WorldWideScience

Sample records for south central hospital

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

    International Nuclear Information System (INIS)

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

    2001-12-01

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

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

    International Nuclear Information System (INIS)

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

    2001-12-01

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

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

    International Nuclear Information System (INIS)

    Angeles C, A.; Vizuet G, J.

    2001-09-01

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

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

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

    Science.gov (United States)

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

    2017-09-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

    Angeles C, A.; Vizuet G, J

    2001-09-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Science.gov (United States)

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

    2017-09-01

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

  15. Dublin South Central (DSC)

    LENUS (Irish Health Repository)

    O'Gorman, Clodagh S M

    2010-12-01

    Children who appear healthy, even if they have one or more recognized cardiovascular risk factors, do not generally have outcomes of cardiovascular or other vascular disease during childhood. Historically, pediatric medicine has not aggressively screened for or treated cardiovascular risk factors in otherwise healthy children. However, studies such as the P-Day Study (Pathobiological Determinants of Atherosclerosis in Youth), and the Bogalusa Heart Study, indicate that healthy children at remarkably young ages can have evidence of significant atherosclerosis. With the increasing prevalence of pediatric obesity, can we expect more health problems related to the consequences of pediatric dyslipidemia, hypertriglyceridemia, and atherosclerosis in the future? For many years, medications have been available and used in adult populations to treat dyslipidemia. In recent years, reports of short-term safety of some of these medications in children have been published. However, none of these studies have detailed long-term follow-up, and therefore none have described potential late side-effects of early cholesterol-lowering therapy, or potential benefits in terms of reduction of or delay in cardiovascular or other vascular end-points. In 2007, the American Heart Association published a scientific statement on the use of cholesterol-lowering therapy in pediatric patients. In this review paper, we discuss some of the current literature on cholesterol-lowering therapy in children, including the statins that are currently available for use in children, and some of the cautions with using these and other cholesterol-lowering medications. A central tenet of this review is that medications are not a substitute for dietary and lifestyle interventions, and that even in children on cholesterol-lowering medications, physicians should take every opportunity to encourage children and their parents to make healthy diet and lifestyle choices.

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

    Directory of Open Access Journals (Sweden)

    Ronald Albert Benton Carey

    2017-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2016-01-01

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

  19. Oil supply in Central and South America

    International Nuclear Information System (INIS)

    Aguilera, Roberto F.

    2009-01-01

    This paper estimates a cumulative supply curve for conventional oil in the Central and South American (CSA) region. The curve includes volumes from provinces not previously assessed by other organizations, as well as reserve growth. Volumes for the previously unassessed provinces are estimated using a variable shape distribution (VSD) model. Then the volumes are allocated to CSA countries based on each country's share of proved reserves. Figures provided by the cumulative supply curve are stock variables for all time, unlike the traditional supply curve where they are flow variables that can continue from one period to the next. In this study, the fixed stock approach is used since it provides practical information with respect to the concerns that some have expressed about oil scarcity in the near future. Results indicate that Central and South American oil is more abundant than often assumed, and can be produced at costs below current market oil prices, and substantially below mid-2008 prices.

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

    Science.gov (United States)

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

    2016-01-01

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

  1. Kasai hepatoportoenterostomy in South Australia: a case for 'centralized decentralization'.

    Science.gov (United States)

    Tu, Chen Gang; Khurana, Sanjeev; Couper, Richard; Ford, Andrew W D

    2015-11-01

    Recent follow-up studies have demonstrated significant improvement in overall survival as well as survival with native liver following geographic centralization of services to three centres in the UK. However, this model has not been replicated in countries with relatively low population density such as Australia and Canada. Retrospective evaluation of all patients born with biliary atresia (BA) in South Australia from 1989 to 2010 was performed. Thirty-one patients with BA were discovered. Two patients were excluded because the initial Kasai procedure (KP) was performed interstate. Outcome parameters measured were (i) clearance of jaundice (bilirubin of less than 20 μmol/L, by 6 months); (ii) survival with native liver; and (iii) overall survival. Kaplan-Meier survival curves were plotted for both survival with native liver and overall survival. The incidence of BA in South Australia between 1989 and 2010 was 7.48 per 100,000 live births. Following KP, clearance of jaundice was achieved in 42.9% of patients. Five-year actuarial survival with native liver was 55.2%, and overall 5-year actuarial survival was 89.3%. The results of KP performed at Women's and Children's Hospital from 1989 to 2010 can be considered comparable with international benchmarks. Based on these results, we propose the creation of a 'centralized' pool of surgeons in Australia to help continue providing 'decentralized' care of BA. © 2014 Royal Australasian College of Surgeons.

  2. Nuclear Power in South-Central Brazil

    International Nuclear Information System (INIS)

    Cintra do Prado, L.

    1966-01-01

    The region of South-Central Brazil includes the states of Sao Paulo, Rio de Janeiro, Guanabara and Minas Gerais. The most recent power study was made by Canambra Engineering Consultants Limited. This group reported that the public-grid electricity output for the area in 1962 was 2.16 GW (average generation), with an installed capacity of 3.41 GW and annual mean load factor of 63.4; an increase in power requirements for 1970 was forecast, corresponding to an average output of 5.37 GW and an installed capacity of 8.3 GW. This forecast was based on an annual growth rate of 11.9% in generation. ''The energy requirements have grown at an average annual rate of 10.9% since 1955; however, the present forecast is based on the assumption of power being available as required, and hence includes the suppressed demand resulting from existing restrictions in generating and distribution capacity''

  3. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

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

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

  4. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

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

    2012-01-01

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

  5. Teacher Education in Central Equatoria, South Sudan

    Science.gov (United States)

    Hahs Brinkley, Catherine

    2016-01-01

    Without education, many South Sudanese will continue living in poverty. There are numerous factors that limit their educational opportunities including tribal warfare, colonialism, missionary malpractice, civil wars, a high illiteracy rate, low government funding, and threats of war. These factors have left a substantial deficiency in available…

  6. International stock market integration: Central and South Eastern Europe compared

    Czech Academy of Sciences Publication Activity Database

    Horváth, Roman; Petrovski, D.

    2013-01-01

    Roč. 37, č. 1 (2013), s. 81-91 ISSN 0939-3625 R&D Projects: GA ČR GA402/09/0965 Institutional support: RVO:67985556 Keywords : stock markets * South Eastern Europe Subject RIV: AH - Economics Impact factor: 0.611, year: 2013 http://library.utia.cas.cz/separaty/2013/E/horvath-international stock market integration central and south eastern europe compared.pdf

  7. Management accounting for hospitals | Leyenaar | South African ...

    African Journals Online (AJOL)

    South African Medical Journal. Journal Home · ABOUT · Advanced Search · Current Issue · Archives · Journal Home > Vol 87, No 10 (1997) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register · Download this PDF file. The PDF file you selected should load here if your ...

  8. Gastroenterology training in private hospitals: India vs South Africa

    Science.gov (United States)

    Mulder, Chris Jacob Johan; Puri, Amarender Singh; Reddy, Duvvur Nageshwar

    2010-01-01

    In South Africa, nurses and doctors are emigrating in significant numbers. Job satisfaction, safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression, creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India, which has a population of more than 1 billion people, is struggling with similar problems. For the past 10-15 years, private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss, based on the current status and projected specialist and subspecialist personnel requirements, the future structure and logistics of training needs. This is required in all subspecialities including gastroenterology, as has been done in India. It is hoped that as a consequence well-trained doctors, similar to those in India, might move to provincial hospitals in rural areas, upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa, as India already is for South-East Asia. PMID:20180232

  9. The role ofprivate hospitals in South Africa

    African Journals Online (AJOL)

    effect in April 1980, and were implemented subse- quent to the .... cannot be left to the workings of the market, but will require a ... able to plan in advance and would have strong in- centives to .... ered by the basic package of goods and may be allowed to take out .... of these hospitals might remain to provide luxury care.

  10. Introduction: seismology and earthquake engineering in Central and South America.

    Science.gov (United States)

    Espinosa, A.F.

    1983-01-01

    Reports the state-of-the-art in seismology and earthquake engineering that is being advanced in Central and South America. Provides basic information on seismological station locations in Latin America and some of the programmes in strong-motion seismology, as well as some of the organizations involved in these activities.-from Author

  11. Food habits of Northern Goshawks nesting in south central Wyoming

    Science.gov (United States)

    John R. Squires

    2000-01-01

    Northern Goshawks (Accipiter gentiles) nesting in south central Wyoming consumed at least 33 species of prey; 14 were mammals and 19 were birds. Based on percent occurrence in regurgitated pellets, dominant (>10% frequency) prey species included: red squirrel (Tamiasciurus hudsonicus; present in 50% of pellets), Northern Flicker (Colaptes auratus; 34...

  12. (Coleoptera: Carabidae: Pterostichinae) from south-central Turkey

    African Journals Online (AJOL)

    PRECIOUS

    2009-11-02

    Nov 2, 2009 ... Key words: Amara, Pterostichinae, Carabidae, Turkey. INTRODUCTION. This publication is the second part of a taxonomic and geographical treatment of the Pterostichinae of south- central Turkey, with a focus on sites in the province of. Kahramanmaraş and some of the geographically adjacent provinces.

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

  15. The activities of hospital nursing unit managers and quality of patient care in South African hospitals: a paradox?

    Directory of Open Access Journals (Sweden)

    Susan J. Armstrong

    2015-05-01

    Full Text Available Background: Improving the quality of health care is central to the proposed health care reforms in South Africa. Nursing unit managers play a key role in coordinating patient care activities and in ensuring quality care in hospitals. Objective: This paper examines whether the activities of nursing unit managers facilitate the provision of quality patient care in South African hospitals. Methods: During 2011, a cross-sectional, descriptive study was conducted in nine randomly selected hospitals (six public, three private in two South African provinces. In each hospital, one of each of the medical, surgical, paediatric, and maternity units was selected (n=36. Following informed consent, each unit manager was observed for a period of 2 hours on the survey day and the activities recorded on a minute-by-minute basis. The activities were entered into Microsoft Excel, coded into categories, and analysed according to the time spent on activities in each category. The observation data were complemented by semi-structured interviews with the unit managers who were asked to recall their activities on the day preceding the interview. The interviews were analysed using thematic content analysis. Results: The study found that nursing unit managers spent 25.8% of their time on direct patient care, 16% on hospital administration, 14% on patient administration, 3.6% on education, 13.4% on support and communication, 3.9% on managing stock and equipment, 11.5% on staff management, and 11.8% on miscellaneous activities. There were also numerous interruptions and distractions. The semi-structured interviews revealed concordance between unit managers’ recall of the time spent on patient care, but a marked inflation of their perceived time spent on hospital administration. Conclusion: The creation of an enabling practice environment, supportive executive management, and continuing professional development are needed to enable nursing managers to lead the provision

  16. Management of snakebites at a rural South African hospital ...

    African Journals Online (AJOL)

    ... snakebites at this rural hospital where they were treated frequently. It is crucial for primary care physicians to be familiar with the most common venomous snakes in South Africa and the management of their bites in humans. Elevation of the affected limb, administration of intravenous fluids and administration of analgesia, ...

  17. Primary prevention in psychiatry in general hospitals in South Asia

    Science.gov (United States)

    Sood, Mamta; Chadda, Rakesh Kumar; Kallivayalil, Roy Abraham

    2017-01-01

    The focus of primary prevention is on reducing the disease incidence. Primary prevention in mental health has been given minimal priority in low-resource settings with no significant investments. General hospitals are one of the main providers of mental health services in South Asia. This paper focuses on primary prevention activities, which can be undertaken in a general hospital in South Asia with abysmally low-mental health resources. For implementing primary prevention in psychiatry, a general hospital may be conceptualized as a population unit, located in a well-populated area with easy accessibility where different kinds of communities, for example, students and resident doctors, consultants, patients and their caregivers, and paramedical, nursing, administrative and other supportive staff, coexist and have varied functions. All the functional components of the general hospital psychiatric units (GHPUs) offer scope for introducing primary preventive psychiatry services. Psychiatrists in GHPUs can lead efforts for primary prevention in mental health in the hospital by employing strategies in the framework of universal, selective, and indicated prevention. The preventive strategies could be targeted at the patients visiting the hospital for various health services and their caregivers, employees, and the trainees. Similar principles can be employed in teaching and training. PMID:29497199

  18. Management of incomplete abortion in South African public hospitals.

    Science.gov (United States)

    Brown, H C; Jewkes, R; Levin, J; Dickson-Tetteh, K; Rees, H

    2003-04-01

    To describe the current management of incomplete abortion in South African public hospitals and to discuss the extent to which management is clinically appropriate. A multicentre, prospective descriptive study. South African public hospitals that manage gynaecological emergencies. Hospitals were selected using a stratified random sampling method. All women who presented to the above sampled hospitals with incomplete abortion during the three week data collection period in 2000 were included. A data collection sheet was completed at the time of discharge for each woman admitted with a diagnosis of incomplete, complete, missed or inevitable abortion during the study period. Information gathered included demographic data, clinical signs and symptoms at admission, medical management, surgical management, anaestetic management, use of blood products and antibiotics and complications. Three clinical severity categories were used for the purpose of data analysis and interpretation. Detail of medical management, detail of surgical management, use of blood products and antibiotics, methods of analgesia and anaesthesia used, and use of abortifacients. There is a trend towards low cost technology such as the use of manual vacuum aspiration and sedation anaesthesia; however, this is mainly limited to the better resourced tertiary hospitals linked to academic units. The use of antibiotics and blood products has decreased but much of the use is inappropriate. The use of abortifacients does include some use of misoprostol but merely as an adjunct to surgical evacuation. The management of incomplete abortion remains a problem in South Africa, a low income country that is still managing a common clinical problem with costly interventions. The evidence of a trend towards low cost technology is promising, albeit limited to tertiary centres. This study has given us information as how to best address this problem. More training in low cost methods is needed, targeting in particular the

  19. How a south Florida hospital targeted Hispanic consumers.

    Science.gov (United States)

    Weinstein, A

    1988-02-01

    Last month's "Case in Point" presented AMI Parkway Regional Medical Center, a 412-bed acute care hospital in North Miami Beach, Fla. The hospital's administration has recognized the ethnic make-up of the South Florida market (white, black and Hispanic) and wants to increase its penetration into the large and potentially lucrative Latin market. The hospital is one of six in South Florida that are owned by American Medical International Inc., Los Angeles. Parkway recently completed a modernization and development program that resulted in an expanded emergency department, state-of-the-art critical care units, a cost-saving ambulatory unit and facilities for outpatient and community education programs. Positioned in a fiercely competitive market, Parkway has adopted an aggressive marketing posture. The marketing function has been elevated to one of six hospital divisions, sharing equal footing with finance, professional services, administrative services, nursing and human resources. Given the hospital's reputation for action and the previous success of programs based on market research, the assistant administrator for marketing and business development secured support for research on the Latin market.

  20. Community/hospital indicators in South African public sector mental health services.

    Science.gov (United States)

    Lund, Crick; Flisher, Alan J

    2003-12-01

    services are included in the definition of ' 'hospital' ', this figure is reduced to 17% (provincial range: 3-56%). In terms of service utilisation, 66% of patient contacts with mental health services occur through ambulatory care services in South Africa (provincial range: 44-93%). Community/hospital staff distribution indicates an overemphasis on centralised hospital-based care in most provinces and inadequate hospital care in certain provinces. Patterns of patient service utilisation indicate an over-reliance on central hospital-based services and substantial unmet need. The findings draw attention to problems in information systems for mental health care in South Africa. The community/hospital indicators developed for this study form a useful measure for assessing the implementation of mental health policy over time. For the South African context, the community/hospital indicators are a measure of the extent of resource redistribution from hospital to community services and changing patterns of service utilisation over time. Currently, patterns of resource distribution and service utilisation are inconsistent with government policy. Further research is needed into the development of mental health information systems, refining service indicators and improving methodologies for assessing the implementation of mental health policies in service delivery.

  1. Audit of appendicectomies at Frere Hospital | Rogers | South African ...

    African Journals Online (AJOL)

    Objective. We sought to evaluate the surgical service in the central part of the Eastern Cape Province by reviewing the practice of appendicectomy at Frere Hospital. Specifically, it was our aim to compare the service to those patients who reside in and outside the East London metropolitan area and the outcomes of patients ...

  2. Central and South America GPS geodesy - CASA Uno

    Science.gov (United States)

    Kellogg, James N.; Dixon, Timothy H.

    1990-01-01

    In January 1988, scientists from over 25 organizations in 13 countries and territories cooperated in the largest GPS campaign in the world to date. A total of 43 GPS receivers collected approximately 590 station-days of data in American Samoa, Australia, Canada, Colombia, Costa Rica, Ecuador, New Zealand, Norway, Panama, Sweden, United States, West Germany, and Venezuela. The experiment was entitled CASA Uno. Scientific goals of the project include measurements of strain in the northern Andes, subduction rates for the Cocos and Nazca plates beneath Central and South America, and relative motion between the Caribbean plate and South America. A second set of measurements are planned in 1991 and should provide preliminary estimates of crustal deformation and plate motion rates in the region.

  3. An integrated outsourcing solution at York Central Hospital.

    Science.gov (United States)

    Marr, Jo-Anne; Tam, Richard; Simms, Stephen; Bacchus, Feria

    2011-01-01

    Canadian hospitals struggle to balance the need to increase and improve operational services and quality with diminishing resources. Many realize that sustaining their organization depends on how well they focus their resources and talents on their core business, clinical care delivery. Outsourcing of non-core, non-clinical support services is a solution for many organizations. Most often, this is put into action one service provider at a time. In 2007, however, York Central Hospital (YCH) implemented Sodexo's integrated Comprehensive Service Solutions (CSS) for all its support service functions. In doing so, YCH achieved significant improvements in patient and staff satisfaction rates, substantial cost savings through improved operational efficiency from process improvements and leveraging technology investments, and increased retail food revenue.

  4. Natural phenomena hazards, Hanford Site, south central Washington

    International Nuclear Information System (INIS)

    Tallman, A.M.

    1996-01-01

    This document presents the natural phenomena hazard (NPH) loads for use in implementing DOE Order 5480.28, Natural Phenomena Hazards Mitigation, at the Hanford Site in south-central Washington State. The purpose of this document is twofold: (1) summarize the NPH that are important to the design and evaluation of structures, systems, and components at the Hanford Site; (2) develop the appropriate natural phenomena loads for use in the implementation of DOE Order 5480.28. The supporting standards, DOE-STD-1020-94, Natural Phenomena Hazards Design and Evaluation Criteria for Department of Energy Facilities (DOE 1994a); DOE-STD-1022-94, Natural Phenomena Hazards Site Characteristics Criteria (DOE 1994b); and DOE-STD-1023-95, Natural Phenomena Hazards Assessment Criteria (DOE 1995) are the basis for developing the NPH loads

  5. Wind energy resource atlas. Volume 7. The south central region

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, R.L.; Graves, L.F.; Sprankle, A.C.; Elliott, D.L.; Barchet, W.R.; George, R.L.

    1981-03-01

    This atlas of the south central region combines seven collections of wind resource data: one for the region, and one for each of the six states (Arkansas, Kansas, Louisiana, Missouri, Oklahoma, and Texas). At the state level, features of the climate, topography, and wind resource are discussed in greater detail than that provided in the regional discussion, and the data locations on which the assessment is based are mapped. Variations, over several time scales, in the wind resource at selected stations in each state are shown on graphs of monthly average and interannual wind speed and power, and hourly average wind speed for each season. Other graphs present speed, direction, and duration frequencies of the wind at these locations.

  6. Sandy lower Gotherivian reservoirs in the south central Turkmeniya. [Siberia

    Energy Technology Data Exchange (ETDEWEB)

    Mavyyev, N.Ch.; Nedirov, B.R.

    1982-01-01

    Composition and capacitance-filtering properties of sandy rocks of the early Gotherivian age developed on the fields of Karadzhaulak and Cirili within the northeast slope of the Predkopetdag marginal trough and on areas of Dengli Bakharadok of the Bakharadok monocline are studied. These rocks are viewed as analogs of the gas-bearing Shatlyk level of the Murgabskiy Basin. They can be considered the main potential source of hydrocarbons on the studied territory. In the upper part of the lower Gotherivian, a level of sandy rocks is traced. Rocks represented by small-and average-grained red and light grey differences in sandstones of polymictic composition. The porosity of the sandstones is 20-22%, permeability is 200-500 mdarcy. Not only a similar stratigraphic position of the described sandstones in the lower Gotherivian was found, but also lithological common nature of the rocks. In the south central Turkmeniya one can isolate age analogs of the Shatlyk level, the main productive level of southeast Turkmeniya. The thickness of the sandy beds is from 17 to 45 m. The sandstones of the Karadzhaulak area have the best capacitance-filtering properties. Post sedimentation changes depend on the quantity and composition of the cement, influence of formation waters, and possibly thermobaric conditions of rock formation. The presence of sandy rocks with high collector properties in the cross section of the lower Gotherivian deposits in south central Turkmeniya should be considered in determining the objects for further prospecting and exploration. The areas of Kumbet and Karadzhaulak are primary.

  7. The burden of oesophageal cancer in Central and South America.

    Science.gov (United States)

    Barrios, Enrique; Sierra, Monica S; Musetti, Carina; Forman, David

    2016-09-01

    Oesophageal cancer shows marked geographic variations and is one of the leading causes of cancer death worldwide. We described the burden of this malignancy in Central and South America. Regional and national level incidence data were obtained from 48 population-based cancer registries in 13 countries. Mortality data were obtained from the WHO mortality database. Incidence of oesophageal cancer by histological subtype were available from high-quality population-based cancer registries. Males had higher incidence and mortality rates than females (male-to-female ratios: 2-6:1 and 2-5:1). In 2003-2007, the highest rates were in Brazil, Uruguay, Argentina and Chile. Mortality rates followed the incidence patterns. Incidence of oesophageal squamous cell carcinoma (SCC) was higher than adenocarcinoma (AC), except in females from Cuenca (Ecuador). SCC and AC incidence were higher in males than females, except in the Region of Antofagasta and Valdivia (Chile), Manizales (Colombia) and Cuenca (Ecuador). Incidence and mortality rates tended to decline in Argentina, Chile, Brazil (incidence) and Costa Rica from 1997 to 2008. The geographic variation and sex disparity in oesophageal cancer across Central and South America may reflect differences in the prevalence of tobacco smoking and alcohol consumption which highlights the need to implement and/or strengthen tobacco and alcohol control policies. Maté consumption, obesity, diet and Helicobacter pylori infection may also explain the variation in oesophageal cancer rates but these relationships should be evaluated. Continuous monitoring of oesophageal cancer rates is necessary to provide the basis for cancer prevention and control in the region. Copyright © 2015 International Agency for Research on Cancer. Published by Elsevier Ltd.. All rights reserved.

  8. Workplace Violence Against Nurses: Vhembe District Hospitals, South Africa.

    Science.gov (United States)

    Mahani, Tshifularo Olga; Akinsola, Henry Abayomi; Mabunda, Jabu; Oni, Helen Tosin

    2017-02-01

    Work-related violence is a common problem worldwide. In South Africa, the Medical Research Council conducted a study on workplace violence in the health care industry and reported that most respondents had experienced it in different forms. This study aimed to identify the types and causes of workplace violence toward nurses in Thulamela hospitals, Vhembe district. The study employed a quantitative approach using a cross-sectional design. The target population was all nurses working in one regional and two district hospitals in the municipality. The sample consisted of 100 randomly selected participants from each hospital giving a total sample size of 300. Prior to the data collection, an ethical clearance and written informed consent were obtained from each participant. Data were collected using a self-administered questionnaire. Analysis was done using SPSS Version 20.0. The study revealed that 85% of the respondents (255) had experienced workplace violence in the last 12 months with a range of 95% for threats to 60% for bullying. Regarding the gender of the perpetrators, females (71%) were the main perpetrators. This study concludes that workplace violence is a major occupational health issue in the district, most especially among the psychiatric nurses.

  9. Pattern of sudden death at Ladoke Akintola University of Technology Teaching Hospital, Osogbo, South West Nigeria

    Directory of Open Access Journals (Sweden)

    Akinwusi PO

    2013-06-01

    Full Text Available Patience Olayinka Akinwusi,1,2 Akinwumi Oluwole Komolafe,3 Olanrewaju Olayinka Olayemi,2 Adeleye Abiodun Adeomi41Department of Medicine, College of Health Sciences, Osun State University, 2Department of Medicine, LAUTECH Teaching Hospital, Osogbo, 3Department of Morbid Anatomy, Obafemi Awolowo University Teaching, Hospitals Complex, Ile-Ife, Osun State, 4Department of Community Medicine, LAUTECH Teaching Hospital, Ogbomoso, Oyo State, NigeriaBackground: The purpose of this study was to determine the etiology and epidemiologic characteristics of sudden death at Ladoke Akintola University of Technology (LAUTECH Teaching Hospital, South West Nigeria.Methods: This was a retrospective descriptive study of all cases of natural unexpected death, either occurring out of hospital or less than 24 hours after admission to LAUTECH Teaching Hospital, over a nine-year period from January 2003 to December 2011. Data were generated from information in the case notes and autopsy reports for these cases.Results: Sudden death accounted for 29 (4.0% of 718 adult medical deaths and 1.0% of all adult medical admissions. Out-of-hospital deaths occurred in 72.4% of cases. The mean age of the patients was 46.8 ± 11.5 (range 25–74 years. The male to female ratio was 6.25:1. Cardiovascular disease were the most common cause of death (51.7%, followed by respiratory disease (20.7%, pulmonary thromboembolism (10.4%, central nervous system disease (13.8%, gastrointestinal disorders (13.8%, severe chemical/drug poisoning (13.8%, and combined cardiovascular and central nervous system disease (13.8%. Hypertension-related causes were responsible for 14/29 (48.3% of the sudden deaths. Hypertensive heart disease accounted for 86.7% of the cardiovascular deaths, hypertensive heart failure accounted for 73.3%, whilst all heart failure cases accounted for 80.0%. Left ventricular hypertrophy was present in 69.2% of the patients with hypertensive heart disease. Moderate to severe

  10. Challenges Facing Managers in Managing Conflict in Schools in the South and South Central Regions of Botswana

    Science.gov (United States)

    Morake, Nnior Machomi; Monobe, Ratau John; Dingwe, Stephonia

    2011-01-01

    The purpose of this study was to examine the challenges facing managers in managing conflict in schools of South and South Central Regions of Botswana. In this study, the schedule of interview was used to collect empirical data. A random sample of 50 school managers and deputy school managers was selected for interviews. Major findings of the…

  11. Hospital solid waste management practices in Limpopo Province, South Africa: A case study of two hospitals

    International Nuclear Information System (INIS)

    Nemathaga, Felicia; Maringa, Sally; Chimuka, Luke

    2008-01-01

    The shortcomings in the management practices of hospital solid waste in Limpopo Province of South Africa were studied by looking at two hospitals as case studies. Apart from field surveys, the generated hospital waste was weighed to compute the generation rates and was followed through various management practices to the final disposal. The findings revealed a major policy implementation gap between the national government and the hospitals. While modern practices such as landfill and incineration are used, their daily operations were not carried according to minimum standards. Incinerator ash is openly dumped and wastes are burned on landfills instead of being covered with soil. The incinerators used are also not environmentally friendly as they use old technology. The findings further revealed that there is no proper separation of wastes according to their classification as demanded by the national government. The mean percentage composition of the waste was found in the following decreasing order: general waste (60.74%) > medical waste (30.32%) > sharps (8.94%). The mean generation rates were found to be 0.60 kg per patient per day

  12. Leukaemia at Queen Elizabeth Central Hospital in Blantyre, Malawi.

    Science.gov (United States)

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

    2001-07-01

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

  13. Assessment of relative active tectonics, south central Alborz (north Iran)

    Science.gov (United States)

    Khavari, R.; Ghorashi, M.; Arian, M.

    2009-04-01

    The paper present a method for evaluating relative active tectonics based on geomorphic indices useful in evaluating morphology and topography. Indices used include: stream length-gradient index (SL), drainage basin asymmetry (Af), hypsometric integral (Hi), ratio of valley-floor width to valley height (Vf), index of drainage basin shape (Bs), and index of mountain front sinuosity (Smf). Results from the analysis are accumulated and expressed as an index of relative active tectonics (Iat), which we divide into four classes from relatively low to highest tectonic activity. The study area along the south flank of the central Alborz mountain range in north Iran is an ideal location to test the concept of an index to predict relative tectonic activity on a basis of area rather than a single valley or mountain front. The recent investigations show that neotectonism has played a key role in the geomorphic evolution of this part of the Alborz mountain range. Geomorphic indices indicate the presence of differential uplifting in the geological past. The area surrounding the Amirkabir lake shows very high relative tectonic activity.

  14. Quaternary tectonic setting of South-Central coastal California

    Science.gov (United States)

    Lettis, William R.; Hanson, Kathryn L.; Unruh, Jeffrey R.; McLaren, Marcia; Savage, William U.; Keller, Margaret A.

    2004-01-01

    Recent geodetic, geologic, and seismologic studies show that the south-central coast of California is a region of active Quaternary deformation. Northeast-directed crustal shortening is occurring in a triangular-shaped region between the Hosgri-San Simeon fault system on the west, the Southern Coast Ranges on the northeast, and the western Transverse Ranges on the south. We informally call this region the Los Osos domain. In this study, we conducted detailed geological, seismological, and geophysical investigations to characterize the nature and rates of deformation in the domain. Locations of active and potentially active faults and folds are compiled at a scale of 1:250,000 for the entire domain based primarily on onshore geologic data and offshore geophysical data. Crustal shortening in the domain is accommodated by a series of prominent northwest-trending reverse faults and localized folding. The reverse faults separate distinct structural blocks that have little or no internal deformation. Hangingwall blocks are being uplifted at rates of up to 0.2 mm/yr. Footwall blocks are either static or slowly subsiding at rates of 0.1 mm/yr or less, except for localized areas of concentrated subsidence directly adjacent to some faults. The cumulative rate of crustal shortening is about 1 to 2 mm/yr across the northern part of the domain based on observed geologic deformation. Cumulative shortening across the central and southern parts of the domain is poorly constrained by geologic data and may approach 2 to 3 mm/yr. Historical and instrumental seismicity generally are spatially associated with the uplifted blocks and bordering reverse faults to depths of about 10 km. Together with near-surface geological data and deeper crustal geophysical imaging that show high-angle faulting, the seismicity data indicate that the reverse faults probably extend to the base of the seismogenic crust. The base of the seismogenic crust may correspond with a mid-crustal detachment or

  15. Stomach cancer burden in Central and South America.

    Science.gov (United States)

    Sierra, Monica S; Cueva, Patricia; Bravo, Luis Eduardo; Forman, David

    2016-09-01

    Stomach cancer mortality rates in Central and South America (CSA) are among the highest in the world. We describe the current burden of stomach cancer in CSA. We obtained regional and national-level cancer incidence data from 48 population-based registries (13 countries) and nation-wide cancer deaths from WHO's mortality database (18 countries). We estimated world population age-standardized incidence (ASR) and mortality (ASMR) rates per 100,000 and estimated annual percent change to describe time trends. Stomach cancer was among the 5 most frequently diagnosed cancers and a leading cause of cancer mortality. Between CSA countries, incidence varied by 6-fold and mortality by 5-6-fold. Males had up to 3-times higher rates than females. From 2003 to 2007, the highest ASRs were in Chile, Costa Rica, Colombia, Ecuador, Brazil and Peru (males: 19.2-29.1, females: 9.7-15.1). The highest ASMRs were in Chilean, Costa Rican, Colombian and Guatemalan males (17.4-24.6) and in Guatemalan, Ecuadorian and Peruvian females (10.5-17.1). From 1997 to 2008, incidence declined by 4% per year in Brazil, Chile and Costa Rica; mortality declined by 3-4% in Costa Rica and Chile. 60-96% of all the cancer cases were unspecified in relation to gastric sub-site but, among those specified, non-cardia cancers occurred 2-13-times more frequently than cardia cancers. The variation in rates may reflect differences in the prevalence of Helicobacter pylori infection and other risk factors. High mortality may additionally reflect deficiencies in healthcare access. The high proportion of unspecified cases calls for improving cancer registration processes. Copyright © 2015 International Agency for Research on Cancer. Published by Elsevier Ltd.. All rights reserved.

  16. Prostate cancer burden in Central and South America.

    Science.gov (United States)

    Sierra, Mónica S; Soerjomataram, Isabelle; Forman, David

    2016-09-01

    The incidence of prostate cancer has increased in Central and South America (CSA) in the last few decades. We describe the geographical patterns and trends of prostate cancer in CSA. We obtained regional and national-level cancer incidence data from 48 population-based registries in 13 countries and nation-wide cancer deaths from the WHO mortality database for 18 countries. We estimated world population age-standardized incidence (ASR) and mortality (ASMR) rates per 100,000 person-years for 2003-2007 and the estimated annual percent change (EAPC) to describe time trends. Prostate cancer was the most common cancer diagnosis and one of the leading causes of cancer deaths among males in most CSA countries. From 2003-2007, ASRs varied between countries (6-fold) and within countries (Brazil: 3-6-fold). French Guyana (147.1) and Brazil (91.4) had the highest ASRs whereas Mexico (28.9) and Cuba (24.3) had the lowest. ASMRs varied by 4-fold. Belize, Uruguay and Cuba (24.1-28.9) had the highest ASMRs while Peru, Nicaragua, and El Salvador (6.8-9.7) had the lowest. In Argentina, Brazil, Chile and Costa Rica prostate cancer incidence increased by 2.8-4.8% annually whereas mortality remained stable between 1997 and 2008. The geographic and temporal variation of prostate cancer rates observed in CSA may in part reflect differences in diagnostic and registration practices, healthcare access, treatment and death certification, and public awareness. The incidence of prostate cancer is expected to increase given recent early detection activities and increased public awareness; however, the impact of these factors on mortality remains to be elucidated. Copyright © 2016 International Agency for Research on Cancer. Published by Elsevier Ltd.. All rights reserved.

  17. Burden of colorectal cancer in Central and South America.

    Science.gov (United States)

    Sierra, Monica S; Forman, David

    2016-09-01

    The colorectal cancer (CRC) burden is increasing in Central and South American due to an ongoing transition towards higher levels of human development. We describe the burden of CRC in the region and review the current status of disease control. We obtained regional- and national-level incidence data from 48 population-based cancer registries in 13 countries, as well as cancer deaths from the WHO mortality database for 18 countries. We estimated world population age-standardized incidence (ASR) and mortality (ASMR) rates per 100,000 person-years for 2003-2007 and the estimated annual percentage change for 1997-2008. The CRC rate in males was 1-2 times higher than that in females. In 2003-2007, the highest ASRs were seen in Uruguayan, Brazilian and Argentinean males (25.2-34.2) and Uruguayan and Brazilian females (21.5-24.7), while El Salvador had the lowest ASR in both sexes (males: 1.5, females: 1.3). ASMRs were<10 for both sexes, except in Uruguay, Cuba and Argentina (10.0-17.7 and 11.3-12.0). CRC incidence is increasing in Chilean males. Most countries have national screening guidelines. Uruguay and Argentina have implemented national screening programs. Geographic variation in CRC and sex gaps may be explained by differences in the prevalence of obesity, physical inactivity, diet, smoking and alcohol consumption, early detection, and cancer registration practices. Establishing optimal CRC screening programs is challenging due to lack of healthcare access and coverage, funding, regional differences and inadequate infrastructure, and may not be feasible. Given the current status of CRC in the region, data generated by population-based cancer registries is crucial for cancer control planning. Copyright © 2015 International Agency for Research on Cancer. Published by Elsevier Ltd.. All rights reserved.

  18. Diabetes in South and Central America: an update.

    Science.gov (United States)

    Aschner, Pablo; Aguilar-Salinas, Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; de Lapertosa, Sylvia Gorban; Seclen, Segundo; Vinocour, Mary

    2014-02-01

    The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20-79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  19. Notes from a field hospital south of Mosul.

    Science.gov (United States)

    Quinn V, John M; Amouri, Omar F; Reed, Pete

    2018-03-06

    This short letter from the field is offered as a rapid communiqué of the emergency medical situation in Mosul and surrounding areas on the eve of the final onslaught to liberate the city. This letter is based on emergency medical work at two World Health Organization (WHO) and Ministry of Health (MoH) Iraq lead Role II+ Field Hospital facilities south of Mosul City from April to June 2017; these facilities are currently and temporarily managed and administered by private medical industry until full handover to MoH Iraq, with WHO support and expert facilitation. The prominence of non-state actors in the conflict, using hybrid warfare tactics that maximize casualties, makes health security a particular challenge for the global community. This challenge requires health leaders and other actors in the region to set clear strategic goals that support public health of the many millions displaced, maimed and affected by the war. Whether in clinical medicine, development, peace and stability operations, or global health diplomacy, the shared values and conviction to best serve vulnerable communities and mitigate morbidity must embrace the lessons of evidenced based practice derived from military medical experience. WHO is leading the charge in disaster response for the conflict in Iraq, and many challenges remain. This might also include developing a new process in emergency medical response that utilizes private contracting to improve efficiency in delivery and overall sustainability.

  20. The politics of black patients' identity: ward-rounds on the 'black side' of a South African psychiatric hospital.

    Science.gov (United States)

    Swartz, L

    1991-06-01

    There are many macrosocial studies of the political organisation of health and mental health care in South Africa, and the maldistribution of resources by race is well known. Little attention, however, has been given to the minutiae of the negotiation of power in the clinical setting. This article, which reports on part of a larger study of aspects of culture in South African psychiatry, focuses on interactions in ward-rounds on the 'Black side' of a South African psychiatric hospital. Through analysis of cases, the complexity of interpreting what transpires in such a setting and the central role that the concept of culture has in debates amongst staff members are demonstrated. Close analysis demonstrates the inadequacy of models which seek to locate the institutional racism of apartheid psychiatry in the motives of individual clinicians. Clinicians may simultaneously reproduce and subvert aspects of apartheid practice. A consideration of the social positioning of the clinician both as a South African and as a practitioner of psychiatry is central to the development of psychiatry in a post-apartheid South Africa.

  1. Geologic framework and petroleum systems of Cook Inlet basin, south-central Alaska

    Science.gov (United States)

    LePain, D.L.; Stanley, R.G.; Helmold, K.P.; Shellenbaum, D.P.; Stone, D.M.; Hite, D.M.

    2013-01-01

    This report provides a comprehensive overview of the stratigraphy, structure, tectonics, and petroleum systems of the Cook Inlet basin, an important oil- and gas-producing region in south-central Alaska.

  2. Stream and Aquifer Biology of South-Central Texas - A Literature Review, 1973-97

    National Research Council Canada - National Science Library

    Ourso, Robert T; Hornig, C. E

    2000-01-01

    This report summarizes in table format 32 aquatic vertebrate (primarily fish), 54 aquatic invertebrate, and 13 aquatic plant studies available for the area of the South-Central Texas study unit of the U.S...

  3. Particulate Matter Concentration Levels in South Central Richmond, California (Invited)

    Science.gov (United States)

    Bonner, B.; Byias, C.; Cuff, K. E.; Diaz, J.; Love, K.; Marks-Block, T.; McLane, F.; Mollique, Z.; Montes, E.; Ross, R.; Washington, B.

    2009-12-01

    South Central Richmond, California is the home of one of the nation’s most innovative green workforce training centers, Richmond BUILD - Green Jobs Training facility. A near constant stream of young people engaged in training activities, instructors, invited guests, and journalists of various ages can be seen moving in and out of the facility nearly every day of the week throughout a given year. Additionally, the comings and goings of young children and adults associated with a mid-sized elementary school just north of the facility contributes to the general area’s substantial human traffic. Unfortunately, however, a major highway, Interstate 580, a major thoroughfare, 23rd Street and a railway line operated by Burlington Northern Santa Fe, Union Pacific, and the Richmond Pacific Railroad frame the triangular area within which these two sites are situated. In addition, a major petrochemical complex and several shipping facilities are located less than three kilometers away north and west of this area. As part of a general assessment of air quality in this heavily human traveled area, we conducted a study of particulate matter (PM) concentrations over a five-month period beginning in August of 2009. Measurements were made at a variety of locations, and results were used to map the spatial distribution of PM of various sizes. Regions of high concentration levels were identified, and these particular areas then were monitored over time. Preliminary results of our study indicate that regions with high concentrations are consistent across the range of particle sizes measured, which suggests a common source for PM found in the study area. As these regions are located close to a major thoroughfare and railway line, we believe that diesel-burning vehicles are major contributors to the PM levels found in the study area. Time series results suggest a fairly strong correlation between higher than average PM concentrations and abnormally high wind gusts. On days when wind

  4. Uranium metallogenic geological conditions in the south central section of da hinggan mountains

    International Nuclear Information System (INIS)

    Wang Qing; Liu Qing

    2014-01-01

    The south central section of Da Hinggan Mountains, where the Zha Lantun prospecting zones of volcanic type uranium ore, is a high density concentrated distribution area of uranium and polymetallic mineral. This article elaborated uranium metallogenic geological conditions in the south central section of Da Hinggan Mountain, from the tectonic conditions, the source of uranium, the heat source, the space for ore-forming, hydrothermal alteration, the mineralization, and ect. This area has a good prospecting foreground and potentiality. (authors)

  5. Groundwater quality on dairy farms in central South Africa

    African Journals Online (AJOL)

    Keywords: Water quality, groundwater, E. coli, coliforms, nitrate, hardness, dairy farms. INTRODUCTION ... a major contributor to the South African economy through ..... co.za/milk-procurement-model (Accessed 1 November 2013). DAHIYA S ...

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

    African Journals Online (AJOL)

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

  7. Severe Enterovirus Infections in Hospitalized Children in the South of England: Clinical Phenotypes and Causative Genotypes.

    Science.gov (United States)

    de Graaf, Hans; Pelosi, Emanuela; Cooper, Andrea; Pappachan, John; Sykes, Kim; MacIntosh, Iain; Gbesemete, Diane; Clark, Tristan W; Patel, Sanjay V; Faust, Saul N; Tebruegge, Marc

    2016-07-01

    Most enterovirus surveillance studies lack detailed clinical data, which limits their clinical usefulness. This study aimed to describe the clinical spectrum and outcome of severe enterovirus infections in children, and to determine whether there are associations between causative enterovirus genotypes and clinical phenotypes. Retrospective analysis of microbiological and clinical data from a tertiary children's hospital in the South of England over a 17-month period (2012-2013). In total, 30 patients were identified, comprising sepsis (n = 9), myocarditis (n = 8), meningitis (n = 8) and encephalitis (n = 5). Cases with sepsis or myocarditis were significantly younger than those with central nervous system disease (median age 21 and 15 days vs. 79 days; P = 0.0244 and P = 0.0310, respectively). There was considerable diversity in the causative genotypes in each of the clinical phenotypes, with some predominance of echoviruses in the meningitis group, and coxsackie B viruses in the myocarditis group. Thirteen cases required mechanical ventilation, 11 cases inotropic support, 3 cases dialysis and 3 cases extracorporal membrane oxygenation. The overall mortality was 10% (sepsis group, n = 1; myocarditis group, n = 2). Of the survivors, 5 (19%) had long-term sequelae (myocardial dysfunction, n = 2; neurological sequelae, n = 3). Patients with encephalitis had the longest hospital stay (median: 16 days), compared with 9, 6 and 3 days in patients with myocarditis, sepsis and meningitis, respectively (P = 0.005). Enterovirus infections, particularly enteroviral myocarditis and encephalitis, can cause significant morbidity and mortality. The results show that there are currently no strong associations between clinical phenotypes and particular causative enterovirus genotypes in the South of England.

  8. Severe Enterovirus Infections in Hospitalized Children in the South of England

    Science.gov (United States)

    de Graaf, Hans; Pelosi, Emanuela; Cooper, Andrea; Pappachan, John; Sykes, Kim; MacIntosh, Iain; Gbesemete, Diane; Clark, Tristan W.; Patel, Sanjay V.; Faust, Saul N.

    2016-01-01

    Background: Most enterovirus surveillance studies lack detailed clinical data, which limits their clinical usefulness. This study aimed to describe the clinical spectrum and outcome of severe enterovirus infections in children, and to determine whether there are associations between causative enterovirus genotypes and clinical phenotypes. Methods: Retrospective analysis of microbiological and clinical data from a tertiary children’s hospital in the South of England over a 17-month period (2012–2013). Results: In total, 30 patients were identified, comprising sepsis (n = 9), myocarditis (n = 8), meningitis (n = 8) and encephalitis (n = 5). Cases with sepsis or myocarditis were significantly younger than those with central nervous system disease (median age 21 and 15 days vs. 79 days; P = 0.0244 and P = 0.0310, respectively). There was considerable diversity in the causative genotypes in each of the clinical phenotypes, with some predominance of echoviruses in the meningitis group, and coxsackie B viruses in the myocarditis group. Thirteen cases required mechanical ventilation, 11 cases inotropic support, 3 cases dialysis and 3 cases extracorporal membrane oxygenation. The overall mortality was 10% (sepsis group, n = 1; myocarditis group, n = 2). Of the survivors, 5 (19%) had long-term sequelae (myocardial dysfunction, n = 2; neurological sequelae, n = 3). Patients with encephalitis had the longest hospital stay (median: 16 days), compared with 9, 6 and 3 days in patients with myocarditis, sepsis and meningitis, respectively (P = 0.005). Conclusions: Enterovirus infections, particularly enteroviral myocarditis and encephalitis, can cause significant morbidity and mortality. The results show that there are currently no strong associations between clinical phenotypes and particular causative enterovirus genotypes in the South of England. PMID:26882165

  9. Central radiological department of the Jahn Ferenc hospital and medical center

    Energy Technology Data Exchange (ETDEWEB)

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

    1982-01-01

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

  10. Medical costs, Cesarean delivery rates, and length of stay in specialty hospitals vs. non-specialty hospitals in South Korea.

    Directory of Open Access Journals (Sweden)

    Seung Ju Kim

    Full Text Available Since 2011, specialty hospitals in South Korea have been known for providing high- quality care in specific clinical areas. Much research related to specialty hospitals and their performance in many such areas has been performed, but investigations about their performance in obstetrics and gynecology are lacking. Thus, we aimed to compare specialty vs. non-specialty hospitals with respect to mode of obstetric delivery, especially the costs and length of stay related to Cesarean section (CS procedures, and to provide evidence to policy-makers for evaluating the success of hospitals that specialize in obstetric and gynecological (OBGYN care.We obtained National Health Insurance claim data from 2012 to 2014, which included information from 418,141 OBGYN cases at 214 hospitals. We used a generalized estimating equation model to identify a potential association between the likelihood of CS at specialty hospitals compared with other hospitals. We also evaluated medical costs and length of stay in specialty hospitals according to type of delivery.We found that 150,256 (35.9% total deliveries were performed by CS. The odds ratio of CS was significantly lower in specialty hospitals (OR: 0.95, 95% CI: 0.93-0.96compared to other hospitals Medical costs (0.74% and length of stay (1% in CS cases increased in specialty hospitals, although length of stay following vaginal delivery was lower (0.57% in specialty hospitals compared with other hospitals.We determined that specialty hospitals are significantly associated with a lower likelihood of CS delivery and shorter length of stay after vaginal delivery. Although they are also associated with higher costs for delivery, the increased cost could be due to the high level of intensive care provided, which leads to improve quality of care. Policy-makers should consider incentive programs to maintain performance of specialty hospitals and promote efficiency that could reduce medical costs accrued by patients.

  11. Agrolandscape Research of Geosystems in the South of Central Siberia

    Science.gov (United States)

    Lysanova, G.; Soja, A. J.

    2012-12-01

    Minusinskaya basin, the area under research, is situated in the south of Central Siberia and is an agrarian region, which differs from another territories of Siberia. The territory provides for foodstuff not only its population but another regions as well. Nature-climate conditions favour the development of agriculture and cattle-breeding. Complex geographical study of rural lands, which is implemented by two approaches: a natural and industrial system block is necessary for rational use of agrolandscapes. Agrolandscapes are objects for rationalization of land management in agricultural regions. From our point of view application of a landscape map as a base for working out of agrolandscape map (Fig. 1a) and a map of agronatural potential of geosystems (Fig. 2), gives an opportunity to take stock of reserves of agricultural lands not only in quantitative but qualitative respects and also to determine the ways of optimal transformation of arable lands depending on nature conditions of regions and their development. Landscape maps that reflect differentiation of not only natural formations, changed by anthropogenious influence and also natural analogues, concern to a number of important tools of planning for optimal land use. The main principles of working out of typological landscape map of a medium scale aroused from targets and tasks of agrolandscape estimation of the territory [1]. The landscape map was worked out according to V.A. Nikolaev's methodology [2]: types of landscapes correlated with types of lands use, composition of cereals in rotation of crops, agro-techniques, crop capacity, climate indices, etc. Existing natural-agricultural systems are shown in the map. Their characteristics includes information about natural and agricultural blocks. Agronatural potential had been calculated by summarize estimations of its component parts. As a result of these calculations 30 arable agrolandscapes, marked out into the landscape map, were joined according to summ

  12. Neurocysticercosos in South-Central America and the Indian Subcontinent: a comparative evaluation

    Directory of Open Access Journals (Sweden)

    Gagandeep Singh

    1997-09-01

    Full Text Available Neurocysticercosis is an important public health problem in South-Central America and South Asia. A review of the differences in epidemiological and clinical attributes of cysticercosis and taeniasis in South Central America and India, respectively, is undertaken in the present communication. Intestinal taeniasis is hyperendemic in several American countries. In comparison, the prevalence of Taenia solium infestation is lower in India. The clinical manifestations in several American neurocysticercosis series comprise epilepsy, intracranial hypertension and meningeal - racemose cysticercosis, in roughly equal proportions. An overwhelming majority of the Indian subjects present with seizures. The commonest pathological substrate of the disorder in Indian patients is the solitary parenchymal degenerating cyst. The reasons for the predominance of solitary forms in India, and of multilesional forms in South Central America are discussed. The magnitude of Taenia solium infestation and the frequency of pork consumption in a given population appear to influence the quantum of cyst load in affected individuals.

  13. The profile of meningitis in a tertiary paediatric hospital in South Africa

    African Journals Online (AJOL)

    Background. Meningitis in children is a major health problem worldwide, leading to high rates of mortality and morbidity. Objectives. To describe the profile of patients treated for meningitis at a leading tertiary paediatric hospital (Red Cross War Memorial Children's Hospital) in South Africa. Methods. This study describes all ...

  14. A case study investigation of the indoor environmental noise in four urban South African hospitals

    CSIR Research Space (South Africa)

    Van Reenen, CA

    2015-11-01

    Full Text Available This multiple case study was designed to investigate acoustics in multi-bed general wards in four urban South African hospitals. Evidence-based research shows that a quiet indoor environment has positive outcomes for hospital patients and staff...

  15. Nature and pattern of primary teeth extractions in a tertiary care hospital setting in South India

    Directory of Open Access Journals (Sweden)

    Shini Susan Samuel

    2018-01-01

    Full Text Available Background: Many studies have been carried out on the prevalence of dental diseases in children although not much information is available regarding its outcome among Indian children. Aim: The aim of the present study was to analyze the type of primary tooth extracted and the reasons for the extraction among children attending a tertiary care hospital in the Southern part of India. Materials and Methods: The dental records of pediatric patients who had visited the dental clinic of a tertiary care hospital located in Tamil Nadu, South India from December 2013 to November 2016 were reviewed. Patients who underwent extraction of at least one primary tooth under local or general anesthesia were included in the study. Results: A total of 943 primary teeth were extracted from 447 patients over 3 years. The most commonly extracted tooth type was the first primary molar followed by the primary central incisor. Grouping by age, the most frequently extracted tooth type between 2 and 5 years was the primary central incisor, the first primary molar among the 6–9-year-old and the second primary molar among 10–15-year-old. The majority of primary teeth extractions were performed in the age group of 6–9 years. No significant gender differences were noted. The most common reason for extraction of primary teeth in children was dental caries. Conclusions: This study demonstrates a high prevalence of untimely primary teeth extractions in young children and dental caries continues to be the leading cause. It clearly reflects on the lack of infant oral health care, the inadequacy of awareness and underutilization of oral health services among children in India.

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

    African Journals Online (AJOL)

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

  17. Influences on hospital admission for asthma in south Asian and white adults: qualitative interview study.

    Science.gov (United States)

    Griffiths, C; Kaur, G; Gantley, M; Feder, G; Hillier, S; Goddard, J; Packe, G

    2001-10-27

    To explore reasons for increased risk of hospital admission among south Asian patients with asthma. Qualitative interview study using modified critical incident technique and framework analysis. Newham, east London, a deprived area with a large mixed south Asian population. 58 south Asian and white adults with asthma (49 admitted to hospital with asthma, 9 not admitted); 17 general practitioners; 5 accident and emergency doctors; 2 out of hours general practitioners; 1 asthma specialist nurse. Patients' and health professionals' views on influences on admission, events leading to admission, general practices' organisation and asthma strategies, doctor-patient relationship, and cultural attitudes to asthma. South Asian and white patients admitted to hospital coped differently with asthma. South Asians described less confidence in controlling their asthma, were unfamiliar with the concept of preventive medication, and often expressed less confidence in their general practitioner. South Asians managed asthma exacerbations with family advocacy, without systematic changes in prophylaxis, and without systemic corticosteroids. Patients describing difficulty accessing primary care during asthma exacerbations were registered with practices with weak strategies for asthma care and were often south Asian. Patients with easy access described care suggesting partnerships with their general practitioner, had better confidence to control asthma, and were registered with practices with well developed asthma strategies that included policies for avoiding hospital admission. The different ways of coping with asthma exacerbations and accessing care may partly explain the increased risk of hospital admission in south Asian patients. Interventions that increase confidence to control asthma, confidence in the general practitioner, understanding of preventive treatment, and use of systemic corticosteroids in exacerbations may reduce hospital admissions. Development of more sophisticated

  18. Management of snakebites at a rural South African hospital

    African Journals Online (AJOL)

    antivenom, inappropriate first aid, the regional effects of envenomation ... is crucial for primary care physicians to be familiar with the most common venomous snakes in South Africa and the ..... Pediatric and Neonatal Emergency Care.

  19. Work-related well-being of South African hospital pharmacists

    Directory of Open Access Journals (Sweden)

    Sebastiaan Rothmann

    2011-06-01

    Research purpose: The objective of this study was to investigate whether job stress and coping strategies could predict the work-related well-being (burnout and work engagement of hospital pharmacists in South Africa. Motivation for the study: Information about the work-related well-being and coping strategies of hospital pharmacists could be used to plan individual and organisational interventions which can be used to retain them and to manage their well-being and performance. Research design, approach and method: A survey design was used. A stratified random sample (N = 187 of pharmacists in South African hospitals was studied. The Maslach Burnout Inventory – Human Services Survey, Utrecht Work Engagement Scale, Pharmacist Stress Inventory and the COPE questionnaire were administered. Main findings: The results showed that job related stress and three coping strategies (approach coping, avoidant coping, and turning to religion predicted burnout and work engagement of South African hospital pharmacists. Practical implications: Job stressors that are in the main responsible for the unfavourable work environment and that lead to the development of burnout amongst hospital pharmacists should be addressed. It is also important to enhance the coping capabilities of the hospital pharmacists. Contribution/value-add: The findings of this study provide insight into the factors impacting on the work-related well-being of hospital pharmacists in South Africa.

  20. The relationship between bed size and profitability in South Carolina hospitals.

    Science.gov (United States)

    Kim, Yang K; Glover, Saundra H; Stoskopf, Carleen H; Boyd, Suzan D

    2002-01-01

    The purpose of the study is to identify factors affecting hospital profitability and to find the optimal hospital bed size that assures maximum profit. This is a cross-sectional study using survey data obtained from acute care hospitals in South Carolina in 1997. The relationship of hospital profitability and hospital bed size revealed that when bed size increases, hospital profitability increases, decreases, and then increases again. For the patient profit proportion, the turning points in bed size are 238.22 and 560.08. For the total profit proportion, the turning points in bed size are 223.31 and 503.86. The results on the relationship between bed size and hospital profitability indicate that medium-size hospitals have less profitability.

  1. Management of incomplete abortions at South African public hospitals

    African Journals Online (AJOL)

    Journal Home > Vol 87, No 4 (1997) > ... Length of hospital stay, details of medical management, details of surgical ... Of these, 767 (95.9%) were in hospital for 1 day or more, and 753 (95.3%) women underwent evacuation of the uterus.

  2. Placer chromite along south Maharashtra, central west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Gujar, A.R.; Ambre, N.V.; Iyer, S.D.; Mislankar, P.G.; Loveson, V.J.

    . An examination of the electron photomicrographs revealed several features of the chromite grains (Figure 5 c to f ). Grains display mechanical breaking such as con- choidal to sub-conchoidal fractures, V-shaped impact depressions and irregular cracks... . In this article we describe the occurrence, mineralogy, geochemistry, transport mechanisms, provenance and economic feasibility of the chromite deposit of south Maharashtra coast. Methodology Surficial and sub-surficial samples from various physi- ographic...

  3. Detection and Characterisation of Anaplasma marginale and A. centrale in South Africa

    Directory of Open Access Journals (Sweden)

    Paidashe Hove

    2018-03-01

    Full Text Available Bovine anaplasmosis is endemic in South Africa and it has a negative economic impact on cattle farming. An improved understanding of Anaplasma marginale and Anaplasma marginale variety centrale (A. centrale transmission, together with improved tools for pathogen detection and characterisation, are required to inform best management practices. Direct detection methods currently in use for A. marginale and A. centrale in South Africa are light microscopic examination of tissue and organ smears, conventional, nested, and quantitative real-time polymerase chain reaction (qPCR assays, and a reverse line blot hybridisation assay. Of these, qPCR is the most sensitive for detection of A. marginale and A. centrale in South Africa. Serological assays also feature in routine diagnostics, but cross-reactions prevent accurate species identification. Recently, genetic characterisation has confirmed that A. marginale and A. centrale are separate species. Diversity studies targeting Msp1a repeats for A. marginale and Msp1aS repeats for A. centrale have revealed high genetic variation and point to correspondingly high levels of variation in A. marginale outer membrane proteins (OMPs, which have been shown to be potential vaccine candidates in North American studies. Information on these OMPs is lacking for South African A. marginale strains and should be considered in future recombinant vaccine development studies, ultimately informing the development of regional or global vaccines.

  4. Prevalence of Legionella spp. in water systems of hospitals and hotels in South Western Greece.

    Science.gov (United States)

    Fragou, K; Kokkinos, P; Gogos, C; Alamanos, Y; Vantarakis, A

    2012-01-01

    The aim of the present study was to determine the prevalence of Legionella spp. in water systems of hospitals and hotels located in South Western Greece, to study the molecular epidemiology of the isolated strains and their possible association with bacterial contamination (total count and Pseudomonas aeruginosa), the water pH, and temperature. A prevalence survey for Legionella spp. by culturing techniques in water distribution systems of eight hospitals and nine hotels occurred in South Western Greece. Water sampling and microbiological analysis were carried out following the ISO methods. Legionella pneumophila was detected in 33% and 36% of the distribution systems of hospitals and hotels, respectively. Our survey results suggest a frequent prevalence of elevated concentrations of Legionella spp. in water systems of hospitals and hotels. Our investigation has confirmed the need to regularly monitor the microbiological condition of water systems in hospitals and hotels.

  5. Hilton's Rest and Pain, Guy's Hospital personalities and Guy's South ...

    African Journals Online (AJOL)

    H Dubovsky. Guy's Hospital occupies a unique position in medical history. John Hilton (1805 ... unsuitability of temperament, became a leading English poet. ... existed at the time a keen competitive rugby league among ... rugby football side.

