    Li Sandi, Silvia

    2014-07-01

    Nosocomial infections have become more important to the health system by the high costs of these, but are little data available about them in recent years. The clinical utility of the determination of serum galactomannan (GMS) in patients with high risk of contracting the infection by Aspergillus spp, was assessed, between January 2009 and December 2012 at the Hospital San Juan de Dios. Several existing studies in the scientific literature have already evaluated the clinical usefulness, specific data have been inexistent for Costa Rica or for Central America and the Caribbean; so it is important to have known whether the conduct of the test has been similar to the other populations or have specific variations [Spanish] Las enfermedades nosocomiales han cobrado mayor importancia para el sistema de salud por el gasto elevado que han representado, pero son pocos los datos disponibles respecto a ellas en los ultimos anos. La utilidad clinica de la determinacion de galactomanano serico (GMS) en pacientes con alto riesgo a contraer la infeccion por Aspergillus spp, fue evaluada, entre enero del 2009 y diciembre del 2012 en el Hospital San Juan de Dios. Varios estudios existentes en la literatura cientifica ya han evaluado esta utilidad clinica, datos especificos han sido inexistentes para Costa Rica, o para la region Centroamericana y el Caribe, por lo que es importante haber conocido si el comportamiento de la prueba ha sido similar a las otras poblaciones o tiene variaciones.

  7. Hospital San Juan de Dios: actor y víctima de las políticas públicas en Colombia

    Directory of Open Access Journals (Sweden)

    María Y Pinilla

    Full Text Available En este artículo narramos y analizamos la construcción histórica que un grupo de trabajadoras y un colectivo de organizaciones sociales hicieron del Hospital San Juan de Dios (HSJD e Instituto Materno Infantil (IMI en Bogotá, Colombia, en medio de la crisis neoliberal en salud. Nuestra investigación etnográfica liga las tradiciones Latinoamericanas en etnografía colaborativa y antropología histórica y fue llevada a cabo en dos espacios. En el primero de 2005-2015 realizamos conversatorios informales, talleres y entrevistas semiestructuradas con trabajadoras y trabajadores del IMI. El segundo se desarrolló en el marco de las deliberaciones de la Mesa Jurídica por el San Juan de Dios (20082009, cuyo objetivo fue instaurar una acción popular en defensa de los hospitales. Encontramos que trabajadoras y colectivos sociales se apropiaron del origen colonial de los hospitales y su institucionalización como centros de políticas de bienestar del país para resaltar su importancia patrimonial, histórica, educativa y social. Esta construcción histórica realizada por las trabajadoras critica los esfuerzos por negar o transformar el carácter público de los hospitales y sirve para instaurar distintas acciones que denuncian la reforma neoliberal en salud como la causante de la mayor crisis de los hospitales y su cierre. Las y los actores denuncian el cambio en la relación hospitales-Estado, la cual pasó de ser central para el desarrollo de las políticas sociales a una eliminación simbólica y material que favorece los intereses de mercado establecidos con el modelo neoliberal.

  8. Complications encountered in patients bearers with crest syndrome in rheumatological service of the Hospital San Juan de Dios until September 2009

    International Nuclear Information System (INIS)

    Mendez Rodriguez, Alexis

    2010-01-01

    Systematic sclerosis is a disease that has caused much morbidity and dependence in patients. Despite not being the disease most prevalent in rheumatological practice, it has been perhaps one that has generated more interest in the complex pathophysiology; but, also a great sense of frustration with the great therapeutic limitations especially when is diagnosed in advanced stages. The research was conducted in order to motivate early clinical search of the major complications found in patients CREST syndrome, in rheumatological service of the Hospital San Juan de Dios until September 2009 the total of cases with a diagnosis of CREST were reviewed in outpatient records, the study population have been of 41 patients. The different clinical manifestations of the patient were taken into account, among other aspects: immunological studies, established treatments and diagnosis methods as conventional radiology, endoscopic studies, echocardiogram, capillaroscopy. This job has determined among other things, that the majority of patients with CREST come from Desamparados and the Southern Zone, representing 31.7 and 29.2%, respectively, 98% are women and 76% of patients engaged in domestic chores and no mortality case was found in relation to CREST [es

  9. 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.

  10. Prevalencia de anticuerpos antimaláricos en donantes del banco de sangre del Hospital Universitario San Vicente de Paúl de Medellín, Colombia

    Directory of Open Access Journals (Sweden)

    Jhon M. Ortíz

    1999-12-01

    Full Text Available Se determinó la prevalencia de anticuerpos antimaláricos, tipo IgG, mediante la técnica de inmunofluorescencia indirecta (IFI, en 392 sueros de donantes voluntarios de sangre del Hospital Universitario San Vicente de Paúl, recolectados durante los meses de septiembre y octubre del año 1995 y mantenidos en congelación a -70 ""C durante 36 meses. La prevalencia de seropositividad fue de 1,8% (7 donantes, de los cuales, tres tenían el antecedente de haber vivido en zona endémica para malaria; de éstos, dos habían sufrido malaria, por lo menos, una vez en la vida; los cuatro donantes restantes no habían vivido en zona endémica para malaria ni tenían antecedentes de haberla padecido. Todos los donantes tuvieron gotas gruesas negativas para Plasmodium. Para tratar de reducir el riesgo de malaria transfusional, se recomienda informar en forma clara a los donantes sobre lasáreas endémicas para malaria en el departamento, complementar la encuesta que realizan los bancos de sangre con gota gruesa en todas las unidades de sangre que se vayan a transfundir y determinar anticuerpos antimaláricos en todos los donantes de riesgo con encuestas sospechosas y que puedan ser transmisores potenciales de Plasmodium.

  11. Effect of 131I in the treatment of hyperthyroidism at Hospital San Juan de Dios for the period from January 1, 2005 to December 31, 2007

    International Nuclear Information System (INIS)

    Badilla Barboza, Oscar Yuran

    2011-01-01

    Radioactive iodine 131 ( 131 I) is used for the treatment of hyperthyroidism at Hospital San Juan de Dios. The most common causes of hyperthyroidism have been Graves disease or diffuse goiter, toxic multinodular goiter and toxic nodular goiter, among others; but, the results are unknown and factors that have influenced the treatment with 131 I. The study has included only patients with these causes, and have been administered radioactive iodine 131 as treatment. 180 cases have been treated with radioactive iodine, 75.0% have presented diffuse goiter, 22.2% multinodular goiter and 2.8% nodular goiter, where were been 144 female patients (80%) and 36 male patients (20%). Women have had predominance in the three groups that were analyzed pathologies, according to medical literature, an approximate incidence of 0.4 cases has existed per thousand women to year. A proportional relationship between clinical size of goiter and failure of therapy with 131 I has been in diffuse goiter for the handling of hyperthyroidism. Likewise, male sex has been risk factor in the failure of such therapy. Multinodular goiter and nodular goiter have not had difference between the results according to sex and size of goiter. Most hyperthyroid patients with diffuse goiter, nodular and multinodular have received 131 I as treatment, and previously this, they have received propylthiouracil; treatment outcome was unaffected. Treatment with 131 I in hyperthyroid patients has managed to be effective for reduction in size of the thyroid gland in diffuse goiter, nodular goiter and multinodular [es

  12. Security in transport, storage and disposal of radioactive materials, providing to the department of nuclear medicine in hospitals Rafael Angel Calderon Guardia, San Juan de Dios and Mexico

    International Nuclear Information System (INIS)

    Elizondo Valle, Alejandro; Jimenez Mendez, Christian; Leiton Araya, Christopher; Villalobos Rodriguez, Geovanny; Leal Vega, Olga Maritza; Lopez Gatjens, Santiago

    2010-01-01

    The security is analysed for the transport and storage of radioactive sources and the management of radioactive waste product of practices and interventions in nuclear medicine services in hospitals Calderon Guardia, San Juan de Dios and Mexico. The objective is to assess the compliance with current regulations, the effectiveness and efficiency of the same. The security and compliance with current regulations were considered related to the transport of radioactive sources by the two private companies that provide this service, from the Juan Santamaria airport customs to three hospitals evaluated. Compliance with national and international rules on storage of radioactive sources and waste materials were analyzed. For this has been studied Costa Rican law and the recommendations of international organizations related to the subject matter, in the three nuclear medicine services valued. The national and international background related to radiological accidents occurred with radioactive sources during transport, storage and waste were revised, where highlights that in most cases, these accidents occurred for breach of the regulations established. Studies in Costa Rica on radioactive waste management were analysed, and the current status of nuclear medicine services in terms of radiation safety, which helped with the investigation. The compliance and regulations were analyzed by the result of observation and interviews during development, to finally make a series of findings and provide recommendations that are considered relevant. Various variants and indicators that are defined in the theoretical framework were used; also, the strategy of methodology is described. The purpose of the work has been to provide a scientific nature, and that methodology met the objectives, offering an approach from different angles and the actors involved, and a critical and objective analysis strictly in order to contribute to public health. The research is a valuable tool that provides

  13. Epidemiological and radiological profile of patients with gastric cancer studied by gastroduodenal series in the Servicio de Radiologia of the Hospital San Juan de Dios during the period January 2009 to December 2009

    International Nuclear Information System (INIS)

    Loria Mendez, Mildred

    2011-01-01

    The epidemiological and radiological characteristics are described in patients with gastric cancer studied by gastroduodenal series in the Servicio de Radiologia of the Hospital San Juan de Dios, during the period January to December 2009. The cumulative incidence is estimated in patients with gastric cancer. The study population is identified according to sex, age and provenance. Radiographic findings and stage of the gastric cancer patients are described [es

  14. [A critical analysis of the degree of care humanization in the Hospitals of the Provincia Romana San Giovanni di Dio Fatebenefratelli (FBF)].

    Science.gov (United States)

    Verginelli, Flavia; Gallo, Rosaria; Teti, Annalisa; Franco, Claudia; Piscioneri, Patrizia; Pimpinella, Giovanni; Fiore, Rosalia; Primavera, Angela; Sorrentino, Adriana; Guglielmucci, Giovanni; Venditti, Michele; Carbone, Alberto; Iannuzzo, Mariateresa; Seroni, Giampiero; Civello, Pietro; Cardarelli, Maria; Roberti, Giovanni

    2018-01-01

    In the Hospitals of the Ordine della Provincia Romana San Giovanni di Dio Fatebenefratelli (FBF) (consisting of four hospitals located in three Italian regions) Patient Centeredness has always been considered a central point. In 2015, the Central Hospitals' Health Direction decided to use a check-list for the evaluation of the degree of Patient Centered Care Facilities, drawn up by the National Agency for Regional Health Services (Age.Na.S) during the 2010 Research Project "Experimentation and transfer of organizational empowerment models for evaluating and improving the quality of health services." The aim of the work was to measure the "Patient Centered Care degree" of the FBF structures by means of the Age.Na.S. check-list in order to identify effective and sustainable improvement measures, and to evaluate the applicability and the critical points of the questionnaire. The check-list was divided into four areas: care systems oriented at citizen's respect and centrality; physical accessibility, liveability and comfort of the places of care; access to information, simplification and transparency; care of the relationship with the patient and the citizen. The four areas were divided into 12 sub-areas, 29 criteria and 144 items with sub-items (248 questions), defined as quantitative or qualitative variables allowing for an evaluation of observed reality. Some items from different areas have been grouped into Focus and Operational Units (UU.OO./Facilities). The results of the Age.Na.S. study were used to compare the results obtained in the Roman Province FBF structures with the national ones. The Medical Directors and the responsible of FBF Quality Systems completed the cheek-list. A working group within the Central Hospitals' Health Direction analysed the data and processed the results, using the same scores provided by Age.Na.S.. The analysis of the results was divided into three levels. Focus and UU.OO./Facilities scores were calculated based on Age.Na.S. The

  15. Therapeutic plasma exchange in patients with pauciimmune vasculitis: Hospital Universitario San Ignacio experience; Bogotá, Colombia

    Directory of Open Access Journals (Sweden)

    Juan P. Córdoba

    2014-05-01

    Full Text Available Introduction: The vasculitis ANCAS positive, are a group of diseases with different clinical manifestations. Therapeutic plasma exchange has become an excellent tool for the treatment of these patients in specific conditions. Objective: Describe the demographic and clinical characteristics of patients and the final outcomes in patients with positive ANCAS vasculitis that required therapeutic plasma exchange (TPE. Materials and methods: All patients under 18 years old with positive ANCAS vascultiis that required TPE where included during the period of May 2010 and December 2013. Results: 13 patients where treated, with a total of 73 TPE sessions. The average age was 52,3 years (Range 17 to 70. The principal diagnosis for interventions was rapidly progressive glomerulonephritis (RPGN plus alveolar hemorrhage (63%. The average number of sessions per patient was 5,6 (range 1 a 10 with an average of plasma volume exchange per session of 1,26 (range 0.72 a 1,56. Of the 13 patients, 11 (84,6% required renal replacement therapy (RRT during hospitalization. At discharge, 36.3% recover the renal function, 27% continue on RRT and 36,3% died. There was at least one complication in 6,8% of all sessions. Conclusions: TPE is an excellent tool to treat patients with positive ANCAS vasculitis that present with RPGN, high levels of serum creatinine or dialysis need, or alveolar hemorrhage. This is a safe procedure with comparable results according to International literature.Key words: Apheresis, plasmapheresis, therapeutic plasma exchange, vasculitis, ANCA.

  16. [Antibiotics utilization in the Intensive Care Unit of the Hospital Dr, Guillermo Rawson-San Juan, Argentina].

    Science.gov (United States)

    Vega, Elena María; Fontana, Daniela; Iturrieta, Martha; Segovia, Liliana; Rodríguez, Gabriela; Agüero, Sandra

    2015-06-01

    To achieve rational use of antibiotics (ATB), is necessary to know its use and prescription patterns over time, Objective: To describe and analyze the characteristics of the use of ATB in the Guillermo Rawson Hospital (GRH) adult intensive care unit (ICU). Observational, descriptive, longitudinal and retrospective study (2008-2011). Pharmacy and Statistics records were consulted, ATC code was used, the group analyzed was J01, Oral or parenteral DDD were assigned, Data was processed with Excel 2007, Unit of measure: DDD/100 bed-days, for each ATB per year and an average of use. Over 4 years, 48 different medicines were dispensed (33 drugs), The average consumption of ATB was 177,07 DDD/100 bed-days and distribution per year was: 183,10, 165,90, 180,94, 178,34, The DDD/100 bed-days average for treatment groups more used were: penicillin (57.10), other β-lactam antibacterials (48.01), other antibacterials (21.07), trimethoprim and sulfonamides (19,54), quinolones (15,64), macrolides/azalides and lincosamides (6,53), aminoglycosides (5,65) and tetracyclines (3,53), There were changes in consumption without clear pattern of increase or decrease. ATB used in the ICU and its variation in use between 2008-2011 were described, The ATB most used were penicillins and other β-lactams and 2008 was the year that more ATB was dispensed. Understanding these patterns of consumption will be useful to develop a founded antibiotic policy reached by consensus and beneficial to the patients.

  17. [Improving operating room efficiency: an observational and multidimensional approach in the San Camillo-Forlanini Hospital, Rome].

    Science.gov (United States)

    Mitello, Lucia; D'Alba, Fabrizio; Milito, Francesca; Monaco, Cinzia; Orazi, Daniela; Battilana, Daniela; Marucci, Anna Rita; Longo, Angelo; Latina, Roberto

    2017-01-01

    The management of operating rooms (ORs) is a complex process which requires an effective organizational scheme. In order to amore convinient allocation of resources a rigorous monitoring plan is needed to ensure operating rooms performances. All the necessary actions should be taken to improve the quality of the planning and scheduling procedure. Between April-December, 2016 an organizational analysis has been carried out on the performances of the A.O. S. Camillo-Forlanini Hospital Operating Block applying the "process management" approach to the ORs efficiency. The project involved two different surgical areas of the same operating block the multi-specialist and elective surgery and cardio-vascular surgery . The analyses of the processes was made through the product, patient and safety approach and from different points of view: the "asis", process and stakeholder perspectives. Descriptive statistics was used to process raw data and Student's t-distribution was used to assess the difference between the two means (significant p value ˂0,05). The Coefficient of Variation (CV) was used to describe the variabilityamong data. The asis approach allowed us to describe the ORs inbound activities. For both operating block the most demanding weekly commitments in terms of time turned out to be the inventory management procedures of controlling and stocking medicines, general medical supplies and instruments (130[DS=±14] for BOE and 30[DS=±18] for CCH. The average time spent on preparing the operating room, separately calculated starting from the first surgical case, was of 27 minutes (SD=± 17) while for the following surgical procedures preparation time decreased to 15 minutes (SD= ± 10), which highlighted a meaningful difference of 12 minutes. A great variability was registered in CCH due to the unpredictability of these operations (CV 82%). The stakeholders' perspective revealed a reasonable level of satisfaction among nurses and surgeons (2.9 vs 2.3, respectively

  18. Cromomicosis: a propósito de 35 casos observados en el Hospital San Juan de Dios de Bogotá

    Directory of Open Access Journals (Sweden)

    Hernando Rocha P.

    1972-01-01

    Full Text Available The authors present a clinical analysis of 35 cases of chromomycosis, observed in the Hospital San Juan de Dios of Bogotá, during a period of 10 years. The frequency by age and sex, the distribution in the Colombian territory and the course of the disease at the time of consultation were registered. Reference was made as to the presumtive diagnosis at admission, clinical forms in the established period, sites of the lesions, value of the diagnostic test and therapeutic schemes used. All the patients were farmers and lived the majority of them 82.8 per cent in regions with temperatures above 18 ̜C. 97.1 per cent belong to the masculine sex the 5th decade was the most affected and no patient was younger then 20 years of age. The cause of the disease was always prolonged and some of the cases had a course of 30 years. The most common clinical forms was the wasty 80 per cent, and then the elephantisic and psoriosiform. Two associations were demostrated, one with M. Cannis an the other with S. chenkii. The disease was localized preferentially in the lower limb 85.6 per cent and only in one case was the hand affected. Of the diagnostic test used: direct examination, culture and biopsy, the first was the most useful. Then the culture and last the histopathology. In 81.8 per cent the causative fungus was the H. pedrosii and in the rest of the studies the H. compactum was isolate. In Colombia the H. pedrosii is the predominant specie. The amphotericin B was the most effective treatment in the extensive lesions while in the lesions of small extension, surgery and physical means was sufficient.

  19. 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...

  20. 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...

  1. 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

  2. Estado actual de la Videotelemetría en el servicio de Neurología del Hospital Universitario Infantil de San José 2012-2013

    Directory of Open Access Journals (Sweden)

    Jean Paul Vergara Aguilar

    2014-04-01

    Full Text Available Introducción: La hospitalización para videomonitoreo electroencefalográfico a largo y corto plazo se ha consolidado como una herramienta de diagnóstico en la evaluación prequirúrgica de las epilepsias, la caracterización de los síndromes epilépticos y la documentación de frecuencia de las crisis. Objetivo: Describir los hallazgos encontrados en estudios de videotelemetría realizados en el servicio de neurofisiología del Hospital Infantil Universitario San José, 2012-2013. Métodos: Este es un estudio observacional descriptivo de corte transversal. Se revisaron un total de 330 videotelemetrías, y las historias clínicas. De estas 123 cumplieron todos los criterios de inclusión. Resultados: El promedio de edad fue de 17,7 años (DE ± 17,65 con un rango entre 7 meses y 77 años, solo dos pacientes registraron edades menores de un año y con un mayor número de mujeres 64 (52%. En 2012 se realizaron 69 estudios (56.1%, en 2013 se realizaron 54 estudios que corresponde al (43%. De todas las telemetrías realizadas, se revisaron las indicaciones, 21 (17,1% no tenían epilepsia como el diagnóstico previo, 36 (29,3% tenían diagnóstico de epilepsia focal. Del total de videotelemetrías en 81 (65,9% no hubo registro de crisis. En 14 (11,4% de los registros se encontró un inicio frontal de la descarga. En 81 (65,9 % no hubo registro de actividad ictal. Conclusiones: La monitorización electroencefalográfica continua es de gran utilidad y ofrece un apoyo en el diagnóstico diferencial de fenómenos clínicos epilépticos y no epilépticos y en la confirmación del tipo específico de epilepsia o síndrome epiléptico que padecen los pacientes.

  3. Percepción del aborto: voces de los médicos en el Hospital de San José (Bogotá

    Directory of Open Access Journals (Sweden)

    Celmira Laza-Vásquez

    2017-01-01

    Full Text Available Objetivo: Comprender la percepción acerca de la interrupción voluntaria del embarazo (ive, bajo las tres causales definidas en la Sentencia C-355 del 2006, en un grupo de médicos del Hospital de San José, Bogotá-Colombia. Metodología: Estudio cualitativo hermenéutico. La muestra se configuró con quince médicos del servicio de Ginecología y Obstetricia seleccionados por muestreo teórico y el tamaño de la muestra se determinó por saturación de la información. Los datos se obtuvieron mediante entrevistas a profundidad que fueron analizadas con la propuesta de Heidegger, Diekelman, Allen y Tanner. Resultados: La Sentencia C-355 de 2006, fue percibida como una disposición necesaria que le reconoce a la mujer el derecho a decidir sobre su vida y reproducción; además, ofrece una interrupción del embarazo segura. Asimismo, aporta a la disminución de problemáticas sociales, del sistema de salud y familiares; aunque en la sociedad colombiana persiste una percepción negativa de la ive. No obstante, señalaron las falencias de la Sentencia: ausencia en las definiciones del concepto de salud y del límite de semanas de gestación para acceder a la ive; y de atención psicológica y genética posterior a la interrupción. Discusión: La Sentencia es un avance significativo para Colombia. A pesar de aceptar la ive, los participantes reconocen los cuestionamientos que nacen de esta práctica y que son producto de sus valores religiosos y familiares, y de la estigmatización social del aborto. Conclusiones: Es inminente la revisión de la Sentencia y la participación de los médicos en este proceso

  4. 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

  5. Auditoría de verificación de condiciones de habilitación para el servicio de odontología del Hospital San Rafael E.S.E. de El Espinal

    OpenAIRE

    2010-01-01

    Este estudio, evalúa las condiciones de habilitación para el servicio de odontología del hospital San Rafael E.S.E de El Espinal e identifica las condiciones de diligenciamiento de las historias clínicas en esta misma área mediante la utilización de una lista de chequeo que califica 16 de los puntos más importantes a tener en cuenta en el momento del manejo y diligenciamiento de una historia clínica.

  6. Eritrocitosis secundaria a hipoxemia como factor pronóstico en pacientes con neumopatía crónica exacerbada. Fundación Hospital San Carlos. Bogotá D.C., Colombia.

    OpenAIRE

    Galindo Pedraza, Javier Leonardo

    2012-01-01

    Objetivo. Establecer si existe relación entre los distintos niveles de hematocrito con el pronóstico a 30 días en pacientes admitidos a la Fundación Hospital San Carlos con impresión diagnóstica de neumopatía crónica exacerbada e hipoxemia secundaria. Contexto y tipo de estudio. Estudio observacional de una única cohorte prospectiva pronóstica, teniendo como unidad de análisis los pacientes admitidos entre marzo de 2011 a octubre de 2011. Materiales y métodos. Se llevó a cab...

  7. Satisfacción laboral y síndrome de Burnout en enfermeras del Servicio de Emergencia y Cuidados Críticos del Hospital San Bartolomé: 2010

    OpenAIRE

    Broncano Vargas, Yrma Nilda

    2012-01-01

    Objetivo: Establecer la relación entre la satisfacción laboral y la prevalencia de Síndrome de Burnout en enfermeras del Hospital San Bartolomé. Material y Métodos: Enfoque cuantitativo, descriptivo, prospectivo, transversal y correlacional. La muestra estuvo constituida por 45 enfermeras de los servicios de Emergencia y Cuidados críticos en el mes de agosto 2010. Se utilizó la ficha de datos sociolaborales, el cuestionario de satisfacción laboral S21/26 de J.L. Meliá y cuestionario para la e...

  8. Calidad de Vida Profesional y Síndrome de Burnout del personal de salud del Servicio de Cuidado Crítico Neonatal del HospitalSan Bartolomé”, Lima – 2014

    OpenAIRE

    Rojas Salinas, Jakelina Marly; Pintado Dávila, Janet

    2015-01-01

    Conocer la calidad de vida profesional y el Síndrome de Burnout del personal de salud es muy importante porque ambos pueden determinar el rendimiento laboral, la obtención de mejores resultados y una elevada productividad. Objetivo: Describir las características de la Calidad de Vida Profesional y el Síndrome de Burnout del personal de salud del Servicio de Cuidado Crítico Neonatal del HospitalSan Bartolomé”, Lima -2014. Material y Método: Se ha realizado un estudio de enf...

  9. Descriptive study of patients undergoing orthopedic surgery of the upper limb with infra clavicular coracoid block in the Hospital San Juan de Dios during the months of June to August 2012

    International Nuclear Information System (INIS)

    Aguilar Urena, Ricardo Antonio

    2012-01-01

    A form was designed for data collection in the Hospital San Juan de Dios; which to was applied to patients subjected to anesthesia for orthopedic surgery of the elbow, arm and hand, who have presented inclusion criteria for the study during the months of June to August 2012. These inclusion criteria have been: gender, age group, type of lock with neurostimulator or neuro and ultrasounds, if has been surgical or not, the need for conversion to general anesthesia, the visual analog scale at O,6 and 12 hours, and the need for opioid rescue medication at 0,6 and 12 h. (author) [es

  10. Nivel de conocimiento y actitud materna relacionado al cumplimiento del calendario de vacunación del niño menor de un año. Hospital San Ignacio de Casma. 2016

    OpenAIRE

    Angulo Castillo, Aurea Patricia

    2017-01-01

    El presente estudio tuvo como objetivo: conocer la relación entre el nivel de conocimiento y actitud materna con el cumplimiento del calendario de vacunación del niño menor de un año del Hospital San Ignacio de Casma. La muestra constituida por 100 madres con niño menor de un año. Los datos se recolectaron a través de los instrumentos: cuestionario sobre el nivel de conocimiento materno, test de actitud sobre el cumplimiento del calendario de vacunación y la ficha de cumplimiento del calen...

  11. Lung cancer, analysis of the most frequent tomographic findings and histopathological correlation, in patients with primary pulmonary neoplasia diagnosed during the years 2011 and 2012, at the Hospital San Juan de Dios

    International Nuclear Information System (INIS)

    Cruz Romero, Cinthia

    2013-01-01

    Tomographic images, specifically the contrasted chest tomographies, were examined in patients diagnosed in patients diagnosed with lung cancer at the Hospital San Juan de Dios during the years 2011 and 2012. The primitive tomographic behavior of lung cancer was evaluated in order to determine and characterize its presentation pattern. Each histological type of lung cancer was determined. The stage of lung cancer was classified according to the International System of Staging Tumor, Node and Metastasis. An analysis of the incidence and stage of lung cancer at the time of diagnosis was made, evidencing the fundamental role of chest tomography in the screening, diagnosis, management and control of patients with primary pulmonary neoplasia [es

  12. 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

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

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    José William Cornejo Ochoa

    2005-04-01

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

  14. Analysis of ultrasounds performed on patients of the waiting list at the Radiology Service of the Hospital San Juan de Dios, in the period from June to November 2013

    International Nuclear Information System (INIS)

    Lopez-Vallejo Guzman, Carolina; Saborio Ramirez, Ana Isabel; Sanchez Gonzalez, Juan Carlos

    2013-01-01

    A descriptive analysis of 451 ultrasounds performed at the Servicio de Radiologia of the Hospital San Juan de Dios during June to November 2013 was carried out. The age group, gender, reference area, type of ultrasound, delivery diagnosis and final diagnosis were used as variables. The data was obtained through a direct interview with the patient. A greater percentage of users were women (80%) because the requests in 26% correspond to breast ultrasounds. A predominant age range of 51 to 60 years was identified. Most of the patients examined were referred from peripheral clinics attached to the hospital. Abdominal pain was exposed as the main reason for consultation. No pathology was identified among the majority of the final diagnoses obtained by the studies performed [es

  15. 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.

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    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.

  16. Perfil del funcionamiento psicológico y social de pacientes psiquiátricos en el Hospital San Juan de Dios de Bogotá

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    Mario Garces Ferrer

    1994-07-01

    Full Text Available Se indago el perfil psicosocial de los pacientes tratados en la Unidad de Salud Mental (USM del Hospital San Juan de Dios de Santafé de Bogotá (HSJD con el propósito de conocer los beneficios de la atención médica recibida en los servicios de consulta externa y hospitalización. EI instrumento evaluador fue la escala global de de J Endicott y colaboradores, la cual trata de identificar el continuo hipotético del proceso salud-enfermedad mental, que comprende el funcionamiento global considerado como normal dentro de los patrones culturales de conducta habitualmente establecidos, hasta las alteraciones psicóticas pasando por los trastornos de personalidad, neuróticos y afectivos. EI análisis se realizó en tres grupos de pacientes atendidos en los servicios de consulta externa (uno y de hospitalización (dos. En hospitalización se estudiaron independientemente dos muestras denominadas: hospitalizados y esquizofrénicos. La calificación del estado psicosocial de los pacientes se realizó en tres momentos: al iniciar el tratamiento, en el intermedio de este y al egreso o última consulta, con un intervalo de alrededor de 15 días. La asignación de los puntajes de la escala se realizó previa evaluación de la similitud de los criterios de los evaluadores. Los resultados del estudio mostraron una evidente mejoría de los grupos de pacientes calificados que se explica así: el grupo de consulta externa cruzo del punto que los clínicos consideran digno de tratamiento o atención por cualquier sintomatología o menoscabo en el funcionamiento psicosocial tal como: intentos suicidas, rituales obsesivos severos, ansiedad frecuente, severo comportamiento antisocial o ingestión compulsiva de alcohol al nivel en el cual el paciente presentaba algunos síntomas benignos como animo depresivo e insomnio leve, ciertas dificultades en varias áreas del funcionamiento pero, en general, su desempeño era aceptable y la mayoría de las personas sin

  17. 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

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    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

  18. 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.

  19. Hospitals

    DEFF Research Database (Denmark)

    Mullins, Michael

    2013-01-01

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

  20. 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

  1. Findings more frequent in mammograms (according to BIRADS classification) in patients older than 35 years, conducted during the months of September 2012 to January 2013 in the Hospital San Juan de Dios

    International Nuclear Information System (INIS)

    Araya Steinvorth, Cristina; Mejia Rojas, Howard; Vargas Solis, Sussy

    2013-01-01

    Mammography are performed in the Hospital San Juan de Dios in a period of four months between September 2012 to January 2013 to women over 35 years. This has allowed to know the situation of the Servicio de Radiologia and raise awareness of the importance of having equipment of high and latest technology in the institution such as digital mammography. The advantages of having this equipment have been: low doses of radiation, better visualization dense breast because it has better contrast between tissues, the radiologist has able determine a more secure diagnosis for each patient, has reduced the use of complementary studies as breast ultrasound and other mammographic and has reduced morbidity of patients contributing to the timely diagnosis of breast cancer in early stages [es

  2. 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.

     

     

  3. Clinical utility from the determination of serico galactomannan in the diagnosis of invasive aspergillosis in hematological patients of the Hospital San Juan de Dios, between January 2009 and December 2012

    International Nuclear Information System (INIS)

    Li Sandi, Silvia

    2014-01-01

    Nosocomial infections have become more important to the health system by the high costs of these, but are little data available about them in recent years. The clinical utility of the determination of serum galactomannan (GMS) in patients with high risk of contracting the infection by Aspergillus spp, was assessed, between January 2009 and December 2012 at the Hospital San Juan de Dios. Several existing studies in the scientific literature have already evaluated the clinical usefulness, specific data have been inexistent for Costa Rica or for Central America and the Caribbean; so it is important to have known whether the conduct of the test has been similar to the other populations or have specific variations [es

  4. Conocimientos, actitudes y prácticas de las infecciones de transmisión vertical, en mujeres embarazadas atendidas en el Hospital San Cristóbal de Ciénaga

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    Katiuska Ariza

    2013-10-01

    Full Text Available ResumenEn un estudio transversal descriptivo realizado de mayo a noviembre de 2009, se estudiaron 108 gestantes atendidas tanto en consulta externa, como en el servicio de urgencias y en la sala de maternidad del hospital San Cristóbal de Ciénaga, hallándose 32 pacientes con VDRL reactivo (vereal disease research laboratory (29,6 %, de las cuales 7 presentaban inmunofluorecencia indirecta con absorción (FTA-ABS positiva, correspondiendo a una seroprevalencia de 6,4 % para sífilis. En cuanto a Toxoplasmosis se confirmaron 4 casos (3,7 % en mujeres procedentes de áreas rurales.El factor común en estas mujeres, es la pobre adherencia al control prenatal y la falta de conocimiento acerca de las infecciones de transmisión vertical (sífilis, toxoplasmosis y VIH aunado esto a diversas prácticas y conductas de riesgo que ponen en peligro el bienestar materno-fetal. (DUAZARY 2011, 42 - 47AbstractIn a descriptive study conducted from May to November 2009, we studied 108 pregnant women served both outpatient and in the emergency department and the hospital maternity ward of San Cristobal of cienaga. Being found 32 patients with reactive VDRL (29.6%, of which seven had positive FTA-ABS corresponding to a seroprevalence of 6.4% for syphilis. Toxoplasmosis As confirmed four cases (3.7% in women from rural areas. The common factor in these women is the poor adherence to prenatal care and lack of knowledge about vertical transmission of infections (syphilis, toxoplasmosis and HIV coupled this to various practices and risk behaviors that endanger the welfare maternal fetal.Keywords: vertical transmission; prenatal care; knowledge; attitude, practice.

  5. Radiological and cytological correlation of neoplastic lesions of the breast diagnosed by fine needle aspiration biopsy guided with ultrasound at the Hospital San Juan de Dios in the year 2009

    International Nuclear Information System (INIS)

    Madriz Meza, Wendy P.