  6. Childhood liver diseases in Ga-Rankuwa Hospital, South Africa ...

    African Journals Online (AJOL)

    Rankuwa Hospital Histopathology Laboratory. Design: A retrospective study. Setting: Ga-Rankuwa Histopathology Laboratory. Subjects: Seventy two patients who underwent a liver biopsy during the study period. Methods: Laboratory records ...

  7. The development of hospitalbased palliative care services in public hospitals in the Western Cape South Africa

    Directory of Open Access Journals (Sweden)

    L Gwyther

    2018-02-01

    Full Text Available With the recent approval of a South African (SA National Policy Framework and Strategy for Palliative Care by the National Health Council, it is pertinent to reflect on initiatives to develop palliative care services in public hospitals. This article reviews the development of hospital-based palliative care services in the Western Cape, SA. Palliative care services in SA started in the non-governmental sector in the 1980s. The first SA hospital-based palliative care team was established in Charlotte Maxeke Johannesburg Academic Hospital in 2001. The awareness of the benefit of palliative care in the hospital setting led to the development of isolated pockets of excellence providing palliative care in the public health sector in SA. This article describes models for palliative care at tertiary, provincial and district hospital level, which could inform development of hospital-based palliative care as the national policy for palliative care is implemented in SA.

  8. Preliminary geology of eastern Umtanum Ridge, South-Central Washington

    Energy Technology Data Exchange (ETDEWEB)

    Goff, F.E.

    1981-01-01

    The basalt stratigraphy and geologic structures of eastern Umtanum Ridge have been mapped and studied in detail to help assess the feasibility of nuclear waste terminal storage on the Hanford Site in southeastern Washington State. Eastern Umtanum Ridge is an asymmetric east-west-trending anticline of Columbia River basalt that plunges 5 degrees eastward into the Pasco Basin. Geologic mapping and determination of natural remanent magnetic polarity and chemical composition reveal that flows of the Pomona and Umatilla Members (Saddle Mountains Basalt), Priest Rapids and Frenchman Springs Members (Wanapum Basalt), and Grande Ronde Basalt were erupted as fairly uniform sheets. The Wahluke and Huntzinger flows (Saddle Mountains Basalt) fill a paleovalley cut into Wanapum Basalt. No evidence was found to indicate Quaternary-age movement on any structures in the map area. The basalt strata on the south limb of the Umtanum anticline display relatively little tectonic deformation since Miocene-Pliocene time. Thus, the buried south flank of Umtanum Ridge may provide an excellent location for a nuclear waste repository beneath the Hanford Site.

  9. Preliminary geology of eastern Umtanum Ridge, South-Central Washington

    International Nuclear Information System (INIS)

    Goff, F.E.

    1981-01-01

    The basalt stratigraphy and geologic structures of eastern Umtanum Ridge have been mapped and studied in detail to help assess the feasibility of nuclear waste terminal storage on the Hanford Site in southeastern Washington State. Eastern Umtanum Ridge is an asymmetric east-west-trending anticline of Columbia River basalt that plunges 5 degrees eastward into the Pasco Basin. Geologic mapping and determination of natural remanent magnetic polarity and chemical composition reveal that flows of the Pomona and Umatilla Members (Saddle Mountains Basalt), Priest Rapids and Frenchman Springs Members (Wanapum Basalt), and Grande Ronde Basalt were erupted as fairly uniform sheets. The Wahluke and Huntzinger flows (Saddle Mountains Basalt) fill a paleovalley cut into Wanapum Basalt. No evidence was found to indicate Quaternary-age movement on any structures in the map area. The basalt strata on the south limb of the Umtanum anticline display relatively little tectonic deformation since Miocene-Pliocene time. Thus, the buried south flank of Umtanum Ridge may provide an excellent location for a nuclear waste repository beneath the Hanford Site

  10. Oesophageal squamous cell cancer in a South African tertiary hospital

    African Journals Online (AJOL)

    Background. Oesophageal cancer is the eighth most common cancer .... patients from the entire eastern seaboard of South Africa. Patients ... a school graduate and a household income of more than R10 .... (p = 0.63); however a significant difference in dental care .... Coping with esophageal cancer approaches worldwide.

  11. Oesophageal squamous cell cancer in a South African tertiary hospital

    African Journals Online (AJOL)

    The site of tumour location was in the middle 96 (60.4%), distal 42(26.4%) and proximal 17(10.6%) oesophagus. The male to female ratio was 1:1 ... with HIV negative patients. Key words: Oesophageal cancer, squamous cell cancer, HIV, dental hygiene, socioeconomic status, South Africa, esophageal cancer, risk factors ...

  12. Recurrent mesoproterozoic continental magmatism in South-Central Norway

    DEFF Research Database (Denmark)

    Pedersen, Svend; Andersen, Tom; Konnerup-Madsen, Jens

    2009-01-01

    rocks and metasediments from the Byglandsfjorden supracrustal cover sequence, and metaigneous rocks which intruded the whole succession. The main crustal evolution took place from 1,550-1,020 Ma, beginning with the emplacement of juvenile tonalitic melts; the contribution of older crustal material......We report U-Pb dates and Lu-Hf isotope data, obtained by LAM-ICPMS, for zircons from metamorphic rocks of the Setesdalen valley, situated in the Telemark block south of the classic Telemark region of southern Norway. The samples include infracrustal rocks from the metamorphic basement, metaigneous...... is represented by supracrustal rocks, principally metarhyolites with minor mafic material and immature sediments of the Byglandsfjorden Group. The crust generation processes ended with the intrusion of diorites and granodiorites at 1,030 Ma, late in the Sveconorwegian orogeny. Regional processes of metamorphism...

  13. Splenectomy for hematological diseases: The Qatif Central HospitalExperience

    International Nuclear Information System (INIS)

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

    1999-01-01

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

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

    Science.gov (United States)

    McPake, Barbara; Hongoro, Charles; Russo, Giuliano

    2011-06-02

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

  15. Late Cenozoic structure and stratigraphy of south-central Washington

    International Nuclear Information System (INIS)

    Reidel, S.P.; Fecht, K.R.; Lindsey, K.A.

    1993-01-01

    The structural framework of the Columbia Basin began developing before Columbia River Basalt Group (CRBG) volcanism. Prior to 17.5 Ma, the eastern part of the basin was a relatively stable area, with a basement of Paleozoic and older crystalline rock. The western part was an area of subsidence in which large volumes of sediment and volcanic rocks accumulated. Concurrent with eruption of the CRBG, anticlinal ridges of the Yakima Fold Belt (YFB) were growing under north-south compression. Topographic expression of these features was later masked by the large volume of CRBG basalt flowing west from fissures in the eastern Columbia Basin. The folds continued to develop after cessation of volcanism, leading to as much as 1,000 m of structural relief in the past 10 million years. Post-CRBG evolution of the Columbia Basin is recorded principally in folding and faulting in the YFB and sediments deposited in the basins. The accompanying tectonism resulted in lateral migration of major depositional systems into subsiding structural lows. Although known late Cenozoic faults are on anticlinal ridges, earthquake focal mechanisms and contemporary strain measurements indicate most stress release is occurring in the synclinal areas under north-south compression. There is no obvious correlation between focal mechanisms for earthquakes whose foci are in the CRBG and the location of known faults. High in situ stress values help to explain the occurrence of microseismicity in the Columbia Basin but not the pattern. Microseismicity appears to occur in unaltered fresh basalt. Faulted basalt associated with the YFB is highly brecciated and commonly altered to clay. The high stress, abundance of ground water in confined aquifers of the CRBG, and altered basalt in fault zones suggest that the frontal faults on the anticlinal ridges probably have some aseismic deformation. 85 refs

  16. Interpreting gravity anomalies in south Cameroon, central Africa

    Directory of Open Access Journals (Sweden)

    Tadjou Jean Marie

    2012-10-01

    Full Text Available

    The area involved in this study is the northern part of the Congo craton, located in south Cameroon, (2.5°N - 4.5°N, 11°E - 13°E. The study involved analysing gravity data to delineate major structures and faults in south Cameroon. The region’s Bouguer gravity is

  17. Factors predisposing to low birth weight in Jimma Hospital South ...

    African Journals Online (AJOL)

    Background: Low birth weight continues to remain a major public health problem in Ethiopia in contrast to what is observed in many developing countries. Objectives: To assess some of the predisposing factors to low birth weight among deliveries in Jimma hospital. Design: Cross-sectional case referent study.

  18. Glass injuries seen in the emergency department of a South African district hospital

    OpenAIRE

    Nzaumvila, Doudou; Govender, Indiran; Kramer, Efraim B.

    2015-01-01

    BACKGROUND: The emergency department of Embhuleni Hospital frequently manages patients with glass-related injuries. This study assessed these injuries and the glass that caused them in more detail. AIM: The objectives of our study included determining the type of glass causing these injuries and describing the circumstances associated with different types of glass injuries. SETTING: The emergency department of Embhuleni Hospital in Elukwatini, Mpumalanga province, South Africa. METHODS: This ...

  19. Landscape scale attributes of elk centers of activity in the central Black Hills of South Dakota

    Science.gov (United States)

    Cynthia H. Stubblefield; Kerri T. Vierling; Mark A. Rumble

    2006-01-01

    We researched the environmental attributes (n = 28) associated with elk (n = 50) summer range (1 May ­30 Sep) in the central Black Hills of South Dakota, USA, during 1998-­2001. We defined high-use areas or centers of activity as landscapes underlying large concentrations of elk locations resulting from the shared fidelity of...

  20. Book review: Vetter, H. 2005. Terralog. Turtles of the World. Vol. 3. Central and South America

    Directory of Open Access Journals (Sweden)

    2006-12-01

    Full Text Available Book review: Vetter, H. 2005. Terralog. Turtles of the World. Vol. 3. Central and South America/Schildkröten der Welt Band 3. Mittel- und Südamerika: 1-128, color pictures 606 + 9. Edition Chimaira, Frankfurt, Germany.ISBN 3-930612-82-8; 29.7 x 20.8 cm

  1. Online Bibliographic Databases in South Central Pennsylvania: Current Status and Training Needs.

    Science.gov (United States)

    Townley, Charles

    A survey of libraries in south central Pennsylvania was designed to identify those that are using or planning to use databases and assess their perceived training needs. This report describes the methodology and analyzes the responses received form the 57 libraries that completed the questionnaire. Data presented in eight tables are concerned with…

  2. Positions, Dispositions and Practices in Education Policy in Central and South East Europe (Research in Progress)

    Science.gov (United States)

    Kos Kecojevic, Živa; Gaber, Slavko

    2012-01-01

    In the article, we present the conceptualisation and selected results of ongoing research dealing with the particular area of top decision making in education in Central and South East Europe. Aiming at a Bourdieuian type of objectification of key agents of decision making in education--ministers--a group of researchers from the region is in the…

  3. Abundance of Armillaria within old-growth eastern hemlock stands in South-Central Pennsylvania

    Science.gov (United States)

    Matthew S. Fromm; Donald D. Davis

    2007-01-01

    Abstract—In early summer 2002, 329 soil-sampling pits were dug within an old-growth, eastern hemlock (Tsuga canadensis [L.] Carrière) stand in south-central Pennsylvania recently infested with the hemlock woolly adelgid (Adelges tsugae Annand). For comparison, 199 similar pits were dug in an adjacent hardwood stand. Rhizomorphs of...

  4. Lichen communities and species indicate climate thresholds in southeast and south-central Alaska, USA

    Science.gov (United States)

    Heather T. Root; Bruce. McCune; Sarah. Jovan

    2014-01-01

    Because of their unique physiology, lichen communities are highly sensitive to climatic conditions,making them ideal bioindicators for climate change. Southeast and south-central Alaska host diverse and abundant lichen communities and are faced with a more rapidly changing climate than many more southerly latitudes. We develop sensitive lichen-based indicators for...

  5. Determining habitat potential and surveying for nine rare plant species in south-central Utah

    Science.gov (United States)

    Deborah J. Clark; Christine M. Groebner

    2001-01-01

    In south-central Utah, lands within and adjacent to Capitol Reef National Park contain populations of nine rare plant species. In an effort to enhance the combined knowledge about these species, the Bureau of Land Management, the USDA Forest Service, and the National Park Service signed an Interagency Agreement and hired an interagency biologist and field crew to...

  6. Geological analysis of paleozoic large-scale faulting in the south-central Pyrenees

    NARCIS (Netherlands)

    Speksnijder, A.

    1986-01-01

    Detailed structural and sedimentological analysis reveals the existence of an east-west directed fundamental fault zone in the south-central Pyrenees, which has been intermittently active from (at least) the Devonian on. Emphasis is laid on the stUdy of fault-bounded post-Variscan

  7. Geological analysis of paleozoic large-scale faulting in the south-central Pyrenees

    NARCIS (Netherlands)

    Speksnijder, A.

    1986-01-01

    Detailed structural and sedimentological analysis reveals the existence of an east-west directed fundamental fault zone in the south-central Pyrenees, which has been intermittently active from (at least) the Devonian on. Emphasis is laid on the stUdy of fault-bounded post-Variscan (StephanoPermian)

  8. An Examination of Social Media Policy Usage of South Central United States' Universities

    Science.gov (United States)

    Eaton, Virginia J.; Luse, Donna W.; Hodge, Thomas G.

    2012-01-01

    Since the use of social media tools by universities has expanded exponentially, a university can easily find itself in a precarious situation in a moment's notice because social media tools have been used inadvertently. This study investigated the social media policies of AACSB-International accredited schools in the SREB South Central Region of…

  9. PROCSEE: Policy Challenges for Professional Higher Education in Central and South-Eastern Europe

    Science.gov (United States)

    Policnik, Jasmina; Sauli Miklavcic, Alicia Leonor; Alupei-Durach, Flavia; Nožica, Žarko; Chrást, Ondrej; Voldánová, Iva; Karpíšek, Michal; Dinya, László; Medve, Anna; Wéber, György; Racsko, Réka; Perényi, Petra; Camilleri, Anthony F.

    2016-01-01

    PROCSEE is a policy-oriented project, aimed at strengthening the provision of professional higher education, by strengthening the policy-work conducted by umbrella organizations representing professional higher education institutions in Central and South-Eastern in Europe. Working together over three years, the project intends to: (1) identify the…

  10. Forest health restoration in south-central Alaska: a problem analysis.

    Science.gov (United States)

    Darrell W. Ross; Gary E. Daterman; Jerry L. Boughton; Thomas M. Quigley

    2001-01-01

    A spruce beetle outbreak of unprecedented size and intensity killed most of the spruce trees on millions of acres of forest land in south-central Alaska in the 1990s. The tree mortality is affecting every component of the ecosystem, including the socioeconomic culture dependent on the resources of these vast forests. Based on information obtained through workshops and...

  11. Intracardiac air- the "hospital killer' identified? | Smith | South African ...

    African Journals Online (AJOL)

    Venous access is an essential part of caring for the sick neonate. The primary problem with catheters, whether peripherally or centrally placed, is the difficulty in maintaining them, the development of phlebitis and systemic infection, and fluid extravasation. A lesser known complication is the development of venous air ...

  12. From Central Asia to South Africa: In Search of Inspiration in Rock Art Studies

    Directory of Open Access Journals (Sweden)

    Rozwadowski Andrzej

    2017-06-01

    Full Text Available The paper describes the story of discovering South African rock art as an inspiration for research in completely different part of the globe, namely in Central Asia and Siberia. It refers to those aspect of African research which proved to importantly develop the understanding of rock art in Asia. Several aspects are addressed. First, it points to importance of rethinking of relationship between art, myth and ethnography, which in South Africa additionally resulted in reconsidering the ontology of rock images and the very idea of reading of rock art. From the latter viewpoint particularly inspiring appeared the idea of three-dimensionality of rock art ‘text’. The second issue of South African ‘origin,’ which notably inspired research all over the world, concerns a new theorizing of shamanism. The paper then discusses how and to what extent this new theory add to the research on the rock art in Siberia and Central Asia.

  13. Prevalence and causes of vision loss in Central and South Asia: 1990-2010.

    Science.gov (United States)

    Jonas, Jost B; George, Ronnie; Asokan, Rashima; Flaxman, Seth R; Keeffe, Jill; Leasher, Janet; Naidoo, Kovin; Pesudovs, Konrad; Price, Holly; Vijaya, Lingam; White, Richard A; Wong, Tien Y; Resnikoff, Serge; Taylor, Hugh R; Bourne, Rupert R A

    2014-05-01

    To examine the prevalence, patterns and trends of vision impairment and its causes from 1990 to 2010 in Central and South Asia. Based on the Global Burden of Diseases Study 2010 and ongoing literature searches, we examined prevalence and causes of moderate and severe vision impairment (MSVI; presenting visual acuity Central Asia, the estimated age-standardised prevalence of blindness decreased from 0.4% (95% CI 0.3% to 0.6%) to 0.2% (95% CI 0.2% to 0.3%) and of MSVI from 3.0% (95% CI 1.9% to 4.7%) to 1.9% (95% CI 1.2% to 3.2%), and in South Asia blindness decreased from 1.7% (95% CI 1.4% to 2.1%) to 1.1% (95% CI 0.9% to 1.3%) and MSVI from 8.9% (95% CI 6.9% to 10.9%) to 6.4% (95% CI 5.2% to 8.2%). In 2010, 135 000 (95% CI 99,000 to 194,000) people were blind in Central Asia and 10,600,000 (95% CI 8,397,000 to 12,500,000) people in South Asia. MSVI was present in 1,178,000 (95% CI 772,000 to 2,243,000) people in the Central Asia, and in 71,600,000 (95% CI 57,600,000 to 92,600,000) people in South Asia. Women were generally more often affected than men. The leading causes of blindness (cataract) and MSVI (undercorrected refractive error) did not change from 1990 to 2010. The prevalence of blindness and MSVI in South Asia is still three times higher than in Central Asia and globally, with women generally more often affected than women. In both regions, cataract and undercorrected refractive error were major causes of blindness and MSVI.

  14. Transit traverse in Missouri, 1900-1937. Part 2, South-central Missouri, 1908-37

    Science.gov (United States)

    Staack, John George

    1940-01-01

    This bulletin, which for convenience is to be published in eight parts, contains the results of all transit traverse* done In Missouri through 1937 by the Geological Survey, United States Department of the Interior, including those heretofore published. (See page X.) Each of the parts deals with one of eight sections into which the State has been divided for this purpose and which have been designated northeastern, northwestern, southeastern, southwestern, central, east-central, south-central, and west-central Missouri. In each part descriptions of the points for which geodetic positions have been determined are listed according to the quadrangles in which the points occur. Results of transit traverse other than that done by the Geological Survey have not been included.South-central Missouri, as the term is used in this bulletin and as the subject of part 2 of the bulletin, is that section of the State lying south of latittude, 38°00' and between longitudes 91°15' and 93°00'.

  15. The opinion of patients at a local South Africa teaching hospital on ...

    African Journals Online (AJOL)

    Objectives: This study aimed to determine how South African patients at a regional state hospital perceived the practice of physicians accepting gifts from the pharmaceutical industry. The physician-patient relationship is built on trust, with an understanding that the physician will act ethically and in patients' best interests.

  16. A review of governance of maternity services at South Tipperary general hospital

    LENUS (Irish Health Repository)

    Flory, David

    2015-09-01

    This review of the governance of maternity services at South Tipperary General Hospital has focussed on the systems and processes for assurance of service quality, risk management and patient safety primarily inside the hospital but also in the Hospital Group structure within which it operates. The effectiveness of the governance arrangements is largely determined by the quality of the leadership and management – both clinical and general – which designs, implements, and oversees those systems and processes and is ultimately responsible and accountable.\\r\

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

    NARCIS (Netherlands)

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

    2012-01-01

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

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

    African Journals Online (AJOL)

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

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

    African Journals Online (AJOL)

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

  20. Diabetic retinopathy at the Yaoundé Central Hospital in Cameroon ...

    African Journals Online (AJOL)

    We carried out a cross-sectional analytical survey using data from patients who had done Fluorescein Angiography at the Yaounde Central Hospital Diabetic Retinopathy Prevention and Management Project between October 2007 and January 2010 to identify the risk factors, incidence and severity of different types of ...

  1. Exploring interhospital transfers and partnerships in the hospital sector in New South Wales, Australia.

    Science.gov (United States)

    Assareh, Hassan; Achat, Helen M; Levesque, Jean-Frederic; Leeder, Stephen R

    2017-12-01

    Objective The aim of the present study was to explore characteristics of interhospital transfers (IHT) and sharing of care among hospitals in New South Wales (NSW), Australia. Methods Data were extracted from patient-level linked hospital administrative datasets for separations from all NSW acute care hospitals from 1 July 2013 to 30 June 2015. Patient discharge and arrival information was used to identify IHTs. Characteristics of patients and related hospitals were then analysed. Results Transfer-in patients accounted for 3.9% of all NSW admitted patients and, overall, 7.3% of NSW admissions were associated with transfers (IHT rate). Patients with injuries and circulatory system diseases had the highest IHT rate, accounting for one-third of all IHTs. Patients were more often transferred to larger than smaller hospitals (61% vs 29%). Compared with private hospitals, public hospitals had a higher IHT rate (8.4% vs 5.1%) and a greater proportion of transfer-out IHTs (52% vs 28%). Larger public hospitals had lower IHT rates (3-8%) compared with smaller public hospitals (13-26%). Larger public hospitals received and retransferred higher proportions of IHT patients (52-58% and 11% respectively) than their smaller counterparts (26-30% and 2-3% respectively). Less than one-quarter of IHTs were between the public and private sectors or between government health regions. The number of interacting hospitals and their interactions varied across hospital peer groups. Conclusion NSW IHTs were often to hospitals with greater speciality services. The patterns of interhospital interactions could be affected by organisational and regional preferences. What is known about the topic? IHTs aim to provide efficient and effective care. Nonetheless, information on transfers and the sharing of care among hospitals in an Australian setting is lacking. Studies of transfers and hospital partnership patterns will inform efforts to improve patient-centred transfers and hospital accountability

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

    Science.gov (United States)

    Briner, Matthias; Manser, Tanja; Kessler, Oliver

    2013-04-01

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

  3. Parasuicide among youth in a general hospital in South Africa

    Directory of Open Access Journals (Sweden)

    T Mhlongo

    1999-09-01

    Full Text Available Parasuicide cases among youth (15-24 years referred to the clinical psychology section of a regional hospital from 1995 to 1998 were reviewed. In all 100 cases (37 males and 63 females were identified being about 10% of the caseload. As part of the clinical psychological assessment sociodemographic, clinical characteristics, trigger factors, employed methods and suicide intentions were analysed. Most patients were students (79% or unemployed (16%. The major method employed to attempt suicide was ingestion of harmful substances (like paraffin, pesticides or battery acid(73%. Acute social conflicts (38%, socio-economic deprivation (17%, AIDS phobia (17%, academic failure (14%, teenage pregnancy (10% and mental illness (5% triggered suicide attempts. Fifty-eight percent of the attempts were categorised as demonstrative and 27% as genuine. The psychodynamics of parasuicides are discussed in case studies and with reference to other studies.

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

    Directory of Open Access Journals (Sweden)

    Russo Giuliano

    2011-06-01

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

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

    Science.gov (United States)

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

    2013-11-01

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

  6. From The Mountain To The Sea: Exchange Between The South-Central Highlands And The South Coast During The Early Horizon Period

    OpenAIRE

    Young, Michele

    2017-01-01

    This article reviews the evidence of the exchange of obsidian and cinnabar, highly coveted resources that traveled in prehistoric Peru from the south-central highlands to the Paracas culture area. The evidence for exchange of these materials is compared with evidence of cultural exchange between the coast and the south-central highlands, focusing on ceramic materials uncovered from excavations at the archaeological site Atalla, located in the region of Huancavelica, Peru. The article argues t...

  7. Tectonic recherche of the central, south and sotheast regions of the peninsula

    International Nuclear Information System (INIS)

    Capote, R.; Goy, J.L.; Zazo, C.; Carbo, A.; Gonzalez de Vallejo, L.; Hernandez Enrile, J.L.; Urbanell, A.G.; Vegas, R.

    1984-01-01

    The research works done on neotectonics and its applications in the central region of the Peninsule (Central System, Tajo and Duero Tertiary Basins and Iberian Range), in the South and Southeast Regions (Provinces of Cadiz, Huelva, Almeria and Murcia) and in the Eastern Region (Province of Valencia and northern part of Alicante) are presented. In these regions, the analysis of the postmiocene tectonic is studied in the continental and coastal areas, using several different technics, from tectonic, geophysic and remote sensing methods to geomorphologic methods. (author)

  8. Safety climate and attitude toward medication error reporting after hospital accreditation in South Korea.

    Science.gov (United States)

    Lee, Eunjoo

    2016-09-01

    This study compared registered nurses' perceptions of safety climate and attitude toward medication error reporting before and after completing a hospital accreditation program. Medication errors are the most prevalent adverse events threatening patient safety; reducing underreporting of medication errors significantly improves patient safety. Safety climate in hospitals may affect medication error reporting. This study employed a longitudinal, descriptive design. Data were collected using questionnaires. A tertiary acute hospital in South Korea undergoing a hospital accreditation program. Nurses, pre- and post-accreditation (217 and 373); response rate: 58% and 87%, respectively. Hospital accreditation program. Perceived safety climate and attitude toward medication error reporting. The level of safety climate and attitude toward medication error reporting increased significantly following accreditation; however, measures of institutional leadership and management did not improve significantly. Participants' perception of safety climate was positively correlated with their attitude toward medication error reporting; this correlation strengthened following completion of the program. Improving hospitals' safety climate increased nurses' medication error reporting; interventions that help hospital administration and managers to provide more supportive leadership may facilitate safety climate improvement. Hospitals and their units should develop more friendly and intimate working environments that remove nurses' fear of penalties. Administration and managers should support nurses who report their own errors. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  9. Tree species composition and structure in an old bottomland hardwood forest in south-central Arkansas

    Science.gov (United States)

    Brian Roy Lockhart; James M. Guldin; Thomas Foti

    2010-01-01

    Tree species composition and structure was determined for an old bottomland hardwood forest located in the Moro Creek Bottoms Natural Area in south-central Arkansas. Diversity for this forest was high with species richness ranging from 33 for the overstory and sapling strata to 26 for the seedling stratum and Shannon-Weiner values of 2.54 to 1.02 for the overstory and...

  10. A new Starlight Reserve for the central South Island of New Zealand

    Science.gov (United States)

    Hearnshaw, John

    2015-03-01

    The Aoraki Mackenzie International Dark Sky Reserve is a new reserve created in 2012 by the International Dark-Sky Association in the central South Island of New Zealand, and covers over 4300 square kilometres around Mt John University Observatory. It is the first such reserve to be recognized at gold tier level and is the largest dark sky reserve in the world. Astro-tourism in the new reserve will be a prominent activity in the coming years.

  11. Enculturating environments: rock art and the archaeology of interior south-central California

    OpenAIRE

    Sturt, Fraser C.; Robinson, David; Bernard, Julienne

    2010-01-01

    The disarticulation of rock art from the archaeological record and its changing environment remains a primary obstacle facing many rock art researchers across the globe, but particularly in the American Far West, and California specifically (Robinson & Sturt 2009). A schism, so to speak, exists between the archaeological record and rock art as well as 'dirt' archaeologists and rock art specialists. This is because, in California, and particularly in the rock art rich area of south-central...

  12. The effect of a local source on the composition of precipitation in south-central Maine

    Science.gov (United States)

    Scott D. Boyce; Samuel S. Butcher

    1976-01-01

    Bulk precipitation samples were collected from ten sites in south-central Maine during the period 18 June to 30 September 1974. Data from the chemical analyses of the precipitation were used to determine regional deposition patterns of the ionic constituents. Acidic pH values ranging from 3.8 to 5.0 are characteristic of the region, but relatively alkaline pH values of...

  13. Field Evaluations of Topical Arthropod Repellents in North, Central, and South America

    Science.gov (United States)

    2014-09-01

    De La Rocque et al. 2011) and their spread into higher elevations of Africa, Latin America , and Asia (Epstein 2001). Dengue fever and...denguehemorrhagic fever have resurgeddramatically in Latin America (Zell 2004). In North America ,West Nile virus has impacted signiÞcantly the health and welfare of...VECTOR CONTROL, PEST MANAGEMENT, RESISTANCE, REPELLENTS Field Evaluations of Topical Arthropod Repellents in North, Central , and South America KENDRA

  14. Geological analysis of paleozoic large-scale faulting in the south-central Pyrenees

    OpenAIRE

    Speksnijder, A.

    1986-01-01

    Detailed structural and sedimentological analysis reveals the existence of an east-west directed fundamental fault zone in the south-central Pyrenees, which has been intermittently active from (at least) the Devonian on. Emphasis is laid on the stUdy of fault-bounded post-Variscan (StephanoPermian) sedimentary basins, and the influence of Late Paleozoic faulting on the underlying Variscan basement. The present structure of the basement is rather complex as it results from multiple Variscan an...

  15. Fire and climate suitability for woody vegetation communities in the south central United States

    Science.gov (United States)

    Stroh, Esther; Struckhoff, Matthew; Stambaugh, Michael C.; Guyette, Richard P.

    2018-01-01

    Climate and fire are primary drivers of plant species distributions. Long-term management of south central United States woody vegetation communities can benefit from information on potential changes in climate and fire frequencies, and how these changes might affect plant communities. We used historical (1900 to 1929) and future (2040 to 2069 and 2070 to 2099) projected climate data for the conterminous US to estimate reference and future fire probabilities

  16. Seroprevalence and awareness of porcine cysticercosis across different pig production systems in south-central Cambodia

    Directory of Open Access Journals (Sweden)

    Aderosoye Adenuga

    2018-02-01

    Conclusions: Despite most pigs being kept confined in pens rather than raised in free-roaming systems, porcine cysticercosis appears to be endemic in south-central Cambodia and is associated with smallholder production. Further investigation is needed to identify which Taenia species are causing infections among pigs, and how seroprevalence and zoonotic risk may vary across the country, to understand the risks to public health and assess where interventions might be needed.

  17. Tribal engagement strategy of the South Central Climate Science Center, 2014

    Science.gov (United States)

    Andrews, William J.; Taylor, April; Winton, Kimberly T.

    2014-01-01

    The South Central Climate Science Center was established by the U.S. Department of the Interior in 2012 to increase understanding of climate change and coordinate an effective response to climate-change effects on Native American tribes and natural and cultural resources that the Department manages. The eight regional Climate Science Centers of the U.S. Department of the Interior work closely with natural-resource management agencies, university researchers, and others such as tribes and private landowners on climate-change issues. The relatively large number of Native Americans in the south central United States and their special knowledge of changing ecosystems make working with tribes and tribal members on climate-change issues particularly important in this part of the Nation. This circular describes priorities of the South Central Climate Science Center and provides information about resources available from Climate Science Centers and partner agencies regarding climate change. The circular also describes how this Climate Science Center, tribes and tribal members, and others can collaborate to minimize potential harmful effects of climate change on human society and our surrounding ecosystems.

  18. Planned home and hospital births in South Australia, 1991-2006: differences in outcomes.

    Science.gov (United States)

    Kennare, Robyn M; Keirse, Marc J N C; Tucker, Graeme R; Chan, Annabelle C

    2010-01-18

    To examine differences in outcomes between planned home births, occurring at home or in hospital, and planned hospital births. Population-based study using South Australian perinatal data on all births and perinatal deaths during the period 1991-2006. Analysis included logistic regression adjusted for predictor variables and standardised perinatal mortality ratios. Perinatal death, intrapartum death, death attributed to intrapartum asphyxia, Apgar score home births accounted for 0.38% of 300,011 births in South Australia. They had a perinatal mortality rate similar to that for planned hospital births (7.9 v 8.2 per 1000 births), but a sevenfold higher risk of intrapartum death (95% CI, 1.53-35.87) and a 27-fold higher risk of death from intrapartum asphyxia (95% CI, 8.02-88.83). Review of perinatal deaths in the planned home births group identified inappropriate inclusion of women with risk factors for home birth and inadequate fetal surveillance during labour. Low Apgar scores were more frequent among planned home births, and use of specialised neonatal care as well as rates of postpartum haemorrhage and severe perineal tears were lower among planned home births, but these differences were not statistically significant. Planned home births had lower caesarean section and instrumental delivery rates, and a seven times lower episiotomy rate than planned hospital births. Perinatal safety of home births may be improved substantially by better adherence to risk assessment, timely transfer to hospital when needed, and closer fetal surveillance.

  19. Seasonal variation and trends in stroke hospitalizations and mortality in a South American community hospital.

    Science.gov (United States)

    Díaz, Alejandro; Gerschcovich, Eliana Roldan; Díaz, Adriana A; Antía, Fabiana; Gonorazky, Sergio

    2013-10-01

    Numerous studies have reported the presence of temporal variations in biological processes. Seasonal variation (SV) in stroke has been widely studied, but little data have been published on this phenomenon in the Southern Hemisphere, and there have been no studies reported from Argentina. The goals of the present study were to describe the SV of admissions and deaths for stroke and examine trends in stroke morbidity and mortality over a 3-year period in a community hospital in Argentina. Hospital discharge reports from the electronic database of vital statistics between 1999 and 2001 were examined retrospectively. Patients who had a main discharge diagnosis of stroke (ischemic or hemorrhagic) or cerebrovascular accident (International Classification of Diseases, Ninth Revision codes 431, 432, 434, and 436) were selected. The study sample included 1382 hospitalizations by stroke (3.5% of all admissions). In-hospital mortality demonstrated a winter peak (25.5% vs 17% in summer; P = .001). The crude seasonal stroke attack rate (ischemic and hemorrhagic) was highest in winter (164 per 100,000 population; 95% CI, 159-169 per 100,000) and lowest in summer (124 per 100,000; 95% CI, 120-127 per 100,000; P = .008). Stroke admissions followed a seasonal pattern, with a winter-spring predominance (P = .008). Our data indicate a clear SV in stroke deaths and admissions in this region of Argentina. The existence of SV in stroke raises a different hypothesis about the rationale of HF admissions and provides information for the organization of care and resource allocation. Copyright © 2013 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  20. HOSPITALIZATIONS DUE TO RESPIRATORY PROBLEMS DURING DIWALI FESTIVAL IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA

    Directory of Open Access Journals (Sweden)

    Raghu

    2016-02-01

    Full Text Available BACKGROUND The burning of firecrackers during Diwali festival produces an adverse respiratory outcome. However, there are no published articles on the impact of fireworks on hospital admission due to acute respiratory issues, hospital stay, and respiratory mortality during Diwali in India. MATERIALS AND METHODS This was a prospective, open label, observational study. It was conducted in patients admitted to the pulmonary emergency unit with respiratory symptoms 15 days before and after Diwali. It was conducted after the approval of ethics committee and written informed consent. RESULTS The number of admissions post-Diwali were significantly more compared to pre-Diwali from both rural and urban locations (p<0.001. The mean duration of hospital stay was significantly less pre-Diwali (7.59±0.74 days compared to post-Diwali (9.46±0.44 days. Also, significantly increased number of patients required ventilator support post Diwali. CONCLUSION The findings from the present study validate the deterioration of respiratory health during Diwali festival in India. There should be more awareness campaigns about the harmful effects of fire-crackers. Patients suffering from respiratory problems should be advised to avoid heavy exposure to fireworks

  1. IAEA/WHO postal dose audits for radiotherapy hospitals in Eastern and South-Eastern Europe

    International Nuclear Information System (INIS)

    Izewska, J.; Vatnitsky, S.; Shortt, K.R.

    2004-01-01

    The IAEA/WHO TLD programme has been in operation for 34 years. In this period the calibration of approximately 5200 high-energy photon beams in over 1300 radiotherapy hospitals in 115 countries worldwide was checked. Of these, 18% of the audits were performed in Eastern and South-Eastern Europe. There are large contrasts in the region; while the results are very good for most countries, a few countries struggle with basic problems in dosimetry. The hospitals operating radiotherapy services without qualified medical physicists or dosimetry equipment have poorer results than those properly equipped and staffed. Only about 2/3 of TLD audit participants in Eastern Europe have the appropriate dosimetry equipment. To achieve consistency of the audit results within Eastern and South-Eastern Europe, strengthening of radiotherapy infrastructure in a few countries would be necessary. (authors)

  2. Nurse Interaction With Clients In Communication Therapeutic Study Analysis Of Symbolic Interactionism Hospital South Sulawesi

    OpenAIRE

    Hj.Indirawaty; Syamsuddin AB

    2015-01-01

    ABSTRACT This study aimed to describe briefly on the application of social interaction which made nurses to clients while performing therapeutic communication at the Hospital of South Sulawesi with frame symbolic interactionism. Result achieved against the system carried nurse interaction with clients who patterned on therapeutic communication. At the stage of pre-interaction system is applied such as before the nurse interacts with the client well in advance to prepare the way of dressing re...

  3. Pattern of cardiovascular admissions at Nnamdi Azikiwe University Teaching Hospital Nnewi, South East Nigeria

    OpenAIRE

    Osuji, Charles Ukachukwu; Onwubuya, Emmanuel Ikechukwu; Ahaneku, Gladys Ifesinachi; Omejua, Emeka Godwin

    2014-01-01

    Introduction Cardiovascular disease (CVD) is one of the top killer diseases in the world sparing neither developed or developing countries. The study was carried out to determine the pattern of cardiovascular admissions at Nnamdi Azikiwe University Teaching Hospital Nnewi South East Nigeria. Methods The study was a retrospective study covering the period January 2007 to December 2009. SPSS version 13 software was used to analyze data. Results 537 (15%) patients were admitted into the study ou...

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

    OpenAIRE

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

    2014-01-01

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

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

    Science.gov (United States)

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

    2009-04-01

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

  6. Mio-Pliocene aridity in the south-central Andes associated with Southern Hemisphere cold periods.

    Science.gov (United States)

    Amidon, William H; Fisher, G Burch; Burbank, Douglas W; Ciccioli, Patricia L; Alonso, Ricardo N; Gorin, Andrew L; Silverhart, Perri H; Kylander-Clark, Andrew R C; Christoffersen, Michael S

    2017-06-20

    Although Earth's climate history is best known through marine records, the corresponding continental climatic conditions drive the evolution of terrestrial life. Continental conditions during the latest Miocene are of particular interest because global faunal turnover is roughly synchronous with a period of global glaciation from ∼6.2-5.5 Ma and with the Messinian Salinity Crisis from ∼6.0-5.3 Ma. Despite the climatic and ecological significance of this period, the continental climatic conditions associated with it remain unclear. We address this question using erosion rates of ancient watersheds to constrain Mio-Pliocene climatic conditions in the south-central Andes near 30° S. Our results show two slowdowns in erosion rate, one from ∼6.1-5.2 Ma and another from 3.6 to 3.3 Ma, which we attribute to periods of continental aridity. This view is supported by synchrony with other regional proxies for aridity and with the timing of glacial ‟cold" periods as recorded by marine proxies, such as the M2 isotope excursion. We thus conclude that aridity in the south-central Andes is associated with cold periods at high southern latitudes, perhaps due to a northward migration of the Southern Hemisphere westerlies, which disrupted the South American Low Level Jet that delivers moisture to southeastern South America. Colder glacial periods, and possibly associated reductions in atmospheric CO 2 , thus seem to be an important driver of Mio-Pliocene ecological transitions in the central Andes. Finally, this study demonstrates that paleo-erosion rates can be a powerful proxy for ancient continental climates that lie beyond the reach of most lacustrine and glacial archives.

  7. Sizing and Optimization for Hybrid Central in South Algeria Based on Three Different Generators

    Directory of Open Access Journals (Sweden)

    Chouaib Ammari

    2017-11-01

    Full Text Available In this paper, we will size an optimum hybrid central content three different generators, two on renewable energy (solar photovoltaic and wind power and two nonrenewable (diesel generator and storage system because the new central generator has started to consider the green power technology in order for best future to the world, this central will use all the green power resource available and distributes energy to a small isolated village in southwest of Algeria named “Timiaouine”. The consumption of this village estimated with detailed in two season; season low consumption (winter and high consumption (summer, the hybrid central will be optimized by program Hybrid Optimization Model for Electric Renewable (HOMER PRO, this program will simulate in two configuration, the first with storage system, the second without storage system and in the end the program HOMER PRO will choose the best configuration which is the mixture of both economic and ecologic configurations, this central warrants the energetic continuity of village. Article History: Received May 18th 2017; Received in revised form July 17th 2017; Accepted Sept 3rd 2017; Available online How to Cite This Article: Ammari, C., Hamouda,M., and Makhloufi,S. (2017 Sizing and Optimization for Hybrid Central in South Algeria Based on Three Different Generators. International Journal of Renewable Energy Development, 6(3, 263-272. http://doi.org/10.14710/ijred.6.3.263-272

  8. Warm and Dry Spells (WDS in Austral Winter over Central South America

    Directory of Open Access Journals (Sweden)

    P. Satyamurty

    2007-06-01

    Full Text Available The horizontal and vertical structure of unusually warm and dry spells (WDS over the central parts of South America during the winter and post-winter months (JJAS are studied. During WDS the mean temperature and humidity anomalies over central Brazil are about +4.1°C and −13.2%, respectively. The mean duration of WDS is 11 days and their mean frequency is less than one per year during the months of JJAS. Apparently, WDS have no preference for the phase of ENSO. Widespread and persistent subsidence in the middle troposphere is observed in tropical Brazil during WDS, which renders the lower tropospheric air warm and dry. The negative anomalies of the specific humidity are observed to be associated with the subsidence regions. A strong, slow moving ridge in the eastern South Pacific and a low-pressure center in northern Argentina are important surface characteristics during the WDS. A more detailed investigation of two specific WDS events, a strong event (August–September 1999 and a moderate one (June 2002, shows a blocking-like situation in the 500-hPa geopotential and surface pressure fields in the Pacific. The South Atlantic subtropical high somewhat approaches the continent. Strong northerlies over the central and eastern parts of Brazil are also observed in the lower troposphere. During WDS the regional circulation acquires summertime characteristics, except for the absence of precipitation, and the circulation in the meridional plane is in the opposite sense from the Hadley circulation. A frontal system, supported by a 500-hPa trough, advances into central Brazil, causing the dissipation of the anomalous situation.

  9. Prevalence of psychological distress and associated factors in urban hospital outpatients in South Africa

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2012-02-01

    Full Text Available Objective. The aim of this study was to assess the prevalence of psychological distress and associated factors among outpatients in an urban hospital in South Africa. Method. A sample of 1 532 consecutively selected patients (56.4% men and 43.6% women from various hospital outpatient departments were interviewed with a structured questionnaire. Results. Based on assessment with the Kessler Psychological Distress Scale, a measure of psychological distress, 17.1% of the patients (15.5% of men and 19.4% of women had severe psychological distress. Logistic multiple regression identified no income, poor health status, migraine headache and tuberculosis as significant factors associated with severe psychological stress for men. For women the factors identified were lower education, no income, having been diagnosed with a sexually transmitted disease, stomach ulcer and migraine headache. Conclusion. The study found a high prevalence of psychological distress among hospital outpatients in South Africa. Brief psychological therapies for adult patients with anxiety, depression or mixed common mental health problems treated in hospital outpatient departments are indicated. Accurate diagnosis of co-morbid depressive and anxiety disorders in patients with chronic medical illness is essential in understanding the cause and optimising the management of somatic symptom burden.

  10. Early urban and colonized regions of central and south Italy : A case study in comparative landscape archaeology

    NARCIS (Netherlands)

    Attema, P; Darvill, T; Gojda, M

    2001-01-01

    Systematic field surveys and topographical research undertaken to date in various Italian regions south of Rome shou, that responses to early urbanization in central and south Italy, and the interplay of early urbanization with Greek and Roman colonization, differed widely between regions. In this

  11. A 600-year-long stratigraphic record of tsunamis in south-central Chile

    Science.gov (United States)

    Hong, Isabel; Dura, Tina; Ely, Lisa L.; Horton, Benajamin P.; Nelson, Alan R.; Cisternas, Marco; Nikitina, Daria; Wesson, Robert L.

    2017-01-01

    The stratigraphy within coastal river valleys in south-central Chile clarifies and extends the region’s history of large, earthquakes and accompanying tsunamis. Our site at Quidico (38.1°S, 73.3°W) is located in an overlap zone between ruptures of magnitude 8–9 earthquakes in 1960 and 2010, and, therefore, records tsunamis originating from subduction-zone ruptures north and south of the city of Concepción. Hand-dug pits and cores in a 3-m-thick sequence of freshwater peat in an abandoned meander (a little-examined depositional environment for tsunami deposits) and exposures along the Quidico River show five sand beds that extend as much as 1.2 km inland. Evidence for deposition of the beds by tsunamis includes tabular sand beds that are laterally extensive (>100 m), well sorted, fine upward, have sharp lower contacts, and contain diatom assemblages dominated by brackish and marine taxa. Using eyewitness accounts of tsunami inundation, 137Cs analyses, and 14C dating, we matched the upper four sand beds with historical tsunamis in 2010, 1960, 1835, and 1751. The oldest prehistoric bed dates to 1445–1490 CE and correlates with lacustrine and coastal records of similar-aged earthquakes and tsunamis in south-central Chile.

  12. IAU South West and Central Asian Regional Office of Astronomy for Development

    Science.gov (United States)

    Mickaelian, A. M.; Hakopian, S. A.; Farmanyan, S. V.; Mikayelyan, G. A.

    2017-12-01

    The International Astronomical Union (IAU) announced its Strategic Plan on Astronomy for Development in 2009, during the International Year of Astronomy (IYA). One of its main components was the creation of the Office of Astronomy for Development (OAD) and corresponding Regional Offices (ROADs) for implementation and coordination of its aims. The OAD was created in Cape Town, South Africa and later on ROADs were created in 8 regions. Since 2015, Armenia hosts one of them, IAU South West Asian (SWA), later renamed to South West and Central Asian (SWCA) ROAD. At present, already 6 countries have officially joined (Armenia, Georgia, Iran, Kazakhstan, Tajikistan, and Turkey), but the Office serves for a rather broad region, from Eastern Europe to Central Asia. Armenia's geographical location and its historical role in astronomy (both for well-known archaeoastronomical heritage and the presence of the famous Byurakan Astrophysical Observatory (BAO) founded by Viktor Ambartsumian in 1946) serve as a link between Europe and Eastern Partnership countries, Middle East and Asia in general. We run activities in 3 directions, Task Forces (TF): TF1 Universities and Research, TF2 Children and Schools and TF3 Public Outreach. We present our projects and all other accomplishments and discuss the role of our ROAD in maintaining contacts and development of astronomy in the region, as well as contacts between Europe and the Eastern Partnership countries. Most up-to-date information about the IAU SWCA ROAD is available on its webpage at http://iau-swa-road.aras.am/eng/index.php.

  13. Cretaceous alkaline volcanism in south Marzanabad, northern central Alborz, Iran: Geochemistry and petrogenesis

    Directory of Open Access Journals (Sweden)

    Roghieh Doroozi

    2016-11-01

    Full Text Available The alkali-basalt and basaltic trachy-andesites volcanic rocks of south Marzanabad were erupted during Cretaceous in central Alborz, which is regarded as the northern part of the Alpine-Himalayan orogenic belt. Based on petrography and geochemistry, en route fractional crystallization of ascending magma was an important process in the evolution of the volcanic rocks. Geochemical characteristics imply that the south Marzanabad alkaline basaltic magma was originated from the asthenospheric mantle source, whereas the high ratios of (La/YbN and (Dy/YbN are related to the low degree of partial melting from the garnet bearing mantle source. Enrichment pattern of Nb and depletion of Rb, K and Y, are similar to the OIB pattern and intraplate alkaline magmatic rocks. The K/Nb and Zr/Nb ratios of volcanic rocks range from 62 to 588 and from 4.27 to 9 respectively, that are some higher in more evolved samples which may reflect minor crustal contamination. The isotopic ratios of Sr and Nd respectively vary from 0.70370 to 0.704387 and from 0.51266 to 0.51281 that suggest the depleted mantle as a magma source. The development of south Marzanabad volcanic rocks could be related to the presence of extensional phase, upwelling and decompressional melting of asthenospheric mantle in the rift basin which made the alkaline magmatism in Cretaceous, in northern central Alborz of Iran.

  14. Development of nutrition standards and therapeutic diet specifications for public hospitals in New South Wales.

    Science.gov (United States)

    Williams, Peter; Hazlewood, Tanya; Pang, Glen

    2014-09-01

    In New South Wales (NSW), a new suite of nutrition standards for menus and specifications for therapeutic diets to be used in hospitals has been developed. These standards were required to facilitate centralised menu planning and food production, with the move to management of most hospital food services by HealthShare NSW, a state-wide business unit of NSW Health. The standards also aim to improve communication between health professionals, particularly with the increasing use of computerised meal-ordering systems. Nutrition standards have been developed for adult, paediatric and mental health inpatients, and specifications for 147 different adult and paediatric therapeutic diets. There is still significant variation in the nutrition standards for nutrition and therapeutic diets in hospitals across the Australian states, and a move to a more nationally harmonised approach would be welcome. Further research is required to examine the impact of these standards on operating efficiency and patient care outcomes.

  15. Anaesthesia and hospital links: strengthening healthcare through South-North hospital partnerships.

    Science.gov (United States)

    Parry, E H O; Percy, D B

    2007-12-01

    Health services can respond to the needs of the poorest people in developing countries if those who work in the front line of health care are supported and motivated and if development needs in services and training programmes can be filled. This can be achieved when a Health Link between a southern hospital and/or training school and its northern counterpart is designed to build a disciplined and long-term programme of staff development including the needs of anaesthetic services, which meets the needs identified by the southern partner. Development of anaesthetic practice is best carried out in the context of an institution-wide Health Link where not only the staff and systems involved in anaesthesia but all the essential 'back office' or support services are also supported and developed.

  16. Deglaciation events in part of the Manchester South 7.5' quadrangle south-central New Hampshire

    Science.gov (United States)

    Stone, Byron D.

    1971-01-01

    The study-area lies in south-central New Hampshire, and is bordered on the west by the Merrimack River, the principal north-south drainage route of central New Hampshire. The classical two tills of New England outcrop in the area. In a unique exposure of the sandy upper till, a loose ablation unit overlies a compact basal unit. Both upper till facies overlie a sheared section of dense, olive-gray lower till. Outwash sequences mapped in the study-area are progressively younger to the north, indicating backwastage of the Wisconsinan ice sheet. Primary structures in proglacial Lake Merrimack sediments include contorted bedding, buckled laminae, and folds. A large slumped section in lake sediments exhibits three distinct deformation zones, characterized by brittle, ductile, and unconsolidated deformation. Cross-cutting relationships establish four fold generations and a deformation sequence in the slumped section. Slip in each fold generation was along nearly parallel slip-lines, as deduced from analyses of fold rotation senses. The primary and slump deformation features contrast sharply with the intense style of deformation of lake beds below till at an apparent ice readvance cut. The deduced drag fold slip-line agrees with till fabric point maxima and dip-slip on one group of thrust faults. A southerly movement of readvancing ice is inferred.The study-area was deglaciated about 13,000 years ago, according to a proposed deglaciation model for New Hampshire. The model is based on Nye's theoretical glacier surface gradient, and evidence for active retreat of the Wisconsinan ice sheet.

  17. An essential hospital package for South Africa--selection criteria, costs and affordability.

    Science.gov (United States)

    Söderlund, N

    1999-07-01

    In 1995 the Committee of Enquiry into National Health Insurance (NHI) recommended that formally employed individuals and their employers be required to fund at least a minimum package of hospital cover for workers and their dependents. This has recently been echoed in a Department of Health policy paper on social health insurance. This research aims to define and cost a minimum package of essential hospital care for competing (public and private) health insurers in South Africa. CRITERIA FOR PACKAGE DEFINITION: Based on the objectives implict in the NHI Committee report, the following criteria were used to define the essential package: (i) the extent to which there was another appropriate responsible party who should pay for treatment; (ii) the degree of discretion in deciding whether or not to provide treatment (roughly equivalent to 'urgency'); and (iii) the cost and effectiveness of treatment. On the basis of the above criteria, 396 out of 598 possible interventions were included in the package. Using local mine hospital and private sector utilisation rates and mine hospital cost data, it was estimated that the essential inpatient package would cost around R502 per enrollee per year, using 1998 prices, for a working age population and their dependents. Age-sex standardised outpatient care costs in the mine hospital population studied were estimated at R183 per person per year. It was therefore estimated that the total inpatient and outpatient hospital package would cost around R685 per person per year. The results presented in this paper are intended to inform the process of defining a national essential hospital benefit package. Assuming that contributions were proportionally related to income, and that costs should not exceed 6% of wages, the package should be affordable to all of those earning above R20,000 per year. Significant additional work is required, firstly at a technical level to assess the appropriateness of the prioritization approach used here

  18. Head and neck cancer burden and preventive measures in Central and South America.

    Science.gov (United States)

    Perdomo, Sandra; Martin Roa, Guillermo; Brennan, Paul; Forman, David; Sierra, Mónica S

    2016-09-01

    Central and South America comprise one of the areas characterized by high incidence rates for head and neck cancer. We describe the geographical and temporal trends in incidence and mortality of head and neck cancers in the Central and South American region in order to identify opportunities for intervention on the major identified risk factors: tobacco control, alcohol use and viral infections. We obtained regional- and national-level incidence data from 48 population-based cancer registries in 13 countries and cancer deaths from the WHO mortality database for 18 countries. Age-standardized incidence (ASR) and mortality (ASMR) rates per 100,000 person-years were estimated. Brazil had the highest incidence rates for oral and pharyngeal cancer in the region for both sexes, followed by Cuba, Uruguay and Argentina. Cuba had the highest incidence and mortality rates of laryngeal cancer in the region for males and females. Overall, males had rates about four times higher than those in females. Most countries in the region have implemented WHO recommendations for both tobacco and alcohol public policy control. Head and neck squamous-cell cancer (HNSCC) incidence and mortality rates in the Central and South America region vary considerably across countries, with Brazil, Cuba, French Guyana, Uruguay and Argentina experiencing the highest rates in the region. Males carry most of the HNSCC burden. Improvement and implementation of comprehensive tobacco and alcohol control policies as well as the monitoring of these factors are fundamental to prevention of head and neck cancers in the region. Copyright © 2015 International Agency for Research on Cancer. Published by Elsevier Ltd.. All rights reserved.

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

    International Nuclear Information System (INIS)

    Chinangwa, Getrude

    2016-07-01

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

  20. "A dictate of both interest and mercy"? Slave hospitals in the antebellum South.

    Science.gov (United States)

    Kenny, Stephen C

    2010-01-01

    As a contribution to debates on slave health and welfare, this article investigates the variety, functions, and overall significance of infirmaries for the enslaved in the antebellum South. Newspapers, case histories, and surviving institutional records of antebellum Southern infirmaries providing medical treatment for slaves offer a unique opportunity to examine the development of modern American medicine within the "peculiar institution," and to explore a complex site of interactions between the enslaved, physicians, and slave owners. The world of the medical college hospital in South Carolina and an experimenting clinic in Alabama are reconstructed using newspapers and medical case histories. The Patient Register of the Hotel Dieu (1859-64) and the Admission Book of Touro Infirmary (1855-60) are used to highlight the types of enslaved patients sent to these two New Orleans commercial hospitals and to explore connections between the practice of medicine and the business of slave trading in the city. In addition to providing physicians with a steady income, slave infirmaries were key players in the domestic slave trade, as well as mechanisms for professionalization and the mobilization of medical ideas in the American South.

  1. Palynological and iridium anomalies at Cretaceous-Tertiary boundary, south-central Saskatchewan

    Science.gov (United States)

    Nichols, D.J.; Jarzen, D.M.; Orth, C.J.; Oliver, P.Q.

    1986-01-01

    The Cretaceous-Tertiary boundary in south-central Saskatchewan is marked by coincident anomalies in abundance of iridium and fern spores at the extinction level of a suite of Cretaceous pollen taxa. Evidence of disruption of the terrestrial flora includes the fern-spore abundance anomaly and local extinction of as much as 30 percent of angiosperm species. The reorganized earliest Tertiary flora is made up largely of surviving species that assumed new roles of dominance. Persistence of climatically sensitive taxa across the boundary indicates that if paleoclimate was altered by the terminal Cretaceous event, it returned quickly to the pre-event condition.

  2. Cave-dwelling bats (Mammalia: Chiroptera) and conservation concerns in South central Mindanao, Philippines

    OpenAIRE

    Krizler C. Tanalgo; John Aries G. Tabora

    2015-01-01

    The stable microclimate in caves provides a relatively constant habitat for many bat species in the Philippines, but human encroachment continues to disrupt this habitat and imperil many of the species roosting in the caves.  In South central Mindanao, the diversity and conservation status of cave bats remain undocumented and unexplored.  We employed mist-netting to capture bats from five different caves within the town of Kabacan, northern Cotabato, Philippines.  A total of 14 bat species we...

  3. Unretrieved shooting loss of mourning doves in north-central South Carolina

    Science.gov (United States)

    Haas, G.H.

    1977-01-01

    Unretrieved loss for mourning doves (Zenaida macroura) in north-central South Carolina was between 27 and 41 percent of the retrieved kill for the 1973 through 1975 hunting seasons based on 1,396 doves shot by 281 hunters. Dove hunters hunted in groups, fired 8.6 shots per retrieved dove, and engaged in a substantial number of illegal activities. Increased dove populations and hunter bag resulted in increased unretrieved loss, numbers of shots per bagged bird, and illegal activities. Retriever dogs increased the efficiency of dove hunters.

  4. COELIAC DISEASE IN CENTRAL AND SOUTH AMERICA: time for a concerted approach to its epidemiology

    Directory of Open Access Journals (Sweden)

    Affifa FARRUKH

    2015-06-01

    Full Text Available Central and South America offer an opportunity to resolve some of the current controversies that surround the epidemiology of celiac disease. Through a concerted action which brings together clinicians, researchers and patients there is an opportunity to establish robust data sets which will allow detailed analysis of environmental and genetic factors. In this review available data from the continent together with data from Spain and Italy are drawn together to give a current picture in the hope that it will stimulate further research.

  5. Spectra of the earthquake sequence February-March, 1981, in south-central Sweden

    OpenAIRE

    O. Kulhánek; T. van Eck; N. John; K. Meyer; Rutger Wahlström

    1983-01-01

    On February 13, 1981, a relatively strong earthquake occurred in the Lake Vanern region in south-central Sweden. The shock had a magnitude of M"SUB L" = 3.3 and was followed within three weeks by three aftershocks, with magnitudes 0.5 = or < M"SUB L" = or < 1.0. The focal mechanism solution of the main shock indicates reverse faulting with a strike in the N-S or NE-SW direction and a nearly horizontal compressional stress. The aftershocks were too small to yield data for a full mechanism solu...