    2011-01-01

    Mortality from breast cancer has been increased, going on to occupy the first place of the malignant neoplasms in women with a percentage increase of over 45% in 10 years. A bibliographic search demonstrates that have not been performed works that allow to establish the clinical and radiological characteristics of the lesions who have been diagnosed as mammary neoplasms by fine needle aspiration biopsy at the Hospital San Juan de Dios. A observational job, descriptive, longitudinal, retrospective is pretended to perform, to provide an instrument of guidance to the radiologist about the characteristics of alarm on a breast lesion. Female patients ascribed to the Hospital San Juan de Dios, with breast cancer diagnosed by guided fine needle puncture with echography during the year 2009 are included in the study. Data from 39 patients that fulfilled with all the inclusion criteria were presented. The data obtained were collected by reviewing of clinical records; which were found only women, who in their majority were from the province of San Jose, the most affected age group by the five-year periods has been of 45-49 years, followed by the groups between 40-44 years and 50-54 years. The greater part of cases has treated of unique injuries, almost all have been unilateral and measure the size of all the lesions was 21 mm. The injuries have been primarily in the right breast and the upper outer quadrant. The level of radiological success has been good in cases where was used the BIRADS, because it was classified with 4c or 5 to 52,4% of cases, however, it should be noted that in 17 of 39 cases were not properly categorized BIRADS. The main conclusions of this study are: women whose ages are between 45 and 55 years have been especially prone to mammary neoplasms, these lesions are found primarily in upper outer quadrants and measured more than 2 cm. The health problems generated in the patients with these diagnoses have made important to prioritize your attention once

  6. 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

    Directory of Open Access Journals (Sweden)

    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

    Directory of Open Access Journals (Sweden)

    John Harold Estrada Montoya

    2011-01-01

    Full Text Available 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.

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

    Directory of Open Access Journals (Sweden)

    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.

  8. 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

    Directory of Open Access Journals (Sweden)

    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

  9. [Rheumatic fever in the 5-year period of 1994-1999 at 2 hospitals in San Luis Potosi and Mexico D.F].

    Science.gov (United States)

    Soto López, M E; Cordera González de Cosío, F; Estrada, L; Guel, L; Abud Mendoza, C; Reyes, P A

    2001-01-01

    To assess the incidence of acute Rheumatic Fever (ARF). A retrospective, descriptive, observational study on the first attack and recurrence was performed in a general hospital and a reference center. By Jones criteria: 67 cases, 39 women and 28 men; 58% first attack, 42% recurrence. Higher incidence during spring-winter. The most common major criteria were: carditis, polyarthritis. The most common minor criteria were: fever, arthralgias and acute phase reaction markers. No differences between hospitals were noted. Evidence of contact with streptococcus was found. Mitral, aortic and tricuspid valves were commonly affected. Incidence in the age group > 5 < 20 was 7/1000. Incidence of ARF has decreased, but has not been eradicated. It occurs in developing countries, where it remains an issue of public health. Failures in clinical suspicion, prophylaxis, and adherence to treatment influence this situation. Education for health, early diagnosis, and primary and secondary prophylaxis should be reinforced.

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

    Directory of Open Access Journals (Sweden)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  13. [Mission woman: a survey on the perception of the "Service of Welcome and Listening" offered in the Emergency Department at the San Camillo Hospital in Rome by women victims of violence].

    Science.gov (United States)

    Vender, Cristian; Zicca, Anna; Parasole, Tiziana; Delle Fratte, Roberta; Battilana, Daniela; Mitello, Lucia

    2014-01-01

    The project Mission Woman was set up to describe how the service offered by the Emergency Department of the Hospital San Camillo-Forlanini in Rome was perceived by women victims ( or supposed to be) of violence. The objective of this investigation is to frame clients' perception about the service offered by staff in terms of sensitivity, recognition and management of the issue. The access to the Emergency Room is the first contact of the client with a helping relationship which goes beyond the simple provision of medical care. A questionnaire devised for the purpose was filled in by women who have asked for help to the Service "Door Woman" . The Service "Door Woman", set up in 2009, aimed to welcome and listen women victims of violence with the collaboration of different operators in the emergency department: nurses, doctors, psychologists and social workers. The project developed within the Hospital S. Camillo-Forlanini is managed by both professionals of the Emergency Department together with the Charity "Be Free". The service is open 24/7, all year, the clients could be women or children and could receive assistance or medical, nursing, psychosocial and legal counselling. The triage nurses are those who through their expertise could first identify the victims of violence and to introduce them in the path. Despite the level of injuries, who access to the Emergency Room for single or repeated events of violence, may have decided to claim in court and not hide seeking.. The research aims to understand what are the theoretical and practical deficiencies of staff in the management of a issue which is not only medical but also social and legal, as well as structural and organizational weaknesses of the service.

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

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    Jorge Calvo-Lon

    2017-12-01

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

  15. Use of the TAC in the investigation of the migraine in the service of emergencies of the Hospital San Juan de Dios

    International Nuclear Information System (INIS)

    Molina Umana, M. V.

    2000-01-01

    The cephalalgia constitutes one of the symptoms that with more frequency in our days is evaluated in practices it prescribes daily. He prescribe faces every day to this suffering in emergencies services of our hospitals and the great affluence of patient for different causes is not possible to deepen in the study of patient with migraine. We know that many cephalalgia is caused by primary dysfunctions, but the one differential diagnoses they of 300 types and causes being one of the longest in medicine. The origin or type of many migraines can be necessary for careful amanuenses, taking into account family History, 'particular history', supplemented by a general and neurological exhaustive exploration to guide an presumptive diagnose. Among the justifications to request neuroimagenology studies find diverse. Those are strictly prescribe when we are in presence of a T.C.E. or when later to the patient's appropriate boarding we suspect a subaracnoidea hemorrhage, rupture of an aneurysm or a intracranial tumor. We also find just in case the famous one due to an inadequate boarding of the pathology, the anguish of patient and their relatives, aspect prescribes - legal and, at last but not less important requested of practices prescribes aberrant. The positive imagenology studies in the evaluation of patient with this migraine and normal data in the neurological exploration are very few [es

  16. Performance evaluation of the activity meters of nuclear medicine services of the hospitals Rafael Angel Calderon, San Juan de Dios and Mexico during the period from July 1, 2008 to December 31, 2008

    International Nuclear Information System (INIS)

    Barahona Navarro, Alvaro; Binns Quiros, Natalia

    2009-01-01

    Nuclear medicine has used radioisotopes associated to drugs in order to get them to an organ of interest. The radioisotope has the quality to emit radiation, which passes through the body, after being admitted to it, and this is perceived by equipment such as a gamma camera to study the behavior of the organ under study. The radiation is a energy emission able to boot electrons from atoms and produce ions, thus the chemical composition may be altered, resulting in alterations in the cells. Conditions such as: a onreproductive of the cells, causing a tumor; or alterations in geminal cells, causing genetic alterations, which may occur in the offspring of an individual. For the above reason is that the use of radiopharmaceuticals should be as careful as possible, doing as little radiation exposure, without compromising the quality of the study, these should be applied with more important in more radiosensitive population such as children and older adults. The doses used in nuclear medicine are quantified using a device called activity meters and the proper functioning of the overexposures shall impose or low-quality studies doses outside the range of usefulness. The operation of these machines based on the quality control logs have been studied to discover if there are alterations in dosages of nuclear medicine departments of hospitals Calderon Guardia, San Juan de Dios and Mexico. Tests of zero settings, display, physical monitoring, high voltage, linearity test, stability, background radiation, precision, accuracy and consistency have been performed as quality control. This research is classified as non-experimental longitudinal quantitative. The study population was the record set and the realization of quality control tests made to the hospital activity meters above. The collection of data was performed by two steps, the first taking records concerning quality control of the different hospitals, completed tabulation, gratification and analysis of the same. The

  17. Evaluation of the treatment planning system of three-dimensional conformal external radiotherapy in Hospital Mexico of San Jose, Costa Rica

    International Nuclear Information System (INIS)

    Venegas Rojas, Deybith

    2014-01-01

    An evaluation and analysis are realized of dosimetry of the treatment planning system (TPS) of three-dimensional conformal external radiotherapy in the Servicio de Radioterapia of the Hospital Mexico of Costa Rica. An evaluation procedure is proposed based on IAEA-TECDOC-1540 document, and may continue to be applied periodically in this or other radiotherapy services. Tests realized have checked the representation of distances and electronics densities transferred to the TPS, match with those of real objects. The 16 tests applied have represented situations of real treatments with different configurations and beam modifiers in the equipment used daily. The tests have measured the absorbed dose to water in different significant points at different depths, using photon beams of 6 MeV and 18 MeV. The physical parameters of the tests were simulated. The absorbed dose has been calculated at specified points. The XiO and Eclipse TPS have been used with the calculation algorithms: Superposition, Convolution and AAA. The results of the calculations are evaluated with statistical methods and comparing them with the measurements of absorbed dose. A generalized tendency has been detected toward negative relative errors, implying an underestimation of the dose by the TPS; due to a difference found in the accelerator output factor respect to its commissioning. The AAA algorithm has determined a better performance, although with greater difficulties of calculus in the region of build-up. Convolution and Superposition algorithms have had similar performances and both have presented problems in high depths and out of edges of the fields. The result of the dosimetric evaluation has been satisfactory in real conditions of equipment; but several particularities have been found that should be reviewed and adjusted. The precision of the TPS has been adequate in the majority of situations important for treatment planning. [author] [es

  18. 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

    Directory of Open Access Journals (Sweden)

    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.

  19. 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

  1. 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

    Directory of Open Access Journals (Sweden)

    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

  2. Clinical response to anti-TNFα therapy in patients with rheumatoid arthritis faulted or intolerance in non-biological DMARD in the Hospital San Juan de Dios in the period January 2006 to December 2011

    International Nuclear Information System (INIS)

    Salas Mena, Claudio

    2014-01-01

    Various clinical studies are performed globally using anti-TNFα therapy and has proven its clinical effectiveness in the management of rheumatoid arthritis patients, that have failed or have presented intolerance to the use of non-biological DMARDs. The clinical response to treatment of anti-TNFα was determined in patients with rheumatoid arthritis who have presented without respond, have showed intolerance or secondary effects to DMARDs no biological, in the Servicio de Reumatologia del Hospital San Juan de Dios, in the period January 2006 to December 2011. Study has been descriptive, retrospective, observational, by reviewing dossiers of patients with rheumatoid arthritis to initiate anti-TNFα therapy where has valued the DAS28 and initial VES, then at 6 months and 12 months after starting treatment. In the period analyzed, 47 patients evaluated with traditional DMARD failure who have received anti-TNFα therapy, according to DAS28, 32 patients were cataloged as severe activity and 15 of them with moderate activity. A total of 41 patients have used etanercept, with adalimumab 6 patients. The DAS28 initial average was 5,63 in all patients, 6,16 in the subgroup of patients with severe activity, and 4,49 in the subgroup of moderate activity. After 6 months of treatment, the DAS28 has descended to 3,25 in all patients, with 3,67 in the subgroup of severe clinical activity, and 2,35 in the subgroup of moderate clinical activity. One year after treatment values DAS28 have been 3,13 for all patients, 3,53 in severe activity and 2,28 in the subgroup of activity clinical moderate. In all groups and subgroups of patients, difference was demonstrated statistically significant at p less than 0,05. Between the subgroups of patients according to clinical activity is keeped without significant difference, or the type of anti-TNFα therapy employed. The anti-TNFα therapy has proven to be effective for improvement of clinical activity of rheumatoid arthritis, regardless of

  3. 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.

  4. 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

  5. San Francisco Accelerator Conference

    International Nuclear Information System (INIS)

    Southworth, Brian

    1991-01-01

    'Where are today's challenges in accelerator physics?' was the theme of the open session at the San Francisco meeting, the largest ever gathering of accelerator physicists and engineers

  6. 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...

  7. 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.

  8. SANS studies of polymers

    International Nuclear Information System (INIS)

    Wignall, G.D.

    1984-10-01

    Before small-angle neutron scattering (SANS), chain conformation studies were limited to light and small angle x-ray scattering techniques, usually in dilute solution. SANS from blends of normal and labeled molecules could give direct information on chain conformation in bulk polymers. Water-soluble polymers may be examined in H 2 O/D 2 O mixtures using contrast variation methods to provide further information on polymer structure. This paper reviews some of the information provided by this technique using examples of experiments performed at the National Center for Small-Angle Scattering Research (NCSASR)

  9. Remembering San Diego

    International Nuclear Information System (INIS)

    Chuyanov, V.

    1999-01-01

    After 6 years of existence the ITER EDA project in San Diego, USA, was terminated by desition of the US Congress. This article describes how nice it was for everybody as long as it lasted and how sad it is now

  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. Detection of staphylococcus aureus and streptococcus pyogenes in the personnel of the department of surgery and surgical rooms at the San Jose Universitary Hospital Popayan, Colombia

    Directory of Open Access Journals (Sweden)

    Liliana Caldas

    2010-03-01

    Full Text Available Objective: To detect Staphylococcus aureus and Streptococcus pyogenes in health personnel of the surgical and surgery services at Hospital San José. Methodology. Descriptive, Prospective cross-sectional study. The techniques used were surveys and sampling nasal and pharyngeal microbiological cultures. Results. It was found that from 29 persons under study, 10 (34.40yo were S. aureus carriers, and it was not found S. pyogenes carriers. From the positives, 8 (80% were S. aureus nasal carriers, and 2 (20% pharyngeal carriers. From 8 people (80%, 4 (40% belonged to the department ofsurgery and another 4 (40% to the surgical services; 2 (20% from the pharyngeal positives worked at the surgery services. From the carriers, 5 people (50% were nursing assistants, followed by 4 (40%, who belong to doctors and 1 person (10% belonged to nursing.

  12. 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

  13. 75 FR 38412 - Safety Zone; San Diego POPS Fireworks, San Diego, CA

    Science.gov (United States)

    2010-07-02

    ...-AA00 Safety Zone; San Diego POPS Fireworks, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary... waters of San Diego Bay in support of the San Diego POPS Fireworks. This safety zone is necessary to... San Diego POPS Fireworks, which will include fireworks presentations conducted from a barge in San...

  14. Evaluación de la recuperación de la clase funcional y modificación de los parámetros ecocadiográficos y la morbimortalidad en pacientes con cardiopatía valvular mitral intervenidos en el Hospital San Ignacio

    Directory of Open Access Journals (Sweden)

    Giovanny Ríos D

    2013-04-01

    Full Text Available Objetivo: describir los resultados funcionales y la morbimortalidad en pacientes con cardiopatía valvular mitral que fueron llevados a cirugía en el Hospital San Ignacio entre los anos 2005 a 2009. Métodos: se revisó el registro quirúrgico del servicio de Cirugía Cardiovascular del Hospital San Ignacio durante los anos descritos. A partir de éste se obtuvo información de los documentos de identidad de cada uno de los pacientes para acceder a la información de las historias clínicas. Se revisaron las historias clínicas de pacientes atendidos en el Hospital, durante el periodo comprendido entre enero de 2005 a octubre de 2009, con diagnóstico de cardiopatía valvular mitral al ingreso. A partir de esta documentación y de los datos del seguimiento se obtuvo la estadística. Resultados y conclusiones: la enfermedad valvular cardíaca es una patología frecuente, compleja, que demanda normas claras de evaluación y seguimiento, además de criterios adecuados para llevar al paciente a cirugía en el momento más oportuno, seleccionar el tipo de prótesis que mejor se ajuste a la edad y sopesar el riesgo del manejo anticoagulante tal como lo predicen los estudios internacionales. La edad promedio de los pacientes intervenidos en el Hospital San Ignacio está alrededor de los 60,4 anos. Las mujeres son la población más afectada por valvulopatía mitral. El mayor porcentaje de los pacientes atendidos proviene de Bogotá. La patología mitral más intervenida es la insuficiencia mitral en 74% de los casos. El manejo más frecuente es el cambio valvular mitral, con 58% de los casos, y de éstos con válvula mecánica en 55,5% de los casos. Las prótesis más utilizadas son las mecánicas y de éstas prevalecen las prótesis ONX en 59,8% sobre las mecánicas. Posterior a la cirugía es notable el cambio en la clase funcional I a II en la mayoría de los pacientes. La mejoría de la clínica no se ve representada en un cambio ecocardiogr

  15. 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.

  16. San Francisco folio, California, Tamalpais, San Francisco, Concord, San Mateo, and Haywards quadrangles

    Science.gov (United States)

    Lawson, Andrew Cowper

    1914-01-01

    The five sheets of the San Francisco folio the Tamalpais, Ban Francisco, Concord, Ban Mateo, and Haywards sheets map a territory lying between latitude 37° 30' and 38° and longitude 122° and 122° 45'. Large parts of four of these sheets cover the waters of the Bay of San Francisco or of the adjacent Pacific Ocean. (See fig. 1.) Within the area mapped are the cities of San Francisco, Oakland, Berkeley, Alameda, Ban Rafael, and San Mateo, and many smaller towns and villages. These cities, which have a population aggregating about 750,000, together form the largest and most important center of commercial and industrial activity on the west coast of the United States. The natural advantages afforded by a great harbor, where the railways from the east meet the ships from all ports of the world, have determined the site of a flourishing cosmopolitan, commercial city on the shores of San Francisco Bay. The bay is encircled by hilly and mountainous country diversified by fertile valley lands and divides the territory mapped into two rather contrasted parts, the western part being again divided by the Golden Gate. It will therefore be convenient to sketch the geographic features under four headings (1) the area east of San Francisco Bay; (2) the San Francisco Peninsula; (3) the Marin Peninsula; (4) San Francisco Bay. (See fig. 2.)

  17. 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.

  18. 76 FR 1386 - Safety Zone; Centennial of Naval Aviation Kickoff, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2011-01-10

    ...-AA00 Safety Zone; Centennial of Naval Aviation Kickoff, San Diego Bay, San Diego, CA AGENCY: Coast... zone on the navigable waters of San Diego Bay in San Diego, CA in support of the Centennial of Naval... February 12, 2010, the Centennial of Naval Aviation Kickoff will take place in San Diego Bay. In support of...

  19. Riparian Habitat - San Joaquin River

    Data.gov (United States)

    California Natural Resource Agency — 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,...

  20. 78 FR 53243 - Safety Zone; TriRock San Diego, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2013-08-29

    ... this rule because the logistical details of the San Diego Bay triathlon swim were not finalized nor... September 22, 2013. (c) Definitions. The following definition applies to this section: Designated...

  1. 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)

  2. Marketing San Juan Basin gas

    International Nuclear Information System (INIS)

    Posner, D.M.

    1988-01-01

    Marketing natural gas produced in the San Juan Basin of New Mexico and Colorado principally involves four gas pipeline companies with significant facilities in the basin. The system capacity, transportation rates, regulatory status, and market access of each of these companies is evaluated. Because of excess gas supplies available to these pipeline companies, producers can expect improved take levels and prices by selling gas directly to end users and utilities as opposed to selling gas to the pipelines for system supply. The complexities of transporting gas today suggest that the services of an independent gas marketing company may be beneficial to smaller producers with gas supplies in the San Juan Basin

  3. Update: San Andreas Fault experiment

    Science.gov (United States)

    Christodoulidis, D. C.; Smith, D. E.

    1984-01-01

    Satellite laser ranging techniques are used to monitor the broad motion of the tectonic plates comprising the San Andreas Fault System. The San Andreas Fault Experiment, (SAFE), has progressed through the upgrades made to laser system hardware and an improvement in the modeling capabilities of the spaceborne laser targets. Of special note is the launch of the Laser Geodynamic Satellite, LAGEOS spacecraft, NASA's only completely dedicated laser satellite in 1976. The results of plate motion projected into this 896 km measured line over the past eleven years are summarized and intercompared.

  4. Vegetation - San Felipe Valley [ds172

    Data.gov (United States)

    California Natural Resource Agency — 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...

  5. San Francisco Bay Water Quality Improvement Fund

    Science.gov (United States)

    EPAs grant program to protect and restore San Francisco Bay. The San Francisco Bay Water Quality Improvement Fund (SFBWQIF) has invested in 58 projects along with 70 partners contributing to restore wetlands, water quality, and reduce polluted runoff.,

  6. 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

  7. 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... Zone: San Juan Harbor, San Juan, PR. (a) Regulated area. A moving safety zone is established in the...

  8. 76 FR 45693 - Safety Zone; San Diego POPS Fireworks, San Diego, CA

    Science.gov (United States)

    2011-08-01

    ...-AA00 Safety Zone; San Diego POPS Fireworks, San Diego, CA AGENCY: Coast Guard, DHS. ACTION: Temporary... San Diego Bay in support of the San Diego POPS Fireworks. This safety zone is necessary to provide for... of the waterway during scheduled fireworks events. Persons and vessels will be prohibited from...

  9. Radiological and pathological features of nonpalpable breast lesions marked with harpoon guided by mammography as a method for the diagnosis of early breast cancer: descriptive retrospective study of the period between January 2009 and May 2010 at the Hospital San Juan de Dios

    International Nuclear Information System (INIS)

    Diaz Silva, Lucia

    2011-01-01

    A retrospective study, descriptive was performed, whose main objective has been to analyze the radiological and pathological features of nonpalpable breast lesions for which surgical biopsy was performed guided by harpoon in the Servicio de Radiologia at the Hospital San Juan de Dios during the period between January 2009 and May 2010. The study has consisted in reviewing of all biopsies guided radio by harpoon made during this period. For each procedure was recorded the classification BI-RADS, pathological anatomy reports and epidemiological data of patients. The analysis has included the variables of age, presence or absence of previous mammograms for comparison, presence or absence of menopause, presence of early menarche (by reference to women with menarche before age 12), parity of the patients, history of breastfeeding, use or nonuse of hormone replacement therapy, personal history of relevance and a positive history for breast cancer in patients in first, second or third degree of consanguinity. A total of 129 markings were performed in the study period. Three patients were excluded because the classification BI-RADS given was 3 or 0, in which cases the biopsy is not indicated. All markings were done in an analog mammography brand Bennett and chair designed for positioning patients. Prior to the biopsy, the technical specialist in mammography interviewed patients to complete the epidemiological data sheet. Following the verification of the correct placement on the harpoon, the patients were carried to operating room for the realization of the biopsy. Subsequently, the presence or absence of surgical specimen was evaluated to verify the proper extraction of the lesion under study. (author) [es

  10. Quezada-Lazaro et al., Afr J Tradit Complement Altern Med. (2016 ...

    African Journals Online (AJOL)

    Rodrígo Quezada-Lázaro,1 Eunice A. Fernández-Zuñiga,1 Abraham García,1. Elvira Garza-González,2 Laura Alvarez,3 María del ..... Camacho-Corona, M. R., Ramírez-Cabrera, M. A., González-Santiago, O., Garza-González, E.; de Paz Palacios, I., Luna-Herrera, J. (2008). Activity against drug resistant-tuberculosis strains ...

  11. ASTER Flyby of San Francisco

    Science.gov (United States)

    2002-01-01

    The Advanced Spaceborne Thermal Emission and Reflection radiometer, ASTER, is an international project: the instrument was supplied by Japan's Ministry of International Trade and Industry. A joint US/Japan science team developed algorithms for science data products, and is validating instrument performance. With its 14 spectral bands, extremely high spatial resolution, and 15 meter along-track stereo capability, ASTER is the zoom lens of the Terra satellite. The primary mission goals are to characterize the Earth's surface; and to monitor dynamic events and processes that influence habitability at human scales. ASTER's monitoring and mapping capabilities are illustrated by this series of images of the San Francisco area. The visible and near infrared image reveals suspended sediment in the bays, vegetation health, and details of the urban environment. Flying over San Francisco (3.2MB) (high-res (18.3MB)), we see the downtown, and shadows of the large buildings. Past the Golden Gate Bridge and Alcatraz Island, we cross San Pablo Bay and enter Suisun Bay. Turning south, we fly over the Berkeley and Oakland Hills. Large salt evaporation ponds come into view at the south end of San Francisco Bay. We turn northward, and approach San Francisco Airport. Rather than landing and ending our flight, we see this is as only the beginning of a 6 year mission to better understand the habitability of the world on which we live. For more information: ASTER images through Visible Earth ASTER Web Site Image courtesy of MITI, ERSDAC, JAROS, and the U.S./Japan ASTER Science Team

  12. 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

    ...-AA00 Safety Zone; Spanish Navy School Ship San Sebastian El Cano Escort; Bahia de San Juan; San Juan... temporary moving safety zone on the waters of Bahia de San Juan during the transit of the Spanish Navy... Channel entrance, and to protect the high ranking officials on board the Spanish Navy School Ship San...

  13. Two-Bin Kanban: Ordering Impact at Navy Medical Center San Diego

    Science.gov (United States)

    2016-06-17

    Wiley. Weed, J. (2010, July 10). Factory efficiency comes to hospital. New York Times, 1–3. Weiss, N. (2008). Introductory statistics . San Francisco...Urology, and Oral Maxillofacial Surgery (OMFS) departments at NMCSD. The data is statistically significant in 2015 when compared to 2013. Procurement...31 3. C. Procurement Cost and Procurement Efficiency Statistics

  14. 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»...

  15. Hospitals; hospitals13

    Data.gov (United States)

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

  16. 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

  17. 77 FR 34988 - Notice of Inventory Completion: San Diego State University, San Diego, CA

    Science.gov (United States)

    2012-06-12

    .... ACTION: Notice. SUMMARY: San Diego State University Archeology Collections Management Program has... that believes itself to be culturally affiliated with the human remains and associated funerary objects may contact San Diego State University Archeology Collections Management Program. Repatriation of the...

  18. Species - San Diego Co. [ds121

    Data.gov (United States)

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

  19. 75 FR 15611 - Safety Zone; United Portuguese SES Centennial Festa, San Diego Bay, San Diego, CA

    Science.gov (United States)

    2010-03-30

    ...-AA00 Safety Zone; United Portuguese SES Centennial Festa, San Diego Bay, San Diego, CA AGENCY: Coast... navigable waters of the San Diego Bay in support of the United Portuguese SES Centennial Festa. This... Centennial Festa, which will include a fireworks presentation originating from a tug and barge combination in...

  20. 78 FR 34123 - Notice of Inventory Completion: San Francisco State University NAGPRA Program, San Francisco, CA

    Science.gov (United States)

    2013-06-06

    ... completion of an inventory of human remains and associated funerary objects under the control of the San....R50000] Notice of Inventory Completion: San Francisco State University NAGPRA Program, San Francisco, CA... NAGPRA Program has completed an inventory of human remains and associated funerary objects, in...

  1. 78 FR 21403 - Notice of Inventory Completion: San Francisco State University NAGPRA Program, San Francisco, CA

    Science.gov (United States)

    2013-04-10

    ... completion of an inventory of human remains and associated funerary objects under the control of the San....R50000] Notice of Inventory Completion: San Francisco State University NAGPRA Program, San Francisco, CA... NAGPRA Program has completed an inventory of human remains and associated funerary objects, in...

  2. 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.

  3. SANS from interpenetrating polymer networks

    International Nuclear Information System (INIS)

    Markotsis, M.G.; Burford, R.P.; Knott, R.B.; Australian Nuclear Science and Technology Organisation, Menai, NSW; Hanley, T.L.; CRC for Polymers,; Australian Nuclear Science and Technology Organisation, Menai, NSW; Papamanuel, N.

    2003-01-01

    Full text: Interpenetrating polymer networks (IPNs) have been formed by combining two polymeric systems in order to gain enhanced material properties. IPNs are a combination of two or more polymers in network form with one network polymerised and/or crosslinked in the immediate presence of the other(s).1 IPNs allow better blending of two or more crosslinked networks. In this study two sets of IPNs were produced and their microstructure studied using a variety of techniques including small angle neutron scattering (SANS). The first system combined a glassy polymer (polystyrene) with an elastomeric polymer (SBS) with the glassy polymer predominating, to give a high impact plastic. The second set of IPNs contained epichlorohydrin (CO) and nitrile rubber (NBR), and was formed in order to produce novel materials with enhanced chemical and gas barrier properties. In both cases if the phase mixing is optimised the probability of controlled morphologies and synergistic behaviour is increased. The PS/SBS IPNs were prepared using sequential polymerisation. The primary SBS network was thermally crosslinked, then the polystyrene network was polymerised and crosslinked using gamma irradiation to avoid possible thermal degradation of the butadiene segment of the SBS. Tough transparent systems were produced with no apparent thermal degradation of the polybutadiene segments. The epichlorohydrin/nitrile rubber IPNs were formed by simultaneous thermal crosslinking reactions. The epichlorohydrin network was formed using lead based crosslinker, while the nitrile rubber was crosslinked by peroxide methods. The use of two different crosslinking systems was employed in order to achieve independent crosslinking thus resulting in an IPN with minimal grafting between the component networks. SANS, Transmission electron microscopy (TEM), and atomic force microscopy (AFM) were used to examine the size and shape of the phase domains and investigate any variation with crosslinking level and

  4. 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…

  5. San Diego's High School Dropout Crisis

    Science.gov (United States)

    Wilson, James C.

    2012-01-01

    This article highlights San Diego's dropout problem and how much it's costing the city and the state. Most San Diegans do not realize the enormous impact high school dropouts on their city. The California Dropout Research Project, located at the University of California at Santa Barbara, has estimated the lifetime cost of one class or cohort of…

  6. Characteristics of AA amyloidosis patients in San Francisco.

    Science.gov (United States)

    Lejmi, Hiba; Jen, Kuang-Yu; Olson, Jean L; James, Sam H; Sam, Ramin

    2016-04-01

    AA amyloidosis due to subcutaneous injection of drugs of abuse has been described in the USA, but all the existing literature is from more than 20 years ago. There is more recent literature from Europe. We have observed a high incidence of AA amyloidosis in the county hospital in San Francisco. Here, we describe 24 patients who had kidney biopsy-proven AA amyloidosis from our hospital from 1998 to 2013. All the patients were thought to have AA amyloidosis from skin popping of illicit drugs after having exhausted the intravenous route. These patients with biopsy-proven AA amyloidosis were analysed further. All patients were found to have hepatitis C infection, hypertension was not common, most had advanced kidney failure, and acidosis was common as was tubulointerstitial involvement on the kidney biopsy. Other organ involvement included hepatomegaly and splenomegaly in a number of patients; direct myocardial involvement was not seen, but pulmonary hypertension, history of deep vein thrombosis and pulmonary embolism were common. The prognosis of these patients was poor. The mortality rate approached 50% 1 year after biopsy, and most of the patient needed dialysis shortly after diagnosis. Cessation of drug use seemed beneficial but rarely achievable. AA amyloidosis from skin popping is common in San Francisco. Most patients with renal involvement end up on dialysis, and mortality rates are exceedingly high. © 2015 Asian Pacific Society of Nephrology.

  7. 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...

  8. 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...

  9. 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

  10. 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

  11. 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

  12. Estimación del agua corporal total y del peso seco usando impedancia bioeléctrica tetrapolar de multifrecuencia en pacientes en hemodiálisis. Universidad Nacional de Colombia, Unidad Renal Fundación Hospital San Carlos, Cruz Roja y Centro de Investigación

    Directory of Open Access Journals (Sweden)

    Doris Ramirez de Peña

    2015-01-01

    Full Text Available En la búsqueda de métodos confiables y sencillos para la medición de la composición corporal de los pacientes renales en hemodiálisis (HD y, particularmente, del agua total corporal (TBW, se ha utilizado la bioimpedancia tetrapolar de unifrecuencia (BIA-1 y, más recientemente, la bioimpedancia tetrapolar de multifrecuencia, (BIA-4 como métodos confiables a utilizar en pacientes renales. Es necesario conocer el agua total corporal y el peso seco lo más acertadamente posible, puesto que con ellos se determina el tratamiento dialítico, farmacológico y nutricional de los pacientes renales en hemodiálisis. Por esta razón, se realizó un estudio clínico controlado no aleatorizado en seis fases, desde el año 2001 al 2010, en el que participaron estudiantes de pregrado del Programa de Nutrición y Dietética de la Universidad Nacional de Colombia, profesores de la Facultad de Medicina de la misma Universidad y el equipo de nefrólogos y nutricionistas de las unidades renales de la Fundación Hospital San Carlos, de la Cruz Roja y del Centro de Investigación de Enfermedades Crónicas de Bogotá, con el fin de establecer la confiabilidad del método, determinar una ecuación para conocer el agua total corporal de pacientes renales en HD colombianos, determinar un punto de corte utilizando la resistencia de la BIA para monitorear la cantidad de agua aumentada  interdiálisis de los pacientes, la presencia de síntomas, y conocer la utilidad de la normovolemia en la obtención del peso seco. Se encontró -al igual que en otros estudios- que la BIA-4 multifrecuencia es un método que ofrece enormes posibilidades en el estudio del paciente renal, al ser sensible a los cambios de la composición corporal del individuo, además de ser un método sencillo, indoloro, no invasivo y de fácil ejecución que permite establecer el peso seco, el estado nutricional, el agua extra e intracelular, la masa magra, la masa grasa, etc. También se logr

  13. 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

  14. Enhanced Preliminary Assessment Report: Presidio of San Francisco Military Reservation, San Francisco, California

    Science.gov (United States)

    1989-11-01

    CAD981415656 Filmore Steiner Bay San Francisco 24 PG&E Gas Plant SanFran 502-IG CAD981415714 Bay North Point Buchanan Laguna 25 PG&E Gas Plant SanFran 502-1H...76-ioV /5,JO /0.7 /,230 PSF Water PSF, Main U.N. Lagunda Honda Analvte Plant Clearwell Reservoir Plaza Reservoi- Chlordane inetab. ə.2 ə.2 (1.2 ə.2

  15. A case for historic joint rupture of the San Andreas and San Jacinto faults

    OpenAIRE

    Lozos, Julian C.

    2016-01-01

    The San Andreas fault is considered to be the primary plate boundary fault in southern California and the most likely fault to produce a major earthquake. I use dynamic rupture modeling to show that the San Jacinto fault is capable of rupturing along with the San Andreas in a single earthquake, and interpret these results along with existing paleoseismic data and historic damage reports to suggest that this has likely occurred in the historic past. In particular, I find that paleoseismic data...

  16. 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 A.; 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.

  17. 76 FR 9709 - Water Quality Challenges in the San Francisco Bay/Sacramento-San Joaquin Delta Estuary

    Science.gov (United States)

    2011-02-22

    ... Water Quality Challenges in the San Francisco Bay/Sacramento-San Joaquin Delta Estuary AGENCY... the San Francisco Bay/ Sacramento-San Joaquin Delta Estuary (Bay Delta Estuary) in California. EPA is... programs to address recent significant declines in multiple aquatic species in the Bay Delta Estuary. EPA...

  18. 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 District § 165.776 Security Zone; Coast Guard Base San Juan, San Juan Harbor, Puerto Rico (a...

  19. 76 FR 22809 - Safety Zone; Bay Ferry II Maritime Security Exercise; San Francisco Bay, San Francisco, CA

    Science.gov (United States)

    2011-04-25

    ... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2011-0196] RIN 1625-AA00 Safety Zone; Bay Ferry II Maritime Security Exercise; San Francisco Bay, San Francisco, CA AGENCY... Security Exercise; San Francisco Bay, San Francisco, CA. (a) Location. The limits of this safety zone...

  20. 76 FR 10945 - San Luis Trust Bank, FSB, San Luis Obispo, CA; Notice of Appointment of Receiver

    Science.gov (United States)

    2011-02-28

    ... DEPARTMENT OF THE TREASURY Office of Thrift Supervision San Luis Trust Bank, FSB, San Luis Obispo, CA; Notice of Appointment of Receiver Notice is hereby given that, pursuant to the authority... appointed the Federal Deposit Insurance Corporation as sole Receiver for San Luis Trust Bank, FSB, San Luis...

  1. Perspective View, San Andreas Fault

    Science.gov (United States)

    2000-01-01

    The prominent linear feature straight down the center of this perspective view is California's famous San Andreas Fault. The image, created with data from NASA's Shuttle Radar Topography Mission (SRTM), will be used by geologists studying fault dynamics and landforms resulting from active tectonics. This segment of the fault lies west of the city of Palmdale, Calif., about 100 kilometers (about 60 miles) northwest of Los Angeles. The fault is the active tectonic boundary between the North American plate on the right, and the Pacific plate on the left. Relative to each other, the Pacific plate is moving away from the viewer and the North American plate is moving toward the viewer along what geologists call a right lateral strike-slip fault. Two large mountain ranges are visible, the San Gabriel Mountains on the left and the Tehachapi Mountains in the upper right. Another fault, the Garlock Fault lies at the base of the Tehachapis; the San Andreas and the Garlock Faults meet in the center distance near the town of Gorman. In the distance, over the Tehachapi Mountains is California's Central Valley. Along the foothills in the right hand part of the image is the Antelope Valley, including the Antelope Valley California Poppy Reserve. The data used to create this image were acquired by SRTM aboard the Space Shuttle Endeavour, launched on February 11, 2000.This type of display adds the important dimension of elevation to the study of land use and environmental processes as observed in satellite images. The perspective view was created by draping a Landsat satellite image over an SRTM elevation model. Topography is exaggerated 1.5 times vertically. The Landsat image was provided by the United States Geological Survey's Earth Resources Observations Systems (EROS) Data Center, Sioux Falls, South Dakota.SRTM uses the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour

  2. Performance of BATAN-SANS instrument

    Energy Technology Data Exchange (ETDEWEB)

    Ikram, Abarrul; Insani, Andon [National Nuclear Energy Agency, P and D Centre for Materials Science and Technology, Serpong (Indonesia)

    2003-03-01

    SANS data from some standard samples have been obtained using BATAN-SANS instrument in Serpong. The experiments were performed for various experimental set-ups that involve different detector positions and collimator lengths. This paper describes the BATAN-SANS instrument briefly as well as the data taken from those experiments and followed with discussion of the results concerning the performance and calibration of the instrument. The standard samples utilized in these experiments include porous silica, polystyrene-poly isoprene, silver behenate, poly ball and polystyrene-poly (ethylene-alt-propylene). Even though the results show that BATAN-SANS instrument is in good shape, but rooms for improvements are still widely open especially for the velocity selector and its control system. (author)

  3. AMS San Diego Testbed - Calibration Data

    Data.gov (United States)

    Department of Transportation — The data in this repository were collected from the San Diego, California testbed, namely, I-15 from the interchange with SR-78 in the north to the interchange with...

  4. 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...

  5. San Francisco Bay Interferometric Bathymetry: Area B

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — High resolution sonar data were collected over ultra-shallow areas of the San Francisco Bay estuary system. Bathymetric and acoustic backscatter data were collected...

  6. April 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...

  7. San Jacinto Tries Management by Objectives

    Science.gov (United States)

    Deegan, William

    1974-01-01

    San Jacinto, California, has adopted a measurable institutional objectives approach to management by objectives. Results reflect, not only improved cost effectiveness of community college education, but also more effective educational programs for students. (Author/WM)

  8. Radon emanation on San Andreas Fault

    International Nuclear Information System (INIS)

    King, C.-Y.

    1978-01-01

    It is stated that subsurface radon emanation monitored in shallow dry holes along an active segment of the San Andreas fault in central California shows spatially coherent large temporal variations that seem to be correlated with local seismicity. (author)

  9. 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:

  10. 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 moderately concentrated dispersion in a marginal solvent the transition on cooling from the effective stability to a weak attraction is monitored, The degree of attraction is determined in the framework of the sticky spheres model (SSM), SANS and rheological results are correlated....

  11. 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…

  12. Toxic phytoplankton in San Francisco Bay

    Science.gov (United States)

    Rodgers, Kristine M.; Garrison, David L.; Cloern, James E.

    1996-01-01

    The Regional Monitoring Program (RMP) was conceived and designed to document the changing distribution and effects of trace substances in San Francisco Bay, with focus on toxic contaminants that have become enriched by human inputs. However, coastal ecosystems like San Francisco Bay also have potential sources of naturally-produced toxic substances that can disrupt food webs and, under extreme circumstances, become threats to public health. The most prevalent source of natural toxins is from blooms of algal species that can synthesize metabolites that are toxic to invertebrates or vertebrates. Although San Francisco Bay is nutrient-rich, it has so far apparently been immune from the epidemic of harmful algal blooms in the world’s nutrient-enriched coastal waters. This absence of acute harmful blooms does not imply that San Francisco Bay has unique features that preclude toxic blooms. No sampling program has been implemented to document the occurrence of toxin-producing algae in San Francisco Bay, so it is difficult to judge the likelihood of such events in the future. This issue is directly relevant to the goals of RMP because harmful species of phytoplankton have the potential to disrupt ecosystem processes that support animal populations, cause severe illness or death in humans, and confound the outcomes of toxicity bioassays such as those included in the RMP. Our purpose here is to utilize existing data on the phytoplankton community of San Francisco Bay to provide a provisional statement about the occurrence, distribution, and potential threats of harmful algae in this Estuary.

  13. Modelling SANS and SAXS data

    International Nuclear Information System (INIS)

    Reynolds, P.

    1999-01-01

    Full text: Small angle scattering data while on an absolute scale and relatively accurate over large ranges of observables (0.003 -1 ; 0.1 -1 ) is often relatively featureless. I will address some of the problems this causes, and some of the ways of minimising these, by reference to our recent SANS results. For the benefit of newer chums this will involve discussion of the strengths and weaknesses of data from ISIS (LOQ), Argonne (SAND) and the I.L.L. (D22), and the consequences these have for modelling. The use of simple portable or remote access systems for modelling will be discussed - in particular the IGOR based NIST system of Dr. S. Kline and the VAX based FISH system of Dr. R. Heenan, ISIS. I will illustrate that a wide variety of physically appealing and complete models are now available. If you have reason to believe in a particular microstructure, this belief can now be either falsified, or the microstructure quantified, by fitting to the entire set of scattering patterns over the entire Q-range. For example, only in cases of drastic ignorance need we use only Guinier and Porod analyses, although these may provide useful initial guidance in the modelling. We now rarely need to use oversimplified logically incomplete models - such as spherical micelles with neglect of intermicellar correlation- now that we possess fast desktop/experimental computers

  14. 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

  15. 77 FR 59969 - Notice of Inventory Completion: San Francisco State University, Department of Anthropology, San...

    Science.gov (United States)

    2012-10-01

    ... Inventory Completion: San Francisco State University, Department of Anthropology, San Francisco, CA... Francisco State University, NAGPRA Program (formerly in the Department of Anthropology). The human remains... State University Department of Anthropology records. In the Federal Register (73 FR 30156-30158, May 23...

  16. 78 FR 57482 - Safety Zone; America's Cup Aerobatic Box, San Francisco Bay, San Francisco, CA

    Science.gov (United States)

    2013-09-19

    ...-AA00 Safety Zone; America's Cup Aerobatic Box, San Francisco Bay, San Francisco, CA AGENCY: Coast Guard... America's Cup air shows. These safety zones are established to provide a clear area on the water for... announced by America's Cup Race Management. ADDRESSES: Documents mentioned in this preamble are part of...

  17. 77 FR 42649 - Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA

    Science.gov (United States)

    2012-07-20

    ... 1625-AA00 Safety Zone: Sea World San Diego Fireworks, Mission Bay; San Diego, CA AGENCY: Coast Guard... authorized by the Captain of the Port, or his designated representative. DATES: This rule is effective from 8... to ensure the public's safety. B. Basis and Purpose The Ports and Waterways Safety Act gives the...

  18. 75 FR 27432 - Security Zone; Golden Guardian 2010 Regional Exercise; San Francisco Bay, San Francisco, CA

    Science.gov (United States)

    2010-05-17

    ... can better evaluate its effects on them and participate in the rulemaking process. Small businesses... DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket No. USCG-2010-0221] RIN 1625-AA87 Security Zone; Golden Guardian 2010 Regional Exercise; San Francisco Bay, San Francisco, CA AGENCY...

  19. 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

  20. 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

    Directory of Open Access Journals (Sweden)

    Julio César Correa Escobar

    2001-02-01

    Full Text Available 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 (76,9% came from Medellin and their metropolitan area. The place of the accident was like it continues: in the street 582 children (49%; in the home 496 children (41,9%, in the school 32 children (2,7% and in other places 75 children (6,3%. 199 children (16,8% were alone in the moment of the accident, 512 (43,2% were with other children and 474 (40% were with adults. The main accident type was the mechanic in 1.077 cases (90,9%; 740 children (62,5% suffered falls. Trauma was light in 1.128 children (95,2%. Lethally was of 0,7% (8 children, especially for craneoencephalic trauma due to traffic accidents and hurt by firearm. The trauma was more serious in those smaller than 2 years. There was difference statistically significant in the frequency of traumas between the period of vacations and the academic, with more accidents during the vacations. It is recommended to begin programs of prevention of accidents especially in the home, directed to the parents and the minor caretakers, with emphasis in the stages of the children’s development and the risks for the different types of accidents. 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 duraci

  1. Compact High Resolution SANS using very cold neutrons (VCN-SANS)

    International Nuclear Information System (INIS)

    Kennedy, S.; Yamada, M.; Iwashita, Y.; Geltenbort, P.; Bleuel, M.; Shimizu, H.

    2011-01-01

    SANS (Small Angle Neutron Scattering) is a popular method for elucidation of nano-scale structures. However science continually challenges SANS for higher performance, prompting exploration of ever-more exotic and expensive technologies. We propose a compact high resolution SANS, using very cold neutrons, magnetic focusing lens and a wide-angle spherical detector. This system will compete with modern 40 m pinhole SANS in one tenth of the length, matching minimum Q, Q-resolution and dynamic range. It will also probe dynamics using the MIEZE method. Our prototype lens (a rotating permanent-magnet sextupole), focuses a pulsed neutron beam over 3-5 nm wavelength and has measured SANS from micelles and polymer blends. (authors)

  2. La vida cotidiana en los hospitales de dementes mexicanos: el caso de San Roque

    Directory of Open Access Journals (Sweden)

    Andreé Bojalil Daou

    2013-01-01

    Full Text Available Everyday life in mental institutions in nineteenth century Mexico was conducted by specific regulations made for this kind of hospitals. Using six different documents we will try to compare and reconstruct how mental patients were living in the San Roque Mental Hospital for women from 1834 until 1895. The Porfirio Díaz regime brought a positivist point of view to medicine which included the new theories of treatment to patients introduced by Phillipe Pinel in 1802 who claimed that moral treatment was the only way to mental health recovery

  3. Hospital staffing and hospital costs.

    Science.gov (United States)

    Andrew, R R

    1976-08-07

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

  4. 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.

  5. Cacao use and the San Lorenzo Olmec

    Science.gov (United States)

    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, 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. PMID:21555564

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

    Data.gov (United States)

    California Natural Resource Agency — 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...

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

    Data.gov (United States)

    California Natural Resource Agency — 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. Coastal Cactus Wren, San Diego Co. - 2011 [ds708

    Data.gov (United States)

    California Natural Resource Agency — 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....

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

    Data.gov (United States)

    California Natural Resource Agency — 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...

  10. Mammal Track Counts - San Diego County [ds442

    Data.gov (United States)

    California Natural Resource Agency — 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...

  11. 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...

  12. 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,…

  13. 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.

  14. 33 CFR 110.120 - San Luis Obispo Bay, Calif.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false San Luis Obispo Bay, Calif. 110... ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.120 San Luis Obispo Bay, Calif. (a) Area A-1. Area A-1 is the water area bounded by the San Luis Obispo County wharf, the shoreline, a line drawn...

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

    OpenAIRE

    Daniel E Noyola; 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...

  16. October 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...

  17. 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.)

  18. 77 FR 46115 - Notice of Inventory Completion: San Diego Museum of Man, San Diego, CA

    Science.gov (United States)

    2012-08-02

    ...The San Diego Museum of Man has completed an inventory of human remains in consultation with the appropriate Indian tribe, and has determined that there is a cultural affiliation between the human remains and a present-day Indian tribe. Representatives of any Indian tribe that believes itself to be culturally affiliated with the human remains may contact the San Diego Museum of Man. Repatriation of the human remains to the Indian tribe stated below may occur if no additional claimants come forward.

  19. A case for historic joint rupture of the San Andreas and San Jacinto faults

    Science.gov (United States)

    Lozos, Julian C.

    2016-01-01

    The San Andreas fault is considered to be the primary plate boundary fault in southern California and the most likely fault to produce a major earthquake. I use dynamic rupture modeling to show that the San Jacinto fault is capable of rupturing along with the San Andreas in a single earthquake, and interpret these results along with existing paleoseismic data and historic damage reports to suggest that this has likely occurred in the historic past. In particular, I find that paleoseismic data and historic observations for the ~M7.5 earthquake of 8 December 1812 are best explained by a rupture that begins on the San Jacinto fault and propagates onto the San Andreas fault. This precedent carries the implications that similar joint ruptures are possible in the future and that the San Jacinto fault plays a more significant role in seismic hazard in southern California than previously considered. My work also shows how physics-based modeling can be used for interpreting paleoseismic data sets and understanding prehistoric fault behavior. PMID:27034977

  20. A case for historic joint rupture of the San Andreas and San Jacinto faults.

    Science.gov (United States)

    Lozos, Julian C

    2016-03-01

    The San Andreas fault is considered to be the primary plate boundary fault in southern California and the most likely fault to produce a major earthquake. I use dynamic rupture modeling to show that the San Jacinto fault is capable of rupturing along with the San Andreas in a single earthquake, and interpret these results along with existing paleoseismic data and historic damage reports to suggest that this has likely occurred in the historic past. In particular, I find that paleoseismic data and historic observations for the ~M7.5 earthquake of 8 December 1812 are best explained by a rupture that begins on the San Jacinto fault and propagates onto the San Andreas fault. This precedent carries the implications that similar joint ruptures are possible in the future and that the San Jacinto fault plays a more significant role in seismic hazard in southern California than previously considered. My work also shows how physics-based modeling can be used for interpreting paleoseismic data sets and understanding prehistoric fault behavior.

  1. 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

  2. Hospital Inspections

    Data.gov (United States)

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

  3. 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.

  4. The disappearing San of southeastern Africa and their genetic affinities.

    Science.gov (United States)

    Schlebusch, Carina M; Prins, Frans; Lombard, Marlize; Jakobsson, Mattias; Soodyall, Himla

    2016-12-01

    Southern Africa was likely exclusively inhabited by San hunter-gatherers before ~2000 years ago. Around that time, East African groups assimilated with local San groups and gave rise to the Khoekhoe herders. Subsequently, Bantu-speaking farmers, arriving from the north (~1800 years ago), assimilated and displaced San and Khoekhoe groups, a process that intensified with the arrival of European colonists ~350 years ago. In contrast to the western parts of southern Africa, where several Khoe-San groups still live today, the eastern parts are largely populated by Bantu speakers and individuals of non-African descent. Only a few scattered groups with oral traditions of Khoe-San ancestry remain. Advances in genetic research open up new ways to understand the population history of southeastern Africa. We investigate the genomic variation of the remaining individuals from two South African groups with oral histories connecting them to eastern San groups, i.e., the San from Lake Chrissie and the Duma San of the uKhahlamba-Drakensberg. Using ~2.2 million genetic markers, combined with comparative published data sets, we show that the Lake Chrissie San have genetic ancestry from both Khoe-San (likely the ||Xegwi San) and Bantu speakers. Specifically, we found that the Lake Chrissie San are closely related to the current southern San groups (i.e., the Karretjie people). Duma San individuals, on the other hand, were genetically similar to southeastern Bantu speakers from South Africa. This study illustrates how genetic tools can be used to assess hypotheses about the ancestry of people who seemingly lost their historic roots, only recalling a vague oral tradition of their origin.

  5. 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.

  6. SANS-1 Experimental reports of 2000

    International Nuclear Information System (INIS)

    Willumeit, R.; Haramus, V.

    2001-01-01

    The instrument SANS-1 at the Geesthacht neutron facility GeNF was used for scattering experiments in 2000 at 196 of 200 days of reactor and cold source operation. The utilisation was shared between the in-house R and D program and user groups from different universities and research centers. These measurements were performed and analysed either by guest scientists or GKSS staff. The focus of the work in 2000 at the experiment SANS-1 was the structural investigation of hydrogen containing substances such as biological macromolecules (ribosomes, protein-RNA-complexes, protein solutions, glycolipids and membranes), molecules which are important in the fields of environmental research (refractoric organic substances) and technical chemistry (surfactants, micelles). (orig.) [de

  7. San Rafael mining and fabrication complex today

    International Nuclear Information System (INIS)

    Navarra, Pablo; Aldebert, Sergio R.

    2005-01-01

    In Mendoza province, 35 km West San Rafael city, is located a CNEA installation for uranium ore extraction and concentration: the San Rafael Mining and Fabrication Complex. By the middle of the nineties, as a consequence of the very low prices of uranium concentrate in the international market and of the high internal production costs, uranium extraction was stopped. To day, the international price of the concentrate had a very important increase and the Government has decided the completion of the Atucha II Nuclear Power Station construction. Moreover, studies have been started for new nuclear power plants. In such circumstances the reactivation of the Complex will make sure the uranium supply for our nuclear power stations, contributing to the improvement of the energy generation mix in our country. (author) [es

  8. 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.

  9. 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.

  10. Hispanics of a San Diego Barrio.

    Science.gov (United States)

    1983-04-01

    electronic music of Black American discoteques, played loudly on automobile stereo systems or on the oversized "sound boxes" which have more...rider" automobiles , and intense partying are parts of an essentially anti-social image held by the larger San Diego community. Parallels might be drawn...Research Naval Academy, U.S. Annapolis, MD 21402 - .I . . . . I I II I I l i List 7 HRM Officer in Charge Commanding Officer Human Resource Management

  11. Pinturas Murales en San Marcos de Salamanca

    Directory of Open Access Journals (Sweden)

    Julián ÁLVAREZ VILLAR

    2009-10-01

    Full Text Available En los primeros días de setiembre se iniciaron unas obras de repaso en el tejado de la iglesia de San Marcos, aprovechando el tiempo del cierre obligado del templo para realizar algunas reparaciones que condujeron al párroco don José Marcos ayudado por el coadjutor don Leandro Lozano, a interesantes hallazgos que dan aún más valor artístico a esta interesante iglesia.

  12. 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.

  13. 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.

  14. Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010?2016

    OpenAIRE

    Grumbach, Kevin; Vargas, Roberto A.; Fleisher, Paula; Arag?n, Tom?s J.; Chung, Lisa; Chawla, Colleen; Yant, Abbie; Garcia, Estela R.; Santiago, Amor; Lang, Perry L.; Jones, Paula; Liu, Wylie; Schmidt, Laura A.

    2017-01-01

    Background The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors. Community Context We report o...

  15. San Marco C-2 (San Marco-4) Post Launch Report No. 1

    Science.gov (United States)

    1974-01-01

    The San Marco C-2 spacecraft, now designated San Marco-4, was successfully launched by a Scout vehicle from the San Marco Platform on 18 February 1974 at 6:05 a.m. EDT. The launch occurred 2 hours 50 minutes into the 3-hour window due co low cloud cover at the launch site. All spacecraft subsystems have been checked and are functioning normally. The protective caps for the two U.S. experiments were ejected and the Omegatron experiment activated on 19 February. The neutral mass spectrometer was activated as scheduled on 22 February after sufficient time to allow for spacecraft outgassing and to avoid the possibility of corona occurring. Both instruments are performing properly and worthwhile scientific data is being acquired.

  16. Development of 40m SANS and Its Utilization Techniques

    International Nuclear Information System (INIS)

    Choi, Sung Min; Kim, Tae Hwan

    2010-06-01

    Small angle neutron scattering (SANS) has been a very powerful tool to study nanoscale (1-100 nm) bulk structures in various materials such as polymer, self assembled materials, nano-porous materials, nano-magnetic materials, metal and ceramics. Understanding the importance of the SANS instrument, the 8m SANS instrument was installed at the CN beam port of HANARO in 2001. However, without having a cold neutron source, the beam intensity is fairly low and the Q-range is rather limited due to short instrument length. In July 1, 2003, therefore, the HANARO cold neutron research facility project was launched and a state of the art 40m SANS instrument was selected as top-priority instrument. The development of the 40m SANS instrument was completed as a joint project between Korea Advanced Institute of Science and Technology and the HANARO in 2010. Here, we report the specification of a state of art 40m SANS instrument at HANARO

  17. 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…

  18. City of San Francisco, California street tree resource analysis

    Science.gov (United States)

    E.G. McPherson; J.R. Simpson; P.J. Peper; Q. Xiao

    2004-01-01

    Street trees in San Francisco are comprised of two distinct populations, those managed by the city’s Department of Public Works (DPW) and those managed by private property owners with or without the help of San Francisco’s urban forestry nonprofit, Friends of the Urban Forest (FUF). These two entities believe that the public’s investment in stewardship of San Francisco...

  19. Hospitality and hostility in hospitals

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Aanestad, Margunn

    2007-01-01

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

  20. 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

  1. Public Involvement and Response Plan (Community Relations Plan), Presidio of San Francisco, San Francisco, California

    Science.gov (United States)

    1992-03-01

    passenger ship destination, and tourist attraction. San Francisco’s location and cultural and recreational opportunities make it a prime tourism center...equestrians, she said. C-52 m% smm : - TUESDAY, JUNE 19,1990 * . COPYKIGHT 1*90/THE TIMES MlRkOX COMPANY /CC/1 JO PAGES P. A-l, 22, 23 Complex

  2. 78 FR 35593 - Special Local Regulation; Christmas Boat Parade, San Juan Harbor; San Juan, PR

    Science.gov (United States)

    2013-06-13

    ... individually or cumulatively have a significant effect on the human environment. This proposed rule involves.... Pearson, Captain, U.S. Coast Guard, Captain of the Port San Juan. [FR Doc. 2013-13994 Filed 6-12-13; 8:45...

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

    Science.gov (United States)

    2010-07-08

    ... San Francisco, CA. The fireworks display is meant for entertainment purposes. This safety zone is... National Technology Transfer and Advancement Act (NTTAA) (15 U.S.C. 272 note) directs agencies to use...), of the Instruction. This rule involves establishing, disestablishing, or changing Regulated...

  5. 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...

  6. 78 FR 42027 - Safety Zone; San Diego Bayfair; Mission Bay, San Diego, CA

    Science.gov (United States)

    2013-07-15

    ... safety zones. Thunderboats Unlimited Inc. is sponsoring San Diego Bayfair, which is held on the navigable... distribution of power and responsibilities between the Federal Government and Indian tribes. 12. Energy Effects This proposed rule is not a ``significant energy action'' under Executive Order 13211, Actions...

  7. Hospital Malnutrition

    OpenAIRE

    Asumadu-Sarkodie, Samuel

    2012-01-01

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

  8. El San Juan y la Universidad Nacional

    Directory of Open Access Journals (Sweden)

    Victor Manuel Moncayo

    2000-04-01

    Full Text Available Encontrar una solución para la crisis de la Fundación San Juan de Dios no es un problema jurídico, ni tampoco de gestión ordinaria de una institución. La crisis es de tal magnitud que desborda las capacidades reales de la organización actual y, en especial, de su Junta Directiva o de quienes ejerzan su representación legal o de quienes colaboran como empleados o trabajadores de la institución.

  9. L’alimentation des sans-abri

    OpenAIRE

    Amistani, Carole; Terrolle, Daniel

    2012-01-01

    L’alimentation des sans-logis est analysable, à partir du terrain, selon deux versants, parfois utilisés conjointement, qui sont celui de leur autonomie et/ou celui de leur dépendance envers le don alimentaire. Dans ce dernier cas, les contenus comme les formes témoignent trop souvent d’une impossibilité d’assurer l’équilibre nutritionnel de ces mangeurs et le respect des multiples aspects socialisants compris dans l’acte alimentaire. Le choix d’un traitement social dans l’ « urgence » et par...

  10. Neuroimaging Features of San Luis Valley Syndrome

    Directory of Open Access Journals (Sweden)

    Matthew T. Whitehead

    2015-01-01

    Full Text Available A 14-month-old Hispanic female with a history of double-outlet right ventricle and developmental delay in the setting of recombinant chromosome 8 syndrome was referred for neurologic imaging. Brain MR revealed multiple abnormalities primarily affecting midline structures, including commissural dysgenesis, vermian and brainstem hypoplasia/dysplasia, an interhypothalamic adhesion, and an epidermoid between the frontal lobes that enlarged over time. Spine MR demonstrated hypoplastic C1 and C2 posterior elements, scoliosis, and a borderline low conus medullaris position. Presented herein is the first illustration of neuroimaging findings from a patient with San Luis Valley syndrome.

  11. Percepción sobre el control prenatal de las gestantes adolescentes en la E.S.E San Cristóbal, Bogotá 2012

    OpenAIRE

    Mayorga Palacios, Andrea del Pilar

    2012-01-01

    Objetivo: Explorar la percepción que tienen las gestantes adolescentes con relación al control prenatal, en el Hospital San Cristóbal de Bogotá. Diseño metodológico: Estudio cualitativo, exploratorio, con enfoque hermenéutico, realizado mediante la técnica de análisis de contenido a las entrevistas semi-estructuradas de 12 gestantes adolescentes que asisten al control prenatal en la Empresa Social del Estado San Cristóbal de la ciudad de Bogotá, 2012. Resultados: Del análisis emergieron 5 c...

  12. 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.

  13. 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.…

  14. Characterization of alumina using small angle neutron scattering (SANS)

    International Nuclear Information System (INIS)

    Megat Harun Al Rashidn Megat Ahmad; Abdul Aziz Mohamed; Azmi Ibrahim; Che Seman Mahmood; Edy Giri Rachman Putra; Muhammad Rawi Muhammad Zin; Razali Kassim; Rafhayudi Jamro

    2007-01-01

    Alumina powder was synthesized from an aluminium precursor and studied using small angle neutron scattering (SANS) technique and complemented with transmission electron microscope (TEM). XRD measurement confirmed that the alumina produced was high purity and highly crystalline αphase. SANS examination indicates the formation of mass fractals microstructures with fractal dimension of about 2.8 on the alumina powder. (Author)

  15. 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…

  16. 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 from...

  17. Minor emergency clinic: key to the future of successful hospitals.

    Science.gov (United States)

    Chawla, S; Kathawala, Y; Elmuti, D

    1992-01-01

    This project set out to determine whether there is a relationship between the minor emergency facility an individual uses and their choice of a hospital for in-patient care. In studying this relationship, the factors that are important to persons choosing a clinic or hospital facility, as well as the influence of a physician, were also identified. A structured, undisguised telephone survey was used for interviewing a randomly selected sample population of 189 San Angelo residents. Analysis of the survey data indicated that dependency does exist between minor emergency clinic use and the hospital chosen for in-patient care. The results of this study also suggested that hospitals' marketing strategy should shift the emphasis of their advertising from the hospital itself to their physician association and clinics. In addition, a number of other interesting observations concerning the relative importance of various medical factors to the participants was also explored.

  18. 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 RESUMEN 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

  19. 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

    ... River Estuary Restoration Project, South San Diego Bay Unit of the San Diego Bay National Wildlife...), intend to prepare an environmental impact statement (EIS) for the proposed Otay River Estuary Restoration... any one of the following methods. Email: [email protected] . Please include ``Otay Estuary NOI'' in the...

  20. 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

  1. 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

  2. Aerial radiological survey of the San Onofre Nuclear Generating Station and surrounding area, San Clemente, California

    International Nuclear Information System (INIS)

    Hilton, L.K.

    1980-12-01

    An airborne radiological survey of an 11 km 2 area surrounding the San Onofre Nuclear Generating Station was made 9 to 17 January 1980. Count rates observed at 60 m altitude were converted to exposure rates at 1 m above the ground and are presented in the form of an isopleth map. Detected radioisotopes and their associated gamma ray exposure rates were consistent with that expected from normal background emitters, except directly over the plant

  3. San Onofre - the evolution of outage management

    International Nuclear Information System (INIS)

    Slagle, K.A.

    1993-01-01

    With the addition of units 2 and 3 to San Onofre nuclear station in 1983 and 1984, it became evident that a separate group was needed to manage outages. Despite early establishment of a division to handle outages, it was a difficult journey to make the changes to achieve short outages. Early organizational emphasis was on developing an error-free operating environment and work culture. This is difficult for a relatively large organization at a three-unit site. The work processes and decision styles were designed to be very deliberate with many checks and balances. The organization leadership and accountability were focused in the traditional operations, maintenance, and engineering divisions. Later, our organization emphasis shifted to achieving engineering excellence. With a sound foundation of operating and engineering excellence, our organizational focus has turned to achieving quality outages. This means accomplishing the right work in a shorter duration and having the units run until the next refueling

  4. Paleomagnetism of San Cristobal Island, Galapagos

    Science.gov (United States)

    Cox, A.

    1971-01-01

    Isla San Cristobal, the most easterly of the Galapagos Islands, consists of two parts: a large volcano constitutes the southwest half of the island and an irregular apron of small cones and flows makes up the northeast half. As some of the younger flows on the flanks of the large volcano are reversely magnetized, the minimum age of the volcano is 0.7 my, which is the age of the Brunhes-Matuyama reversal boundary. The true age is probably several times greater. The cones and flows to the northeast are all normally magnetized. The between-site angular dispersion of virtual poles is 11.3?? - a value consistent with mathematical models for the latitude dependence of geomagnetic secular variation. ?? 1971.

  5. San Pedro River Aquifer Binational Report

    Science.gov (United States)

    Callegary, James B.; Minjárez Sosa, Ismael; Tapia Villaseñor, Elia María; dos Santos, Placido; Monreal Saavedra, Rogelio; Grijalva Noriega, Franciso Javier; Huth, A. K.; Gray, Floyd; Scott, C. A.; Megdal, Sharon; Oroz Ramos, L. A.; Rangel Medina, Miguel; Leenhouts, James M.

    2016-01-01

    The United States and Mexico share waters in a number of hydrological basins and aquifers that cross the international boundary. Both countries recognize that, in a region of scarce water resources and expanding populations, a greater scientific understanding of these aquifer systems would be beneficial. In light of this, the Mexican and U.S. Principal Engineers of the International Boundary and Water Commission (IBWC) signed the “Joint Report of the Principal Engineers Regarding the Joint Cooperative Process United States-Mexico for the Transboundary Aquifer Assessment Program" on August 19, 2009 (IBWC-CILA, 2009). This IBWC “Joint Report” serves as the framework for U.S.-Mexico coordination and dialogue to implement transboundary aquifer studies. The document clarifies several details about the program such as background, roles, responsibilities, funding, relevance of the international water treaties, and the use of information collected or compiled as part of the program. In the document, it was agreed by the parties involved, which included the IBWC, the Mexican National Water Commission (CONAGUA), the U.S. Geological Survey (USGS), and the Universities of Arizona and Sonora, to study two priority binational aquifers, one in the San Pedro River basin and the other in the Santa Cruz River basin. This report focuses on the Binational San Pedro Basin (BSPB). Reasons for the focus on and interest in this aquifer include the fact that it is shared by the two countries, that the San Pedro River has an elevated ecological value because of the riparian ecosystem that it sustains, and that water resources are needed to sustain the river, existing communities, and continued development. This study describes the aquifer’s characteristics in its binational context; however, most of the scientific work has been undertaken for many years by each country without full knowledge of the conditions on the other side of the border. The general objective of this study is to

  6. San Andreas Fault in the Carrizo Plain

    Science.gov (United States)

    2000-01-01

    The 1,200-kilometer (800-mile)San Andreas is the longest fault in California and one of the longest in North America. This perspective view of a portion of the fault was generated using data from the Shuttle Radar Topography Mission (SRTM), which flew on NASA's Space Shuttle last February, and an enhanced, true-color Landsat satellite image. The view shown looks southeast along the San Andreas where it cuts along the base of the mountains in the Temblor Range near Bakersfield. The fault is the distinctively linear feature to the right of the mountains. To the left of the range is a portion of the agriculturally rich San Joaquin Valley. In the background is the snow-capped peak of Mt. Pinos at an elevation of 2,692 meters (8,831 feet). The complex topography in the area is some of the most spectacular along the course of the fault. To the right of the fault is the famous Carrizo Plain. Dry conditions on the plain have helped preserve the surface trace of the fault, which is scrutinized by both amateur and professional geologists. In 1857, one of the largest earthquakes ever recorded in the United States occurred just north of the Carrizo Plain. With an estimated magnitude of 8.0, the quake severely shook buildings in Los Angeles, caused significant surface rupture along a 350-kilometer (220-mile) segment of the fault, and was felt as far away as Las Vegas, Nev. This portion of the San Andreas is an important area of study for seismologists. For visualization purposes, topographic heights displayed in this image are exaggerated two times.The elevation data used in this image was acquired by SRTM aboard the Space Shuttle Endeavour, launched on February 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on Endeavour in 1994. SRTM was designed to collect three-dimensional measurements of Earth's land surface. To collect the 3-D SRTM data, engineers added a mast 60

  7. 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.

  8. International cooperation in healthcare: model of IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association for congenital heart diseases.

    Science.gov (United States)

    Frigiola, Alessandro; Moussaidi, Nadia; Giamberti, Alessandro; Pomé, Giuseppe; Isgrò, Giuseppe; Youssef, Tammam; Reali, Matteo; Varrica, Alessandro; Nuri, Halkawt A; Cirri, Silvia; Carminati, Mario; Menicanti, Lorenzo; Ferrari, Roberto; Ranucci, Marco

    2016-04-28

    Cooperation activity in training programmes promoted by IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo Association is a model of cooperation between people as an alternative intervention in promoting the right to healthcare, especially offering programmes of training and medical care on cardiovascular and congenital heart disease. This new strategy, implemented in several developing countries, has absolutely contributed to the improvement of the medical services concerning the diagnostic and surgical approach in the treatment of paediatric and adult cardiovascular disease. To strengthen this kind of activity, both IRCCS Policlinico San Donato and Bambini Cardiopatici nel Mondo have introduced a global perspective aiming at the realization of surgical missions 'in situ', building new cardiac surgery units in collaboration with the local partners, which are mainly university hospitals. They, furthermore, support financially the scholarship and accommodation in favour of medical and paramedical staff.