  6. Seizure-related hospital admissions, readmissions and costs: Comparisons with asthma and diabetes in South Australia.

    Science.gov (United States)

    Bellon, Michelle L; Barton, Christopher; McCaffrey, Nikki; Parker, Denise; Hutchinson, Claire

    2017-08-01

    Seizures are listed as an Ambulatory Care Sensitive Condition (ACSC), where, in some cases, hospitalisation may be avoided with appropriate preventative and early management in primary care. We examined the frequencies, trends and financial costs of first and subsequent seizure-related hospital admissions in the adult and paediatric populations, with comparisons to bronchitis/asthma and diabetes admissions in South Australia between 2012 and 2014. De-identified hospital separation data from five major public hospitals in metropolitan South Australia were analysed to determine the number of children and adults admitted for the following Australian Refined Diagnosis Related Groups: seizure related conditions; bronchitis/asthma; and diabetes. Additional data included length of hospital stay and type of admission. Demographic data were analysed to identify whether social determinants influence admission, and a macro costing approach was then applied to calculate the financial costs to the Health Care System. The rate of total seizure hospitalizations was 649 per 100,000; lower than bronchitis/asthma (751/100,000), yet higher than diabetes (500/100,000). The highest proportions of subsequent separations were recorded by children with seizures regardless of complexity (47% +CSCC; 17% -CSCC) compared with asthma (11% +CSCC; 14% -CSCC) or diabetes (14% +CSCC; 13% -CSCC), and by adults with seizures with catastrophic or severe complications/comorbidity (25%), compared with diabetes (22%) or asthma (14%). The mean cost per separation in both children and adults was highest for diabetes (AU$4438/$7656), followed by seizures (AU$2408/$5691) and asthma (AU$2084/$3295). Following the lead of well-developed and resourced health promotion initiatives in asthma and diabetes, appropriate primary care, community education and seizure management services (including seizure clinics) should be targeted in an effort to reduce seizure related hospitalisations which may be avoidable

  7. A strategy for enhancing financial performance: a study of general acute care hospitals in South Korea.

    Science.gov (United States)

    Choi, Mankyu; Lee, Keon-Hyung

    2008-01-01

    In this study, the determinants of hospital profitability were evaluated using a sample of 142 hospitals that had undergone hospital standardization inspections by the South Korea Hospital Association over the 4-year period from 1998 to 2001. The measures of profitability used as dependent variables in this study were pretax return on assets, after-tax return on assets, basic earning power, pretax operating margin, and after-tax operating margin. Among those determinants, it was found that ownership type, teaching status, inventory turnover, and the average charge per adjusted inpatient day positively and statistically significantly affected all 5 of these profitability measures. However, the labor expenses per adjusted inpatient day and administrative expenses per adjusted inpatient day negatively and statistically significantly affected all 5 profitability measures. The debt ratio negatively and statistically significantly affected all 5 profitability measures, with the exception of basic earning power. None of the market factors assessed were shown to significantly affect profitability. In conclusion, the results of this study suggest that the profitability of hospitals can be improved despite deteriorating external environmental conditions by facilitating the formation of sound financial structures with optimal capital supplies, optimizing the management of total assets with special emphasis placed on inventory management, and introducing efficient control of fixed costs including labor and administrative expenses.

  8. Differences in Hospital Readmission Risk across All Payer Groups in South Carolina.

    Science.gov (United States)

    Chakraborty, Hrishikesh; Axon, Robert Neal; Brittingham, Jordan; Lyons, Genevieve Ray; Cole, Laura; Turley, Christine B

    2017-06-01

    To evaluate differences in hospital readmission risk across all payers in South Carolina (SC). South Carolina Revenue and Fiscal Affairs Office (SCRFA) statewide all payer claims database including 2,476,431 hospitalizations in SC acute care hospitals between 2008 and 2014. We compared the odds of unplanned all-cause 30-day readmission for private insurance, Medicare, Medicaid, uninsured, and other payers and examined interaction effects between payer and index admission characteristics using generalized estimating equations. SCRFA receives claims and administrative health care data from all SC health care facilities in accordance with SC state law. Odds of readmission were lower for females compared to males in private, Medicare, and Medicaid payers. African Americans had higher odds of readmission compared to whites across private insurance, Medicare, and Medicaid, but they had lower odds among the uninsured. Longer length of stay had the strongest association with readmission for private and other payers, whereas an increased number of comorbidities related to the highest readmission odds within Medicaid. Associations between index admission characteristics and readmission likelihood varied significantly with payer. Findings should guide the development of payer-specific quality improvement programs. © Health Research and Educational Trust.

  9. HIV-Related Medical Admissions to a South African District Hospital Remain Frequent Despite Effective Antiretroviral Therapy Scale-Up

    NARCIS (Netherlands)

    Meintjes, Graeme; Kerkhoff, Andrew D.; Burton, Rosie; Schutz, Charlotte; Boulle, Andrew; van Wyk, Gavin; Blumenthal, Liz; Nicol, Mark P.; Lawn, Stephen D.

    2015-01-01

    The public sector scale-up of antiretroviral therapy (ART) in South Africa commenced in 2004. We aimed to describe the hospital-level disease burden and factors contributing to morbidity and mortality among hospitalized HIV-positive patients in the era of widespread ART availability. Between June

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

    Directory of Open Access Journals (Sweden)

    Ying Qi

    2015-05-01

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

  11. Contraceptive Awareness and Practice Among Antenatal Attendees in a Tertiary Hospital in South-South Nigeria

    Directory of Open Access Journals (Sweden)

    Aniekan Monday Abasiattai

    2011-02-01

    Full Text Available Background: Use of effective contraceptive methods has been shown to improve health, sexual life and partner relations and also significantly reduce maternal and infant mortality by protecting against unplanned pregnancy, high fertility and high parity. The aim of this study is to determine the degree of awareness and practice of contraception by women in Uyo, Nigeria. Materials and Methods: Semi-structured questionnaires were administered to three hundred and seventy women in the antenatal clinic of the University of Uyo Teaching Hospital. Results: Majority of the respondents were 21-30 years old (64.1%, 53.8% were multiparous and 66.5% had tertiary level education. Three hundred and twenty women (87.6% had heard about contraception (OR=49.6, P< 0.001, while only 49.5% of the respondents had practiced contraception previously (OR=0.96, P=0.76 of which the male condom (40.0% and the safe period/calendar method (31.1% were the most commonly practiced methods. Majority of the respondents (66.8% preferred to have 3 to 4 children and 78.4% of the respondents would want to used a method of contraception to either space their family or limit child bearing (OR=13.14, P< 0.001. Fear of side effects (20.0% and previous bad experience (8.8% were the most common reasons given by those respondents who would not want to practice contraception. Conclusion: This study reveals a high level of awareness of contraception but a significant unmet need among the respondents. There is need to intensify public enlightenment campaigns in our environment emphasizing the benefits and safety of modern contraceptive methods. Community leaders and heads of social groups and women organisations should be co-opted in the dissemination of accurate information on contraception. [TAF Prev Med Bull 2011; 10(1.000: 29-34

  12. Combined Oral Contraceptive Pills: Profile of Acceptors in a Tertiary Hospital in South-South Nigeria.

    Science.gov (United States)

    Abasiattai, A M; Utuk, M N; Ojeh, S O; Eyo, U E

    2011-01-01

    BACKGROUND: Combined oral contraceptive pills were the first contraceptive method to provide sexual freedom of choice for women through reliable, personal and private control of fertility. They are the most widely used hormonal contraceptives and also the most popular non-surgical method of contraception. OBJECTIVE: To review the profile of acceptors of combined oral contraceptive pills at the University of Uyo Teaching Hospital, Uyo. METHODOLOGY: An 8 year review of all clients that accepted combined oral contraceptive pills in the family planning clinic. RESULTS: There were 1,146 new contraceptive acceptors during the period of study out of which 309 (27.9%) accepted the pills. Majority of the clients were between 20 and 29 years of age (54.0%), were multiparous (72.8%), Christians (99.7%) and 61.2% had tertiary level education. Two hundred and fifty-five women (82.5%) desired to use combined oral contraceptive pills to space births while 7.8% wanted to limit child bearing. There was a high discontinuation rate among the women (45.0%) and out of these 87.9% of the clients changed to other contraceptive methods. All the clients commenced their pills within seven days of menstruation and only the low dose monophasic preparations were available in the family planning unit and thus were given to the clients. CONCLUSION: Women who accept to initiate combined oral contraceptive pills in our center are young, well educated, multiparous women who want to space their pregnancies. However, due to the high discontinuation rate among the clients, there is need for further studies evaluating reasons for the high discontinuation rate, exploring interactions between clients and providers' and also providers' attitude towards combined pills in our environment.

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

    Science.gov (United States)

    Peixoto, Bruno; Kalei, Isabel

    2013-07-01

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

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

    Science.gov (United States)

    Calvo, Mónica; Escudero, Maite

    2009-01-01

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

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

    Science.gov (United States)

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

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

  16. Geologic map of the Alamosa 30’ × 60’ quadrangle, south-central Colorado

    Science.gov (United States)

    Thompson, Ren A.; Shroba, Ralph R.; Michael N. Machette,; Fridrich, Christopher J.; Brandt, Theodore R.; Cosca, Michael A.

    2015-10-15

    The Alamosa 30'× 60' quadrangle is located in the central San Luis Basin of southern Colorado and is bisected by the Rio Grande. The Rio Grande has headwaters in the San Juan Mountains of Colorado and ultimately discharges into the Gulf of Mexico 3,000 kilometers (km) downstream. Alluvial floodplains and associated deposits of the Rio Grande and east-draining tributaries, La Jara Creek and Conejos River, occupy the north-central and northwestern part of the map area. Alluvial deposits of west-draining Rio Grande tributaries, Culebra and Costilla Creeks, bound the Costilla Plain in the south-central part of the map area. The San Luis Hills, a northeast-trending series of flat-topped mesas and hills, dominate the landscape in the central and southwestern part of the map and preserve fault-bound Neogene basin surfaces and deposits. The Precambrian-cored Sangre de Cristo Mountains rise to an elevation of nearly 4,300 meters (m), almost 2,000 m above the valley floor, in the eastern part of the map area. In total, the map area contains deposits that record surficial, tectonic, sedimentary, volcanic, magmatic, and metamorphic processes over the past 1.7 billion years.

  17. Eruption age of permanent mandibular first molars and central incisors in the south Indian population

    Directory of Open Access Journals (Sweden)

    Gupta Rakhi

    2007-01-01

    Full Text Available Objective: The existing eruption schedules for permanent and deciduous dentition are based on studies in the Western population. Since Indians differ from Westerners racially, genetically, and environmentally, these studies fail to provide relevant guidance on the eruption schedule in the Indian population. This study aims at determining the eruption pattern of permanent mandibular molars and central incisors in the south Indian population. Materials and Methods: 10,156 apparently healthy Indian children in the age-group of 6-9 years were examined with mouth mirror and probe under adequate illumination for the status of the eruption of the permanent mandibular first molar and permanent mandibular central incisor. Pearson′s Chi-square test with Yates′ continuity correction was used to calculate the P -value for comparison of proportion between girls and boys. The values obtained in our study were compared with the standard values. The Z-test with continuity correction was used to calculate the P -value. Results: As per our study, the permanent mandibular first molars and central incisors erupted one to two years later compared to the values reported in Westerners. The earlier eruption of the permanent mandibular first molars compared to the permanent mandibular central incisors, as well as the earlier eruption of both the teeth in girls compared to boys, were in accordance with the existing literature. Conclusion: The eruption age reported by us may form a standard reference for eruption age in Indians.

  18. Geothermal heating project at St. Mary's Hospital, Pierre, South Dakota. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1984-12-01

    St. Mary's Hospital, Pierre, South Dakota, with the assistance of the US Department of Energy, drilled a 2176 ft well into the Madison Aquifer ot secure 108/sup 0/F artesian flow water at 385 gpm (475 psig shut-in pressure). The objective was to provide heat for domestic hot water and to space heat 163,768 sq. ft. Cost savings for the first three years were significant and, with the exception of a shutdown to replace some corroded pipe, the system has operated reliably and continuously for the last four years.

  19. THE STRUCTURE OF THE SEED YIELD OF BROAD BEANS IN THE SOUTH CENTRAL ZONE OF THE SOUTH OF THE CENTRAL BLACK EARTH REGION

    Directory of Open Access Journals (Sweden)

    Yu. N. Kurkina

    2018-01-01

    Full Text Available Rich in high quality protein, vitamins, carbohydrates, organic acids and trace elements seeds, green fruits and young leaves broad beans (Vicia faba L. var. major Harz has long been used in the food, and the culture of beans are promising in biological agriculture and horticulture. The aim of this work was to study the structure of seed production of different varieties of broad beans in the South Central zone of the region. At the Botanical garden BelSU (Belgorod to study the structure of seed production of different varieties of broad beans (Belarusiskie, Velena, Russkie chernie, Aquadul and determined the biochemical composition of seeds. Optimal height of attachment of the first fruit for mechanical harvesting (20-25 cm characteristic of plants of all studied varieties. Weight of the fetus, according to the coefficient of variability, equal to 45%, distinguished by a strong variability on grades with a maximum grade of Velena. The length of fruit ranged from 9 to 13 cm and were characterized by moderate variability (V=20%. Seeds production is determinened not only by size of fruits of beans, but and its important components such as 1000 seed weight. Protein content in the seeds at 30% different varieties of broad beans domestic breeding. Contents of nitrogen, potassium, phosphorus and iron is higher in the cotyledons than in the skin. Dark purple color of the seed varieties of Russian black is due to the biosynthesis useful for human organism anthocyanins in seed peel.

  20. Helicopter electromagnetic and magnetic geophysical survey data, Hunton anticline, south-central Oklahoma

    Science.gov (United States)

    Smith, Bruce D.; Smith, David V.; Deszcz-Pan, Maryla; Blome, Charles D.; Hill, Patricia

    2011-01-01

    This report is a digital data release for multiple geophysical surveys conducted in the Hunton anticline area of south-central Oklahoma. The helicopter electromagnetic and magnetic surveys were flown on March 16–17, 2007, in four areas of the Hunton anticline in south-central Oklahoma. The objective of this project is to improve the understanding of the geohydrologic framework of the Arbuckle-Simpson aquifer. The electromagnetic sensor for the helicopter electromagnetic survey consisted of six different transmitter-receiver orientations that measured the earth's electrical response at six distinct frequencies from approximately 500 Hertz to approximately 115,000 Hertz. The electromagnetic measurements were converted to electrical resistivity values, which were gridded and plotted on georeferenced maps. The map from each frequency represents a different depth of investigation for each area. The range of subsurface investigation is comparable to the depth of shallow groundwater. The four areas selected for the helicopter electromagnetic study, blocks A–D, have different geologic and hydrologic settings. Geophysical and hydrologic information from U.S. Geological Survey studies are being used by modelers and resource managers to develop groundwater resource plans for the Arbuckle-Simpson aquifer.

  1. Diet, dietary selectivity and density of South American grey fox, Lycalopex griseus, in Central Chile.

    Science.gov (United States)

    Muñoz-Pedreros, Andrés; Yáñez, José; Norambuena, Heraldo V; Zúñiga, Alfredo

    2018-01-01

    The South American grey fox Lycalopex griseus is a canid widely distributed in southern South America; however, some aspects of its biology are still poorly known. We studied the diet and density of L. griseus in the Lago Peñuelas Biosphere Reserve, in Central Chile. The trophic niche breadth was B = 6.16 (B sta = 0.47) and prey diversity was H' = 2.46 (H max ' = 3.17, J' = 0.78). The highest proportions of prey consumed in the diet were Oryctolagus cuniculus (52.21%) and other mammals (32.78%). We compared these results with a latitudinal gradient of diet results for this species in Chile. L. griseus eats mostly mammals (>90% of total prey), consuming the rodent Phyllotis darwini and reptiles in the northern zone; Oryctolagus cuniculus, Octodon degus and Abrocoma bennetti in the central zone; Abrothrix spp. and lagomorphs in the southern zone; and Lepus capensis and Ovis aries in the austral zone. The estimated density of L. griseus in Lago Peñuelas NR was 1.3 foxes/km 2 . © 2017 International Society of Zoological Sciences, Institute of Zoology/Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.

  2. Three-dimensional geologic model of the Arbuckle-Simpson aquifer, south-central Oklahoma

    Science.gov (United States)

    Faith, Jason R.; Blome, Charles D.; Pantea, Michael P.; Puckette, James O.; Halihan, Todd; Osborn, Noel; Christenson, Scott; Pack, Skip

    2010-01-01

    The Arbuckle-Simpson aquifer of south-central Oklahoma encompasses more than 850 square kilometers and is the principal water resource for south-central Oklahoma. Rock units comprising the aquifer are characterized by limestone, dolomite, and sandstones assigned to two lower Paleozoic units: the Arbuckle and Simpson Groups. Also considered to be part of the aquifer is the underlying Cambrian-age Timbered Hills Group that contains limestone and sandstone. The highly faulted and fractured nature of the Arbuckle-Simpson units and the variable thickness (600 to 2,750 meters) increases the complexity in determining the subsurface geologic framework of this aquifer. A three-dimensional EarthVision (Trademark) geologic framework model was constructed to quantify the geometric relationships of the rock units of the Arbuckle-Simpson aquifer in the Hunton anticline area. This 3-D EarthVision (Trademark) geologic framework model incorporates 54 faults and four modeled units: basement, Arbuckle-Timbered Hills Group, Simpson Group, and post-Simpson. Primary data used to define the model's 54 faults and four modeled surfaces were obtained from geophysical logs, cores, and cuttings from 126 water and petroleum wells. The 3-D framework model both depicts the volumetric extent of the aquifer and provides the stratigraphic layer thickness and elevation data used to construct a MODFLOW version 2000 regional groundwater-flow model.

  3. Lead in drinking water: sampling in primary schools and preschools in south central Kansas.

    Science.gov (United States)

    Massey, Anne R; Steele, Janet E

    2012-03-01

    Studies in Philadelphia, New York City, Houston, Washington, DC, and Greenville, North Carolina, have revealed high lead levels in drinking water. Unlike urban areas, lead levels in drinking water in suburban and rural areas have not been adequately studied. In the study described in this article, drinking water in primary schools and preschools in five suburban and rural south central Kansas towns was sampled to determine if any exceeded the U.S. Environmental Protection Agency (U.S. EPA) guidance level for schools and child care facilities of 20 parts per billion (ppb). The results showed a total of 32.1% of the samples had detectable lead levels and 3.6% exceeded the U.S. EPA guidance level for schools and child care providers of 20 ppb. These results indicate that about one-third of the drinking water consumed by children age six and under in the five suburban and rural south central Kansas towns studied has some lead contamination, exposing these children to both short-term and long-term health risks. The authors suggest a need for increased surveillance of children's drinking water in these facilities.

  4. Multi-year GNSS monitoring of atmospheric IWV over Central and South America for climate studies

    Science.gov (United States)

    Mendoza, Luciano; Bianchi, Clara; Fernández, Laura; Natali, María Paula; Meza, Amalia; Moirano, Juan

    2017-04-01

    Atmospheric water vapour has been acknowledged as an essential climate variable. Weather prediction and hazard assessment systems benefit from real-time observations, whereas long-term records contribute to climate studies. Nowadays, ground-based GNSS products have become widely employed, complementing satellite observations over the oceans. Although the past decade has seen a significant development of the GNSS infrastructure in Central and South America, its potential for atmospheric water vapour monitoring has not been fully exploited. With this in mind, we have performed a regional, seven-year long and homogeneous analysis, comprising 136 GNSS tracking stations, obtaining high-rate and continuous observations of column integrated water vapour and troposphere zenith total delay (Bianchi et al. 2016). As preliminary application for this data set, we have estimated local water vapour trends, their significance, and their relation with specific climate regimes. We have found evidence of drying at temperate regions in South America, at a rate of about 2% per decade, while a slow moistening of the troposphere over tropical regions is also weakly suggested by our results. Furthermore, we have assessed the regional performance of the empirical model GPT2w to blindly estimate troposphere delays. The model fairly reproduces the observed mean delays, including their annual and semi-annual variations. Nevertheless, a long-term evaluation has shown systematical biases, up to 20 mm, probably inherited form the underling atmospheric reanalysis. Additionally, the complete data set has been made openly available at a scientific repository (doi:10.1594/PANGAEA.858234). References: C. Bianchi, L. Mendoza, L. Fernandez, M. P. Natali, A. Meza, J. F. Moirano, Multi-year GNSS monitoring of atmospheric IWV over Central and South America for climate studies, Ann. Geophys., ISSN 0992-7689, eISSN 1432-0576, 34 (7), 623-639 (doi:10.5194/angeo-34-623-2016).

  5. Hospital Nurses' Competencies in Disaster Situations: A Qualitative Study in the South of Brazil.

    Science.gov (United States)

    Marin, Sandra M; Witt, Regina R

    2015-12-01

    Introduction Hospital nurses play a key role in the aftermath of the occurrence of disasters and need specific competencies to work in these situations. From a global perspective, few models exist that focus on disaster nursing. This study aimed to identify hospital nurses' competencies in disaster situations. A qualitative, descriptive, exploratory study was developed using focus groups as a method of data collection. Three meetings were held from June through September 2012 with nurses who worked at a hospital used as reference for disaster situations in the South of Brazil. Thematic analysis of collected data generated the competencies. For statement standardization, a format consistent with a verb, a noun, and a complement was adopted. The group validated 17 competencies, which were organized according to the phases of emergency management described by the World Health Organization (WHO) and classified in domain areas of management, health care, communication, and education. The competencies identified in this study can contribute to the education and practice of nurses in the hospital ambience, strengthening its capacity to face disaster situations.

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

    International Nuclear Information System (INIS)

    Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio

    2001-01-01

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

  7. Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research

    Directory of Open Access Journals (Sweden)

    Sang Heon Lee

    2017-01-01

    Full Text Available Purpose: We aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea. Materials and Methods: Questionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas. Results: The study was carried out from July to December 2014; 75.6% of patients (1,858/2,458 and 77.5% (779/1,031 of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110–367, 189.1 patients (range, 90–345, and 40.2 nurses (range, 10–83. The average number of physicians was 6.2 (range, 3–11, but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%, indwelling catheters (19.5%, clean intermittent catheters (12.2%, and external collection urinary drainage (7.9%. However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%. Conclusions: Urologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.

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

    Institute of Scientific and Technical Information of China (English)

    Sameer singhal; Pankaj Banode; Nitish Baisakhiya

    2009-01-01

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

  9. Environmental factors in infancy and ulcerative colitis in the Central South of Chile: a case-control study.

    Science.gov (United States)

    Boneberger, Anja; Weiss, Eduardo Hebel; Calvo, Mario; Torres, Lilibeth; Wagner, Johanna; Kabesch, Michael; Radon, Katja

    2011-10-01

    Evidence for the role of the hygiene hypothesis and the development of Ulcerative Colitis (UC) is unclear. We aimed to explore the association between environmental factors in infancy and UC. A hospital-based case-control study (52 UC cases, response: 77%, 174 age- , sex and place of living matched controls, response: 62%) was carried out in the Central South of Chile in 2009/2010. Patients or parents underwent a personal interview about early life experiences. High paternal education (adjusted Odds Ratio (aOR): 2.1; 95% CI: 1.0-4.5) as proxy for socioeconomic status was positively associated with case status in the final multivariate logistic regression model. Likewise, having older siblings was a risk factor for UC (aOR: 2.2; 95%CI: 1.1.-4.4). The importance for some early life environmental factors in the development of UC was established. However, the role of the hygiene hypothesis could not be confirmed for all environmental factors. Copyright © 2011 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

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

    Science.gov (United States)

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

    2017-10-01

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

  11. Occurrence of Coccolithophorids in the Northeastern and Central South China Sea

    Directory of Open Access Journals (Sweden)

    Tien-Nan Yang

    2003-03-01

    Full Text Available Coccolithophorids in the northeastern and central South China Sea (SCS were surveyed in March and October 1996. The cell density of coccolithophorids ranged from 25 x 103 cells L-1 to 31 x 103 cells L-1 in sea-surface water (0–25 m in depth, and from 12 x 103 cells L-1 to 62 x 103 cells L-1 in subsurface water (150 m in depth. The lowest cell number was recorded in the subsurface (150 m in depth in the central gyral area, while the highest one was at the same depth in the northeastern realm. A total of thirty-one species were identified. The species richness in the northeastern SCS is higher than in the central area. Emiliania huxleyi (Lohmann Hay et Mohler, Gephyrocapsa oceanica Kamptner, Umbellosphaera Paasche spp. And Syracosphaera Lohmann spp. Dominated the surface assemblages, whereas Florisphaera profunda Okada et Honjo, Gladiolithus flabellatus (Halldal et Markali Jordan et Chamberlain predominated in the subsurface layer. In contrast, Palusphaera vandeli Lecal emend. R. E. Norris presented in both surface and subsurface assemblages.

  12. Psychiatric hospital beds and prison populations in South America since 1990: does the Penrose hypothesis apply?

    Science.gov (United States)

    Mundt, Adrian P; Chow, Winnie S; Arduino, Margarita; Barrionuevo, Hugo; Fritsch, Rosemarie; Girala, Nestor; Minoletti, Alberto; Mitkiewicz, Flávia; Rivera, Guillermo; Tavares, María; Priebe, Stefan

    2015-02-01

    In 1939, English mathematician, geneticist, and psychiatrist Lionel Sharples Penrose hypothesized that the numbers of psychiatric hospital beds and the sizes of prison populations were inversely related; 75 years later, the question arises as to whether the hypothesis applies to recent developments in South America. To explore the possible association of changes in the numbers of psychiatric hospital beds with changes in the sizes of prison populations in South America since 1990. We searched primary sources for the numbers of psychiatric hospital beds in South American countries since 1990 (the year that the Latin American countries signed the Caracas Declaration) and compared these changes against the sizes of prison populations. The associations between the numbers of psychiatric beds and the sizes of prison populations were tested using fixed-effects regression of panel data. Economic variables were considered as covariates. Sufficiently reliable and complete data were obtained from 6 countries: Argentina, Bolivia, Brazil, Chile, Paraguay, and Uruguay. The numbers of psychiatric beds and the sizes of prison populations. Since 1990, the numbers of psychiatric beds decreased in all 6 countries (ranging from -2.0% to -71.9%), while the sizes of prison populations increased substantially (ranging from 16.1% to 273.0%). Panel data regression analysis across the 6 countries showed a significant inverse relationship between numbers of psychiatric beds and sizes of prison populations. On average, the removal of 1 bed was associated with 5.18 more prisoners (95% CI, 3.10-7.26; P = .001), which was reduced to 2.78 prisoners (95% CI, 2.59-2.97; P prison populations remained practically unchanged when income inequality was considered as a covariate (-4.28 [95% CI, -5.21 to -3.36]; P prison populations have increased against a background of strong economic growth. The changes appear to be associated because the numbers of beds decreased more extensively when and

  13. Cefazolin high-inoculum effect in methicillin-susceptible Staphylococcus aureus from South American hospitals.

    Science.gov (United States)

    Rincón, Sandra; Reyes, Jinnethe; Carvajal, Lina Paola; Rojas, Natalia; Cortés, Fabián; Panesso, Diana; Guzmán, Manuel; Zurita, Jeannete; Adachi, Javier A; Murray, Barbara E; Nannini, Esteban C; Arias, Cesar A

    2013-12-01

    Clinical failures with cefazolin have been described in high-inoculum infections caused by methicillin-susceptible Staphylococcus aureus (MSSA) producing type A β-lactamase. We investigated the prevalence of the cefazolin inoculum effect (InE) in MSSA from South American hospitals, since cefazolin is used routinely against MSSA due to concerns about the in vivo efficacy of isoxazolyl penicillins. MSSA isolates were recovered from bloodstream (n = 296) and osteomyelitis (n = 68) infections in two different multicentre surveillance studies performed in 2001-02 and 2006-08 in South American hospitals. We determined standard-inoculum (10(5)cfu/mL) and high-inoculum (10(7) cfu/mL) cefazolin MICs. PFGE was performed on all isolates that exhibited a cefazolin InE. Multilocus sequence typing (MLST) and sequencing of part of blaZ were performed on representative isolates. The overall prevalence of the cefazolin InE was 36% (131 isolates). A high proportion (50%) of MSSA isolates recovered from osteomyelitis infections exhibited the InE, whereas it was observed in 33% of MSSA recovered from bloodstream infections. Interestingly, Ecuador had the highest prevalence of the InE (45%). Strikingly, 63% of MSSA isolates recovered from osteomyelitis infections in Colombia exhibited the InE. MLST revealed that MSSA isolates exhibiting the InE belonged to diverse genetic backgrounds, including ST5, ST8, ST30 and ST45, which correlated with the prevalent methicillin-resistant S. aureus clones circulating in South America. Types A (66%) and C (31%) were the most prevalent β-lactamases. Our results show a high prevalence of the cefazolin InE associated with type A β-lactamase in MSSA isolates from Colombia and Ecuador, suggesting that treatment of deep-seated infections with cefazolin in those countries may be compromised.

  14. Safety and affordability of an elective Saturday list at Pietersburg Hospital Limpopo South Africa

    Directory of Open Access Journals (Sweden)

    R Mavhungu

    2018-02-01

    Full Text Available Background. The backlog of patients waiting for operations continues to be a problem in many public hospitals in South Africa (SA, with elective surgery procedures being postponed for up to 2 years.Objective. To determine the rate of death in hospital or out of hospital within 30 days of an elective procedure performed on a Saturday, and to determine the cost incurred by paying staff members who perform these operations.Method. A prospective, observational descriptive cohort study of all patients undergoing inpatient general surgery operations during weekdays and weekends between 1 September 2015 and 31 August 2016 (1 year at Pietersburg Hospital (PBH, Limpopo, SA. Microsoft Excel 2010 (Microsoft, USA was used to analyse and derive descriptive statistics. The finance department at the hospital calculated the overtime pay for theatre staff who operated on Saturdays.Results. The study included 1 352 operations (607 elective and 745 emergency procedures. Saturday elective operations contributed 133/607 (22%, and the rate of death for these operations was 1.5%. The most common procedures performed on a Saturday were hernia repair and amputation. The cost for 8 hours of work on a Saturday was ZAR13 900, amounting to a total of ZAR333 600 for 24 Saturdays.Conclusion. Performing minor surgery on a Saturday had a mortality rate of 1.5%, and a theatre staff cost of ~ZAR2 317 per patient, excluding surgeons’ fees. If surgeons were to be paid the costs would be ZAR3 450 per patient.

  15. Melittofauna and Other Potential Pollinators in Wetland and Uplands in South Central Nebraska (Insecta: Apoidea).

    Science.gov (United States)

    Park, Cynthia N; Overall, Lisa M; Smith, Loren M; Lagrange, Ted; McMurry, Scott

    2017-03-10

    Our objective was to document potential wild pollinating insects in south central Nebraska. This intensively cultivated region is known as the Rainwater Basin and contains some of the most endangered wetland systems in North America. We used blue vane traps to passively collect insects and insect nets to actively collect on flowering plants from April through October in 2014 and 2015. Habitat types included playa wetlands, adjacent mixed and tallgrass prairies, and agricultural fields. Over 112,000 insects were collected; Hymenoptera represented 78% of the total, and the families Apidae and Halictidae comprised 99% of the total melittofauna. Insects from 13 orders were collected, but Hymenoptera, Diptera, and Coleoptera were the most abundant potential pollinators.

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

    Directory of Open Access Journals (Sweden)

    Rajan Parajuli

    2016-07-01

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

  17. Cephalopods and cetaceans as indicators of offshore bioavailability of cadmium off Central South Brazil Bight

    Energy Technology Data Exchange (ETDEWEB)

    Dorneles, Paulo Renato [Laboratorio de Radioisotopos Eduardo Penna Franca, Instituto de Biofisica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro (UFRJ), 21941-900 Rio de Janeiro, RJ (Brazil) and Laboratorio de Mamiferos Aquaticos, Dept. Oceanografia, UERJ, 20550-013 Rio de Janeiro, RJ (Brazil)]. E-mail: dorneles@biof.ufrj.br; Lailson-Brito, Jose [Laboratorio de Radioisotopos Eduardo Penna Franca, Instituto de Biofisica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro (UFRJ), 21941-900 Rio de Janeiro, RJ (Brazil) and Laboratorio de Mamiferos Aquaticos, Dept. Oceanografia, UERJ, 20550-013 Rio de Janeiro, RJ (Brazil)]. E-mail: lailson@uerj.br; Aguiar dos Santos, Roberta [Centro de Pesquisa e Gestao de Recursos Pesqueiros do Litoral Sudeste e Sul, IBAMA, 88301-700 Itajai, SC (Brazil)]. E-mail: gibteuthis@yahoo.com.br; Silva da Costa, Paulo Alberto [Laboratorio de Dinamica de Populacoes Marinhas, UNIRIO, 22290-240 Rio de Janeiro, RJ (Brazil)]. E-mail: pauloascosta@uol.com.br; Malm, Olaf [Laboratorio de Radioisotopos Eduardo Penna Franca, Instituto de Biofisica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro (UFRJ), 21941-900 Rio de Janeiro, RJ (Brazil)]. E-mail: olaf@biof.ufrj.br; Azevedo, Alexandre Freitas [Laboratorio de Mamiferos Aquaticos, Dept. Oceanografia, UERJ, 20550-013 Rio de Janeiro, RJ (Brazil)]. E-mail: azevedo.alex@uol.com.br; Machado Torres, Joao Paulo [Laboratorio de Radioisotopos Eduardo Penna Franca, Instituto de Biofisica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro (UFRJ), 21941-900 Rio de Janeiro, RJ (Brazil)]. E-mail: jptorres@biof.ufrj.br

    2007-07-15

    Regarding Brazilian coast, industrial and urban developments are concentrated along Central South Brazil Bight. Samples from inshore and offshore species from the concerned area were analyzed, comprising 24 cetaceans (9 species) and 32 squids (2 species). Cadmium was determined by GFAAS and our results were in agreement with certified values (DOLT-2, NRCC). Mean cadmium concentration (in {mu}g/g, wet weight) observed in the digestive gland of sexually mature Argentine short-finned squids (Illex argentinus) was 1002.9. To our knowledge this is the highest cadmium level ever reported for a cephalopod. Concerning cetaceans, our results include one of the highest renal cadmium concentrations described for striped dolphins (71.29 {mu}g/g, wet weight). Anthropogenic action, upwelling and cannibalism of Argentine short-finned squid on the studied area are possible reasons for such remarkable cadmium concentrations. - Cd levels in ommastrephid squids from Brazil are the highest ever reported for cephalopods.

  18. Cephalopods and cetaceans as indicators of offshore bioavailability of cadmium off Central South Brazil Bight

    International Nuclear Information System (INIS)

    Dorneles, Paulo Renato; Lailson-Brito, Jose; Aguiar dos Santos, Roberta; Silva da Costa, Paulo Alberto; Malm, Olaf; Azevedo, Alexandre Freitas; Machado Torres, Joao Paulo

    2007-01-01

    Regarding Brazilian coast, industrial and urban developments are concentrated along Central South Brazil Bight. Samples from inshore and offshore species from the concerned area were analyzed, comprising 24 cetaceans (9 species) and 32 squids (2 species). Cadmium was determined by GFAAS and our results were in agreement with certified values (DOLT-2, NRCC). Mean cadmium concentration (in μg/g, wet weight) observed in the digestive gland of sexually mature Argentine short-finned squids (Illex argentinus) was 1002.9. To our knowledge this is the highest cadmium level ever reported for a cephalopod. Concerning cetaceans, our results include one of the highest renal cadmium concentrations described for striped dolphins (71.29 μg/g, wet weight). Anthropogenic action, upwelling and cannibalism of Argentine short-finned squid on the studied area are possible reasons for such remarkable cadmium concentrations. - Cd levels in ommastrephid squids from Brazil are the highest ever reported for cephalopods

  19. Factors affecting condom usage among college students in South Central Kentucky.

    Science.gov (United States)

    Kanekar, Amar; Sharma, Manoj

    The absence of consistent and correct usage of condoms increases the risk of sexually transmitted infections (STI) and HIV/AIDS. However, most studies done to date across the nation indicate a low usage of condoms among college students. This study identifies protective and risk factors associated with condom use among college students. The National College Health Assessment was administered to a random sample of students at a state comprehensive university in south central Kentucky. Findings revealed that among the sexually active students, approximately half never used condoms during vaginal intercourse. Further, among students engaging in oral sex, an alarmingly high proportion (95%) reported never using a condom during this act. These findings, along with differences noted in various subgroups (gender, housing, class standing), and other risk behaviors (alcohol, illicit drug use) are discussed.

  20. Hydrogeology and simulation of groundwater flow in the Arbuckle-Simpson aquifer, south-central Oklahoma

    Science.gov (United States)

    Christenson, Scott; Osborn, Noel I.; Neel, Christopher R.; Faith, Jason R.; Blome, Charles D.; Puckette, James; Pantea, Michael P.

    2011-01-01

    The Arbuckle-Simpson aquifer in south-central Oklahoma provides water for public supply, farms, mining, wildlife conservation, recreation, and the scenic beauty of springs, streams, and waterfalls. Proposed development of water supplies from the aquifer led to concerns that large-scale withdrawals of water would cause decreased flow in rivers and springs, which in turn could result in the loss of water supplies, recreational opportunities, and aquatic habitat. The Oklahoma Water Resources Board, in collaboration with the Bureau of Reclamation, the U.S. Geological Survey, Oklahoma State University, and the University of Oklahoma, studied the aquifer to provide the Oklahoma Water Resources Board the scientific information needed to determine the volume of water that could be withdrawn while protecting springs and streams. The U.S. Geological Survey, in coopertion with the Oklahoma Water Resources Board, did a study to describe the hydrogeology and simulation of groundwater flow of the aquifer.

  1. Satellite-based detection of volcanic sulphur dioxide from recent eruptions in Central and South America

    Directory of Open Access Journals (Sweden)

    D. Loyola

    2008-01-01

    Full Text Available Volcanic eruptions can emit large amounts of rock fragments and fine particles (ash into the atmosphere, as well as several gases, including sulphur dioxide (SO2. These ejecta and emissions are a major natural hazard, not only to the local population, but also to the infrastructure in the vicinity of volcanoes and to aviation. Here, we describe a methodology to retrieve quantitative information about volcanic SO2 plumes from satellite-borne measurements in the UV/Visible spectral range. The combination of a satellite-based SO2 detection scheme and a state-of-the-art 3D trajectory model enables us to confirm the volcanic origin of trace gas signals and to estimate the plume height and the effective emission height. This is demonstrated by case-studies for four selected volcanic eruptions in South and Central America, using the GOME, SCIAMACHY and GOME-2 instruments.

  2. Vulnerabilities to Temperature Effects on Acute Myocardial Infarction Hospital Admissions in South Korea

    Directory of Open Access Journals (Sweden)

    Bo Yeon Kwon

    2015-11-01

    Full Text Available Most previous studies have focused on the association between acute myocardial function (AMI and temperature by gender and age. Recently, however, concern has also arisen about those most susceptible to the effects of temperature according to socioeconomic status (SES. The objective of this study was to determine the effect of heat and cold on hospital admissions for AMI by subpopulations (gender, age, living area, and individual SES in South Korea. The Korea National Health Insurance (KNHI database was used to examine the effect of heat and cold on hospital admissions for AMI during 2004–2012. We analyzed the increase in AMI hospital admissions both above and below a threshold temperature using Poisson generalized additive models (GAMs for hot, cold, and warm weather. The Medicaid group, the lowest SES group, had a significantly higher RR of 1.37 (95% CI: 1.07–1.76 for heat and 1.11 (95% CI: 1.04–1.20 for cold among subgroups, while also showing distinctly higher risk curves than NHI for both hot and cold weather. In additions, females, older age group, and those living in urban areas had higher risks from hot and cold temperatures than males, younger age group, and those living in rural areas.

  3. Post-traumatic stress disorder among paramedic and hospital emergency personnel in south-east Iran

    Institute of Scientific and Technical Information of China (English)

    Sedigheh Iranmanesh; Batool Tirgari; Hojat Sheikh Bardsiri

    2013-01-01

    BACKGROUND:Paramedic and emergency personnel may encounter directly many events that threat their own wellbeing during their daily work.This study was conducted to examine the prevalence rate of post-traumatic stress disorder(PTSD) among two groups of paramedic and emergency personnel in south-east Iran.METHODS:The study employed a descriptive design and was conducted in four hospital emergency wards and a pre-hospital emergency base supervised by Kerman Medical University.Using Mississippi PTSD,we assessed the prevalence rate in paramedics(n=150) and emergency personnel(n=250).RESULTS:The two groups had different levels of education,marital status,experience of traumatic events,work hours per month,and gender.Most(94%) of paramedic and hospital emergency personnel reported moderate PTSD.The two groups had significant different levels of PTSD in all subscale.CONCLUSION:The study suggests that health care managers should organize systematic and dynamic policies and procedures in dealing with PTSD to assist both groups of personnel.

  4. Integrating biomedical and herbal medicine in Ghana - experiences from the Kumasi South Hospital: a qualitative study.

    Science.gov (United States)

    Boateng, Millicent Addai; Danso-Appiah, Anthony; Turkson, Bernard Kofi; Tersbøl, Britt Pinkowski

    2016-07-07

    Over the past decade there has been growing interest in the use of herbal medicine both in developed and developing countries. Given the high proportion of patients using herbal medicine in Ghana, some health facilities have initiated implementation of herbal medicine as a component of their healthcare delivery. However, the extent to which herbal medicine has been integrated in Ghanaian health facilities, how integration is implemented and perceived by different stakeholders has not been documented. The study sought to explore these critical issues at the Kumasi South Hospital (KSH) and outline the challenges and motivations of the integration process. Qualitative phenomenological exploratory study design involving fieldwork observations, focus group discussion, in-depth interviews and key informants' interviews was employed to collect data. Policies and protocols outlining the definition, process and goals of integration were lacking, with respondents sharing different views about the purpose and value of integration of herbal medicine within public health facilities. Key informants were supportive of the initiative. Whilst biomedical health workers perceived the system to be parallel than integrated, health personnel providing herbal medicine perceived the system as integrated. Most patients were not aware of the herbal clinic in the hospital but those who had utilized services of the herbal clinic viewed the clinic as part of the hospital. The lack of a regulatory policy and protocol for the integration seemed to have led to the different perception of the integration. Policy and protocol to guide the integration are key recommendations.

  5. Prevalence of Alcohol Use and Associated Factors in Urban Hospital Outpatients in South Africa

    Directory of Open Access Journals (Sweden)

    Hendry Van der Heever

    2011-06-01

    Full Text Available The aim of this study was to assess the prevalence of alcohol use and associated factors among outpatients in an urban hospital in South Africa. The sample included 1,532 (56.4% men and women 43.6% consecutively selected patients from different hospital outpatient departments. Results indicate that 41.2% of men and 18.3% of women were found to be hazardous drinkers, and 3.6% of men and 1.4% of women meet criteria for probable alcohol dependence or harmful drinking as defined by the Alcohol Use Disorder Identification Test (AUDIT. Two in five patients (40.5% were hazardous or harmful drinkers and/or had anxiety or depression. Logistic multiple regression found that for men tobacco use and not having been diagnosed with diabetes and for women tobacco use and having been diagnosed with migraine headache was associated with hazardous and harmful drinking. Although the study is cross-sectional, it does identify groups that may be at high risk of alcohol misuse and for whom intervention is urgent. Because prevalence of hazardous and harmful alcohol use is high in this population, routine screening should be introduced in hospital out-patient settings.

  6. Let him not be alone: perspectives of older British South Asian minority ethnic patients on dying in acute hospitals.

    Science.gov (United States)

    Venkatasalu, Munikumar Ramasamy

    2017-09-02

    To investigate older British South Asians' views on dying at acute hospitals. Older people, including those from ethnic minorities prefer 'home as a haven' for their last days of life; however, they are more likely to die in hospital. Constructive grounded theory was used as a methodological approach that informed data collection to data analysis. Open meetings with 11 local South Asian community organisations enabled the researchers to recruit a total of 55 older South Asians in this study. Data were collected using gender-based focus groups (n=5) and in-depth, semi-structured interviews (n=29). Transcripts were analysed using Nvivo 9. Three key themes were identified: 'mistrust', 'let him not be alone' and 'family as a protective shield'. The theme 'mistrust' is explored through examination of beliefs, attitudes and expectations about 'hospital' as a place in the care of the dying. The theme of 'let him not be alone' draws the family's preferences and concerns in relation to leaving their older dying relative alone in the hospital. The final theme of 'family as a protective shield' describes the element of family care as a protective shield for their older one to have peaceful end-of-life care moments in the hospital. Allowing older relatives to die in hospital seems to evoke feelings of missed filial responsibilities and guilt among family carers among older ethnic minorities. The presence of cultural paranoia and mistrust often led minorities to experience sub-standard end-of-life care in acute hospitals.

  7. The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

    Science.gov (United States)

    Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

    2010-01-01

    One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

  8. Proposals to enhance thermal efficiency programs and air pollution control in south-central Chile

    International Nuclear Information System (INIS)

    Schueftan, Alejandra; González, Alejandro D.

    2015-01-01

    Major cities in South-central Chile suffer high levels of particulate matter PM 10 and PM 2.5 due to combustion of solid fuels for heating. Exposure to these air pollutants is recognized as a major contribution to ill health in the region. Here we discuss new strategies to reduce air pollution. Regulations and subsidies focusing on improved combustion by providing drier wood fuel and better stoves have been in effect since 2007. However, air pollution due to combustion of wood fuel has been steadily rising, along with reports on health consequences. The paper analyzes a survey of 2025 households in the city of Valdivia, which found that wood fuel quality, stove renewal, and awareness of programs are strongly affected by income level, and that higher consumption of wood fuel is found in households already having better stoves and drier wood fuel. The analysis suggests that regulations intended to improve combustion are influenced by user's behavior and have limited potential for lowering pollution. We conclude that thermal refurbishment has a larger potential for improvement, not yet been implemented as an energy policy for the majority. Here we propose improvements and additions to current programs to enhance effectiveness and cover the whole social spectrum. - Highlights: • High levels of PM 2.5 from wood combustion affect cities of south-central Chile. • Current programs on dry wood fuel and stoves renewal have not reduced air pollution. • Real operation of wood stoves strongly depends on user's behavior. • Buildings' energy efficiency has greater potential for reducing emissions. • Retrofit prevents degradation of native forest and improves indoor temperature

  9. P and S wave Coda Calibration in Central Asia and South Korea

    Science.gov (United States)

    Kim, D.; Mayeda, K.; Gok, R.; Barno, J.; Roman-Nieves, J. I.

    2017-12-01

    Empirically derived coda source spectra provide unbiased, absolute moment magnitude (Mw) estimates for events that are normally too small for accurate long-period waveform modeling. In this study, we obtain coda-derived source spectra using data from Central Asia (Kyrgyzstan networks - KN and KR, and Tajikistan - TJ) and South Korea (Korea Meteorological Administration, KMA). We used a recently developed coda calibration module of Seismic WaveForm Tool (SWFT). Seismic activities during this recording period include the recent Gyeongju earthquake of Mw=5.3 and its aftershocks, two nuclear explosions from 2009 and 2013 in North Korea, and a small number of construction and mining-related explosions. For calibration, we calculated synthetic coda envelopes for both P and S waves based on a simple analytic expression that fits the observed narrowband filtered envelopes using the method outlined in Mayeda et al. (2003). To provide an absolute scale of the resulting source spectra, path and site corrections are applied using independent spectral constraints (e.g., Mw and stress drop) from three Kyrgyzstan events and the largest events of the Gyeongju sequence in Central Asia and South Korea, respectively. In spite of major tectonic differences, stable source spectra were obtained in both regions. We validated the resulting spectra by comparing the ratio of raw envelopes and source spectra from calibrated envelopes. Spectral shapes of earthquakes and explosions show different patterns in both regions. We also find (1) the source spectra derived from S-coda is more robust than that from the P-coda at low frequencies; (2) unlike earthquake events, the source spectra of explosions have a large disagreement between P and S waves; and (3) similarity is observed between 2016 Gyeongju and 2011 Virginia earthquake sequence in the eastern U.S.

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

    Science.gov (United States)

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

    2013-09-01

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

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

    International Nuclear Information System (INIS)

    Yolchai Jongjirasiri; Yongyudh Vajaradul

    1999-01-01

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

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

    International Nuclear Information System (INIS)

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

    2006-01-01

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

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

    OpenAIRE

    Pasini, J; Marcelino, P

    2012-01-01

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

  14. Specialized consultant in radiological safety to the clinical north central hospital of high speciality, PEMEX. IV. - December of 2001; Asesoria especializada en seguridad radiologica a la clinica hospital central norte de alta especialidad, PEMEX. IV.- Diciembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-10-15

    The north central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)0.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-12-15

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

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2001-09-15

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

  18. Specialized consultant in radiological safety to the north central hospital of high speciality, PEMEX. I. - May-June of 2003; Asesoria especializada en seguridad radiologica al hospital central norte de alta especialidad, PEMEX I.- Mayo-Junio de 2003

    Energy Technology Data Exchange (ETDEWEB)

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

    2003-09-15

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

  19. Presence of rapidly degrading permafrost plateaus in south-central Alaska

    Science.gov (United States)

    Jones, Benjamin M.; Baughman, Carson; Romanovsky, Vladimir E.; Parsekian, Andrew D.; Babcock, Esther; Stephani, Eva; Jones, Miriam C.; Grosse, Guido; Berg, Edward E

    2016-01-01

    Permafrost presence is determined by a complex interaction of climatic, topographic, and ecological conditions operating over long time scales. In particular, vegetation and organic layer characteristics may act to protect permafrost in regions with a mean annual air temperature (MAAT) above 0 °C. In this study, we document the presence of residual permafrost plateaus in the western Kenai Peninsula lowlands of south-central Alaska, a region with a MAAT of 1.5 ± 1 °C (1981–2010). Continuous ground temperature measurements between 16 September 2012 and 15 September 2015, using calibrated thermistor strings, documented the presence of warm permafrost (−0.04 to −0.08 °C). Field measurements (probing) on several plateau features during the fall of 2015 showed that the depth to the permafrost table averaged 1.48 m but at some locations was as shallow as 0.53 m. Late winter surveys (augering, coring, and GPR) in 2016 showed that the average seasonally frozen ground thickness was 0.45 m, overlying a talik above the permafrost table. Measured permafrost thickness ranged from 0.33 to  >  6.90 m. Manual interpretation of historic aerial photography acquired in 1950 indicates that residual permafrost plateaus covered 920 ha as mapped across portions of four wetland complexes encompassing 4810 ha. However, between 1950 and ca. 2010, permafrost plateau extent decreased by 60.0 %, with lateral feature degradation accounting for 85.0 % of the reduction in area. Permafrost loss on the Kenai Peninsula is likely associated with a warming climate, wildfires that remove the protective forest and organic layer cover, groundwater flow at depth, and lateral heat transfer from wetland surface waters in the summer. Better understanding the resilience and vulnerability of ecosystem-protected permafrost is critical for mapping and predicting future permafrost extent and degradation across all permafrost regions that are currently warming

  20. Time spent in sedentary activities in a pediatric population in Pretoria Central, South Africa.

    Science.gov (United States)

    Goon, Daniel T; Nsibambi, Constance A; Chebet, Milton

    2016-12-01

    Scant information exist on screen time behavior of South Africa children and whether they do not meet the recommendation of American Association of Pediatrics (AAP) concerning screen time activity for children is only speculative. Therefore, the purpose of this study was to examine the time spent in sedentary activities, especially screen time of South African children with regard to gender. This cross-sectional study involved a random sample of 1136 school children (548 boys; 588 girls) aged 9-13 years attending public schools in Central Pretoria, South Africa. Questionnaire was used to collect data on the participants' sedentary behaviors. The prevalence estimates for sedentary time activity was based on the guidelines (i.e., <2 or ≥2 hours per day) of AAP. The mean age of the children was 11.1±1.4 years. Sedentary activity data were collected from 548 boys (48.2%) and 588 (51.8%) girls. The majority of children spent more than two hours per day (exceeding the AAP recommendation for sedentary activity) watching TV (3.0%), worked or played on the computer (25.4%), read (1.0%), played music (27.9%), played board games (14.7%), washing clothes (8.0%), floor sweeping (10.5%), art work (18.2%), and spent time on other unspecified activities (28.6%). Boys spent more time (2 hours, 3-4 hours) watching TV (38.3%; P=0.001), playing computer (31.8 %; P=0.024) and board games (17.4%; P=0.012) than girls. The corresponding figures for girls were 35.7%, 19.2% and 12.5% for TV, computer and board games, respectively. However, the proportion of those who spent more time playing music was higher among girls (32.7%) than boys (22.4%) (P=0.002). Overall, the time spent exceeding AAP recommendation (≥ 2 hours) was not statistically (P=0.427) different between boys and girls. The time spent in sedentary activities, particularly in screen time activity among urban primary school children in Pretoria Central is excessively higher than the recommendation (i.e., ≥2 hours per day

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

    Science.gov (United States)

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

    2001-12-01

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

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

    Science.gov (United States)

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

    2017-01-01

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

  3. Reduction of firewood consumption by households in south-central Chile associated with energy efficiency programs

    International Nuclear Information System (INIS)

    Schueftan, Alejandra; González, Alejandro D.

    2013-01-01

    Cities in the central-southern area of Chile face serious environmental pollution due to extensive use of firewood for heating. Low energy efficiency of constructions and cold climate increase the problem, which also affects native forests. The aims of this study are to characterize energy consumption in dwellings of this region, investigate the reduction potential, and study social and environmental consequences of high consumption of firewood. Actual energy consumption is studied with information from surveys, potential for reduction is modeled with software and other consequences are analyzed from previous studies. Results for the city of Valdivia show high firewood consumption per household, with a media bulk volume near 12 m 3 /year. Thermal regulations are softer compared with other countries. Moreover, around 85% of buildings were built before enforcing codes in 2007, and has almost no thermal protection. The reduction potential due to thermal improvements is found to be very high (62%) if buildings are refurbished to comply with the present Chilean Norm of 2007, but it reaches a 77% reduction if refurbished according to stricter foreign regulations. Therefore, an energy efficiency program strongly addressing existing buildings has the largest potential for reducing firewood use, and therefore mitigate environmental and health impacts. - Highlights: • High firewood consumption and environmental pollution in cities of south-central Chile. • High use of firewood due to inefficient constructions and soft thermal regulations. • Potential reduction of energy consumption up to 77% with more demanding regulations. • Policies should address building stock before thermal regulation, corresponding to 85%

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

    Science.gov (United States)

    Manyazewal, Tsegahun; Matlakala, Mokgadi C

    2018-06-01

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

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

    International Nuclear Information System (INIS)

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

    2001-10-01

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

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

    International Nuclear Information System (INIS)

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

    2001-09-01

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

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

    International Nuclear Information System (INIS)

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

    2001-12-01

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

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

    International Nuclear Information System (INIS)

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

    2003-09-01

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

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

  10. Financial Performance of Mixed-Age Naturally Regenerated Loblolly-Hardwood Stands in the South Central United States

    Science.gov (United States)

    Ronald Raunikar; Joseph Buongiorno; Jeffrey P. Prestemon; Karen Lee Abt

    2000-01-01

    To estimate the financial performance of a natural mixed species and mixed-age management in the loblolly-pine forest type, we examined 991 FIA plots in the south central states. The plots were of the loblolly pine forest type, mixed-age, and had been regenerated naturally. We gauged the financial performance of each plot from the equivalent annual income (EAI)...

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

    Science.gov (United States)

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

    2017-06-01

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

  12. The prevalence of HIV among blood donors at Juba Teaching Hospital Blood Bank, South Sudan

    Directory of Open Access Journals (Sweden)

    Kenneth L L Sube

    2014-11-01

    Full Text Available Objectives The aim of this study is to determine the prevalence of HIV among blood donors in Juba Teaching Hospital Blood Bank, South Sudan in 2013. Method and Materials This is a retrospective study that involved the abstraction of data from registers at the blood bank. Data were collected onto data sheets and entered into a computer database. Statistical analysis was performed using SPSS Version 20 Software. A p value of <0.05 was considered statistically significant. Results Out of 1095 blood donors, 1074 (98.1% were males and 21 (1.9% were females. The mean age and the range for the whole group was 29+7.16 (15-69 yrs. The prevalence of HIV was higher among males than females 85 (7.9% vs 1 (4.8% respectively but this was not statistical significant (p=0.6. The 20 to 29 year age group had the highest prevalence of 49 (57% with no statistical significance (p=0.3.The prevalence of HIV was 7.0 % (86 and there were co-infections between HIV and HBV, HCV and syphilis of 14 (50%, 5 (18%, 9 (32% with p=0.7, p=0.1, p=0.8 respectively. Blood group O positive had the highest percentage 58.1 % (n=50 and was the commonest group. Conclusion In this study, HIV prevalence is very high among blood donors at the Juba Teaching Hospital blood bank.

  13. An analysis of diagnostic practices in a mammography unit in a tertiary hospital in South Africa

    Directory of Open Access Journals (Sweden)

    Clare A. Surridge

    2017-03-01

    Objectives: To perform an audit of the UGCNB biopsies performed at the Grey’s Hospital Mammography Department and assess the accuracy of the radiologists’ use of the BI-RADS scoring system. Methods: Records of all patients who underwent UGCNB biopsy between 01 January 2014 and 31 October 2015 were reviewed. A retrospective study was performed. Results: A total of 304 UGCNB biopsies were performed on 291 patients. The mean age was 49.2 (s.d. = 15.9 years. Tissue samples from 303 lesions were adequate for histological assessment, and of these, 51% of the lesions were malignant whilst 49% were benign. The most common malignant and benign diagnoses were invasive ductal carcinoma and fibroadenoma respectively. The BI-RADS scoring of the radiologists demonstrated a positive predictive value of 61.6% for the identification of possible malignant lesions. Conclusion: This study describes the patient and lesion profile and unit practices in a tertiary hospital setting in South Africa. The radiologists’ application of the BI-RADS scoring largely conforms to the BI-RADS guidelines. The study highlights several challenges encountered by a breast imaging programme in an under-resourced setting as well as making recommendations in overcoming these challenges.

  14. Disparities in acute in-hospital cardiovascular care for Aboriginal and non-Aboriginal South Australians.

    Science.gov (United States)

    Tavella, Rosanna; McBride, Katharine; Keech, Wendy; Kelly, Janet; Rischbieth, Amanda; Zeitz, Christopher; Beltrame, John F; Tideman, Philip A; Brown, Alex

    2016-09-05

    To assess differences in the rates of angiography and subsequent revascularisation for Aboriginal and non-Aboriginal South Australians who presented with an acute coronary syndrome (ACS); to explore the reasons for any observed differences. Analysis of administrative data with logistic regression modelling to assess the relationship between Aboriginal status and the decision to undertake diagnostic angiography. A detailed medical record review of Aboriginal admissions was subsequently undertaken. Emergency ACS admissions to SA cardiac catheterisation hospitals, 2007-2012. 13 701 admissions of patients with an ACS, including 274 Aboriginal patients (2.1%). Rates of coronary angiography and revascularisation; documentation of justification for non-invasive management. After adjustment for age, comorbidities and remoteness, Aboriginal patients presenting with an ACS were significantly less likely than non-Aboriginal patients to undergo angiography (odds ratio [OR], 0.4; 95% CI, 0.3-0.5; P Aboriginal and non-Aboriginal patients who had undergone angiography. Reasons for Aboriginal patients not undergoing angiography included symptoms being deemed non-cardiac (16%), non-invasive test performed (8%), and discharge against medical advice (11%); the reasons were unclear for 36% of Aboriginal patients. After controlling for age and other factors, the rate of coronary angiography was lower among Aboriginal patients with an ACS in SA. The reasons for this disparity are complex, including patient-related factors and their preferences, as well as the appropriateness of the intervention. Improved consideration of the hospital experience of Aboriginal patients must be a priority for reducing health care disparities.

  15. Nurse Interaction With Clients In Communication Therapeutic Study Analysis Of Symbolic Interactionism Hospital South Sulawesi

    Directory of Open Access Journals (Sweden)

    Hj.Indirawaty

    2015-08-01

    Full Text Available ABSTRACT This study aimed to describe briefly on the application of social interaction which made nurses to clients while performing therapeutic communication at the Hospital of South Sulawesi with frame symbolic interactionism. Result achieved against the system carried nurse interaction with clients who patterned on therapeutic communication. At the stage of pre-interaction system is applied such as before the nurse interacts with the client well in advance to prepare the way of dressing reception duties of nurse and studying the book status of each client. Introduction or orientation phase nurses visit each client and when the first met uttered a greeting before asking the clients condition when the interaction takes place he uses verbal and non-verbal language and attitude shown in full client hospitality and courtesy. Stage work nurses do an evaluation or action on the clients condition in accordance with the termination task. Midwife stage nurse re-evaluate the client and conclude the development of the clients condition and report a doctor who handles client. The fourth aspect of the application using the analysis of symbolic interactionism

  16. Antibiotic-Related Adverse Drug Reactions at a Tertiary Care Hospital in South Korea

    Directory of Open Access Journals (Sweden)

    In Young Jung

    2017-01-01

    Full Text Available Background. Adverse drug reactions (ADRs are any unwanted/uncomfortable effects from medication resulting in physical, mental, and functional injuries. Antibiotics account for up to 40.9% of ADRs and are associated with several serious outcomes. However, few reports on ADRs have evaluated only antimicrobial agents. In this study, we investigated antibiotic-related ADRs at a tertiary care hospital in South Korea. Methods. This is a retrospective cohort study that evaluated ADRs to antibiotics that were reported at a 2400-bed tertiary care hospital in 2015. ADRs reported by physicians, pharmacists, and nurses were reviewed. Clinical information reported ADRs, type of antibiotic, causality assessment, and complications were evaluated. Results. 1,277 (62.8% patients were considered antibiotic-related ADRs based on the World Health Organization-Uppsala Monitoring Center criteria (certain, 2.2%; probable, 35.7%; and possible, 62.1%. Totally, 44 (3.4% patients experienced serious ADRs. Penicillin and quinolones were the most common drugs reported to induce ADRs (both 16.0%, followed by third-generation cephalosporins (14.9%. The most frequently experienced side effects were skin manifestations (45.1% followed by gastrointestinal disorders (32.6%. Conclusion. Penicillin and quinolones are the most common causative antibiotics for ADRs and skin manifestations were the most frequently experienced symptom.

  17. E-health readiness assessment for e-health framework for Africa: a case study of hospitals in South Africa

    CSIR Research Space (South Africa)

    Coleman, A

    2011-11-01

    Full Text Available This study assessed e-healthcare readiness of rural and urban hospitals in North West Province of South Africa. Outcome of assessment led to creation of e-health architectural framework for e-health solutions. Assessment was conducted in usage...

  18. THE FIELD OF RECENT TECTONIC STRESSES IN CENTRAL AND SOUTH-EASTERN ASIA

    Directory of Open Access Journals (Sweden)

    Yu. L. Rebetsky

    2014-01-01

    Full Text Available  The publication presents results of the study aimed at reconstruction of recent crustal stresses for Central and South-Eastern Asia with application of the method of cataclastic analysis of displacements caused by ruptures, which was proposed by Yu.L. Rebetsky. Two sources of seismic data were referred to: (1 the catalog comprising data from publications covering the period from 1904 to 1992, and (2 the Global Centroid Moment Tensor (CMT Database of earthquake mechanisms (http://earthquake.usgs.gov/eqarchives/sopor, which covers the period from 1978 to 2010. The method of cataclastic analysis in its earliest version was applied in 1996 and 1997 when seismic data from the first catalog were analyzed, and it yielded only parameters of stress ellipsoids; the reconstructions were published in a Russian-Chinese journal (it does not exist now. In this paper, these reconstructions are presented in new graphical formats of GIS. Data from the Global CMT Database were analyzed by the method of cataclastic analysis in the new revision with application of its stages 1 and 2. Based on the calculations, orientations of axes of principal stresses, types of ellipsoids, correlations between spherical and deviatoric components of stress tensors, and reduced stresses were determined. The two sets of reconstructions are compared in this paper. The catalog of earthquake focal mechanisms for the period from 1904 to 1992 consolidated information provided by different authors, and thus focal data for many seismic events were highly inconsistent; therefore, the reliability of reconstructions based on such data seems to be lower than that on the basis the Global CMT Database for the period from 1978 to 2010. Some of the reconstructed stress tensor parameters are mapped. For the areas which data are given in the Global CMT Database and considered as more reliable, mapping is based on stress parameters calculated from such data. For the areas that are not covered by the

  19. Frontier areas and exploration techniques. Frontier uranium exploration in the South-Central United States

    International Nuclear Information System (INIS)

    Campbell, M.D.; Biddle, K.T.

    1977-01-01

    Selected areas of the South-Central United States outside the known U trends of South Texas have a largely untested potential for the occurrence of significant U mineralization. These areas, underlain by Tertiary and older sediments, include parts of Texas, Oklahoma, Arkansas, Louisiana, Mississippi and Alabama. The commonly accepted criteria employed in U exploration are applicable to these frontier areas but special consideration must also be given to the atypical geologic aspects of such areas as they may apply to relatively unique types of U mineralization or to the development of special exploration criteria for common types of roll-front and fault-and dome-related uranium mineralization. The procedures used in evaluating frontier areas should be based on comprehensive evaluations involving: (1) location and analysis of potential source rocks (e.g., intrusive igneous rocks, bentonitic sediments, unique complexes, etc.); (2) definition of regional variations in the potential host sediments (e.g. marginal marine to nonmarine environments of deposition); (3) review of all available radiometric data in Tertiary or older rocks; (4) local groundwater sampling; (5) widely spaced reconnaissance (or stratigraphic) drilling, coring and borehole geophysical logging to define favorable sedimentary facies and to establish the specific lithologic character of the sediments; and (6) detailed petrographic evaluation of all available samples to define the environment of deposition and diagenetic history of ''favorable'' sediments. If procedures produce favorable results, an expanded exploration program is justified. Depths up to 3,000 feet should be anticipated if up-dip information is favorable. Selected areas are discussed that have: (1) favorable source and host rocks;(2) favorable age; (3) favorable regional and local structure; and (4) radiometric characteristics favorable for U mineralization of potentially economic grade and reserves in the areas

  20. Accretionary and collisional orogenesis in the south domain of the western Central Asian Orogenic Belt (CAOB)

    Science.gov (United States)

    Cai, Keda; Long, Xiaoping; Chen, Huayong; Sun, Min; Xiao, Wenjiao

    2018-03-01

    The Central Asian Orogenic Belt (CAOB) was the result of long-lived multi-stage tectonic evolution, including Proterozoic to Paleozoic accretion and collision, Mesozoic intracontinental modification, and Cenozoic rapid deformation and uplift. The accretionary and collisional orogenesis of its early history generated a huge orogenic collage consisting of diverse tectonic units including island arcs, ophiolites, accretionary prisms, seamounts, oceanic plateaus and micro-continents. These incorporated orogenic components preserved valuable detailed information on orogenic process and continental crust growth, which make the CAOB a key region to understanding of continental evolution, mantle-crust interaction and associated mineralization. The western CAOB refers to the west region in North Xinjiang of China and circum-Balkash of Kazakhstan, with occurrences of the spectacular Kazakhstan orocline and its surrounding mountain belts. Because orogenic fabrics of this part mostly preserve their original features caused by the interactions among the southern Siberian active margin in the north and the Tarim Craton in the south, the western CAOB can be regarded as an ideal region to study the processes of the accretionary and collisional orogenesis and associated mineralization. Since a large number of researchers have been working on this region, research advances bloom strikingly in a short-time period. Therefore, we, in this special issue, focus on these new study advances on the south domain of the western CAOB, including the Kazakhstan collage system, Tianshan orogenic belt and Beishan region, and it is anticipated that this issue can draw more attention from the international research groups to be interested in the studies on orogenesis of the CAOB.

  1. Mobile LiDAR Measurement for Aerosol Investigation in South-Central Hebei, China

    Science.gov (United States)

    qin, kai; Wu, Lixin; Zheng, Yunhui; Wong Man, Sing; Wang, Runfeng; Hu, Mingyu; Lang, Hongmei; Wang, Luyao; Bai, Yang; Rao, Lanlan

    2016-04-01

    With the rapid industrialization and urbanization in China during the last decades, the increasing anthropogenic pollutant emissions have significantly caused serious air pollution problems which are adversely influencing public health. Hebei is one of the most air polluted provinces in China. In January 2013, an extremely severe and persistent haze episode with record-breaking PM2.5 outbreak affecting hundreds of millions of people occurred over eastern and northern China. During that haze episode, 7 of the top 10 most polluted cities in China were located in the Hebei Province according to the report of China's Ministry of Environmental Protection. To investigate and the spatial difference and to characterize the vertical distribution of aerosol in different regions of south-central Hebei, mobile measurements were carried out using a mini micro pulse LiDAR system (model: MiniMPL) in March 2014. The mobile LiDAR kit consisting of a MiniMPL, a vibration reduction mount, a power inverter, a Windows surface tablet and a GPS receiver were mounted in a car watching though the sunroof opening. For comparison, a fixed measurement using a traditional micro pulse LiDAR system (model: MPL-4B) was conducted simultaneously in Shijiazhuang, the capital of Hebei Province. The equipped car was driven from downtown Shijiazhuang by way of suburban and rural area to downtown Cangzhou, Handan, and Baoding respectively at almost stable speed around 100Km per hour along different routes which counted in total more than 1000Km. The results can be summarized as: 1) the spatial distribution of total aerosol optical depth along the measurement routes in south-central Hebei was controlled by local terrain and population in general, with high values in downtown and suburban in the plain areas, and low values in rural areas along Taihang mountain to the west and Yan mountain to the north; 2) obviously high AODs were obtained at roads crossing points, inside densely populated area and nearby

  2. Healthcare Costs for Acute Hospitalized and Chronic Heart Failure in South Korea: A Multi-Center Retrospective Cohort Study.

    Science.gov (United States)

    Ku, Hyemin; Chung, Wook Jin; Lee, Hae Young; Yoo, Byung Soo; Choi, Jin Oh; Han, Seoung Woo; Jang, Jieun; Lee, Eui Kyung; Kang, Seok Min

    2017-09-01

    Although heart failure (HF) is recognized as a leading contributor to healthcare costs and a significant economic burden worldwide, studies of HF-related costs in South Korea are limited. This study aimed to estimate HF-related costs per Korean patient per year and per visit. This retrospective cohort study analyzed data obtained from six hospitals in South Korea. Patients with HF who experienced ≥one hospitalization or ≥two outpatient visits between January 1, 2013 and December 31, 2013 were included. Patients were followed up for 1 year [in Korean won (KRW)]. Among a total of 500 patients (mean age, 66.1 years; male sex, 54.4%), the mean 1-year HF-related cost per patient was KRW 2,607,173, which included both, outpatient care (KRW 952,863) and inpatient care (KRW 1,654,309). During the post-index period, 22.2% of patients had at least one hospitalization, and their 1-year costs per patient (KRW 8,530,290) were higher than those of patients who had only visited a hospital over a 12-month period (77.8%; KRW 917,029). Among 111 hospitalized patients, the 1-year costs were 1.7-fold greater in patients (n=52) who were admitted to the hospital via the emergency department (ED) than in those (n=59) who were not (KRW 11,040,453 vs. KRW 6,317,942; pSouth Korea was related to hospitalization, especially admissions via the ED. Appropriate treatment strategies including modification of risk factors to prevent or decrease hospitalization are needed to reduce the economic burden on HF patients. © Copyright: Yonsei University College of Medicine 2017

  3. Chemical stratigraphy of Grande Ronde Basalt, Pasco Basin, south-central Washington

    International Nuclear Information System (INIS)

    Long, P.E.; Ledgerwood, R.K.; Myers, C.W.; Reidel, S.P.; Landon, R.D.; Hooper, P.R.

    1980-02-01

    Grande Ronde Basalt in the Pasco Basin, south-central Washington, can be subdivided into three chemical types and two chemical subtypes based on x-ray fluorescence major element analysis of samples from seven deep core holes and three surface sections. These chemical types are: (1) high-Mg Grande Ronde chemical type; (2) low-Mg Grande Ronde chemical type; (3) low-K (very high-Mg.) Grande Ronde chemical type; and (4) Umtanum Grande Ronde chemical subtype. A possible fifth subdivision is the McCoy Canyon Grande Ronde chemical subtype. The Umtanum and the McCoy Canyon subtypes are both single flows which belong to the low Mg and high-Mg chemical types, respectively. These subdivisions are all distinguished on a plot of MgO versus TiO 2 and/or MgO versus P 2 O 5 , but other major and minor elements, as well as trace elements, also reflect consistent chemical differences between the chemical types. Identification of these chemical types in the Pasco Basin subsurface shows that the high-Mg and low-Mg chemical types are ubiquitous, but the low-K chemical type is limited to the central, southern, and eastern parts of the basin. The Umtanum chemical subtype is present throughout the Pasco Basin subsurface, although it thins in the northeastern part of the basin and is apparently absent from surface exposures 40 kilometers (25 miles) north of the basin. The McCoy Canyon chemical subtype is also present throughout the basin

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

    Directory of Open Access Journals (Sweden)

    Frieder Pfäfflin

    2017-01-01

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

  5. The indirect costs of agency nurses in South Africa: a case study in two public sector hospitals.

    Science.gov (United States)

    Rispel, Laetitia C; Moorman, Julia

    2015-01-01

    Globally, flexible work arrangements - through the use of temporary nursing staff - are an important strategy for dealing with nursing shortages in hospitals. The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. Following ethical approval, two South African public sector hospitals were selected purposively. Direct costs were determined through an analysis of hospital expenditure information for a 5-year period from 2005 until 2010, obtained from the national transversal Basic Accounting System database. At each hospital, semi-structured interviews were conducted with the chief executive officer, executive nursing services manager, the maternity or critical care unit nursing manager, the human resource manager, and the finance manager. Indirect costs measured were the time spent on pre-employment checks, and nurse recruitment, orientation, and supervision. All expenditure is expressed in South African Rands (R: 1 USD=R7, 2010 prices). In the 2009/10 financial year, Hospital 1 spent R38.86 million (US$5.55 million) on nursing agencies, whereas Hospital 2 spent R10.40 million (US$1.49 million). The total estimated time spent per week on indirect cost activities at Hospital 1 was 51.5 hours, and 60 hours at Hospital 2. The estimated monetary value of this time at Hospital 1 was R962,267 (US$137,467) and at Hospital 2 the value was R300,121 (US$42,874), thus exceeding the weekly direct costs of nursing agencies. Agency nurses assisted the selected hospitals in dealing with problems of nurse recruitment, absenteeism, shortages, and skills gaps in specialised clinical areas. The problems experienced with agency nurses included their perceived lack of commitment, unreliability, and providing sub-optimal quality of patient care. Hospital managers and policy-makers need to address the effective

  6. The indirect costs of agency nurses in South Africa: a case study in two public sector hospitals

    Directory of Open Access Journals (Sweden)

    Laetitia C. Rispel

    2015-05-01

    Full Text Available Background: Globally, flexible work arrangements – through the use of temporary nursing staff – are an important strategy for dealing with nursing shortages in hospitals. Objective: The objective of the study was to determine the direct and indirect costs of agency nurses, as well as the advantages and the problems associated with agency nurse utilisation in two public sector hospitals in South Africa. Methods: Following ethical approval, two South African public sector hospitals were selected purposively. Direct costs were determined through an analysis of hospital expenditure information for a 5-year period from 2005 until 2010, obtained from the national transversal Basic Accounting System database. At each hospital, semi-structured interviews were conducted with the chief executive officer, executive nursing services manager, the maternity or critical care unit nursing manager, the human resource manager, and the finance manager. Indirect costs measured were the time spent on pre-employment checks, and nurse recruitment, orientation, and supervision. All expenditure is expressed in South African Rands (R: 1 USD=R7, 2010 prices. Results: In the 2009/10 financial year, Hospital 1 spent R38.86 million (US$5.55 million on nursing agencies, whereas Hospital 2 spent R10.40 million (US$1.49 million. The total estimated time spent per week on indirect cost activities at Hospital 1 was 51.5 hours, and 60 hours at Hospital 2. The estimated monetary value of this time at Hospital 1 was R962,267 (US$137,467 and at Hospital 2 the value was R300,121 (US$42,874, thus exceeding the weekly direct costs of nursing agencies. Agency nurses assisted the selected hospitals in dealing with problems of nurse recruitment, absenteeism, shortages, and skills gaps in specialised clinical areas. The problems experienced with agency nurses included their perceived lack of commitment, unreliability, and providing sub-optimal quality of patient care. Conclusion

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

    Science.gov (United States)

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

    2018-05-02

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

  8. [Risk factors for suicide attempt among college students at Central South University].

    Science.gov (United States)

    Xu, Hui-lan; Xiao, Shui-yuan; Feng, Shan-shan; Chen, Xi-xi

    2004-04-01

    To understand the prevalence and risk factors for suicidal ideation among college students and to provide a scientific basis for promoting psychological health and suicide prevention. 623 college students at Central South University were selected using stratified cluster sampling and administered a suicide ideation questionnaire, a Symptom Check List (SCL-90), an Adolescent Self-Rating Life Events Check List (ASLEC), a Social Support Rating Scale (SSRS) and a questionnaire about background information. Multivariate logistic regression analysis was employed to identify risk factors for suicide ideation. One year prior to our investigation, 14.6% of respondents had suicide ideation, 2.5% had made a specific suicide plan, and 1.8% had made a suicide attempt. The main risk factors for suicide ideation were dissatisfaction with the selected major of study, limited social support, recent negative life events and depressive tendency. The prevalence of suicide ideation among these college students was high. Appropriate measures focusing on the risk factors identified in this study should be urgently developed to prevent suicides in college students.

  9. Cave-dwelling bats (Mammalia: Chiroptera and conservation concerns in South central Mindanao, Philippines

    Directory of Open Access Journals (Sweden)

    Krizler C. Tanalgo

    2015-12-01

    Full Text Available The stable microclimate in caves provides a relatively constant habitat for many bat species in the Philippines, but human encroachment continues to disrupt this habitat and imperil many of the species roosting in the caves.  In South central Mindanao, the diversity and conservation status of cave bats remain undocumented and unexplored.  We employed mist-netting to capture bats from five different caves within the town of Kabacan, northern Cotabato, Philippines.  A total of 14 bat species were identified including the Philippine endemics Hipposideros pygmaeus and Ptenochirus jagori and the threatened Megaerops wetmorei. However, despite the declining conservation status of the bats, local disturbance such as bat hunting for bush meat and unregulated tourism are currently taking place in the caves.  Large species such as Eonycteris spelaea and Rousettus amplexicaudatus are killed almost every day for food and trade.  Therefore, the high species richness, and the presence of endemic and threatened species coupled with the occurrence of anthropogenic disturbances in caves suggests the need for an urgent and effective conservation intervention involving the local government and public community. 

  10. Genetic diversity of Hepatozoon spp. in coyotes from the south-central United States.

    Science.gov (United States)

    Starkey, Lindsay A; Panciera, Roger J; Paras, Kelsey; Allen, Kelly E; Reiskind, Michael H; Reichard, Mason V; Johnson, Eileen M; Little, Susan E

    2013-04-01

    To better define the strains and species of Hepatozoon that infect coyotes in the south-central United States, whole blood and muscle samples were collected from 44 coyotes from 6 locations in Oklahoma and Texas. Samples were evaluated by a nested polymerase chain reaction (PCR) using primers amplifying a variable region of the apicomplexan 18S rRNA gene as well as histopathology (muscle only) for presence of tissue cysts. Hepatozoon spp. infections were identified in 79.5% (35/44) of coyotes tested including 27 of 44 (61.4%) whole blood samples and 17 of 44 (38.6%) muscle samples tested by PCR and 23 of 44 (52.3%) muscle samples evaluated by histological examination. Analysis revealed 19 distinct sequences comprising 3 major clusters of Hepatozoon spp., i.e., 1 most closely related to Hepatozoon americanum, another most closely related to Hepatozoon canis , and the third an intermediate between the 2 groups. The diversity of Hepatozoon spp. in wild canids appears greater than previously recognized and warrants further investigation.

  11. Bald eagle site management plan for the Hanford Site, south-central Washington

    International Nuclear Information System (INIS)

    Fitzner, R.F.; Weiss, S.G.

    1994-12-01

    The CERCLA remedial investigations of waste sites on the Hanford Site will involve lands containing or adjacent to a bald eagle nest, winter concentration areas, or communal night roost. Because these CERCLA investigations may affect bald eagles, the DOE has prepared this Bald Eagle Site Management Plan (BESMP). However, it is intended that this BESMP be used or updated so as to be also applicable to future activities that affect bald eagles on the Hanford Site. Bald eagles regularly use the US Department of Energy's (DOE) Hanford Site in south-central Washington State during winter months for roosting, perching, and foraging. Each of these activities requires buffer zones to protect eagles from human disturbances. Buffer zones developed in this plan follow recommended guidelines and are intended to be used in planning. If Hanford Site activities in the vicinity of identified bald eagle use areas are carried out in accordance with this plan, such actions are not likely to adversely affect the eagles or their habitat. Activities that may be exceptions will involve informal or formal (whichever is appropriate) consultation with the US Fish and Wildlife Service as required by the Endangered Species Act

  12. Segmentation of Slow Slip Events in South Central Alaska Possibly Controlled by a Subducted Oceanic Plateau

    Science.gov (United States)

    Li, Haotian; Wei, Meng; Li, Duo; Liu, Yajing; Kim, YoungHee; Zhou, Shiyong

    2018-01-01

    Recent GPS observations show that slow slip events in south central Alaska are segmented along strike. Here we review several mechanisms that might contribute to this segmentation and focus on two: along-strike variation of slab geometry and effective normal stress. We then test them by running numerical simulations in the framework of rate-and-state friction with a nonplanar fault geometry. Results show that the segmentation is most likely related to the along-strike variation of the effective normal stress on the fault plane caused by the Yakutat Plateau. The Yakutat Plateau could affect the effective normal stress by either lowering the pore pressure in Upper Cook Inlet due to less fluids release or increasing the normal stress due to the extra buoyancy caused by the subducted Yakutat Plateau. We prefer the latter explanation because it is consistent with the relative amplitudes of the effective normal stress in Upper and Lower Cook Inlet and there is very little along-strike variation in Vp/Vs ratio in the fault zone from receiver function analysis. However, we cannot exclude the possibility that the difference in effective normal stress results from along-strike variation of pore pressure due to the uncertainties in the Vp/Vs estimates. Our work implies that a structural anomaly can have a long-lived effect on the subduction zone slip behavior and might be a driving factor on along-strike segmentation of slow slip events.

  13. Observations of the turbulent kinetic energy dissipation rate in the upper central South China Sea

    Science.gov (United States)

    Liang, Chang-Rong; Chen, Gui-Ying; Shang, Xiao-Dong

    2017-05-01

    Measurements of the turbulent kinetic energy dissipation rate ( ɛ), velocity, temperature, and salinity were obtained for the upper ocean of the central South China Sea (14.5° N, 117.0° E) during an experimental campaign from May 11 to 13, 2010. Dissipation in the diurnal mixed layer showed a diurnal variability that was strongly affected by the surface buoyancy flux. Dissipation was enhanced ( ɛ ˜ 10-7 W kg-1) at night due to the convective mixing and was weakened ( ɛ ˜ 10-9 W kg-1) in daytime due to the stratification. Dissipation in the thermocline varied with time under the influence of internal waves. Shear from high-frequency internal waves (period ˜8 h) played an important role in enhancing the turbulent mixing in the thermocline. In the period of strong high-frequency internal waves, the shear from high-frequency internal waves became strong and the depth-averaged ɛ in the thermocline was elevated by almost one order of magnitude. Compared with the dissipation in the thermocline, dissipation below was weaker (the time-averaged ɛ ˜ 10-10 W kg-1). The observation indicates that the dissipation rates during the measurements can be parameterized by the MacKinnon-Gregg model that is widely used in the continental shelf but are not in agreement with the Gregg-Henyey model used for the open ocean.

  14. Observations of turbulent energy dissipation rate in the upper ocean of the central South China Sea

    Science.gov (United States)

    Chen, G.

    2016-02-01

    Measurements of turbulent energy dissipation rate, velocity, temperature, and salinity were obtained in the upper ocean of the central South China Sea (14.5˚N, 117.0˚E) during an experimental campaign from May 11th to 13th 2010. Dissipation rate was elevated ( 10-7 Wkg-1) at night by convection mixing and was weakened ( 10-9 Wkg-1) in daytime due to the warming stratification. Thermocline dissipation rate varied with time ( 10-9 Wkg-1 to 10-8 Wkg-1) under the influence of internal waves. Energy was transferred from the diurnal internal tides to high frequency internal waves through nonlinear wave-wave interactions. This energy cascade process was accompanied by elevated shear and enhanced dissipation, which played an important role in the turbulent mixing in thermocline. Compare with the thermocline dissipation, dissipation below the thermocline was more stable and weak ( 10-10 Wkg-1). The observed dissipation rate during the measurement was well parameterized by the MacKinnon-Gregg parameterization (a model based on a reinterpretation of wave-wave interaction theory), whereas the Gregg-Henyey parameterization was not in good agreement with the observed dissipation rate.

  15. Magnetostratigraphy, paleomagnetic correlation, and deformation of pleistocene deposits in the south central Puget Lowland, Washington

    Science.gov (United States)

    Hagstrum, J.T.; Booth, D.B.; Troost, K.G.; Blakely, R.J.

    2002-01-01

    Paleomagnetic results from Pleistocene sedimentary deposits in the central Puget Lowland indicate that the region has experienced widespread deformation within the last 780 kyr. Three oriented samples were collected from unaltered fine-grained sediments mostly at sea level to determine the magnetostratigraphy at 83 sites. Of these, 47 have normal, 18 have reversed, and 18 have transitional (8 localities) polarities. Records of reversed- to normal-polarity transitions of the geomagnetic field were found in thick sections of silt near the eastern end of the Tacoma Narrows Bridge, and again at Wingehaven Park near the northern tip of Vashon Island. The transitional horizons, probably related to the Bruhnes-Matuyama reversal, apparently fall between previously dated Pleistocene sediments at the Puyallup Valley type section (all reversed-polarity) to the south and the Whidbey Island type section (all normal-polarity) to the north. The samples, in general, are of sufficient quality to record paleosecular variation (PSV) of the geomagnetic field, and a statistical technique is used to correlate horizons with significant agreement in their paleomagnetic directions. Our data are consistent with the broad structures of the Seattle uplift inferred at depth from seismic reflection, gravity, and aeromagnetic profiles, but the magnitude of vertical adjustments is greatly subdued in the Pleistocene deposits.

  16. Strain distribution and model for formation of eastern Umtanum Ridge anticline, south-central Washington

    Energy Technology Data Exchange (ETDEWEB)

    Price, E.H.

    1979-10-01

    Umtanum Ridge in south-central Washington is the topographic expression of a complex anticline within the Yakima Fold system in the Miocene Columbia River Basalt Group. The Yakima Fold system, which is partly contained within the Hanford Site, is an example of a layered basalt sequence folded near the surface of the earth. The Pasco Basin stratigraphic nomenclature is used in this repot. Rockwelll Hanford Operations, under contract to the US Department of Energy, is investigating the feasibility of therminal high-level nuclear waste storage in mined repositories in basalt beneath the Hanford Site. Because thereis essentially no basalt within the Site that has not been involved in some folding, any potential location for a repository will be either on the limbs or near the hinge zone of a Yakima Fold structure. Umtanum Ridge is the best exposed Yakima Fold structure in the vicinity of the Site for studying the nature and three-dimensional style of deformation of a multilayered basalt sequence. The structural geometry, distribution of strain within the Umtanum structure and deformational mechanisms of the Umtanum Ridge are discussed.

  17. Little Ice Age glacial geomorphology and sedimentology of Portage Glacier, South-Central Alaska

    Directory of Open Access Journals (Sweden)

    Carlos Córdova

    2009-06-01

    Full Text Available The study of glacial landforms and deposits is important, as it isdifficult to observe processes under modern glaciers and ice-sheets. Thus landscapes and sediments that are the product of present glaciation can give insight into processes that occurred during Pleistocene times. This study investigates the genesis of little ice age glacial landforms present in Portage Glacier, South-Central Alaska. The present day moraine morphology and sedimentology in Portage Glacier valley reveals the presence of two types of till and moraines. The clast-rich sandy diamicton present on the 1852 moraine is interpreted to be a basal till indicating this feature is a pushmoraine representing an advance or a standstill position of Portage Glacier in 1852. The moderately sorted gray sandy boulder gravel present on the 1900 and 1922 moraines is interpreted to be an ice-marginal deposit (ablation till with a mixture of supraglacial and glaciofluvial sediments deposited by slumping and stream sortingprocesses. All of these features are interpreted to be ablation moraines representing glacier retreat and moraine building in 1900 and1922.

  18. Greenhouse gas fluxes of a shallow lake in south-central North Dakota, USA

    Science.gov (United States)

    Tangen, Brian; Finocchiaro, Raymond; Gleason, Robert A.; Dahl, Charles F.

    2016-01-01

    Greenhouse gas (GHG) fluxes of aquatic ecosystems in the northern Great Plains of the U.S. represent a significant data gap. Consequently, a 3-year study was conducted in south-central North Dakota, USA, to provide an initial estimate of GHG fluxes from a large, shallow lake. Mean GHG fluxes were 0.02 g carbon dioxide (CO2) m−2 h−1, 0.0009 g methane (CH4) m−2 h−1, and 0.0005 mg nitrous oxide (N2O) m−2 h−1. Fluxes of CO2 and CH4 displayed temporal and spatial variability which is characteristic of aquatic ecosystems, while fluxes of N2O were consistently low throughout the study. Comparisons between results of this study and published values suggest that mean daily fluxes of CO2, CH4, and N2O fromLong Lakewere low, particularly when compared to the well-studied prairie pothole wetlands of the region. Similarly, cumulative seasonal CH4 fluxes, which ranged from 2.68–7.58 g CH4 m−2, were relatively low compared to other wetland systems of North America. The observed variability among aquatic ecosystems underscores the need for further research.

  19. Methane occurrence in groundwater of south-central New York State, 2012: summary of findings

    Science.gov (United States)

    Heisig, Paul M.; Scott, Tia-Marie

    2013-01-01

    A survey of methane in groundwater was undertaken to document methane occurrence on the basis of hydrogeologic setting within a glaciated 1,810-square-mile area of south-central New York that has not seen shale-gas resource development. The adjacent region in northeastern Pennsylvania has undergone shale-gas resource development from the Marcellus Shale. Well construction and subsurface data were required for each well sampled so that the local hydrogeologic setting could be classified. All wells were also at least 1 mile from any known gas well (active, exploratory, or abandoned). Sixty-six domestic wells and similar purposed supply wells were sampled during summer 2012. Field water-quality characteristics (pH, specific conductance, dissolved oxygen, and temperature) were measured at each well, and samples were collected and analyzed for dissolved gases, including methane and short-chain hydrocarbons. Carbon and hydrogen isotopic ratios of methane were measured in 21 samples that had at least 0.3 milligram per liter (mg/L) methane.

  20. Paleozoogeography of the Wine Mouse (Akodon oenos & Late Holocene Paleoenvironments in South-Central Mendoza, Argentina

    Directory of Open Access Journals (Sweden)

    Fernando Julián Fernández

    2011-02-01

    Full Text Available Cranial remains of the wine mouse (Akodon oenos are documented from an archaeological site in south-central Mendoza, Argentina (Agua de La Mula, 35º22' S, 68º15' W, which dates to the end of the late Holocene (1610 ± 60; 1260 ± 60; 1000 ± 50 C14 yr B.P.. The taxonomic status of this small rodent is currently being assessed, but these remains represent the first fossil record for the morphotaxon A. oenos. The species’ present distribution is restricted to a few records from Mendoza province. Analysis of the remains supports paleoenvironmental reconstruction using the small mammal assemblage recovered from this site. From the late Holocene into modernity temperature decreased and winter precipitation increased, resulting in advance of Patagonian steppe grading with altitude into Monte desert. Holocene climatic conditions may explain the relatively late human occupation of ecologically marginal environments in this region, which probably favored effective human occupation of the Payunia region at sites such as Agua de La Mula between 1600 and 1000 years B.P.

  1. The phylogeography and spatiotemporal spread of south-central skunk rabies virus.

    Directory of Open Access Journals (Sweden)

    Natalia A Kuzmina

    Full Text Available The south-central skunk rabies virus (SCSK is the most broadly distributed terrestrial viral lineage in North America. Skunk rabies has not been efficiently targeted by oral vaccination campaigns and represents a natural system of pathogen invasion, yielding insights to rabies emergence. In the present study we reconstructed spatiotemporal spread of SCSK in the whole territory of its circulation using a combination of Bayesian methods. The analysis based on 241 glycoprotein gene sequences demonstrated that SCSK is much more divergent phylogenetically than was appreciated previously. According to our analyses the SCSK originated in the territory of Texas ~170 years ago, and spread geographically during the following decades. The wavefront velocity in the northward direction was significantly greater than in the eastward and westward directions. Rivers (except the Mississippi River and Rio Grande River did not constitute significant barriers for epizootic spread, in contrast to deserts and mountains. The mean dispersal rate of skunk rabies was lower than that of the raccoon and fox rabies. Viral lineages circulate in their areas with limited evidence of geographic spread during decades. However, spatiotemporal reconstruction shows that after a long period of stability the dispersal rate and wavefront velocity of SCSK are increasing. Our results indicate that there is a need to develop control measures for SCSK, and suggest how such measure can be implemented most efficiently. Our approach can be extrapolated to other rabies reservoirs and used as a tool for investigation of epizootic patterns and planning interventions towards disease elimination.

  2. The quantification and distribution of pollution Pb at a woodland in rural south central Ontario, Canada

    International Nuclear Information System (INIS)

    Watmough, Shaun A.; Hutchinson, Thomas C.

    2004-01-01

    Lead concentrations and Pb isotope ratios were measured in the forest floor, mineral soil and vegetation at a white pine and a sugar maple stand in a woodland in south central Ontario. Lead concentrations decreased and 206 Pb/ 207 Pb ratios increased with mineral soil depth reflecting the mixing of pollution and natural Pb sources. Lead concentrations and 206 Pb/ 207 Pb ratios at 20-30 cm depth were ∼6-7 mg/kg and 1.31-1.32, respectively. Assuming an integrated 206 Pb/ 207 Pb ratio in deposition over time of 1.18, estimated from lichen measurements and published data for the region, approximately 65% of Pb in the surface (0-1 cm) mineral soil is from anthropogenic sources. Approximately 90% of pollution Pb is found in the 0-10 cm soil layer (Ah) and less than 3% of the pollution Pb is present in the forest biomass and mull-type forest floor combined. Despite low Pb concentrations in vegetation ( 2 , respectively. - The distribution of pollution lead was determined at a woodland through the use of stable leads isotopes

  3. Ground beetles (Coleoptera, Carabidae of the Hanford Nuclear Site in south-central Washington State

    Directory of Open Access Journals (Sweden)

    Chris Looney

    2014-04-01

    Full Text Available In this paper we report on ground beetles (Coleoptera: Carabidae collected from the Hanford Nuclear Reservation and Hanford National Monument (together the Hanford Site, which is located in south-central Washington State. The Site is a relatively undisturbed relict of the shrub-steppe habitat present throughout much of the western Columbia Basin before the westward expansion of the United States. Species, localities, months of capture, and capture method are reported for field work conducted between 1994 and 2002. Most species were collected using pitfall traps, although other capture methods were employed. Trapping results indicate the Hanford Site supports a diverse ground beetle community, with over 90% of the 92 species captured native to North America. Four species collected during the study period are newly recorded for Washington State: Bembidion diligens Casey, Calosoma obsoletum Say, Pseudaptinus rufulus (LeConte, and Stenolophus lineola (Fabricius. Based on these data, the Site maintains a diverse ground beetle fauna and, due to its size and diversity of habitats, is an important repository of shrub-steppe biodiversity.

  4. Ground beetles (Coleoptera, Carabidae) of the Hanford Nuclear Site in south-central Washington State.

    Science.gov (United States)

    Looney, Chris; Zack, Richard S; Labonte, James R

    2014-01-01

    Carabidae) collected from the Hanford Nuclear Reservation and Hanford National Monument (together the Hanford Site), which is located in south-central Washington State. The Site is a relatively undisturbed relict of the shrub-steppe habitat present throughout much of the western Columbia Basin before the westward expansion of the United States. Species, localities, months of capture, and capture method are reported for field work conducted between 1994 and 2002. Most species were collected using pitfall traps, although other capture methods were employed. Trapping results indicate the Hanford Site supports a diverse ground beetle community, with over 90% of the 92 species captured native to North America. Four species collected during the study period are newly recorded for Washington State: Bembidion diligens Casey, Calosoma obsoletum Say, Pseudaptinus rufulus (LeConte), and Stenolophus lineola (Fabricius). Based on these data, the Site maintains a diverse ground beetle fauna and, due to its size and diversity of habitats, is an important repository of shrub-steppe biodiversity.

  5. Lithofacies analysis of the Simpson Group in south-central Kansas

    International Nuclear Information System (INIS)

    Doveton, J.H.; Charpentier, R.R.; Metzger, E.P.

    1990-01-01

    This book discusses detailed stratigraphy and lithofacies of the oil-productive Middle Ordovician Simpson Group in south-central Kansas. The report presents results of studies of the Simpson Group in Barber, Comanche, Kiowa, and Pratt counties. The high density of exploration holes and their associated logs allowed a detailed stratigraphic subdivision to be made of shale, sandstone, and sandy carbonate units. The lateral changes in these units are depicted in a series of maps and cross sections and show distinctive lithofacies patterns that reflect a history of northward-moving marine transgression. Working with digital data from gamma-ray logs, the geologists used computer methods to generate a series of cross sections of the Simpson Group, based on the statistical moments of the log traces. Automated mapping displayed the shapes and disposition of shale and non-shale units as continuous features in three dimensions. The ground truth information from drill cuttings further refined interpretations of stratigraphy, lithofacies, and depositional history implied by these computer models

  6. Establishing a multi-proxy approach to alpine blockfield evolution in south-central Norway

    Directory of Open Access Journals (Sweden)

    Philipp Marr

    2017-11-01

    Full Text Available Blockfields in high latitude mountain areas are a wide spread proxy for glaciation history. Their origin is debated since decades, especially in south-central Norway, where glaciation had a major global climate implication. Some authors explain old blockfield features by protection of cold-based ice, others claim they persisted as nunataks during the LGM (~20 kyr, or were formed throughout the Holocene. In order to clarify the origin of alpine blockfields we established a multi-method approach to combining lichenometry, stratigraphy, granulometry, and geochemistry (XRD, XRF. Our lichenometric dating results in conjunction with our factors indicate landscape stability for at least ~12.5 kyr. Frequent climatic shifts are evident in our profiles by varying color, LOI content and grain sizes. On the basis of geochemical analyses we were able to identify a long-term (chemical weathering history and in situ blockfield formation. The field evidences and the climatic setting of the study area leave the possibility that our location was not covered by cold-based ice during the Late-Quaternary.

  7. Water resources of the Kodiak-Shelikof subregion, south-central Alaska

    Science.gov (United States)

    Jones, Stanley H.; Madison, R.J.; Zenone, Chester

    1978-01-01

    Hydrologic data for the Kodiak-Shelikof subregion of south-central Alaska are summarized to provide a basis for planning water resources development, identifying water problems and evaluating existing water quality and availability. Average annual precipitation, measured at a few coastal locations in this maritime climatic zone, ranges from 23 to 127 inches. Mean annual runoff for the Kodiak Island group ranges from 4 to 8 cfs/sq mi. A maximum instantaneous runoff of 457 cfs/sq mi has been determined from a small basin on Kodiak Island. Lowest measured stream discharges range from no flow to 0.91 cfs/sq mi. Surface water is the primary source of water supplies for the city of Kodiak and other communities. The geology of the subregion is characterized by metamorphosed sedimentary and volcanic rocks with only a thin mantle of unconsolidated material. A few small, alluvium-filled coastal valleys offer the most favorable conditions for ground-water development, but moderate yields (50-100 gal/min) have been obtained from wells in fractured bedrock. Water in streams and lakes generally has a dissolved-solids concentration less than 60 mg/L, and the water varies from a calcium-bicarbonate type to a sodium-chloride type. The chemical composition of ground waters has a dilute calcium-bicarbonate type in unconsolidated materials and a sodium-bicarbonate type in bedrock. The dissolved solids in the groundwater ranges from 170 to 250 mg/L. (Woodard-USGS)

  8. Impact of Land Use Change on the Temperate Forest of South Central Chile

    Science.gov (United States)

    Fernandez, A.; Fuentes, R.; Jaque, E.; Fernandez, S.

    2017-12-01

    Chilean temperate forests is a biological hotspot because its high diversity and endemism. Nevertheless, in the last few decades the spatial extent of this forest has been decimated, portraying potentially harmful impacts on the regional biodiversity. In this work, we present our ongoing study on the rate of temperate forest shrinkage and their causes in a section of the BioBío region (37°S), South Central Chile. We derived land cover maps from satellite imagery acquired over 20 years (1990 and 2010) and assessed the effects of changes in land use on native forest. Between 1990 and 2010, there was a 59% reduction in native forest area, which is equivalent to an annual forest loss rate of 4.4% per year. Forest fragmentation was associated with a decrease in forest patch size and proximity, and an increase in the number of forest patches. During this study period native forest loss was correlated with an expansion of plantations of exotic species, which in turn was associated with substantial changes in the spatial configuration of the landscape. We will also present an update of this pattern including the period 2010-2017. The assessment of deforestation and fragmentation provides a basis for future research on the impacts of forest fragmentation on the different components of biodiversity. We suggest that conservation strategies and land use planning are necessary in the study area; this should consider the spatial pattern of native forest patches and the change of these over time at a landscape level.

  9. Strain distribution and model for formation of eastern Umtanum Ridge anticline, south-central Washington

    International Nuclear Information System (INIS)

    Price, E.H.

    1979-10-01

    Umtanum Ridge in south-central Washington is the topographic expression of a complex anticline within the Yakima Fold system in the Miocene Columbia River Basalt Group. The Yakima Fold system, which is partly contained within the Hanford Site, is an example of a layered basalt sequence folded near the surface of the earth. The Pasco Basin stratigraphic nomenclature is used in this repot. Rockwelll Hanford Operations, under contract to the US Department of Energy, is investigating the feasibility of therminal high-level nuclear waste storage in mined repositories in basalt beneath the Hanford Site. Because thereis essentially no basalt within the Site that has not been involved in some folding, any potential location for a repository will be either on the limbs or near the hinge zone of a Yakima Fold structure. Umtanum Ridge is the best exposed Yakima Fold structure in the vicinity of the Site for studying the nature and three-dimensional style of deformation of a multilayered basalt sequence. The structural geometry, distribution of strain within the Umtanum structure and deformational mechanisms of the Umtanum Ridge are discussed

  10. Regional and Seasonal Diet of the Western Burrowing Owl in South-Central Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Derek B. Hall, Paul D. Greger, Jeffrey R. Rosier

    2009-04-01

    We examined diets of Western Burrowing Owls (Athene cunicularia hypugaea) based on contents of pellets and large prey remains collected year-round at burrows in each of the 3 regions in south central Nevada (Mojave Desert, Great Basin Desert, and Transition region). The most common prey items, based on percent frequency of occurrence, were crickets and grasshoppers, beetles, rodents, sun spiders, and scorpions. The most common vertebrate prey was kangaroo rats (Dipodomys spp.). True bugs (Hemiptera), scorpions, and western harvest mice (Reithrodontomys megalotis) occurred most frequently in pellets from the Great Basin Desert region. Kangaroo rats (Dipodomys spp.) and pocket mice (Perognathinae) were the most important vertebrate prey items in the Transition and Mojave Desert regions, respectively. Frequency of occurrence of any invertebrate prey was high (>80%) in samples year-round but dropped in winter samples, with scorpions and sun spiders exhibiting the steepest declines. Frequency of occurrence of any vertebrate prey peaked in spring samples, was intermediate for winter and summer samples, and was lowest in fall samples. With the possible exception of selecting for western harvest mice in the Great Basin Desert region, Western Burrowing Owls in our study appeared to be opportunistic foragers with a generalist feeding strategy.

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

    Directory of Open Access Journals (Sweden)

    Lul Raka

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

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

    Directory of Open Access Journals (Sweden)

    Tamar Akhvlediani

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

  13. Challenges associated with the management of gynecological cancers in a tertiary hospital in South East Nigeria

    Directory of Open Access Journals (Sweden)

    Iyoke CA

    2014-01-01

    Full Text Available Chukwuemeka Anthony Iyoke,1 George Onyemaechi Ugwu,1 Euzebus Chinonye Ezugwu,1 Frank Okechukwu Ezugwu,2 Osaheni Lucky Lawani,3 Azubuike Kanayo Onyebuchi3 1Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, 2Department of Obstetrics and Gynaecology, Enugu State University Teaching Hospital, Park Lane, Enugu, 3Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria Background: There are reports of increasing incidence of gynecological cancers in developing countries and this trend increases the need for more attention to gynecological cancer care in these countries. Objective: The purpose of this study was to describe the presentation and treatment of gynecological cancers and identify barriers to successful gynecological cancer treatment in a tertiary hospital in South East Nigeria. Methods: This study was a retrospective longitudinal analysis of the presentation and treatment of histologically diagnosed primary gynecological cancers from 2000 to 2010. Analysis was by descriptive and inferential statistics at the 95% level of confidence using Statistical Package for the Social Sciences version 17 software. Results: Records of 200 gynecological cancers managed during the study period were analyzed. Over 94% of cervical cancers presented in advanced stages of the disease and received palliative/symptomatic treatment. Only 1.9% of cervical cancer patients had radical surgical intervention, and postoperative mortality from these radical surgeries was 100%. Approximately 76% of patients with ovarian cancer had debulking surgery as the mainstay of treatment followed by adjuvant chemotherapy. Postoperative mortality from ovarian cancer surgery was 63%. Cutting edge cytotoxic drugs were not used as chemotherapy for ovarian and chorionic cancers. Compliance with chemotherapy was poor, with over 70% of ovarian cancer patients failing to complete the

  14. Management of physical child abuse in South Africa: literature review and children's hospital data analysis.

    Science.gov (United States)

    Janssen, T L; van Dijk, M; Al Malki, I; van As, A B

    2013-11-01

    The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which to base their management of physical child abuse, at both governmental and hospital management level. The main aim of the second part is to outline the extent of the problem as seen at the Red Cross Memorial Children's Hospital (RCH) in Cape Town. The National Library of Medicine's PubMed database was searched for articles specifically about the management of physical child abuse. Hospital data were analysed in two phases: one addressed various types of assault in order to assess the number of patients admitted to the trauma unit of RCH between 1991 and 2009, and the other to identify all children with suspected non-accidental injury (NAI) presenting to the trauma unit at RCH from January 2008 until December 2010. Information on physical abuse of children in Africa in the English scientific literature remains disappointing with only two articles focusing on its management. RCH data for the period 1991-2009 recorded a total number of 6415 children hospitalised with injuries following assault, who accounted for 4.2% of all trauma admissions. Types of abuse included assault with a blunt or sharp instrument, rape/sexual assault and human bite wounds. Over the last 2 decades, there has been a minor decline in the number of cases of severe abuse requiring admission; admissions for other injuries have remained stable. More detailed analysis of hospital data for 2008-2010, found that boys were far more commonly assaulted than girls (70.5% vs 29.5%). Physical abuse appeared to be the most common cause of abuse; 89.9% of all boys and 60.5% of all girls presented after physical abuse. In order to eradicate child abuse, awareness of it as to be promoted in the community at large. Because the types of child

  15. 'This place is making me more depressed': The organisation of care for suicide attempters in a South African hospital.

    Science.gov (United States)

    Bantjes, Jason; Nel, Annemi; Louw, Kerry-Ann; Frenkel, Louise; Benjamin, Ereshia; Lewis, Ian

    2017-09-01

    People who attend hospital following a suicide attempt represent a well-delineated high-risk group of patients who may be amenable to targeted interventions to reduce the risk of suicidal behaviour. Little is, however, known about how hospitals in South Africa respond to suicide attempters, what quality of care these patients receive or what possibilities exist for hospital-based suicide prevention interventions. We describe an ethnographic study conducted at a large hospital in South Africa to investigate the impact of current procedures and practices on the care received by those who attempt suicide. Findings suggest that the organisation of care within the hospital is a significant barrier to patients receiving optimal care and represents a lost opportunity for suicide prevention. Findings highlight the mismatch between the needs of suicide attempters and current services and call attention to the need for greater psychological input as well as hospital-based suicide prevention interventions that can be offered to patients without necessitating admissions.

  16. Soil respiration rate on the contrasting north- and south-facing slopes of a larch forest in central Siberia

    International Nuclear Information System (INIS)

    Yanagihara, Y.; Koike, T.; Matsuura, Y.; Mori, S.; Shibata, H.; Satoh, F.; Masuyagina, O.V.; Zyryanova, O.A.; Prokushkin, A.S.; Prokushkin, S.G.; Abaimov, A.P.

    2000-01-01

    In an attempt to evaluate global warming effects, we measured the soil respiration of the contrasting north- and south- facing slopes of a larch forest in central Siberia, located at Tura City in the Krasnoyarsk District, Russia. The north-facing slope is assumed to be the present condition while the south-facing slope may stand for the future warm condition. As a result of differences in solar radiation, there were clear differences between the north- and south- facing slopes in terms, for example, of the active layer as the growth rate of larch trees. The soil respiration rate was higher on the south-facing slope than on the north-facing slope. At the temperature of 15°C, soil respiration rate of the south-facing slope was ca. 6.2 μ mol CO 2 * m -2 s -1 , which was about 0.6 times lower than that of broad-leaved forests in Hokkaido. There was an exponential correlation between soil temperature at 10 cm depth and the efflux of CO 2 from the soil surface. Various conditions (soil temperature,. nitrogen content and soil water content) seemed to be more favorable for soil respiration on the south-facing slope. (author)

  17. Midwives’ knowledge and use of partographs at Juba Teaching Hospital, South Sudan

    Directory of Open Access Journals (Sweden)

    Clara Roba Alfred

    2017-11-01

    Full Text Available Background: Evidence shows that good knowledge of partographs and proper application of this knowledge results in a remarkable reduction in prolonged and obstructed labour and reduces maternal mortality. Obstructed labour can be prevented by a simple and cost-effective health intervention tool, the partograph. A partograph is a graphical record of the progress of labour and salient conditions of the mother and foetus plotted against time in hours. This provides an opportunity for early identification of deviation from normal progress. Early detection of prolonged labour greatly contributes to prevention of obstructed labour and related complications. Objective: To assess midwives’ knowledge and use of partographs in the maternity ward of Juba Teaching Hospital, South Sudan. Methods: A cross-sectional descriptive study was conducted to assess utilisation of partographs among healthcare providers in Juba Teaching Hospital. All providers working at the time of the study were included. An interviewer administered questionnaire prepared in English was used to assess socio-demographic and other related variables of respondents as well as knowledge and practice. Ethical procedures were followed at every step. Results: Only 20% of the 30 respondents were registered midwives, 67% knew the components -of a partograph, and 93% could differentiate between normal and abnormal labour with the use of a partograph. The factors affecting the use of partographs included; shortage of partographs in the ward, lack of protocols on partograph use, understanding semantics of the English language, absence of refresher training, late reporting of mothers to the ward, and a shortage of staff. Conclusions: Despite good knowledge of the partograph, about half of the providers do not use them. We recommend training and recruitment of more qualified midwives, a continuous supply of partographs to improve use of partographs continuous supportive supervision, mentoring of

  18. Pattern of cardiovascular admissions at Nnamdi Azikiwe University Teaching Hospital Nnewi, South East Nigeria.

    Science.gov (United States)

    Osuji, Charles Ukachukwu; Onwubuya, Emmanuel Ikechukwu; Ahaneku, Gladys Ifesinachi; Omejua, Emeka Godwin

    2014-01-01

    Cardiovascular disease (CVD) is one of the top killer diseases in the world sparing neither developed or developing countries. The study was carried out to determine the pattern of cardiovascular admissions at Nnamdi Azikiwe University Teaching Hospital Nnewi South East Nigeria. The study was a retrospective study covering the period January 2007 to December 2009. SPSS version 13 software was used to analyze data. 537 (15%) patients were admitted into the study out of 3546 patients {females 1756 and 1790} admitted into medical wards. 322 (60%) of study population were males and 215 (40%) females. 359(67.5%) were discharged, 170 (32%) died and 8 (0.5%) were discharged against medical advice. The majority of the deaths 105(61.8%), were in patients with CVA. Most of the deaths (111 or 65.3%) occurred within the first seven days of admission. The mean age of the population was 60.7 years ±15.9 with a range of 18 to 110 years. The length of stay in hospital ranged between 1 and 140 days with a mean of 13.5 ± 13.9 days and a median of 10 days. 33 of the subjects were single, 406 were married, 94 were widowed (11 males and 83 females) and 4 were divorced. 46.7% (251) were admitted for CVA and 30.9% (166) for heart failure. Cardiomyopathy/valvular heart diseases (clinical diagnosis due to absence of echocardiography) constituted 3.9%, hypertension 20.5% and pre-existing hypertension with uremia 1.9%. The study has shown that cardiovascular disease contributed significantly to medical admissions the elderly accounting for a significant proportion. There is thus the need for intensification of primary preventive strategies for cardiovascular diseases.

  19. 'Waiting for' and 'waiting in' public and private hospitals: a qualitative study of patient trust in South Australia.

    Science.gov (United States)

    Ward, Paul R; Rokkas, Philippa; Cenko, Clinton; Pulvirenti, Mariastella; Dean, Nicola; Carney, A Simon; Meyer, Samantha

    2017-05-05

    Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times in public vs private hospitals. However, very little qualitative research has explored patient experiences of waiting, how this compares between public and private hospitals, and the implications for trust in hospitals and healthcare professionals. The aim of this paper is to provide a deep understanding of the impact of waiting times on patient trust in public and private hospitals. A qualitative study in South Australia, including 36 in-depth interviews (18 from public and 18 from private hospitals). Data collection occurred in 2012-13, and data were analysed using pre-coding, followed by conceptual and theoretical categorisation. Participants differentiated between experiences of 'waiting for' (e.g. for specialist appointments and surgery) and 'waiting in' (e.g. in emergency departments and outpatient clinics) public and private hospitals. Whilst 'waiting for' public hospitals was longer than private hospitals, this was often justified and accepted by public patients (e.g. due to reduced government funding), therefore it did not lead to distrust of public hospitals. Private patients had shorter 'waiting for' hospital services, increasing their trust in private hospitals and distrust of public hospitals. Public patients also recounted many experiences of longer 'waiting in' public hospitals, leading to frustration and anxiety, although they rarely blamed or distrusted the doctors or nurses, instead blaming an underfunded system and over-worked staff. Doctors and nurses were seen to be doing their best, and therefore trustworthy. Although public patients experienced longer 'waiting for' and 'waiting in' public hospitals, it did not lead to widespread distrust

  20. GREYBULL SANDSTONE PETROLEUM POTENTIAL ON THE CROW INDIAN RESERVATION, SOUTH-CENTRAL MONTANA

    Energy Technology Data Exchange (ETDEWEB)

    David A. Lopez

    2000-12-14

    Evaluation of the Lower Cretaceous Greybull Sandstone on the Crow Indian Reservation for potential stratigraphic traps in the valley-fill sandstone was the focus of this project. The Crow Reservation area, located in south-central Montana, is part of the Rocky Mountain Foreland structural province, which is characterized by Laramide uplifts and intervening structural basins. The Pryor and Bighorn mountains, like other foreland uplifts, are characterized by asymmetrical folds associated with basement-involved reverse faults. The reservation area east of the mountains is on the northwestern flank of the Powder River Basin. Therefore, regional dips are eastward and southeastward; however, several prominent structural features interrupt these regional dips. The nearly 4,000 mi{sup 2} reservation is under explored but has strong potential for increased oil and gas development. Oil and gas production is well established in the Powder River Basin of Wyoming to the south as well as in the areas north and west of the reservation. However, only limited petroleum production has been established within the reservation. Geologic relations and trends indicate strong potential for oil and gas accumulations, but drilling has been insufficient for their discovery. The Greybull Sandstone, which is part of the transgressive systems tract that includes the overlying Fall River Sandstone, was deposited on a major regional unconformity. The erosional surface at the base of the Greybull Sandstone is the +100 Ma, late Aptian-Early Albian regional unconformity of Weimer (1984). This lowstand erosional surface was controlled by a basin-wide drop in sea level. In areas where incised Greybull channels are absent, the lowstand erosional unconformity is at the base of the Fall River Sandstone and equivalent formations. During the pre-Greybull lowstand, sediment bypassed this region. In the subsequent marine transgression, streams began to aggrade and deposit sand of the lower Greybull Sandstone

  1. Peripartum hysterectomy: two years experience at Nelson Mandela Academic hospital, Mthatha, Eastern Cape South Africa.

    Science.gov (United States)

    Wandabwa, J N; Businge, C; Longo-Mbenza, B; Mdaka, M L; Kiondo, P

    2013-06-01

    Obstetric haemorrhage is the leading direct cause of maternal mortality in South Africa. To determine the incidence, indications, associations and maternal outcomes of emergency peripartum hysterectomies. A descriptive and retrospective analysis of patients who had peripartum hysterectomy between 1(st) February 2007 and 31(st) January 2009 in Nelson Mandela Academic Hospital at Mthatha city. The incidence of 0.95% of peripartum hysterectomies (n=63 or 9.5/1000 births) increased with the increasing maternal age from 0.121% at age of less than 20 years to 0.5% at age more or equal to 30 years. Similarly the incidence increased with parity from 0.332% for Primiparity to 0.468% at parity of four or more. The indications for the operation were uterine atony 19/63 (30.2%), secondary haemorrhage/puerperal sepsis 17/63 (27%) and ruptured uterus 16/63 (23.4%). The main intra operative complication was haemorrhage 13/63 (20.6%). Repeat laparotomy was done in 10/63 (15%) of patients due to haemorrhage. Admission to intensive care unit was 25/63 (39.7%). The case specific mortality rate was of 19 % (n=12). The main causes of death were hypovolaemic shock and septicemia. The incidence of peripartum hysterectomies was high and was associated with ruptured uterus and puerperal sepsis which are preventable.

  2. Knowledge, Skills and Competencies of Hospitality Companies in the South Moravian Region

    Directory of Open Access Journals (Sweden)

    Klapalova Alena

    2013-06-01

    Full Text Available In 2009, a survey focused on barriers to entrepreneurship among managers and/or owners of companies in the hospitality industry in the South Moravian Region was carried out (Klapalová,2011 at the College of Business and Hotel Management in Brno. Results of this survey revealed that knowledge together with skills and competencies was considered to be the biggest barrier to sustainable successful entrepreneurship of these companies and this perception wasalso confirmed by Spearman’s correlations analysis with statistically significant coefficient at the 0.05 level (Spearman’s rho=0.214, p=0.18, when analyzing the relation to financial performanceof companies. The issue of knowledge was not investigated deeper in the survey but it raised several questions for further research. This paper offers preliminary and partial results of an inquiry done during the autumn and winter 2011 and spring and summer 2012 which takes up the previous survey from 2009 with the aim to explore the types of knowledge, skills and competencies perceived as the most important for company success and as the most missing in nowadays entrepreneurship of inquired companies. Three relationships of knowledge categories were analysed: relation to the age and size of companies and relation to the indicators of financial performance. The findings have several managerial implications, both for business practice and educational organisations.

  3. Causes of gastrointestinal colic at an equine referral hospital in South Africa (1998 - 2007

    Directory of Open Access Journals (Sweden)

    A. Voigt

    2009-05-01

    Full Text Available The most common causes of gastrointestinal colic at an equine referral hospital in South Africa were determined following retrieval of the medical records of horses admitted during a 10-year study period. The study included 935 horses of which 28 % were admitted after hours. Most horses were Thoroughbreds (54 %, male (57 %, with a mean age of 8.2 years and originated from the Gauteng Province (81 %. Heart rate (98 %, mucous membrane colour (95 % and auscultation of the abdomen (91 % were the clinical data commonly obtained at admission. Packed cell volume, total serum protein and white cell count were recorded in 78 %, 75 % and 44 % of horses respectively. Transrectal palpation (93 %, nasogastric intubation (84 %, intravenous catheterisation (74 % and abdominocentesis (53 % were the most frequently performed procedures. Medical intervention was performed in 558 horses (60 %. The common causes of medical colic were impactions (39 %, tympany (7 % and displacement of the large colon (6 %. An exploratory laparotomy was performed in 331 horses (36 %. The common causes of surgical colic were displacement (29 %, impaction (22 % and small intestinal strangulating lesions (18 %. Death occurred in 3 % of horses, while euthanasia before medical intervention was performed in 4 %. Overall, medical intervention was successful in 93 % of horses and 67 % in horses managed surgically. In conclusion, 55 % of all the equine admissions responded to medical intervention and the recovery rate for horses receiving both medical and surgical intervention was comparable to that reported in other studies.