  9. 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.

  10. 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.

  11. Developing solar power programs : San Francisco's experience

    International Nuclear Information System (INIS)

    Schwartz, F.

    2006-01-01

    This keynote address discussed an array of solar programs initiated in government-owned buildings in San Francisco. The programs were strongly supported by the city's mayor,and the voting public. Known for its fog and varying microclimates, 11 monitoring stations were set up throughout the city to determine viable locations for the successful application of solar technologies. It was observed that 90 per cent of the available sunshine occurred in the central valley, whereas fog along the Pacific shore was problematic. Seven of the monitoring sites showed excellent results. Relationships with various city departments were described, as well as details of study loads, load profiles, electrical systems, roofs and the structural capabilities of the selected government buildings. There was a focus on developing good relations with the local utility. The Moscone Convention Center was selected for the program's flagship installation, a 675 kW solar project which eventually won the US EPA Green Power Award for 2004 and received high press coverage. Cost of the project was $4.2 million. 825,000 kWh solar electricity was generated, along with 4,500,000 kWh electricity saved annually from efficiency measures, resulting in a net reduction of 5,325,000 kWh. Savings on utilities bills for the center were an estimated $1,078,000. A pipeline of solar projects followed, with installations at a sewage treatment plant and a large recycling depot. A program of smaller sites included libraries, schools and health facilities. Details of plans to apply solar technology to a 500 acre redevelopment site in southeast San Francisco with an aging and inadequate electrical infrastructure were described. A model of efficient solar housing for the development was presented, with details of insulation, windows, heating ventilation and air-conditioning (HVAC), water heating, lighting, appliances and a 1.2 kilowatt solar system. Peak demand reductions were also presented. tabs., figs

  12. Backwater Flooding in San Marcos, TX from the Blanco River

    Science.gov (United States)

    Earl, Richard; Gaenzle, Kyle G.; Hollier, Andi B.

    2016-01-01

    Large sections of San Marcos, TX were flooded in Oct. 1998, May 2015, and Oct. 2015. Much of the flooding in Oct. 1998 and Oct. 2015 was produced by overbank flooding of San Marcos River and its tributaries by spills from upstream dams. The May 2015 flooding was almost entirely produced by backwater flooding from the Blanco River whose confluence is approximately 2.2 miles southeast of downtown. We use the stage height of the Blanco River to generate maps of the areas of San Marcos that are lower than the flood peaks and compare those results with data for the observed extent of flooding in San Marcos. Our preliminary results suggest that the flooding occurred at locations more than 20 feet lower than the maximum stage height of the Blanco River at San Marcos gage (08171350). This suggest that the datum for either gage 08171350 or 08170500 (San Marcos River at San Marcos) or both are incorrect. There are plans for the U.S. Army Corps of Engineers to construct a Blanco River bypass that will divert Blanco River floodwaters approximately 2 miles farther downstream, but the $60 million price makes its implementation problematic.

  13. Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010–2016

    Science.gov (United States)

    Vargas, Roberto A.; Fleisher, Paula; Aragón, Tomás J.; Chung, Lisa; Chawla, Colleen; Yant, Abbie; Garcia, Estela R.; Santiago, Amor; Lang, Perry L.; Jones, Paula; Liu, Wylie; Schmidt, Laura A.

    2017-01-01

    Background The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors. Community Context We report on 3 SFHIP prevention initiatives: reducing consumption of sugar sweetened beverages (SSBs), regulating retail alcohol sales, and eliminating disparities in children’s oral health. Methods SFHIP is governed by a steering committee. Partnership working groups for each initiative collaborate to 1) develop and implement action plans emphasizing feasible, scalable, translational-science–informed interventions and 2) consider sustainability early in the planning process by including policy and structural interventions. Outcome Through SFHIP’s efforts, San Francisco enacted ordinances regulating sale and advertising of SSBs and a ballot measure establishing a soda tax. Most San Francisco hospitals implemented or committed to implementing healthy-beverage policies that prohibited serving or selling SSBs. SFHIP helped prevent Starbucks and Taco Bell from receiving alcohol licenses in San Francisco and helped prevent state authorization of sale of powdered alcohol. SFHIP increased the number of primary care clinics providing fluoride varnish at routine well-child visits from 3 to 14 and acquired a state waiver to allow dental clinics to be paid for dental services delivered in schools. Interpretation The SFHIP model of collective impact emphasizing community engagement and policy change accomplished many of its intermediate goals to create an environment promoting health and health equity. PMID:28333598

  14. Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010-2016.

    Science.gov (United States)

    Grumbach, Kevin; Vargas, Roberto A; Fleisher, Paula; Aragón, Tomás J; Chung, Lisa; Chawla, Colleen; Yant, Abbie; Garcia, Estela R; Santiago, Amor; Lang, Perry L; Jones, Paula; Liu, Wylie; Schmidt, Laura A

    2017-03-23

    The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors. We report on 3 SFHIP prevention initiatives: reducing consumption of sugar sweetened beverages (SSBs), regulating retail alcohol sales, and eliminating disparities in children's oral health. SFHIP is governed by a steering committee. Partnership working groups for each initiative collaborate to 1) develop and implement action plans emphasizing feasible, scalable, translational-science-informed interventions and 2) consider sustainability early in the planning process by including policy and structural interventions. Through SFHIP's efforts, San Francisco enacted ordinances regulating sale and advertising of SSBs and a ballot measure establishing a soda tax. Most San Francisco hospitals implemented or committed to implementing healthy-beverage policies that prohibited serving or selling SSBs. SFHIP helped prevent Starbucks and Taco Bell from receiving alcohol licenses in San Francisco and helped prevent state authorization of sale of powdered alcohol. SFHIP increased the number of primary care clinics providing fluoride varnish at routine well-child visits from 3 to 14 and acquired a state waiver to allow dental clinics to be paid for dental services delivered in schools. The SFHIP model of collective impact emphasizing community engagement and policy change accomplished many of its intermediate goals to create an environment promoting health and health equity.

  15. Fitting the datum of SANS with Pxy program

    International Nuclear Information System (INIS)

    Sun, Liangwei; Peng, Mei; Chen, Liang

    2009-04-01

    The thesis introduces the basic theory of Small-Angle neutron scattering, enumerates several approximate law. It simply describes the components of Small-Angle neutron spectrometer (SANS) and the parameters of SANS of Budapest Neutron Center (BNC) in Hungary. During the period of studying at Budapest Neutron Center in Hungary, the experiments of wavelength calibration was carried out with SIBE and the SANS experiments of sample Micelles. The experiments are briefly introduced. Pxy program is used to fit these datum, and the results of wavelength and sizes of sample Micelles are presented. (authors)

  16. The San values of conflict prevention and avoidance in Platfontein

    Directory of Open Access Journals (Sweden)

    Nina Mollema

    2017-09-01

    Full Text Available The aim of this article is to identify measures that can prevent violent conflict through the maintenance of traditional cultural values that guide conflict avoidance. Moreover, the article focuses on the concepts of conflict prevention and conflict avoidance as applied by the San community of Platfontein. The causes of the inter-communal tensions between the San community members are also examined. A selected conflict situation, that of superstition and witchcraft, is assessed as factors increasing interpersonal conflict in the Platfontein community. This investigation is made to determine if the San preventive measures have an impact in the community, so as to prevent ongoing conflicts from escalating further.

  17. The Effect of Bangpungtongsung-san Extracts on Adipocyte Metabolism

    Directory of Open Access Journals (Sweden)

    Sang Min, Lee

    2008-03-01

    Full Text Available Objective : The purpose of this study is to investigate the effects of Bangpungtongsung-san extracts on the preadipocytes proliferation, of 3T3-L1 cell line. lipolysis of adipocytes in rat's epididymis and localized fat accumulation of porcine by extraction methods(alcohol and water. Methods : Diminish 3T3-L1 proliferation and lipogenesis do primary role to reduce obesity. So, 3T3-L1 preadipocyte and adipocytes were performed on cell cultures, and using Sprague-Dawley rats for the lipogenesis, and treated with 0.01-1 ㎎/㎖ Bangpungtongsung-san Extracts depend on concentrations. Porcine skin including fat tissue after treated Bangpungtongsung-san Extracts by means of the dosage dependent variation are investigated the histologic changes after injection of these extracts. Results : Following results were obtained from the 3T3-L1 preadipocyte proliferation and lipolysis of adipocyte in rats and histologic investigation of fat tissue. 1. Bangpungtongsung-san extracts were showed the effect of decreased preadipocyte proliferation on the high dosage(1.0㎎/㎖. 2. Bangpungtongsung-san extracts were showed the effect of decreased the activity of glycerol-3-phosphate dehydrogenase(GPDH on the high dosage(1.0㎎/㎖ and Specially, alcohol extract of Bangpungtongsung -san was clear as time goes by high concentration. 3. Bangpungtongsung-san extracts were showed tries to compare the effect of lipolysis, alcohol extract of Bangpungtongsung-san on the high dosage(1.0㎎/㎖ was observed the effect is higher than water extract. 4. Investigated the histological changes in porcine fat tissue after treated Bangpungtongsung-san extracts, we knew that water extract of Bangpungtongsung-san was showed the effect of lipolysis on the high dosage(10.0㎎/㎖ and alcohol extract of Bangpungtongsung-san was showed significant activity to the lysis of cell membranes in all concentration. Conclusion : These results suggest that Bangpungtongsung-san extracts efficiently

  18. San Juanico Hybrid System Technical and Institutional Assessment: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Corbus, D.; Newcomb, C.; Yewdall, Z.

    2004-07-01

    San Juanico is a fishing village of approximately 120 homes in the Municipality of Comondu, Baja California. In April, 1999, a hybrid power system was installed in San Juanico to provide 24-hour power, which was not previously available. Before the installation of the hybrid power system, a field study was conducted to characterize the electrical usage and institutional and social framework of San Juanico. One year after the installation of the hybrid power system a''post-electrification'' study was performed to document the changes that had occurred after the installation. In December of 2003, NREL visited the site to conduct a technical assessment of the system.

  19. 77 FR 60897 - Safety Zone: America's Cup World Series Finish-Line, San Francisco, CA

    Science.gov (United States)

    2012-10-05

    ... navigable waters of the San Francisco Bay in vicinity of San Francisco West Yacht Harbor Light 2... vicinity of San Francisco West Yacht Harbor Light 2. Unauthorized persons or vessels are prohibited from... San Francisco West Yacht Harbor Light 2. This safety zone establishes a temporary restricted area on...

  20. 75 FR 65985 - Safety Zone: Epic Roasthouse Private Party Firework Display, San Francisco, CA

    Science.gov (United States)

    2010-10-27

    ... the navigable waters of San Francisco Bay 1,000 yards off Epic Roasthouse Restaurant, San Francisco.... Wright, Program Manager, Docket Operations, telephone 202-366-9826. SUPPLEMENTARY INFORMATION: Regulatory... waters of San Francisco Bay, 1,000 yards off Epic Roasthouse Restaurant, San Francisco, CA. The fireworks...

  1. Timber resource statistics for the San Joaquin and southern resource areas of California.

    Science.gov (United States)

    Karen L. Waddell; Patricia M. Bassett

    1997-01-01

    This report is a summary of timber resource statistics for the San Joaquin and Southern Resource Areas of California, which include Alpine, Amador, Calaveras, Fresno, Imperial, Inyo, Kern, Kings, Los Angeles, Madera, Mariposa, Merced, Mono, Orange, Riverside, San Bernardino, San Diego, San Joaquin, Stanislaus, Tulare, and Tuolumne Counties. Data were collected as part...

  2. [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.

  3. ASTER Images San Francisco Bay Area

    Science.gov (United States)

    2000-01-01

    These images of the San Francisco Bay region were acquired on March 3, 2000 by the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) on NASA's Terra satellite. Each covers an area 60 kilometers (37 miles) wide and 75 kilometers (47 miles) long. With its 14 spectral bands from the visible to the thermal infrared wavelength region, and its high spatial resolution of 15 to 90 meters (about 50 to 300 feet), ASTER will image the Earth for the next 6 years to map and monitor the changing surface of our planet.Upper Left: The color infrared composite uses bands in the visible and reflected infrared. Vegetation is red, urban areas are gray; sediment in the bays shows up as lighter shades of blue. Thanks to the 15 meter (50-foot) spatial resolution, shadows of the towers along the Bay Bridge can be seen.Upper right: A composite of bands in the short wave infrared displays differences in soils and rocks in the mountainous areas. Even though these regions appear entirely vegetated in the visible, enough surface shows through openings in the vegetation to allow the ground to be imaged.Lower left: This composite of multispectral thermal bands shows differences in urban materials in varying colors. Separation of materials is due to differences in thermal emission properties, analogous to colors in the visible.Lower right: This is a color coded temperature image of water temperature, derived from the thermal bands. Warm waters are in white and yellow, colder waters are blue. Suisun Bay in the upper right is fed directly from the cold Sacramento River. As the water flows through San Pablo and San Francisco Bays on the way to the Pacific, the waters warm up.Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) is one of five Earth-observing instruments launched December 18, 1999, on NASA's Terra satellite. The instrument was built by Japan's Ministry of International Trade and Industry. A joint U.S./Japan science team is responsible for

  4. San Francisco-Pacifica Coast Landslide Susceptibility 2011

    Data.gov (United States)

    California Natural Resource Agency — 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...

  5. 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...

  6. San Diego Littoral Cell CRSMP Receiver Sites 2009

    Data.gov (United States)

    California Natural Resource Agency — A total of 27 possible placement sites (some with multiple placement footprints) are incorporated into this San Diego Coastal Regional Sediment Management Plan to...

  7. 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.

  8. San Francisco Bay Multi-beam Bathymetry: Area A

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — These multi-beam bathymetric data were collected over shallow subtidal areas in the San Francisco Bay estuary system. Bathymetric and acoustic backscatter data were...

  9. San Francisco Bay Interferometric Side Scan Imagery: Area A

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Backscatter imagery data were collected over shallow subtidal areas in the San Francisco Bay estuary system. Bathymetric and acoustic backscatter data were collected...

  10. 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...

  11. 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...

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

    Data.gov (United States)

    California Natural Resource Agency — 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...

  13. 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...

  14. Vegetation Mapping - Tecolote Canyon, San Diego Co. [ds656

    Data.gov (United States)

    California Natural Resource Agency — 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...

  15. 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....

  16. 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)...

  17. BNSF San Bernardino case study : positive train control risk assessment.

    Science.gov (United States)

    2014-09-01

    The Federal Railroad Administration funded the BNSF San Bernardino Case Study to verify its Generalized Train Movement : Simulator (GTMS) risk assessment capabilities on a planned implementation of the I-ETMS PTC system. The analysis explicitly : sim...

  18. 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...

  19. Baseline Surveys - Tecolote Canyon, San Diego Co. [ds655

    Data.gov (United States)

    California Natural Resource Agency — 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...

  20. 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)...

  1. Rare Plants - City of San Diego [ds455

    Data.gov (United States)

    California Natural Resource Agency — 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...

  2. Effects of Choto-san and Chotoko on thiopental-induced sleeping time

    OpenAIRE

    JEENAPONGSA, Rattima; Tohda, Michihisa; Watanabe, Hiroshi

    2003-01-01

    Choto-san has been used for treatment of centrally regulated disorders such as dementia, hypertension, headache and vertigo. Our laboratory showed that Choto-san improved learning memory in ischemic mice. It is noticeable that Choto-san treated animals and animals that underwent conducting occlusion of common carotid arteries (2VO) operation slept longer than the normal animals. Therefore, this study aimed to clarify the effects of Choto-san and its related component; Chotoko and Choto-san wi...

  3. 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

  4. San Gregorio mining: general presentation of the enterprise

    International Nuclear Information System (INIS)

    1997-01-01

    This work is a project presented by San Gregorio Mine.This company is responsible for the extraction and gold ore deposits benefits in San Gregorio and East extension in Minas de Corrales. For this project was carried out an environmental impact study as well as and agreement with the LATU for the laboratory analyzes and the surface and groundwater monitoring within the Environmental program established by the Company

  5. Cuisine Preference of Local Tourists in San Juan, Batangas, Philippines

    OpenAIRE

    RYENE SELLINE B. KALALO; ANGELICA LYNTTE A. CABLAO; MARICRISS P. CABATAY; CHARISSA P. MANTAL; RHONALYN T. MANALO; SEVILLA S. FELICEN

    2014-01-01

    This study aimed to determine the cuisine preference of the local tourist in San Juan, Batangas. More specifically, it aimed to describe the demographic profile of local tourist; to identify the preferred cuisine by different restaurants; to determine the significant difference when group according to demographic profile; and to determine the cuisine preference of local tourists in San Juan, Batangas. The research design used the descriptive method because it is the most appropria...

  6. 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....

  7. Hospital Outpatient PPS Partial Hospitalization Program LDS

    Data.gov (United States)

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

  8. Can hospitals compete on quality? Hospital competition.

    Science.gov (United States)

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

    2015-09-01

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

  9. Poziv: Duhovnost i san. San o oružju Franje Asiškoga

    OpenAIRE

    Balajić, Siniša

    2009-01-01

    San o oružju Franje Asiškoga doima se važnim elemenatom u proučavanju, ne toliko poziva Franje Asiškoga, koliko poziva uopće. Budući da se analizom i interpretacijom snova bave antropologija, psihologija, filozofija, teologija, itd., koncept razumijevanja ovoga sna uokviruje različita znanstvena (antropologija, psihologija) i teorijska načela (filozofija, teologija-duhovnost). Svjesni smo da proučavanje nečijega života, a pogotovo proučavanje nečijih snova, nije nimalo la...

  10. San Francisco Bay Water Quality Improvement Fund Project Locations, San Francisco CA, 2017, US EPA Region 9

    Data.gov (United States)

    U.S. Environmental Protection Agency — The San Francisco Bay Water Quality Improvement Fund is a competitive grant program that is helping implement TMDLs to improve water quality, protect wetlands, and...

  11. San Francisco Bay Water Quality Improvement Fund Map Service, San Francisco CA, 2012, US EPA Region 9

    Data.gov (United States)

    U.S. Environmental Protection Agency — The San Francisco Bay Water Quality Improvement Fund is a competitive grant program that is helping implement TMDLs to improve water quality, protect wetlands, and...

  12. 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,...

  13. 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...

  14. Mercury in San Francisco Bay forage fish

    Energy Technology Data Exchange (ETDEWEB)

    Greenfield, Ben K., E-mail: ben@sfei.or [San Francisco Estuary Institute, 7770 Pardee Lane, Oakland, CA 94621 (United States); Jahn, Andrew, E-mail: andyjahn@mac.co [1000 Riverside Drive, Ukiah, CA 95482 (United States)

    2010-08-15

    In the San Francisco Estuary, management actions including tidal marsh restoration could change fish mercury (Hg) concentrations. From 2005 to 2007, small forage fish were collected and analyzed to identify spatial and interannual variation in biotic methylmercury (MeHg) exposure. The average whole body total Hg concentration was 0.052 {mu}g g{sup -1} (wet-weight) for 457 composite samples representing 13 fish species. MeHg constituted 94% of total Hg. At a given length, Hg concentrations were higher in nearshore mudflat and wetland species (Clevelandia ios, Menidia audens, and Ilypnus gilberti), compared to species that move offshore (e.g., Atherinops affinis and Lepidogobius lepidus). Gut content analysis indicated similar diets between Atherinops affinis and Menidia audens, when sampled at the same locations. Hg concentrations were higher in sites closest to the Guadalupe River, which drains a watershed impacted by historic Hg mining. Results demonstrate that despite differences among years and fish species, nearshore forage fish exhibit consistent Hg spatial gradients. - Total mercury in estuarine forage fish varies with species, habitat, and proximity to a historic mercury mine.

  15. Trans Women Doing Sex in San Francisco.

    Science.gov (United States)

    Williams, Colin J; Weinberg, Martin S; Rosenberger, Joshua G

    2016-10-01

    This research investigates the sexuality of trans women (individuals who were assigned male status at birth who currently identify as women), by focusing on the "bodily techniques" (Crossley, 2006) they use in "doing" sexuality. The "doing sexuality" framework not only is modeled after the "doing gender" approach of West and Zimmerman (1987), but also utilizes the idea of "sexual embodiment" to emphasize the agency of trans women as they conceptualize and organize their sexuality in a socially recognized way. This is often difficult as they confront discrimination from medical and legal professionals as well as intimate partners who may find it difficult to adapt to the trans woman's atypical body and conception of gender. However, with a study group of 25 trans women from San Francisco, we found the study participants to be adept at overcoming such hurdles and developing techniques to "do" their sexuality. At the same time, we found trans women's agency constrained by the erotic habitus (Green, 2008) of the wider society. The interplay between innovation and cultural tradition provides an opportunity to fashion a more general model of "doing" sexuality.

  16. Mercury in San Francisco Bay forage fish

    International Nuclear Information System (INIS)

    Greenfield, Ben K.; Jahn, Andrew

    2010-01-01

    In the San Francisco Estuary, management actions including tidal marsh restoration could change fish mercury (Hg) concentrations. From 2005 to 2007, small forage fish were collected and analyzed to identify spatial and interannual variation in biotic methylmercury (MeHg) exposure. The average whole body total Hg concentration was 0.052 μg g -1 (wet-weight) for 457 composite samples representing 13 fish species. MeHg constituted 94% of total Hg. At a given length, Hg concentrations were higher in nearshore mudflat and wetland species (Clevelandia ios, Menidia audens, and Ilypnus gilberti), compared to species that move offshore (e.g., Atherinops affinis and Lepidogobius lepidus). Gut content analysis indicated similar diets between Atherinops affinis and Menidia audens, when sampled at the same locations. Hg concentrations were higher in sites closest to the Guadalupe River, which drains a watershed impacted by historic Hg mining. Results demonstrate that despite differences among years and fish species, nearshore forage fish exhibit consistent Hg spatial gradients. - Total mercury in estuarine forage fish varies with species, habitat, and proximity to a historic mercury mine.

  17. 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.

  18. 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.

  19. Edificio para ambulatorio San Francisco – (EE. UU.

    Directory of Open Access Journals (Sweden)

    Reid, John Lyon

    1976-12-01

    Full Text Available The 50,470 m2 the total area of the hospital is distributed as follows: 18,900 m2 for the 22 main clinics and for the additional clinics; 2,770 m2 for complementary activities; and the remaining 28,800 m2 for a parking lot with space for 700 cars. The building occupies a site that slopes strongly towards the north across which runs the pedestrian access from one of the circumference roads to the main façade; the access road for the vehicles leads to the back facade, where the natural slope of the ground has been taken advantage of to build the 5 storey parking building. The two main functions —the clinics and the parking house— are conveniently separated though connected with each other by means of corridors and lifts. The interior design of the clinics is very flexible so as to allow for further enlargements. The patients' waiting rooms are provided with a glazed façade and have a beautiful view over the San Francisco Bay and its surroundings. The construction is entirely of concrete and its structure is calculated ín such a manner as to allow for two additional storeys.Cuenta con una superficie total construida de 50.470 m2, repartidos de la siguiente forma: 18.900 se destinan a la distribución de 22 clínicas principales y otras secundarias; 2.770 a locales de actividades complementarias; y el resto, 28.800 m2, a aparcamiento con capacidad para 700 plazas. El edificio ocupa una parcela fuertemente inclinada hacia el norte, inclinación que permite el acceso peatonal a la clínica, por la fachada principal, desde una de las avenidas perimetrales; y el vehicular, por la fachada posterior, en donde, aprovechando el desnivel del terreno, se han organizado las cinco plantas del aparcamiento. Las dos funciones principales —clínicas y aparcamiento— se hallan convenientemente separadas, estableciéndose el enlace entre los distintos niveles mediante ascensores que relacionan las clínicas, el centro médico, los aparcamientos

  20. Help prevent hospital errors

    Science.gov (United States)

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

  1. 33 CFR 165.1182 - Safety/Security Zone: San Francisco Bay, San Pablo Bay, Carquinez Strait, and Suisun Bay, CA.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Safety/Security Zone: San... Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY... Areas Eleventh Coast Guard District § 165.1182 Safety/Security Zone: San Francisco Bay, San Pablo Bay...

  2. Maria Auxiliadora Hospital in Lima, Peru as a model for neurosurgical outreach to international charity hospitals.

    Science.gov (United States)

    Hayden, Melanie G; Hughes, Samuel; Hahn, Edward J; Aryan, Henry E; Levy, Michael L; Jandial, Rahul

    2011-01-01

    A myriad of geopolitical and financial obstacles have kept modern neurosurgery from effectively reaching the citizens of the developing world. Targeted neurosurgical outreach by academic neurosurgeons to equip neurosurgical operating theaters and train local neurosurgeons is one method to efficiently and cost effectively improve sustainable care provided by international charity hospitals. The International Neurosurgical Children's Association (INCA) effectively improved the available neurosurgical care in the Maria Auxiliadora Hospital of Lima, Peru through the advancement of local specialist education and training. Neurosurgical equipment and training were provided for the local neurosurgeons by a mission team from the University of California at San Diego. At the end of 3 years, with one intensive week trip per year, the host neurosurgeons were proficiently and independently applying microsurgical techniques to previously performed operations, and performing newly learned operations such as neuroendoscopy and minimally invasive neurosurgery. Our experiences may serve as a successful template for the execution of other small scale, sustainable neurosurgery missions worldwide.

  3. Solar-energy-system performance evaluation. San Anselmo School, San Jose, California, April 1981-March 1982

    Energy Technology Data Exchange (ETDEWEB)

    Pakkala, P.A.

    1982-01-01

    The San Anselmo School is a one-story brick elementary school building in San Jose, California. The active solar energy system is designed to supply 70% of the space heating and 72% of the cooling load. It is equipped with 3740 square feet of evacuated tube collectors, a 2175-gallon tank for heat storage, a solar-supplied absorption chiller, and four auxiliary gas-fired absorption chillers/heaters. The measured solar fraction of 19% is far below the expected values and is attributed to severe system control and HVAC problems. Other performance data given for the year include the solar savings ratio, conventional fuel savings, system performance factor, and solar system coefficient of performance. Also tabulated are monthly performance data for the overall solar energy system, collector subsystem, space heating and cooling subsystems. Typical hourly operation data for a day are tabulated, including hourly isolation, collector array temperatures (inlet and outlet), and storage fluid temperatures. The solar energy use and percentage of losses are also graphed. (LEW)

  4. Solar-energy system performance evaluation. San Anselmo School, San Jose, California, July 1980-March 1981

    Energy Technology Data Exchange (ETDEWEB)

    Pakkala, P.A.

    1981-01-01

    The San Anselmo School is a one-story, brick elementary school building located in San Jose, California. The active solar energy system is designed to supply 70% of the heating load and 72% of the cooling load. It is equipped with 3.740 square feet of evacuated tube collectors, 2175-gallon tank for storage, four auxiliary gas-fired absorption chiller/heaters, and a solar-supplied absorption chiller. The measured heating and cooling solar fractions were 9% and 19%, respectively, for an overall solar fraction of 16%, the lowered performance being attributed to severe system control problems. Performance data include the solar savings ratio, conventional fuel savings, system performance factor, and solar system coefficient of performance. Performance data are presented for the overall system and for each subsystem. System operation and solar energy utilization data are included. Also included are a description of the system, performance evaluation techniques, sensor technology, and typical performance data for a month. Weather data are also tabulated. (LEW)

  5. 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.

  6. 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

  7. Quaternary geology of Alameda County, and parts of Contra Costa, Santa Clara, San Mateo, San Francisco, Stanislaus, and San Joaquin counties, California: a digital database

    Science.gov (United States)

    Helley, E.J.; Graymer, R.W.

    1997-01-01

    Alameda County is located at the northern end of the Diablo Range of Central California. It is bounded on the north by the south flank of Mount Diablo, one of the highest peaks in the Bay Area, reaching an elevation of 1173 meters (3,849 ft). San Francisco Bay forms the western boundary, the San Joaquin Valley borders it on the east and an arbitrary line from the Bay into the Diablo Range forms the southern boundary. Alameda is one of the nine Bay Area counties tributary to San Francisco Bay. Most of the country is mountainous with steep rugged topography. Alameda County is covered by twenty-eight 7.5' topographic Quadrangles which are shown on the index map. The Quaternary deposits in Alameda County comprise three distinct depositional environments. One, forming a transgressive sequence of alluvial fan and fan-delta facies, is mapped in the western one-third of the county. The second, forming only alluvial fan facies, is mapped in the Livermore Valley and San Joaquin Valley in the eastern part of the county. The third, forming a combination of Eolian dune and estuarine facies, is restricted to the Alameda Island area in the northwestern corner of the county.

  8. Changes in serum tumor necrosis factor (TNF-alpha) with kami-shoyo-san administration in depressed climacteric patients.

    Science.gov (United States)

    Ushiroyama, Takahisa; Ikeda, Atsushi; Sakuma, Kou; Ueki, Minoru

    2004-01-01

    An herbal medicine (kampo) is widely used to prevent or treat climacteric symptoms. In order to investigate the potential involvement of tumor necrosis factor (TNF)-alpha in susceptibility to mood disorder in climacteric women and to clarify the relationship between immune function and the efficacy of herbal medicine, we compared serum TNF-alpha levels in two treated groups, with and without concurrent use of herbal medicine. This study included 113 consecutive depressed menopausal patients who visited the gynecological and psychosomatic medicine outpatient clinic of the Osaka Medical College Hospital in Japan. Fifty-eight patients were administered kami-shoyo-san according to the definition of above sho. In contrast, 55 patients who were different in sho of kami-shoyo-san were administered antidepressants. Hamilton Rating Scale for depression (HAM-D) scores were determined at baseline and 12 weeks after starting treatment (endpoint). TNF-alpha concentrations were analyzed before and after 12 weeks of treatment. Kami-shoyo-san significantly increased plasma concentrations of TNF-alpha after 12 weeks of treatment, to 17.22 +/- 6.13 pg/ml from a baseline level of 14.16 +/- 6.27 pg/ml (p = 0.048). The percent change in plasma concentration of TNF-alpha differed significantly between the kami-shoyo-san therapy group and the antidepressant therapy group at 4 weeks (12.0 +/- 7.8% and -1.22 +/- 0.25%, respectively, p emotional status via the central nervous system and may be regulated by herbal medicines, although the interactions are very complex.

  9. Eficacia del manejo de los residuos en el Hospital San Vicente de Paul, ciudad de Ibarra

    OpenAIRE

    González Salas, Raúl; Morales Arroyo, Roberto Carlos; Vidal del Río, Mildre Mercedes

    2017-01-01

    Los residuos generados en los hospitales representan numerosos riesgos a la salud e impactos negativos al ambiente producto al mal manejo en las etapas de recolección, tratamiento, almacenamiento, transporte y disposición final. Los esfuerzos se han encaminado a reducir los impactos que ocasiona el inadecuado manejo de los residuos hospitalarios, aun sin lograrse el éxito deseado en esta actividad, aspecto que evidencia la necesidad de plantear estrategias que fortalezcan el manejo de los res...

  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. Butterfly fauna in Mount Gariwang-san, Korea

    Directory of Open Access Journals (Sweden)

    Cheol Min Lee

    2016-06-01

    Full Text Available The aim of this study is to elucidate butterfly fauna in Mt. Gariwang-san, Korea. A field survey was conducted from 2010 to 2015 using the line transect method. A literature survey was also conducted. A total of 2,037 butterflies belonging to 105 species were recorded. In the estimation of species richness of butterfly, 116 species were estimated to live in Mt. Gariwang-san. In butterfly fauna in Mt. Gariwang-san, the percentage of northern species was very high and the percentage of grassland species was relatively higher than that of forest edge species and forest interior species. Sixteen red list species were found. In particular, Mimathyma nycteis was only recorded in Mt. Gariwang-san. When comparing the percentage of northern species and southern species including those recorded in previous studies, the percentage of northern species was found to have decreased significantly whereas that of southern species increased. We suggest that the butterfly community, which is distributed at relatively high altitudes on Mt. Gariwang-san, will gradually change in response to climate change.

  12. San Andreas tremor cascades define deep fault zone complexity

    Science.gov (United States)

    Shelly, David R.

    2015-01-01

    Weak seismic vibrations - tectonic tremor - can be used to delineate some plate boundary faults. Tremor on the deep San Andreas Fault, located at the boundary between the Pacific and North American plates, is thought to be a passive indicator of slow fault slip. San Andreas Fault tremor migrates at up to 30 m s-1, but the processes regulating tremor migration are unclear. Here I use a 12-year catalogue of more than 850,000 low-frequency earthquakes to systematically analyse the high-speed migration of tremor along the San Andreas Fault. I find that tremor migrates most effectively through regions of greatest tremor production and does not propagate through regions with gaps in tremor production. I interpret the rapid tremor migration as a self-regulating cascade of seismic ruptures along the fault, which implies that tremor may be an active, rather than passive participant in the slip propagation. I also identify an isolated group of tremor sources that are offset eastwards beneath the San Andreas Fault, possibly indicative of the interface between the Monterey Microplate, a hypothesized remnant of the subducted Farallon Plate, and the North American Plate. These observations illustrate a possible link between the central San Andreas Fault and tremor-producing subduction zones.

  13. 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.