  4. Risk factors associated with postpartum haemorrhage at Juba Teaching Hospital, South Sudan, 2011

    Directory of Open Access Journals (Sweden)

    Thomas Tako Akim Ujjiga

    2014-08-01

    Full Text Available Objective: To study risk factors associated with post partum haemorrhage (PPH in Juba Teaching Hospital, South Sudan. Method: An unmatched case control study was conducted in which 44 cases and 88 Controls were involved, from September to December 2011. Data was collected using a structured questionnaire in face to face interviews, and analyzed using Epi-info 3.5.3 statistical programme to determine if there was a correlation. Results: Maternal demographic and obstetric characteristics were found to be associated with the risk of bleeding during Bivariate analysis. However, age was found to confound emergency admission, uterotonic use (Oxytocin and Misoprostol use and delivery type, the latter being modified, in the development of post partum haemorrhage. Conclusion: These results indicate that active management of the third stage of labour (AMTSL and prompt intervention reduced the risk of developing PPH. Understanding the factors that cause PPH will allow us to better strengthen and effect pre delivery and emergency obstetric care which may help us reduce maternal mortality due to post partum haemorrhage.

  5. Infection Rate in 1033 Elective Neurosurgical Procedures at a University Hospital in South China.

    Science.gov (United States)

    Zhu, Hongwei; Liu, Xiyao; Wang, Zhanxiang

    2017-09-01

    Objective  Infection following surgery is a serious complication, especially in neurosurgery. The aim of the study is to report the change of incidence rates of infection in patients undergoing elective neurosurgical procedures at a university hospital in South China as well as the risk factors. Material and Methods  The medical records and postoperative courses for patients undergoing 1,033 neurosurgical procedures from 2008 to 2014 were reviewed retrospectively to determine the incidence of neurosurgical infection, the identity of the offending organisms, and the factors associated with infection. Results  A total of 33 patients (40 cases) experienced postoperative infection representing 3.19% of the study population. Twenty cases were incision infections (1.94%), and 20 were cranial/spinal infections (1.94%) including 15 intracranial infections and 5 intraspinal infections. The 2.4-fold greater incidence of postoperative infection in 2008 to 2010 was compared with that in 2011 to 2014 with perioperative antibiotic prophylaxis ( p neurosurgery (1.08%). The most common offending organism was Staphylococcus aureus (27.5%). Foreign body implantation, operative time > 4 hours, and cerebrospinal fluid (CSF) leak (13 infections in 158 patients; p <0.001) were risk factors for infections ( p <0.05). Conclusion  The neurosurgical infection rate is usually low with perioperative antibiotic prophylaxis even in developing countries. Less foreign body implantation, shorter operative times, and controlling CSF leak could reduce infection rates. Georg Thieme Verlag KG Stuttgart · New York.

  6. Correlation of proterozoic sediments of Western and Central Africa and South America based upon radiochronological and paleontological data

    International Nuclear Information System (INIS)

    Bonhomme, M.G.

    1982-01-01

    Nearly 70 new Rb-Sr isochron ages and many K-Ar conventional ages have been determined between 1975 and 1980 on Proterozoic sedimentary or metasedimentary sequences in western and Central Africa and South America. Some stratigraphic results have been established: (1) five formations have been dated of the Lower Proterozoic; (2) a long sedimentation gap occurs, mainly in western Africa and in some regions of Central Africa and South America between nearly 1600 and 1100 Ma; (3) the upper Riphean assemblages of stromatolites have been dated and compared to those of the Eurasian craton; (4) two main glacial events have been dated, the first one placed at ca. 950 Ma, the second during the Vendian, at ca. 650-620 Ma; (5) it can be stated that, when applied to Precambrian sequences, all stratigraphic methods must be used together. (Auth.)

  7. Predictors of loss to follow-up among patients on ART at a rural hospital in KwaZulu-Natal, South Africa.

    Science.gov (United States)

    Arnesen, Rachel; Moll, Anthony P; Shenoi, Sheela V

    2017-01-01

    Improved HIV outcomes as a result of expanded antiretroviral therapy (ART) access is threatened by increasing rates of loss to follow up (LTFU) among those on ART, largely reported in urban populations. Some reports suggest that LTFU rates are overestimated due to patient movement to other facilities and inadequate medical records. To define the proportion disengaging from HIV care as well as the characteristics of those LTFU in order to design and implement appropriate interventions to increase retention. We performed a retrospective review of patients who discontinued ART at a central hospital ART clinic in rural South Africa and compared with patients receiving care at the 15 primary health clinics (PHCs) to determine the true proportion of those who were LTFU. We also compared those who discontinued ART with those who did not at the central hospital ART clinic to determine predictors of loss to follow up. Among 3242 patients on ART, 820 were originally marked as LTFU. Among all patients, 272 (8.4%) were found at a clinic on treatment, 56 (1.7%) were found at a clinic from which they had since discontinued treatment, and 10 (0.3%) returned to care between June and July 2016, leaving 475 (14.7%) unaccounted for and thus categorized as 'true' LTFU. Factors found to be associated with discontinuation include being male, age 18-35, having a CD4 count under 200 cells/μL, and being on ART for under six months. Young men with low CD4 counts early after ART initiation are at highest risk of ART disengagement in this rural South African HIV clinic. Novel interventions targeting this group are needed to improve retention in care.

  8. Why do some hospitals achieve better care of severely malnourished children than others? Five-year follow-up of rural hospitals in Eastern Cape, South Africa.

    Science.gov (United States)

    Puoane, Thandi; Cuming, Katie; Sanders, David; Ashworth, Ann

    2008-11-01

    Staff at 11 rural hospitals in an under-resourced region of Eastern Cape Province, South Africa, participated in an intervention to improve the quality of care of severely malnourished children through training and support aimed at implementing the WHO case-management guidelines. Despite similar intervention inputs, some hospitals reduced their case-fatality rates by at least half, whereas others did not. The aim of this study was to investigate reasons for this disparity. Two successful and two poorly performing hospitals were purposively selected based on their case-fatality rates, which were 30% in those performing poorly. Comparative data were collected during June to October 2004 through structured observations of ward procedures, compilation of hospital data on case-loads and resources, and staff interviews and discussions related to attitudes, teamwork, training, supervision, managerial support and leadership. The four study hospitals had broadly similar resources, infrastructure and child:nurse ratios, and all had made changes to their clinical and dietary management following training. Case-management was broadly in line with WHO guidelines but the study revealed clear differences in institutional culture which influenced quality of care. Staff in the successful hospitals were more attentive and assiduous than staff in the poorly performing hospitals, especially in relation to rehydration procedures, feeding and the recording of vital signs. There was a strong emphasis on in-service training and induction of incoming staff in the successful hospitals and better supervision of junior staff and carers. Nurses had more positive attitudes towards malnourished children and their carers, and were less judgmental. Underlying factors were differences in leadership, teamwork, and managerial supervision and support. We conclude that unless there are supportive structures at managerial level, the potential benefits of efficacious interventions and related training

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

    International Nuclear Information System (INIS)

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

    2010-01-01

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

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

    International Nuclear Information System (INIS)

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

    2010-01-01

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

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

    Energy Technology Data Exchange (ETDEWEB)

    Bouzad, Caroline, E-mail: caroline.bouzad@gmail.com [Percy Military Teaching Hospital, Radiology Department (France); Duron, Sandrine, E-mail: duronsandrine@yahoo.fr [GSBdD, Military Centre for Epidemiology and Public Health (CESPA) (France); Bousquet, Aurore, E-mail: aurorebousquet@yahoo.fr [Begin Military Teaching Hospital, Bacteriology Department (France); Arnaud, François-Xavier, E-mail: fxa0160@hotmail.com [Percy Military Teaching Hospital, Radiology Department (France); Valbousquet, Laura, E-mail: laura.valbousquet@gmail.com [Begin Military Teaching Hospital, Radiology Department (France); Weber-Donat, Gabrielle, E-mail: weberdonatgabrielle@yahoo.fr; Teriitehau, Christophe, E-mail: cteriitehau@me.com; Baccialone, Jacques, E-mail: jacques.baccialone@wanadoo.fr; Potet, Julien, E-mail: potet-julien@yahoo.fr [Percy Military Teaching Hospital, Radiology Department (France)

    2016-03-15

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

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

    International Nuclear Information System (INIS)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

  14. Awareness and Knowledge of Glaucoma in Central India: A Hospital-Based Study.

    Science.gov (United States)

    Maharana, Prafulla K; Rai, Vaishali G; Pattebahadur, Rajesh; Singhi, Shipra; Chauhan, Ashish K

    2017-01-01

    To assess the awareness and knowledge of glaucoma among people attending the ophthalmology outpatient department at a tertiary care hospital in central India. A prospective observational study. A questionnaire-based study was conducted, involving persons aged 18 and above attending the ophthalmology outpatient department from October 2014 to September 2015. Data on awareness and knowledge of glaucoma was collected through a face-to-face interview. Fourteen hundred people participated in the study. The mean age of participants was 43 ± 15 years (range, 18-85). The study participants included 53% men and 47% women. Only 27% (n = 380/1400) of the participants were aware of glaucoma. Age, sex, and presence or type of refractive error had no impact on glaucoma awareness. Awareness level was greater in individuals with higher education levels and those belonging to an upper socioeconomic class (SEC). Multiple logistic regression analysis revealed significantly higher levels of glaucoma awareness among participants belonging to the upper 2 SECs (P = 0.05) and those educated above the high school level (P = 0.001). The most common source of awareness was close acquaintance with relatives, famly members, and friends of glaucoma patients. Awareness of glaucoma in India is low. Lack of education and lower socioeconomic status are the major risk factors for late preentation of glaucoma. Continuous presence of a low level of awareness and the same factors accounting for it warrants the need for an aggressive and refined approach to increase awareness of glaucoma to prevent glaucoma-related blindness. Copyright 2017 Asia-Pacific Academy of Ophthalmology.

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

    Directory of Open Access Journals (Sweden)

    Nghia Ho Dang Trung

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

  16. Seismic stratigraphy and late Quaternary shelf history, south-central Monterey Bay, California

    Science.gov (United States)

    Chin, J.L.; Clifton, H.E.; Mullins, H.T.

    1988-01-01

    The south-central Monterey Bay shelf is a high-energy, wave-dominated, tectonically active coastal region on the central California continental margin. A prominent feature of this shelf is a sediment lobe off the mouth of the Salinas River that has surface expression. High-resolution seismic-reflection profiles reveal that an angular unconformity (Quaternary?) underlies the entire shelf and separates undeformed strata above it from deformed strata below it. The Salinas River lobe is a convex bulge on the shelf covering an area of approximately 72 km2 in water depths from 10 to 90 m. It reaches a maximum thickness of 35 m about 2.5 km seaward of the river mouth and thins in all directions away from this point. Adjacent shelf areas are characterized by only a thin (2 to 5 m thick) and uniform veneer of sediment. Acoustic stratigraphy of the lobe is complex and is characterized by at least three unconformity-bounded depositional sequences. Acoustically, these sequences are relatively well bedded. Acoustic foresets occur within the intermediate sequence and dip seaward at 0.7?? to 2.0??. Comparison with sedimentary sequences in uplifted onshore Pleistocene marine-terrace deposits of the Monterey Bay area, which were presumably formed in a similar setting under similar processes, suggests that a general interpretation can be formulated for seismic stratigraphic patterns. Depositional sequences are interpreted to represent shallowing-upwards progradational sequences of marine to nonmarine coastal deposits formed during interglacial highstands and/or during early stages of falling sea level. Acoustic foresets within the intermediate sequence are evidence of seaward progradation. Acoustic unconformities that separate depositional sequences are interpreted as having formed largely by shoreface planation and may be the only record of the intervening transgressions. The internal stratigraphy of the Salinas River lobe thus suggests that at least several late Quaternary

  17. An assessment of fire occurrence regime and performance of Canadian fire weather index in south central Siberian boreal region

    OpenAIRE

    Chu, T.; Guo, X.

    2014-01-01

    Wildfire is the dominant natural disturbance in Eurasian boreal region, which acts as a major driver of the global carbon cycle. An effectiveness of wildfire management requires suitable tools for fire prevention and fire risk assessment. This study aims to investigate fire occurrence patterns in relation to fire weather conditions in the remote south central Siberia region. The Canadian Fire Weather Index derived from large-scale meteorol...

  18. Concentrations of selected pharmaceuticals and antibiotics in south-central Pennsylvania waters, March through September 2006

    Science.gov (United States)

    Loper, Connie A.; Crawford, J. Kent; Otto, Kim L.; Manning, Rhonda L.; Meyer, Michael T.; Furlong, Edward T.

    2007-01-01

    This report presents environmental and quality-control data from analyses of 15 pharmaceutical and 31 antibiotic compounds in water samples from streams and wells in south-central Pennsylvania. The analyses are part of a study by the U.S. Geological Survey (USGS) in cooperation with the Pennsylvania Department of Environmental Protection (PADEP) to define concentrations of selected emerging contaminants in streams and well water in Pennsylvania. Sampling was conducted at 11 stream sites and at 6 wells in 9 counties of south-central Pennsylvania. Five of the streams received municipal wastewater and 6 of the streams received runoff from agricultural areas dominated by animal-feeding operations. For all 11 streams, samples were collected at locations upstream and downstream of the municipal effluents or animal-feeding operations. All six wells were in agricultural settings. A total of 120 environmental samples and 21 quality-control samples were analyzed for the study. Samples were collected at each site in March/April, May, July, and September 2006 to obtain information on changes in concentration that could be related to seasonal use of compounds.For streams, 13 pharmaceuticals and 11 antibiotics were detected at least 1 time. Detections included analytical results that were estimated or above the minimum reporting limits. Seventy-eight percent of all detections were analyzed in samples collected downstream from municipal-wastewater effluents. For streams receiving wastewater effluents, the pharmaceuticals caffeine and para-xanthine (a degradation product of caffeine) had the greatest concentrations, 4.75 μg/L (micrograms per liter) and 0.853 μg/L, respectively. Other pharmaceuticals and their respective maximum concentrations were carbamazepine (0.516 μg/L) and ibuprofen (0.277 μg/L). For streams receiving wastewater effluents, the antibiotic azithromycin had the greatest concentration (1.65 μg/L), followed by sulfamethoxazole (1.34 μg/L), ofloxacin (0.329

  19. Risk across disciplines: An interdisciplinary examination of water and drought risk in South-Central Oklahoma

    Science.gov (United States)

    Lazrus, H.; Paimazumder, D.; Towler, E.; McPherson, R. A.

    2013-12-01

    Drought is a challenge faced by communities across the United States, exacerbated by growing demands on water resources and climate variability and change. The Arbuckle-Simpson Aquifer (ASA) in south-central Oklahoma, situated in the heart of the Chickasaw Nation, is the state's only sole-source groundwater basin and sustains the Blue River, the state's only free-flowing river. The recent comprehensive hydrological studies of the aquifer indicate the need for sustainable management of the amount of water extracted. However, the question of how to deal with that management in the face of increasing drought vulnerability, diverse demands, and climate variability and change remains. Water management carries a further imperative to be inclusive of tribal and non-tribal interests. To examine this question, we are conducting an investigation of drought risk from multiple disciplines. Anthropological data comes from stakeholder interviews that were designed to investigate conflict over water management by understanding how people perceive risk differently based on different opinions about the structure of the resource, varying levels of trust in authorities, and unequal access to resources. . The Cultural Theory of Risk is used to explain how people view risks as part of their worldviews and why people who hold different worldviews disagree about risks associated with water availability. Meteorological analyses of longitudinal data indicate periods of drought that are noted in stakeholder interviews. Analysis of stream gauge data investigates the influence of climate variability on local hydrologic impacts, such as changing groundwater levels and streamflows, that are relevant to planning and management decisions in the ASA. Quantitative assessment of future drought risk and associated uncertainty and their effect on type and scale of future economic and social impacts are achieved by combining elements of statistical and dynamical downscaling to improve predictions of

  20. Land subsidence and earth fissures in south-central and southern Arizona, USA

    Science.gov (United States)

    Conway, Brian D.

    2016-05-01

    Land subsidence due to groundwater overdraft has been an ongoing problem in south-central and southern Arizona (USA) since the 1940s. The first earth fissure attributed to excessive groundwater withdrawal was discovered in the early 1950s near Picacho. In some areas of the state, groundwater-level declines of more than 150 m have resulted in extensive land subsidence and earth fissuring. Land subsidence in excess of 5.7 m has been documented in both western metropolitan Phoenix and Eloy. The Arizona Department of Water Resources (ADWR) has been monitoring land subsidence since 2002 using interferometric synthetic aperture radar (InSAR) and since 1998 using a global navigation satellite system (GNSS). The ADWR InSAR program has identified more than 25 individual land subsidence features that cover an area of more than 7,300 km2. Using InSAR data in conjunction with groundwater-level datasets, ADWR is able to monitor land subsidence areas as well as identify areas that may require additional monitoring. One area of particular concern is the Willcox groundwater basin in southeastern Arizona, which is the focus of this paper. The area is experiencing rapid groundwater declines, as much as 32.1 m during 2005-2014 (the largest land subsidence rate in Arizona State—up to 12 cm/year), and a large number of earth fissures. The declining groundwater levels in Arizona are a challenge for both future groundwater availability and mitigating land subsidence associated with these declines. ADWR's InSAR program will continue to be a critical tool for monitoring land subsidence due to excessive groundwater withdrawal.

  1. Micro and Macroscale Drivers of Nutrient Concentrations in Urban Streams in South, Central and North America.

    Science.gov (United States)

    Loiselle, Steven A; Gasparini Fernandes Cunha, Davi; Shupe, Scott; Valiente, Elsa; Rocha, Luciana; Heasley, Eleanore; Belmont, Patricia Pérez; Baruch, Avinoam

    Global metrics of land cover and land use provide a fundamental basis to examine the spatial variability of human-induced impacts on freshwater ecosystems. However, microscale processes and site specific conditions related to bank vegetation, pollution sources, adjacent land use and water uses can have important influences on ecosystem conditions, in particular in smaller tributary rivers. Compared to larger order rivers, these low-order streams and rivers are more numerous, yet often under-monitored. The present study explored the relationship of nutrient concentrations in 150 streams in 57 hydrological basins in South, Central and North America (Buenos Aires, Curitiba, São Paulo, Rio de Janeiro, Mexico City and Vancouver) with macroscale information available from global datasets and microscale data acquired by trained citizen scientists. Average sub-basin phosphate (P-PO4) concentrations were found to be well correlated with sub-basin attributes on both macro and microscales, while the relationships between sub-basin attributes and nitrate (N-NO3) concentrations were limited. A phosphate threshold for eutrophic conditions (>0.1 mg L-1 P-PO4) was exceeded in basins where microscale point source discharge points (eg. residential, industrial, urban/road) were identified in more than 86% of stream reaches monitored by citizen scientists. The presence of bankside vegetation covaried (rho = -0.53) with lower phosphate concentrations in the ecosystems studied. Macroscale information on nutrient loading allowed for a strong separation between basins with and without eutrophic conditions. Most importantly, the combination of macroscale and microscale information acquired increased our ability to explain sub-basin variability of P-PO4 concentrations. The identification of microscale point sources and bank vegetation conditions by citizen scientists provided important information that local authorities could use to improve their management of lower order river ecosystems.

  2. Atmospheric circulation associated with extreme generalized frosts persistence in central-southern South America

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, Gabriela V. [Centro de Investigaciones Cientificas y Transferencia de Tecnologia a la Produccion, Diamante (CICYTTTP-CONICET), Diamante, Entre Rios (Argentina); Berri, Guillermo J. [Servicio Meteorologico Nacional - CONICET, Buenos Aires (Argentina)

    2012-03-15

    Generalized frosts (GF) in central-southern South America have a strong impact due to their spatial extension, and they are especially important when they become persistent. This paper aims at identifying the atmospheric circulation features that determine the extreme GF persistence, i.e. very persistent and without persistence, and the differences between them, during the 1961-1990 winters. Since the GF without persistence group outnumbers the other one, two subgroups are composed with events selected from winters with maximum and minimum frequency of GF occurrence, respectively. Additionally, the individual event of July 1988 within the very persistent GF group is analyzed due to its exceptional persistence. GF persistence is mainly conditioned by two large-scale dynamic factors. One is the Rossby wave train propagation across the Pacific Ocean, and the other one is the location with respect to the continent and the magnitude of the confluence in the jet entrance region in subtropical latitudes. A predominantly meridional Rossby wave train propagation with a confluence region to the west of the continent prior to the event favors GF with intermediate (null) persistence depending on the greater (lesser) jet acceleration. This is conditioned by the magnitude of the confluence, which, in turn, depends on the disposition of the wave train propagation pattern. Instead, an essentially zonal propagation with a confluence region to the east of the continent favors the GF persistence for several days, yet if there is no confluence the event does not persist. The greatest persistence of an event combines the confluence/diffluence of the jet entrance/exit region, which depends on the disposition with respect to the continent of the zonally propagating Rossby wave trains. (orig.)

  3. Shrubline but not treeline advance matches climate velocity in montane ecosystems of south-central Alaska.

    Science.gov (United States)

    Dial, Roman J; Smeltz, T Scott; Sullivan, Patrick F; Rinas, Christina L; Timm, Katriina; Geck, Jason E; Tobin, S Carl; Golden, Trevor S; Berg, Edward C

    2016-05-01

    Tall shrubs and trees are advancing into many tundra and wetland ecosystems but at a rate that often falls short of that predicted due to climate change. For forest, tall shrub, and tundra ecosystems in two pristine mountain ranges of Alaska, we apply a Bayesian, error-propagated calculation of expected elevational rise (climate velocity), observed rise (biotic velocity), and their difference (biotic inertia). We show a sensitive dependence of climate velocity on lapse rate and derive biotic velocity as a rigid elevational shift. Ecosystem presence identified from recent and historic orthophotos ~50 years apart was regressed on elevation. Biotic velocity was estimated as the difference between critical point elevations of recent and historic logistic fits divided by time between imagery. For both mountain ranges, the 95% highest posterior density of climate velocity enclosed the posterior distributions of all biotic velocities. In the Kenai Mountains, mean tall shrub and climate velocities were both 2.8 m y(-1). In the better sampled Chugach Mountains, mean tundra retreat was 1.2 m y(-1) and climate velocity 1.3 m y(-1). In each mountain range, the posterior mode of tall woody vegetation velocity (the complement of tundra) matched climate velocity better than either forest or tall shrub alone, suggesting competitive compensation can be important. Forest velocity was consistently low at 0.1-1.1 m y(-1), indicating treeline is advancing slowly. We hypothesize that the high biotic inertia of forest ecosystems in south-central Alaska may be due to competition with tall shrubs and/or more complex climate controls on the elevational limits of trees than tall shrubs. Among tall shrubs, those that disperse farthest had lowest inertia. Finally, the rapid upward advance of woody vegetation may be contributing to regional declines in Dall's sheep (Ovis dalli), a poorly dispersing alpine specialist herbivore with substantial biotic inertia due to dispersal reluctance. © 2015

  4. Infestation of mammals by Ixodes ricinus ticks (Acari: Ixodidae) in south-central Sweden.

    Science.gov (United States)

    Tälleklint, L; Jaenson, T G

    1997-12-01

    Infestation by Ixodes ricinus ticks on rodents, hares and cervids was examined at Bogesund, 10 km north of Stockholm, in south-central Sweden during 1991-1994 and on varying hares (Lepus timidus) at Stora Karlsö and Gotska Sandön in the Baltic Sea during 1992-1993. At Bogesund, there were great differences between two consecutive years in the number of I. ricinus larvae infesting bank voles (Clethrionomys glareolus). The seasonal pattern of infestation by I. ricinus larvae and nymphs on bank voles was unimodal in 1991, with peaks in June-July and bimodal in 1992, with peaks in June and August. Male bank voles, compared to females and older voles, compared to young voles, harboured greater numbers of I. ricinus ticks. Apodemus mice, compared to bank voles, harboured greater numbers of I. ricinus ticks. Ixodes ricinus larvae engorged on Apodemus mice were heavier than larvae engorged on bank voles and resulted in larger nymphs. However, there was no difference in the proportions of viable nymphs resulting from larvae engorged on mice or voles. The ranges in the numbers of I. ricinus ticks infesting individual hosts were 1-451 for rodents, 16-2374 for hares and 428-2072 for roe deer (Capreolus capreolus). These ranges of tick numbers are estimated to represent potential blood losses from individual hosts of approximately 0.2-65% for rodents, 0.2-13% for hares and 0.3-9.0% for roe deer. Within the populations of all host species examined, the distributions of all stages of I. ricinus were clumped, with most host individuals harbouring few ticks and only a few individuals harbouring many ticks. The data suggest that, even though a small proportion of tick hosts may be severely affected, the direct effects of feeding by I. ricinus are unlikely to play an important role on mammal population dynamics.

  5. Estuarine environments as rearing habitats for juvenile Coho Salmon in contrasting south-central Alaska watersheds

    Science.gov (United States)

    Hoem Neher, Tammy D.; Rosenberger, Amanda E.; Zimmerman, Christian E.; Walker, Coowe M.; Baird, Steven J.

    2013-01-01

    For Pacific salmon, estuaries are typically considered transitional staging areas between freshwater and marine environments, but their potential as rearing habitat has only recently been recognized. The objectives of this study were two-fold: (1) to determine if Coho Salmon Oncorhynchus kisutch were rearing in estuarine habitats, and (2) to characterize and compare the body length, age, condition, and duration and timing of estuarine occupancy of juvenile Coho Salmon between the two contrasting estuaries. We examined use of estuary habitats with analysis of microchemistry and microstructure of sagittal otoliths in two watersheds of south-central Alaska. Juvenile Coho Salmon were classified as estuary residents or nonresidents (recent estuary immigrants) based on otolith Sr : Ca ratios and counts of daily growth increments on otoliths. The estuaries differed in water source (glacial versus snowmelt hydrographs) and in relative estuarine and watershed area. Juvenile Coho Salmon with evidence of estuary rearing were greater in body length and condition than individuals lacking evidence of estuarine rearing. Coho Salmon captured in the glacial estuary had greater variability in body length and condition, and younger age-classes predominated the catch compared with the nearby snowmelt-fed, smaller estuary. Estuary-rearing fish in the glacial estuary arrived later and remained longer (39 versus 24 d of summer growth) during the summer than did fish using the snowmelt estuary. Finally, we observed definitive patterns of overwintering in estuarine and near shore environments in both estuaries. Evidence of estuary rearing and overwintering with differences in fish traits among contrasting estuary types refute the notion that estuaries function as only staging or transitional habitats in the early life history of Coho Salmon.

  6. Prevalence of malaria infection in Butajira area, south-central Ethiopia

    Directory of Open Access Journals (Sweden)

    Woyessa Adugna

    2012-03-01

    Full Text Available Abstract Background In 2005, the Ethiopian government launched a massive expansion of the malaria prevention and control programme. The programme was aimed mainly at the reduction of malaria in populations living below 2,000 m above sea level. Global warming has been implicated in the increase in the prevalence of malaria in the highlands. However, there is still a paucity of information on the occurrence of malaria at higher altitudes. The objective of this study was to estimate malaria prevalence in highland areas of south-central Ethiopia, designated as the Butajira area. Methods Using a multi-stage sampling technique, 750 households were selected. All consenting family members were examined for malaria parasites in thick and thin blood smears. The assessment was repeated six times for two years (October 2008 to June 2010. Results In total, 19,207 persons were examined in the six surveys. From those tested, 178 slides were positive for malaria, of which 154 (86.5% were positive for Plasmodium vivax and 22 (12.4% for Plasmodium falciparum; the remaining two (1.1% showed mixed infections of Plasmodium falciparum and Plasmodium vivax. The incidence of malaria was higher after the main rainy season, both in lower lying and in highland areas. The incidence in the highlands was low and similar for all age groups, whereas in the lowlands, malaria occurred mostly in those of one to nine years of age. Conclusion This study documented a low prevalence of malaria that varied with season and altitudinal zone in a highland-fringe area of Ethiopia. Most of the malaria infections were attributable to Plasmodium vivax.

  7. Multidisciplinary Observations of Subduction (MOOS) Experiment in South-Central Alaska

    Science.gov (United States)

    Christensen, D.; Abers, G.; Freymueller, J.

    2008-12-01

    Seismic and geodetic data are being collected in the Kenai Peninsula and surrounding area of south central Alaska as part of the PASSCAL experiment MOOS. A total of 34 broadband seismic stations were deployed between the summers of 2007 and 2008. Seventeen of these stations continue to operate for an additional year and are scheduled to be removed in the summer of 2009. Numerous GPS campaign sites have and will be visited during the same time period. The MOOS seismic deployment provides coverage across the interplate coupled zone and adjacent transition zone in the shallow parts of the Alaskan subduction zone. It is a southern extension of an earlier broadband deployment BEAAR (Broadband Experiment Across the Alaska Range) to the north. When integrated with the previous BEAAR experiment, these data will allow high-resolution broadband imaging along a 600 km long transect over the Alaska subduction zone, at 10-15 km station spacing. The MOOS deployment allows us to test several hypotheses relating to the postulated subduction of the Yakutat Block and the nature of the coupled zone which ruptured in the great 1964 earthquake. The seismic and geodetic stations cover an area that includes part of the 1964 main asperity and the adjacent, less coupled, region to the southwest. Data gathered from this experiment will shed light on the nature of this boundary from both a geodetic and seismic (or earth structure) perspective. Shallow seismicity recorded by this network greatly improves the catalog of events in this area and helps to delineate active features in the subduction complex. Preliminary results from this project will be presented.

  8. Stratigraphic and compositional complexities of the late Quaternary Lethe tephra in South-central Alaska

    Science.gov (United States)

    Riehle, J.R.; Ager, T.A.; Reger, R.D.; Pinney, D.S.; Kaufman, D.S.

    2008-01-01

    Recently discovered Lethe tephra has been proposed as a latest Pleistocene marker bed in Bristol Bay lowland NE to the Cook Inlet region, Alaska, on the basis of correlations involving a single "Lethe average" glass composition. Type deposits in the Valley of Ten Thousand Smokes, however, are chemically heterogeneous-individual lapilli as well as aggregate ash deposits have glass compositions that range from the average mode to much higher SiO2 and K2O. Moreover, a lake-sediment core from the Cook Inlet region contains one ash deposit similar to "Lethe average" and other, closely underlying deposits that resemble a mixture of the average mode and high-Si high-K mode of proximal deposits. Synthesis of previously published radiocarbon ages indicates a major eruption mainly of "Lethe average" mode about 13,000 14C yr BP. As many as six deposits in the Cook Inlet region-five chiefly "Lethe average" mode-range from about 13,000 to 15-16,000 14C yr BP, and an early Holocene deposit in the Bristol Bay lowland extends the minimum age range of Lethe tephra throughout this region to 8000 14C yr BP. Because of the appearance of "Lethe average" composition in multiple deposits spanning thousands of years, we urge caution when using a Lethe-like composition as a basis for inferring a latest Pleistocene age of a tephra deposit in south-central Alaska. Linear variation plots suggest that magma mixing caused the Lethe heterogeneity; multiple magmas were involved as well in other large pyroclastic eruptions such as Katmai (Alaska) and Rotorua (New Zealand). Lethe is an example of a heterogeneous tephra that may be better compared with other tephras by use of plots of individual analytical points rather than by calculating similarity coefficients based on edited data. ?? 2006 Elsevier Ltd and INQUA.

  9. Indirect questioning method reveals hidden support for female genital cutting in South Central Ethiopia.

    Science.gov (United States)

    Gibson, Mhairi A; Gurmu, Eshetu; Cobo, Beatriz; Rueda, María M; Scott, Isabel M

    2018-01-01

    Female genital cutting (FGC) has major implications for women's physical, sexual and psychological health, and eliminating the practice is a key target for public health policy-makers. To date one of the main barriers to achieving this has been an inability to infer privately-held views on FGC within communities where it is prevalent. As a sensitive (and often illegal) topic, people are anticipated to hide their true support for the practice when questioned directly. Here we use an indirect questioning method (unmatched count technique) to identify hidden support for FGC in a rural South Central Ethiopian community where the practice is common, but thought to be in decline. Employing a socio-demographic household survey of 1620 Arsi Oromo adults, which incorporated both direct and indirect direct response (unmatched count) techniques we compare directly-stated versus privately-held views in support of FGC, and individual variation in responses by age, gender and education and target female (daughters versus daughters-in-law). Both genders express low support for FGC when questioned directly, while indirect methods reveal substantially higher acceptance (of cutting both daughters and daughters-in-law). Educated adults (those who have attended school) are privately more supportive of the practice than they are prepared to admit openly to an interviewer, indicating that education may heighten secrecy rather than decrease support for FGC. Older individuals hold the strongest views in favour of FGC (particularly educated older males), but they are also more inclined to conceal their support for FGC when questioned directly. As these elders represent the most influential members of society, their hidden support for FGC may constitute a pivotal barrier to eliminating the practice in this community. Our results demonstrate the great potential for indirect questioning methods to advance knowledge and inform policy on culturally-sensitive topics like FGC; providing more

  10. Moisture Concentration Variation of Silages Produced on Commercial Farms in the South-Central USA

    Directory of Open Access Journals (Sweden)

    K. J. Han

    2014-10-01

    Full Text Available Preservation of forage crops as silage offers opportunity to avoid the high risk of rain-damaged hay in the humid south-central USA. Recent developments with baled silage or baleage make silage a less expensive option than typical chopped silage. Silage has been important in the region primarily for dairy production, but baleage has become an option for the more extensive beef cattle industry in the region. Silage samples submitted to the Louisiana State University Agricultural Center Forage Quality Lab from 2006 through 2013 were assessed for dry matter (DM and forage nutritive characteristics of chopped silage and baleage of the different forage types from commercial farms primarily in Louisiana and Mississippi. Of the 1,308 silage samples submitted, 1,065 were annual ryegrass (AR with small grains (SG, the warm-season annual (WA grasses, sorghums and pearl millet, and the warm-season perennial (WP grasses, bermudagrass and bahiagrass, providing the remaining samples. Concentration of DM was used to indicate an effective ensiling opportunity, and AR silage was more frequently within the target DM range than was the WA forage group. The AR samples also indicated a high-quality forage with average crude protein (CP of 130 g/kg and total digestible nutrient (TDN near 600 g/kg. The cooler winter weather at harvest apparently complicated harvest of SG silage with chopped SG silage lower in both CP and TDN (104 and 553 g/kg, respectively than either AR silage or baleage of SG (137 and 624 g/kg for CP and TDN, respectively. The hot, humid summer weather along with large stems and large forage quantities of the WA grasses and the inherently higher fiber concentration of WP grasses at harvest stage indicate that preservation of these forage types as silage will be challenging, although successful commercial silage samples of each forage type and preservation approach were included among samples of silages produced in the region.

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

    Science.gov (United States)

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

    2013-11-01

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

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

    Directory of Open Access Journals (Sweden)

    Abdullah A. Bin Shalhoub

    2017-03-01

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

  13. Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors

    Directory of Open Access Journals (Sweden)

    Pillay Rubin

    2008-02-01

    Full Text Available Abstract Background South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills and competency levels of hospital managers in South Africa and to determine whether there are any significant differences in competency levels between managers in the different sectors. Methods A survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate their proficiency with seven key functions that they perform. These included delivery of health care, planning, organizing, leading, controlling, legal and ethical, and self-management. Ratings were based on a five point Likert scale ranging from very low skill level to very high skill level. Results The results show that managers in the private sector perceived themselves to be significantly more competent than their public sector colleagues in most of the management facets. Public sector managers were also more likely than their private sector colleagues to report that they required further development and training. Conclusion The findings confirm our supposition that there is a lack of management capacity within the public sector in South Africa and that there is a significant gap between private and public sectors. It provides evidence that there is a great need for further development of managers, especially those in the public sector. The onus is therefore on administrators and those responsible for management education and training to identify managers in need of development and to make available training that is contextually relevant in terms of design and delivery.

  14. Characteristics and Factors Associated with Death among Patients Hospitalized for Severe Fever with Thrombocytopenia Syndrome, South Korea, 2013.

    Science.gov (United States)

    Shin, Jaeseung; Kwon, Donghyok; Youn, Seung-Ki; Park, Ji-Hyuk

    2015-10-01

    In South Korea, nationwide surveillance for severe fever with thrombocytopenia syndrome (SFTS) began during 2013. Among 301 surveillance cases, 35 hospitalized case-patients in 25 areas were confirmed by using virologic testing, and 16 (46%) case-patients subsequently died. The SFTS cases occurred during May-November and peaked during June (9 cases, 26%). The incidence of SFTS was higher in the southern regions of South Korea. Age and neurologic symptoms, including decreased level of consciousness and slurred speech, were heavily associated with death; neurologic symptoms during the first week after disease onset were also associated with death. Although melena was common among patients who died, no other hemorrhagic manifestations were substantively more common among those who died. No effective treatments, including ribavirin, were identified. Expansion of SFTS surveillance to include the outpatient sector and development of an antibody test would enhance completeness of SFTS detection in South Korea.

  15. Paleozoic-involving thrust array in the central Sierras Interiores (South Pyrenean Zone, Central Pyrenees): regional implications

    Science.gov (United States)

    Rodriguez, L.; Cuevas, J.; Tubía, J. M.

    2012-04-01

    This work deals with the structural evolution of the Sierras Interiores between the Tena and Aragon valleys. The Sierras Interiores is a WNW-trending mountain range that bounds the South Pyrenean Zone to the north and that is characterized by a thrust-fold system with a strong lithological control that places preferably decollements in Triassic evaporites. In the studied area of the Sierras Interiores Cenomanian limestones cover discordantly the Paleozoic rocks of the Axial Zone because there is a stratigraphic lacuna developed from Triassic to Late Cretaceous times. A simple lithostratigraphy of the study area is made up of Late Cenomanian to Early Campanian limestones with grey colour and massive aspect in landscape (170 m, Lower calcareous section), Campanian to Maastrichtian brown coloured sandstones (400-600 m, Marboré sandstones) and, finally, Paleocene light-coloured massive limestones (130-230 m), that often generate the higher topographic levels of the Sierras Interiores due to their greater resistance to erosion. Above the sedimentary sequence of the Sierras Interiores, the Jaca Basin flysch succession crops out discordantly. Based on a detailed mapping of the studied area of the Sierras Interiores, together with well and structural data of the Jaca Basin (Lanaja, 1987; Rodríguez and Cuevas, 2008) we have constructed a 12 km long NS cross section, approximately parallel to the movement direction deduced for this region (Rodríguez et al., 2011). The main structure is a thrust array made up of at least four Paleozoic-involving thrusts (the deeper thrust system) of similar thickness in a probably piggyback sequence, some of which are blind thrusts that generate fold-propagation-folds in upper levels. The higher thrust of the thrust array crops out duplicating the lower calcareous section all over the Sierras Interiores. The emplacement of the deeper thrust system generated the tightness of previous structures: south directed piggyback duplexes (the upper

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

    OpenAIRE

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

    2014-01-01

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

  17. Geology of the State of Morelos and contiguous areas in south-central Mexico

    Science.gov (United States)

    Fries, Carl F.

    1959-01-01

    The area described lies in south-central Mexico and embraces all but the southeastern corner and easternmost border of the State of Moreles, the second smallest State in the Mexican Republic. It includes small contiguous parts of the State of Mexico, in the northeastern corner, and of the State of Guerrero in the southwestern corner. Limiting geographic coordinates are 98 45 to 99 39 west longitude and 18 18 to 19 08 north latitude, the northern boundary being only 35 km south of Mexico City, capital of the Republic. The geological map does not cover the entire rectangle outlined, but is irregular in form and measures roughly 4150 sq. km, three-quarters of it representing two0thirds of the State of Moreles and the rest lying outside the State. The region ranges in altitude from 730 m above sea level at Iguala near the south edge of the map, to a general level of about 3000 m at the north edge, although individual peaks rise to 3900 m and Popocatepetl Volcano, a few kilometers east of the northeastern border of the map, rises to 5452 m above sea level. Annual rainfall ranges from a minimum of about 640 mm in the low country, to 1200 mm and more at altitudes above 2000 m. Most of it falls in summer between June and September. Winter frosts are rare below 1800 m. The climate is of savanna to steppe type; soils are thin and may be classified as belonging to the tachernoses group, with strong development of calcareous evaporates (caliche) at altitudes below 1800 m. The northern border of the area forms the southern half of the late Pliocene to Recent Neo-volcanic Belt of basic volcanism that crosses Mexico in the direction N. 80 W., and thus has constructional topography. The rest of the area belongs to the Balsas Basin physiographic province, which is characterized by maturely dissected terrain tributary to the large Balsas River. All but the southwestern corner of the area drains southward via the Amacuzac River into the Mexcala-Balsas River, and thence westward into

  18. CORRELATION BETWEEN SERVICE QUALITY AND PATIENT LOYALTY AT OUTPATIENT DEPARTMENT IN SPECIALITY EYE HOSPITAL OF SOUTH SUMATERA PROVINCE

    Directory of Open Access Journals (Sweden)

    Adelina Fitri

    2016-03-01

    Full Text Available Background: The increasing number of hospitals in Indonesia, which is managed by the government and private demand to provide giving the level of care, professionalism and the maximum of competence to reflect the best quality of service. Quality gives special encouragement for company to understand customer expectations which in turn can increase customer satisfaction and create customer loyalty. The objective of the study is analyse correlation between service quality and patient loyalty Method: This study used a survey of analytical methods, with the cross-sectional approach. The samples in this study were patients who were treated in outpatient installation specialty eye hospital South Sumatera Province with total 102 people based on inclusion criteria. The Sampling was taken by proportions random sampling. The data analysis was performed in univariate and bivariate statistical fisher-exact test. The data were presented in p-value, prevalence ratio(PR and 95% confidence intervals (CI. Results: Generally 46.2% respondent who are loyal aged 41-64 years, 32.3% graduate from primary school and 80.6% have distance >5 KM from hospital. From the bivariate analyzes relating to patients loyalty in specialty eye hospital South Sumatera Province are access to services (95% CI 4.3 PR (1.293-14.300 and officer interaction with patients (95% CI 6.786 PR (2.140-21.515, whereas safety (95% CI PR 1.248(0.281-5.540, convenience (95% CI PR 4.136 (1.201-14.246 and waiting times (95% CI PR 1.951 (0.259-14.717 does not have a correlation with patient loyalty. Conclusion: The loyalty of patients in Specialty Eyes Hospital South Sumatera Province have been affected by access to services and officer interaction with the patient.

  19. 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...

  20. Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia

    Science.gov (United States)

    2014-01-01

    Background Ethiopia has one of the highest maternal mortality in the world. Institutional delivery is the key intervention in reducing maternal mortality and complications. However, the uptake of the service has remained low and the factors which contribute to this low uptake appear to vary widely. Our study aims to determine the magnitude and identify factors affecting delivery at health institution in two districts in Ethiopia. Methods A community based cross sectional household survey was conducted from January to February 2012 in 12 randomly selected villages of Wukro and Butajera districts in the northern and south central parts of Ethiopia, respectively. Data were collected using a pretested questionnaire from 4949 women who delivered in the two years preceding the survey. Results One in four women delivered the index child at a health facility. Among women who delivered at health facility, 16.1% deliveries were in government hospitals and 7.8% were in health centers. The factors that significantly affected institutional delivery in this study were district in which the women lived (AOR: 2.21, 95% CI: 1.28, 3.82), women age at interview (AOR: 1.96, 95% CI: 1.05, 3.62), women’s education (AOR: 3.53, 95% CI: 1.22, 10.20), wealth status (AOR: 16.82, 95% CI: 7.96, 35.54), women’s occupation (AOR: 1.50, 95% CI: 1.01, 2.24), antenatal care (4+) use (AOR: 1.77, 95% CI: 1.42, 2.20), and number of pregnancies (AOR: 0.25, 95% CI: 0.18,0.35). We found that women who were autonomous in decision making about place of delivery were less likely to deliver in health facility (AOR: 0.38, 95% CI: 0.23,0.63). Conclusions Institutional delivery is still low in the Ethiopia. The most important factors that determine use of institutional delivery appear to be women education and household economic status. Women’s autonomy in decision making on place of delivery did not improve health facility delivery in our study population. Actions targeting the disadvantaged, improving

  1. HIV-1 Genetic Diversity and Transmitted Drug Resistance Mutations among Patients from the North, Central and South Regions of Angola

    Science.gov (United States)

    Afonso, Joana Morais; Bello, Gonzalo; Guimarães, Monick L.; Sojka, Marta; Morgado, Mariza G.

    2012-01-01

    Background Angola presents a very complex HIV-1 epidemic characterized by the co-circulation of several HIV-1 group M subtypes, intersubtype recombinants and unclassified (U) variants. The viral diversity outside the major metropolitan regions (Luanda and Cabinda) and the prevalence of transmitted drug resistance mutations (DRM) since the introduction of HAART in 2004, however, has been barely studied. Methods One hundred and one individuals from the Central (n = 44), North (n = 35), and South (n = 22) regions of Angola were diagnosed as HIV-1 positive and had their blood collected between 2008 and 2010, at one of the National Referral Centers for HIV diagnosis, the Kifangondo Medical Center, located in the border between the Luanda and Bengo provinces. Angolan samples were genotyped based on phylogenetic and bootscanning analyses of the pol (PR/RT) gene and their drug resistance profile was analyzed. Results Among the 101 samples analyzed, 51% clustered within a pure group M subtype, 42% were classified as intersubtype recombinants, and 7% were denoted as U. We observed an important variation in the prevalence of different HIV-1 genetic variants among country regions, with high frequency of subtype F1 in the North (20%), intersubtype recombinants in the Central (42%), and subtype C in the South (45%). Statistically significant difference in HIV-1 clade distribution was only observed in subtype C prevalence between North vs South (p = 0.0005) and Central vs South (p = 0.0012) regions. DRM to NRTI and/or NNRTI were detected in 16.3% of patients analyzed. Conclusions These results demonstrate a heterogeneous distribution of HIV-1 genetic variants across different regions in Angola and also revealed an unexpected high frequency of DRM to RT inhibitors in patients that have reported no antiretroviral usage, which may decrease the efficiency of the standard first-line antiretroviral regimens currently used in the country. PMID:22952625

  2. Incidence of myocardial injury after noncardiac surgery: Experience at Groote Schuur Hospital Cape Town South Africa

    Directory of Open Access Journals (Sweden)

    R Dyer

    2018-04-01

    Full Text Available Background. Myocardial injury after non-cardiac surgery (MINS is a newly recognised entity identified as an independent risk factor associated with increased 30-day all-cause mortality. MINS increases the risk of death in the perioperative period by ~10-fold. More than 80% of patients with MINS are asymptomatic, so the majority of diagnoses are missed. Awareness of MINS is therefore important for perioperative physicians.Objectives. To investigate the incidence of MINS after elective elevated-risk non-cardiac surgery at Groote Schuur Hospital, Cape Town, South Africa (SA.Methods. Patients aged ≥45 years undergoing elective elevated-risk non-cardiac surgery were enrolled via convenience sampling. The new fifth-generation high-sensitivity cardiac troponin T blood test was used postoperatively to identify MINS. Preoperative troponin levels were not measured.Results. Among 244 patients included in the study, the incidence of MINS was 4.9% (95% confidence interval (CI 2.8 - 8.5, which was not significantly different from that in a major international prospective observational study (VISION (8.0% (95% CI 7.5 - 8.4; p=0.080.Conclusions. Our SA cohort had a lower cardiovascular risk profile but a similar incidence of MINS to that described in international literature. The impact of MINS on morbidity and mortality is therefore likely to be proportionally higher in SA than in published international studies. The limited sample size and lower event rate weaken our conclusions. Larger studies are required to establish patient and surgical risk factors for MINS, allowing for revision of cardiovascular risk prediction models in SA. 

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

    Science.gov (United States)

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

    2017-01-01

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

  4. Late Pleistocene to Holocene tephrostratigraphy of the Lonquimay Volcano, South Central Chile

    Science.gov (United States)

    Gilbert, D.; Freundt, A.; Kutterolf, S.; Burkert, C.

    2010-12-01

    The Lonquimay Volcanic Complex (LVC) in South Central Chile (38.38°S, 71.58°W) is part of the Southern Volcanic Zone of the Andes, which formed in response to the subduction of the Nazca Plate beneath the South American Plate. During the course of its magmatic evolution, the LVC produced explosive eruptions documented in the succession of widespread tephra deposits, as well as large lava flows that originated from the main edifice and several adjacent minor eruptive centers. The last eruptive phase in Lonquimays volcanic evolution occurred from 1988-1990. It led to the formation of the Navidad cinder cone with its associated 10.2 km long lava flow, and a widely distributed tephra blanket of andesitic composition (Moreno and Gardeweg, 1989). During recent field work we reinvestigated and complemented the LVC tephrostratigraphy as originally established by Polanco (1998)by detailed logging of 22 outcrops and collecting 126 stratigraphically controlled samples that were analyzed for their matrix glass, mineral and bulk rock compositions. This data set allows us to verify and extend the field-based correlations, and to establish a tephrostratigraphy for the LVC that comprises 15 stratigraphic units (LQA-LQO) and provides a framework for ongoing investigations of the petrogenetic evolution of the LVC. The stratigraphic record identifies at least 13 explosive eruptions of VEI > 3 that occurred since the last glaciation period (17150 a BP, McCulloch et al. 2000). Magmatic compositions of the tephra deposits range from basaltic scoriae (51wt% SiO2) to evolved dacitic pumice lapilli layers (67wt% SiO2), and thus have a wider compositional range than the chemically distinct andesitic lavas (57-63wt%) of the LVC. The vertical succession of tephra compositions reflects four periods of progressive magmatic differentiation, each successively tapped by several eruptions. The maximum degree of fractionation reached during these periods increases to younger ages. The

  5. High level of molecular and phenotypic biodiversity in Jatropha curcas from Central America compared to Africa, Asia and South America

    Science.gov (United States)

    2014-01-01

    Background The main bottleneck to elevate jatropha (Jatropha curcas L.) from a wild species to a profitable biodiesel crop is the low genetic and phenotypic variation found in different regions of the world, hampering efficient plant breeding for productivity traits. In this study, 182 accessions from Asia (91), Africa (35), South America (9) and Central America (47) were evaluated at genetic and phenotypic level to find genetic variation and important traits for oilseed production. Results Genetic variation was assessed with SSR (Simple Sequence Repeat), TRAP (Target Region Amplification Polymorphism) and AFLP (Amplified fragment length polymorphism) techniques. Phenotypic variation included seed morphological characteristics, seed oil content and fatty acid composition and early growth traits. Jaccard’s similarity and cluster analysis by UPGM (Unweighted Paired Group Method) with arithmetic mean and PCA (Principle Component Analysis) indicated higher variability in Central American accessions compared to Asian, African and South American accessions. Polymorphism Information Content (PIC) values ranged from 0 to 0.65. In the set of Central American accessions. PIC values were higher than in other regions. Accessions from the Central American population contain alleles that were not found in the accessions from other populations. Analysis of Molecular Variance (AMOVA; P jatropha oil significantly differed (P < 0.05) between regions. Conclusions The pool of Central American accessions showed very large genetic variation as assessed by DNA-marker variation compared to accessions from other regions. Central American accessions also showed the highest phenotypic variation and should be considered as the most important source for plant breeding. Some variation in early growth traits was found within a group of accessions from Asia and Africa, while these accessions did not differ in a single DNA-marker, possibly indicating epigenetic variation. PMID:24666927

  6. Environmental Factors Affecting the Whale Shark Aggregation site in the South Central Red Sea

    KAUST Repository

    Hozumi, Aya

    2015-12-01

    Motivation behind the spring whale shark (Rhincodon typus) aggregation in Al-Lith, on the Saudi Arabian coast of the South Central Red Sea, is uncertain. A plausible hypothesis is that whale sharks gather to feed on high prey density, leading to questions about the cause of the prey density. A bottom-up process fueled by nutrient input or accumulation from physical advection could create a peak in prey biomass. Wastewater discharged from an aquaculture facility could affect productivity or provide a chemosensory cue for whale sharks. Yet, basic physico-biological oceanography of this region is unresolved. Monthly profiles, long-term moorings, and spatial surveys were used to describe the temporal variability of potential prey biomass and water masses in this region for the first time. Plankton abundance of individuals larger than ~0.7 cm did not peak during whale shark season. Rather, a decrease coinciding the trailing end of whale shark detections was observed. Sites 180 m apart had differences in acoustic backscatter, suggesting small-scale biomass patchiness, supporting the small-scale variability in whale shark habitat selectivity. Red Sea Deep Water, a nutrient-rich water mass formed in the northern Red Sea, appeared in July at the same time the Tokar wind jet from the Sudanese mountain gap is the highest. Gulf of Aden Water, a nutrient-rich water mass from the Indian Ocean, arrived as episodes from May to September, contrary to previous expectations that the water arrives continuously. It is unlikely that these natural nutrient sources are directly responsible for the high prey density attracting the whale sharks. The aquaculture plume, observed at the aggregation site, had a distinct seasonality from the ambient waters. The plume’s highest salinity (>48) approached the extreme limits of coral tolerances. Nutrient concentrations (nitrate, nitrite, phosphate, silica), suspended particulate matter, phytoplankton biomass, bacteria and cyanobacteria cell counts

  7. Nitrous oxide distribution and its origin in the central and eastern South Pacific Subtropical Gyre

    Directory of Open Access Journals (Sweden)

    J. Charpentier

    2007-09-01

    Full Text Available The mechanisms of microbial nitrous oxide (N2O production in the ocean have been the subject of many discussions in recent years. New isotopomeric tools can further refine our knowledge of N2O sources in natural environments. This study compares hydrographic, N2O concentration, and N2O isotopic and isotopomeric data from three stations along a coast-perpendicular transect in the South Pacific Ocean, extending from the center (Sts. GYR and EGY of the subtropical oligotrophic gyre (~26° S; 114° W to the upwelling zone (St. UPX off the central Chilean coast (~34° S. Although AOU/N2O and NO3 trends support the idea that most of the N2O (mainly from intermediate water (200–600 m comes from nitrification, N2O isotopomeric composition (intramolecular distribution of 15N isotopes expressed as SP (site preference of 15N shows low values (10 to 12permil that could be attributed to the production through of microbial nitrifier denitrification (reduction of nitrite to N2O mediated by ammonium oxidizers. The coincidence of this SP signal with high – stability layer, where sinking organic particles can accumulate, suggests that N2O could be produced by nitrifier denitrification inside particles. It is postulated that deceleration of particles in the pycnocline can modify the advection - diffusion balance inside particles, allowing the accumulation of nitrite and O2 depletion suitable for nitrifier denitrication. As lateral advection seems to be relatively insignificant in the gyre, in situ nitrifier denitrification could account for 40–50% of the N2O produced in this layer. In contrast, coastal upwelling system is characterized by O2 deficient condition and some N deficit in a eutrophic system. Here, N2O accumulates up to 480% saturation, and isotopic and

  8. Management of severe acute malnutrition in children under 5 years through the lens of health care workers in two rural South African hospitals

    OpenAIRE

    Muzigaba, Moise; van Wyk, Brian; Puoane, Thandi

    2018-01-01

    Background Despite the widespread implementation of the World Health Organization (WHO) guidelines for the management of severe malnutrition in South Africa, poor treatment outcomes for children under 5 years are still observed in some hospitals, particularly in rural areas. Objective To explore health care workers’ perceptions about upstream and proximal factors contributing to poor treatment outcomes for severe acute malnutrition in two district hospitals in South Africa. Methods An explora...

  9. Management of severe acute malnutrition in children under 5 years through the lens of health care workers in two rural South African hospitals

    OpenAIRE

    Moise Muzigaba; Brian van Wyk; Thandi Puoane

    2018-01-01

    Background: Despite the widespread implementation of the World Health Organization (WHO) guidelines for the management of severe malnutrition in South Africa, poor treatment outcomes for children under 5 years are still observed in some hospitals, particularly in rural areas.Objective: To explore health care workers’ perceptions about upstream and proximal factors contributing to poor treatment outcomes for severe acute malnutrition in two district hospitals in South Africa.Methods: An explor...

  10. Towards a smoke-free hospital: how the smoking status of health professionals influences their knowledge, attitude and clinical activity. Results from a hospital in central Italy.

    Science.gov (United States)

    Giorgi, E; Marani, A; Salvati, O; Mangiaracina, G; Prestigiacomo, C; Osborn, J F; Cattaruzza, M S

    2015-01-01

    In Italy, the prevalence of smoking among health professionals is higher than in the general population and this might hamper their role in the promotion of health. This study aimed to investigate how the smoking status of healthcare professionals might influence knowledge, attitudes and clinical practice in a hospital in central Italy in order to enforce effective tobacco control measures. Physicians and professionals of the hospital were asked to complete an anonymous questionnaire which yielded epidemiological and environmental information on knowledge, attitude, clinical practice and quality of the hospital environments, in relation to smoking. Overall, among the employees of the hospital, the smoking prevalence was 47%, (42% among physicians and 43% among nurses); 30% admitted smoking in the hospital and three quarters of the smokers would like to quit. Some knowledge, opinions and attitudes differ statistically among the smoking categories. For example, only 35% of the smokers admitted that smoking is more dangerous to health than atmospheric and car pollution compared with 60% of the ex or never smokers (p=0.04). Fewer smokers realize that their behavior is seen as a role model by patients. A greater percentage of smokers state that patients (34%) and visitors (43%) often smoke in hospital and these percentages are significantly higher than those reported by ex or never smokers (p≤0.05). All smokers claim that they never smoke in patient rooms, infirmaries and clinics, whereas over 20% of ex or never smokers report that smoking sometimes occurs in these places (p=0.015). The mean concentration of PM 2.5 in the 25 rooms was 2.4 μg/m3 with a range from 1 to 7 μg/m3. This study implies that the prevalence of smoking among health professionals may be very high, and might be twice the rate observed in the general population. Generally, smokers report less knowledge compared with ex and never-smokers and it seems that they systematically underestimate the

  11. Effects of projected climate (2011–50) on karst hydrology and species vulnerability—Edwards aquifer, south-central Texas, and Madison aquifer, western South Dakota

    Science.gov (United States)

    Mahler, Barbara J.; Stamm, John F.; Poteet, Mary F.; Symstad, Amy J.; Musgrove, MaryLynn; Long, Andrew J.; Norton, Parker A.

    2015-12-22

    Karst aquifers—formed by the dissolution of soluble rocks such as limestone—are critical groundwater resources in North America, and karst springs, caves, and streams provide habitat for unique flora and fauna. Springflow and groundwater levels in karst terrane can change greatly over short time scales, and therefore are likely to respond rapidly to climate change. How might the biological communities and ecosystems associated with karst respond to climate change and accompanying changes in groundwater levels and springflow? Sites in two central U.S. regions—the Balcones Escarpment of south-central Texas and the Black Hills of western South Dakota (fig. 1)—were selected to study climate change and its potential effects on the local karst hydrology and ecosystem. The ecosystems associated with the Edwards aquifer (Balcones Escarpment region) and Madison aquifer (Black Hills region) support federally listed endangered and threatened species and numerous State-listed species of concern, including amphibians, birds, insects, and plants. Full results are provided in Stamm and others (2014), and are summarized in this fact sheet.

  12. A profile of informal traders in four South African city central ...

    African Journals Online (AJOL)

    The situation in South African cities is no exception as the unemployment rate ... 1. INTRODUCTION. In developing countries, state resources and formal employment opportunities .... like labour-force surveys in resource- constrained African ...

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

    DEFF Research Database (Denmark)

    Zhou, Qi; Qian, Hua; Liu, Li

    2018-01-01

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

  14. Genetic structure of Quechua-speakers of the Central Andes and geographic patterns of gene frequencies in South Amerindian populations.

    Science.gov (United States)

    Luiselli, D; Simoni, L; Tarazona-Santos, E; Pastor, S; Pettener, D

    2000-09-01

    A sample of 141 Quechua-speaking individuals of the population of Tayacaja, in the Peruvian Central Andes, was typed for the following 16 genetic systems: ABO, Rh, MNSs, P, Duffy, AcP1, EsD, GLOI, PGM1, AK, 6-PGD, Hp, Gc, Pi, C3, and Bf. The genetic structure of the population was analyzed in relation to the allele frequencies available for other South Amerindian populations, using a combination of multivariate and multivariable techniques. Spatial autocorrelation analysis was performed independently for 13 alleles to identify patterns of gene flow in South America as a whole and in more specific geographic regions. We found a longitudinal cline for the AcP1*a and EsD*1 alleles which we interpreted as the result of an ancient longitudinal expansion of a putative ancestral population of modern Amerindians. Monmonnier's algorithm, used to identify areas of sharp genetic discontinuity, suggested a clear east-west differentiation of native South American populations, which was confirmed by analysis of the distribution of genetic distances. We suggest that this pattern of genetic structures is the consequence of the independent peopling of western and eastern South America or to low levels of gene flow between these regions, related to different environmental and demographic histories. Copyright 2000 Wiley-Liss, Inc.

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

    Science.gov (United States)

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

    2017-08-01

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

  16. GRAVITY ANOMALIES OF THE CRUST AND UPPER MANTLE FOR CENTRAL AND SOUTH ASIA

    Directory of Open Access Journals (Sweden)

    V. N. Senachin

    2016-01-01

    Full Text Available Studying the density of both the crust and mantle is one of the topical problems in modern geophysics. Gravity modeling in combination with seismic tomography is an important tool for detecting density inhomogeneities in the crust and mantle, which can cause stresses and thus significantly impact the regional tectonics [Pogorelov, Baranov, 2010], especially in zones wherein continental margins actively interact with subducting oceanic plates and the entire depth of the tectonosphere is subject to stresses. Associated processes lead to considerable horizontal and vertical stresses that often cause catastrophic events on a global scale. The challenge of studying the global tectonic processes in the Earth’s tectonosphere can be addressed by gravity modeling in combination with seismic surveying.Data from previous studies. I.L. Nersesov et al. [1975] pioneered in calculating the spatial pattern of mantle density inhomogeneities in Central Asia. Although the accuracy of their estimations was not high due to the limited database, their study yielded significant results considering the structure of the crust. Numerous subsequent geophysical projects have researched the crust to a level sufficient to develop regional models, that can give quite adequate information on the depths of external and internal boundaries of the crust and suggest the distribution patterns of seismic velocities and density values. With reference to such data, mantle density inhomogeneities can be studied with higher accuracy.This paper reports on the estimations of gravity anomalies in the crust and upper mantle in Central and South Asia. The study region represents the full range of crust thicknesses and ages, as well a variety of crust formation types [Christensen, Mooney, 1995]. We used the 3D gravity modeling software package 3SGravity developed by Senachin [2015a, 2015b] that considers the spherical shape of the Earth's surface, and estimated gravitional anomalies using

  17. Evaluating Ultraviolet Radiation Exposures Determined from TOMS Satellite Data at Sites of Amphibian Declines in Central and South America

    Science.gov (United States)

    Middleton, Elizabeth M.; Smith, David E. (Technical Monitor)

    2000-01-01

    Many amphibian species have experienced substantial population declines, or have disappeared altogether, during the last several decades at a number of amphibian census sites in Central and South America. This study addresses the use of satellite-derived trends in solar ultraviolet-B (UV-B; 280-320 nm) radiation exposures at these sites over the last two decades, and is intended to demonstrate a role for satellite observations in determining whether UV-B radiation is a contributing factor in amphibian declines. UV-B radiation levels at the Earth's surface were derived from the Total Ozone Mapping Spectrometer (TOMS) satellite data, typically acquired daily since 1979. These data were used to calculate the daily erythemal (sunburning) UV-B, or UV-B(sub ery), exposures at the latitude, longitude, and elevation of each of 20 census sites. The annually averaged UV-B(sub ery) dose, as well as the maximum values, have been increasing in both Central and South America, with higher levels received at the Central American sites. The annually averaged UV-B(sub ery) exposures increased significantly from 1979-1998 at all 11 Central American sites examined (r(exp 2) = 0.60 - 0.79; P= 6750 J/sq m*d) to the annual UV-B(sub ery) total has increased from approx. 5% to approx. 15% in Central America over the 19 year period, but actual daily exposures for each species are unknown. Synergy among UV-B radiation and other factors, especially those associated with alterations of water chemistry (e.g., acidification) in aqueous habitats is discussed. These findings justify further research concerning whether UV-B(sub ery) radiation plays a role in amphibian population declines and extinctions.

  18. Perceptions of health care professionals on the safety and security at Odi District Hospital, Gauteng, South Africa.

    Science.gov (United States)

    Okeke, Sunday O; Mabuza, Langalibalele H

    2017-10-27

    For optimum delivery of service, an establishment needs to ensure a safe and secure environment. In 2011, the South African government promulgated the National Core Standards for Health Establishments for safety and security for all employees in all establishments. Little is known about whether these standards are being complied to.Aim and setting: To assess the perceptions of health care professionals (HCPs) on safety and security at Odi District Hospital. A sample of 181 out of a total of 341 HCPs was drawn through a systematic sampling method from each HCP category. Data were collected through a self-administered questionnaire. The SPSS® statistical software version 22 was used for data analysis. The level of statistical significance was set at < 0.05. There were more female respondents than male respondents (136; 75.10%). The dominant age group was 28-47 years (114; 57.46%). Perceptions on security personnel, their efficiency and the security system were significantly affirmed (p = 0.0001). The hospital infrastructure, surroundings and plan in emergencies were perceived to be safe (p < 0.0001). The hospital lighting system was perceived as inadequate (p = 0.0041). Only 36 (20.2%) HCPs perceived that hospital authorities were concerned about employees' safety (p < 0.0001). HCPs had positive perceptions regarding the hospital's security system. Except for the negative perceptions of the lighting system and the perceived lack of hospital authorities' concern for staff safety, perceptions of the HCPs on the hospital working environment were positive. The hospital authorities need to establish the basis of negative perceptions and enforce remedial measures to redress them.

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

    Science.gov (United States)

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

    2015-08-01

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

  20. Acinetobacter baumannii: Epidemiological and Beta-Lactamase Data From Two Tertiary Academic Hospitals in Tshwane, South Africa

    Directory of Open Access Journals (Sweden)

    Michelle Lowe

    2018-06-01

    Full Text Available Acinetobacter baumannii is an opportunistic pathogen that is increasingly responsible for hospital-acquired infections. The increasing prevalence of carbapenem resistant A. baumannii has left clinicians with limited treatment options. Last line antimicrobials (i.e., polymyxins and glycylcyclines are often used as treatment options. The aim of this study was to determine the prevalence of selected β-lactamase genes from A. baumannii isolates obtained from patients with hospital-acquired infections and to determine the genetic relationship and epidemiological profiles among clinical A. baumannii isolates collected from two tertiary academic hospitals in the Tshwane region, South Africa (SA. Multiplex-PCR (M-PCR assays were performed to detect selected resistance genes. The collected isolates’ genetic relatedness was determined by using pulsed field gel electrophoresis (PFGE and multilocus sequence typing (MLST. The acquired oxacillinase (OXA genes, notably blaOXA-23-like were prevalent in the A. baumannii isolates. The M-PCR assays showed that the isolates collected from hospital A contained the OXA-23-like (96%; n = 69/72 genes and the isolates collected from hospital B contained the OXA-23-like (91%; n = 63/69 and OXA-58-like (4%; n = 3/69 genes. Colistin resistance was found in 1% of the isolates (n = 2/141 and tigecycline intermediate resistance was found in 6% of the isolates (n = 8/141. The A. baumannii isolates were genetically diverse. Molecular epidemiological data showed that specific sequence types (STs (ST106, ST229, ST258 and ST208 were established in both hospitals, while ST848 was established in hospital A and ST502, ST339 and the novel ST1552 were established in hospital B. ST848 (established in hospital A was predominately detected in ICU wards whereas ST208, ST339 and the novel ST1552 (established in hospital B were detected in ICUs and the general wards. The origin of the A. baumannii isolates in the hospitals may be due to

  1. U.S. Department of the Interior South Central Climate Science Center strategic science plan, 2013--18

    Science.gov (United States)

    Winton, Kim T.; Dalton, Melinda S.; Shipp, Allison A.

    2013-01-01

    The Department of the Interior (DOI) recognizes and embraces the unprecedented challenges of maintaining our Nation’s rich natural and cultural resources in the 21st century. The magnitude of these challenges demands that the conservation community work together to develop integrated adaptation and mitigation strategies that collectively address the impacts of climate change and other landscape-scale stressors. On September 14, 2009, DOI Secretary Ken Salazar signed Secretarial Order 3289 (amended February 22, 2010) entitled, “Addressing the Impacts of Climate Change on America’s Water, Land, and Other Natural and Cultural Resources.” The Order establishes the foundation for two partner-based conservation science entities to address these unprecedented challenges: Climate Science Centers (CSCs and Landscape Conservation Cooperatives (LCCs). CSCs and LCCs are the Department-wide approach for applying scientific tools to increase understanding of climate change and to coordinate an effective response to its impacts on tribes and the land, water, ocean, fish and wildlife, and cultural-heritage resources that DOI manages. Eight CSCs have been established and are managed through the U.S. Geological Survey (USGS) National Climate Change and Wildlife Science Center (NCCWSC); each CSC works in close collaboration with their neighboring CSCs, as well as those across the Nation, to ensure the best and most efficient science is produced. The South Central CSC was established in 2012 through a cooperative agreement with the University of Oklahoma, Texas Tech University, Louisiana State University, the Chickasaw Nation, the Choctaw Nation of Oklahoma, Oklahoma State University, and NOAA’s Geophysical Fluid Dynamics Lab; hereafter termed the ”Consortium” of the South Central CSC. The Consortium has a broad expertise in the physical, biological, natural, and social sciences to address impacts of climate change on land, water, fish and wildlife, ocean, coastal, and

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

    Science.gov (United States)

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

    2017-03-01

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

  3. The Security Implications of Water: Prospects for Instability or Cooperation in South and Central Asia

    Science.gov (United States)

    2010-03-01

    and import enough fuels for its winter needs.” And,The World Bank, “ Water Energy Nexus in Central Asia: Improving Regional Cooperation in the Syr...94 “ Water Energy Nexus in Central Asia: Improving Regional Cooperation in the Syr Darya Basin,” World Bank Report...10. 95 All statistics are attributed from Water Energy Nexus in Central Asia: Improving Regional Cooperation in the Syr Darya Basin,” World Bank

  4. Mutations in BRCA1, BRCA2 and other breast and ovarian cancer susceptibility genes in Central and South American populations.

    Science.gov (United States)

    Jara, Lilian; Morales, Sebastian; de Mayo, Tomas; Gonzalez-Hormazabal, Patricio; Carrasco, Valentina; Godoy, Raul

    2017-10-06

    Breast cancer (BC) is the most common malignancy among women worldwide. A major advance in the understanding of the genetic etiology of BC was the discovery of BRCA1 and BRCA2 (BRCA1/2) genes, which are considered high-penetrance BC genes. In non-carriers of BRCA1/2 mutations, disease susceptibility may be explained of a small number of mutations in BRCA1/2 and a much higher proportion of mutations in ethnicity-specific moderate- and/or low-penetrance genes. In Central and South American populations, studied have focused on analyzing the distribution and prevalence of BRCA1/2 mutations and other susceptibility genes that are scarce in Latin America as compared to North America, Europe, Australia, and Israel. Thus, the aim of this review is to present the current state of knowledge regarding pathogenic BRCA variants and other BC susceptibility genes. We conducted a comprehensive review of 47 studies from 12 countries in Central and South America published between 2002 and 2017 reporting the prevalence and/or spectrum of mutations and pathogenic variants in BRCA1/2 and other BC susceptibility genes. The studies on BRCA1/2 mutations screened a total of 5956 individuals, and studies on susceptibility genes analyzed a combined sample size of 11,578 individuals. To date, a total of 190 different BRCA1/2 pathogenic mutations in Central and South American populations have been reported in the literature. Pathogenic mutations or variants that increase BC risk have been reported in the following genes or genomic regions: ATM, BARD1, CHECK2, FGFR2, GSTM1, MAP3K1, MTHFR, PALB2, RAD51, TOX3, TP53, XRCC1, and 2q35.

  5. Profile of acne vulgaris-A hospital-based study from South India

    Directory of Open Access Journals (Sweden)

    Adityan Balaji

    2009-01-01

    androgenicity ( P = 0.108. Seborrheic dermatitis (21.35% was the most common disease associated. Seasonal variation was observed only in 80 patients (25.9%; 71 patients (23% exacerbated in summer and 9 patients (2.9% in winter. Smokers had more severe grade of acne vulgaris compared to nonsmokers ( P = 0.001. Conclusion: This study brings out the clinical profile of acne vulgaris in a tertiary care hospital in South India.

  6. Factors associated with recidivism at a South African forensic psychiatric hospital

    Directory of Open Access Journals (Sweden)

    Nirvana Morgan

    2018-04-01

    Full Text Available Aims: This study examines common factors associated with recidivism among state patients at a South African forensic psychiatric hospital. More specifically, demographic, clinical and criminological factors of a recidivist group are compared to a non-recidivist group with the intention of understanding to what extent these factors might determine the likelihood of re-offending. Method: A retrospective case file review of 293 inpatients and a random selection of 120 outpatients was conducted. For the purpose of the study, a patient was classified as a recidivist if an additional charge or act of violence was added to the file while the patient was on leave of absence in the community. Of the inpatients, only those who met the criteria for recidivism were included in the study. All 120 randomly selected outpatients were included. Demographic, clinical and criminological data were captured for all patients. Results: Eighty recidivists were compared with 100 non-recidivists. Using the × 2 and Fischer’s exact test, substance-use disorder, antisocial personality disorder, an index offence of assault and in-ward adverse events were found to be associated with recidivism (p < 0.05. Using logistic regression analysis, the odds of recidivism in a patient with an index offence of assault was 8.4 times of those who did not commit assault as an index offence (95.0% CI 1.6–43.1. The odds of recidivism for patients with cannabis use was 2.8 (95.0% CI 1.3–6.0 and for patients with in-ward adverse sexual behaviour was 17.2 (95.0% CI 2.0–150. Conclusion: Substance-use disorder and antisocial personality disorder are associated with higher risk for recidivism. This study also highlights that a less serious offence such as assault had a higher association with recidivism. Patients noted to display adverse sexual behaviour in the ward pose a potentially high risk for re-offence. Important criminal history factors and certain clinical factors could not

  7. Chart review of acute myocardial infarction at a district hospital in KwaZulu-Natal, South Africa

    Directory of Open Access Journals (Sweden)

    Roland Chetty

    2016-03-01

    Full Text Available Background: Incidence and prevalence of non-communicable diseases, including ischaemic heart disease (IHD and associated acute myocardial infarction (AMI, are increasing in South Africa. Local studies are needed as contextual factors, such as healthcare systems, gender and ethnicity, may affect presentation and management. In AMI, reviews on time between onset of chest pain and initiation of urgent treatment are useful, as delays in initiation of thrombolytic treatment significantly increase morbidity and mortality. Aim: The aim of the study was to determine the profile and management of patients admitted with ischaemic chest pain.Setting: The study was carried out in a busy urban-based district hospital in KwaZulu-Natal, South Africa. The population served is poor, and patients are mainly Indian with associated high risk of IHD. Methods: A chart review of all patients seen at the hospital with acute ischaemic chest pain between 01 March and 31 August 2014 was undertaken. Results: More male than female patients were admitted, with a wide variation in age. Most eligible patients received required thrombolytic intervention within an acceptable time period after arrival at hospital. Conclusion: Chest pain and AMI were a relatively common presentation at the study site, and urgent diagnosis and initiation of fibrinolytic therapy are essential. The encouraging door-toneedle time may have been influenced by the availability of specialist family physicians, trained as ‘expert generalists’ to provide appropriate care in a variety of settings and consultant support to junior staff. The role of the family physician and primary healthcare doctor in primary prevention are re-emphasised through the study findings. Keywords: Acute myocardial infarction; KwaZulu-Natal; district hospital; Asian population; hospital chart review; door-to-needle-time

  8. Examining leadership as a strategy to enhance health care service delivery in regional hospitals in South Africa

    Science.gov (United States)

    Govender, Sagaren; Gerwel Proches, Cecile N; Kader, Abdulla

    2018-01-01

    Background Four public hospitals in South Africa, which render both specialized and nonspecialized services to thousands of patients, were examined to determine the impact of leadership on health care service delivery. These hospitals were inundated by various problems that were impacting negatively on health care service delivery. Purpose This research study aimed to gain a comprehensive understanding of the challenges, complexities and constraints facing public health care in KwaZulu-Natal (KZN) and to examine leadership as a strategy to enhance healthcare service delivery with a particular focus on four regional hospitals in the KZN Province. Methods The mixed-method research approach was utilized. Purposive sampling and stratified random sampling were employed in the research setting, and in-depth, semistructured interviews and questionnaires were used to collect data. Data were analyzed using the Nvivo computer software package for in-depth interviews and the Statistical Package for the Social Sciences (SPSS) software for the quantitative analysis. Results The research findings showed that the current leadership framework adopted by the health care leaders in regional hospitals in KZN is weak and is contributing to poor health care service delivery. Conclusion This study, therefore, aimed to address the current challenges and weaknesses that are impacting negatively on health care service delivery in regional hospitals in the KZN Province and made recommendations for improvement. PMID:29535529

  9. Examining leadership as a strategy to enhance health care service delivery in regional hospitals in South Africa.

    Science.gov (United States)

    Govender, Sagaren; Gerwel Proches, Cecile N; Kader, Abdulla

    2018-01-01

    Four public hospitals in South Africa, which render both specialized and nonspecialized services to thousands of patients, were examined to determine the impact of leadership on health care service delivery. These hospitals were inundated by various problems that were impacting negatively on health care service delivery. This research study aimed to gain a comprehensive understanding of the challenges, complexities and constraints facing public health care in KwaZulu-Natal (KZN) and to examine leadership as a strategy to enhance healthcare service delivery with a particular focus on four regional hospitals in the KZN Province. The mixed-method research approach was utilized. Purposive sampling and stratified random sampling were employed in the research setting, and in-depth, semistructured interviews and questionnaires were used to collect data. Data were analyzed using the Nvivo computer software package for in-depth interviews and the Statistical Package for the Social Sciences (SPSS) software for the quantitative analysis. The research findings showed that the current leadership framework adopted by the health care leaders in regional hospitals in KZN is weak and is contributing to poor health care service delivery. This study, therefore, aimed to address the current challenges and weaknesses that are impacting negatively on health care service delivery in regional hospitals in the KZN Province and made recommendations for improvement.

  10. Prevalence of the Human Papilloma Virus (HPV genotypes in south-central Sicily: a comparative study between 2003 and 2011

    Directory of Open Access Journals (Sweden)

    Liborio Bellomo

    2013-08-01

    Full Text Available This issue is about our Human Papilloma Virus (HPV DNA test. We have examined two cohorts of patients from south-central Sicily, who were tested for HPV -DNA derived from cervical sampling, respectively in 2003 and 2011. In 2003, the most represented genotypes were: 31, 16. Instead, in 2011 there was a higher prevalence for genotypes: 42, 16. It is remarkable to note that the 35 genotype, noticed in 2003, has never been found in the second most recent group.

  11. Correlation of Helicobacter pylori genotypes with gastric histopathology in the central region of a South-European country

    OpenAIRE

    Almeida, N; Donato, MM; Romãozinho, JM; Luxo, C; Cardoso, O; Cipriano, MA; Marinho, C; Fernandes, A; Sofia, C

    2015-01-01

    BACKGROUND: Outcome of Helicobacter pylori (H. pylori) infection results from interaction of multiple variables including host, environmental and bacterial-associated virulence factors. AIM: This study aimed to investigate the correlation of cagA, cagE, vacA, iceA and babA2 genotypes with gastric histopathology and disease phenotype in the central region of a South-European country. METHODS: This prospective study involved 148 infected patients (110 female; mean age 43.5 ± 13.4...

  12. Hospital-associated methicillin-resistant Staphylococcus aureus: A cross-sectional analysis of risk factors in South African tertiary public hospitals.

    Directory of Open Access Journals (Sweden)

    Liliwe L Shuping

    Full Text Available Hospital-associated methicillin-resistant S. aureus (HA-MRSA remains a significant cause of morbidity and mortality worldwide. We conducted a study to determine risk factors for HA-MRSA in order to inform control strategies in South Africa.We used surveillance data collected from five tertiary hospitals in Gauteng and Western Cape provinces during 2014 for analysis. A case of HA-MRSA was defined as isolation of MRSA from a blood culture 48 hours after admission and/or if the patient was hospitalised in the six months prior to the current culture. Multivariable logistic regression modelling was used to determine risk factors for HA-MRSA.Of the 9971 patients with positive blood cultures, 7.7% (772 had S. aureus bacteraemia (SAB. The overall prevalence of MRSA among those with SAB was 30.9% (231/747; 95% confidence interval [CI] 27.6%- 34.3%. HA-MRSA infections accounted for 28.3% of patients with SAB (207/731; 95% CI 25.1%- 31.7%. Burns (adjusted odds ratio [aOR] 12.7; 95% CI 4.7-34.4, age ≤1 month (aOR 8.7; 95% CI 3.0-24.6, residency at a long-term care facility (aOR 5.2; 95% CI, 1.5-17.4, antibiotic use within two months of the current SAB episode (aOR 5.1; 95% CI 2.8-9.1, hospital stay of 13 days or more (aOR 2.8; 95% CI 1.3-5.6 and mechanical ventilation (aOR 2.2; 95% CI 1.07-4.6, were independent risk factors for HA-MRSA infection.The prevalence of MRSA remains high in South African tertiary public hospitals. Several identified risk factors of HA-MRSA infections should be considered when instituting infection and prevention strategies in public-sector hospitals, including intensifying the implementation of antimicrobial stewardship programmes. There is an urgent need to strengthen infection prevention and control in burn wards, neonatal wards, and intensive care units which house mechanically ventilated patients.

  13. Hospital-associated methicillin-resistant Staphylococcus aureus: A cross-sectional analysis of risk factors in South African tertiary public hospitals

    Science.gov (United States)

    Kuonza, Lazarus; Musekiwa, Alfred; Iyaloo, Samantha; Perovic, Olga

    2017-01-01

    Introduction Hospital-associated methicillin-resistant S. aureus (HA-MRSA) remains a significant cause of morbidity and mortality worldwide. We conducted a study to determine risk factors for HA-MRSA in order to inform control strategies in South Africa. Methods We used surveillance data collected from five tertiary hospitals in Gauteng and Western Cape provinces during 2014 for analysis. A case of HA-MRSA was defined as isolation of MRSA from a blood culture 48 hours after admission and/or if the patient was hospitalised in the six months prior to the current culture. Multivariable logistic regression modelling was used to determine risk factors for HA-MRSA. Results Of the 9971 patients with positive blood cultures, 7.7% (772) had S. aureus bacteraemia (SAB). The overall prevalence of MRSA among those with SAB was 30.9% (231/747; 95% confidence interval [CI] 27.6%– 34.3%). HA-MRSA infections accounted for 28.3% of patients with SAB (207/731; 95% CI 25.1%– 31.7%). Burns (adjusted odds ratio [aOR] 12.7; 95% CI 4.7–34.4), age ≤1 month (aOR 8.7; 95% CI 3.0–24.6), residency at a long-term care facility (aOR 5.2; 95% CI, 1.5–17.4), antibiotic use within two months of the current SAB episode (aOR 5.1; 95% CI 2.8–9.1), hospital stay of 13 days or more (aOR 2.8; 95% CI 1.3–5.6) and mechanical ventilation (aOR 2.2; 95% CI 1.07–4.6), were independent risk factors for HA-MRSA infection. Conclusion The prevalence of MRSA remains high in South African tertiary public hospitals. Several identified risk factors of HA-MRSA infections should be considered when instituting infection and prevention strategies in public-sector hospitals, including intensifying the implementation of antimicrobial stewardship programmes. There is an urgent need to strengthen infection prevention and control in burn wards, neonatal wards, and intensive care units which house mechanically ventilated patients. PMID:29145465

  14. Water resources in the Big Lost River Basin, south-central Idaho

    Science.gov (United States)

    Crosthwaite, E.G.; Thomas, C.A.; Dyer, K.L.

    1970-01-01

    The Big Lost River basin occupies about 1,400 square miles in south-central Idaho and drains to the Snake River Plain. The economy in the area is based on irrigation agriculture and stockraising. The basin is underlain by a diverse-assemblage of rocks which range, in age from Precambrian to Holocene. The assemblage is divided into five groups on the basis of their hydrologic characteristics. Carbonate rocks, noncarbonate rocks, cemented alluvial deposits, unconsolidated alluvial deposits, and basalt. The principal aquifer is unconsolidated alluvial fill that is several thousand feet thick in the main valley. The carbonate rocks are the major bedrock aquifer. They absorb a significant amount of precipitation and, in places, are very permeable as evidenced by large springs discharging from or near exposures of carbonate rocks. Only the alluvium, carbonate rock and locally the basalt yield significant amounts of water. A total of about 67,000 acres is irrigated with water diverted from the Big Lost River. The annual flow of the river is highly variable and water-supply deficiencies are common. About 1 out of every 2 years is considered a drought year. In the period 1955-68, about 175 irrigation wells were drilled to provide a supplemental water supply to land irrigated from the canal system and to irrigate an additional 8,500 acres of new land. Average. annual precipitation ranged from 8 inches on the valley floor to about 50 inches at some higher elevations during the base period 1944-68. The estimated water yield of the Big Lost River basin averaged 650 cfs (cubic feet per second) for the base period. Of this amount, 150 cfs was transpired by crops, 75 cfs left the basin as streamflow, and 425 cfs left as ground-water flow. A map of precipitation and estimated values of evapotranspiration were used to construct a water-yield map. A distinctive feature of the Big Lost River basin, is the large interchange of water from surface streams into the ground and from the

  15. Stream seepage and groundwater levels, Wood River Valley, south-central Idaho, 2012-13

    Science.gov (United States)

    Bartolino, James R.

    2014-01-01

    Stream discharge and water levels in wells were measured at multiple sites in the Wood River Valley, south-central Idaho, in August 2012, October 2012, and March 2013, as a component of data collection for a groundwater-flow model of the Wood River Valley aquifer system. This model is a cooperative and collaborative effort between the U.S. Geological Survey and the Idaho Department of Water Resources. Stream-discharge measurements for determination of seepage were made during several days on three occasions: August 27–28, 2012, October 22–24, 2012, and March 27–28, 2013. Discharge measurements were made at 49 sites in August and October, and 51 sites in March, on the Big Wood River, Silver Creek, their tributaries, and nearby canals. The Big Wood River generally gains flow between the Big Wood River near Ketchum streamgage (13135500) and the Big Wood River at Hailey streamgage (13139510), and loses flow between the Hailey streamgage and the Big Wood River at Stanton Crossing near Bellevue streamgage (13140800). Shorter reaches within these segments may differ in the direction or magnitude of seepage or may be indeterminate because of measurement uncertainty. Additional reaches were measured on Silver Creek, the North Fork Big Wood River, Warm Springs Creek, Trail Creek, and the East Fork Big Wood River. Discharge measurements also were made on the Hiawatha, Cove, District 45, Glendale, and Bypass Canals, and smaller tributaries to the Big Wood River and Silver Creek. Water levels in 93 wells completed in the Wood River Valley aquifer system were measured during October 22–24, 2012; these wells are part of a network established by the U.S. Geological Survey in 2006. Maps of the October 2012 water-table altitude in the unconfined aquifer and the potentiometric-surface altitude of the confined aquifer have similar topology to those on maps of October 2006 conditions. Between October 2006 and October 2012, water-table altitude in the unconfined aquifer rose by

  16. Characterizing the subsurface geology in and around the U.S. Army Camp Stanley Storage Activity, south-central Texas

    Science.gov (United States)

    Blome, Charles D.; Clark, Allan K.

    2018-02-15

    Several U.S. Geological Survey projects, supported by the National Cooperative Geologic Mapping Program, have used multi-disciplinary approaches over a 14-year period to reveal the surface and subsurface geologic frameworks of the Edwards and Trinity aquifers of central Texas and the Arbuckle-Simpson aquifer of south-central Oklahoma. Some of the project achievements include advancements in hydrostratigraphic mapping, three-dimensional subsurface framework modeling, and airborne geophysical surveys as well as new methodologies that link geologic and groundwater flow models. One area where some of these milestones were achieved was in and around the U.S. Army Camp Stanley Storage Activity, located in north­western Bexar County, Texas, about 19 miles north­west of downtown San Antonio.

  17. What are key determinants of hospital admissions, readmission rate and day case rate within the South African medical schemes population?

    Directory of Open Access Journals (Sweden)

    Nondumiso Gugu Khumalo

    2012-06-01

    Full Text Available  BACKGROUND: In South Africa, private hospitals absorb a high proportion of the total health expenditure on private health care. Between 2008-2010 private hospital expenditure which includes ward fees, theatre fees, consumables, medicines and per diem arrangements consumed between 40.5% and 40.9% of the total benefits paid by medical schemes from the risk pool, whilst in-hospital managed care fees ranged between 1.8% and 2.8% for the equivalent years.OBJECTIVE: The aim of this paper is to highlight key factors contributing to utilisation of hospital services within the medical schemes population and to recommend “appropriate” and cost effective strategies on hospital utilisation management.METHODS: A cross sectional survey informed by retrospective analysis of quantitative data was used. Researchers also triangulated quantitative data with systematic review of literature.RESULTS: The results show that demographic indicators such as age profile, dependency ratio, pensioner ratio and prevalence of chronic conditions are not the only key factors influencing hospital admissions, but rather the effectiveness of each medical scheme in containing hospital admissions is also influenced by available technical capacity on utilisation review and audit as well as the managed care methodology including the philosophy underpinning benefit option design.CONCLUSION: This study highlights the importance of “value based” managed care programs linked to benefit option design in health care utilisation management. The choice of one managed care program over the other often leads to tradeoffs whereby unintended consequences emanate. Medical schemes are therefore encouraged to continuously review their managed care programs to ensure value for money as well as better access and health outcomes.http://dx.doi.org/10.7175/fe.v13i2.207

  18. Motivation and Factors Affecting It among Health Professionals in the Public Hospitals, Central Ethiopia.

    Science.gov (United States)

    Dagne, Tesfaye; Beyene, Waju; Berhanu, Negalign

    2015-07-01

    Motivation is an individual's degree of willingness to exert and maintain an effort towards organizational goals. This study assessed motivational status and factors affecting it among health professionals in public hospitals of West Shoa Zone, Oromia Region. Facility based cross-sectional survey was employed. All health professionals who served at least for 6 months in Ambo, Gedo and Gindeberet hospitals were included. Self-administered Likert scale type questionnaire was used. Data were analyzed using SPSS version 20. Mean motivation calculated as percentage of maximum scale score was used. Bivariate and multiple linear regression analyses were done to see the independent effects of explanatory variables. The overall motivation level of health professionals was 63.63%. Motivation level of health professionals varied among the hospitals. Gindeberet Hospital had lower motivation score as compared to Ambo Hospital (B = -0.54 and 95% CI; -0.08,-0.27). The mean motivation score of health professionals who got monthly financial benefit was significantly higher than those who did not (B = 0.71 and 95% CI; 0.32, 1.10). Environmental factors had higher impact on doctors' motivation compared to nurses' (B = 0.51 and 95% CI; 0.10, 0.92). Supervisor-related factors highly varied in motivation relative to other variables. Motivation of health professionals was affected by factors related to supervisor, financial benefits, job content and hospital location. Efforts should be made to provide financial benefits to health professionals as appropriate especially, to those who did not get any such benefits. Officially recognizing best performance is also suggested.

  19. Peripherally Inserted Central Catheters (PICCs) and Potential Cost Savings and Shortened Bed Stays In an Acute Hospital Setting.

    LENUS (Irish Health Repository)

    O’Brien, C

    2018-01-01

    Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely. The ability to deliver outpatient intravenous treatment is facilitated by the placement of PICCs allowing safe and targeted treatment of patients over a prolonged period of time. We carried out a retrospective study of 2,404 patients referred for PICCs from 2009 to 2015 in a university teaching hospital. There was an exponential increase in the number of PICCs requested from 2011 to 2015 with a 64% increase from 2012 to 2013. The clear increase in demand for PICCs in our institution is directly linked to the advent of outpatient intravenous antibiotic services. In this paper, we assess the impact that the use of PICCs combined with intravenous outpatient treatment may have on cost and hospital bed demand. We advocate that a more widespread implementation of this service throughout Ireland may result in significant cost savings as well as decreasing the number of patients on hospital trollies.

  20. 'Practice what you preach': Nurses' perspectives on the Code of Ethics and Service Pledge in five South African hospitals.

    Science.gov (United States)

    White, Janine; Phakoe, Maureen; Rispel, Laetitia C

    2015-01-01

    A recent focus of the global discourse on the health workforce has been on its quality, including the existence of codes of ethics. In South Africa, the importance of ethics and value systems in nursing was emphasised in the 2011 National Nursing Summit. The study explored hospital nurses' perceptions of the International Code of Ethics for Nurses; their perceptions of the South African Nurses' Pledge of Service; and their views on contemporary ethical practice. Following university ethics approval, the study was done at a convenience sample of five hospitals in two South African provinces. In each hospital, all day duty nurses in paediatric, maternity, adult medical, and adult surgical units were requested to complete a self-administered questionnaire. The questionnaire focused on their perceptions of the Code of Ethics and the Pledge, using a seven-point Likert scale. STATA(®) 13 and NVIVO 10 were used to analyse survey data and open-ended responses, respectively. The mean age of survey participants (n=69) was 39 years (SD=9.2), and the majority were female (96%). The majority agreed with a statement that they will promote the human rights of individuals (98%) and that they have a duty to meet the health and social needs of the public (96%). More nuanced responses were obtained for some questions, with 60% agreeing with a statement that too much emphasis is placed on patients' rights as opposed to nurses' rights and 32% agreeing with a statement that they would take part in strike action to improve nurses' salaries and working conditions. The dilemmas of nurses to uphold the Code of Ethics and the Pledge in face of workplace constraints or poor working conditions were revealed in nurses' responses to open-ended questions. Continuing education in ethics and addressing health system deficiencies will enhance nurses' professional development and their ethical decision-making and practice.

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

    OpenAIRE

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

    2011-01-01

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

  2. Hospital reform and staff morale in South Africa: a case study of Dr ...

    African Journals Online (AJOL)

    2012-02-16

    Feb 16, 2012 ... in South Africa, can affect budget, equipment, the work ..... There is insufficient appreciation by management and an insufficient reward .... literature review of selected theories dealing with job satisfaction and motivation.

  3. Food habits of Pacific Marten from scats in south-central Oregon

    Science.gov (United States)

    Randall J Wilk; Martin G Raphael

    2017-01-01

    Quantifying prey taken by Pacific Marten (Martes americana caurina) helps to understand local habitat requirements of the species. We collected 250 scat samples associated with at least 53 marten in a salvage-logged Lodgepole Pine (Pinus contorta)-Bitterbrush shrub (Purshia tridentata) forest in south-...

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

    Czech Academy of Sciences Publication Activity Database

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

    2016-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Anand Sudhan

    2011-01-01

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

  6. Preliminary description of hydrologic characteristics and contaminant transport potential of rocks in the Pasco Basin, south-central Washington

    International Nuclear Information System (INIS)

    Deju, R.A.; Fecht, K.R.

    1979-03-01

    This report aims at consolidating existing data useful in defining the hydrologic characteristics of the Pasco Basin within south-central Washington. It also aims at compiling the properties required to evaluate contaminant transport potential within individual subsurface strata in this basin. The Pasco Basin itself is a tract of semi-arid land covering about 2,000 square miles in south-central Washington. The regional geology of this basin is dominated by tholeiitic flood basalts of the Columbia Plateau. The surface hydrology of the basin is dominated by the Yakima, Snake, and Columbia rivers. Short-lived ephemeral streams may flow for a short period of time after a heavy rainfall or snowmelt. The subsurface hydrology of the Pasco Basin is characterized by an unconfined aquifer carrying the bulk of the water discharged within the basin. This aquifer overlies a series of confined aquifers carrying progressively smaller amounts of groundwater as a function of depth. The hydraulic properties of the various aquifers and non-water-bearing strata are characterized and reported. A summary of the basic properties is tabulated. The hydrochemical data obtained are summarized. The contaminant transport properties of the rocks in the Pasco Basin are analyzed with emphasis on the dispersion and sorption coefficients and the characteristics of the potential reactions between emplaced waste and the surrounding medium. Some basic modeling considerations of the hydrogeologic systems in the basin with a brief discussion of model input requirements and their relationship to available data are presented

  7. Animals′ Role in Proper Behaviour: Cheŵa Women′s Instructions in South-Central Africa

    Directory of Open Access Journals (Sweden)

    Leslie F Zubieta

    2016-01-01

    Full Text Available The most common role of animals in the Cheŵa culture of south-central Africa is twofold: they are regarded as an important source of food, and they also provide raw materials for the creation of traditional medicines. Animals, however, also have a nuanced symbolic role that impacts the way people behave with each other by embodying cultural protocols of proper — and not so proper — behaviour. They appear repeatedly in storytelling and proverbs to reference qualities that people need to avoid or pursue and learn from the moral of the story in which animals interplay with each other, just as humans do. For example, someone who wants to prevent the consequences of greed is often advised to heed hyena stories and proverbs. My contribution elaborates on Brian Morris's instrumental work in south-central Africa, which has permitted us to elucidate the symbolism of certain animals and the perception of landscape for Indigenous populations in this region. I discuss some of the ways in which animals have been employed to teach and learn proper behaviour in a particular sacred ceremony of the Cheŵa people which takes place in celebration of womanhood: Chinamwali.

  8. Radiated Seismic Energy of Earthquakes in the South-Central Region of the Gulf of California, Mexico

    Science.gov (United States)

    Castro, Raúl R.; Mendoza-Camberos, Antonio; Pérez-Vertti, Arturo

    2018-05-01

    We estimated the radiated seismic energy (ES) of 65 earthquakes located in the south-central region of the Gulf of California. Most of these events occurred along active transform faults that define the Pacific-North America plate boundary and have magnitudes between M3.3 and M5.9. We corrected the spectral records for attenuation using nonparametric S-wave attenuation functions determined with the whole data set. The path effects were isolated from the seismic source using a spectral inversion. We computed radiated seismic energy of the earthquakes by integrating the square velocity source spectrum and estimated their apparent stresses. We found that most events have apparent stress between 3 × 10-4 and 3 MPa. Model independent estimates of the ratio between seismic energy and moment (ES/M0) indicates that this ratio is independent of earthquake size. We conclude that in general the apparent stress is low (σa < 3 MPa) in the south-central and southern Gulf of California.

  9. Evaluation of natural gas supply options for south east and central Europe. Part 1: Indicator definitions and single indicator analysis

    International Nuclear Information System (INIS)

    Afgan, Naim H.; Carvalho, Maria G.; Pilavachi, Petros A.; Martins, Nelson

    2007-01-01

    The need for diversification of energy sources is an immanent goal in long term energy strategy. In particular, this is of great importance for the natural gas supply. In this respect, evaluation and assessment of potential natural gas resources and their relation to consumers is of great importance. The natural gas supply in Europe is one of the main issues of European energy strategy to be followed in the future. In particular, the natural gas supply in the southeast countries is important. This paper provides a framework for understanding how much natural gas is available for use in south east and central Europe as well as the links to the recent supply of natural gas and its transport. The analysis is focused on evaluation of the potential routes for natural gas supply to the south east and central European countries. The potential options included in this analysis are the Yamal Route; Nabucco Route; West Balkan Route; LNG NEUM Route and Gas by Wire Route. In this analysis, attention is focused on the following indicators for assessment of potential options: environmental indicator; NG cost indicator; NG transport and royalty indicator; investment indicator; and NG demand indicator. The first part of this paper is devoted to the definition of the indicators and to single indicator analysis. (author)

  10. Stratigraphic framework of Cambrian and Ordovician rocks in the central Appalachian Basin from Medina County, Ohio, through southwestern and south-central Pennsylvania to Hampshire County, West Virginia

    Science.gov (United States)

    Ryder, Robert T.; Harris, Anita G.; Repetski, John E.; revised and digitized by Crangle, Robert D.

    2003-01-01

    A 275-mi-long restored stratigraphic cross section from Medina County, Ohio, through southwestern and south-central Pennsylvania to Hampshire County, W. Va., provides new details on Cambrian and Ordovician stratigraphy in the central Appalachian basin and the structure of underlying Precambrian basement rocks. From west to east, the major structural elements of the block-faulted basement in this section are (1) the relatively stable, slightly extended craton, which includes the Wooster arch, (2) the fault-controlled Ohio-West Virginia hinge zone, which separates the craton from the adjoining Rome trough, (3) the Rome trough, which consists of an east-facing asymmetric graben and an overlying sag basin, and (4) a positive fault block, named here the South-central Pennsylvania arch, which borders the eastern margin of the graben part of the Rome trough. Pre-Middle Ordovician structural relief on Precambrian basement rocks across the down-to-the-west normal fault that separates the Rome trough and the adjoining South-central Pennsylvania arch amounted to between 6,000 and 7,000 ft. The restored cross section shows eastward thickening of the Cambrian and Ordovician sequence from about 3,000 ft near the crest of the Wooster arch at the western end of the section to about 5,150 ft at the Ohio-West Virginia hinge zone adjoining the western margin of the Rome trough to about 19,800 ft near the depositional axis of the Rome trough. East of the Rome trough, at the adjoining western edge of the South-central Pennsylvania arch, the Cambrian and Ordovician sequence thins abruptly to about 13,500 ft and then thins gradually eastward across the arch to about 12,700 ft near the Allegheny structural front and to about 10,150 ft at the eastern end of the restored section. In general, the Cambrian and Ordovician sequence along this section consists of four major lithofacies that are predominantly shallow marine to peritidal in origin. In ascending stratigraphic order, the lithofacies

  11. The development of a national surveillance system for monitoring blood use and inventory levels at sentinel hospitals in South Korea.

    Science.gov (United States)

    Lim, Y A; Kim, H H; Joung, U S; Kim, C Y; Shin, Y H; Lee, S W; Kim, H J

    2010-04-01

    We developed a web-based program for a national surveillance system to determine baseline data regarding the supply and demand of blood products at sentinel hospitals in South Korea. Sentinel hospitals were invited to participate in a 1-month pilot-test. The data for receipts and exports of blood from each hospital information system were converted into comma-separated value files according to a specific conversion rule. The daily data from the sites could be transferred to the web-based program server using a semi-automated submission procedure: pressing a key allowed the program to automatically compute the blood inventory level as well as other indices including the minimal inventory ratio (MIR), ideal inventory ratio (IIR), supply index (SI) and utilisation index (UI). The national surveillance system was referred to as the Korean Blood Inventory Monitoring System (KBIMS) and the web-based program for KBIMS was referred to as the Blood Inventory Monitoring System (BMS). A total of 30 256 red blood cell (RBC) units were submitted as receipt data, however, only 83% of the receipt data were submitted to the BMS server as export data (25 093 RBC units). Median values were 2.67 for MIR, 1.08 for IIR, 1.00 for SI, 0.88 for UI and 5.33 for the ideal inventory day. The BMS program was easy to use and is expected to provide a useful tool for monitoring hospital inventory levels. This information will provide baseline data regarding the supply and demand of blood products in South Korea.

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

    NARCIS (Netherlands)

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

    2009-01-01

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

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

    African Journals Online (AJOL)

    Pathological examination of tissue biopsies with histological confirmation of a correct cancer diagnosis is central to cancer care. Without an accurate and specific ... The oesophagus was the most common biopsied site followed by breast, bladder, bone, prostate, bowel, and cervical lymph node. Malignancies were found in ...

  14. Anesthesia-related and perioperative mortality: An audit of 8493 cases at a tertiary pediatric teaching hospital in South Africa.

    Science.gov (United States)

    Meyer, Heidi M; Thomas, Jenny; Wilson, Graeme S; de Kock, Marianna

    2017-10-01

    This study aimed to quantify the incidence of anesthesia-related and perioperative mortality at a large tertiary pediatric hospital in South Africa. This study included all children aged anesthesia caused the death; (ii) anesthesia may have contributed to or influenced the timing of death; or (iii) anesthesia was entirely unrelated to the death. There were 47 deaths within 30 days of anesthesia prior to discharge from hospital during this 12-month period. The in-hospital mortality within 24 h of administration of anesthesia was 16.5 per 10 000 cases (95% confidence intervals [CI]=7.8-25.1) and within 30 days of administration of anesthesia was 55.3 per 10 000 cases (95% CI=39.5-71.2). Age under 1 year (OR 4.5; 95% CI=2.5-8.0, P=.012) and cardiac surgery and interventional cardiology procedures (OR 2.5; 95% CI=1.2-5.2, Prisk of perioperative mortality. The overall 24-h and 30-day anesthesia-related and in-hospital perioperative mortality rates in our study are comparable with other similar studies from tertiary pediatric centers. © 2017 John Wiley & Sons Ltd.

  15. Geographical distribution and profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa.

    Science.gov (United States)

    Ntuli, Samuel T; Maboya, Edwin

    2017-09-27

    The shortage and unequal distribution of medical doctors in low- and middle-income countries continues to be a public health concern. To establish the geographical distribution and demographic profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa. The PERSAL system was used to obtain information on the number of medical doctors employed in public sector hospitals of the Limpopo Province. Data were exported from PERSAL's database and then analysed using STATA version 9.0. The mean age of the 887 medical doctors was 40.1 ± 11.2 years (range 24-79 years). Sixty per cent of the doctors were male, 66% were aged ≤ 45 years and 84% were African. Most of the doctors (86%) were medical officers, of which 55% had < 5 years working experience. Overall, the doctor-to-population ratio for the five districts in the province was 16.4/100 000, with Capricorn (33.7/100 000) and Waterberg (20.2/100 000) recording the highest ratios. A large proportion (43%) of medical officers are employed in the Capricorn District, of which 71% were practising at the tertiary hospital. This study demonstrated a shortage and maldistribution of medical doctors in the public sector hospitals of the Limpopo Province. This has a potentially negative effect on the delivery of an appropriate and efficient healthcare service to the population and requires urgent attention.

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

    Science.gov (United States)

    Malm, Johan; Marko-Varga, György

    2016-12-01

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

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

    Science.gov (United States)

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

    2018-03-01

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

  18. Geochemical Investigation of the Arbuckle-Simpson Aquifer, South-Central Oklahoma, 2004-06

    Science.gov (United States)

    Christenson, Scott; Hunt, Andrew G.; Parkhurst, David L.

    2009-01-01

    A geochemical reconnaissance investigation of the Arbuckle-Simpson aquifer in south-central Oklahoma was initiated in 2004 to characterize the ground-water quality at an aquifer scale, to describe the chemical evolution of ground water as it flows from recharge areas to discharge in wells and springs, and to determine the residence time of ground water in the aquifer. Thirty-six water samples were collected from 32 wells and springs distributed across the aquifer for chemical analysis of major ions, trace elements, isotopes of oxygen and hydrogen, dissolved gases, and age-dating tracers. In general, the waters from wells and springs in the Arbuckle-Simpson aquifer are chemically suitable for all regulated uses, such as public supplies. Dissolved solids concentrations are low, with a median of 347 milligrams per liter (mg/L). Two domestic wells produced water with nitrate concentrations that exceeded the U.S. Environmental Protection Agency's nitrate maximum contaminant level (MCL) of 10 mg/L. Samples from two wells in the confined part of the aquifer exceeded the secondary maximum contaminant level (SMCL) for chloride of 250 mg/L and the SMCL of 500 mg/L for dissolved solids. Water samples from these two wells are not representative of water samples from the other wells and springs completed in the unconfined part of the aquifer. No other water samples from the Arbuckle-Simpson geochemical reconnaissance exceeded MCLs or SMCLs, although not every chemical constituent for which the U.S. Environmental Protection Agency has established a MCL or SMCL was analyzed as part of the Arbuckle-Simpson geochemical investigation. The major ion chemistry of 34 of the 36 samples indicates the water is a calcium bicarbonate or calcium magnesium bicarbonate water type. Calcium bicarbonate water type is found in the western part of the aquifer, which is predominantly limestone. Calcium magnesium bicarbonate water is found in the eastern part of the aquifer, which is predominantly a

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

    Science.gov (United States)

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

    2007-01-01

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

  20. Central plane of the ring current responsible for geomagnetic disturbance in the South-American region

    International Nuclear Information System (INIS)

    Kane, R.P.; Trivedi, N.B.

    1981-01-01

    Using hourly values of H, D, Z from a network of South American stations, operative during the IGY-IGC, the latitude dependence of storm effects was studied. It was found that whereas there were considerable distortions due to conductivity anomalies under the Andes, there was also evidence of latitudinal excursions of overhead current system, not only from storm to storm but even during the course of the same storm

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

    Science.gov (United States)

    Carden, Robert; DelliFraine, Jami L

    2005-01-01

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

  2. The effect of social capital on job satisfaction and quality of care among hospital nurses in South Korea.

    Science.gov (United States)

    Shin, Ji In; Lee, Eunjoo

    2016-10-01

    To identify the level of social capital and its effect on job satisfaction and self-reported quality of care of nurses working in hospital settings in South Korea. There are few studies on social capital and its relationship to workplace outcomes in the nursing profession internationally. A cross-sectional, correlational design was adopted with a convenience sample of 432 nurses from two university-affiliated teaching hospitals in South Korea. Nurses' social capital was positively related to job satisfaction and self-reported quality of care. Social capital explained 50% and 24%, respectively, of the variance in job satisfaction and reported quality of care. By improving social capital, nurses' job satisfaction could be enhanced and result in better quality of care for patients. Strategies to improve social capital in nursing organisations are necessary to improve job satisfaction and the quality of care provided by nurses. Nurse managers and administrators should encourage nurse participation in organisational affairs and decision-making processes to improve social capital by developing a trusting work environment with shared values and support nurses who work with peers, superiors, and subordinates. © 2016 John Wiley & Sons Ltd.

  3. 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...

  4. Challenges of information systems strategy implementation in public hospitals: a South African experience

    CSIR Research Space (South Africa)

    Hwabamungu, B

    2015-05-01

    Full Text Available on this phenomenon in the healthcare sector. Building on previous IS strategizing research we explored the challenges of Information Systems strategy implementation. We then explored the challenges of IS strategy implementation in public hospitals in developing...

  5. Hospital reform and staff morale in South Africa: a case study of Dr ...

    African Journals Online (AJOL)

    2012-02-16

    Feb 16, 2012 ... Settings and subjects: This study included all medical and nursing staff working at ... Keywords: hospital reform, staff morale, quality of care, healthcare resources ..... of healthcare workers' goals to cure patients.3 This differs.

  6. The profile of meningitis in a tertiary paediatric hospital in South Africa

    African Journals Online (AJOL)

    Methods. This study describes all patients treated for suspected meningitis at our hospital from 2010 to 2012. Data were .... Weight loss, neck stiffness, altered level of consciousness and lethargy were ..... Direct application of MALDI-TOF mass.

  7. care unit in a regional hospital in the Western Cape, South Africa

    African Journals Online (AJOL)

    Neonatal deaths occur due to asphyxia, preterm delivery, sepsis and tetanus.[2] A country's ... The study was conducted at the large regional hospital in Worcester,. SA. Worcester .... 45% very low birth weight and 10% had an extremely low ...

  8. A new geological framework for south-central Madagascar, and its relevance to the "out-of-Africa" hypothesis

    Science.gov (United States)

    Tucker, R.D.; Roig, J.Y.; Macey, P.H.; Delor, C.; Amelin, Y.; Armstrong, R.A.; Rabarimanana, M.H.; Ralison, A.V.

    2011-01-01

    The Precambrian shield of south-central Madagascar, excluding the Vohibory region, consists of three geologic domains, from north to south: Antananarivo, Ikalamavony-Itremo, and Anosyen-Androyen. The northern Antananarivo domain represents the Neoarchean sector of the Greater Dharwar Craton amalgamated at 2.52-2.48. Ga. The Greater Dharwar Craton is overlain by several groups of Meso- to Neoproterozoic supracrustal rocks (Ambatolampy, Manampotsy, Ampasary, Sahantaha, and Maha Groups) each with a common and diagnostic signature of Paleoproterozoic detrital zircons (2.2-1.8. Ga). The central domain (Ikalamavony-Itremo) consists of two distinct parts. The Itremo Sub-domain, in the east, is a structurally intercalated sequence of Neoarchean gneiss and shallow marine metasedimentary rocks of Paleo-Mesoproterozoic age (Itremo Group), the latter with Paleoproterozoic detrital zircons ranging in age between 2.2 and 1.8. Ga. The Ikalamavony Sub-domain, to the west, contains abundant volcano-clastic metasediments and lesser quartzite (Ikalamavony Group), formed between 1.03. Ga and 0.98. Ga, and intruded by igneous rocks (Dabolava Suite) of Stenian-Tonian age. Structurally intercalated with these are sheets of Neoarchean gneiss (~2.5. Ga) and Neoproterozoic metaclastic rocks (Molo Group). Like the Itremo Group, quartzite of the Ikalamavony Group has detrital zircons of Paleoproterozoic age (2.1-1.8. Ga). The southern domain of Anosyen-Androyen consists of a newly recognized suite of Paleoproterozoic igneous rocks (2.0-1.8. Ga), and stratified supracrustal rocks also having Paleoproterozoic detrital zircons (2.3-1.8. Ga). The contact between the Anosyen-Androyen and Ikalamavony-Itremo domains, formerly known as the Ranotsara-Bongolava shear zone, is a tightly folded and highly flattened boundary that was ductilely deformed in Ediacaran time. It is roughly equivalent to the Palghat-Cauvery shear zone in south India, and it defines approximately the boundary between the Archean

  9. North–south palaeohydrological contrasts in the central Mediterranean during the Holocene: tentative synthesis and working hypotheses

    Directory of Open Access Journals (Sweden)

    M. Magny

    2013-09-01

    Full Text Available On the basis of a multi-proxy approach and a strategy combining lacustrine and marine records along a north–south transect, data collected in the central Mediterranean within the framework of a collaborative project have led to reconstruction of high-resolution and well-dated palaeohydrological records and to assessment of their spatial and temporal coherency. Contrasting patterns of palaeohydrological changes have been evidenced in the central Mediterranean: south (north of around 40° N of latitude, the middle part of the Holocene was characterised by lake-level maxima (minima, during an interval dated to ca. 10 300–4500 cal BP to the south and 9000–4500 cal BP to the north. Available data suggest that these contrasting palaeohydrological patterns operated throughout the Holocene, both on millennial and centennial scales. Regarding precipitation seasonality, maximum humidity in the central Mediterranean during the middle part of the Holocene was characterised by humid winters and dry summers north of ca. 40° N, and humid winters and summers south of ca. 40° N. This may explain an apparent conflict between palaeoclimatic records depending on the proxies used for reconstruction as well as the synchronous expansion of tree species taxa with contrasting climatic requirements. In addition, south of ca. 40° N, the first millennium of the Holocene was characterised by very dry climatic conditions not only in the eastern, but also in the central- and the western Mediterranean zones as reflected by low lake levels and delayed reforestation. These results suggest that, in addition to the influence of the Nile discharge reinforced by the African monsoon, the deposition of Sapropel 1 has been favoured (1 by an increase in winter precipitation in the northern Mediterranean borderlands, and (2 by an increase in winter and summer precipitation in the southern Mediterranean area. The climate reversal following the Holocene climate optimum appears to

  10. The role of skeletal scintigraphy in nuclear oncology at a medium-sized hospital in South Korea

    International Nuclear Information System (INIS)

    Choe, W.

    2004-01-01

    Full text: Skeletal scintigraphy (SS) has been a workhorse in nuclear medicine departments, whether the department is in a developed country or in a developing country. It also plays an essential role in nuclear oncology in staging or diagnosing cancers or monitoring management of cancer patients. With the availability of improved imaging modalities like positron emission tomography, the role of skeletal scintigraphy is changing accordingly. This study was performed to evaluate the role of SS in nuclear oncology at a medium-sized (900-bed) university hospital in South Korea, by reviewing hospital cases along with the statistics of recently published papers in the journal of Clinical Nuclear Medicine. The hospital does not have a PET. The study period was three years (from 2000 to 2002). The SS is requested from many specialties for various reasons. Only cancer-related cases were selected. Using PubMed database, relevant articles in the Clinical Nuclear Medicine were assessed. To retrieve the articles, the keywords 'skeletal scintigraphy' and 'bone scan' were combined by using Boolean operation. There were a total of 9707 SS out of 16429 nuclear medicine imaging cases at the hospital during the study period. The hospital had 49% of SS contributed to cancer patients, while 52% percent of the SS in the CNM dealt with cancers. During the same period, articles regarding PET were 273 of which 171 were cancer-related PET studies (62%, more often than SS). 59% of the total nuclear medicine studies performed at the hospital were SS, whereas only 9% of the total articles were SS and 5% dealt with cancer-related cases. The cases of SS and cancer-related SS at the hospital increased during the period, whereas the articles in the CNM decreased. Analytic statistics were not considered necessary. In conclusion, there is an increasing demand of SS in nuclear oncology at a medium-sized hospital with non-availability of PET and the proportions of SS and cancer-related SS to the

  11. Stakeholder influence in public sector information systems strategy implementation-The case of public hospitals in South Africa.

    Science.gov (United States)

    Hwabamungu, Boroto; Brown, Irwin; Williams, Quentin

    2018-01-01

    Recent literature on organisational strategy has called for greater emphasis on individuals (stakeholders) and what they do in the process of strategizing. Public sector organisations have to engage with an array of heterogeneous stakeholders in fulfilling their mandate. The public health sector in particular needs to engage with a diversity of stakeholders at local, regional and national levels when strategising. The purpose of this study is to investigate the influence of stakeholder relations on the implementation of Information Systems (IS) strategy in public hospitals in South Africa. An interpretive approach using two provinces was employed. The Activity Analysis and Development (ActAD) framework, an enhanced form of activity theory, was used as the theoretical framework. Data was collected using semi-structured interviews, meetings, documents analysis, physical artefacts and observation. The collected data was analysed using thematic analysis. Findings reveal that IS strategy implementation in public hospitals involves a large and complex network of stakeholder groups at different levels, and over different time periods. These stakeholder groups act in accordance with formal and informal roles, rules and modalities. Various contextual conditions together with the actions of, and interactions between stakeholder groups give rise to the situationality of stakeholder relations dynamics and strategy implementation. The multiple actions and interactions over time lead to the realisation of some aspects of the IS strategy in public hospitals. Given the complexity and dynamism of the context there are also certain unplanned implementations as well. These relationships are captured in a Stakeholder Relations Influence (SRI) framework. The SRI framework can be assistive in the assessment and mapping of stakeholders and stakeholder relations, and the assessment of the implications of these relations for effective IS strategy implementation in public hospitals. The

  12. Status and trends of land change in the Midwest–South Central United States—1973 to 2000

    Science.gov (United States)

    Auch, Roger F.; Karstensen, Krista A.; Auch, Roger F.; Karstensen, Krista A.