  14. Hospital Library Administration.

    Science.gov (United States)

    Cramer, Anne

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

  15. ELEMENTAL FORMS OF HOSPITALITY

    OpenAIRE

    Maximiliano Emanuel Korstanje

    2010-01-01

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

  16. Il disegno gotico di San Giovanni Valdarno

    Directory of Open Access Journals (Sweden)

    Maria Teresa Bartoli

    2017-12-01

    Full Text Available San Giovanni Valdarno è una città del Valdarno di Sopra, il cui attuale centro storico fu la prima delle terre nuove della Repubblica Fiorentina, fondata alla fine del XIII secolo. Le vicende storiche della trasformazione del nucleo murato originario sono state oggetto di molti studi, ma la logica del suo particolare disegno non è stata molto investigata. L’approccio archeologico è quindi giustificato dal fatto che, per ciò che riguarda la forma del progetto urbano originario, gli studi finora pubblicati non vanno molto oltre la definizione di «progettazione ortogonale», data da David Friedman, suo maggiore studioso. I giudizi su di essa si sono quindi attestati sulla generica attribuzione di virtù e difetti che la tradizione storiografica annette alla città medievale, applicando formule basate su paradigmi convenzionali.Volendo condurre la ricerca di una descrizione significativa del tessuto materiale della città attingendo a paradigmi appartenenti al momento della sua realizzazione, è stato condotto uno studio metrico sulla forma della città storica, con riferimento al sistema del braccio fiorentino, considerato come parametro di riferimento fondamentale per la comprensione di un manufatto di dimensione urbana. L’aspetto archeologico della ricerca consiste quindi nella ricostruzione complessa di un paradigma dimenticato dall’attuale tradizione storiografica, alla luce del quale emergono negli oggetti storici significati e valori caduti dalla memoria trasmessa.L’analisi, condotta sulla planimetria digitale con il supporto di documenti storici del ‘200 e del ‘500, ha fatto emergere l’ordine logico e continuo del disegno geometrico della città fondata, replicabile a mente (e perciò memorabile, messo in opera nella pianta urbana, rendendo esplicita la sua logica e le sue connessioni sia con la cultura scientifica del tempo, sia con la tradizione storica precedente, risalendo a Vitruvio. Ai fini di interpretare

  17. New fault picture points toward San Francisco Bay area earthquakes

    Science.gov (United States)

    Kerr, R. A.

    1989-01-01

    Recent earthquakes and a new way of looking at faults suggest that damaging earthquakes are closing in on the San Francisco area. Earthquakes Awareness Week 1989 in northern California started off with a bang on Monday, 3 April, when a magnitude 4.8 earthquake struck 15 kilometers northeast of San Jose. The relatively small shock-its primary damage was the shattering of an air-control tower window-got the immediate attention of three U.S Geological Survey seismologists in Menlo Park near San Francisco. David Oppenheimer, William Bakun, and Allan Lindh had forecast a nearby earthquake in a just completed report, and this, they thought, might be it. 

  18. Lipid based drug delivery systems: Kinetics by SANS

    Science.gov (United States)

    Uhríková, D.; Teixeira, J.; Hubčík, L.; Búcsi, A.; Kondela, T.; Murugova, T.; Ivankov, O. I.

    2017-05-01

    N,N-dimethyldodecylamine-N-oxide (C12NO) is a surfactant that may exist either in a neutral or protonated form depending on the pH of aqueous solutions. Using small angle X-ray diffraction (SAXD) we demonstrate structural responsivity of C12NO/dioleoylphospha-tidylethanolamine (DOPE)/DNA complexes designed as pH sensitive gene delivery vectors. Small angle neutron scattering (SANS) was employed to follow kinetics of C12NO protonization and DNA binding into C12NO/DOPE/DNA complexes in solution of 150 mM NaCl at acidic condition. SANS data analyzed using paracrystal lamellar model show the formation of complexes with stacking up to ∼32 bilayers, spacing ∼ 62 Å, and lipid bilayer thickness ∼37 Å in 3 minutes after changing pH from 7 to 4. Subsequent structural reorganization of the complexes was observed along 90 minutes of SANS mesurements.

  19. Lipid based drug delivery systems: Kinetics by SANS

    International Nuclear Information System (INIS)

    Uhríková, D; Hubčík, L; Búcsi, A; Kondela, T; Teixeira, J; Murugova, T; Ivankov, O I

    2017-01-01

    N,N-dimethyldodecylamine-N-oxide (C 12 NO) is a surfactant that may exist either in a neutral or protonated form depending on the pH of aqueous solutions. Using small angle X-ray diffraction (SAXD) we demonstrate structural responsivity of C 12 NO/dioleoylphospha-tidylethanolamine (DOPE)/DNA complexes designed as pH sensitive gene delivery vectors. Small angle neutron scattering (SANS) was employed to follow kinetics of C 12 NO protonization and DNA binding into C 12 NO/DOPE/DNA complexes in solution of 150 mM NaCl at acidic condition. SANS data analyzed using paracrystal lamellar model show the formation of complexes with stacking up to ∼32 bilayers, spacing ∼ 62 Å, and lipid bilayer thickness ∼37 Å in 3 minutes after changing pH from 7 to 4. Subsequent structural reorganization of the complexes was observed along 90 minutes of SANS mesurements. (paper)

  20. Small angle neutron scattering (SANS) under non-equilibrium conditions

    International Nuclear Information System (INIS)

    Oberthur, R.C.

    1984-01-01

    The use of small angle neutron scattering (SANS) for the study of systems under non-equilibrium conditions is illustrated by three types of experiments in the field of polymer research: - the relaxation of a system from an initial non-equilibrium state towards equilibrium, - the cyclic or repetitive installation of a series of non-equilibrium states in a system, - the steady non-equilibrium state maintained by a constant dissipation of energy within the system. Characteristic times obtained in these experiments with SANS are compared with the times obtained from quasi-elastic neutron and light scattering, which yield information about the equilibrium dynamics of the system. The limits of SANS applied to non-equilibrium systems for the measurement of relaxation times at different length scales are shown and compared to the limits of quasielastic neutron and light scattering

  1. A SANS study of capillary condensation in porous media

    International Nuclear Information System (INIS)

    Lin, M.; Glinka, C.; Sinna, S.; Huang, J.; Abeles, B.; Johnson, J.; Drake, J.

    1990-01-01

    The authors use small angle neutron scattering (SANS) to study the microstructure of porous Vycor glass and the capillary condensation of fluids in the medium. Using a chord distribution model, they can predict the structure factor measured by SANS. Excellent agreement with the data is obtained. The fitted parameters characterize quantitatively the porous structure before and during the process of condensation, and are in good agreement with isotherm measurements. However, at the latest stages of the process, when all the pores are nearly filled, the model can no longer describe the system

  2. L’Europe et les sans-papiers

    OpenAIRE

    Simonnot, Nathalie; Intrand, Caroline

    2013-01-01

    En Europe, les sans-papiers vivent des conditions socio-économiques particulièrement défavorables. Les systèmes de santé des pays européens sont peu performants pour le suivi des personnes sans papiers. Ils sont en outre souvent victimes de refus de soins. Pire, l’accès aux soins est dans certains pays progressivement instrumentalisé au profit du contrôle de l’immigration. Ces politiques grossissent les rangs des populations qui n’accèdent pas aux soins et doivent avoir recours à Médecins du ...

  3. LOD First Estimates In 7406 SLR San Juan Argentina Station

    Science.gov (United States)

    Pacheco, A.; Podestá, R.; Yin, Z.; Adarvez, S.; Liu, W.; Zhao, L.; Alvis Rojas, H.; Actis, E.; Quinteros, J.; Alacoria, J.

    2015-10-01

    In this paper we show results derived from satellite observations at the San Juan SLR station of Felix Aguilar Astronomical Observatory (OAFA). The Satellite Laser Ranging (SLR) telescope was installed in early 2006, in accordance with an international cooperation agreement between the San Juan National University (UNSJ) and the Chinese Academy of Sciences (CAS). The SLR has been in successful operation since 2011 using NAOC SLR software for the data processing. This program was designed to calculate satellite orbits and station coordinates, however it was used in this work for the determination of LOD (Length Of Day) time series and Earth Rotation speed.

  4. Merchandising of cigarettes in San Francisco pharmacies: 27 years later.

    Science.gov (United States)

    Eule, B; Sullivan, M K; Schroeder, S A; Hudmon, K S

    2004-12-01

    To estimate changes since 1976 in the proportion of San Francisco pharmacies that sell cigarettes and to characterise the advertising of cigarettes and the merchandising of non-prescription nicotine replacement therapy (NRT) products in these retail establishments. 100 randomly selected San Francisco pharmacies were visited in 2003. Pharmacies were characterised based on the sale of cigarettes, advertising for cigarettes, and the merchandising of non-prescription NRT products. In 2003, 61% of pharmacies sold cigarettes, a significant decrease compared to 89% of pharmacies selling cigarettes in 1976 (p merchandise the primary known risk factor for death in the USA.

  5. First experiences with large SAN storage and Linux

    International Nuclear Information System (INIS)

    Wezel, Jos van; Marten, Holger; Verstege, Bernhard; Jaeger, Axel

    2004-01-01

    The use of a storage area network (SAN) with Linux opens possibilities for scalable and affordable large data storage and poses a new challenge for cluster computing. The GridKa center uses a commercial parallel file system to create a highly available high-speed data storage using a combination of Fibre Channel (SAN) and Ethernet (LAN) to optimize between data throughput and costs. This article describes the design, implementation and optimizations of the GridKa storage solution which will offer over 400 TB online storage for 600 nodes. Presented are some throughput measurements of one of the largest Linux-based parallel storage systems in the world

  6. Stress diffusion along the san andreas fault at parkfield, california.

    Science.gov (United States)

    Malin, P E; Alvarez, M G

    1992-05-15

    Beginning in January 1990, the epicenters of microearthquakes associated with a 12-month increase in seismicity near Parkfield, California, moved northwest to southeast along the San Andreas fault. During this sequence of events, the locally variable rate of cumulative seismic moment increased. This increase implies a local increase in fault slip. These data suggest that a southeastwardly diffusing stress front propagated along the San Andreas fault at a speed of 30 to 50 kilometers per year. Evidently, this front did not load the Parkfield asperities fast enough to produce a moderate earthquake; however, a future front might do so.

  7. California: Environmental Health Coalition Clean Ports, Healthy Communities in San Diego (A Former EPA CARE Project)

    Science.gov (United States)

    The Environmental Health Coalition (EHC) is a recipient of a CARE Level II cooperative agreement grant. The Clean Ports, Healthy Communities in San Diego targets the Barrio Logan and Old Town National City areas located along San Diego Bay.

  8. 76 FR 6491 - San Diego County Water Authority Subregional Natural Community Conservation Program/Habitat...

    Science.gov (United States)

    2011-02-04

    ...] San Diego County Water Authority Subregional Natural Community Conservation Program/Habitat Conservation Plan, San Diego and Riverside Counties, CA; Final Environmental Impact Statement and Habitat... also announce the availability of the Water Authority's Subregional Natural Community Conservation...

  9. San Francisco urban partnership agreement, national evaluation : exogenous factors test plan.

    Science.gov (United States)

    2011-06-01

    This report presents the test plan for collecting and analyzing exogenous factors data for the San Francisco Urban : Partnership Agreement (UPA) under the United States Department of Transportation (U.S. DOT) UPA Program. : The San Francisco UPA proj...

  10. 76 FR 5276 - Revisions to the California State Implementation Plan, San Joaquin Valley Unified Air Pollution...

    Science.gov (United States)

    2011-01-31

    ... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... revisions to the San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portion of the... protection, Air pollution control, Incorporation by reference, Intergovernmental relations, Nitrogen dioxide...

  11. 76 FR 52623 - Revisions to the California State Implementation Plan, San Joaquin Valley Unified Air Pollution...

    Science.gov (United States)

    2011-08-23

    ... respiratory and cardiovascular disease, decreased lung function, visibility impairment, and damage to... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... approve revisions to the San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portion of...

  12. 75 FR 28509 - Revisions to the California State Implementation Plan, San Joaquin Valley Unified Air Pollution...

    Science.gov (United States)

    2010-05-21

    ..., aggravation of respiratory and cardiovascular disease, decreased lung function, visibility impairment, and... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... approve revisions to the San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portion of...

  13. 76 FR 37044 - Revisions to the California State Implementation Plan, San Joaquin Valley Unified Air Pollution...

    Science.gov (United States)

    2011-06-24

    ... premature mortality, aggravation of respiratory and cardiovascular disease, decreased lung function... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... approve revisions to the San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portion of...

  14. Minería, conflicto y mediadores locales: Minera San Xavier en Cerro de San Pedro, México Mineira, conflito e mediadores locais: Minera San Xavier em Cerro de San Pedro Mining, conflict and local brokers: Minera San Xavier in Cerro de San Pedro

    Directory of Open Access Journals (Sweden)

    Hernán Horacio Schiaffini

    2011-12-01

    Full Text Available Este trabajo indaga en las instancias de mediación que intervienen en la articulación de procesos económicos de gran escala y su puesta en práctica local. Basándonos en el conflicto que se produjo en el Municipio de Cerro de San Pedro (San Luis Potosí, México entre la empresa Minera San Xavier y el Frente Amplio Opositor (FAO a la misma, aplicamos el método etnográfico con el objetivo de describir las estructuras locales de mediación política y analizar sus prácticas y racionalidad. Intentamos demostrar así la importancia de los factores políticos locales en las vinculaciones entre estado, empresa y población.Este trabalho indaga nas instâncias de mediação que intervêm em processos econômicos de grande escala e sua posta em prática local. Baseando-nos no conflito no Cerro de San Pedro (San Luis Potosí, México entre a empresa Minera San Xavier e a Frente Amplio Opositor (FAO aplicamos o método etnográfico pra descrever as estruturas de mediação política locais e analisar suas práticas e racionalidade. Tenta-se demonstrar assim a importância dos fatores políticos locais nas vinculações entre estado, empresa e população.This paper investigates in instances of mediation involved in large-scale economic processes and local implementation. Analyzing the conflict in Cerro de San Pedro (San Luis Potosí, México among San Xavier mining company and the Frente Amplio Opositor (FAO, it applies an ethnographic approach to describe the local structures of political mediation and its practices and rationality. The work shows the relevance of local factors in the relationships between State, company and people.

  15. 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.

  16. 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…

  17. Vabariigi aastapäev San Franciscos / Heino Valvur ; foto: Heino Valvur

    Index Scriptorium Estoniae

    Valvur, Heino

    2006-01-01

    veebruarikuu möödus San Franciscos Eesti Vabariigi 88. aastapäeva pühitsedes: traditsiooniliselt tähistas aastapäeva San Francisco Seenioride Klubi koosviibimisega, E.E.L.K. San Francisco koguduses peeti jumalateenistus ja koosviibimine, kus noored esitasid rahvalaule, San Francisco Eesti Selts tähistas aastapäeva 25. veebruaril aktuse ja koosviibimisega

  18. Pleistocene Brawley and Ocotillo Formations: Evidence for initial strike-slip deformation along the San Felipe and San Jacinto fault zonez, Southern California

    Science.gov (United States)

    Kirby, S.M.; Janecke, S.U.; Dorsey, R.J.; Housen, B.A.; Langenheim, V.E.; McDougall, K.A.; Steeley, A.N.

    2007-01-01

    We examine the Pleistocene tectonic reorganization of the Pacific-North American plate boundary in the Salton Trough of southern California with an integrated approach that includes basin analysis, magnetostratigraphy, and geologic mapping of upper Pliocene to Pleistocene sedimentary rocks in the San Felipe Hills. These deposits preserve the earliest sedimentary record of movement on the San Felipe and San Jacinto fault zones that replaced and deactivated the late Cenozoic West Salton detachment fault. Sandstone and mudstone of the Brawley Formation accumulated between ???1.1 and ???0.6-0.5 Ma in a delta on the margin of an arid Pleistocene lake, which received sediment from alluvial fans of the Ocotillo Formation to the west-southwest. Our analysis indicates that the Ocotillo and Brawley formations prograded abruptly to the east-northeast across a former mud-dominated perennial lake (Borrego Formation) at ???1.1 Ma in response to initiation of the dextral-oblique San Felipe fault zone. The ???25-km-long San Felipe anticline initiated at about the same time and produced an intrabasinal basement-cored high within the San Felipe-Borrego basin that is recorded by progressive unconformities on its north and south limbs. A disconformity at the base of the Brawley Formation in the eastern San Felipe Hills probably records initiation and early blind slip at the southeast tip of the Clark strand of the San Jacinto fault zone. Our data are consistent with abrupt and nearly synchronous inception of the San Jacinto and San Felipe fault zones southwest of the southern San Andreas fault in the early Pleistocene during a pronounced southwestward broadening of the San Andreas fault zone. The current contractional geometry of the San Jacinto fault zone developed after ???0.5-0.6 Ma during a second, less significant change in structural style. ?? 2007 by The University of Chicago. All rights reserved.

  19. Hospitality Healthscapes: The New Standard for Making Hospitals More Hospitable

    Directory of Open Access Journals (Sweden)

    Courtney Suess Raeisinafchi

    2017-06-01

    Full Text Available What comes to mind when you think of a hospital room? Stark. Sterile. Bare. Clinical. What might it mean for patients if the association with the environment shifted to something like: Comforting. Bright. Elegant. Personal?

  20. Modeling pesticide loadings from the San Joaquin watershed into the Sacramento-San Joaquin Delta using SWAT

    Science.gov (United States)

    Chen, H.; Zhang, M.

    2016-12-01

    The Sacramento-San Joaquin Delta is an ecologically rich, hydrologically complex area that serves as the hub of California's water supply. However, pesticides have been routinely detected in the Delta waterways, with concentrations exceeding the benchmark for the protection of aquatic life. Pesticide loadings into the Delta are partially attributed to the San Joaquin watershed, a highly productive agricultural watershed located upstream. Therefore, this study aims to simulate pesticide loadings to the Delta by applying the Soil and Water Assessment Tool (SWAT) model to the San Joaquin watershed, under the support of the USDA-ARS Delta Area-Wide Pest Management Program. Pesticide use patterns in the San Joaquin watershed were characterized by combining the California Pesticide Use Reporting (PUR) database and GIS analysis. Sensitivity/uncertainty analyses and multi-site calibration were performed in the simulation of stream flow, sediment, and pesticide loads along the San Joaquin River. Model performance was evaluated using a combination of graphic and quantitative measures. Preliminary results indicated that stream flow was satisfactorily simulated along the San Joaquin River and the major eastern tributaries, whereas stream flow was less accurately simulated in the western tributaries, which are ephemeral small streams that peak during winter storm events and are mainly fed by irrigation return flow during the growing season. The most sensitive parameters to stream flow were CN2, SOL_AWC, HRU_SLP, SLSUBBSN, SLSOIL, GWQMN and GW_REVAP. Regionalization of parameters is important as the sensitivity of parameters vary significantly spatially. In terms of evaluation metric, NSE tended to overrate model performance when compared to PBIAS. Anticipated results will include (1) pesticide use pattern analysis, (2) calibration and validation of stream flow, sediment, and pesticide loads, and (3) characterization of spatial patterns and temporal trends of pesticide yield.

  1. The application of hospitality elements in hospitals.

    Science.gov (United States)

    Wu, Ziqi; Robson, Stephani; Hollis, Brooke

    2013-01-01

    In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

  2. San Isidoro Schools in Padul, Granada, Spain

    Science.gov (United States)

    Lafuente-Bolívar, Francisco Javier; Santiago Zaragoza, Juan Manuel; Fernández-Adarve, Gabriel; María Cruz-Valdivieso, Ana

    2017-10-01

    The small and unique building of “Las Escuelas de San Isidoro”, erected in Padul at the beginning of the 20th century, is a clear example of the new architectural type of the innovative educational model created in Granada by Father Manjón. That model supposed a radical change for the methods of the Spanish teaching and it was the origin of the current educational system. Andrés Manjón y Manjón (1846-1923), priest, jurist and pedagogue, broke with traditional pedagogy and revolutionized the old-fashion model of education that was in vogue until that moment and universalized and socialized education. That pioneer model promoted an education based on aptitudes and faculties, using games and practice, addressed to all ages and social classes, in conjunction with nature. Outdoor education should be used wherever possible. In a historical context of profound social changes, this typology was the answer to the new educational needs using a “spearing” architectural language based on a constructive system that was both efficient and economic: Spanish Regionalism. It was a new style from the first third of the 20th century that recreated historical forms. It was far from the breakthrough modern movement that, at that time, it took place in central Europe. However, the model of the Manjonian School runs away from historicist models and remains in the simplicity of brick-faced walls or brick-wrapping walls and masonry drawers, with no more decorative concession that window lintels, jambs and sill jut out. The façades highlight made with simple semicircular arches and some glazed ceramics. Wooden rounded slabs supported on walls and simple wooden cover structures. The steel was barely used in metal structural slabs and brick, and even less on the roof. Architects like Francisco Jiménez Arévalo, Juan Montserrat Pons or Fernando Wilhelmi Manzano will be the architects of this type of architecture that has as a mark of identity the massive use of brick in load

  3. Characterizing the Organic Matter in Surface Sediments from the San Juan Bay Estuary,

    Science.gov (United States)

    The San Juan Bay Estuary (SJBE) is located on the north coast of Puerto Rico and includes the San Juan Bay, San José Lagoon, La Torrecilla Lagoon and Piñones Lagoon, as well as the Martín Peña and the Suárez Canals. The SJBE watershed has the highest...

  4. 33 CFR 110.74c - Bahia de San Juan, PR.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Bahia de San Juan, PR. 110.74c Section 110.74c Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY ANCHORAGES ANCHORAGE REGULATIONS Special Anchorage Areas § 110.74c Bahia de San Juan, PR. The waters of San Antonio...

  5. Timber resource statistics for the San Joaquin and southern California resource areas.

    Science.gov (United States)

    Bruce Hiserote; Joel Moen; Charles L. Bolsinger

    1986-01-01

    This report is one of five that provide timber resource statistics for 57 of the 58 counties in California (San Francisco is excluded). This report presents statistics from a 1982-84 inventory of the timber resources of Alpine, Amador, Calaveras, Fresno, Imperial, Inyo, Kern, Kings, Los Angeles, Madera, Mariposa, Merced, Mono, Orange, Riverside, San Bernardino, San...

  6. New record of Boa constrictor occidentalis Philippi, 1873 (Serpentes: Boidae) in San Juan province, Argentina

    OpenAIRE

    Martínez, Tomás; Rodriguez Muñoz, Melina; Galdeano, Ana; Acosta, Juan

    2015-01-01

    We document the first record of Boa constrictor in Valle Fértil department, San Juan province, Argentina. The specimen was collected and deposited in the herpetological collection of the Department of Biology, Universidad Nacional San Juan. This record extends the known distribution for this species in San Juan province by 105 km.

  7. 75 FR 59285 - Endangered and Threatened Wildlife and Plants; Permit, San Luis Obispo County, CA

    Science.gov (United States)

    2010-09-27

    ...] Endangered and Threatened Wildlife and Plants; Permit, San Luis Obispo County, CA AGENCY: U.S. Fish and... project in the community of Los Osos, San Luis Obispo County, California. We invite comments from the... community of Los Osos, San Luis Obispo County, California. The parcel is legally described as Assessor...

  8. 40 CFR 81.176 - San Luis 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 Luis Intrastate Air Quality Control Region. 81.176 Section 81.176 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Quality Control Regions § 81.176 San Luis Intrastate Air Quality Control Region. The San Luis Intrastate...

  9. 76 FR 6517 - San Luis & Rio Grande Railroad-Petition for a Declaratory Order

    Science.gov (United States)

    2011-02-04

    ... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. FD 35380] San Luis & Rio... petition filed by San Luis & Rio Grande Railroad (SLRG), the Board instituted a declaratory order... proposed operation of a truck-to-rail transload facility in Antonito, Colorado. See San Luis & Rio Grande R...

  10. 76 FR 45212 - Revisions to the California State Implementation Plan, San Joaquin Valley Unified Air Pollution...

    Science.gov (United States)

    2011-07-28

    ... the California State Implementation Plan, San Joaquin Valley Unified Air Pollution Control District... proposing to approve San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) Rule 3170... the environment. San Joaquin Valley Unified Air Pollution Control District SJVUAPCD is an extreme...

  11. 75 FR 42014 - Proposed Amendment of Class E Airspace; San Clemente, CA

    Science.gov (United States)

    2010-07-20

    ...: Eldon Taylor, Federal Aviation Administration, Operations Support Group, Western Service Center, 1601... an extension to a Class D surface area, at San Clemente Island NALF (Fredrick Sherman Field), San... Clemente Island NALF (Fredrick Sherman Field), CA (Lat. 33[deg]01'22'' N., long. 118[deg]35'19'' W.) San...

  12. 75 FR 61611 - Modification of Class E Airspace; San Clemente, CA

    Science.gov (United States)

    2010-10-06

    ... INFORMATION CONTACT: Eldon Taylor, Federal Aviation Administration, Operations Support Group, Western Service... extension to a Class D surface area, at San Clemente Island NALF (Fredrick Sherman Field), San Clemente, CA... within the scope of that authority as it amends controlled airspace at San Clemente Island NALF (Fredrick...

  13. Ethnicity and Phonetic Variation in a San Francisco Neighborhood

    Science.gov (United States)

    Hall-Lew, Lauren

    2009-01-01

    This dissertation advances research in sociolinguistics by analyzing phonetic variation in a majority Asian American community in San Francisco, California. As one of the first community studies focusing on Asian Americans in an urban US context, this work speaks to ongoing discussions about speaker ethnicity, phonetic variation, and regional…

  14. Auckland--New Zealand's Los Angeles or San Francisco?

    Science.gov (United States)

    Bogunovich, Dushko

    1995-01-01

    Compares Auckland (New Zealand) with San Francisco (California) in terms of topographical structure, geographic location, and urban development. Both cities contain striking similarities. Maintains that Auckland can become a world-class city renowned for its beauty if developers and government work in tandem. (MJP)

  15. San Juan College Task Force on Innovation 1995 Report.

    Science.gov (United States)

    Moore, Nelle

    In fall 1994, San Juan College, in New Mexico, established the Task Force on Innovation to examine changes in the paradigm of education and how those changes might affect the college. The Task Force determined that the primary driver of change in education was technology, and specifically the increasing number of means and ease of access to…

  16. The University of San Carlos Herbarium, Cebu City, The Philippines

    NARCIS (Netherlands)

    Seidenschwarz, F.

    1990-01-01

    The University of San Carlos, Cebu City, (‘USC’) holds a botanical collection which is the fourth largest in size within the Philippines. The three leading herbaria of the Philippines are situated in or close to Manila. The 36 year old USC Herbarium is the only major collection in the Philippines

  17. Wu-Ling-San formula prophylaxis against recurrent calcium oxalate ...

    African Journals Online (AJOL)

    Wu-Ling-San (WLS) formula has been proved to prevent calcium oxalate nephrolithiasis both in vitro and in vivo. This is the first prospective, randomized and placebo-controlled clinical trial of WLS in calcium oxalate nephrolithiasis prevention. All patients who enrolled were asked to drink enough fluid to urinate at least 2 L ...

  18. Contrast variation SANS experiments to the study of detergent ...

    Indian Academy of Sciences (India)

    Contrast variation SANS experiments to the study of detergent-induced micellization of block copolymers. V K ASWAL1 and J KOHLBRECHER2. 1Solid State Physics Division, Bhabha Atomic Research Centre, Mumbai 400 085, India. 2Spallation Neutron Source Division, Paul Scherrer Institute, CH-5232 PSI Villigen,.

  19. Characterization of aerosols in the Metropolitan Area of San Jose

    International Nuclear Information System (INIS)

    Mejias Perez, J.A.

    1997-07-01

    The objective of the present study, was to elaborate a profile of the contamination by private matter and to characterize the aerosols collected in the Metropolitan Area of San Jose (Costa Rica). For that, a campaign of sampling was carried out in three points of the city of San Jose, differentiated by there degree of activity: Center of San Jose (Central Station of Firemen), San Isidro of Coronado -Canton of Vasquez of Coronado- (Municipality) and Escazu (Municipality). Such campaign was carried out from April 4 to July 4, 1996 (transition summer-winter), and in two periods of time of 8 hours: 8 a.m. to 4 p.m. and of 8 p.m. to 4 a.m. The aerosols were collected utilizing Gent Pm-10 samplers, in filters of polycarbonate of 0,4 μm and 8 μm in cascade, with a flow average of 15 L/min., and it determined the composition average of the present aerosols. The concentration of the majority of the anions were obtained by means of ionic chromatography of high resolution, and the main cations by spectrophotometry of atomic absorption with electro thermic atomization. The space-temporary variations of the concentrations were evaluated and their correlation with the meteorologic variable. (S. Grainger) [es

  20. Geologic mapping around Mahoma mining. San Jose mining company

    International Nuclear Information System (INIS)

    Techera, J.; Arrighetii, R.

    1993-01-01

    This study has as main objective carry out a geological mapping as well as the structural analysis , in 1.5.000 scale in the zone where the gold benefit plant of San Jose mining company is settled (Mahoma Mining). From this study has been marked many drillings.

  1. Working Paper for the Revision of San Francisco's Cable Franchise.

    Science.gov (United States)

    San Francisco Public Library, CA. Video Task Force.

    Ideas are presented for the revision of San Francisco's cable franchise. The recommendations in the report are based upon national research of library and urban use of cable communications and are designed to help the city's present and future cable franchises to comply with the regulations of the Federal Communications Commission by March 31,…

  2. San Clemente Island Baseline LiDAR Mapping Final Report

    Science.gov (United States)

    2016-12-01

    full-waveform LiDAR (Riegl® Q680i), a hyperspectral sensor (Specim AISA EAGLE), an SLR camera, and supporting instruments for geolocation and...manual editing would be necessary for detailed gully identification. Figure 12. Extensive gully erosion on the southwest part of San Clemente. Figure 13

  3. Lowland riparian herpetofaunas: the San Pedro River in southeastern Arizona

    Science.gov (United States)

    Philip C. Rosen

    2005-01-01

    Previous work has shown that southeastern Arizona has a characteristic, high diversity lowland riparian herpetofauna with 62-68 or more species along major stream corridors, and 46-54 species in shorter reaches within single biomes, based on intensive fieldwork and museum record surveys. The San Pedro River supports this characteristic herpetofauna, at least some of...

  4. The Basic Design Report of the 40M SANS Instrument

    Energy Technology Data Exchange (ETDEWEB)

    Han, Young Soo; Lee, Chang Hee; Hwang, Dong Gil; Kim, Hak Rho [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kim, Tae Hwan; Choi, Sung Min [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2006-04-15

    The HANARO cold neutron research facility project was launched on July 1, 2003. A state of the art SANS instrument was selected as a top-priority instrument by an instrument selection committee, which consisted of domestic users and HANARO personnel. An instrument development team and an international and domestic instrument advisory team were formulated. The guide and the instrument simulation were performed using Vitess software and the optimum basic design was completed based on the simulation results and the international advisory team reviews. The optimum design of the guide for the 40M SANS instrument was completed and the optimum basic design of the 40M the SANS instrument was also completed based on the Vitess simulation results. The Q range of the instrument will cover from 0.0008 to 1.0 A-1 and the maximum flux at a sample position can reach about 5.5x10 7 n/cm2sec. The simulation results and the basic design product will be used for the detailed design and the construction of the SANS instrument. The simulation results could be applied to the development of the other instrument.

  5. SANS contrast variation on a dendrimer host-guest complex

    NARCIS (Netherlands)

    Kleppinger, R.; Mortensen, K.; Meijer, E.W.

    2002-01-01

    Small-angle neutron scattering (SANS) technique was used to study the configurational changes in an oligoethyleneoxy-functionalized poly(propyleneimine) dendrimer (host) when forming complexes with rose bengal (guest). Guinier fits to the scattering data recorded at max. contrast indicated a

  6. Geology of Sierra de San Miguel area Rocha department (Uruguay)

    International Nuclear Information System (INIS)

    Muzio, R.; Veroslavsky, G.; Morales, E. . E mail: rossana@fcien.edu.uy

    2004-01-01

    This paper is part of a regional study about Mesozoic magmatism, tectonics and sedimentation in Uruguay. As a result of the geological studies carried out in Sierra de San Miguel area (Rocha department), lithological descriptions, their stratigraphic relationships and their petrographic characterization are presented [es

  7. Resistance Management for San Jose Scale (Hemiptera: Diaspididae).

    Science.gov (United States)

    Buzzetti, K; Chorbadjian, R A; Nauen, R

    2015-12-01

    The San Jose scale Diaspidiotus perniciosus Comstock is one of the most important pests of deciduous fruit trees. The major cause of recent outbreaks in apple orchards is thought to be the development of insecticide resistance, specifically organophosphates. The first report was given in North America, and now, in Chile. In the present study, San Jose scale populations collected from two central regions of Chile were checked for their susceptibility to different mode of action insecticides in order to establish alternatives to manage this pest. No evidence of cross resistance between organophosphates insecticides and acetamiprid, buprofezin, pyriproxyfen, spirotetramat, sulfoxaflor, or thiacloprid was found. Baselines of LC50-LC95 for different life stages of San Jose scale are given, as reference to future studies of resistance monitoring. The systemic activity of acetamiprid, spirotetramat, and thiacloprid was higher than the contact residue effect of these compounds. For sulfoxaflor, both values were similar. Program treatments including one or more of these compounds are compared in efficacy and impact on resistance ratio values. In order to preserve new insecticides as an important tool to control San Jose scale, resistance management programs should be implemented, considering insecticide mode of action classes alternated or mixed. © The Authors 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  8. San Diego Met High School: Personalization as a Foundation

    Science.gov (United States)

    Principal Leadership, 2010

    2010-01-01

    The mission of San Diego Met High School is to prepare students for college and the workforce through active learning, academic rigor, and community involvement in a small school setting. Because personalization is a key component of the school culture, advisories of 20-25 students work with the same teachers for all four years. Advisers, parents,…

  9. San Sebastiani festivali varjutasid hiljutised terroriaktid / Aare Ermel

    Index Scriptorium Estoniae

    Ermel, Aare, 1957-2013

    2001-01-01

    San Sebastiani rahvusvahelisel filmifestivalil sai Suure Kuldse merikarbi tšiillase Orlando Lubberti film "Takso kolmele". Parima režissööri auhinna pälvis Jean-Pierre Ameris realistliku draamaga "C'est la vie". Ka teistest auhinnatutest

  10. Solar for Your Present Home. San Francisco Bay Area Edition.

    Science.gov (United States)

    Barnaby, Charles S.; And Others

    This publication provides information about present uses of solar energy for space, water, and swimming pool heating that are practical for the San Francisco Bay area. It attempts to provide interested persons with the information needed to make decisions regarding installations of solar heating systems. The point of view taken is that any…

  11. Social Integration and Health Behavioral Change in San Luis, Honduras

    Science.gov (United States)

    McQuestion, Michael J.; Calle, Ana Quijano; Drasbek, Christopher; Harkins, Thomas; Sagastume, Lourdes J.

    2010-01-01

    This study explores the effects of social integration on behavioral change in the course of an intensive, community-based public health intervention. The intervention trained volunteers and mobilized local organizations to promote 16 key family health practices in rural San Luis, Honduras, during 2004 to 2006. A mixed methods approach is used.…

  12. A simulation of the San Andreas fault experiment

    Science.gov (United States)

    Agreen, R. W.; Smith, D. E.

    1974-01-01

    The San Andreas fault experiment (Safe), which employs two laser tracking systems for measuring the relative motion of two points on opposite sides of the fault, has been simulated for an 8-yr observation period. The two tracking stations are located near San Diego on the western side of the fault and near Quincy on the eastern side; they are roughly 900 km apart. Both will simultaneously track laser reflector equipped satellites as they pass near the stations. Tracking of the Beacon Explorer C spacecraft has been simulated for these two stations during August and September for 8 consecutive years. An error analysis of the recovery of the relative location of Quincy from the data has been made, allowing for model errors in the mass of the earth, the gravity field, solar radiation pressure, atmospheric drag, errors in the position of the San Diego site, and biases and noise in the laser systems. The results of this simulation indicate that the distance of Quincy from San Diego will be determined each year with a precision of about 10 cm. Projected improvements in these model parameters and in the laser systems over the next few years will bring the precision to about 1-2 cm by 1980.

  13. Il matrimonio same sex nella Repubblica di San Marino?

    Directory of Open Access Journals (Sweden)

    Luca Iannaccone

    2014-07-01

    Full Text Available Contributo sottoposto a valutazioneSOMMARIO: 1. Premessa – 2. La questione del matrimonio tra persone dello stesso sesso in Italia: brevi cenni circa lo stato del dibattito nella giurisprudenza - 3. Il matrimonio same sex nella Repubblica di San Marino?

  14. California condors spotted nesting in Big Spur | San Hose Mercury ...

    African Journals Online (AJOL)

    California condors spotted nesting in Big Spur. Associated Press San Hose Mercury News. Abstract. No Abstract. Vulture News Vol. 55, 2006: 59. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL.

  15. The green areas of San Juan, Puerto Rico

    Science.gov (United States)

    O.M. Ramos-Gonzalez

    2014-01-01

    Green areas, also known as green infrastructure or urban vegetation, are vital to urbanites for their critical roles in mitigating urban heat island effects and climate change and for their provision of multiple ecosystem services and aesthetics. Here, I provide a high spatial resolution snapshot of the green cover distribution of the city of San Juan, Puerto Rico, by...

  16. Breast cancer characteristics of Vietnamese women in the Greater San Francisco Bay Area.

    Science.gov (United States)

    Lin, Scarlett S; Phan, John C; Lin, Albert Y

    2002-03-01

    To examine breast cancer characteristics of women of Vietnamese ancestry living in the San Francisco Bay Area in comparison with those of other racial or ethnic groups in the same area. Data were obtained from the population-based Greater Bay Area Cancer Registry, part of the Surveillance, Epidemiology, and End Results program. We included breast cancer cases diagnosed from 1988 to 1999 and compared the age at diagnosis, stage and histologic grade at diagnosis, estrogen- and progesterone-receptor status, and surgery types across racial or ethnic groups. We also modeled the effect of patient and clinical characteristics and hospital and physician on the racial or ethnic variations in surgery type. Vietnamese women were younger at diagnosis than other racial or ethnic subgroups (mean age, 51.0 years), with 49.6% of the diagnoses occurring in patients younger than 50. They were also significantly more likely to have received mastectomy for their in situ and localized tumors (61.1% having mastectomy) than women of other racial or ethnic groups. The increased likelihood of having mastectomy among Vietnamese women was not affected greatly by age, year of diagnosis, tumor stage, histologic grade, or physician, but was partly attributable to the hospital of diagnosis. The effects of a lower mean age at diagnosis and the reasons for an unexpectedly higher percentage of mastectomies in this Asian subgroup should be further explored.

  17. Measurement of dose to skin using TLD of several radiodiagnostic studies in San Jose, Costa Rica

    International Nuclear Information System (INIS)

    Mora, P.

    1998-01-01

    It is quantified the radiation doses on skin for several radiodiagnostic studies in patients of the Calderon Guardia Hospital in San Jose, Costa Rica at the period October 1997-September 1998 using thermoluminescent dosemeters TLD 100. The crystals receive the decoction standard procedures and they are arranged at the middle of the irradiation field. For a total of 973 radiodiagnostic studies it was found that the dose on skin in mGy are: 2.09 for thorax AP/AP, 5.33 for thorax LAT, 5.35 for skull AP/PA, 2.98 for skull LAT, 10.74 for abdomen, hips and pelvis, 6.20 for spines AP, 9.35 for spines LAT, 11.48 for lumbar columns AP, 29.99 for lumbar columns LAT and 6.87 for intravenous skin diagrams (first plate ap). It is produced thus the first reference bank for the national hospitals, which is compared with the orientation levels of doses for IAEA. Recommendations to diminish the collective doses through quality control programs are discussed, taking as goal to have got radiographs of excellent diagnostic quality, but with the less possible doses. (Author)

  18. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Elton

    2004-01-01

    The Community Hospital Telehealth Consortium is a unique, forward-thinking, community-based healthcare service project organized around 5 not-for-profit community hospitals located throughout Louisiana and Mississippi...

  19. The interstices of hospitality

    African Journals Online (AJOL)

    jane.b

    School of Hospitality and Tourism, Anhembi Morumbi University, São Paulo, Brazil ... aspects of hospitality, and the approach of the social sciences, which study the dynamics of ..... in the virtual media, the ritual always begins with an invitation.

  20. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Elton

    2003-01-01

    The Community Hospital Telehealth Consortium is a unique, forward-thinking, community-based healthcare service project organized around 5 not-for-profit community hospitals located throughout Louisiana and Mississippi...

  1. Unplanned Hospital Visits - National

    Data.gov (United States)

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

  2. 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...

  3. Structural Measures - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — A list of hospitals and the structural measures they report. A structural measure reflects the environment in which hospitals care for patients, for example, whether...

  4. 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...

  5. Research in Hospitality Management

    African Journals Online (AJOL)

    Research in Hospitality Management (RHM) is a peer-reviewed journal ... to the quintessential managerial areas of Finance, Human Resources, Operations, ... competency and career development of hospitality management students · EMAIL ...

  6. Community Hospital Telehealth Consortium

    National Research Council Canada - National Science Library

    Williams, Jr, Elton L

    2007-01-01

    The Community Hospital Telehealth Consortium is a unique, forward-thinking, community-based healthcare service project organized around 5 not-for-profit community hospitals located throughout Louisiana and Mississippi...

  7. The green areas of San Juan, Puerto Rico

    Directory of Open Access Journals (Sweden)

    Olga M. Ramos-González

    2014-09-01

    Full Text Available Green areas, also known as green infrastructure or urban vegetation, are vital to urbanites for their critical roles in mitigating urban heat island effects and climate change and for their provision of multiple ecosystem services and aesthetics. Here, I provide a high spatial resolution snapshot of the green cover distribution of the city of San Juan, Puerto Rico, by incorporating the use of morphological spatial pattern analysis (MSPA as a tool to describe the spatial pattern and connectivity of the city's urban green areas. Analysis of a previously developed IKONOS 4-m spatial resolution classification of the city of San Juan from 2002 revealed a larger area of vegetation (green areas or green infrastructure than previously estimated by moderate spatial resolution imagery. The city as a whole had approximately 42% green cover and 55% impervious surfaces. Although the city appeared greener in its southern upland sector compared to the northern coastal section, where most built-up urban areas occurred (66% impervious surfaces, northern San Juan had 677 ha more green area cover dispersed across the city than the southern component. MSPA revealed that most forest cover occurred as edges and cores, and green areas were most commonly forest cores, with larger predominance in the southern sector of the municipality. In dense, built-up, urban land, most of the green areas occurred in private yards as islets. When compared to other cities across the United States, San Juan was most similar in green cover features to Boston, Massachusetts, and Miami, Florida. Per capita green space for San Juan (122.2 m²/inhabitant was also comparable to these two U.S. cities. This study explores the intra-urban vegetation variation in the city of San Juan, which is generally overlooked by moderate spatial resolution classifications in Puerto Rico. It serves as a starting point for green infrastructure mapping and landscape pattern analysis of the urban green spaces

  8. The challenge of funding hospital employee retirement benefits.

    Science.gov (United States)

    Román, Christina

    2012-12-01

    Hospitals face a difficult challenge in meeting existing benefits obligations to employees while maintaining financial reserves to invest in electronic health records, quality improvement, and more effective integration of care. Although they may no longer be able to afford offering employees defined-benefit plans, many forward-looking healthcare organizations are finding ways to keep their commitments without sacrificing the balance sheet. One such organization is Scripps Health in San Diego, whose innovative benefits packages have contributed to its being ranked 56th in Fortune's "100 Best Companies to Work For" list in 2012.

  9. Biological and associated water-quality data for lower Olmos Creek and upper San Antonio River, San Antonio, Texas, March-October 1990

    Science.gov (United States)

    Taylor, R. Lynn

    1995-01-01

    Biological and associated water-quality data were collected from lower Olmos Creek and upper San Antonio River in San Antonio, Texas, during March-October 1990, the second year of a multiyear data-collection program. The data will be used to document water-quality conditions prior to implementation of a proposal to reuse treated wastewater to irrigate city properties in Olmos Basin and Brackenridge Parks and to augment flows in the Olmos Creek/San Antonio River system.

  10. California State Waters Map Series: offshore of San Gregorio, California

    Science.gov (United States)

    Cochrane, Guy R.; Dartnell, Peter; Greene, H. Gary; Watt, Janet T.; Golden, Nadine E.; Endris, Charles A.; Phillips, Eleyne L.; Hartwell, Stephen R.; Johnson, Samuel Y.; Kvitek, Rikk G.; Erdey, Mercedes D.; Bretz, Carrie K.; Manson, Michael W.; Sliter, Ray W.; Ross, Stephanie L.; Dieter, Bryan E.; Chin, John L.; Cochran, Susan A.; Cochrane, Guy R.; Cochran, Susan A.

    2014-01-01

    In 2007, the California Ocean Protection Council initiated the California Seafloor Mapping Program (CSMP), designed to create a comprehensive seafloor map of high-resolution bathymetry, marine benthic habitats, and geology within the 3-nautical-mile limit of California's State Waters. The CSMP approach is to create highly detailed seafloor maps through collection, integration, interpretation, and visualization of swath sonar data, acoustic backscatter, seafloor video, seafloor photography, high-resolution seismic-reflection profiles, and bottom-sediment sampling data. The map products display seafloor morphology and character, identify potential marine benthic habitats, and illustrate both the surficial seafloor geology and shallow (to about 100 m) subsurface geology. The Offshore of San Gregorio map area is located in northern California, on the Pacific coast of the San Francisco Peninsula about 50 kilometers south of the Golden Gate. The map area lies offshore of the Santa Cruz Mountains, part of the northwest-trending Coast Ranges that run roughly parallel to the San Andreas Fault Zone. The Santa Cruz Mountains lie between the San Andreas Fault Zone and the San Gregorio Fault system. The nearest significant onshore cultural centers in the map area are San Gregorio and Pescadero, both unincorporated communities with populations well under 1,000. Both communities are situated inland of state beaches that share their names. No harbor facilities are within the Offshore of San Gregorio map area. The hilly coastal area is virtually undeveloped grazing land for sheep and cattle. The coastal geomorphology is controlled by late Pleistocene and Holocene slip in the San Gregorio Fault system. A westward bend in the San Andreas Fault Zone, southeast of the map area, coupled with right-lateral movement along the San Gregorio Fault system have caused regional folding and uplift. The coastal area consists of high coastal bluffs and vertical sea cliffs. Coastal promontories in

  11. 77 FR 36041 - San Antonio Central Railroad, L.L.C.-Lease Exemption-Port Authority of San Antonio

    Science.gov (United States)

    2012-06-15

    ... control of SAC upon SAC becoming a Class III rail carrier. As a result of this transaction, SAC will provide common carrier rail service over the rail lines owned by the Port in the East Kelly Railport (the... and operate approximately four miles of rail line owned by the Port Authority of San Antonio (the Port...

  12. 77 FR 48532 - Notice of Intent To Repatriate Cultural Items: San Diego State University, San Diego, CA

    Science.gov (United States)

    2012-08-14

    ... Management Program, in consultation with the appropriate Indian tribe, has determined that the cultural items... itself to be culturally affiliated with the cultural items may contact San Diego State University Archaeology Collections Management Program. DATES: Representatives of any Indian tribe that believes it has a...

  13. Medicare Hospital Spending Per Patient - Hospital

    Data.gov (United States)

    U.S. Department of Health & Human Services — The "Medicare hospital spending per patient (Medicare Spending per Beneficiary)" measure shows whether Medicare spends more, less or about the same per Medicare...

  14. Hospitality and prosumption | Ritzer | Research in Hospitality ...

    African Journals Online (AJOL)

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

  15. [Yesterdays and happenings at hospitals of Tehuacán, Puebla, México].

    Science.gov (United States)

    Fajardo-Ortiz, Guillermo

    2004-01-01

    The history of the hospital of Tehuacán, the second city importance in Puebla State, began in 1744, when the Hospital de San Juan de Dios (Hospital of St. John) was founded; in 1820, it was converted into the Municipal of Civil Hospital. The medical establishement continues to provide services to the poor to this day annual also covers health public workers of services for the municipality. The Hospital de la Cruz Roja Mexicana (The Mexican Red Cross Hospital) was created in 1934 provide medical services for accident victims: The hospital services of the Mexican Institute of Social Security (IMSS) began in 1953; an earthquake destroyed the building in 1973, and a new hospital was inaugurated in 1979; at present, it readers services to 98,000 persons. The Sanatorio del Sagrado Corazón (Sacred Heart Sanatorium) is a private religious institution founded at the beginning of the second half the 20th century. In 1996, the Hospital General (General Hospital) began to provide services, takes care of the poor of the geographical region, and is financed with federal funds. The Instituto de Seguridad y Servicios Sociales para Trabajadores del Estado (Institute of Securtiy and Social Services for the Workers of the State, ISSSTE) has a small hospital with 10 beds, it was founded in 1995.

  16. Service Robots for Hospitals

    DEFF Research Database (Denmark)

    Özkil, Ali Gürcan

    services to maintain the quality of healthcare provided. This thesis and the Industrial PhD project aim to address logistics, which is the most resource demanding service in a hospital. The scale of the transportation tasks is huge and the material flow in a hospital is comparable to that of a factory. We......Hospitals are complex and dynamic organisms that are vital to the well-being of societies. Providing good quality healthcare is the ultimate goal of a hospital, and it is what most of us are only concerned with. A hospital, on the other hand, has to orchestrate a great deal of supplementary...... believe that these transportation tasks, to a great extent, can be and will be automated using mobile robots. This thesis consequently addresses the key technical issues of implementing service robots in hospitals. In simple terms, a robotic system for automating hospital logistics has to be reliable...

  17. Hospitality and Institutional Meals

    DEFF Research Database (Denmark)

    Justesen, Lise; Strøjer, Anna-Lise

    2017-01-01

    Abstract: There is a growing interest in articulating institutional meal serving practices as a hospitality activity involving host and guest interactions. This study aims to qualify institutional hospitality and meal activities by exploring private hospitality events. The study is based......-structured interview, students reflected on their hospitality experiences. The interviews were transcribed and analyzed using a thematic analysis method. The emerging themes on hospitality activities were identified. It was found that hospitality activities could be characterized as a process where the individual...... was transformed into a guest. Information on purpose of the event and other information given in the invitation were part of this process. Furthermore, hospitality activities could be characterized by blurred host-guest relations and by being able to embrace unexpected events as well. The activities were...

  18. Hospital turnaround strategies.

    Science.gov (United States)

    Langabeer, James

    2008-01-01

    Despite reports of higher profitability in recent years, hospitals are failing at a faster rate than ever before. Although many hospitals leave decisions regarding revenues and costs to chief financial officers and their staff, this is a recipe for disaster. From research conducted over the last 4 years on hospital bankruptcies and turnarounds, the author found that a common series of actions will help organizations evade collapse. The author explored these turnaround strategies through research and analysis of a variety of hospitals and health systems that had a high probability of immediate financial crisis or collapse. His continued observation and analysis of these hospitals in subsequent years showed that most hospitals never emerge from their bleak financial conditions. However, a few hospital administrations have successfully turned around their organizations.

  19. ELEMENTAL FORMS OF HOSPITALITY

    Directory of Open Access Journals (Sweden)

    Maximiliano Emanuel Korstanje

    2010-11-01

    Full Text Available Modern studies emphasized on the needs of researching the hospitality as relevant aspects of tourism and hospitality fields. Anyway, these approaches are inextricably intertwined to the industry of tourism and do not take seriously the anthropological and sociological roots of hospitality. In fact, the hotel seems to be a partial sphere of hospitality at all. Under this context, the present paper explores the issue of hospitality enrooted in the political and economic indo-European principle of free-transit which is associated to a much broader origin.  Starting from the premise etymologically hostel and hospital share similar origins, we follow the contributions of J Derrida to determine the elements that formed the hospitality up to date.

  20. Cultural diversity in hospitality management : how to improve cultural diversity workforce

    OpenAIRE

    Korjala, Veera

    2013-01-01

    The bachelor´s thesis investigates cultural diversity in the hospitality management. It aims at presenting effective ways to improve cultural diversity in a workplace. This study was commissioned by JW Marriott San Antonio Hill Country Resort & Spa in Texas, USA and three hotels in Stillwater, Oklahoma, USA: Atherton Hotel, Hampton Inn & Suites and Residence Inn. The bachelor´s thesis incorporates culture theories and their applications to the workplace. Additionally, it focuses on cultural d...

  1. Hospital diversification strategy.

    Science.gov (United States)

    Eastaugh, Steven R

    2014-01-01

    To determine the impact of health system restructuring on the levels of hospital diversification and operating ratio this article analyzed 94 teaching hospitals and 94 community hospitals during the period 2008-2013. The 47 teaching hospitals are matched with 47 other teaching hospitals experiencing the same financial market position in 2008, but with different levels of preference for risk and diversification in their strategic plan. Covariates in the analysis included levels of hospital competition and the degree of local government planning (for example, highly regulated in New York, in contrast to Texas). Moreover, 47 nonteaching community hospitals are matched with 47 other community hospitals in 2008, having varying manager preferences for service-line diversification and risk. Diversification and operating ratio are modeled in a two-stage least squares (TSLS) framework as jointly dependent. Institutional diversification is found to yield better financial position, and the better operating profits provide the firm the wherewithal to diversify. Some services are in a growth phase, like bariatric weight-loss surgery and sleep disorder clinics. Hospital managers' preferences for risk/return potential were considered. An institution life cycle hypothesis is advanced to explain hospital behavior: boom and bust, diversification, and divestiture, occasionally leading to closure or merger.

  2. Enhanced recovery after surgery and video-assisted thoracic surgery lobectomy: the Italian VATS Group**List of collaborators of the Italian ERAS Group: Jacopo Vannucci, MD (University of Perugia); Antonio D’Andrilli, MD (S. Andrea Hospital, Roma); Majed Refai, MD (Ospedali Riuniti, Ancona); Guendalina Graffigna, MD (Università Cattolica del Sacro Cuore, Milano); Stefano Lovadina, MD (Ospedali Riuniti, Trieste); Marzia Umari (Ospedali Riuniti, Trieste), Paolo Ferrari, MD (IRCCS ISMETT-UPMC, University of Pittsburgh, Palermo); Michele Zuliani, MD (Ospedali Riuniti, Trieste); Marco Taurchini, MD (Casa Sollievo della Sofferenza, San Giovanni Rotondo); Carlo Del Naja, MD (Casa Sollievo della Sofferenza, San Giovanni Rotondo); Domenico Massullo, MD (S. Andrea Hospital, Roma), Olha Putina, MD (ASST Mantova), Nicoletta Pia Ardò (University of Foggia). surgical protocol

    Science.gov (United States)

    Viggiano, Domenico; Voltolini, Luca; Bertani, Alessandro; Bertolaccini, Luca; Crisci, Roberto; Droghetti, Andrea

    2018-01-01

    Enhanced recovery after surgery (ERAS®) is a strategy that seeks to reduce patients’ perioperative stress response, thereby reducing potential complications, decreasing hospital length of stay and enabling patients to return more quickly to their baseline functional status. The concept was introduced in the late 1990s and was first adopted in patients undergoing open colorectal surgery. Since then, the concept of ERAS has been adopted by multiple surgical specialties. The diffusion of video-assisted thoracic surgery lobectomy (VATS-L) sets also the surgical treatment of lung cancer as a new area for ERAS development. In this paper, we present the Italian VATS Group (www.vatsgroup.org) surgical protocol as part of the ERAS clinical pathway belonging to the VATS-L national database. PMID:29629203

  3. San Jacinto River oil spill: wetland bioremediation project

    International Nuclear Information System (INIS)

    Mills, M.A.; Bonner, J.S.

    1996-01-01

    Gasoline, diesel and unrefined Arabian light crude oil were accidentally released into the San Jacinto River after a series of pipelines ruptured. Natural removal processes (volatilization, dissolution, weathering), fire, and the spill clean-up effort, removed approximately 95% of the petroleum. The area where residual oil was found was an estuarine wetland on the lower San Jacinto River. Samples were collected from 21 study areas and an evaluation of the varying levels of bioremediation was conducted. Phase one has been completed and involved the evaluation of the natural recovery of oil from the spill. Phase two was still in progress and involved the addition of inorganic nutrients and the alternate electron acceptor to enhance the biodegradation of the petroleum. Results showed that biodegradation was responsible for much of the reduction of certain components in petroleum within the first 150 days. 12 refs., 8 figs

  4. User-friendly software for SANS data reduction and analysis

    International Nuclear Information System (INIS)

    Biemann, P.; Haese-Seiller, M.; Staron, P.

    1999-01-01

    At the Geesthacht Neutron Facility (GeNF) a new software is being developed for the reduction of two-dimensional small-angle neutron scattering (SANS) data. The main motivation for this work was to created software for users of our SANS facilities that is easy to use. Another motivation was to provide users with software they can also use at their home institute. Therefore, the software is implemented on a personal computer running WINDOWS. The program reads raw data from an area detector in binary or ascii format and produces ascii files containing the scattering curve. The cross section can be averaged over the whole area of the detector or over users defined sectors only. Scripts can be created for processing large numbers of files. (author)

  5. San Jose Accord: energy aid or petroleum-marketing strategy

    Energy Technology Data Exchange (ETDEWEB)

    1982-09-30

    The San Jose Accord was signed in San Jose, Costa Rica on August 3, 1980 by the Presidents of Venezuela and Mexico, whereby the two countries mutually committed to supply the net imported domestic oil consumption of several Central American and Caribbean countries. Countries initially participating in the program are: Barbados, Costa Rica, Dominican Republic, El Salvador, Guatemala, Honduras, Jamaica, Nicaragua, and Panama. Seven eastern Caribbean countries were to meet on October 7 to petition for inclusion in the Accord, namely: Antigua, St. Kitt/Nevis, Montserrat, Dominica, St. Lucia, St. Vincent, and Grenada. The official language of the Accord is presented, and the operative status of the Accord two years after signing is discussed. Specific briefs about some of the individual countries in the Accord are included. The fuel price/tax series for the Western Hemisphere countries is updated.

  6. SANS study of three-layer micellar particles

    CERN Document Server

    Plestil, J; Kuklin, A I; Cubitt, R

    2002-01-01

    Three-layer nanoparticles were prepared by polymerization of methyl methacrylate (MMA) in aqueous micellar solutions of poly(methyl methacrylate)-block-poly(methacrylic acid) (PMMA-b-PMA) and polystyrene-block-poly(methacrylic acid) (PS-b-PMA). The resulting polymer forms a layer on the core surface of the original micelles. SANS curves were fitted using an ellipsoidal (PMMA/PMMA/PMA) or spherical (PS/PMMA/PMA) model for the particle core. The particle size (for the presented series of the PMMA/PMMA/PMA particles, the core semiaxes ranged from 87 to 187 A and the axis ratio was about 6) can be finely tuned by variation of monomer concentration. Time-resolved SANS experiments were carried out to describe the growth of the PS/PMMA/PMA particles during polymerization. (orig.)

  7. Volcano hazards in the San Salvador region, El Salvador

    Science.gov (United States)

    Major, J.J.; Schilling, S.P.; Sofield, D.J.; Escobar, C.D.; Pullinger, C.R.

    2001-01-01

    San Salvador volcano is one of many volcanoes along the volcanic arc in El Salvador (figure 1). This volcano, having a volume of about 110 cubic kilometers, towers above San Salvador, the country’s capital and largest city. The city has a population of approximately 2 million, and a population density of about 2100 people per square kilometer. The city of San Salvador and other communities have gradually encroached onto the lower flanks of the volcano, increasing the risk that even small events may have serious societal consequences. San Salvador volcano has not erupted for more than 80 years, but it has a long history of repeated, and sometimes violent, eruptions. The volcano is composed of remnants of multiple eruptive centers, and these remnants are commonly referred to by several names. The central part of the volcano, which contains a large circular crater, is known as El Boquerón, and it rises to an altitude of about 1890 meters. El Picacho, the prominent peak of highest elevation (1960 meters altitude) to the northeast of the crater, and El Jabali, the peak to the northwest of the crater, represent remnants of an older, larger edifice. The volcano has erupted several times during the past 70,000 years from vents central to the volcano as well as from smaller vents and fissures on its flanks [1] (numerals in brackets refer to end notes in the report). In addition, several small cinder cones and explosion craters are located within 10 kilometers of the volcano. Since about 1200 A.D., eruptions have occurred almost exclusively along, or a few kilometers beyond, the northwest flank of the volcano, and have consisted primarily of small explosions and emplacement of lava flows. However, San Salvador volcano has erupted violently and explosively in the past, even as recently as 800 years ago. When such eruptions occur again, substantial population and infrastructure will be at risk. Volcanic eruptions are not the only events that present a risk to local

  8. San Lorenzo and the Poggendorff Illusion in Ravenna

    Directory of Open Access Journals (Sweden)

    Olga Daneyko

    2011-06-01

    Full Text Available In the Mausoleum of Galla Placidia (Ravenna, Italy, the San Lorenzo lunette shows two peculiar visual effects: a transparency effect of gold seen through gold and perceptual collinearity between two parts of a cross which are physically misaligned. Both effects are found within the area of the halo surrounding the saint's head. In this work we addressed the problem posed by the physical misalignment of the cross. Our hypothesis is that the physical misalignment went unnoticed throughout history because the artist produced a perceptual alignment to correct for the Poggendorff illusion. Hence, we asked observers to align two ends of a cross in a reproduction showing the silhouette of San Lorenzo's torso holding the cross. Results support our hypothesis: both direction and magnitude of adjustments comply with the alignment in the original mosaic.

  9. Hydrologic assessment and numerical simulation of groundwater flow, San Juan Mine, San Juan County, New Mexico, 2010–13

    Science.gov (United States)

    Stewart, Anne M.

    2018-04-03

    Coal combustion byproducts (CCBs), which are composed of fly ash, bottom ash, and flue gas desulfurization material, produced at the coal-fired San Juan Generating Station (SJGS), located in San Juan County, New Mexico, have been buried in former surface-mine pits at the San Juan Mine, also referred to as the San Juan Coal Mine, since operations began in the early 1970s. This report, prepared by the U.S. Geological Survey in cooperation with the Mining and Minerals Division of the New Mexico Energy, Minerals and Natural Resources Department, describes results of a hydrogeologic assessment, including numerical groundwater modeling, to identify the timing of groundwater recovery and potential pathways for groundwater transport of metals that may be leached from stored CCBs and reach hydrologic receptors after operations cease. Data collected for the hydrologic assessment indicate that groundwater in at least one centrally located reclaimed surface-mining pit has already begun to recover.The U.S. Geological Survey numerical modeling package MODFLOW–NWT was used with MODPATH particle-tracking software to identify advective flow paths from CCB storage areas toward potential hydrologic receptors. Results indicate that groundwater at CCB storage areas will recover to the former steady state, or in some locations, groundwater may recover to a new steady state in 6,600 to 10,600 years at variable rates depending on the proximity to a residual cone-of-groundwater depression caused by mine dewatering and regional oil and gas pumping as well as on actual, rather than estimated, groundwater recharge and evapotranspirational losses. Advective particle-track modeling indicates that the number of particles and rates of advective transport will vary depending on hydraulic properties of the mine spoil, particularly hydraulic conductivity and porosity. Modeling results from the most conservative scenario indicate that particles can migrate from CCB repositories to either the

  10. El urbanismo de Santiago de Compostela : un plano con las plazuelas de San Martín y de San Miguel de 1709

    Directory of Open Access Journals (Sweden)

    Miguel Taín Guzmán

    1998-01-01

    Full Text Available El presente artículo está dedicado al estudio de un plano inédito de 1709 donde se representan las plazuelas de San Martín y de San Miguel, en el barrio intramuros de la Puerta de la Peña de Santiago de Compostela. Gracias al referido dibujo, analizo al detalle el entramado urbano de ambos espacios públicos y los edificios que los delimitan, particularmente la iglesia de San Martín Pinario, el desaparecido Palacio del Tribunal de la Santa Inquisición y la iglesia parroquial de San Miguel dos Agros.The article focuses on the study of a 1709 inpublished street plan of two squares —San Martín and San Miguel— in the Puerta de la Peña quarter (Santiago de Compostela. This oíd drawing shows the urban framework of both public spaces and also the buildings around: San Martín Pinario, the lost Palacio del Tribunal de la Santa Inquisición and the paroquial church of San Miguel de los Agros.

  11. Transformation and reconstitution of Khoe-San identities : AAS le Fleur I, Griqua identities and post-apartheid Khoe-San revivalism (1894-2004)

    NARCIS (Netherlands)

    Besten, M.P.

    2006-01-01

    Focussing on AAS le fleur I (1867-1941), the Griqua, and post-apartheid Khoe-San revivalism, the dissertation examines changes in the articulation of Khoe-San identities in South-Africa. It shows the significance of shifting political, cultural and ideological power relations on the articulation of

  12. Steam, solarization, and tons of prevention: the San Francisco Public Utilities Commission's fight to contain Phytophthoras in San Francisco Bay area restoration sites

    Science.gov (United States)

    Greg Lyman; Jessica Appel; Mia Ingolia; Ellen Natesan; Joe Ortiz

    2017-01-01

    To compensate for unavoidable impacts associated with critical water infrastructure capital improvement projects, the San Francisco Public Utilities Commission (SFPUC) restored over 2,050 acres of riparian, wetland, and upland habitat on watershed lands in Alameda, Santa Clara, and San Mateo Counties. Despite strict bio-sanitation protocols, plant pathogens (...

  13. 33 CFR 165.1187 - Security Zones; Golden Gate Bridge and the San Francisco-Oakland Bay Bridge, San Francisco Bay...

    Science.gov (United States)

    2010-07-01

    ... Limited Access Areas Eleventh Coast Guard District § 165.1187 Security Zones; Golden Gate Bridge and the... Golden Gate Bridge and the San Francisco-Oakland Bay Bridge, in San Francisco Bay, California. (b... siren, radio, flashing light, or other means, the operator of a vessel shall proceed as directed. [COTP...

  14. City of San Antonio, Texas Better Buildings Program

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Liza C. [City of San Antonio, TX (United States); Hammer, Mary C. [City of San Antonio, TX (United States)

    2014-06-30

    The San Antonio Better Buildings Program is a unified single-point-of-service energy efficiency delivery mechanism targeting residential, commercial, institutional, industrial and public buildings. This comprehensive and replicable energy efficiency program is designed to be an effective demand side management initiative to provide a seamless process for program participants to have turn-key access to expert analysis, support and incentives to improve the performance of their in-place energy using systems, while reducing electrical energy use and demand.

  15. Cenobios leoneses altomedievales ante la europeización: San Pedro y San Pablo de Montes, Santiago y San Martín de Peñalba y San Miguel de Escalada

    Directory of Open Access Journals (Sweden)

    Martínez Tejera, Artemio Manuel

    2002-06-01

    Full Text Available The following paper analyses the behaviour of three of the most important monastic communities in the reing of Asturias-Leon for the ninth and then centuries. During this period we witness the implementation of a new ordo, or liturgical ritual that replaces the Hispanic one, strongly established in the Territorium. The liturgical adaptation produces tension and conflicts among the members of different monastic communities, and even between the Episcopate and the monarchy - being King Alfonso VI. In some of the monasteries, the arrival of the new ordo causes the adaptation of the liturgical space, with subsequent changes in liturgical furniture.

    El presente estudio pretende analizar el comportamiento de tres de las más importantes comunidades monásticas astur-leonesas de los siglos IX y X (San Pedro y San Pablo de Montes, Santiago y San Martín de Peñalba y San Miguel de Escalada ante la recepción e implantación de aquel nuevo ordo o ritual litúrgico que vino a sustituir al Hispánico, fuertemente asentado en el territorium. Readaptación litúrgica que, con distinta intensidad, producirá tensiones y enfrentamientos entre los miembros de las distintas comunidades monásticas, incluso entre el episcopado y la monarquía (personificada en la figura de Alfonso VI, pero no únicamente. En alguno de estos monasterios la llegada del nuevo ordo supondrá, además, la readaptación de su espacio litúrgico, lo que trajo consigo significativas modificaciones constructivas.

  16. Aggregate Settling Velocities in San Francisco Estuary Margins

    Science.gov (United States)

    Allen, R. M.; Stacey, M. T.; Variano, E. A.

    2015-12-01

    One way that humans impact aquatic ecosystems is by adding nutrients and contaminants, which can propagate up the food web and cause blooms and die-offs, respectively. Often, these chemicals are attached to fine sediments, and thus where sediments go, so do these anthropogenic influences. Vertical motion of sediments is important for sinking and burial, and also for indirect effects on horizontal transport. The dynamics of sinking sediment (often in aggregates) are complex, thus we need field data to test and validate existing models. San Francisco Bay is well studied and is often used as a test case for new measurement and model techniques (Barnard et al. 2013). Settling velocities for aggregates vary between 4*10-5 to 1.6*10-2 m/s along the estuary backbone (Manning and Schoellhamer 2013). Model results from South San Francisco Bay shoals suggest two populations of settling particles, one fast (ws of 9 to 5.8*10-4 m/s) and one slow (ws of Brand et al. 2015). While the open waters of San Francisco Bay and other estuaries are well studied and modeled, sediment and contaminants often originate from the margin regions, and the margins remain poorly characterized. We conducted a 24 hour field experiment in a channel slough of South San Francisco Bay, and measured settling velocity, turbulence and flow, and suspended sediment concentration. At this margin location, we found average settling velocities of 4-5*10-5 m/s, and saw settling velocities decrease with decreasing suspended sediment concentration. These results are consistent with, though at the low end of, those seen along the estuary center, and they suggest that the two population model that has been successful along the shoals may also apply in the margins.