    2015-12-10

    U.S. Geological Survey (USGS) Professional Paper 1794–C is the third in a four-volume series on the status and trends of the Nation’s land use and land cover, providing an assessment of the rates and causes of land-use and land-cover change in the Midwest–South Central United States between 1973 and 2000. Volumes A, B, and D provide similar analyses for the Western United States, the Great Plains of the United States, and the Eastern United States, respectively. The assessments of land-use and land-cover trends are conducted on an ecoregion-by-ecoregion basis, and each ecoregion assessment is guided by a nationally consistent study design that includes mapping, statistical methods, field studies, and analysis. Individual assessments provide a picture of the characteristics of land change occurring in a given ecoregion; in combination, they provide a framework for understanding the complex national mosaic of change and also the causes and consequences of change. Thus, each volume in this series provides a regional assessment of how (and how fast) land use and land cover are changing, and why. The four volumes together form the first comprehensive picture of land change across the Nation.Geographic understanding of land-use and land-cover change is directly relevant to a wide variety of stakeholders, including land and resource managers, policymakers, and scientists. The chapters in this volume present brief summaries of the patterns and rates of land change observed in each ecoregion in the Midwest–South Central United States, together with field photographs, statistics, and comparisons with other assessments. In addition, a synthesis chapter summarizes the scope of land change observed across the entire Midwest–South Central United States. The studies provide a way of integrating information across the landscape, and they form a critical component in the efforts to understand how land use and land cover affect important issues such as the provision of

  13. Management of physical child abuse in South Africa:Literature review and children's hospital data analysis

    NARCIS (Netherlands)

    Janssen, T.L. (T. L.); M. van Dijk (Monique); Al Malki, I. (I.); A.B. van As (Àrjan Bastiaan)

    2013-01-01

    textabstractBackground: The reason for this review is the lack of data on the management of physical abused children in Africa. The primary goal of the first part is to outline the management of physical child abuse in (South) Africa and provide suggestions for other governments in Africa on which

  14. The effects of a language barrier in a South African district hospital

    African Journals Online (AJOL)

    2006-08-11

    Aug 11, 2006 ... Levin M. Language as a barrier to care for Xhosa-speaking patients at a South African paediatric ... of the Western Cape where staff mainly speak Afrikaans or. English and a large .... the other day a child died, and the mom stands there, and we literally sit .... But what other options do you have? (Afrikaans-.

  15. 59 months at Al-Sabah Children Hospital, Juba, South Sudan

    African Journals Online (AJOL)

    Background: Malnutrition is a critical public health concern in South Sudan where an estimated 200,000 children aged under five years are at risk of being malnourished. Studies have shown that adequate and timely treatment of these children leads to reduced mortality. Objective: To determine the proportion of children ...

  16. Genotypic characterisation of Staphylococcus aureus isolates causing bacteraemia at Tygerberg hospital, western cape province, South Africa

    NARCIS (Netherlands)

    Orth, H.; Salaam-Dreyer, Z.; Makgotlho, E.; Sinha, B.; Wasserman, E.

    2011-01-01

    Objectives: There is a paucity of studies on the genotypic characterisation of invasive S. aureus strains and the incidence of communityacquired methicillin resistant S. aureus (CA-MRSA) infections in South Africa. In this study we characterized S. aureus isolates from bacteraemia episodes using

  17. Vegetative Propagation Trial of Prosopis africana (Guill. et Perr.) Taub. by Air Layering under Sudano-Sahelian Climate in the South-Central Niger

    OpenAIRE

    Abdou, Laouali; Karim, Saley; Habou, Rabiou; Mahamane, Ali

    2015-01-01

    Prosopis africana is a species of great socioeconomic importance but threatened with extinction in Niger because of overuse and regeneration problem. This study, conducted in the Maradi (Niger) area, precisely at El Gueza in the south of Gazaoua department, aims to evaluate the vegetative propagation capacity of P. africana by air layering under the Sudano-Sahelian climate of the south-central Niger. A ring of bark was taken on each selected branch and the wound was covered with a black plast...

  18. Tectonosedimentary model for the central Rand Goldfield, Witwatersrand basin, South Africa

    CSIR Research Space (South Africa)

    Stewart, RA

    2004-12-01

    Full Text Available is oligomictic consisting of approximately 90"/;! white and S'Mi smoky vein quartz cla.sts and 5">ii blue opale.scent quartz clasts- Locaiisetl (typically ranges of less than 10m) dark-grey, fine-grained quaitzite matrix occurs. On average, the Main Reef Leader....ssociitted with higher goki grades relaiive to the lower conglomerate and the Main Reef (I). Rolfe. personal communication, 2(KH)). The high proportion {1S%) of blue opale.scent t|uarlz cla.sts in the hangingwall conglomerate band is t haractcristic of the South Reef...

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

    Directory of Open Access Journals (Sweden)

    Adem Gul

    2014-06-01

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

  20. Specialized consulting in radiological safety to the North Central Hospital of high specialty, PEMEX. V. November of 2001; Asesoria especializada en seguridad radiologica al Hospital Central Norte de alta especialidad, PEMEX. V. Noviembre de 2001

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-01-15

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

  1. Treatment Outcomes and Costs of Providing Antiretroviral Therapy at a Primary Health Clinic versus a Hospital-Based HIV Clinic in South Africa

    OpenAIRE

    Long, Lawrence C.; Rosen, Sydney B.; Brennan, Alana; Moyo, Faith; Sauls, Celeste; Evans, Denise; Modi, Shookdev L.; Sanne, Ian; Fox, Matthew P.

    2016-01-01

    Background In 2010 South Africa revised its HIV treatment guidelines to allow the initiation and management of patients on antiretroviral therapy (ART) by nurses, rather than solely doctors, under a program called NIMART (Nurse Initiated and Managed Antiretroviral Therapy). We compared the outcomes and costs of NIMART between the two major public sector HIV treatment delivery models in use in South Africa today, primary health clinics and hospital-based HIV clinics. Methods and findings The s...

  2. Compositional data supports decentralized model of production and circulation of artifacts in the pre-Columbian south-central Andes.

    Science.gov (United States)

    Lazzari, Marisa; Pereyra Domingorena, Lucas; Stoner, Wesley D; Scattolin, María Cristina; Korstanje, María Alejandra; Glascock, Michael D

    2017-05-16

    The circulation and exchange of goods and resources at various scales have long been considered central to the understanding of complex societies, and the Andes have provided a fertile ground for investigating this process. However, long-standing archaeological emphasis on typological analysis, although helpful to hypothesize the direction of contacts, has left important aspects of ancient exchange open to speculation. To improve understanding of ancient exchange practices and their potential role in structuring alliances, we examine material exchanges in northwest Argentina (part of the south-central Andes) during 400 BC to AD 1000 (part of the regional Formative Period), with a multianalytical approach (petrography, instrumental neutron activation analysis, laser ablation inductively coupled plasma mass spectrometry) to artifacts previously studied separately. We assess the standard centralized model of interaction vs. a decentralized model through the largest provenance database available to date in the region. The results show: ( i ) intervalley heterogeneity of clays and fabrics for ordinary wares; ( ii ) intervalley homogeneity of clays and fabrics for a wide range of decorated wares (e.g., painted Ciénaga); ( iii ) selective circulation of two distinct polychrome wares (Vaquerías and Condorhuasi); ( iv ) generalized access to obsidian from one major source and various minor sources; and ( v ) selective circulation of volcanic rock tools from a single source. These trends reflect the multiple and conflicting demands experienced by people in small-scale societies, which may be difficult to capitalize by aspiring elites. The study undermines centralized narratives of exchange for this period, offering a new platform for understanding ancient exchange based on actual material transfers, both in the Andes and beyond.

  3. Diversity and effective population size of four horse breeds from microsatellite DNA markers in South-Central Mexico

    Directory of Open Access Journals (Sweden)

    J. F. Vázquez-Armijo

    2017-06-01

    Full Text Available The South-Central region of Mexico has experienced a sizeable introduction of purebred horses for recreational aims. A study was designed to assess effective population sizes and genetic diversity and to verify the genetic integrity of four horse breeds. Using a 12-microsatellite panel, Quarter Horse, Azteca, Thoroughbred and Creole (CRL horses were sampled and analysed for diversity and genetic structure. Genetic diversity parameters showed high numbers of heterozygous horses but small effective population sizes in all breeds. Population structure results suggested some degree of admixture of CRL with the other reference breeds. The highly informative microsatellite panel allowed the verification of diversity in introduced horse populations and the confirmation of small effective population sizes, which suggests a risk for future breed integrity.

  4. Effects of ancient porosity and permeability on formation of sedimentary dolomites: Devonian Jefferson Formation (Frasnian), south-central Montana

    Energy Technology Data Exchange (ETDEWEB)

    Smith, T.M.; Dorobek, S.L.

    1987-08-01

    Petrographic and geochemical evidence indicates that multiple dolomitization and dolomite stabilization events affected the Devonian Jefferson Formation (Frasnian) in south-central Montana. Several types of dolomite occur, defined by cathodoluminescence: nonzoned, dully luminescent subhedral-anhedral mosaics (most common), euhedral nonzoned and zoned dolomites, zoned dolomite cements, and irregularly luminescent dolomites (dully luminescent with irregularly luminescent regions). The irregularly luminescent fabrics probably represent partial replacement of early dolomite phases with later dolomite phases. Nonzoned, Ca-enriched, euhedral dolomites occur in calcite-cemented, coarse-grained limestone layers. These permeable layers probably were conduits for early meteoric waters, that occluded porosity in the limestones and prevented later dolomite stabilization. Irregularly luminescent dolomites are interpreted as intermediate fabrics in the dolomite stabilization process. Later calcite cements which occlude intercrystalline porosity prevented further dolomite replacement. Total recrystallization of remaining dolomites and formation of final dully luminescent mosaics occurred prior to brecciation and stylolitization.

  5. EVALUATION OF FACTORS OF THE WORKPLACES IN MATE INDUSTRY (Ilex paraguariensis St. Hill. AT CENTRAL-SOUTH IN PARANA STATE

    Directory of Open Access Journals (Sweden)

    Eduardo da Silva Lopes

    2006-12-01

    Full Text Available This research was developed in the maté process industry workplaces, located in central-south of the Parana State, Brazil, from June to August 2005. The climate conditions, noise and light level were analyzed using suitable ergonomic methods. The results showed that the climate conditions through the Wet Bulle Globe Temperature (WBGT was in accordance with NR 15 standard, with a maximum of 17.0 ºC at 15:00 p.m. in the “Barbaquá” sector. The noise levels were above allowed by legislation in the “Barbaquá” sector at finally work day. The light conditions were not in accordance with NBR 5413/92 in the majority of the workplaces evaluated, mainly after the 18:00 p.m, when the artificial illumination became necessary.

  6. An aerial radiological survey of the Central Savannah River Site, Aiken, South Carolina

    International Nuclear Information System (INIS)

    Feimster, E.L.

    1991-09-01

    An aerial radiological survey was conducted over a 194-square- kilometer (75-square-mile) area encompassing the central portion of the Savannah River Site (SRS). The survey was flown during February 10--27, 1987. These radiological measurements were used as baseline data for the central area and for determining the extent of man-made radionuclide distribution. Previous SRS surveys included small portions of the area; the 1987 survey was covered during the site- wide survey conducted in 1979. Man-made radionuclides (including cobalt-60, cesium-137, protactinium-234m, and elevated levels of uranium-238 progeny) that were detected during the survey were typical of those produced by the reactor operations and material processing activities being conducted in the area. The natural terrestrial radiation levels were consistent with those measured during prior surveys of other SRS areas. 1 refs., 4 figs

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

    Science.gov (United States)

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

    2013-06-01

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

  8. Growing inter-Asian connections: Links, rivalries, and challenges in South Korean–Central Asian relations

    Directory of Open Access Journals (Sweden)

    Matteo Fumagalli

    2016-01-01

    Full Text Available The geopolitical context, which emerged from the collapse of the Soviet Union and the end of the Cold War, combined with Korea's growing economic prowess, enabled greater dynamism and diversification in Seoul's foreign policy-making. Growing pressure from energy-intensive economies coupled with new developments and investment in logistics and infrastructure has brought different parts of the Eurasian landmass closer together in recent years. Inter-Asian connections are especially growing. This article uses the case of deepening relations between Korea and the post-Soviet Central Asian republics as a vantage point to reflect on one such example of unfolding Asian inter-connectedness. In addition it sees Seoul's engagement in the region as a fitting example of Korea's broader ambitions to assert itself as a global economic player. The article shows that Korea's policy toward Central Asia has been primarily driven by energy needs and is defined by pragmatism. It finds that the economic dimension of the relationship has greatly overshadowed other aspects such as politics and security. In its pursuit of closer ties with the region Seoul has sought to turn structural weaknesses into added value and has attempted to develop a distinctive, non-threatening profile built around the lack of a political baggage and geopolitical ambitions, and the desire to share its experience of formerly impoverished turned leading economy. In turn, Central Asia's selective integration in the world economy has continued, also thanks to its ties with Korea. The Central Asian republics welcomed the opportunity to diversify their foreign relations, the sources of foreign investment and export routes. At the same time the opaque business environment, a leadership succession, which cannot be postponed for much longer, and Seoul's “no-strings attached” approach expose Korea to some risks as regime stability might not last forever.

  9. Critical Internal Factors Influencing The Centralization Of Stock Procurement Processes In A South African Municipality

    OpenAIRE

    Zwelihle Wiseman Nzuza; Lawrence Mpele Lekhanya

    2014-01-01

    The purpose of this paper was threefold: 1) to examine the internal factors influencing centralization of stock procurement processes, 2) to assess the relationship between demographic factors and staff understanding of Information Communication Technology (ICT) with performance improvement, and 3) to examine the relationship between prevention of corruption with management commitment. A structured questionnaire was used to collect data from 82 members of staff from procurement division in a ...

  10. China’s Strategy Toward South and Central Asia: An Empty Fortress

    Science.gov (United States)

    2014-01-01

    new states as well as the post-communist governments in Russia and Mongolia. By the mid-1990s, these efforts began to bear fruit, with the... Panda , “India’s Approach to Central Asia: Strategic Intent and Geo-political Calculus,” China and Eurasia Forum Quarterly, Vol. 7, No. 3, 2009, pp...extremely slow to bear fruit (see Chapter Three for details). Nevertheless, Beijing is keen to diversify its energy sources and supply routes

  11. Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study.

    Science.gov (United States)

    Dawkins, Erika; Michimi, Akihiko; Ellis-Griffith, Gregory; Peterson, Tina; Carter, Daniel; English, Gary

    2013-05-02

    Dental caries is one of the most common chronic childhood diseases affecting a large portion of children in the United States. The prevalence of childhood dental caries in Kentucky is among the highest in the nation. The purposes of this study are to (1) compare sociodemographic differences between caries and no caries groups and (2) investigate factors associated with untreated dental caries among children who visited a mobile dental clinic in South Central Kentucky. Study subjects were children aged 6 to 15 years who participated in the school-based dental sealant program through the mobile dental clinic operated by the Institute for Rural Health at Western Kentucky University between September 2006 and May 2011 (n = 2,453). Descriptive statistics were calculated for sociodemographic factors (age, gender, race/ethnicity, insurance status, and urban versus rural residential location) and caries status. We used chi-square tests to compare sociodemographic differences of children stratified by caries and no caries status as well as three levels of caries severity. We developed a logistic regression model to investigate factors associated with untreated dental caries while controlling for sociodemographic characteristics. The proportion of children having untreated dental caries was 49.7% and the mean number of untreated dental caries was 2.0. The proportion of untreated dental caries was higher in older children, children with no insurance and living in rural residential locations, and caries severity was also higher in these groups. Odds ratio indicated that older ages, not having private insurance (having only public, government-sponsored insurance or no insurance at all) and rural residential location were associated with having untreated dental caries after controlling for sociodemographic characteristics of children. Untreated dental caries was more likely to be present in older children living in rural areas without insurance. Health interventionists may use

  12. Incidence of cassava mosaic disease and associated whitefly vectors in South West and North Central Nigeria: Data exploration.

    Science.gov (United States)

    Eni, Angela O; Efekemo, Oghenevwairhe P; Soluade, Mojisola G; Popoola, Segun I; Atayero, Aderemi A

    2018-08-01

    Cassava mosaic disease (CMD) is one of the most economically important viral diseases of cassava, an important staple food for over 800 million people in the tropics. Although several Cassava mosaic virus species associated with CMD have been isolated and characterized over the years, several new super virulent strains of these viruses have evolved due to genetic recombination between diverse species. In this data article, field survey data collected from 184 cassava farms in 12 South Western and North Central States of Nigeria in 2015 are presented and extensively explored. In each State, one cassava farm was randomly selected as the first farm and subsequent farms were selected at 10 km intervals, except in locations were cassava farms are sporadically located. In each selected farm, 30 cassava plants were sampled along two diagonals and all selected plant was scored for the presence or absence of CMD symptoms. Cassava mosaic disease incidence and associated whitefly vectors in South West and North Central Nigeria are explored using relevant descriptive statistics, box plots, bar charts, line graphs, and pie charts. In addition, correlation analysis, Analysis of Variance (ANOVA), and multiple comparison post-hoc tests are performed to understand the relationship between the numbers of whiteflies counted, uninfected farms, infected farms, and the mean of symptom severity in and across the States under investigation. The data exploration provided in this data article is considered adequate for objective assessment of the incidence and symptom severity of cassava mosaic disease and associated whitefly vectors in farmers' fields in these parts of Nigeria where cassava is heavily cultivated.

  13. Healthiness of Food and Beverages for Sale at Two Public Hospitals in New South Wales, Australia

    Directory of Open Access Journals (Sweden)

    Carrie Tsai

    2018-02-01

    Full Text Available (1 Background: Our aim was to conduct objective, baseline food environment audits of two major western Sydney public hospitals and compare them to recently revised state nutritional guidelines. (2 Methods: A cross-sectional assessment was conducted (June–July2017 across 14 fixed food outlets and 70 vending machines in two hospitals using an audit tool designed to assess the guideline’s key food environment parameters of availability, placement, and promotion of ‘Everyday’ (healthy and ‘Occasional’ (less healthy products. (3 Results: Availability: Overall, Everyday products made up 51% and 44% of all products available at the two hospitals. Only 1/14 (7% fixed outlets and 16/70 (23% vending machines met the guideline’s availability benchmarks of ≥75% Everyday food and beverages. Proportion of Everyday products differed among different types of food outlets (café, cafeteria, convenience stores. Placement: On average, food outlets did not meet recommendations of limiting Occasional products in prominent positions, with checkout areas and countertops displaying over 60% Occasional items. Promotion: Over two-thirds of meal deals at both hospitals included Occasional products. (4 Conclusion: Baseline audit results show that substantial improvements in availability, placement, and promotion can be made at these public hospitals to meet the nutrition guidelines. Audits of other NSW hospitals using the developed tool are needed to investigate similarities and differences in food environment between sites. These findings highlight the need for ongoing tracking to inform whether the revised guidelines are leading to improved food environments in health facilities.

  14. Postoperative Central Nervous System Infection After Neurosurgery in a Modernized, Resource-Limited Tertiary Neurosurgical Center in South Asia.

    Science.gov (United States)

    Chidambaram, Swathi; Nair, M Nathan; Krishnan, Shyam Sundar; Cai, Ling; Gu, Weiling; Vasudevan, Madabushi Chakravarthy

    2015-12-01

    Postoperative central nervous system infections (PCNSIs) are rare but serious complications after neurosurgery. The purpose of this study was to examine the prevalence and causative pathogens of PCNSIs at a modernized, resource-limited neurosurgical center in South Asia. A retrospective analysis was conducted of the medical records of all 363 neurosurgical cases performed between June 1, 2012, and June 30, 2013, at a neurosurgical center in South Asia. Data from all operative neurosurgical cases during the 13-month period were included. Cerebrospinal fluid (CSF) analysis indicated that 71 of the 363 surgical cases had low CSF glucose or CSF leukocytosis. These 71 cases were categorized as PCNSIs. The PCNSIs with positive CSF cultures (9.86%) all had gram-negative bacteria with Pseudomonas aeruginosa (n = 5), Escherichia coli (n = 1), or Klebsiella pneumoniae (n = 1). The data suggest a higher rate of death (P = 0.031), a higher rate of CSF leak (P < 0.001), and a higher rate of cranial procedures (P < 0.001) among the infected patients and a higher rate of CSF leak among the patients with culture-positive infections (P = 0.038). This study summarizes the prevalence, causative organism of PCNSI, and antibiotic usage for all of the neurosurgical cases over a 13-month period in a modernized yet resource-limited neurosurgical center located in South Asia. The results from this study highlight the PCNSI landscape in an area of the world that is often underreported in the neurosurgical literature because of the paucity of clinical neurosurgical research undertaken there. This study shows an increasing prevalence of gram-negative organisms in CSF cultures from PCNSIs, which supports a trend in the recent literature of increasing gram-negative bacillary meningitis. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Neutron activation analysis of the atmosphere content in the Central Asia south regions

    International Nuclear Information System (INIS)

    Niyazova, O.A.; Turaev, Eh.Yu.

    2001-01-01

    By the method of neutron activation analysis a atmospheric air elementary content of south regions of Uzbekistan and Turkmenistan during the 'Afghan' dust-storm were studied. Comparison with data for atmospheric air before nad after this phenomenon was carried out.It shown, that during the 'Afghan' dust-storm the elements concentration of Au, La, Na, Sm, Hg, Cs, Zn, Co is increased in to 3-4 times. Concentration of Sc and Fe is increasing into 8-9 times. In the atmosphere with the storm beginning the Ce and Cr elements are appealing, its are absent before the 'Afghan' dust-storm. The surprise result, that Br element in air during the dust storm is disappearing

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

    International Nuclear Information System (INIS)

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

    2002-01-01

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

  17. Fresh-frozen plasma use in a South African tertiary hospital | Visser ...

    African Journals Online (AJOL)

    Despite available guidelines on indications for fresh-frozen plasma (FFP) transfusion, inappropriate use is increasing worldwide. We evaluated FFP administration to patients admitted to the Steve Biko Academic Hospital over 4 months, including indications for use and completeness of requisition forms. Transfusions were ...

  18. Disease patterns in the medical wards of a rural South African hospital

    African Journals Online (AJOL)

    Hypertension dominated the disease pattern followed by pulmonary tuberculosis, gastro-enteritis, pneumonia, diabetes, and asthma. The findings of this study suggest that diseases prominent in the affluent urban population affect patients seen at this rural hospital. The focus of primary care physicians should be to manage ...

  19. Same Day Surgery at the 121st General Hospital Seoul, South Korea

    Science.gov (United States)

    2006-06-01

    s ................................................................................. 42 A ppendices ...diagnosed condition of a patient. If the patient is more acutely ill than average and requires extra care, the hospital must pay any cost beyond the DRG...Integration of "well" patients with acutely ill Staff less experienced to meet outpatient health Minimal construction care needs Physician can work

  20. Common geriatric emergencies in a rural hospital in South-Eastern ...

    African Journals Online (AJOL)

    2011-11-02

    Nov 2, 2011 ... epidemiologically recognized as constitutional risk factor ... Materials and Methods: This was a descriptive hospital-based study of 216 geriatric patients who .... (hypertension and hypertension-related heart failure) the ... [7,8] This finding has ... measured with sphygmomanometer, majority of geriatric.

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

    Science.gov (United States)

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

    2018-04-01

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

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

    Science.gov (United States)

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

    1989-04-01

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

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

    Science.gov (United States)

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

    2012-04-01

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

  4. Intracranial suppuration: Review of an 8-year experience at Umtata General Hospital and Nelson Mandela Academic Hospital, Eastern Cape, South Africa.

    Science.gov (United States)

    Anwary, M A

    2015-09-21

    Intracranial suppuration (ICS) is a life-threatening condition caused by various disease processes and consisting of brain abscess and extradural and subdural empyema. The major causes have changed over the decades. To the author's knowledge, the incidence of ICS in South Africa (SA) has not been established. To determine the incidence of ICS, overall and according to age and gender, and to identify the source and distribution of ICS. The archive of the radiology departments at Umtata General Hospital and Nelson Mandela Academic Hospital in the Transkei region, Eastern Cape Province, SA, was searched retrospectively for computed tomography (CT) reports of patients diagnosed with ICS. Cases in which the CT images, patients' clinical information and CT reports were available for an uninterrupted period of at least 1 year were included. Five time frames were established, encompassing 8 years of data. The first time frame established an incidence of ICS of 1/100,000/year for the Transkei region. All the time frames were utilised to determine the incidence according to gender and age, and the source and distribution of ICS. The incidence of ICS was higher among males than females, and highest in the age groups 0-10 and 11-20 years. A seasonal variation in the incidence of sinusitis- and meningitis-related ICS was noted. Numbers of cases declined during the last 3 years of the study period. Sinusitis, head trauma, ear infection and meningitis were the major sources of ICS. A pulmonary source was not a major feature. In the last 4 years, trauma became the commonest source of ICS. A steady decline in ear infection- and meningitis-related ICS was noted.

  5. South America Monsoon variability on millennial to multi-centennial time scale during the Holocene in central eastern Brazil

    Science.gov (United States)

    Strikis, N. M.; Cruz, F. W.; Cheng, H.; Karmann, I.; Vuille, M.; Edwards, R.; Wang, X.; Paula, M. S.; Novello, V. F.; Auler, A.

    2011-12-01

    A paleoprecipitation reconstruction based on high resolution and well-dated speleothem oxygen isotope records shows that the monsoon precipitation over central eastern Brazil underwent to strong variations on millennial to multi-centennial time-scales during the Holocene. This new record indicates that abrupt events of increase in monsoon precipitation are correlated to Bond events 6, 5 and 4 and also with 8.2 ky event during the early and mid-Holocene, with a mean amplitude of 1.5 % (PDB). The pacing and structure of such events are general consistent with variations in solar activity suggested by atmospheric Δ14 C records. In the late-Holocene, abrupt events of increase in monsoon precipitation peaking at 3.2, 2.7 and 2.3 ky B.P. are approximately synchronous with periods of low solar minima. In this regard, the most prominent event occurred during the late Holocene occurred at ~2.7 ky B.P. In addition, these positive anomalies of the precipitation recorded in central eastern Brazil are also in good agreement with variations in Titicaca lake level. The good correspondence between the speleothem and marine records imply that the variations in the north Atlantic sea surface temperature is the main forcing for abrupt millennial to multi-centennial precipitations variation within the region under influence of South American Monsoon.

  6. Marksmen and the bush: The affective micro-politics of landscape, sex and technology in precolonial South-Central Africa

    Directory of Open Access Journals (Sweden)

    Kathryn M. de Luna

    Full Text Available This essay explores what we can know about the micro-politics of knowledge production using the history of bushcraft as a case study. In many societies in central, eastern and southern Africa, practitioners of technologies undertaken away from the village, in the bush, enjoy a special status. Among the Botatwe-speaking societies of south-central Africa, the status accorded hunters, smelters and other technicians of the bush was crafted in the centuries around the turn of the first millennium by combining old ideas about the blustery character of fame and spirits, and the talk that engendered both with the observation that technicians working in the bush shared a kinesthetic experience of piercing, poking and prodding into action during the generative activities of working smelts and taking down game. Yet the micro-politics of bushcraft knowledge also involved the bodies and feelings of spearmen and metallurgists' wives, lovers, mothers, sisters, and sometimes those of the entire neighbourhood. The invention of a new landscape category, isokwe, and the novel status of these seasonal technicians marks the development of a new kind of virile masculinity available to some men; it was a status with deeply sensuous, material and social meanings for women as well.

  7. Overview of Iodine Deficiency Prevention Strategies in the South-Eastern Europe and Central Asia Region: 2009–2016

    Directory of Open Access Journals (Sweden)

    Gregory A. Gerasimov

    2018-02-01

    Full Text Available Universal salt iodization (USI strategies gained strong momentum in countries of the Southern Europe and Central Asia (SECA region during the 2000–2009 decade. By the end of the first decade, several countries in the region had already reached the goal of optimum iodine nutrition; other countries were quickly approaching this goal, and in only a few countries the progress toward USI had remained slow. This paper reports an overview of the two Sub-Regional workshops (for countries of Eastern Europe and Central Asia and South-Eastern Europe conducted in 2015 and 2016. Both workshops demonstrate that the SECA region remains on track in the pursuit of USI for sustainable IDD elimination. Notwithstanding the noted imperfections, none of the data or information from countries of the region suggested that the conquest of iodine deficiency is seriously threatened. However, more efforts should be made to develop and streamline USI strategies in Russia and Ukraine, two major countries that are lagging behind.

  8. Morphological diversity of cassava accessions of the south-central mesoregion of the State of Mato Grosso, Brazil.

    Science.gov (United States)

    Zago, B W; Barelli, M A A; Hoogerheide, E S S; Corrêa, C L; Delforno, G I S; da Silva, C J

    2017-08-17

    Genetic variability of cassava (Manihot esculenta Crantz) in Brazil is wide, being this the result of natural and cultural selection during pre- and post-domestication of the species in different environments. Given the number of species of the genus found in the region (38 of a total of 98 species), the central region of Brazil was defined as the primary center of cassava diversity. Therefore, genetic diversity characterization of cassava accessions is fundamental, both for farmers and for plant breeders, because it allows the organization of genetic resources and better utilization of available genetic diversity. This research aims to assess genetic divergence of cassava accessions from the south-central region of the State of Mato Grosso, based on multi-categorical morphological traits. For this purpose, 38 qualitative and quantitative morphological descriptors were used. Genetic diversity was expressed by the genetic similarity index, with subsequent clustering of accessions by the modified Tocher's procedure and UPGMA. Of 38 descriptors, only growth habit of stem showed no variability. Tocher and UPGMA methods were efficient and corroborated on group composition. Both methods were able to group accessions of different localities in distinct group consistency.

  9. Hydro, wind and solar power as a base for a 100% renewable energy supply for South and Central America.

    Directory of Open Access Journals (Sweden)

    Larissa de Souza Noel Simas Barbosa

    Full Text Available Power systems for South and Central America based on 100% renewable energy (RE in the year 2030 were calculated for the first time using an hourly resolved energy model. The region was subdivided into 15 sub-regions. Four different scenarios were considered: three according to different high voltage direct current (HVDC transmission grid development levels (region, country, area-wide and one integrated scenario that considers water desalination and industrial gas demand supplied by synthetic natural gas via power-to-gas (PtG. RE is not only able to cover 1813 TWh of estimated electricity demand of the area in 2030 but also able to generate the electricity needed to fulfil 3.9 billion m3 of water desalination and 640 TWhLHV of synthetic natural gas demand. Existing hydro dams can be used as virtual batteries for solar and wind electricity storage, diminishing the role of storage technologies. The results for total levelized cost of electricity (LCOE are decreased from 62 €/MWh for a highly decentralized to 56 €/MWh for a highly centralized grid scenario (currency value of the year 2015. For the integrated scenario, the levelized cost of gas (LCOG and the levelized cost of water (LCOW are 95 €/MWhLHV and 0.91 €/m3, respectively. A reduction of 8% in total cost and 5% in electricity generation was achieved when integrating desalination and power-to-gas into the system.

  10. Hydro, wind and solar power as a base for a 100% renewable energy supply for South and Central America.

    Science.gov (United States)

    Barbosa, Larissa de Souza Noel Simas; Bogdanov, Dmitrii; Vainikka, Pasi; Breyer, Christian

    2017-01-01

    Power systems for South and Central America based on 100% renewable energy (RE) in the year 2030 were calculated for the first time using an hourly resolved energy model. The region was subdivided into 15 sub-regions. Four different scenarios were considered: three according to different high voltage direct current (HVDC) transmission grid development levels (region, country, area-wide) and one integrated scenario that considers water desalination and industrial gas demand supplied by synthetic natural gas via power-to-gas (PtG). RE is not only able to cover 1813 TWh of estimated electricity demand of the area in 2030 but also able to generate the electricity needed to fulfil 3.9 billion m3 of water desalination and 640 TWhLHV of synthetic natural gas demand. Existing hydro dams can be used as virtual batteries for solar and wind electricity storage, diminishing the role of storage technologies. The results for total levelized cost of electricity (LCOE) are decreased from 62 €/MWh for a highly decentralized to 56 €/MWh for a highly centralized grid scenario (currency value of the year 2015). For the integrated scenario, the levelized cost of gas (LCOG) and the levelized cost of water (LCOW) are 95 €/MWhLHV and 0.91 €/m3, respectively. A reduction of 8% in total cost and 5% in electricity generation was achieved when integrating desalination and power-to-gas into the system.

  11. Typical occupational accidents with employees of a university hospital in the south of Brazil: epidemiology and prevention.

    Science.gov (United States)

    Sêcco, Iara Aparecida de Oliveira; Robazzi, Maria Lúcia do Carmo Cruz; Shimizu, Denise Sayuri; Rúbio, Márcia Maria da Silva

    2008-01-01

    Descriptive epidemiologic study that aimed to analyze the typical occupational accidents notified by employees of a university hospital in the South of Brazil from 1997 to 2002, and to estimate their risk indicators. A total of 717 accidents were registered; 86% of them (616) were typical and presented an annual average risk coefficient of 6.0 per 100 employees. The groups that presented more risks for accidents were cooks, woodworkers and nursing auxiliaries, while hands were the most affected area. Regarding the accidents nature, the greatest risks involved biological material. Hence, it is necessary to orient personnel about the legal aspects of occupational accidents and review work processes, especially those related to employees who perform activities at greater risk of transmissible diseases like AIDS and hepatitis B and C.

  12. Awareness and Practice of Cervical Smear as A Screening Procedure for Cervical Cancer among Female Nurses in A Tertiary Hospital in South-South Nigeria

    Directory of Open Access Journals (Sweden)

    Imoh Unang

    2011-12-01

    Full Text Available AIM: Carcinoma of the cervix, the second most common cancer among women remains a public health problem. Though this preventable cancer occurs more commonly in the developing world, it is almost non-existent in developed countries where there are well established screening programs. The aim of this study is to determine the degree of awareness and practice of cervical smear as a screening procedure for cervical cancer among female nurses in a tertiary health facility in south-south Nigeria. METHOD: Semi-structured questionnaires were distributed to all the female nurses at the University of Uyo Teaching Hospital. RESULTS: The ages of the respondents were between 21 - 60 years with the modal age group being 31- 40 years (48.9%. Majority of the respondents were married (59.7% and 36.4% of them had practiced nursing for over 10 years. Majority of the respondents (94.3% had heard of the cervical smear and 79.5% of the nurses knew that cervical smears were used to detect premalignant diseases of the cervix. Only 7.4% of the nurses had undergone screening for cervical cancer. Common reasons given by the respondents who had not screened were not being a candidate for cervical cancer (31.9% and ignorance as to where screening is done (28.8%. The most common sources of information about cervical smear were the hospital (87.5% and textbooks (13.6%. CONCLUSION: The level of awareness of the cervical smear as a preventive tool for cervical cancer was high but utilization of the test was disappointingly low. Modern concepts of cancer prevention and control should be included in the curriculum of the school of nursing and nurses should be involved in the organisation of health talks to members of the community on cervical cancer and its prevention. The print and electronic media should be made to participate in the dissemination of information on the prevention of cervical cancer in our environment. [TAF Prev Med Bull 2011; 10(6.000: 675-680

  13. Immunohistochemical localization of CYP1A, vitellogenin and Zona radiata proteins in the liver of swordfish (Xiphias gladius L.) taken from the Mediterranean Sea, South Atlantic, South Western Indian and Central North Pacific Oceans

    International Nuclear Information System (INIS)

    Desantis, S.; Corriero, A.; Cirillo, F.; Deflorio, M.; Brill, R.; Griffiths, M.; Lopata, A.L.; Serna, J.M. de la; Bridges, C.R.; Kime, D.E.; De Metrio, G.

    2005-01-01

    Cytochrome P4501A (CYP1A) monoxygenase, vitellogenin (Vtg) and Zona radiata proteins (Zrp) are frequently used as biomarkers of fish exposure to organic contaminants. In this work, swordfish liver sections obtained from the Mediterranean Sea, the South African coasts (South Atlantic and South Western Indian Oceans) and the Central North Pacific Ocean were immunostained with antisera against CYP1A, Zrp, and Vtg. CYP1A induction was found in hepatocytes, epithelium of the biliary ductus and the endothelium of large blood vessels of fish from the Mediterranean Sea and South African waters, but not from the Pacific Ocean. Zrp and Vtg were immunolocalized in hepatocytes of male swordfish from the Mediterranean Sea and from South African waters. Plasma Dot-Blot analysis, performed in Mediterranean and Pacific specimens, revealed the presence of Zrp and Vtg in males from Mediterranean but not from Pacific. These results confirm previous findings about the potential exposure of Mediterranean swordfish to endocrine, disrupting chemicals and raise questions concerning the possible presence of xenobiotic contaminants off the Southern coasts of South Africa in both the South Atlantic and South Western Indian Oceans

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

    Directory of Open Access Journals (Sweden)

    Iván O Espinoza

    2011-12-01

    Full Text Available Objetivos. Determinar la frecuencia y las características clínicas de las infecciones del sistema nervioso central por enterovirus en niños atendidos en el Hospital Nacional Cayetano Heredia de Lima, Perú. Materiales y métodos. Se realizó un estudio prospectivo y descriptivo desde abril 2008 hasta marzo 2010. Se enrolaron pacientes de un mes a 14 años con diagnóstico clínico de encefalitis o meningitis asépticas. Se investigó la presencia de enterovirus, virus herpes simple 1 (VHS-1, virus herpes simple 2 (VHS-2 y virus varicela-zoster (VZV mediante reacción en cadena de polimerasa (PCR. Resultados. Se enrolaron 97 pacientes de los cuales 69 % presentaron encefalitis aguda y 31 % meningitis aguda. Se identificó enterovirus en 52,6 % del total de infecciones agudas no bacterianas del sistema nervioso central; encontrándose en 83,3 % de las meningitis y en 38,8 % de las encefalitis. No hubo casos de infección por VHS-1, VHS-2 ni VZV. Las infecciones por enterovirus alcanzaron el 82,9 % en los meses cálidos de noviembre a enero y el 28,6 % en los meses fríos de mayo a julio. Conclusiones. Los enterovirus fueron los principales agentes etiológicos en las encefalitis y meningitis asépticas agudas en pacientes pediátricos de Lima, Perú. Los enterovirus tienen un comportamiento epidemiológico estacional con un claro aumento del número de casos en los meses de verano. Resulta útil tener disponible un método de diagnóstico rápido, como una ayuda para el manejo de las infecciones agudas del sistema nervioso.Objectives. To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. Materials and methods. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the

  15. The accuracy of nurse performance of the triage process in a tertiary hospital emergency department in Gauteng Province, South Africa

    Directory of Open Access Journals (Sweden)

    L N Goldstein

    2017-03-01

    Full Text Available Background. Triage in the emergency department (ED is necessary to prioritise management according to the severity of a patient’s condition.The South African Triage Scale (SATS is a hospital-based triage tool that has been adopted by numerous EDs countrywide.Many factors can influence the outcome of a patient’s triage result, and evaluation of performance is therefore pivotal. Objectives. To determine how often patients were allocated to the correct triage category and the extent to which they were incorrectly promoted or demoted, and to determine the main reasons for errors in a nurse-led triage system. Methods. Triage forms from a tertiary hospital ED in Gauteng Province, South Africa, were collected over a 1-week period and reviewed retrospectively. Results. A total of 1 091 triage forms were reviewed. Triage category allocations were correct 68.3% of the time. Of the incorrect category assignments, 44.4% of patients were promoted and 55.6% demoted. Patients in the green category were most commonly promoted (29.4% and patients who should have been in orange were most commonly demoted (35.0%. Trauma patients were more likely to be incorrectly promoted and non-trauma patients to be incorrectly demoted. Mistakes were mainly due to discriminator errors (57.8%, followed by numerical miscalculations (21.5%. The leading omitted discriminators were ‘abdominal pain’, ‘chest pain’ and ‘shortness of breath’. Conclusions. Mis-triaging using the SATS can be attributed to incorrect or lack of discriminator use, numerical miscalculations and other human errors. Quality control and quality assurance measures must target training in these areas to minimise mis-triage in the ED.

  16. Laboratory surveillance of influenza-like illness in seven teaching hospitals, South Korea: 2011-2012 season.

    Directory of Open Access Journals (Sweden)

    Ji Yun Noh

    Full Text Available BACKGROUND: A well-constructed and properly operating influenza surveillance scheme is essential for public health. This study was conducted to evaluate the distribution of respiratory viruses in patients with influenza-like illness (ILI through the first teaching hospital-based surveillance scheme for ILI in South Korea. METHODS: Respiratory specimens were obtained from adult patients (≥18 years who visited the emergency department (ED with ILI from week 40, 2011 to week 22, 2012. Multiplex PCR was performed to detect respiratory viruses: influenza virus, adenovirus, coronavirus, respiratory syncytial virus, rhinovirus, human metapneumovirus, parainfluenza virus, bocavirus, and enterovirus. RESULTS: Among 1,983 patients who visited the ED with ILI, 811 (40.9% were male. The median age of patients was 43 years. Influenza vaccination rate was 21.7% (430/1,983 during the 2011-2012 season. At least one comorbidity was found in 18% of patients. The positive rate of respiratory viruses was 52.1% (1,033/1,983 and the total number of detected viruses was 1,100. Influenza A virus was the dominant agent (677, 61.5% in all age groups. The prevalence of human metapneumovirus was higher in patients more than 50 years old, while adenovirus was detected only in younger adults. In 58 (5.6% cases, two or more respiratory viruses were detected. The co-incidence case was identified more frequently in patients with hematologic malignancy or organ transplantation recipients, however it was not related to clinical outcomes. CONCLUSION: This study is valuable as the first extensive laboratory surveillance of the epidemiology of respiratory viruses in ILI patients through a teaching hospital-based influenza surveillance system in South Korea.

  17. Cold episodes in the Peruvian Central Andes: Composites, Types, and their Impacts over South America (1958-2014)

    Science.gov (United States)

    Sulca, J. C.; Vuille, M. F.; Roundy, P. E.; Trasmonte, G.; Silva, Y.; Takahashi, K.

    2015-12-01

    The Mantaro basin (MB) is located in the central Peruvian Andes. Occasionally, cold episodes are observed during austral summer (January-March), that strongly damage crops. However, little is known about the causes and impacts of such cold episodes. The main goal of this study is thus to characterize cold episodes in the MB and assess their large-scale circulation and teleconnections over South America (SA) during austral summer. To identify cold events in the MB daily minimum temperature (Tmin) for the period 1958-2014 from Huayao station, located within the MB was used. A cold episode is defined when daily minimum temperature drops below its 10-percentile for at least one day. Additionally, to study the sensitivity between physical mechanisms associated with cold episodes and temperature, cold episodes are classified in three groups: Weak cold episodes (7.5 ≤ Tmin ≤ 10 percentile), strong cold episodes (Tmin ≤ 2.5 percentile), but excluding the 9 coldest events (Tmin ≤ 0 ͦ C), henceforth referred to as extraordinary cold episodes. Several gridded reanalysis were used to characterize the large-scale circulation, cloud cover and rainfall over SA associated with these events. Weak and strong cold episodes in the MB are mainly associated with a weakening of the Bolivian High-Nordeste Low system by tropical-extratropical interactions. Both types of cold episodes are associated with westerly wind anomalies at mid- and upper-tropospheric levels aloft the Peruvian Central Andes, which inhibit the influx of humid air masses from the lowlands to the east and hence limit the development of cloud cover (e.g., positive OLR anomalies over MB). The resulting clear sky conditions cause nighttime temperatures to drop, leading to cold extremes below 10-percentile. Simultaneously, northeastern Brazil (NEB) registers negative OLR anomalies, strong convection and enhanced cloud cover because displacement of the South Atlantic Convergence Zone (SACZ) toward the northeast of

  18. Development of a Geologic Exploration Model foe the Permo-Pennsylvanian Petroleum System in South-Central Montana

    Energy Technology Data Exchange (ETDEWEB)

    David A. Lopez

    2007-06-30

    presented: migration occurred (1) before mid-Jurassic erosion produced a major regional unconformity or (2) about 82 million years ago. Migration pre-Laramide occurred because oil in both the Bighorn Basin and the Powder River Basin are part of the same petroleum system. Geochemical analyses of oils from producing fields across the region show the oils are all similar and have the same source and generation history. No Phosphoria source rocks exist in the project area of south-central Montana, requiring that oil migrated from distant source areas, probably in central and southwestern Wyoming. Oil shows and production in the Tensleep are absent in the northern part of the project area. This appears to be controlled by the merging of the top of the Tensleep Sandstone and the Jurassic unconformity (top of the Triassic Chugwater Formation). There should be potential for the discovery of oil in Tensleep stratigraphic traps or combination traps everywhere south of the Jurassic-Pennsylvanian Isopach zero contour except where the Tensleep has been exposed by uplift and erosion. Known Tensleep fields in south-central Montana are generally small in area, which agrees with outcrop studies that show eolian dune sequences are generally quite small in lateral extent, on the order of 10 to 40 acres. Although existing fields are small in area, they are very productive; individual wells will probably make 300,000 to 500,000 barrels of oil. In the project area, hydrodynamic considerations are important. All the existing Tensleep fields have active water drives. In many cases, the reservoir pressure today is as it was when initially discovered. In areas of high structural complexity, such as the Lodge Grass-Crow Agency fault and the Lake Basin fault zone, significant structural closure may be necessary to trap oil because of the strong hydrodynamic influence exerted by the underlying Madison Formation aquifer.

  19. Population structure of humpback whales in the western and central South Pacific Ocean as determined by vocal exchange among populations.

    Science.gov (United States)

    Garland, Ellen C; Goldizen, Anne W; Lilley, Matthew S; Rekdahl, Melinda L; Garrigue, Claire; Constantine, Rochelle; Hauser, Nan Daeschler; Poole, M Michael; Robbins, Jooke; Noad, Michael J

    2015-08-01

    For cetaceans, population structure is traditionally determined by molecular genetics or photographically identified individuals. Acoustic data, however, has provided information on movement and population structure with less effort and cost than traditional methods in an array of taxa. Male humpback whales (Megaptera novaeangliae) produce a continually evolving vocal sexual display, or song, that is similar among all males in a population. The rapid cultural transmission (the transfer of information or behavior between conspecifics through social learning) of different versions of this display between distinct but interconnected populations in the western and central South Pacific region presents a unique way to investigate population structure based on the movement dynamics of a song (acoustic) display. Using 11 years of data, we investigated an acoustically based population structure for the region by comparing stereotyped song sequences among populations and years. We used the Levenshtein distance technique to group previously defined populations into (vocally based) clusters based on the overall similarity of their song display in space and time. We identified the following distinct vocal clusters: western cluster, 1 population off eastern Australia; central cluster, populations around New Caledonia, Tonga, and American Samoa; and eastern region, either a single cluster or 2 clusters, one around the Cook Islands and the other off French Polynesia. These results are consistent with the hypothesis that each breeding aggregation represents a distinct population (each occupied a single, terminal node) in a metapopulation, similar to the current understanding of population structure based on genetic and photo-identification studies. However, the central vocal cluster had higher levels of song-sharing among populations than the other clusters, indicating that levels of vocal connectivity varied within the region. Our results demonstrate the utility and value of

  20. Petrogenesis and depositional history of felsic pyroclastic rocks from the Melka Wakena archaeological site-complex in South central Ethiopia

    Science.gov (United States)

    Resom, Angesom; Asrat, Asfawossen; Gossa, Tegenu; Hovers, Erella

    2018-06-01

    The Melka Wakena archaeological site-complex is located at the eastern rift margin of the central sector of the Main Ethiopian Rift (MER), in south central Ethiopia. This wide, gently sloping rift shoulder, locally called the "Gadeb plain" is underlain by a succession of primary pyroclastic deposits and intercalated fluvial sediments as well as reworked volcaniclastic rocks, the top part of which is exposed by the Wabe River in the Melka Wakena area. Recent archaeological survey and excavations at this site revealed important paleoanthropological records. An integrated stratigraphic, petrological, and major and trace element geochemical study has been conducted to constrain the petrogenesis of the primary pyroclastic deposits and the depositional history of the sequence. The results revealed that the Melka Wakena pyroclastic deposits are a suite of mildly alkaline, rhyolitic pantellerites (ash falls, pumiceous ash falls and ignimbrites) and slightly dacitic ash flows. These rocks were deposited by episodic volcanic eruptions during early to middle Pleistocene from large calderas along the Wonji Fault Belt (WFB) in the central sector of the MER and from large silicic volcanic centers at the eastern rift shoulder. The rhyolitic ash falls, pumiceous ash falls and ignimbrites have been generated by fractional crystallization of a differentiating basaltic magma while the petrogenesis of the slightly dacitic ash flows involved some crustal contamination and assimilation during fractionation. Contemporaneous fluvial activities in the geomorphologically active Gadeb plain deposited overbank sedimentary sequences (archaeology bearing conglomerates and sands) along meandering river courses while a dense network of channels and streams have subsequently down-cut through the older volcanic and sedimentary sequences, redepositing the reworked volcaniclastic sediments further downstream.

  1. An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa.

    Science.gov (United States)

    Vally, M; Koto, M Z; Govender, M

    2017-01-30

    Diverticular disease was previously thought to be non-existent in the black African population. Studies over the past four decades, however, have shown a steady increase in the prevalence of the disease. To report on the profile and current prevalence of diverticular disease in the black South African (SA) population at Dr George Mukhari Academic Hospital, Pretoria, SA. A retrospective descriptive study was performed in black SA patients who were diagnosed with diverticular disease by colonoscopy between 1 January and 31 December 2015. Of 348 patients who had undergone colonoscopies and who were eligible for inclusion in this study, 47 were diagnosed with diverticular disease - a prevalence of 13.50% (95% confidence interval 10.30 - 17.50). The greatest number of patients diagnosed were in their 7th and 8th decades, with an age range of 46 - 86 (mean 67) years. There was a female predominance of 57.45%. Lower gastrointestinal bleeding was the most common (65.96%) indication for colonoscopy. The left colon was most commonly involved (72.34%), followed by the right colon (55.31%). A substantial number of patients had pancolonic involvement (27.65%). This retrospective study suggests that there has been a considerable increase in the prevalence of diverticular disease among black South Africans, possibly owing to changes in dietary habits and socioeconomic status.

  2. An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

    Directory of Open Access Journals (Sweden)

    M Vally

    2017-02-01

    Full Text Available Background. Diverticular disease was previously thought to be non-existent in the black African population. Studies over the past four decades, however, have shown a steady increase in the prevalence of the disease. Objective. To report on the profile and current prevalence of diverticular disease in the black South African (SA population at Dr George Mukhari Academic Hospital, Pretoria, SA. Methods. A retrospective descriptive study was performed in black SA patients who were diagnosed with diverticular disease by colonoscopy between 1 January and 31 December 2015. Results. Of 348 patients who had undergone colonoscopies and who were eligible for inclusion in this study, 47 were diagnosed with diverticular disease – a prevalence of 13.50% (95% confidence interval 10.30 - 17.50. The greatest number of patients diagnosed were in their 7th and 8th decades, with an age range of 46 - 86 (mean 67 years. There was a female predominance of 57.45%. Lower gastrointestinal bleeding was the most common (65.96% indication for colonoscopy. The left colon was most commonly involved (72.34%, followed by the right colon (55.31%. A substantial number of patients had pancolonic involvement (27.65%. Conclusion. This retrospective study suggests that there has been a considerable increase in the prevalence of diverticular disease among black South Africans, possibly owing to changes in dietary habits and socioeconomic status.

  3. Factors Related to Healthcare Service Quality in Long-term Care Hospitals in South Korea: A Mixed-methods Study.

    Science.gov (United States)

    Sohn, Minsung; Choi, Mankyu

    2017-10-01

    The environment of long-term care hospitals (LTCHs) is critical to the management of the quality of their services and to patient safety, as highlighted by international studies. However, there is a lack of evidence on this topic in South Korea. This study aimed to examine the factors affecting healthcare quality in LTCHs and to explore the effectiveness of their quality management. This study used a mixed methods approach with quantitative data collected in a national survey and qualitative data from semi-structured interviews with practice-based managers. The samples included 725 nationally representative LTCHs in South Korea for the quantitative analysis and 15 administrators for the in-depth interviews. A higher installation rate of patient-safety and hygiene-related facilities and staff with longer-tenures, especially nurses, were more likely to have better healthcare quality and education for both employees and patients. The need for patient-safety- and hygiene-related facilities in LTCHs that serve older adults reflects their vulnerability to certain adverse events (e.g., infections). Consistent and skillful nursing care to improve the quality of LTCHs can be achieved by developing relevant educational programs for staff and patients, thereby strengthening the relationships between them.

  4. Satisfaction and adherence of patients with amputations to physiotherapy service at public hospitals in KwaZulu-Natal, South Africa.

    Science.gov (United States)

    Verusia, Chetty; Tanuja, Dunpath; Simira, Meghnath; Sarisha, Mothalal; Varuna, Sewmungal; Ursula, Kunene; Thalente, Ntshakala

    2015-06-01

    Individuals who have undergone a lower limb amputation require comprehensive rehabilitation from the multidisciplinary team to ensure optimal treatment outcomes and social integration. Physiotherapists play a pivotal role within the multidisciplinary team and offer patients physical and psychosocial rehabilitative care. Determining patients' satisfaction levels and exploring factors affecting adherence to physiotherapy interventions can inform practice and improve service delivery of rehabilitation within resource poor settings such as South Africa. To determine the level of satisfaction with physiotherapy services rendered to acute and sub-acute in-patients with lower limb amputations and to explore factors affecting adherence to physiotherapy intervention. A prospective survey of 35 patients with lower limb amputations from four public hospitals in South Africa was undertaken. A modified version of the Hampstead rehabilitation centre patient satisfaction questionnaire was utilised. Majority of participants were satisfied with the physiotherapy services whilst a few reported dissatisfaction. Three themes emerged whilst exploring the patients' experience relating to adherence to physiotherapy programmes. Themes included service delivery, patient-therapist interaction and participation barriers and facilitators. Recommendations aimed to improve quality of care and healthcare outcomes thereby enhancing the participants' adherence to the physiotherapy programme.

  5. Clinical, immunologic and insulin secretory characteristics of young black South African patients with diabetes: Hospital based single centre study.

    Science.gov (United States)

    Ekpebegh, C O; Longo-Mbenza, B

    2013-03-01

    To classify and characterize the clinical features of various diabetes classes among young black South Africans. Cross sectional study of 60 black patients with diabetes, all less than 30 years of age and attending Nelson Mandela Academic Hospital, Mthatha, South Africa. Diabetes was classified as Types 1A, 1B and 2 based on the anti-glutamic acid decarboxylase status and serum C-peptide response to intravenous injection of glucagon. Mean age was 19.6±4.8 years (n=60) with similar gender distribution. The mean duration of diabetes was 24.2±45.1 months. Type 1A was the class of diabetes in 55% (n=33/60) of patients. Type 1B and 2 accounted for 30% (n=18/60) and 15% (n=9/60) of patients respectively. Patients classified as Type 2 had higher waist circumference and higher prevalence of acanthosis nigricans than Types 1A and 1B groups. History of diabetes in a first degree relative and hypertension were found in similar proportions of patients with Types 1A, 1B and 2 diabetes. Five Type 1A diabetes patients had body mass index of 26.2-41kg/m(2) and this included two newly diagnosed patients with body mass index of 26.7kg/m(2) and 33.2kg/m(2). The majority of our young black South Africans with diabetes are of the Type 1A class. Acanthosis nigricans was not found in any patient with Type 1 A diabetes. A minority of Type 1 A diabetes patients were obese at initial diagnosis. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  6. Infant feeding practices among HIV-positive mothers at Tembisa hospital, South Africa

    Directory of Open Access Journals (Sweden)

    Armelia Chaponda

    2017-07-01

    Conclusion: In the postnatal hospital setting of this study, the feeding choices of mothers were influenced by nursing personnel. Nursing personnel could marry the influential ‘authority’ they have with correct and consistent information, in order to change feeding behaviour. Significant ‘others’ like grandmothers and other relatives also influenced decisions on infant feeding. As such, family dynamics need to be considered when encouraging breastfeeding.

  7. Newborn transport in South Australia, 1978-80: experience of the Queen Victoria Hospital, Adelaide.

    Science.gov (United States)

    Davies, A G; Fitzgerald, A M; Dahlenburg, G W

    1982-01-23

    389 infants were transported to the Queen Victoria Hospital, Adelaide between 1978 and 1980. Twenty-three percent (99) of the infants were ventilated, and 49% (189) received intravenous or intra-arterial therapy. Fifty-six percent (217) of the infants required transport because of prematurity; 11% (46) because of perinatal asphyxia in babies weighing more than 2,500 g. Only one baby died during transport, while 14% of the babies died subsequently. A core temperature of less than 36 degrees C in either hospital is important; a cold baby is 3.5 times more likely to die (X2=25.46, P less than 0.001). The transport of babies over distances greater than 300 kilometres is peculiar to Australia. Significantly more of these babies were cold than those retrieved from hospitals near Adelaide (X2=4.7, P less than 0.05), and significantly more died. Difficulty in transferring mothers in preterm labour may be another reason these babies did relatively badly. Better education and facilities will be important if we are to improve their survival chances.

  8. STANDARD PRECAUTIONS: AN ASSESSMENT OF AWARENESS AMONG HEALTH CARE PERSONNEL IN A TEACHING HOSPITAL, SOUTH INDIA.

    Directory of Open Access Journals (Sweden)

    Sangeetha

    2015-02-01

    Full Text Available BACKGROUND : Standard precautions ar e crucial in the prevention and transmission of Healthcare associated infections ( HAI and transmission of blood - borne pathogens like Hepatitis B, Human Immunodeficiency Virus & Hepatitis C. They are not well u nderstood or implemented by health care practitioners. Hence this study was taken up to determine and compare knowledge, attitude of standard precautions among health care personnel at a teaching hospital, Bangalore. OBJECTIVE : To assess knowledge, attitud e, practices and compliance of Standard precautions among health care workers at a teaching hospital. METHODOLOGY : One hundred and fifty seven health care personnel participated in this study. A pretest and post test was administered to the study group. A pre - structured questionnaire on standard precautions was prepared which included knowledge, attitude and practices. RESULTS : 116 ( 73.88% nurses had knowledge about hand hygiene, but only 82 ( 52.2% nurses practiced hand hygiene before and after patient care. Knowledge about PPE measures like gloves, face mask & goggles, gowns were known to 101(64.33%, 56 ( 35.66% & 69 ( 43.94% nurses respectively. 117 ( 74.52% nurses discarded needles & sharps in correct puncture proof containers, but their correct knowled ge regarding colour coding of hospital waste segregation was comparatively less i.e. 104 ( 66.24%. 119 ( 75.79% of the nurses had practice of recapping the needles after use. CONCLUSION : There was significant improvement in the knowledge and practice of stan dard precautions in the present study after incorporating good training practices

  9. Appraisal of the Effectiveness of CODE; The Coordinated Delivery System for the South Central Research Library Council, January to December 1970.

    Science.gov (United States)

    Faibisoff, Sylvia G.

    A major concern of the South Central Research Library Council in establishing an interlibrary loan network was the development of a Coordinated Delivery system (CODE). Several means of delivery were considered--the U.S. mails, commercial trucking (Greyhound, United Parcel Service), and use of the public library system's delivery services. A…

  10. Reduction of Risk in Exploration and Prospect Generation through a Multidisciplinary Basin-Analysis Program in the South-Central Mid-Continent Region

    Energy Technology Data Exchange (ETDEWEB)

    Banerjee, S.; Barker, C.; Fite, J.; George, S.; Guo, Genliang; Johnson, W.; Jordan, J., Szpakiewicz, M.; Person, M.; Reeves, T.K.; Safley, E.; Swenson, J.B.; Volk, L.; and Erickson, R.

    1999-04-02

    This report will discuss a series of regional studies that were undertaken within the South-Central Mid-Continent region of the U.S. Coverage is also provided about a series of innovative techniques that were used for this assessment.

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

    OpenAIRE

    Cabrera Rioja, Luis Alberto

    2007-01-01

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

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

    OpenAIRE

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

    2006-01-01

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

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

    Directory of Open Access Journals (Sweden)

    A. Oliveira

    2003-11-01

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

  14. Recent Intermediate Depth Earthquakes in El Salvador, Central Mexico, Cascadia and South-West Japan

    Science.gov (United States)

    Lemoine, A.; Gardi, A.; Gutscher, M.; Madariaga, R.

    2001-12-01

    We studied occurence and source parameters of several recent intermediate depth earthquakes. We concentrated on the Mw=7.7 salvadorian earthquake which took place on January 13, 2001. It was a good example of the high seismic risk associated to such kind of events which occur closer to the coast than the interplate thrust events. The Salvadorian earthquake was an intermediate depth downdip extensional event which occured inside the downgoing Cocos plate, next to the downdip flexure where the dip increases sharply before the slab sinks more steeply. This location corresponds closely to the position of the Mw=5.7 1996 and Mw=7.3 1982 downdip extensional events. Several recent intermediate depth earthquakes occured in subduction zones exhibiting a ``flat slab'' geometry with three distinct flexural bends where flexural stress may be enhanced. The Mw=6.7 Geiyo event showed a downdip extensional mechanism with N-S striking nodal planes. This trend was highly oblique to the trench (Nankai Trough), yet consistent with westward steepening at the SW lateral termination of the SW Japan flat slab. The Mw=6.8 Olympia earthquake in the Cascadia subduction zone occured at the downdip termination of the Juan de Fuca slab, where plate dip increases from about 5o to over 30o. The N-S orientation of the focal planes, parallel to the trench indicated downdip extension. The location at the downdip flexure corresponds closely to the estimated positions of the 1949 M7.1 Olympia and 1965 M6.5 Seattle-Tacoma events. Between 1994 and 1999, in Central Mexico, an unusually high intermediate depth seismicity occured where several authors proposed a flat geometry for the Cocos plate. Seven events of magnitude between Mw=5.9 and Mw=7.1 occured. Three of them were downdip compressional and four where down-dip extensional. We can explain these earthquakes by flexural stresses at down-dip and lateral terminations of the supposed flat segment. Even if intermediate depth earthquakes occurence could

  15. Antimicrobial resistance patterns of Staphylococcus species isolated from cats presented at a veterinary academic hospital in South Africa.

    Science.gov (United States)

    Qekwana, Daniel Nenene; Sebola, Dikeledi; Oguttu, James Wabwire; Odoi, Agricola

    2017-09-15

    Antimicrobial resistance is becoming increasingly important in both human and veterinary medicine. This study investigated the proportion of antimicrobial resistant samples and resistance patterns of Staphylococcus isolates from cats presented at a veterinary teaching hospital in South Africa. Records of 216 samples from cats that were submitted to the bacteriology laboratory of the University of Pretoria academic veterinary hospital between 2007 and 2012 were evaluated. Isolates were subjected to antimicrobial susceptibility testing against a panel of 15 drugs using the disc diffusion method. Chi square and Fisher's exact tests were used to assess simple associations between antimicrobial resistance and age group, sex, breed and specimen type. Additionally, associations between Staphylococcus infection and age group, breed, sex and specimen type were assessed using logistic regression. Staphylococcus spp. isolates were identified in 17.6% (38/216) of the samples submitted and 4.6% (10/216) of these were unspeciated. The majority (61.1%,11/18) of the isolates were from skin samples, followed by otitis media (34.5%, 10/29). Coagulase Positive Staphylococcus (CoPS) comprised 11.1% (24/216) of the samples of which 7.9% (17/216) were S. intermedius group and 3.2% (7/216) were S. aureus. Among the Coagulase Negative Staphylococcus (CoNS) (1.9%, 4/216), S. felis and S. simulans each constituted 0.9% (2/216). There was a significant association between Staphylococcus spp. infection and specimen type with odds of infection being higher for ear canal and skin compared to urine specimens. There were higher proportions of samples resistant to clindamycin 34.2% (13/25), ampicillin 32.4% (2/26), lincospectin 31.6% (12/26) and penicillin-G 29.0% (11/27). Sixty three percent (24/38) of Staphylococcus spp. were resistant to one antimicrobial agent and 15.8% were multidrug resistant (MDR). MDR was more common among S. aureus 28.6% (2/7) than S. intermedius group isolates 11.8% (2

  16. Improving access to health care in a rural regional hospital in South Africa: Why do patients miss their appointments?

    Science.gov (United States)

    Frost, Lucy; Jenkins, Louis S; Emmink, Benjamin

    2017-03-30

    Access to health services is one of the Batho Pele ('people first') values and principles of the South African government since 1997. This necessitated some changes around public service systems, procedures, attitudes and behaviour. The challenges of providing health care to rural geographically spread populations include variations in socio-economic status, transport opportunities, access to appointment information and patient perceptions of costs and benefits of seeking health care. George hospital, situated in a rural area, serves 5000 outpatient visits monthly, with non-attendance rates of up to 40%. The aim of this research was to gain a greater understanding of the reasons behind non-attendance of outpatient department clinics to allow locally driven, targeted interventions. This was a descriptive study. We attempted to phone all patients who missed appointments over a 1-month period (n = 574). Only 20% were contactable with one person declining consent. Twenty-nine percent had no telephone number on hospital systems, 7% had incorrect numbers, 2% had died and 42% did not respond to three attempts. The main reasons for non-attendance included unaware of appointment date (16%), out of area (11%), confusion over date (11%), sick or admitted to hospital (10%), family member sick or died (7%), appointment should have been cancelled by clerical staff (6%) and transport (6%). Only 9% chose to miss their appointment. The other 24% had various reasons. Improved patient awareness of appointments, adjustments in referral systems and enabling appointment cancellation if indicated would directly improve over two-thirds of reasons for non-attendance. Understanding the underlying causes will help appointment planning, reduce wasted costs and have a significant impact on patient care.

  17. The impact of patient demographics and comorbidities upon burns admitted to Tygerberg Hospital Burns Unit, Western Cape, South Africa.

    Science.gov (United States)

    Cloake, T; Haigh, T; Cheshire, J; Walker, D

    2017-03-01

    In South Africa, burns are a major public health problem responsible for significant morbidity and long-term physical disability. This is, in part, due to a significant proportion of the urban population living in poorly constructed, combustible accommodation. The presence of co-morbid diseases such as diabetes and malignancy in patients with burns has been associated with a poorer outcome. The impact of other diseases such as HIV has yet to be defined. A retrospective data collection study analysed the 221 patients admitted to Tygerberg Hospital Burns Unit in 2011 and the first six months of 2013. Using hospital records, patient demographic data was collected alongside burn agent, ICU admission, complications, and patient outcome in terms of length of stay and mortality. The most common burn agent was hot liquid (45.7%). A significant proportion of patients were subject to intentional attacks (34.3%). Shack fires and flame accounted cumulatively for 85% of total inhalational burns, the highest rates of admission to ICU (85.5%), the highest rate of complications, as well as 92.3% of all total fatalities. HIV+ patients had a higher mortality (13.3% vs 5%, p=0.22) and a higher complication rate (46.7% vs 30%, p=0.21). There was no difference in length of stay between the HIV+ and HIV- cohort (12days vs. 15.5 days, p=0.916). Burns are a significant yet preventable cause of mortality and morbidity. The rising number of shack fires, responsible for extensive burns and resultant mortality is concerning and indicates urgent attention and action. HIV complicates the recovery from burn and is responsible for an increased rate of in hospital mortality. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  18. Causes of deaths in children under-five years old at a tertiary hospital in Limpopo province of South Africa.

    Science.gov (United States)

    Ntuli, Sam Thembelihle; Malangu, Ntambwe; Alberts, Marianne

    2013-02-15

    Accurate and timely information on the causes of child deaths is essential in guiding efforts to improve child survival, by providing data from which health profiles can be constructed and relevant health policies formulated. The purpose of this study was to identify causes of death in children younger than 5 years-old in a tertiary hospital in South Africa. Death certificates from the Pietersburg/Mankweng hospital complex, for the period of January 1, 2008 through December 31, 2010, were obtained for all patients younger than 5 years and were retrospectively reviewed. Data were collected using a data collection form designed for the study. Information abstracted included: date of death, age, sex, and cause of death. A total of 1266 deaths were recorded, the sex ratio was 1.26 boys per girl. About 611 (48%) of deaths were listed as neonatal deaths (0-28 days), 387 (31%) were listed as infant deaths (29 days-11 months), and 268 (21%) as children's death (1-4 years). For neonates the leading causes of death were: prematurity/low birth weight, birth asphyxia and pneumonia. For the infant death group, the leading causes of death were pneumonia, diarrhea, and HIV/AIDS; and in the children's group, the leading causes were injuries, diarrhea and pneumonia. There was no statistical significant difference in the proportions of causes of death based on the sex of children. The top 10 leading causes of death in children under-5 years old treated at Pietersburg/Mankweng Hospital Complex were in descending order: prematurity/low birth weight, pneumonia, diarrheal diseases, birth asphyxia, and severe malnutrition, HIV/AIDS, hydrocephalus, unintentional injuries, meningitis and other infections. These ten conditions represent 73.9% of causes of death at this facility. A mix of multi-faceted interventions is needed to address these causes of death in children.

  19. A survey of digital radiography practice in four South African teaching hospitals: an illuminative study.

    Science.gov (United States)

    Nyathi, T; Chirwa, Tf; van der Merwe, Dg

    2010-01-01

    The purpose of this study was to assess radiographer familiarity and preferences with digital radiography in four teaching hospitals and thereafter make recommendations in line with the migration from screen film to digital radiography. A questionnaire was designed to collect data from either qualified or student radiographers from four teaching hospitals. From the four teaching hospitals, there were a total of 205 potential respondents. Among other things, responses regarding experiences and preferences with digital radiography, quality control procedures, patient dose, advantages and disadvantages of digital radiography were sought. The information collected was based on self-reporting by the participants. The study is exploratory in nature and descriptive statistics were generated from the collected data using Microsoft Excel 2007 and StatsDirect software. Sixty-three out of 205 (31%) radiographers from all the four radiology centers responded to the circulated questionnaire. Only 15% (8) of the qualified radiographers had 4 or more years of experience with digital radiography compared to 68% (36) for the same amount of experience with screen-film radiography. Sixty-one percent (38) of the participants had been exposed to digital radiography during their lectures while at university. A small proportion, 16% (10) of the respondents underwent formal training in quality control procedures on the digital X-ray units they were using. Slightly more than half (55%) of the participants felt it was easier for them to retake an image in digital radiography than in screen film radiography. The results of this survey showed that the participants are familiar with digital radiography and have embraced this relatively new technology as shown by the fact that they can identify both its advantages and disadvantages as applied to clinical practice. However, there are minimal quality control procedures specific to digital radiography being undertaken as such there is need for

  20. Modelling the day to day wind variability offshore central Chile at about 30 deg. south

    International Nuclear Information System (INIS)

    Rutllant, J.

    1994-07-01

    Cycles of strengthening and relaxation of the winds offshore 30 degrees S at central Chile, are related to the propagation of coastal-lows, a year-round phenomenon occurring with periodicities of about one in five days. Simple physical modelling of the day to day variability of the alongshore wind component at a coastal strip extending offshore up to the Rossby deformation radius of these wave perturbations, is presented in terms of the relevant horizontal pressure gradients and the ageostrophic components arising from the coastal-low propagation. The results of 5-day composites of 8 wind-events each, at the winter and summer halves of the annual cycle, respectively; lead to a good agreement between the observed phase-lag of the winds with respect to the pressure forcing field, stressing the importance of the ageostrophic wind components at the extremes of the pressure wave perturbation associated with the passage of coastal-lows over the Point Lengua de Vaca (30 15 S) area. A possible contribution of the upwelling-favorable wind enhancement at the time of the pressure rise and subsequent fall, ahead of the coastal-low, is postulated through an upwelling-front low-level jet, that would be carried onshore and closer to the surface by the combination of the enhanced coastal upwelling, the coastal depression of the subsidence inversion base and the coastal ageostrophic wind components during the passage of the leading edge of the coastal lows. (author). 26 refs, 5 figs, 1 tab

  1. Debris flow susceptibility assessment based on an empirical approach in the central region of South Korea

    Science.gov (United States)

    Kang, Sinhang; Lee, Seung-Rae

    2018-05-01

    Many debris flow spreading analyses have been conducted during recent decades to prevent damage from debris flows. An empirical approach that has been used in various studies on debris flow spreading has advantages such as simple data acquisition and good applicability for large areas. In this study, a GIS-based empirical model that was developed at the University of Lausanne (Switzerland) is used to assess the debris flow susceptibility. Study sites are classified based on the types of soil texture or geological conditions, which can indirectly consider geotechnical or rheological properties, to supplement the weaknesses of Flow-R which neglects local controlling factors. The mean travel angle for each classification is calculated from a debris flow inventory map. The debris flow susceptibility is assessed based on changes in the flow-direction algorithm, an inertial function with a 5-m DEM resolution. A simplified friction-limited model was applied to the runout distance analysis by using the appropriate travel angle for the corresponding classification with a velocity limit of 28 m/s. The most appropriate algorithm combinations that derived the highest average of efficiency and sensitivity for each classification are finally determined by applying a confusion matrix with the efficiency and the sensitivity to the results of the susceptibility assessment. The proposed schemes can be useful for debris flow susceptibility assessment in both the study area and the central region of Korea, which has similar environmental factors such as geological conditions, topography and rainfall characteristics to the study area.

  2. Health status of the prisoners in a central jail of South India.

    Science.gov (United States)

    Kumar, Sunil D; Kumar, Santosh A; Pattankar, Jayashree V; Reddy, Shrinivas B; Dhar, Murali

    2013-10-01

    Health care in prisons is one of the neglected health areas in our country. Looking into the health problems of prisons will show us a way for the approach in providing the heath care for prisoners. To assess the health status of convicted inmates of prison and to study their sociodemographic profile. A cross-sectional study was conducted among the inmates of central prison over a period of 1 year. Study population comprised of 300 convicted life-term prisoners. The inmates were interviewed using predesigned and pretested proforma. Sociodemographic data were analyzed by frequencies and percentages along with 95% confidence interval using statistical package SPSS18. In health status, 29 (9.6%) inmates suffered from acute upper respiratory tract infections and 15 (5%) from acute lower respiratory tract infections. A total of 54 (18%) inmates had ascariasis. Diseases of musculoskeletal system and connective tissue contributed to 26 (8.7%) of inmates. A total of 252 (84%) prisoners had anemia. In sociodemographic profile, it was found that rural people, unmarried, illiterates, lower socioeconomic status people were more likely to have committed the crime resulting in the conviction for life. As there is an increase in number of prisoners and morbidities among them, there is an urgent need for prison health care services in developing countries like India and provide training to the health care providers to manage the commonly existing health problems among prisoners in the prisons.

  3. Dioxin-like chemicals in soil and sediment from residential and industrial areas in central South Africa.

    Science.gov (United States)

    Nieuwoudt, Claudine; Quinn, Laura P; Pieters, Rialet; Jordaan, Ilse; Visser, Maret; Kylin, Henrik; Borgen, Anders R; Giesy, John P; Bouwman, Henk

    2009-08-01

    Persistent organic pollutants (POPs) are a global concern due to their ubiquitous presence and toxicity. Currently, there is a lack of information regarding POPs from South Africa. Here we report and interpret concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), -dibenzofurans (PCDFs) and co-planar-biphenyls (PCBs) in soils and sediments collected from central South Africa. High resolution gas chromatography-high resolution mass spectrometry (HRGC/HRMS) and the H4IIE-luc bio-assay were used to identify and quantify individual PCDD/F congeners and to report the total concentration of 2,3,7,8-tetrachloro dibenzo-p-dioxin equivalents (TCDD-EQ), respectively. TCDD-EQs determined by use of the bio-assay, and concentrations of WHO(2005)-TEQ (toxic equivalents) determined by chemical analysis, were similar. The limit of detection (LOD) for the bio-assay was 0.82 and 2.8 ng TCDD-EQ kg(-1), dw for sediment and soil, respectively. EQ20 concentrations determined by use of the bio-assay ranged from industrial area of Vanderbijlpark and the residential area of Klerksdorp contained the greatest concentrations. Based on the congener-specific HRGC/HRMS analyzes, concentrations of WHO(2005)-TEQ ranged from 0.12 to 32 ng WHO(2005)-TEQ kg(-1), dw in sediments, and between 0.34 and 20 ng WHO(2005)-TEQkg(-1), dw in soils. The sources, processes and threats that govern and are associated with the lesser concentrations in sediment and greater concentrations in soils need further investigation.

  4. Petrography and geochemistry of five granitic plutons from south central Uruguay: contribution to the knowledge of the Piedra Alta terrane

    International Nuclear Information System (INIS)

    Preciozzi, F.

    2005-01-01

    Granitoid rocks in south-central Uruguay are largely concentrated in three east-west trending metamorphic belts, known as (from south to north) the Montevideo Belt, the San José Belt and the Arroyo Grande Belt. These belts are separated from one another by intervening bands of gneisses of granitic composition. The whole assemblage, the gneisses as well as the metamorphic belts and their associated granites, collectively constitute the Piedra Alta Terrane. Five of these granite plutons, two from the San José Belt and three from the Arroyo Grande Belt, have been studied in some detail and the chemical composition of 86 samples (major elements as well as a selected suite of trace elements) have been determined. These data, as well as Rb-Sr isotopic data, show that these plutons are typically composite in nature, and that the various units range in age from 1900 Ma to 2500 Ma. The older ages were obtained from the main units of the plutons themselves whereas the younger ages are from late dykes which were emplaced into the plutons and which are clearly not related to them. The plutons are predominantly, but not exclusively, of calc-alkaline affinity and are typically synorogenic whereas the dykes are post-orogenic and are either calc-alkaline or alkaline in composition. These data have been incorporated into a tectonic model for the Piedra Alta Terrane which is considerably different from that heretofore proposed. The essential features of the geological history of the area are: 1) development of an older ''basement'' of granitic gneisses 2) deposition, upon or adjacent to this gneisses basement, of a typical Archean greenstone belt assemblage (no komatiites so far reported) 3) Paleo-proterozoic metamorphism, followed by syn-tectonic to post-tectonic intrusion of the plutonic rocks 4) major tectonic dislocation(s) associated with the Transamazonian orogeny 5) dyke emplacement (post-orogenic to anorogenic) following the Transamazonian orogeny

  5. Insecticide resistance in Anopheles gambiae from south-western Chad, Central Africa

    Directory of Open Access Journals (Sweden)

    Etang Josiane

    2008-09-01

    Full Text Available Abstract Background Indoor residual spraying and insecticide-treated nets (ITN are essential components of malaria vector control in Africa. Pyrethroids are the only recommended compounds for nets treatment because they are fast-acting insecticides with low mammalian toxicity. However, there is growing concern that pyrethroid resistance may threaten the sustainability of ITN scaling-up programmes. Here, insecticide susceptibility was investigated in Anopheles gambiae sensu lato from an area of large scale ITN distribution programme in south-western Chad. Methods Susceptibility to 4% DDT, 0.05% deltamethrin, 0.75% permethrin, 0.1% bendiocarb and 5% malathion was assessed using the WHO standard procedures for adult mosquitoes. Tests were carried out with two to four days-old, non-engorged female mosquitoes. The An. gambiae Kisumu strain was used as a reference. Knockdown effect was recorded every 5 min and mortality scored 24 h after exposure. Mosquitoes were identified to species and molecular form by PCR-RFLP and genotypes at the kdr locus were determined in surviving specimens by Hot Oligonucleotide Ligation Assay (HOLA. Results During this survey, full susceptibility to malathion was recorded in all samples. Reduced susceptibility to bendiocarb (mortality rate of 96.1% was found in one sample out of nine assayed. Increased tolerance to pyrethroids was detected in most samples (8/9 with mortality rates ranging from 70.2 to 96.6% for deltamethrin and from 26.7 to 96.3% for permethrin. Pyrethroid tolerance was not associated with a significant increase of knock-down times. Anopheles arabiensis was the predominant species of the An. gambiae complex in the study area, representing 75 to 100% of the samples. Screening for kdr mutations detected the L1014F mutation in 88.6% (N = 35 of surviving An. gambiae sensu stricto S form mosquitoes. All surviving An. arabiensis (N = 49 and M form An. gambiae s.s. (N = 1 carried the susceptible allele

  6. Assessment of cost of illness for diabetic patients in South Indian tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Leelavathi D Acharya

    2016-01-01

    Full Text Available Background: The impact of diabetes on health-care expenditures has been increasingly recognized. To formulate an effective health planning and resource allocation, it is important to determine economic burden. Objective: The objective of this study is to assess the cost of illness (COI for diabetic inpatients with or without complications. Methodology: The study was conducted in the medicine wards of tertiary care hospital after ethical approval by the Institutional Ethical Committee. A total of 116 each diabetic with or without complications were selected and relevant data were collected using COI questionnaire and data were analyzed using SPSS version 20. Mann–Whitney U test is used to assess the statistical significant difference in the cost of treatment of diabetes alone and with complications'. P ≤ 0.05 was considered statistically significant. Results: Total COI includes the cost of treatment, investigation, consultation fee, intervention cost, transportation, days lost due to work, and hospitalization. The median of total COI for diabetic care without any complication was Rs. 22,456.97/- per patient per annum and with complication was Rs. 30,634.45/-. Patients on dialysis had to spend 7.3 times higher, and patients with cardiac intervention had to spend 7.4 times higher than diabetic patients without any complication. Conclusion: Treatment costs were many times higher in patients with complications and with cardiac and renal interventions. Complications in diabetic patients will increase the economic burden to family and also to the society.

  7. Job stress, satisfaction, and coping strategies among medical interns in a South Indian tertiary hospital.

    Science.gov (United States)

    Chandramouleeswaran, Susmita; Edwin, Natasha C; Braganza, Deepa

    2014-07-01

    It has previously been demonstrated that there is a significant drop in all domains of quality of life among interns during internship. A modified version of the health consultant's job stress and satisfaction questionnaire (HCJSSQ) was used to assess and quantify aspects of internship that were perceived as stressful and satisfying. Methods used to cope with work place stress were explored. A prospective cohort study was undertaken among 93 medical interns doing a rotating internship at the Christian Medical College and Hospital, a tertiary-care hospital in southern India. After completion of 6 months of internship, the modified version of the HCJSSQ was administered to all participants. The data were entered into Statistical Package for the Social Sciences (SPSS) Version 9 by double data entry technique. Percentages of interns reporting high levels of stress, satisfaction were calculated. While 63.4% of interns reported high levels of satisfaction, 45.2% of the interns experienced high levels of stress, 17.6% coped with work stress by using alcohol and nicotine, and 37% coped through unhealthy eating habits. More people found internship satisfying than stressful. However, a high proportion found it stressful, and many reported unhealthy coping mechanisms.

  8. Leadership in nursing: An experience of hospital nurses in the south of Santa Catarina/SC.

    Directory of Open Access Journals (Sweden)

    Dalila Felipe Bitencourt

    2013-01-01

    Full Text Available Qualitative research using the case study, it’s order to understand the vision of nurses in a hospital in the southern of Santa Catarina/SC about their experience as leaders of nursing team. Participants were ten nurses working in this role. Data collection was performed in the hospital, between the months of May and June 2012, using the technique of semi-structured interview, based on the guiding question of the study. The analysis of data was performed qualitative and comprised the organization, classification and final analysis. The results show that most nurses do not feel prepared to exercise a leading role, which derives, in most cases, the lack of academic preparation, institutional issues and the reasons inherent in early stage, especially insecurity. The professionals working in other categories of nursing at the same institution need to learn to position themselves against the new post, especially in dealing with colleagues who are now under his leadership. While most have expressed difficulties in the process of transition between academia and professional life were identified that professionals are clear about the roles, skills and abilities necessary for leadership. It is also noted that nurses feel that in some situations they cannot exercise their leadership in the way they consider most appropriate.

  9. LEADERSHIP IN NURSING: AN EXPERIENCE OF HOSPITAL NURSES IN THE SOUTH OF SANTA CATARINA/SC

    Directory of Open Access Journals (Sweden)

    Dalila Felipe Bitencourt

    2013-01-01

    Full Text Available Qualitative research using the case study, it’s order to understand the vision of nurses in a hospital in the southern of Santa Catarina/SC about their experience as leaders of nursing team. Participants were ten nurses working in this role. Data collection was performed in the hospital, between the months of May and June 2012, using the technique of semi-structured interview, based on the guiding question of the study. The analysis of data was performed qualitative and comprised the organization, classification and final analysis. The results show that most nurses do not feel prepared to exercise a leading role, which derives, in most cases, the lack of academic preparation, institutional issues and the reasons inherent in early stage, especially insecurity. The professionals working in other categories of nursing at the same institution need to learn to position themselves against the new post, especially in dealing with colleagues who are now under his leadership. While most have expressed difficulties in the process of transition between academia and professional life were identified that professionals are clear about the roles, skills and abilities necessary for leadership. It is also noted that nurses feel that in some situations they cannot exercise their leadership in the way they consider most appropriate.

  10. Determinants of maternal mortality: a hospital based study from south India.

    Science.gov (United States)

    Rajaram, P; Agrawal, A; Swain, S

    1995-01-01

    During 1981-1986, 86 maternal deaths transpired at the obstetrics department of the Jawaharlal Institute of Postgraduate Medical Education and Research in Pondicherry, India. The maternal mortality rate stood at 5.8/1000 births. 31.4% were primigravidae. The percentage of maternal deaths characterized as gravidae 2-4, 5, and multigravidae was 42.9%, 9.3%, and 16.4%, respectively. The leading causes of death were sepsis (41.9%), especially septic abortion (30.2%); eclampsia-severe preeclampsia (10.5%); ruptured uterus (9.3%); and hemorrhage and prolonged labor (8.1% each). Direct obstetric causes of death accounted for 81.4% of all maternal deaths. Indirect obstetric causes of death were hepatitis (5.8%), heart disease (4.7%), and severe anemia (2.3%). Most of the women who died were illiterate (97.6%), poor (98.8%), and had received no prenatal care (94.2%). 47.7% traveled more than 60 km to the hospital. Quacks or untrained traditional birth attendants had excessively interfered with about 33% before they reached the hospital, especially the septic induced abortion, obstructed labor, and ruptured uterus cases. Among the 48 women who delivered before dying, there were 24 live births (5 of whom died during the early neonatal period) and 24 still births. These findings indicate a need for a cooperative effort to improve and expand maternal and child health care in the community.

  11. The invasive species Ulex europaeus (Fabaceae) shows high dynamism in a fragmented landscape of south-central Chile.

    Science.gov (United States)

    Altamirano, Adison; Cely, Jenny Paola; Etter, Andrés; Miranda, Alejandro; Fuentes-Ramirez, Andres; Acevedo, Patricio; Salas, Christian; Vargas, Rodrigo

    2016-08-01

    Ulex europaeus (gorse) is an invasive shrub deemed as one of the most invasive species in the world. U. europaeus is widely distributed in the south-central area of Chile, which is considered a world hotspot for biodiversity conservation. In addition to its negative effects on the biodiversity of natural ecosystems, U. europaeus is one of the most severe pests for agriculture and forestry. Despite its importance as an invasive species, U. europaeus has been little studied. Although information exists on the potential distribution of the species, the interaction of the invasion process with the spatial dynamic of the landscape and the landscape-scale factors that control the presence or absence of the species is still lacking. We studied the spatial and temporal dynamics of the landscape and how these relate to U. europaeus invasion in south-central Chile. We used supervised classification of satellite images to determine the spatial distribution of the species and other land covers for the years 1986 and 2003, analysing the transitions between the different land covers. We used logistic regression for modelling the increase, decrease and permanence of U. europaeus invasion considering landscape variables. Results showed that the species covers only around 1 % of the study area and showed a 42 % reduction in area for the studied period. However, U. europaeus was the cover type which presented the greatest dynamism in the landscape. We found a strong relationship between changes in land cover and the invasion process, especially connected with forest plantations of exotic species, which promotes the displacement of U. europaeus. The model of gorse cover increase presented the best performance, and the most important predictors were distance to seed source and landscape complexity index. Our model predicted high spread potential of U. europaeus in areas of high conservation value. We conclude that proper management for this invasive species must take into account

  12. Multiproxy approach revealing climate and cultural changes during the last 26kyrs in south-central Chile

    Science.gov (United States)

    Abarzua, Ana M.; Jarpa, Leonora; Martel, Alejandra; Vega, Rodrigo; Pino, Mario

    2010-05-01

    Multiproxy approach from Purén Lumaco Valley (38°S) describes the paleonvironmental history during the Last Maximum Glacial (LGM) in south-central Chile. Three sediment cores and severals AMS 14C dates were used to perform a complete pollen, diatoms, chironomids, and sedimentological records demonstrating the existence of a large and non profundal paleolake, between 25 and 20kyr BP. Some of these evidence are laminated silty-clay sediments (lacustrine rhythmites), associated with the presence of siderite mineral (FeCO3), besides biological proxies like Fragilaria construens and Stauroforma inermes (planctonic diatoms), and Dicrotendipes sp. and Tanytarsini tribe (littoral chironomids). The pollen ensemble reveals the first glacial refuge of Araucaria araucana forests in the low lands during the LGM. The lake was drained abruptly into a swamp/bog at 12kyr BP and colonized by Myrtaceae wet forest. This evidence suggest the dry/warm climate period of early Holocene in south-central Chile. Later, the sediments indicate variable lacustrine levels, and increase of charcoal particles, associated to current climatic conditions. The pollen spectrum dominated by Myrtaceae and Nothofagus contrasts with a strongly disturb current landscape. Actually, Purén-Lumaco valley constitutes a complex peat-bog system dominated by exotic grasses and forest species (Tritricum aestivum, Pinus radiata and Eucalyptus spp.). Some archaeological antecedents in the area document the human development at ca. 7yrs BP. The greatest archaeological characteristic present in the valley is the kuel, a Mapuche earth accumulation. The presence and extension of almost 300 kuel in the valley reflect the social/economic development, and partly explains why the region was the major resistance area for Spanish colonizer during XVI-XVII centuries. Also the archaeological findings reveal the presence of maize pollen (Zea mays) within their food consumption. The influence of climate and human impact in

  13. Transient magmatic control in a tectonic domain: the central Aeolian volcanic arc (South Italy)

    KAUST Repository

    Ruch, Joel; Vezzoli, Luigina; Di Lorenzo, Riccardo; De Rosa, Rosanna; Acocella, Valerio

    2015-01-01

    The background stress field in volcanic areas may be overprinted by that produced by transient magmatic intrusions, generating local faulting. These events are rarely monitored and thus not fully understood, generating debate about the role of magma and tectonics in any geodynamic setting. Here we carried out a field structural analysis on the NNW-SSE strike-slip system of the central Aeolian Arc, Italy (Lipari and Vulcano islands) with ages constrained by stratigraphy to better capture the tectonic and magmatic evolution at the local and regional scales. We consider both islands as a single magmatic system and define 5 principal stratigraphic units based on magmatic and tectonic activity. We collected >500 measurements of faults, extension fractures and dikes at 40 sites, mostly NNE-SSW to NNW-SSE oriented with a dominant NS orientation. These structures are governed quasi exclusively by pure dip-slip motion, consistent with an E-W extension direction, with minor dextral and sinistral slip, the latter being mostly related to old deposits (>50 ka). We further reconstructed the evolution of the Vulcano-Lipari system during the last ~20 ka and find that it consists of an overall half-graben-like structure, with faults with predominant eastward dips. Field evidence suggests that faulting occurs often in temporal and spatial relation with magmatic events, suggesting that most of the observable deformation derived from transient magmatic activity, rather than from steady regional tectonics. To explain the dominant magmatic and episodic extension in a tectonic dominant domain, we propose a model where the regional N-S trending maximum horizontal stress, responsible for strike-slip activity, locally rotates to vertical in response to transient pressurization of the magmatic system and magma rise below Lipari and Vulcano. This has possibly generated the propagation of N-S trending dikes in the past 1 ka along a 10 km long by 1 km wide crustal corridor, with important

  14. Transient magmatic control in a tectonic domain: the central Aeolian volcanic arc (South Italy)

    KAUST Repository

    Ruch, Joel

    2015-04-01

    The background stress field in volcanic areas may be overprinted by that produced by transient magmatic intrusions, generating local faulting. These events are rarely monitored and thus not fully understood, generating debate about the role of magma and tectonics in any geodynamic setting. Here we carried out a field structural analysis on the NNW-SSE strike-slip system of the central Aeolian Arc, Italy (Lipari and Vulcano islands) with ages constrained by stratigraphy to better capture the tectonic and magmatic evolution at the local and regional scales. We consider both islands as a single magmatic system and define 5 principal stratigraphic units based on magmatic and tectonic activity. We collected >500 measurements of faults, extension fractures and dikes at 40 sites, mostly NNE-SSW to NNW-SSE oriented with a dominant NS orientation. These structures are governed quasi exclusively by pure dip-slip motion, consistent with an E-W extension direction, with minor dextral and sinistral slip, the latter being mostly related to old deposits (>50 ka). We further reconstructed the evolution of the Vulcano-Lipari system during the last ~20 ka and find that it consists of an overall half-graben-like structure, with faults with predominant eastward dips. Field evidence suggests that faulting occurs often in temporal and spatial relation with magmatic events, suggesting that most of the observable deformation derived from transient magmatic activity, rather than from steady regional tectonics. To explain the dominant magmatic and episodic extension in a tectonic dominant domain, we propose a model where the regional N-S trending maximum horizontal stress, responsible for strike-slip activity, locally rotates to vertical in response to transient pressurization of the magmatic system and magma rise below Lipari and Vulcano. This has possibly generated the propagation of N-S trending dikes in the past 1 ka along a 10 km long by 1 km wide crustal corridor, with important

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

    Science.gov (United States)

    Nyirenda, Maloni; Mukwato, Patricia

    2016-12-01

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

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

    Science.gov (United States)

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

    2013-11-01

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

  17. On the forces that drive and resist deformation of the south-central Mediterranean: a mechanical model study

    Science.gov (United States)

    Nijholt, Nicolai; Govers, Rob; Wortel, Rinus

    2018-04-01

    The geodynamics of the Mediterranean comprises a transitional setting in which slab rollback and plate convergence compete to shape the region. In the central Mediterranean, where the balance of driving and resisting forces changes continuously and rapidly since the Miocene, both kinematic and seismo-tectonic observations display a strong variation in deformation style and, therefore possibly, lithospheric forces. We aim to understand the current kinematics in southern Italy and Sicily in terms of lithospheric forces that cause them. The strong regional variation of geodetic velocities appears to prohibit such simple explanation. We use mechanical models to quantify the deformation resulting from large-scale Africa-Eurasia convergence, ESE retreat of the Calabrian subduction zone, pull by the Aegean slab, and regional variations in gravitational potential energy (topography). A key model element is the resistance to slip on major regional fault zones. We show that geodetic velocities, seismicity and sense of slip on regional faults can be understood to result from lithospheric forces. Our most important new finding is that regional variations in resistive tractions are required to fit the observations, with notably very low tractions on the Calabrian subduction contact, and a buildup towards a significant earthquake in the Calabrian fore-arc. We also find that the Calabrian net slab pull force is strongly reduced (compared to the value possible in view of the slab's dimensions) and that trench suction tractions are negligible. Such very small contributions to the present-day force balance in the south-central Mediterranean suggest that the Calabrian arc is now further transitioning towards a setting dominated by Africa-Eurasia plate convergence, whereas during the past 30 Myrs slab retreat continually was the dominant factor.

  18. Climate model performance and change projection for freshwater fluxes: Comparison for irrigated areas in Central and South Asia

    Directory of Open Access Journals (Sweden)

    Shilpa M. Asokan

    2016-03-01

    Full Text Available Study region: The large semi-arid Aral Region in Central Asia and the smaller tropical Mahanadi River Basin (MRB in India. Study focus: Few studies have so far evaluated the performance of the latest generation of global climate models on hydrological basin scales. We here investigate the performance and projections of the global climate models in the Coupled Model Intercomparison Project, Phase 5 (CMIP5 for freshwater fluxes and their changes in two regional hydrological basins, which are both irrigated but of different scale and with different climate. New hydrological insights for the region: For precipitation in both regions, model accuracy relative to observations has remained the same or decreased in successive climate model generations until and including CMIP5. No single climate model out-performs other models across all key freshwater variables in any of the investigated basins. Scale effects are not evident from global model application directly to freshwater assessment for the two basins of widely different size. Overall, model results are less accurate and more uncertain for freshwater fluxes than for temperature, and particularly so for model-implied water storage changes. Also, the monsoon-driven runoff seasonality in MRB is not accurately reproduced. Model projections agree on evapotranspiration increase in both regions until the climatic period 2070–2099. This increase is fed by precipitation increase in MRB and by runoff water (thereby decreasing runoff in the Aral Region. Keywords: CMIP5 global climate models, Hydro-climate, Freshwater change, Central Asia, South Asia, Monsoon driven seasonality

  19. Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

    Directory of Open Access Journals (Sweden)

    Tamara Trelha Gauna

    2013-08-01

    Full Text Available Introduction Vascular access in patients undergoing hemodialysis is considered a critical determinant of bloodstream infection (BSI and is associated with high morbidity and mortality. The purpose of this study was to investigate the occurrence of BSI in patients with end-stage renal disease using central venous catheters for hemodialysis. Methods A cohort study was conducted in a public teaching hospital in central-western Brazil from April 2010 to December 2011. For every patient, we noted the presence of hyperemia/exudation upon catheter insertion, as well as fever, shivering, and chills during hemodialysis. Results Fifty-nine patients were evaluated. Thirty-five (59.3% patients started dialysis due to urgency, 37 (62.7% had BSI, and 12 (20% died. Hyperemia at the catheter insertion site (64.9% was a significant clinical manifestation in patients with BSI. Statistical analysis revealed 1.7 times more cases of BSI in patients with hypoalbuminemia compared with patients with normal albumin levels. The principal infective agents identified in blood cultures and catheter-tip cultures were Staphylococcus species (24 cases, non-fermentative Gram-negative bacilli (7 cases of Stenotrophomonas maltophilia and 5 cases of Chryseobacterium indologenes, and Candida species (6. Among the Staphylococci identified, 77.7% were methicillin-resistant, coagulase-negative Staphylococci. Of the bacteria isolated, the most resistant were Chryseobacterium indologenes and Acinetobacter baumannii. Conclusions Blood culture was demonstrated to be an important diagnostic test and identified over 50% of positive BSI cases. The high frequency of BSI and the isolation of multiresistant bacteria were disturbing findings. Staphylococcus aureus was the most frequently isolated microorganism, although Gram-negative bacteria predominated overall. These results highlight the importance of infection prevention and control measures in dialysis units.

  20. Metabolic syndrome and associated factors among psychiatric patients in Jimma University Specialized Hospital, South West Ethiopia.

    Science.gov (United States)

    Asaye, Sintayehu; Bekele, Shiferaw; Tolessa, Daniel; Cheneke, Waqtola

    2018-04-24

    Metabolic syndrome is a multisystem disorder which coined to describe the recognized clustering of metabolic and cardiovascular abnormalities including obesity, hypertension, dyslipidemia, and abnormalities of glucose homeostasis. To assess the prevalence and associated factors of metabolic syndrome among psychiatric patients in Jimma University Specialized Hospital. This study was conducted at Jimma University Specialized hospital psychiatric ward from May 15 to July 16, 2015. A cross-sectional study design and consecutive sampling technique were used. A single population proportion formula was used to include a total of 360 psychiatric patients. An interview administered structured questionnaire was used to collect socio-demographic and some clinical data. Anthropometric data were collected based on standard guild line for anthropometric measurement. Five milliliter of venous blood was collected from ante-cubital fossa after overnight fasting for 8 h. Semi-automated clinical chemistry analyzer (Temis Linear) was used for biochemical laboratory analysis. Data analysis was performed by using SPSS version-20 software. Binary and multiple logistic regressions were used to identify the association between dependent and independent variables. P value less than 0.05 was taken as statistically significant association. The prevalence of metabolic syndrome among psychiatric patients was 28.9%. Age greater than 30 years old (AOR: 5.2, CI: 2.3, 11.8, P. value metabolic syndrome among diabetic patients in the study area. The other independent variables such as family history of hypertension, chewing chat, Psychotropic drugs, duration of treatment, regularly eating fruits and vegetables had no statistically significant association with metabolic syndrome (P. value > 0.05). There was high prevalence of metabolic syndrome among the psychiatric patients. Therefore; close assessment, management and treatment of metabolic syndrome among patients with psychiatry problem is

  1. Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: a cross sectional study.

    Science.gov (United States)

    Dagget, Tadesse; Molla, Ashagre; Belachew, Tefera

    2016-01-01

    Occupational stress exists in every profession, nevertheless, the nursing profession appears to experience more stress at work compared to other health care workers. Unmanaged stress leads to high levels of employee dissatisfaction, illness, absenteeism, high turnover, and decreased productivity that compromise provision of quality service to clients. However, there is a scarcity of information about nurses' job stress in Jimma zone public hospital nurses. The aim of the present study was to assess job related stress and its predictors among nurses working in Jimma Zone public hospitals, South-West Ethiopia in 2014. An institution based cross sectional study was conducted from March 10 to April 10, 2014 through a census of nurses who are working in Jimma Zone public hospitals using a structured self-administered questionnaire. SPSS Statistics Version 20 used. For the outcome variable: overall job related stress, the participant's responses on each item score summed: a stress score ranging from a minimum of 26 and maximum score of 116. The higher the sum the more the stressed the nurse. The level of stress calculated through tertial the lower to low stress, the middle to moderate & the higher to high stress. Moreover, bivariate and multivariable linear regressions done to see the association between the predictor (sex, age, mutual understanding at work, Job satisfaction and working unit/department) and the outcome variable (Job related stress). A total of 341 nurses working in Jimma Zone public hospitals were given the questionnaire, and the response rate was 92.3 % (315). This study indicated an average overall job related stress level of 58.46 ± 12.62. The highest level of job related stress was on the sub scale of dealing with death & dying mean score of 62.94 % followed by uncertainty regarding patient treatment 57.72 % and workload 57.6 %. While job related stress from sexual harassment had the lowest mean score of 46.19 %. Overall job related stress varies

  2. Nurses and care workers’ perceptions of their nurse-patient therapeutic relationship in private general hospitals, Gauteng, South Africa

    Directory of Open Access Journals (Sweden)

    Anna E. van den Heever

    2013-09-01

    Full Text Available Facilitation of a therapeutic relationship is an essential skill in nursing, particularly in mental-health care. Nurses and care workers in private general hospitals are exposed to the emotional effects of physical illness as well as the increase in admission of patients with mental-health needs. Poor nurse-patient relationships have been reported by patients and in the media. The researchers experienced incidents of apparent misunderstandings during nurse-patient interactions whilst working in private general hospitals. No studies have been done regarding how nurses and care workers perceive a therapeutic relationship with patients in terms of the patients’ emotional and mental-health needs. A quantitative, contextual and deductive study was conducted in three private general hospitals in Gauteng, South Africa with a purposive sample of 154 nurses and 30 care workers. Based on the concepts of a therapeutic relationship, empathy, positive regard, genuineness, concreteness and self-exploration, nurses and care workers’ perceptions of facilitating a therapeutic relationship were self-assessed using five-point scales in a questionnaire. Data were analysed using descriptive statistics and non-parametric statistical techniques. Specific hypotheses were tested to identify whether statistically-significant differences existed between the perceptions of two or more groups of nurses and care workers. Results showed a general insensitivity and lack of awareness and reflection on the part of nurses and care workers with regard to the patients’ emotional needs. When categories of nurses were compared, no statistically-significant differences were found between the perceptions of the various groups tested. There is a need for self-awareness, continued interpersonal skills training and supervision of nurses and care workers. A large percentage of the participants were younger than 40 years, subprofessional, with less than 10 years’ experience as

  3. [Introduction of the psychoprophylactic method and its influence on the prenatal care program for institutional parturition in Japan: the practice in the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, 1953-1964].

    Science.gov (United States)

    Fujihara, Satoko; Tsukisawa, Miyoko

    2014-03-01

    The psychoprophylactic method is one of the methods for providing 'painless childbirth without drugs' and was invented by applying I. Pavlov's theory of higher nervous activity. In 1951, it was adopted as a national policy in the Union of Soviet Socialist Republics. This method was then introduced in the People's Republic of China in 1952. In 1953, it was brought to Japan by Masatomo SUGAI, an obstetrician, and was introduced into the Central Hospital of Maternity of the Japanese Red Cross Society with the support of the director, Naotarou KUJI. The practice of this method by the research team, which consisted of the obstetricians and midwives of the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, resulted in the initiation and characterization of the prenatal care program to encourage the autonomy of the pregnant women for normal parturition in the institutions of Japan.

  4. Effect of road salt application on seasonal chloride concentrations and toxicity in south-central Indiana streams.

    Science.gov (United States)

    Gardner, Kristin M; Royer, Todd V

    2010-01-01

    Contemporary information on road salt runoff is needed for management of water resources in regions experiencing urbanization and increased road density. We investigated seasonal Cl(-) concentrations among five streams in south-central Indiana that drained watersheds varying in degree of urbanization and ranging in size from 9.3 to 27 km(2). We also conducted acute toxicity tests with Daphnia pulex to assess the potential effects of the observed Cl(-) concentrations on aquatic life. Periods of elevated Cl(-) concentrations were observed during the winters of 2007-08 and 2008-09 at all sites except the reference site. The highest Cl(-) concentration observed during the study was 2100 mg L(-1) and occurred at the most urbanized site. The Cl(-) concentration at the reference site never exceeded 22 mg L(-1). The application of road salt caused large increases in stream Cl(-) concentrations, but the elevated Cl(-) levels did not appear to be a significant threat to aquatic life based on our toxicity testing. Only the most urbanized site showed evidence of salt retention within the watershed, whereas the other sites exported the road salt relatively quickly after its application, suggesting storm drains and impervious surfaces minimized interaction between soils and salt-laden runoff. During winter at these sites, the response in stream Cl(-) concentrations appeared to be controlled by the timing and intensity of road salt application, the magnitude of precipitation, and the occurrence of air temperatures that caused snowmelt and generated runoff.

  5. Trepanation in South-Central Peru during the early late intermediate period (ca. AD 1000-1250).

    Science.gov (United States)

    Kurin, Danielle S

    2013-12-01

    This study evaluates trepanations from five well-contextualized prehistoric sites in the south-central highlands of Andahuaylas, Peru. The emergence of trepanation in this region coincides with the collapse of the Wari Empire, ca. ad 1000. Thirty-two individuals from Andahuaylas, AMS radiocarbon dated to the early Late Intermediate Period (ca. ad 1000-1250), were found to have 45 total trepanations. Various surgical techniques were being employed concurrently throughout the region. Scraping trepanations evinced the highest survival rate; circular grooving, drilling and boring, and linear cutting were far less successful. Evidence of perioperative procedures like hair shaving, poultice application, and possible cranioplasty use aimed to ensure the survival of a trepanation recipient. Postmortem trepanations, also present in Andahuaylas, were likely executed on corpses as a means of better understanding cranial anatomy and improving techniques. Similarities in trepanation patterns throughout the region attest to common motivations to engage in surgery. Although moderate physical head trauma seems to be the impetus for intervention in many cases of trepanation, other motivations included physiological and possibly psychosomatic factors. Nevertheless, treatment was not for everyone. In Andahuaylas, trepanations were withheld from subadults, females, and those individuals who practiced cranial modification. Copyright © 2013 Wiley Periodicals, Inc.

  6. Environmental noise and cardiovascular disease in adults: Research in Central, Eastern and South-Eastern Europe and Newly Independent States

    Directory of Open Access Journals (Sweden)

    L′ubica Argalášová-Sobotová

    2013-01-01

    Full Text Available The adverse effects of noise on health have been intensely explored in the past 50 years. However, the scope of research conducted in the Central and Eastern Europe, South-East Europe, and Newly Independent States is not well-known. The aim of this review was to present studies on cardiovascular effects of environmental noise in adults published since 1965 and to point out the most important issues that need to be addressed in the future. More than 100 papers on noise and health and about 20 papers on cardiovascular effects of environmental noise in adults were identified by literature search. The authors reviewed scientific international and local journals, conference proceedings, and local reports published in national languages. The major endpoints were high blood pressure, ischemic heart disease, and myocardial infarction. The target populations were adults. Experimental and exposure-assessment studies, field, empirical studies, social surveys, and epidemiological studies are presented. The major sources of environmental noise were road and air traffic. The results were presented in tables and the most relevant articles were briefly discussed. The importance of this review is that it refers to some countries that no longer exist in the same political and governmental systems. The strength of this paper is that it includes publications that were not evaluated in earlier systematic reviews. Strategies for future noise-related research on national and global level are proposed.

  7. Structures within the oceanic crust of the central South China Sea basin and their implications for oceanic accretionary processes

    Science.gov (United States)

    Ding, Weiwei; Sun, Zhen; Dadd, Kelsie; Fang, Yinxia; Li, Jiabiao

    2018-04-01

    Internal structures in mature oceanic crust can elucidate understanding of the processes and mechanism of crustal accretion. In this study, we present two multi-channel seismic (MCS) transects across the northern flank of the South China Sea basin to reveal the internal structures related to Cenozoic tectono-magmatic processes during seafloor spreading. Bright reflectors within the oceanic crust, including the Moho, upper crustal reflectors, and lower crustal reflectors, are clearly imaged in these two transects. The Moho reflection displays varied character in continuity, shape and amplitude from the continental slope area to the abyssal basin, and becomes absent in the central part of the basin where abundant seamounts and seamount chains formed after the cessation of seafloor spreading. Dipping reflectors are distinct in most parts of the MCS data but generally confined to the lower crust above the Moho reflection. These lower crustal reflectors merge downward into the Moho without offsetting it, probably arising from shear zones between the crust and mantle characterized by interstitial melt, although we cannot exclude other possibilities such as brittle faulting or magmatic layering in the local area. A notable feature of these lower crustal reflector events is their opposite inclinations. We suggest the two groups of conjugate lower crustal reflector events observed between magnetic anomalies C11 and C8 were associated with two unusual accretionary processes arising from plate reorganizations with southward ridge jumps.

  8. Identifying and Characterizing Important Trembling Aspen Competitors with Juvenile Lodgepole Pine in Three South-Central British Columbia Ecosystems

    Directory of Open Access Journals (Sweden)

    Teresa A. Newsome

    2012-01-01

    Full Text Available Critical height ratios for predicting competition between trembling aspen and lodgepole pine were identified in six juvenile stands in three south-central British Columbia ecosystems. We used a series of regression analyses predicting pine stem diameter from the density of neighbouring aspen in successively shorter relative height classes to identify the aspen-pine height ratio that maximized R2. Critical height ratios varied widely among sites when stands were 8–12 years old but, by age 14–19, had converged at 1.25–1.5. Maximum R2 values at age 14–19 ranged from 13.4% to 69.8%, demonstrating that the importance of aspen competition varied widely across a relatively small geographic range. Logistic regression also indicated that the risk of poor pine vigour in the presence of aspen varied between sites. Generally, the degree of competition, risk to pine vigour, and size of individual aspen contributing to the models declined along a gradient of decreasing ecosystem productivity.

  9. Opinions of the commuters to receive oral health messages in South central railway zone India: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    P Parthasarathi Reddy

    2015-01-01

    Full Text Available Introduction: The railroads of India are the fourth most heavily used system in the world. Railways are one of the main modes of transport and millions of people travel by train daily. Aim: To know the opinions of commuters in receiving oral health messages in railways station through various methods and also their knowledge and practice regarding oral hygiene. Materials and Methods: Using convenient sampling method data from the commuters was obtained by a pretested questionnaire through interview method from 14 railway stations of South Central Railway zone. Pearson Chi-square test was used to compare the opinions of commuters based on their gender to receive oral health messages. Results: A total of 596 (97.3% responded to the survey; a maximum of 297 (49.8% subjects strongly agreed to the statement that railway platforms should have informative posters on oral health. A maximum of 188 (31.5% commuters strongly agreed that prerecorded messages on oral health if played before the announcement of arrival and departure of train will be helpful to spread oral health awareness. Majority of 43% commuters (255 preferred to receive oral hygiene instructions printed on back side of the ticket followed by messages on television and through posters. Conclusion: Majority of the commuters preferred to receive oral health information in railways stations. Hence, efforts can be directed in spreading oral health information among public through railways.

  10. Mercury in mushrooms and soil from the Wieluńska Upland in south-central Poland.

    Science.gov (United States)

    Falandysz, Jerzy; Bielawski, Leszek; Kawano, Masabide; Brzostowski, Andrzej; Chudzyński, Krzysztof

    2002-09-01

    Concentrations of mercury were determined in the fruiting bodies of 15 species of higher mushrooms and underlying soil substrate collected from Wieluńska Upland in northern part of Sandomierska Valley in south-central Poland in 1995. A total of 197 samples of caps, 197 stalks, 30 whole fruiting bodies and 227 soil (0-10 cm layer) were analyzed. Mean mercury concentrations in soil substrate corresponding to 15 mushroom species were between 28 +/- 17 and 85 +/- 62 ng/g dry matter (total range between 3.0-190 ng/g). The average cap to stalk concentration quotients of Hg were around 2 (range between 1.1 +/- 1.1 and 2.8 +/- 1.4). However, this quotient in Larch bolete (Suillus grevillei) was 4.4 +/- 6.3. Concentrations of Hg varied depending on the mushroom species. Parasol Mushroom (Macrolepiota procera) and Horse mushroom (Agaricus arvensis) contained the greatest mean mercury concentrations both in caps (between 4500 +/- 1700 and 4400 +/- 2400 ng/g dry matter) and stalks (between 2800 +/- 1300 and 3000 +/- 2000 ng/g dry matter). Both the Parasol Mushroom and Horse mushroom were characterised also by a greater potential to bioconcentrate mercury from soils as evidenced by great bioconcentration factors (BCFs), which were between 170 +/- 160 and 130 +/- 120 for caps, and 110 +/- 97 and 89 +/- 92 for stalks. Mercury concentrations in caps and stalks of False death cap (Amanita citrina) increased (p Suillus luteus).

  11. Analysis of uranium metallogenic conditions and prospective prognosis on the south-central part of the Xikang-Yunnan Axis

    International Nuclear Information System (INIS)

    Guo Baochi; Qian Farong; Cai Yuqi; Zhang Daishi

    1996-08-01

    Three types of uranium mineralizations (i.e., sandstone type, sodium metasomatite type and Proterozoic epimetamorphic rock type) are distinguished in the south-central part of the Xikang-Yunnan Axis, and their major characteristics are expounded. It is proposed that the Early Proterozoic crust has three elevation stages: primitive old land formation stage, subsidence stage and base mental reconsolidation stage, and that the Middle Proterozoic Kunyang Group is different from typical carbonate-siliceous-politic sedimentary formation which contains many regional uranium-rich horizons. The primitive uranium contents of some rocks in the region have been studied for the first time, and proposed a new knowledge that some relative rocks be recognized as the uranium source rocks of the region. It is pointed out that there are two kinds of hydrothermal alterations, namely, alkaline alteration and acidic alteration, and some areas with development of alkaline alteration have promising uranium-metallogenic potential. As for the U-metallogenic prospect of the region, three conclusions are summarized: (1) This region does not have favourable geologic conditions for the Australian-Canadian type Proterozoic unconformity-related uranium deposit; (2) The Proterozoic unconformity different from that of Australian-Canadian type does not have permission U-metallogenic potential either; (3) The alkaline (sodium) metasomatite type uranium mineralization in the region has some prospecting potential. Therefore on the basis of above-mentioned conclusions five relatively promising uranium-metallogenic prospects are selected. (4 refs.)

  12. Estimating the reproductive number, total outbreak size, and reporting rates for Zika epidemics in South and Central America

    Directory of Open Access Journals (Sweden)

    Deborah P. Shutt

    2017-12-01

    Full Text Available As South and Central American countries prepare for increased birth defects from Zika virus outbreaks and plan for mitigation strategies to minimize ongoing and future outbreaks, understanding important characteristics of Zika outbreaks and how they vary across regions is a challenging and important problem. We developed a mathematical model for the 2015/2016 Zika virus outbreak dynamics in Colombia, El Salvador, and Suriname. We fit the model to publicly available data provided by the Pan American Health Organization, using Approximate Bayesian Computation to estimate parameter distributions and provide uncertainty quantification. The model indicated that a country-level analysis was not appropriate for Colombia. We then estimated the basic reproduction number to range between 4 and 6 for El Salvador and Suriname with a median of 4.3 and 5.3, respectively. We estimated the reporting rate to be around 16% in El Salvador and 18% in Suriname with estimated total outbreak sizes of 73,395 and 21,647 people, respectively. The uncertainty in parameter estimates highlights a need for research and data collection that will better constrain parameter ranges.

  13. Noise and children′s health: Research in Central, Eastern and South-Eastern Europe and Newly Independent States

    Directory of Open Access Journals (Sweden)

    Katarina Paunovic

    2013-01-01

    Full Text Available Many reviews have documented the adverse effects of noise on children′s health, but the international scientific community was previously unfamiliar with noise research in Central and Eastern Europe (CEE, South-East Europe (SEE, and Newly Independent States (NIS. The aim of this review was to present studies on the effects of noise on children′s health, conducted in aforementioned countries in the second half of the 20 th century, interpret their findings, and criticize their methodology and results wherever possible. This review focused on 30 papers published in national journals in the period from 1965 to 2000. By design, 22 studies were observational and cross-sectional, and eight studies were experimental. The outcomes under the study included auditory changes, stress reactions, sleep disturbances, school performance, upright posture, and vegetative functions. Researchers from CEE, SEE, and NIS were the pioneers in the assessment of noise-induced changes of vegetative functions and blood pressure of children in urban areas, as well as of infants exposed to noise in incubators. Future research should focus on intervention studies and follow-up of children′s health in relation to noise exposure.

  14. Noise and children's health: research in Central, Eastern and South-Eastern Europe and Newly Independent States.

    Science.gov (United States)

    Paunovic, Katarina

    2013-01-01

    Many reviews have documented the adverse effects of noise on children's health, but the international scientific community was previously unfamiliar with noise research in Central and Eastern Europe (CEE), South-East Europe (SEE), and Newly Independent States (NIS). The aim of this review was to present studies on the effects of noise on children's health, conducted in aforementioned countries in the second half of the 20 th century, interpret their findings, and criticize their methodology and results wherever possible. This review focused on 30 papers published in national journals in the period from 1965 to 2000. By design, 22 studies were observational and cross-sectional, and eight studies were experimental. The outcomes under the study included auditory changes, stress reactions, sleep disturbances, school performance, upright posture, and vegetative functions. Researchers from CEE, SEE, and NIS were the pioneers in the assessment of noise-induced changes of vegetative functions and blood pressure of children in urban areas, as well as of infants exposed to noise in incubators. Future research should focus on intervention studies and follow-up of children's health in relation to noise exposure.

  15. Application of the 137Cs technique to quantify soil redistribution rates in paleohumults from Central-South Chile

    International Nuclear Information