  17. Groundwater quality in the western San Joaquin Valley, California

    Science.gov (United States)

    Fram, Miranda S.

    2017-06-09

    Groundwater provides more than 40 percent of California’s drinking water. To protect this vital resource, the State of California created the Groundwater Ambient Monitoring and Assessment (GAMA) Program. The Priority Basin Project of the GAMA Program provides a comprehensive assessment of the State’s groundwater quality and increases public access to groundwater-quality information. The Western San Joaquin Valley is one of the study units being evaluated. 

  18. Solar water-heating performance evaluation-San Diego, California

    Science.gov (United States)

    1981-01-01

    Report describes energy saved by replacing domestic, conventional natural gas heater with solar-energy subsystem in single-family residence near San Diego, California. Energy savings for 6 month test period averaged 1.089 million Btu. Collector array covered 65 square feet and supplied hot water to both 66-gallon solar storage tank and 40-gallon tank for domestic use. Natural gas supplied house's auxiliary energy.

  19. Microstructure of magnetite doped elastomers investigated by SAXS and SANS

    Czech Academy of Sciences Publication Activity Database

    Balasoiu, M.; Craus, M. L.; Kuklin, A. I.; Pleštil, Josef; Haramus, V.; Islamov, A. H.; Erhan, R.; Anitas, E. M.; Lozovan, M.; Tripadus, V.; Petrescu, C.; Savu, D.; Savu, S.; Bica, I.

    2008-01-01

    Roč. 10, č. 11 (2008), s. 2932-2935 ISSN 1454-4164. [International Balkan Workshop on Applied Physics /9./. Constanta, 07.07.2008-09.07.2008] Institutional research plan: CEZ:AV0Z40500505 Keywords : SANS * SAXS * magnetic elastomers * ferrofluids Subject RIV: CD - Macromolecular Chemistry Impact factor: 0.577, year: 2008 http://inoe.inoe.ro/joam/index.php?option=magazine&op=list&revid=32

  20. Expression of San Andreas fault on Seasat radar image

    Science.gov (United States)

    Sabins, F. F., Jr.; Blom, R.; Elachi, C.

    1980-01-01

    A Seasat image (23.5 cm wavelength) of the Durmid Hills in southern California, the San Andreas Fault was analyzed. It is shown that a prominent southeast trending tonal lineament exists that is bright on the southwest side and dark on the northeast side. The cause of the contrasting signatures on opposite sides of the lineament was determined and the geologic signficance of the lineament was evaluated.

  1. Simulation of SANS signal due to radiation damage in Fe

    International Nuclear Information System (INIS)

    Yu, G.; Schaublin, R.; Spatig, P.; Fikar, J.; Baluc, N.

    2007-01-01

    Full text of publication follows: A wide number of irradiation-induced defects in Fe-base materials (e.g. RAFM steels) have sizes in the range about 0.5 to 1 nm, which are expected to contribute to the irradiation-induced hardening and/or embrittlement phenomena. These defects are at the limit in spatial resolution of transmission electron microscopy (TEM), but they can be investigated using the small angle neutron scattering (SANS) technique, at least in terms of number density and size distribution. Determination of the type of defects (small dislocation loops, interstitials or vacancy clusters, precipitates and cavities, like voids or helium bubbles) is not straightforward. In order to analyze the type of nanometer-sized irradiation-induced defects in Fe-base materials Molecular Dynamics (MD) simulations of various distributions of different types irradiation-induced defects have been performed. The defects investigated consisted in dislocation loops with sizes of 0.5, 1.0 and 2.0 nm and 1/2 a 0 , 1/2 a 0 and a 0 Burgers vectors, cavities, like voids and helium bubbles, with sizes of 0.5, 1.0 and 2.0 nm, MD simulations of atomic displacement cascades were performed using MD samples with a size of 18 x 18 x 18 nm 3 at 10, 300 and 523 K, for PKA energies of 1, 3, 7 and 10 keV. Simulation of the corresponding nuclear SANS signal was performed using the Electron Microscopy Software (EMS) code that was originally designed to simulate TEM images and diffraction patterns and that was modified to simulate the SANS signal. Results of such simulations in pure Fe have been compared to experimental SANS measurements and TEM observations of irradiation-induced defects in Fe-base materials. (authors)

  2. Hospital Dermatology, Introduction.

    Science.gov (United States)

    Fox, Lindy P

    2017-03-01

    Inpatient dermatology is emerging as a distinct dermatology subspecialty where dermatologists specialize in caring for patients hospitalized with skin disease. While the main focus of inpatient dermatology is the delivery of top-quality and timely dermatologic care to patients in the hospital setting, the practice of hospital-based dermatology has many additional components that are critical to its success. ©2017 Frontline Medical Communications.

  3. Hospital-acquired listeriosis.

    Science.gov (United States)

    Graham, J C; Lanser, S; Bignardi, G; Pedler, S; Hollyoak, V

    2002-06-01

    We report four cases of listeriosis that occurred over a two-month period in north east England. Due to the apparent nosocomial acquisition of infection and the clustering of cases in time and place, extended epidemiological investigation was performed and the outbreak was traced to a caterer who was providing sandwiches for hospital shops. We discuss the difficulties in preventing food-borne listeriosis in the hospital setting. Copyright 2002 The Hospital Infection Society.

  4. Hospital Management Software Development

    OpenAIRE

    sobogunGod, olawale

    2012-01-01

    The purpose of this thesis was to implement a hospital management software which is suitable for small private hospitals in Nigeria, especially for the ones that use a file based system for storing information rather than having it stored in a more efficient and safer environment like databases or excel programming software. The software developed within this thesis project was specifically designed for the Rainbow specialist hospital which is based in Lagos, the commercial neurological cente...

  5. SOCIEDAD, PAZ Y GUERRA EN SAN AGUSTÍN

    Directory of Open Access Journals (Sweden)

    MIGUEL VERGARA VILLALOBOS

    2017-12-01

    Full Text Available Este trabajo analiza las nociones de sociedad, paz y guerra, en La ciudad de Dios, de San Agustín, a la que nos referimos principalmente según la edición bilingüe preparada por José Morán (1965. En una primera parte, a modo de introducción, se expone el argumento general del libro y se explica la teoría de las dos ciudades, la terrena y la de Dios. Enseguida se analiza la noción de sociedad, que se fundamenta en la justicia y en el interés común como camino para alcanzar la paz. Esto nos lleva a examinar la justicia, que para San Agustín es un concepto fundamental tanto en la ciudad terrena como en la ciudad de Dios. Teniendo este marco conceptual en cuanto la sociedad y la autoridad, se entra a discutir la paz, que representa uno de los aspectos centrales de la obra que comentamos. En contraste y como oposición a la paz se analiza la guerra; para nalizar con un tema cuyo origen clásicamente se atribuye a San Agustín, cual es la guerra justa.

  6. Coulomb Stress Accumulation along the San Andreas Fault System

    Science.gov (United States)

    Smith, Bridget; Sandwell, David

    2003-01-01

    Stress accumulation rates along the primary segments of the San Andreas Fault system are computed using a three-dimensional (3-D) elastic half-space model with realistic fault geometry. The model is developed in the Fourier domain by solving for the response of an elastic half-space due to a point vector body force and analytically integrating the force from a locking depth to infinite depth. This approach is then applied to the San Andreas Fault system using published slip rates along 18 major fault strands of the fault zone. GPS-derived horizontal velocity measurements spanning the entire 1700 x 200 km region are then used to solve for apparent locking depth along each primary fault segment. This simple model fits remarkably well (2.43 mm/yr RMS misfit), although some discrepancies occur in the Eastern California Shear Zone. The model also predicts vertical uplift and subsidence rates that are in agreement with independent geologic and geodetic estimates. In addition, shear and normal stresses along the major fault strands are used to compute Coulomb stress accumulation rate. As a result, we find earthquake recurrence intervals along the San Andreas Fault system to be inversely proportional to Coulomb stress accumulation rate, in agreement with typical coseismic stress drops of 1 - 10 MPa. This 3-D deformation model can ultimately be extended to include both time-dependent forcing and viscoelastic response.

  7. Geothermal resource assessment of western San Luis Valley, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    Zacharakis, Ted G.; Pearl, Richard Howard; Ringrose, Charles D.

    1983-01-01

    The Colorado Geological Survey initiated and carried out a fully integrated assessment program of the geothermal resource potential of the western San Luis Valley during 1979 and 1980. The San Luis Valley is a large intermontane basin located in southcentral Colorado. While thermal springs and wells are found throughout the Valley, the only thermal waters found along the western part of the Valley are found at Shaw Warm Springs which is a relatively unused spring located approximately 6 miles (9.66 km) north of Del Norte, Colorado. The waters at Shaws Warm Spring have a temperature of 86 F (30 C), a discharge of 40 gallons per minute and contain approximately 408 mg/l of total dissolved solids. The assessment program carried out din the western San Luis Valley consisted of: soil mercury geochemical surveys; geothermal gradient drilling; and dipole-dipole electrical resistivity traverses, Schlumberger soundings, Audio-magnetotelluric surveys, telluric surveys, and time-domain electro-magnetic soundings and seismic surveys. Shaw Warm Springs appears to be the only source of thermal waters along the western side of the Valley. From the various investigations conducted the springs appear to be fault controlled and is very limited in extent. Based on best evidence presently available estimates are presented on the size and extent of Shaw Warm Springs thermal system. It is estimated that this could have an areal extent of 0.63 sq. miles (1.62 sq. km) and contain 0.0148 Q's of heat energy.

  8. San Fernando: ¿utopía o proyecto inconcluso?

    Directory of Open Access Journals (Sweden)

    Juan Pablo Murillo

    2008-06-01

    Full Text Available El estudio analiza los distintos proyectos de modernización ocurridos en la Facultad de Medicina de San Fernando, en el contexto de una seria crisis institucional a finales del siglo XX. Para ello, a partir de las categorías de colectivo de pensamiento y estilo de pensamiento propuestos por Ludwick Fleck, se hace un estudio de los procesos socio-históricos relacionados con los distintas iniciativas desplegadas en la más antigua escuela de medicina del Perú. Un análisis de las diferentes iniciativas identificadas nos llevan a la hipótesis de que la crisis de San Fernando, como colectivo académico, se basa en las contradicciones propias de un proyecto institucional inconcluso, que además cíclicamente se manifiesta asincrónico y disfuncional, al complejo y cambiante entorno institucional y cultural de la sociedad peruana. El estudio sistematiza las principales características de los diferentes proyectos de modernización institucional. Luego de un análisis del actual contexto del sector salud peruano, a partir de los procesos identificados, se propone una agenda de desarrollo, orientada a generar un ciclo de acumulación y crecimiento académico, que constituya una etapa de transición de cara a los retos que el siglo XXI plantea a los miembros del colectivo San Fernandino.

  9. Microbial diversity in restored wetlands of San Francisco Bay

    Energy Technology Data Exchange (ETDEWEB)

    Theroux, Susanna [Lawrence Berkeley National Lab. (LBNL), Walnut Creek, CA (United States). Dept. of Energy Joint Genome Inst.; Hartman, Wyatt [Lawrence Berkeley National Lab. (LBNL), Walnut Creek, CA (United States). Dept. of Energy Joint Genome Inst.; He, Shaomei [Lawrence Berkeley National Lab. (LBNL), Walnut Creek, CA (United States). Dept. of Energy Joint Genome Inst.; Univ. of Wisconsin, Madison, WI (United States); Tringe, Susannah [Lawrence Berkeley National Lab. (LBNL), Walnut Creek, CA (United States). Dept. of Energy Joint Genome Inst.

    2013-12-09

    Wetland ecosystems may serve as either a source or a sink for atmospheric carbon and greenhouse gases. This delicate carbon balance is influenced by the activity of belowground microbial communities that return carbon dioxide and methane to the atmosphere. Wetland restoration efforts in the San Francisco Bay-Delta region may help to reverse land subsidence and possibly increase carbon storage in soils. However, the effects of wetland restoration on microbial communities, which mediate soil metabolic activity and carbon cycling, are poorly studied. In an effort to better understand the underlying factors which shape the balance of carbon flux in wetland soils, we targeted the microbial communities in a suite of restored and historic wetlands in the San Francisco Bay-Delta region. Using DNA and RNA sequencing, coupled with greenhouse gas monitoring, we profiled the diversity and metabolic potential of the wetland soil microbial communities along biogeochemical and wetland age gradients. Our results show relationships among geochemical gradients, availability of electron acceptors, and microbial community composition. Our study provides the first genomic glimpse into microbial populations in natural and restored wetlands of the San Francisco Bay-Delta region and provides a valuable benchmark for future studies.

  10. Comparison of SANS instruments at reactors and pulsed sources

    International Nuclear Information System (INIS)

    Thiyagarajan, P.; Epperson, J.E.; Crawford, R.K.; Carpenter, J.M.; Hjelm, R.P. Jr.

    1992-01-01

    Small angle neutron scattering is a general purpose technique to study long range fluctuations and hence has been applied in almost every field of science for material characterization. SANS instruments can be built at steady state reactors and at the pulsed neutron sources where time-of-flight (TOF) techniques are used. The steady state instruments usually give data over small q ranges and in order to cover a large q range these instruments have to be reconfigured several times and SANS measurements have to be made. These instruments have provided better resolution and higher data rates within their restricted q ranges until now, but the TOF instruments are now developing to comparable performance. The TOF-SANS instruments, by using a wide band of wavelengths, can cover a wide dynamic q range in a single measurement. This is a big advantage for studying systems that are changing and those which cannot be exactly reproduced. This paper compares the design concepts and performances of these two types of instruments

  11. Examining Dimethyl Sulfide Emissions in California's San Joaquin Valley

    Science.gov (United States)

    Huber, D.; Hughes, S.; Blake, D. R.

    2017-12-01

    Dimethyl Sulfide (DMS) is a sulfur-containing compound that leads to the formation of aerosols which can lead to the formation of haze and fog. Whole air samples were collected on board the NASA C-23 Sherpa aircraft during the 2017 Student Airborne Research Program (SARP) over dairies and agricultural fields in the San Joaquin Valley. Analysis of the samples indicate average DMS concentrations of 23 ± 9 pptv, with a maximum concentration of 49 pptv. When compared with DMS concentrations from previous SARP missions (2009-2016), 2017 by far had the highest frequency of elevated DMS in this region. For this study, agricultural productivity of this region was analyzed to determine whether land use could be contributing to the elevated DMS. Top down and bottom up analysis of agriculture and dairies were used to determine emission rates of DMS in the San Joaquin Valley. Correlations to methane and ethanol were used to determine that DMS emissions were strongly linked to dairies, and resulted in R2 values of 0.61 and 0.43, respectively. These values indicate a strong correlation between dairies and DMS emissions. Combined with NOAA HySPLIT back trajectory data and analysis of ground air samples, results suggest that the contribution of dairies to annual DMS emissions in the San Joaquin Valley exceeds those from corn and alfalfa production.

  12. San andreas fault zone head waves near parkfield, california.

    Science.gov (United States)

    Ben-Zion, Y; Malin, P

    1991-03-29

    Microearthquake seismograms from the borehole seismic network on the San Andreas fault near Parkfield, California, provide three lines of evidence that first P arrivals are "head" waves refracted along the cross-fault material contrast. First, the travel time difference between these arrivals and secondary phases identified as direct P waves scales linearly with the source-receiver distance. Second, these arrivals have the emergent wave character associated in theory and practice with refracted head waves instead of the sharp first breaks associated with direct P arrivals. Third, the first motion polarities of the emergent arrivals are reversed from those of the direct P waves as predicted by the theory of fault zone head waves for slip on the San Andreas fault. The presence of fault zone head waves in local seismic network data may help account for scatter in earthquake locations and source mechanisms. The fault zone head waves indicate that the velocity contrast across the San Andreas fault near Parkfield is approximately 4 percent. Further studies of these waves may provide a way of assessing changes in the physical state of the fault system.

  13. Solar Feasibility Study May 2013 - San Carlos Apache Tribe

    Energy Technology Data Exchange (ETDEWEB)

    Rapp, Jim [Parametrix; Duncan, Ken [San Carlos Apache Tribe; Albert, Steve [Parametrix

    2013-05-01

    The San Carlos Apache Tribe (Tribe) in the interests of strengthening tribal sovereignty, becoming more energy self-sufficient, and providing improved services and economic opportunities to tribal members and San Carlos Apache Reservation (Reservation) residents and businesses, has explored a variety of options for renewable energy development. The development of renewable energy technologies and generation is consistent with the Tribe’s 2011 Strategic Plan. This Study assessed the possibilities for both commercial-scale and community-scale solar development within the southwestern portions of the Reservation around the communities of San Carlos, Peridot, and Cutter, and in the southeastern Reservation around the community of Bylas. Based on the lack of any commercial-scale electric power transmission between the Reservation and the regional transmission grid, Phase 2 of this Study greatly expanded consideration of community-scale options. Three smaller sites (Point of Pines, Dudleyville/Winkleman, and Seneca Lake) were also evaluated for community-scale solar potential. Three building complexes were identified within the Reservation where the development of site-specific facility-scale solar power would be the most beneficial and cost-effective: Apache Gold Casino/Resort, Tribal College/Skill Center, and the Dudleyville (Winkleman) Casino.

  14. Fraud in Hospitals

    OpenAIRE

    Musau, Steve; Vian, Taryn

    2008-01-01

    Hospitals are vulnerable to corruption. In the U.S., health care fraud has been stimated to cost $60 billion per year, or 3% of total health care expenditures - much of it in the hospital sector. Hospitals account for 50% or more of health care pending in many countries. Fraud and corruption in hospitals negatively affect access and quality, as public servants make off with resources which could have been used to reduce out-of-pocket expenditures for patients, or improve needed services. This...

  15. Llamados a servir: los hospitalarios de San Juan de Dios en Zacatecas, México en el siglo XVII

    Directory of Open Access Journals (Sweden)

    González Fasani, Ana Mónica

    2007-12-01

    Full Text Available Consolidated the Order of San Juan of God in Spain, their religious soon were required to pass to American lands. With the purpose of lifting hospitals they arrived to beginnings of the XVII century and they were organized in three counties: one that would embrace the viceroyalty of New Spain and of overseas, the other one the viceroyalty of the Peru and a third, the denominated Mainland. To four years of having installed in Mexico, they were requested in the populous and rich mining city call Our Mrs. of the Zacatecas.Consolidada la Orden de San Juan de Dios en España, sus religiosos pronto fueron requeridos para pasar a tierras americanas. Con el fin de levantar hospitales llegaron a inicios del siglo XVII y se organizaron en tres provincias: una que abarcaría el virreinato de Nueva España y de ultramar, la otra el virreinato del Perú y una tercera, la denominada Tierra Firme. A cuatro años de instalados en México, fueron solicitados en la populosa y rica ciudad minera llamada Nuestra Señora de los Zacatecas.

  16. The san san game as didatic resource of support in the discussions about regulatory nutrients in elementary education

    Directory of Open Access Journals (Sweden)

    Bárbara Della Antonia

    2017-11-01

    Full Text Available Leisure activities are used in the learning teaching process of the different areas of knowledge, to promote learning spontaneously and fun. For the area of Agrarian Sciences, which is a multidisciplinary area of study that can be approached from basic education to higher education, it is necessary to study the elaboration of didactic resources. Thus, this study aimed at the development of a didactic game in the field of agricultural sciences aimed at elementary education, whose strategy is to help in the understanding of contents related to the chemical composition of foods, focusing on regulatory nutrients. The game SAN SAN was applied and evaluated with elementary school students of a public school, bringing to the end of the process, positive results in the sense of motivation to study the subject, involvement of students in classes and contribution with an effective didactic resource.

  17. Cianobacterias del embalse San Roque (Córdoba, Argentina Cyanobacteria of the San Roque reservoir (Córdoba, Argentina

    Directory of Open Access Journals (Sweden)

    Inés Claudia Daga

    2011-12-01

    Full Text Available Este trabajo es una contribución al conocimiento de las cianobacterias presentes en el embalse San Roque y forma parte de un estudio integral de la flora algal del mencionado embalse. Se citan 24 taxa correspondientes a los Ordenes Chroococcales (11, Nostocales (8 y Oscillatoriales (5. Synechocystis aquatilis, Gloeocapsa rupestris, Gomphosphaeria aponina, Chamaesiphon incrustans f. incrustans, Scytonema crispum, Tolypothrix distorta, Gloeotrichia pisum, Calothrix fusca, Trichodesmium lacustre, Geitlerinema splendidum, Lyngbya aestuarii y Borzia trilocularis son nuevas citas para la zona de estudio.This work is a contribution to the knowledge of the Cyanobacteria present in the San Roque reservoir and forms a part of an integral study of its algal flora. Twenty-four taxa are described and ilustrated: 11 Chroococcales, 8 Nostocales, and 5 Oscillatoriales. Synechocystis aquatilis, Gloeocapsa rupestris, Gomphosphaeria aponina, Chamaesiphon incrustans f. incrustans, Scytonema crispum, Tolypothrix distorta, Gloeotrichia pisum, Calothrix fusca, Trichodesmium lacustre, Geitlerinema splendidum, Lyngbya aestuarii and Borzia trilocularis.

  18. Interaction of the san jacinto and san andreas fault zones, southern california: triggered earthquake migration and coupled recurrence intervals.

    Science.gov (United States)

    Sanders, C O

    1993-05-14

    Two lines of evidence suggest that large earthquakes that occur on either the San Jacinto fault zone (SJFZ) or the San Andreas fault zone (SAFZ) may be triggered by large earthquakes that occur on the other. First, the great 1857 Fort Tejon earthquake in the SAFZ seems to have triggered a progressive sequence of earthquakes in the SJFZ. These earthquakes occurred at times and locations that are consistent with triggering by a strain pulse that propagated southeastward at a rate of 1.7 kilometers per year along the SJFZ after the 1857 earthquake. Second, the similarity in average recurrence intervals in the SJFZ (about 150 years) and in the Mojave segment of the SAFZ (132 years) suggests that large earthquakes in the northern SJFZ may stimulate the relatively frequent major earthquakes on the Mojave segment. Analysis of historic earthquake occurrence in the SJFZ suggests little likelihood of extended quiescence between earthquake sequences.

  19. Poor Compliance with Sepsis Guidelines in a Tertiary Care Children’s Hospital Emergency Room

    OpenAIRE

    Benjamin Louis Moresco; Benjamin Louis Moresco; Clinton Woosley; Clinton Woosley; Morris Sauter; Utpal Bhalala; Utpal Bhalala

    2018-01-01

    ObjectivesThis study aimed to assess factors related to adherence to the Pediatric Advanced Life Support guidelines for severe sepsis and septic shock in an emergency room (ER) of a tertiary care children’s hospital.MethodsThis was a retrospective, observational study of children (0–18 years old) in The Children’s Hospital of San Antonio ER over 1 year with the International Consensus Definition Codes, version-9 (ICD-9) diagnostic codes for “severe sepsis” and “shocks.” Patients in the adhere...

  20. 33 CFR 165.1141 - Safety Zone; San Clemente 3 NM Safety Zone, San Clemente Island, CA.

    Science.gov (United States)

    2010-07-01

    ...) Location. The following area is a safety zone: All waters of the Pacific Ocean surrounding San Clemente Island, from surface to bottom, extending from the high tide line on the island seaward 3 NM. The zone... 3 NM from the high tide line to 33°02.82′ N, 118°30.65′ W; thence 33°01.29′ N, 118°33.88′ W; thence...

  1. Some examples of spin-off technologies: San Carlos de Bariloche; Algunos ejemplos de tecnologias derivadas: San Carlos de Bariloche

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Gabriel O [Comision Nacional de Energia Atomica, San Carlos de Bariloche (Argentina). Centro Atomico Bariloche

    2001-07-01

    The Bariloche Atomic Center (CAB) and the Balseiro Institute, both in San Carlos de Bariloche, are mainly devoted to scientific research and development, the first one; and to education and training the second one. Besides providing specialists in physics and nuclear engineering for research centers in Argentina and abroad, both establishments are transferring technologies and providing services in different fields such as waste management, metallurgy, forensic sciences, medicine, geology, modeling, archaeology, paleontology, etc.

  2. Wide variation in hospital and physician payment rates evidence of provider market power.

    Science.gov (United States)

    Ginsburg, Paul B

    2010-11-01

    Wide variation in private insurer payment rates to hospitals and physicians across and within local markets suggests that some providers, particularly hospitals, have significant market power to negotiate higher-than-competitive prices, according to a new study by the Center for Studying Health System Change (HSC). Looking across eight health care markets--Cleveland; Indianapolis; Los Angeles; Miami; Milwaukee; Richmond, Va.; San Francisco; and rural Wisconsin--average inpatient hospital payment rates of four large national insurers ranged from 147 percent of Medicare in Miami to 210 percent in San Francisco. In extreme cases, some hospitals command almost five times what Medicare pays for inpatient services and more than seven times what Medicare pays for outpatient care. Variation within markets was just as dramatic. For example, the hospital with prices at the 25th percentile of Los Angeles hospitals received 84 percent of Medicare rates for inpatient care, while the hospital with prices at the 75th percentile received 184 percent of Medicare rates. The highest-priced Los Angeles hospital with substantial inpatient claims volume received 418 percent of Medicare. While not as pronounced, significant variation in physician payment rates also exists across and within markets and by specialty. Few would characterize the variation in hospital and physician payment rates found in this study to be consistent with a highly competitive market. Purchasers and public policy makers can address provider market power, or the ability to negotiate higher-than-competitive prices, through two distinct approaches. One is to pursue market approaches to strengthen competitive forces, while the other is to constrain payment rates through regulation.

  3. Infección respiratoria aguda en menores de una año en San José, Costa Rica

    OpenAIRE

    Chavarría Milanés, José Fernando; Salas Chaves, Pilar; Jiménez, Rosa; Mata, Leonardo

    1994-01-01

    Artículo científico -- Universidad de Costa Rica, Instituto de Investigaciones en Salud. 1994 Se estudiaron 178 niños menores de un año admitidos durante un año al Hospital Nacional de niños de San José, Costa Rica por infección respiratoria aguda. Se observe; un predominio de varones sobre las mujeres. La mayoría eran menores de seis meses. Más de la mitad egresaron con diagnostico de neumonía-bronconeumonía (N-Bn) y una cuarta parte con diagnostico de bronquiolitis. El resto de los pacie...

  4. Hydrologic data from wells at or in the vicinity of the San Juan coal mine, San Juan County, New Mexico

    Science.gov (United States)

    Stewart, Anne M.; Thomas, Nicole

    2015-01-01

    In 2010, in cooperation with the Mining and Minerals Division (MMD) of the State of New Mexico Energy, Minerals and Natural Resources Department, the U.S. Geological Survey (USGS) initiated a 4-year assessment of hydrologic conditions at the San Juan coal mine (SJCM), located about 14 miles west-northwest of the city of Farmington, San Juan County, New Mexico. The mine produces coal for power generation at the adjacent San Juan Generating Station (SJGS) and stores coal-combustion byproducts from the SJGS in mined-out surface-mining pits. The purpose of the hydrologic assessment is to identify groundwater flow paths away from SJCM coal-combustion-byproduct storage sites that might allow metals that may be leached from coal-combustion byproducts to eventually reach wells or streams after regional dewatering ceases and groundwater recovers to predevelopment levels. The hydrologic assessment, undertaken between 2010 and 2013, included compilation of existing data. The purpose of this report is to present data that were acquired and compiled by the USGS for the SJCM hydrologic assessment.

  5. Sediment transport of streams tributary to San Francisco, San Pablo, and Suisun Bays, California, 1909-66

    Science.gov (United States)

    Porterfield, George

    1980-01-01

    A review of historical sedimentation data is presented, results of sediment-data collection for water years 1957-59 are summarized, and long-term sediment-discharge estimates from a preliminary report are updated. Comparison of results based on 3 years of data to those for the 10 water years, 1957-66, provides an indication of the adequacy of the data obtained during the short period to define the long-term relation between sediment transport and streamflow. During 1909-66, sediment was transported to the entire San Francisco Bay system at an average rate of 8.6 million cubic yards per year. The Sacramento and San Joaquin River basins provided about 83% of the sediment inflow to the system annually during 1957-66 and 86% during 1909-66. About 98% of this inflow was measured or estimated at sediment measuring sites. Measured sediment inflow directly to the bays comprised only about 40% of the total discharged by basins directly tributary to the bays. About 90% of the total sediment discharge to the delta and the bays in the San Francisco Bay system thus was determined on the basis of systematic measurements. (USGS)

  6. Hydrology of the middle San Pedro area, southeastern Arizona

    Science.gov (United States)

    Cordova, Jeffrey T.; Dickinson, Jesse; Beisner, Kimberly R.; Hopkins, Candice B.; Kennedy, Jeffrey R.; Pool, Donald R.; Glenn, Edward P.; Nagler, Pamela L.; Thomas, Blakemore E.

    2015-05-05

    In the middle San Pedro Watershed in southeastern Arizona, groundwater is the primary source of water supply for municipal, domestic, industrial, and agricultural use. The watershed comprises two smaller subareas, the Benson subarea and the Narrows-Redington subarea. Early 21st century projections for heavy population growth in the watershed have not yet become a reality, but increased groundwater withdrawals could have undesired consequences - such as decreased base flow to the San Pedro River, and groundwater-level declines - that would lead to the need to deepen existing wells. This report describes the hydrology, hydrochemistry, water quality, and development of a groundwater budget for the middle San Pedro Watershed, focusing primarily on the elements of groundwater movement that could be most useful for the development of a groundwater modelPrecipitation data from Tombstone, Arizona, and base flow at the stream-gaging station on the San Pedro River at Charleston both show relatively dry periods during the 1960s through the mid-1980s and in the mid-1990s to 2009, and wetter periods from the mid-1980s through the mid-1990s. Water levels in four out of five wells near the mountain fronts show cyclical patterns of recharge, with rates of recharge greatest in the early 1980s through the mid-1990s. Three wells near the San Pedro River recorded their lowest levels during the 1950s to the mid-1960s. The water-level record from one well, completed in the confined part of the coarse-grained lower basin fill, showed a decline of approximately 21 meters.Annual flow of the San Pedro River, measured at the Charleston and Redington gages, has decreased since the 1940s. The median annual streamflow and base flow at the gaging station on the river near Tombstone has decreased by 50 percent between the periods 1968–1986 and 1997–2009. Estimates of streamflow infiltration along the San Pedro River during 1914–2009 have decreased 44 percent, with the largest decreases in

  7. New evidence on the state of stress of the san andreas fault system.

    Science.gov (United States)

    Zoback, M D; Zoback, M L; Mount, V S; Suppe, J; Eaton, J P; Healy, J H; Oppenheimer, D; Reasenberg, P; Jones, L; Raleigh, C B; Wong, I G; Scotti, O; Wentworth, C

    1987-11-20

    Contemporary in situ tectonic stress indicators along the San Andreas fault system in central California show northeast-directed horizontal compression that is nearly perpendicular to the strike of the fault. Such compression explains recent uplift of the Coast Ranges and the numerous active reverse faults and folds that trend nearly parallel to the San Andreas and that are otherwise unexplainable in terms of strike-slip deformation. Fault-normal crustal compression in central California is proposed to result from the extremely low shear strength of the San Andreas and the slightly convergent relative motion between the Pacific and North American plates. Preliminary in situ stress data from the Cajon Pass scientific drill hole (located 3.6 kilometers northeast of the San Andreas in southern California near San Bernardino, California) are also consistent with a weak fault, as they show no right-lateral shear stress at approximately 2-kilometer depth on planes parallel to the San Andreas fault.

  8. Going to the Hospital

    Science.gov (United States)

    ... and therapists will show you how to use pieces of equipment, like crutches, if you need them. Some hospitals have child life specialists. Their job is to make sure kids in the hospital understand what's going on around them and help them feel more ...

  9. Hospitality Services Reference Book.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This reference book provides information needed by employees in hospitality services occupations. It includes 29 chapters that cover the following topics: the hospitality services industry; professional ethics; organization and management structures; safety practices and emergency procedures; technology; property maintenance and repair; purchasing…

  10. GENERAL PRACTITIONERS AND HOSPITALS

    African Journals Online (AJOL)

    In recent years in South Africa the position of the general practi- tioner in hospitals has ... ments, and it is in these hospitals that difficulties have arisen. On the other hand, ... great extent deprived of contact with his colleagues. He comes to ... eventually lose interest in the results of treatment and advances in medicine. In fact ...

  11. Hospital 360°.

    Science.gov (United States)

    Giraldo Valencia, Juan Carlos; Delgado, Liliana Claudia

    2015-01-01

    There are forces that are greater than the individual performance of each hospital institution and of the health system structural of each country. The world is changing and to face up to the future in the best possible way, we need to understand how contexts and emerging trends link up and how they affect the hospital sector. The Columbian Association of Hospitals and Clinics, ACHC, has thus come up with the Hospital 360° concept which uses hospitals capable of anticipating changing contexts by means of the transition between present and future and takes on board the experience of global, socio-economic, demographic, political, environmental and technological fields as its model. Hospital 360° is an invitation to reinvent processes and institution themselves allowing them to adapt and incorporate a high degree of functional flexibility. Hospital 360° purses goals of efficiency, effectiveness and relevance, but also of impact and sustainability, and is coherent with the internal needs of hospital institutions and society for long-term benefits.

  12. Hospitality services generate revenue.

    Science.gov (United States)

    Bizouati, S

    1993-01-01

    An increasing number of hospitals are undertaking external revenue-generating activities to supplement their shrinking budgets. Written at the request of Leadership, this article outlines an example of a successful catering service -- a money-generating business that more Canadian hospitals could profitably consider.

  13. Virtual Pediatric Hospital

    Science.gov (United States)

    ... Thoracopaedia - An Imaging Encyclopedia of Pediatric Thoracic Disease Virtual Pediatric Hospital is the Apprentice's Assistant™ Last revised ... pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com Virtual Pediatric Hospital is curated by Donna M. D' ...

  14. Hospitality Services. Curriculum Guide.

    Science.gov (United States)

    Texas Tech Univ., Lubbock. Home Economics Curriculum Center.

    This guide, which was developed as part of Texas' home economics education program, is intended to assist teachers of a hospitality services course focusing on the food and lodging segments of the hospitality and tourism industry. The first 40% of the approximately 600-page guide consists of strategies for teaching each of 29 essential…

  15. Hospitality Occupations. Curriculum Guide.

    Science.gov (United States)

    California State Dept. of Education, Sacramento. Bureau of Homemaking Education.

    This curriculum guide on the hospitality occupations was developed to help secondary and postsecondary home economics teachers prepare individuals for entry-level jobs in the hospitality industry. The content is in seven sections. The first section presents organizational charts of a medium-size hotel, food and beverage division, housekeeping and…

  16. Towards the collaborative hospital

    DEFF Research Database (Denmark)

    Prætorius, Thim; Hasle, Peter; Edwards, Kasper

    2015-01-01

    Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept for the collaborat......Hospitals are increasingly faced with conflicting demands as they have to respond to increasing patient demands as well as financial, clinical and quality challenges. To handle these demands the hospital need to reconfigure its organization, and we propose to build on a concept...... of the collaborative hospital concern the creation of an appropriate balance between standardization and local autonomy, shared purpose centred around providing the best possible care, and use of enabling structures that sustain the new ways of collaborative work. The chapter builds on the theoretical framework...

  17. On spaces of hospitality

    DEFF Research Database (Denmark)

    Greve, Anni

    Although specialists in hospitality have worked extensively on hospitality with respect to relations between different nations or between nations and individuals of a different nationality, for instance when they seek asylum, Jacques Derrida preferred to focus instead upon the relationship between...... the guest and the host. This has provided a much-needed rethinking of how to understand hospitality as a way of relating, as an ethics and as a politics. Within this work, there have often appeared discussions of ‘spaces of hospitality’, but these spaces have remained largely abstract. This is where...... this paper comes in: It will re open discussions of spaces of hospitality with an introduction into an on-going research project that studies the performative, structural and social dynamics of cultural encounters focusing on forms of hospitality that are related to particular sites in the city, namely...

  18. Hjertestop uden for hospital

    DEFF Research Database (Denmark)

    Frandsen, F; Nielsen, J R; Gram, L

    1989-01-01

    During the period 1.10.1986-30.9.1987, all patients with cardiac arrest outside hospital brought to the casualty department in Odense Hospital were registered. Out of 160 patients, 133 (83%) could be primarily resuscitated, 19 (12%) were resuscitated but died later in hospital and eight patients (5......%) were resuscitated and could be discharged alive from hospital. Out of the eight patients who were discharged alive, only two (1%) had retained reasonable cerebral function as assessed by dementia testing. Treatment of the cardiac arrest prior to the arrival of the ambulance, duration of the cardiac...... arrest for less than six minutes and staffing of the ambulance with three first-aid men were factors of decisive importance for survival of the patients. The results of this investigation demonstrate that treatment of cardiac arrest outside hospital is unsatisfactory. Proposals for improvement...

  19. La enfermería de la Orden de San Juan de Dios en el Chile colonial

    Directory of Open Access Journals (Sweden)

    Julia Cristobalina Huaiquián-Silva

    2013-01-01

    Full Text Available Objetivo: describir las prácticas de enfermería en Chile durante la época colonial, prestando especial atención a la influencia de España en dicho proceso. Método: investigación cualitativa de abordaje socio-histórico; las fuentes primarias corresponden a textos históricos de Chile recuperados en la Biblioteca Virtual Memoria Chilena, y a 34 documentos recopilados en el Archivo Museo San Juan de Dios, Casa de los Pisa, en Granada, España, titulados “Listado de los hermanos de San Juan de Dios que vivían en Chile (207 años y un índice de documentos inéditos copiados de los archivos histórico nacional y del antiguo hospital, por Faustino Calvo”. La recolección de la información se efectuó con ficha documental confeccionada por la investigadora, complementada con fotografías. El análisis de los datos se realizó a través de análisis de contenido. Resultados: la Orden de San Juan de Dios llegó a Chile en el año 1617 a los hospitales de Santiago y Concepción y se expandió a las ciudades de La Serena, Valparaíso, San Juan de la Frontera, Talca, Chillan, Concepción y Valdivia. Por más de doscientos años la Orden permaneció en Chile brindando asistencia hospitalaria y de enfermería a través de los cuidados religiosos. Conclusión: con la llegada de la Orden al país mejoró indiscutiblemente la organización de los cuidados de salud al interior de los hospitales, que a partir de esa fecha se administraron de forma organizada, con altos estándares de higiene y limpieza, vigilando sigilosamente la alimentación de sus pacientes y con una gran preocupación por brindar asistencia espiritual a quienes necesitasen de sus servicios.

  20. SANS-polymer and functional materials with neutron in Indonesia. Progress report on the collaboration activities?

    International Nuclear Information System (INIS)

    Ikram, A.; Gunawan; Sukirman, E.; Ridwan; Jahja, A.K.

    2000-01-01

    Activities on SANS-polymer collaboration program are reported. This paper presents SANS-data from Sodium Dodecyl Sulphate that have been obtained using BATAN's SANS machine in Serpong. Reports are also presented about activities in the groups for functional materials structural determination which includes magnetic, HTc superconducting and superionic conducting materials. Discussions are also given towards the way the collaboration activities were carried out in the last three years as well as impact of neutron scattering facility conditions in Indonesia. (author)

  1. Improving Pediatric Cancer Care Disparities Across the United States–Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana

    Science.gov (United States)

    Aristizabal, Paula; Fuller, Spencer; Rivera, Rebeca; Beyda, David; Ribeiro, Raul C.; Roberts, William

    2015-01-01

    In 2007, the 5-year survival rate for children with acute leukemia in Baja California, Mexico was estimated at 10% (vs. 88% in the United States). In response, stakeholders at St. Jude Children’s Research Hospital, Rady Children’s Hospital San Diego, and the Hospital General de Tijuana (HGT) implemented a transcultural partnership to establish a pediatric oncology program. The aim was to improve clinical outcomes and overall survival for children in Baja California. An initial needs assessment evaluation was performed and a culturally sensitive, comprehensive, 5-year plan was designed and implemented. After six years, healthcare system accomplishments include the establishment of a fully functional pediatric oncology unit with 60 new healthcare providers (vs. five in 2007). Patient outcome improvements include a rise in 5-year survival for leukemia from 10 to 43%, a rise in new cases diagnosed per year from 21 to 70, a reduction in the treatment abandonment rate from 10% to 2%, and a 45% decrease in the infection rate. More than 600 patients have benefited from this program. Knowledge sharing has taken place between teams at the HGT and Rady Children’s Hospital San Diego. Further, one of the most significant outcomes is that the HGT has transitioned into a regional referral center and now mentors other hospitals in Mexico. Our results show that collaborative initiatives that implement long-term partnerships along the United States–Mexico border can effectively build local capacity and reduce the survival gap between children with cancer in the two nations. Long-term collaborative partnerships should be encouraged across other disciplines in medicine to further reduce health disparities across the United States–Mexico border. PMID:26157788

  2. Improving Pediatric Cancer Care Disparities Across the United States-Mexico Border: Lessons Learned from a Transcultural Partnership between San Diego and Tijuana.

    Science.gov (United States)

    Aristizabal, Paula; Fuller, Spencer; Rivera, Rebeca; Beyda, David; Ribeiro, Raul C; Roberts, William

    2015-01-01

    In 2007, the 5-year survival rate for children with acute leukemia in Baja California, Mexico was estimated at 10% (vs. 88% in the United States). In response, stakeholders at St. Jude Children's Research Hospital, Rady Children's Hospital San Diego, and the Hospital General de Tijuana (HGT) implemented a transcultural partnership to establish a pediatric oncology program. The aim was to improve clinical outcomes and overall survival for children in Baja California. An initial needs assessment evaluation was performed and a culturally sensitive, comprehensive, 5-year plan was designed and implemented. After six years, healthcare system accomplishments include the establishment of a fully functional pediatric oncology unit with 60 new healthcare providers (vs. five in 2007). Patient outcome improvements include a rise in 5-year survival for leukemia from 10 to 43%, a rise in new cases diagnosed per year from 21 to 70, a reduction in the treatment abandonment rate from 10% to 2%, and a 45% decrease in the infection rate. More than 600 patients have benefited from this program. Knowledge sharing has taken place between teams at the HGT and Rady Children's Hospital San Diego. Further, one of the most significant outcomes is that the HGT has transitioned into a regional referral center and now mentors other hospitals in Mexico. Our results show that collaborative initiatives that implement long-term partnerships along the United States-Mexico border can effectively build local capacity and reduce the survival gap between children with cancer in the two nations. Long-term collaborative partnerships should be encouraged across other disciplines in medicine to further reduce health disparities across the United States-Mexico border.

  3. DNA array analysis of gene expression changes by Choto-san in the ischemic rat brain

    OpenAIRE

    Tohda, Michihisa; Matsumoto, Kinzo; Hayashi, Hisae; Murakami, Yukihisa; Watanabe, Hiroshi

    2004-01-01

    The effects of Choto-san on gene expression in the dementia model rat brain were studied using a DNA microarray system. Choto-san inhibited the expression of 181 genes that has been enhanced by permanent occlusion of the bilateral common carotid arteries (2VO). Choto-san also reversed the expression inhibition of 32 genes induced by 2VO. These results may suggest that Choto-san, which has been therapeutically used as an antidementive drug, shows therapeutic effects through gene expression cha...

  4. SANS and TEM studies of carbide precipitation and creep damage in type 304 stainless steel

    International Nuclear Information System (INIS)

    Yoo, M.H.; Ogle, J.C.; Schneibel, J.H.; Swindeman, R.W.

    1984-01-01

    Small-angle neutron scattering (SANS) and transmission electron microscopy (TEM) studies were performed to characterize the carbide (M 23 C 6 ) precipitation and creep damage induced in type 304 stainless steel in the primary creep stage. The size distribution of matrix carbides evaluated from SANS analyses was consistent with TEM data, and the expected accelerated kinetics of precipitation under applied stress was confirmed. Additional SANS measurements after the postcreep solution annealing were made in order to differentiate cavities from the carbides. Potential advantages and difficulties associated with characterization of creep-induced cavitation by the SANS techniques are discussed

  5. Geomorphic and geologic evidence for slip along the San Bernardino strand of the San Andreas Fault System through the San Gorgonio Pass structural knot, southern California

    Science.gov (United States)

    Kendrick, K. J.; Matti, J. C.

    2017-12-01

    The San Gorgonio Pass (SGP) region of southern California represents an extraordinarily complex section of the San Andreas Fault (SAF) zone, often referred to as a structural knot. Complexity is expressed both structurally and geomorphically, and arises because multiple strands of the SAF have evolved here in Quaternary time. Our integration of geologic and geomorphic analyses led to recognition of multiple fault-bounded blocks characterized by crystalline rocks that have similar physical properties. Hence, any morphometric differences in hypsometric analysis, slope, slope distribution, texture, and stream-power measurements and discontinuities reflect landscape response to tectonic processes rather than differences in lithology. We propose that the differing morphometry of the two blocks on either side of the San Bernardino strand (SBS) of the SAF, the high-standing Kitching Peak block to the east and the lower, more subdued Pisgah Peak block to the west, strongly suggests that the blocks experienced different uplift histories. This difference in uplift histories, in turn suggests that dextral slip occurred over a long time interval on the SBS—despite long-lived controversy raised by the fact that, at the surface, a throughgoing trace of the SBS is not present at this location. A different tectonic history between the two blocks is consistent with the gravity data which indicate that low-density rocks underthrusting the Kitching Peak block are absent below the Pisgah Peak block (Langenheim et al., 2015). Throughgoing slip on the SBS implied by geomorphic differences between the two blocks is also consistent with displaced geologic and geomorphic features. We find compelling evidence for discrete offsets of between 0.6 and 6 km of dextral slip on the SBS, including offset of fluvial and landslide deposits, and beheaded drainages. Although we lack numerical age control for the offset features, the degree of soil development associated with displaced landforms

  6. Cataclastic rocks of the San Gabriel fault—an expression of deformation at deeper crustal levels in the San Andreas fault zone

    Science.gov (United States)

    Anderson, J. Lawford; Osborne, Robert H.; Palmer, Donald F.

    1983-10-01

    The San Gabriel fault, a deeply eroded late Oligocene to middle Pliocene precursor to the San Andreas, was chosen for petrologic study to provide information regarding intrafault material representative of deeper crustal levels. Cataclastic rocks exposed along the present trace of the San Andreas in this area are exclusively a variety of fault gouge that is essentially a rock flour with a quartz, feldspar, biotite, chlorite, amphibole, epidote, and Fe-Ti oxide mineralogy representing the milled-down equivalent of the original rock (Anderson and Osborne, 1979; Anderson et al., 1980). Likewise, fault gouge and associated breccia are common along the San Gabriel fault, but only where the zone of cataclasis is several tens of meters wide. At several localities, the zone is extremely narrow (several centimeters), and the cataclastic rock type is cataclasite, a dark, aphanitic, and highly comminuted and indurated rock. The cataclastic rocks along the San Gabriel fault exhibit more comminution than that observed for gouge along the San Andreas. The average grain diameter for the San Andreas gouge ranges from 0.01 to 0.06 mm. For the San Gabriel cataclastic rocks, it ranges from 0.0001 to 0.007 mm. Whereas the San Andreas gouge remains particulate to the smallest grain-size, the ultra-fine grain matrix of the San Gabriel cataclasite is composed of a mosaic of equidimensional, interlocking grains. The cataclastic rocks along the San Gabriel fault also show more mineralogiec changes compared to gouge from the San Andreas fault. At the expense of biotite, amphibole, and feldspar, there is some growth of new albite, chlorite, sericite, laumontite, analcime, mordenite (?), and calcite. The highest grade of metamorphism is laumontite-chlorite zone (zeolite facies). Mineral assemblages and constrained uplift rates allow temperature and depth estimates of 200 ± 30° C and 2-5 km, thus suggesting an approximate geothermal gradient of ~50°C/km. Such elevated temperatures imply a

  7. Distribution and demography of San Francisco gartersnakes (Thamnophis sirtalis tetrataenia) at Mindego Ranch, Russian Ridge Open Space Preserve, San Mateo County, California

    Science.gov (United States)

    Kim, Richard; Halstead, Brian J.; Wylie, Glenn D.; Casazza, Michael L.

    2018-04-26

    San Francisco gartersnakes (Thamnophis sirtalis tetrataenia) are a subspecies of common gartersnakes endemic to the San Francisco Peninsula of northern California. Because of habitat loss and collection for the pet trade, San Francisco gartersnakes were listed as endangered under the precursor to the Federal Endangered Species Act. A population of San Francisco gartersnakes resides at Mindego Ranch, San Mateo County, which is part of the Russian Ridge Open Space Preserve owned and managed by the Midpeninsula Regional Open Space District (MROSD). Because the site contained non-native fishes and American bullfrogs (Lithobates catesbeianus), MROSD implemented management to eliminate or reduce the abundance of these non-native species in 2014. We monitored the population using capture-mark-recapture techniques to document changes in the population during and following management actions. Although drought confounded some aspects of inference about the effects of management, prey and San Francisco gartersnake populations generally increased following draining of Aquatic Feature 3. Continued management of the site to keep invasive aquatic predators from recolonizing or increasing in abundance, as well as vegetation management that promotes heterogeneous grassland/shrubland near wetlands, likely would benefit this population of San Francisco gartersnakes.

  8. Coal exploration in the Alto San Jorge area, Cordoba Department. Exploracion de carbones en el Ato San Jorge, Departamento de Cordoba

    Energy Technology Data Exchange (ETDEWEB)

    Ospina, L H; Oquendo, G G [Geominas Ltda, Medellin (Colombia)

    1989-01-01

    A Mining Feasibility Study in the Area of Alto San Jorge, Department of Cordoba, Colombia, was commissioned by CARBOCOL S.A. to the Consortium Geominas-NACI. An area of 800 Ka2 was explored to define surface mining possibilities within two subareas referred to as Alto San Jorge and San Pedro Ure. Rocks of Cretaceous, Tertiary and Quaternary age crop out in the zone. In the subarea Alto San Jorge the principal structure is a syncline with a south-north direction. The San Pedro Ure subarea is formed by undulations with flanks of low dip, the most important being the San Antonio Syncline because it contains the mining block. The geological study of the surface demonstrated the existence of coal in the Oligocene Cienaga de Oro Formation and the Niocene Cerrito Formation, with potential resources of 6.3 billion tons. The subsequent exploration of the subsoil, with 20.618 m of drilling, permitted determination of demonstrated reserves in the order of 2.9 billion tons within two areas. In the sector selected for the mine plan, in the area of San Pedro-Puerto Libertador, 7.791 m of drilling was accomplished to define a demonstrated reserve of 515 million tons of coal down to a depth of 200. The combustible type coal has 5.000 cal/g. Complete mining schedules were developed at the prefeasibility level for two surface mines with productions of 1.5 MMTY and 4 MMTY. 9 figs., 3 tabs., 28 refs.

  9. Patient Survey (PCH - HCAHPS) PPS-exempt Cancer Hospital - 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...

  10. Conductivity Structure of the San Andreas Fault, Parkfield, Revisited

    Science.gov (United States)

    Park, S. K.; Roberts, J. J.

    2003-12-01

    Laboratory measurements of samples of sedimentary rocks from the Parkfield syncline reveal resistivities as low as 1 ohm m when saturated with fluids comparable to those found in nearby wells. The syncline lies on the North American side of the San Andreas fault at Parkfield and plunges northwestward into the fault zone. A previous interpretation of a high resolution magnetotelluric profile across the San Andreas fault at Parkfield identified an anomalously conductive (1-3 ohm m) region just west of the fault and extending to depths of 3 km. These low resistivity rocks were inferred to be crushed rock in the fault zone that was saturated with brines. As an alternative to this interpretation, we suggest that this anomalous region is actually the Parkfield syncline and that the current trace of the San Andreas fault at Middle Mountain does not form the boundary between the Salinian block and the North American plate. Instead, that boundary is approximately 1 km west and collocated with current seismicity. This work was performed under the auspices of the U.S. Department of Energy by the University of California Lawrence Livermore National Laboratory under contract W-7405-ENG-48 and supported specifically by the Office of Basic Energy Science. Additional support was provided by the U.S. Geological Survey (USGS), Department of the Interior, under USGS Award number 03HQGR0041. The views and conclusions contained in this document are those of the authors and should not be interpreted as necessarily representing the official policies, either expressed or implied, of the U.S. Government.

  11. Swash zone characteristics at Ocean Beach, San Francisco, CA

    Science.gov (United States)

    Erikson, L.H.; Hanes, D.M.; Barnard, P.L.; Gibbs, A.E.

    2007-01-01

    Runup data collected during the summer of 2005 at Ocean Beach, San Francisco, CA are analyzed and considered to be typical summer swash characteristics at this site. Analysis shows that the beach was dissipative with Iribarren numbers between 0.05 and 0.4 and that infragravity energy dominated. Foreshore slopes were mild between 0.01 and 0.05 with swash periods on the order of a minute. Predicted runup heights obtained with six previously developed analytical runup formulae were compared to measured extreme runup statistics. Formulations dependent on offshore wave height, foreshore slope and deep water wavelength gave reasonable results.

  12. Nonvolcanic tremors deep beneath the San Andreas Fault.

    Science.gov (United States)

    Nadeau, Robert M; Dolenc, David

    2005-01-21

    We have discovered nonvolcanic tremor activity (i.e., long-duration seismic signals with no clear P or S waves) within a transform plate boundary zone along the San Andreas Fault near Cholame, California, the inferred epicentral region of the 1857 Fort Tejon earthquake (moment magnitude approximately 7.8). The tremors occur between 20 to 40 kilometers' depth, below the seismogenic zone (the upper approximately 15 kilometers of Earth's crust where earthquakes occur), and their activity rates may correlate with variations in local earthquake activity.

  13. Prevalence of human toxoplasmosis in san carlos island, venezuela

    OpenAIRE

    Chacín-Bonilla, Leonor; Sánchez-Chávez, Yulaicy; Estévez, Jesús; Larreal, Yraima; Molero, Emelyn

    2003-01-01

    A survey of 335 individuals, 1-65 years of age (mean ±SD of 20.8 ±15.7), in 6 communities from the San Carlos Island, Western Venezuela, was conducted to study the prevalence of serum antibody to Toxoplasma gondii. The indirect hemagglutination test showed an overall infection rate of 49.8% (167 of 335) that ranged 23-64.8% according to the locality. No association between antibody status and age or risk factors was detected. Higher antibody rates were found in a windward coast community, and...

  14. Formation of nanoparticles on reverse micelles: SANS studies

    International Nuclear Information System (INIS)

    Sim, Jae-Hyun; Park, Jaejung; Kim, Myungwoong; Hwan Bang, Jeong; Park, Sangwook; Sohn, Daewon

    2006-01-01

    The structure of polymethyl methacrylate (PMMA) on the surface of reverse micelles was investigated by small-angle neutron scattering (SANS). The water-in-oil microemulsion containing initiators in the inner part of reverse micelle was prepared with surfactant, poly(oxyethylene) nonylphenyl ether (NP5, H(CH 2 ) 9 Ph(OC 2 H 4 ) 5 OH), water, cyclohexane and adequate initiators, sodium metabisulfate (SDS) and potassium persulfate (KPS), for aimed polymerization (PMMA). Various model fittings such as the core-shell sphere model and hard sphere model containing smearing effect reveal that polymer shell thickness changes from 52 to 60 A, respectively, with increase of monomer concentration

  15. Development and application of the San Onofre safety monitor

    International Nuclear Information System (INIS)

    Hook, Thomas G.; Lee, Roger J.; Morgan, Thomas A.

    2004-01-01

    Halliburton NUS Corporation (NUS) has developed a risk-based configuration management software tool for use at Southern California Edison's San Onofre Nuclear Generating Station. The software, called the Safety Monitor, calculates an estimate of current plant core damage risk based upon the plant's current operating configuration (e.g., equipment operability, system operating alignments). All data is entered and displayed in a format easily understood by plant personnel. The plant hopes to use this tool to ensure that risk is minimized during plant operations and to identify situations in which current Technical Specifications can be optimized. Plant configuration data and out-of-service time data is also automatically collected. (author)

  16. Mercury-contaminated hydraulic mining debris in San Francisco Bay

    Science.gov (United States)

    Bouse, Robin M.; Fuller, Christopher C.; Luoma, Samuel N.; Hornberger, Michelle I.; Jaffe, Bruce E.; Smith, Richard E.

    2010-01-01

    The hydraulic gold-mining process used during the California Gold Rush and in many developing countries today contributes enormous amounts of sediment to rivers and streams. Commonly, accompanying this sediment are contaminants such as elemental mercury and cyanide used in the gold extraction process. We show that some of the mercurycontaminated sediment created by hydraulic gold mining in the Sierra Nevada, between 1852 and 1884, ended up over 250 kilometers (km) away in San Francisco Bay; an example of the far-reaching extent of contamination from such activities.

  17. The Temple San Ignacio de Loyola In Pátzcuaro

    Directory of Open Access Journals (Sweden)

    Carlos Alfonso Ledesma Ibarra

    2014-08-01

    Full Text Available This article analyzes some of the architectural characteristics of the Temple of the Company of Jesus in Patzcuaro. The Temple of San Ignacio de Loyola was tion to an intention to join the Jesuits of the visual and urban discourse in this city-ancient bishopric founded by Don Vasco de Quiroga. With this intention a study is done based on some concepts from the Jesuit architecture and some of the elements of this temple compared to other buildings in the town. 

  18. Rabia canina en san Juan de Lurigancho y en Jicamarca

    OpenAIRE

    Días, Albina; Condori, René Edgar

    2004-01-01

    Hasta la tercera semana de noviembre se han confirmado cuatro casos de rabia canina en la DISA Lima Norte, el último caso se presentó el 20 de noviembre en la granja porcina «Pradera del Paraíso» en el distrito de San Juan de Lurigancho (SJL), perteneciente a la referida Dirección de Salud. Dicho caso sucedió en momentos que un trabajador de la granja trató de separar la pelea entre los perros guardianes de la granja y un perro de origen desconocido, siendo finalmente mordido en una de...

  19. Periodic pulsing of characteristic microearthquakes on the San Andreas fault.

    Science.gov (United States)

    Nadeau, Robert M; McEvilly, Thomas V

    2004-01-09

    Deep fault slip information from characteristically repeating microearthquakes reveals previously unrecognized patterns of extensive, large-amplitude, long-duration, quasiperiodic repetition of aseismic events along much of a 175-kilometer segment of the central San Andreas fault. Pulsing occurs both in conjunction with and independent of transient slip from larger earthquakes. It extends to depths of approximately 10 to 11 kilometers but may be deeper, and it may be related to similar phenomena occurring in subduction zones. Over much of the study area, pulse onset periods also show a higher probability of larger earthquakes, which may provide useful information for earthquake forecasting.

  20. SANS facility at the Pitesti 14 MW Triga reactor

    International Nuclear Information System (INIS)

    Ionita, I.; Anghel, E.; Mincu, M.; Datcu, A.; Grabcev, B.; Todireanu, S.; Constantin, F.; Shvetsov, V.; Popescu, G.

    2006-01-01

    Full text of publication follows: At the present time, an important not yet fully exploited potentiality is represented by the SANS instruments existent at lower power reactors and reactors in developing countries even if they are, generally, endowed with a simpler equipment and are characterized by the lack of infrastructure to maintain and repair high technology accessories. The application of SANS at lower power reactors and in developing countries nevertheless is possible in well selected topics where only a restricted Q range is required, when scattering power is expected to be sufficiently high or when the sample size can be increased at the expense of resolution. Examples of this type of applications are: 1) Phase separation and precipitates in material science, 2) Ultrafine grained materials (nano-crystals, ceramics), 3) Porous materials such as concretes and filter materials, 4) Conformation and entanglements of polymer-chains, 5) Aggregates of micelles in microemulsions, gels and colloids, 6) Radiation damage in steels and alloys. The need for the installation of a new SANS facility at the Triga Reactor of the Institute of Nuclear Researches in Pitesti, Romania become actual especially after the shutting down of the VVRS Reactor from Bucharest. A monochromatic neutron beam with 1.5 Angstrom ≤ λ ≤ 5 Angstrom is produced by a mechanical velocity selector with helical slots.The distance between sample and detectors plane is (5.2 m ). The sample width may be fixed between 10 mm and 20 mm. The minimum value of the scattering vector is Q min = 0.005 Angstrom -1 while the maximal value is Q max = 0.5 Angstrom -1 . The relative error is ΔQ/Q min = 0.5. The cooperation partnership between advanced research centers and the smaller ones from developing countries could be fruitful. The formers act as mentors in solving specific problems. Such a partnership was established between INR Pitesti, Romania and JINR Dubna, Russia. The first step in this cooperation

  1. Premier Hospital Historical Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — To provide a historical overview of the participating hospitals, before the first project report, Premier Healthcare Informatics has used data already available for...

  2. [Ryazan hospital--80 years].

    Science.gov (United States)

    Klimov, A S; Gromov, M F

    2012-02-01

    In December 2011 marked 80 years of the founding of the Ryazan garrison hospital, originally housed in two buildings: "Redut housed"--a monument of architecture of the XVIII century and the former almshouses room "for the maimed in the war", was built in 1884 now Ryazan garrison hospital (from 2010--Branch No 6 FSI "in 1586 the district military hospital in the Western Military District", the Defense Ministry of Russia)--a multi-field medical preventive institution on the basis of which soldiers, military retirees, family members and military retirees from Ryazan, Moscow, Tambov regions are treated. Every year more than 7 thousand patients get treatment here. During the counterterrorism operations in Chechnya over 800 wounded were brought to the hospital from the battle area.

  3. Hospital Compare Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — These are the official datasets used on the Medicare.gov Hospital Compare Website provided by the Centers for Medicare and Medicaid Services. These data allow you to...

  4. Hospital Outpatient PPS

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 4523 of the Balanced Budget Act of 1997 (BBA) provides authority for CMS to implement a prospective payment system (PPS) under Medicare for hospital...

  5. VT Hospital Site Locations

    Data.gov (United States)

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

  6. Critical Access Hospitals (CAH)

    Science.gov (United States)

    ... for Success Am I Rural? Evidence-based Toolkits Economic Impact Analysis Tool Community Health Gateway Sustainability Planning ... hospitals and improve access to healthcare by keeping essential services in rural communities. To accomplish this goal, ...

  7. Physician-Owned Hospitals

    Data.gov (United States)

    U.S. Department of Health & Human Services — Section 6001 of the Affordable Care Act of 2010 amended section 1877 of the Social Security Act to impose additional requirements for physician-owned hospitals to...

  8. Hospitals as health educators

    Science.gov (United States)

    ... offer discounts to healthy activities in the area: Biking, hiking, or walking tours Museums Fitness clubs Farms Festivals Your hospital may offer discounts for: Retail stores such as sporting goods, health food, and art stores Acupuncture Skin care Eye ...

  9. Hospital Readmission Reduction

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  10. Hospital Readmissions Reduction Program

    Data.gov (United States)

    U.S. Department of Health & Human Services — In October 2012, CMS began reducing Medicare payments for Inpatient Prospective Payment System hospitals with excess readmissions. Excess readmissions are measured...

  11. Research in Hospitality Management

    African Journals Online (AJOL)

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

  12. Allegheny County Hospitals

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — The data on health care facilities includes the name and location of all the hospitals and primary care facilities in Allegheny County. The current listing of...

  13. Practice Hospital Bed Safety

    Science.gov (United States)

    ... Home For Consumers Consumer Updates Practice Hospital Bed Safety Share Tweet Linkedin Pin it More sharing options ... It depends on the complexity of the bed." Safety Tips CDRH offers the following safety tips for ...

  14. Ionizing radiation in hospitals

    International Nuclear Information System (INIS)

    Blok, K.; Ginkel, G. van; Leun, K. van der; Muller, H.; Oude Elferink, J.; Vesseur, A.

    1985-10-01

    This booklet dels with the risks of the use of ionizing radiation for people working in a hospital. It is subdivided in three parts. Part 1 treats the properties of ionizing radiation in general. In part 2 the various applications are discussed of ionizing radiation in hospitals. Part 3 indicates how a not completely safe situation may be improved. (H.W.). 14 figs.; 4 tabs

  15. Preventing falls in hospital.

    Science.gov (United States)

    Pearce, Lynne

    2017-02-27

    Essential facts Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. Every year, more than 240,000 falls are reported in acute hospitals and mental health trusts in England and Wales, equivalent to more than 600 a day, according to the Royal College of Physicians (RCP). But research shows that when nurses, doctors and therapists work together, falls can be reduced by 20-30%.

  16. Nutrition support in hospitals

    DEFF Research Database (Denmark)

    Kondrup, Jens

    2005-01-01

    Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance.......Nutrition support in hospitals is becoming an area of focus because of the evidence showing improved clinical outcome with nutrition support, its status as a human rights issue and its integration into quality assurance....

  17. [Hospital organizational structure].

    Science.gov (United States)

    Bittar, O J

    1994-01-01

    The basic point for an Institution to work is the existence of a definite organizational structure that puts together similar areas allowing decisions and the operationalization of different tasks. Knowledge and analysis of structures of private and public hospitals and a bibliography review about the issue is the purpose of this paper. Suggestions are given about the elaboration of small structures and the utilization of matrix management in order to accomplish the hospitals objectives.

  18. Deep permeability of the San Andreas Fault from San Andreas Fault Observatory at Depth (SAFOD) core samples

    Science.gov (United States)

    Morrow, Carolyn A.; Lockner, David A.; Moore, Diane E.; Hickman, Stephen H.

    2014-01-01

    The San Andreas Fault Observatory at Depth (SAFOD) scientific borehole near Parkfield, California crosses two actively creeping shear zones at a depth of 2.7 km. Core samples retrieved from these active strands consist of a foliated, Mg-clay-rich gouge containing porphyroclasts of serpentinite and sedimentary rock. The adjacent damage zone and country rocks are comprised of variably deformed, fine-grained sandstones, siltstones, and mudstones. We conducted laboratory tests to measure the permeability of representative samples from each structural unit at effective confining pressures, Pe up to the maximum estimated in situ Pe of 120 MPa. Permeability values of intact samples adjacent to the creeping strands ranged from 10−18 to 10−21 m2 at Pe = 10 MPa and decreased with applied confining pressure to 10−20–10−22 m2 at 120 MPa. Values for intact foliated gouge samples (10−21–6 × 10−23 m2 over the same pressure range) were distinctly lower than those for the surrounding rocks due to their fine-grained, clay-rich character. Permeability of both intact and crushed-and-sieved foliated gouge measured during shearing at Pe ≥ 70 MPa ranged from 2 to 4 × 10−22 m2 in the direction perpendicular to shearing and was largely insensitive to shear displacement out to a maximum displacement of 10 mm. The weak, actively-deforming foliated gouge zones have ultra-low permeability, making the active strands of the San Andreas Fault effective barriers to cross-fault fluid flow. The low matrix permeability of the San Andreas Fault creeping zones and adjacent rock combined with observations of abundant fractures in the core over a range of scales suggests that fluid flow outside of the actively-deforming gouge zones is probably fracture dominated.

  19. Hospital waste management in nonteaching hospitals of Lucknow City, India

    Directory of Open Access Journals (Sweden)

    Manish Kumar Manar

    2014-01-01

    Full Text Available Objective: To assess hospital waste management in nonteaching hospitals of Lucknow city. Materials and Methods: A cross-sectional, descriptive study was conducted on the staffs of nonteaching hospitals of Lucknow from September 2012 to March 2013. A total of eight hospitals were chosen as the study sample size. Simple random sampling technique was used for the selection of the nonteaching hospitals. A pre-structured and pre-tested interview questionnaire was used to collect necessary information regarding the hospitals and biomedical waste (BMW management of the hospitals. The general information about the selected hospitals/employees of the hospitals was collected. Results: Mean hospital waste generated in the eight nonteaching hospitals of Lucknow was 0.56 kg/bed/day. About 50.5% of the hospitals did not have BMW department and colored dustbins. In 37.5% of the hospitals, there were no BMW records and segregation at source. Incinerator was used only by hospital A for treatment of BMW. Hospital G and hospital H had no facilities for BMW treatment. Conclusion: There is a need for appropriate training of staffs, strict implementation of rules, and continuous surveillance of the hospitals of Lucknow to improve the BMW management and handling practices.

  20. Aprendizajes del Accidente de San Juan Ixhuatepec-México Learning from the Accident in San Juan Ixhuatepec-Mexico

    OpenAIRE

    Antioco López-Molina; Richart Vázquez-Román; Christian Díaz-Ovalle

    2012-01-01

    El índice Dow de fuego y explosión y la metodología del análisis cuantitativo del riesgo son aplicados para analizar uno de los accidentes más desafortunados en la historia mexicana: la explosión de tanques de almacenamiento de gas en la planta de San Juan Ixhuatepec en México. Estimaciones adicionales de la sobrepresión y radiación térmica producida durante el siniestro son llevadas a cabo para explicar el efecto dominó producido como consecuencia del incidente. Estas estimaciones dan eviden...